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Ul c:J - H If Ul <cr, '{'to ~>/, '. ~ ~ B ,~ ~ I o p:: . t.l . }! 0"0 t-.... I - C't ,0 i~ III . o Z No 21-79 t, ~,~ " .". PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of Ralph L.JQ.ine , deceased, To Richard E, Anderson, Register of Wills for the County of Cumberland, in the Commonwealth at Pennsylvania. IS Petitioneds) (W[ the execut....rlx named in the Last Will and Testament of Rn'ph T,. K1ine dated September 24. 1974 Decedent was a citizen of the United States and a resident of ~ Borough, Cumberland County, Commonwealth M~ Un"r ~p~~ngR of Pennsylvania, Decedent died on .. 'l'I'111rllrlny the 22hIl day of February A. D, 19 ?9 , in the County of Cumberland State of P"nn'ly'""ni" at the age of 67 years. ImI fm mr Decedent has not been married and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of $:30,000.00 and of real estate to the value of It 11 "'(1 os near as can be ascertained; said real estate situated as follows 7 N. Baltimore Stree, Mt. Holly Springa, Cumberland County and Penn Townahip, Cumberland County both held aa tenanta by ent:lretiea , . ~ Therefore, your petitioneds) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated ::J,!ll/ 177 I I Name and address of Petitioner(s) ~~ L............_...__ ",\. ). ,.-, , , \ _ ~\L:) ) '\ ,,'\ 1','\ 1 \ "':~""-f'L'--'" \. },,\.' , \.\ \ ,.",', ,,-,',. '<, ' \, '\ \V\ \ COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND f ss \ \ '\ .~ -\"" .",', \, \\" \ ' ~--,~- " """"..:-'\ ) named in above application, being duly say(s) that the statements set forth in , ,", according to law this petition are true to the best of '-"., knowledge and belief, ,.... ".,.,., , and subscribed before \ ,. '-.. " A<,\"",\,... me'~_19"\ Richard E, Anderson. Register \ , I , (/, ,,: . .. March 14. 1979 ') J' Attorney: Xc';,';; (' , vl"~n,,,. \ \ \ t (ITEM IV continued) 7. To DIY nephew, GENE A. SNYDER, of West Kingston, Rhode 1010nd (BoX 215, 02892), the sum of TWO THOUSAND DOLLARS (82,000). 8. To my nephew, RICHARD E. SNYDER, of R.D. 2 Dcver-Foxcroft, Moine, the SUDl of TWO THOUSAND DOLLARS ($2,ood). 9. To my niece, KATHY K. KENDELHARDT, of l~~ Nerth Went 79th Avenue, Margate, Florida, ~~06~, the sum of' TWO THOUSAND DOLLARS ($2,000). 10. To my nephew, DAVID KLINE, of 9751 South West 167th Avenue, Margate, Florida, ~~157, the sum of TWO THOUSAND DOLLARS (82,000). 11. To my wife's nephew, RICHARD E. MILLRR, of Tremont Terrace Apartments, Sandy street, Norristown, Pennsylvonia, the sum of TWO THOUSAND DOLLARS (82,000). 12. To my wifc's nephew, ROBERT F. MILLER, JR., of 6821 stonewall Court, stoclct.on, California, the cum of TWO THOUSAND DOLI,ARS (82,000). l~. To my wife's nephew, MARK L. MILLER, presently Cadet qth Closs in the <. Chase Holl ) United States Coast Guard Academy, ,P.O. BoX 251) New London, Connecti- cut, the SUlll of TWO TllOUSAIID DOLLARS (\:2,000). If ony of the obove hove prr.,leceoned me, thon tho sun: or oumo bC'luoothed to thot peraon ohall remoin In the bulk of my eatate. N. To MARK L. MILLER my Nlkon Cwners Equipment and occoosories, nnd my Questor Telescope. O. To ROBERT A. BALLARD of Harrloburg, Pennsylvania, my automobile. P. The blue diaheo presently (It my mountain cottoge ot Laurel Loke, the hob nnil vose presently ot my home in Mt. Holly Springo (both of which hove dosconded from my Mother, Rhett" Kline), nnr! t.he opinnin!!, whool nnd enrtor presently ot my home in Mt. Holly Springs (which hOD descended from my Grondmother Kline) oholl be divided between my nieco ond nephew, KATHY K. KENDELHARDT nnd DAVID KLINE, in such 0 monner 00 they bot.h sholl ogree upon. Q. Tho eut. glOSS, Hovllonr! chino, Dresden chinn, hond_point.ed diohes, ond other chino nnd glnoswore (wit.h the oxception of the hob noil 'lose pre- vIously dioposed of) thot hovs dcscendr.d from my wife'c Mother, Lillie F. Miller; tho montle chime cloek (preoent1Y in the dining roem of my home in U#r~ (pnge II of 5 pogen) . . OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA! ss: COUNTY 01<' CUMBERLAND This........Y.t:t:h..................................... ................... duy of ..... ..Har.l:h................................ ............... A.D., 19..7.9..., before me Richnrd E. Anderson, Register for the Probute of Wills nnd grnnting letters of Administrution in nnd for suid County of Cumberlund, in the Commonweulth of I'ennsylvuniu, personully cume .............. ..................................................................... sIllOll..S... .Il\\nf.e.eA.....Cl 1).<I...~.f............................................................ the subscribing witnesses to the foregoing instrument of writing purporting to be the Inst Will und Testament of ............Ralph.L...~............................................................. Outed ...S~t.emQ.e~..2u...l97.1I... luteof...............Mount..~....Borough...................................................... Cumberlnnd County Pu., deceused who being duly ......awam........................... nccording to luw, depose IInd sny, thnt ....f!9!L~!L..................... present. and saw nnd heurd the testa..t.Q;r........................., ...........fu\;I.p.h..lH...1,g..m~....................................... sign, seal. publish, pronounce and declnre the suid instrument of writing us and for h.::!-!!........... Testament :l CL'l>.t.-tt- and Last WiIl,^and at the time of so doing .......he......................................wlls of sound and disposing mind memory and understanding, ta the best of .......Im~.................................knowledge. observution and belief. ...............5=..................... nnd subscribed before r......9.<Mt><.~.....,d....~~........................ .................................................................................. Richurd E. Anderson, Register .................................................................................. AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA! ss: COUNTY OF CUMBERLAND ---- / / tl / . S. - /.!r-Jv'-''::C~ Jt..._'d,',;;- r -i/', .... '.. ~"I' . ..................................................................................... ................,......... ,...\.y...I<..~......~..~.w.!ic;........bemg duly ................................................ snys thut fiS neurly us cnn be uscertuined the said decedent .......................... ..............................................................Ra:J.Rh..J",...~mti!...........................................................................dicd on ...............Thunsday.................. the ...........22.nd..............duy of ..........f.~9.r.\W.:r.Y............................ A.D.. 19..1.9.. bo '.( . .. ~ t I " M fit or a ut ...............;.....;:..;................. 0 cock, t.:. . ..................~.~~.~~.......................nnd subscribed this ............................}.~~!?:......... duy of ......~.~.~!:.~...... 19. 19..... ""ore LD ............~...................................;..... Richurd E. Anderson, Hegister , ',. ~.....,..,:.,.&.....';:.......i.::.:!...~.f.~:;...~:...6.....,(........................... OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBERLAND SS: Before me, the Register for the Probute of Wills und grunting of Letters of Administrution in und for the County of Cumberlund, personully cume ..........June..K...BPllnIllI11............................................................ who, being duly .......swam..........., do .th..... depose und sny that us ........J!j~\l.9.\\t..r.~...................................... of the lust Will und Testnment of .............lW.1.P.\\.:t....JQJml.................................................................deceused .......aha............ will well und truly udminister the goods und chuttels, rights und credits of snid deceused according to law. And ulso will diligently comply with the provisions of the luw reluting to Trnnsfer Inheritances. ........swam.......... und subscribed before me. , r' '" \\J [' ..~.-h.\...:~~...~~..~-?1...(.\-&~.,............u.................. , ) c .................................................................................. / :..; . . :l'i\ a-! : os 1-' : ~ O'l : Ql u.. r 01 0 co: ~ ~l ""i r-- -I H: ~ ~\ ,.\ 12\ 0 -I !:Q - . - .. ~ 0; ~ ,.:q e-o: .d! n::! [ill u: r:: r..: ~ p.: .~ ~ Ill: \-1: '" ~\ N c:i <: -E " z ~\ ..::l; - 0 'lti M .s u ~ e Ql al ~ '" bD r:: os - [il .~ os p... ~ DECREE Be it remembered that on the .......~!t.~l:........ duy of ..................~.':I.~~~.................., A. D.. 19 ?~..... there was probated und recorded the lust Will und Testument of ..~.~.~p.~..~.:...~}.~~.~........................................... late of .........I1!:.~...lig!.*x...~p..d~.e;!L........................., Cumberlund County, Pennsylvunin. Deceused. Letters ....................~~.~~.~.I!!~~~~.~....... were grnnted to .................~~~..~..:. Witness my hnnd und officinl seul the duy und yenr nforesuid. ..................R.i.~i;;;~d.~~:.A~d~~~~~:.~.gi~~.~: . . "CC-u I'-HI '. COMMONWEAL TIt OF PENNSYLVANIA DEPARTMENT OF REVEr-;UE BUREAU OF COUNTY COLLECTIONS */h '// RESIDENT DECEDENT '2. I -.,'1' _ f (i COUNTY OF Cumberland IMPORTANTI Thil return mUll be completed in detaU and riled in duplicate, with aU alllched, ~'hh the Reai1ter or WHII or the Counl)' where decedent rnidedj Relurn II due wilhin nine month, aher dane or death. unle.. an euenlion is .ranted by the Secretary or Re..enue. (Section 703 or the Inherhance and ElulIc Talt ACI or 1961.) Lat. of Cumberland Pennsylvania } AFFIDAVIT OF EXECUTOR C AO\IISISTRATOR ountr IN TilE \lATTER OF TilE ESTATE OF Ralph L. Kline llTATE 'UL.L. NAME 01" DECEDENTI 5101. of J "' "'dmirrilltrtlm' C.un,..1 Cumberland June K. Rounslev of 'h. ..tal. 0' tho abon-nom.d d.Cld.nt b.lng duly .wam, d.pon and eo)' Februarv 22 , 19...1.9-{tu,al. I.ovlng II 1011 will, copy of which I. h,,,,o attock.d.} IMONTHI IDAyl IYEAR) In'utat. N.m..nd.dd.....,."..n....} Robert C. Saidis. Esquire oth., authollud ,.p"..n'allv. to whom .1I......p.nd.nc..h.uldb.m.i1.d. Saidis & Guido, 26 W. Hill;h Street, Carlisle PA 17013 Uecedent died That as such Execu trix deponenl is rami liar with Ihe orralrs or sold estale and Ihe properly constltutins t EXECUTOR-AOMINIST Ft'" TOR1 Ihe assets Ihereor and Ihelr rair markel value, Thai atlhe lime or dealh there was no sore deposit box resislered In decedenl's individual name, or joinlly with, or as agent ur depuly or anolher, or in decedenl's individual name, wilh risht or access by another as asenl or depuly, with Ihe cxception or the rullowinS: - NAME AND AODRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A S~"E DEPOSIT BOX THIS SAI"E DEPOSIT BOX RENTED IN NAME OR NAMES 0" REL.ATIONSHIP 01" JOINT HOL.DERS TO DECEDENT ~tNR R~~k- N A . HO yJ~pr~ngs ce ra c.s n Thai Ihe contenlS or said sore deposll box or boxes arc itcmized onder Schedules wllh the exception or the rollowins, ror Ihe reasons hereinarler sel forth: or this relurn, ThaI Sch.Ju/. A auached herelo ond made part hereor sels rOrlh rolll' and in detail all Ihe real property in Ihe Commonwealth or Pcnos)'I"anla or which decedenl dicd havins an inlerest Ihereln, It also sets rorlh the morlgase cncombrsnces upon cllch parccl or real properll' 01 Ihe dale or dcath, slvlng Ihe amount sllll due 01 death, name or mortsasce, date, mtc or interesl, and bonk and pose or record Ihereor, It also scts rorth in Ihe colomns providcd Ihererurc thc osscsscd "aluation or cach ur said pareels, the estimaled markel value Ihercor as or dalc or dcalh or dccedent, That Sch.Ju/. B auached hcrelo and madc parl hercur scts rorlh rully and In detail all personal properly whercso"er silualcd owned by Ihe dcccdenl at Ihc limc ur denlh: all mune)'s Icrt by Ihe dccedenl ollhe lime or dcnth. whclher in decedent's immediale possession. slnnding to dccedenl's credil in banks of depusit, savings hanks, lrusl componics, fir other inslilutinns, whelher indh'idunll)', or in trust fur an)' other perstJn or persons giving nlso scpnrnlcl)' Ihe accrued inlerc!lil thereon. if an)', down to thc last interesl da)' prior III decedenl's death in Ihc cnsc nr sRvings hanks, nnd tn the Ollie of decedcnt's deRlh in nil olher cases; all hnn(I~, IHJ!ootul savings, Ire05W)' certificates or nmes and olhcr evidence of indebtedness of Ihe Uniled Slotes 10 Ihl' dc. cedent; all nblignliuns, whether h)' slnlule or nl1r,,'cl11clIl Ihc)' ure de..ignaled as IIl:\ free, uf the United Slales, ur an)' slate, ur polilical subdivision thereClf, ur uf 311)' furcii:1I cntlnlry, which arc IIwned at Ihe lime uf dealh: nil wcnring lIppl.lrcl, jcwelr)'. sih'crwllre, picturcs. hnn~s. .....urks (If art, hnuschnld furnilure, 11IIr"ic!ll. carriages, automohiles, h(Jals, nnd any nlld nil nther pcrslInnl clmllel... uf \\111\I..oe\'er. kind or nalure, Idl h)' decedcllI. tngelher with Ihe fuirl)' estimated mnrkCI \'olue Iherenf: all hnnds and mllfl~aJ;cs held h)' de<:.cdenl and uf nil clnims due und nwinll decellel1l ut thc time uf dClllh. lIud all prnlt1i~MH)' nutes ur uther in!'olrumenls in wriling rnr Ihe pil)'ment or mnnc)' of which decedent died pusses!'led. nf \\ h.lIsfle\'t'r nalure. with inlerest Ihereon, ir nn)', gh'illg the fnce \'ullle and eslinllllcd rair market value Ihcrcof, and ir ''lJch estimated fair market value he less than Ihe race ,'alue, it !'tel~ fnuh hridl)' Ihe rcasllns fur such deprecinliun as In each item: nil moncys (lil)'nhle tn the estate frum life insurance pnlicies carried h)' dccc~lcllt: nil 1I1111Uil) and endnwment cnntrncls thc prncecds uf which were IHlynhle uplln Ihe death uf the decedenl: 1111 and Ihe cnrpnrnte stocks nnd dh'idcnds due thereon nnd unpaid as uf the dale nf dealh, honds and accruell interc~1 Ihereon tn the dute uf deccdclIl'S death nllll uther il1\'eslmcnt sel'uriti~.. U\\netl h)' Ihe decedent lit the time of dcuth. wilh Ihe mmkct \'alue there- of at such time. .' . . . " In tho caso of securities of clos8 or faml1)' corporations, tho vftluos reportor! are 811 far IUI pOI.lble lubst.nthterl bl' flnanclol Itatementa or tho corporaUon!, Ihowlng tho allctl anr! llablllUel thereof IUI of the dftt8 of death. Tho schedule 1\110 lets forth the interost of rtocurlent 8t thu time of death tn any co-rlllrtnershlr or bmllnosllt and In support of tho value of snch internst thore tH Hrtnexed to said schedule, flnftnclal stl\toments showing tho 8UOtS and 1 tabll1tlos of 1I1l1d co-partnorshlp or hultlno8s. A COr)' of thl" co-partnorshlp 8R;foement, (if oral, a slatoM"t HotUng forth the nature of' Hie ttgreement) tog~thor with 8 statement settlnp; forth the character of the business, Its location, and such other facts pertaining to tho business All may he pertlnnnt to a fair ftnd Just apprahal of the doccdont' " intornst therein mllst be submtttfHt. It shOUld also set forth in Hemhert form, together with tho fair markot value thereOf, an)' other proport). owned or bequenthed b)' the decedont at tho time of doath. The Sc/l,dul, C Attached heroto and made 118rt hereof 80ts forth fl true answor to each inquiry contained therein and in the case oJ' transfers of pro pert)., roal or personal, within two years of rh~cedent'" death, in contemplation of decedent' A deAlhJ or intended to t!lke effect In p08sos810n or ~njoyment at or after deathJ s8ifl IIchedlllo sets forth the naturo and \'81uo of such prollort)'J to whom trM"ferrod, the relationship of the transferee" to tho docedentJ the proportionate sharo roceivo'l by cRch trllnsforee and all other facts of a pertinent naturo reRardinK said transfers. In the case of trnn9fcrs intended to take effect in possossion or enjo)'TI1ont at or after rtenth. thero is also attacherl to tho Rchertule A cony of the deed, trust agreement or othor instrument creating the trust. Therl~ i8 also set forth in said Ichodule a list of all propert)', real and personal, with its vllluo, which pR!.SCS at dccedent's dORth by virtue or the exorcise by decedent, oi ther individuallYJ or jointly wi th anotherJ or Rny llOWOr of apPOint- ment vested in decedent, either individually or Jointly, by the w111J deed, or other instrumcnt of anotherJ with 8 copy or the instrument creating Buch power attAched to the schedule. That Sc/l,dul, 0 attached hereto lmd mrule part hereof sets forth the nRmes IIntl addressos of All persons beneficially interested in this estate at the time of decedent's death, the nature or their res- pective interestsJ their relationshiPJ if any. to the decedent, togothor with the agos at the time of decedent's death of all minors, annuitants and beneficiaries for life under rlocedent'R Will. It also contains a statement showing Which or the bcneficiariclI named in the dccerlcnt's Will, if any, died llrior to ~ecedentJ the dates of their doathJ thoir issue. and the relationship or such issu8 to the beneficiary. That S.:/ledule E at.tached hereto and made a part hercof' sets forth all property, renl nnd per- Ianal, owned by the' decedent jointly with another or othersJ inclwl1ng intangibleJ standing in tho n8me of the decedent Md othersJ plus the date and place of record of instruments efrecUng the \cstiture or real estate Rnd the date or acquisition of personalty, plu9 the nameJ nddres!; and rolatJonshlfl, if any, of co-owners to the deceden t. That Sc/ledulr F attached hereto and made ft pnrt hereof sets forth fully Rnd In dot811 all debts and doductions claimed for and on bohal f of this decoden t' s es tateJ 1 nclud J ng "-moral expcnsoR pnid; famlly exemptionJ where applicable; costs of administration of this estate; counsel fees and "Idiciar)" S commlssions paid or to bo paid; cost expended for burin.l trustsJ tornbstoncs or RravemnrkersJ Rnd reli- gious servicesJ in consequence of the death or tho decedent; debts and claims owing nnrl un(laht at timo of death; taxes accrued chargeable for poriod prior to decedent' 8 death (except those allowed untler Section 601 of the Inheritance anti Estntc Tax Act); togother with A statement of collateral pledged for obliga- tions, ir ony. It is agreed that the fiduciary wll1 present proof of sutd clalm~d nhl1,;ntions upon re- quest, that if tho Amount Actually pAid In settlement or any feeJ commission or tlp.ht is less than the estimated amount claiming and allowed, that thc some w111 he reported tu tho Rogistor or lH118, Rnd that the amount of tax Asscssed cnn be rensse9sed In accordance therewi tho Th8t the totn1s of' the Rpproprlate columns tn Schedules "'\", "0", "e", "WI, "nd "F" as directed theretn, have been cArrlert forWArd nnd properly reKIstered In the Summary. ~I'''' Subscribed and sworn to before me this ...L..._.._....._.. ..._.._..~.._~. J{~,-:-:"..t35~I9 If.. -......... .... ;~.? IV: ~......._... ROBERT C. SAlOIS, Nolary Pu C.. Carll.le, Cumberland Co., Po, Nri Commission Expire. Augu. , 1983 .. \ ~.... .. \' ~ ^ \ , '" " .. . "-. ~- ., : -, I '" ;, ...._.J.."'_~.'"'..i);....:_.,~,..~...a..._....,,__ .. " (E:recutor-Adminbtrator)--",- 2404 Boas Street' \ ._.'.........._........~~_.____..._M....__.M.M'M._..::>""_.__. " (StTeet Number) . .. ~a.r.-r.:1..~.~':I..:.I!i!...~.~..._...................._.._. (City Of' Town and State) SOT":: Ih!f'nrf! siU;f1hIR "f.'IIIII\.tt mllkf' slIre nIl hlank StUII!f!!i In Ull~ nffill,,\'I!. mill ~Chf',llIttH. nlH1"xell lire fllted in with dotlll Is or till! worel "SUIW", RIllI In cuse the nSfwts tnottlllo rllrl! nlllt 11111 tsloll ~U!cllrlt1es. sccurltics of close or I'nmt1~. curllUrnt.lnns fir nn tlll.er4~!'Il In an~' cn"pllrtrwrshtJl or hllstnl'ss, Ihnt the dl1to 1111I1 sl"tl~lJlfmts r.?fllllr1t.llIIulcr the I'nrn~rlll'h nho\'e rt~lntln~ In SClll'ftulo "U" IIrH Ill1nchetl. ,\18n mnko cortnln tllnt column 'il In t.hl! IlSllfIITIRr~'" IIns Ilf!fm prllllf!rl~' cnmplt!te(1 liS IIIHI\'o-lllr~ct'~fl. " RCC -~5 COlL\lONwJ,,\J,TII 01' l'F.NNSYLV,\NIA TIIANS~'m INlIEIIITANCF. TAX SClllmlll,F. " II" 1'1':1I80N AI, 1'II01'ImTY IIESIIlENT DECF.DENT INRn\l'CTIONSI Thh Sch.,llIlo mllot dllclooo oil tllnKlblo ","lllItOlllllblo 11oronllll rrororty ownod Indlvlduallv by tho docodont, ot tho t.lono or hlo .Iool.h. Proporty .wno,1 by the deco,lont Jollltly willI anoLhnr or othor~ mllot be IhLod 1I0010r 8chodlllo "E". IlItonlllbl. l'oroonol rrol,orty, tlLlod In tho n"'"" or tho docodont, bllt reyoblO at deoLh to anoLhor or othoro, IlIollldlnll bllt 1I0t lIonllOlI to 1'.0,11. U. 8. 80vlllllo UOOlII and tonta- t.ive t.ru"t. aCCOW'llA, must. be 11st.ud, doell't.o tho fact t.hat. thoy nre not. or t.he lulmlnll!lt,ered ost.at.n. Tenlllblo reroollal property oholll,1 bo Ihte" flrot (n.g. Jooolry, wearing orpa..l. houlehold goods, And I\lrntahingll, hooks, plI.lnLlnKII, Dut.omobllo8, boat", et.c.) lntonglbl. roroonll rrororty, ollch as bon,ll, trooollry c.rtlrlcot.., caoh on hand and In bonk, otockl, \l1Ortglgol, not.., togothor with occrllod Interut or ,lIvlden,lo, ..Iorl.. or Wlllol, Inlllrlnee raY" oble to Lho euato or rldlloIary In oold corocHy, partnorohlr InteruLo, Intereot In InyundlotrlbuLed ootoLo or or Inoomo rrom ony rrororty hnld In trllot IIndor tho will or ogroomont or Inothor. even though locoted ouLoIde or tbe BLoLe, ot tho time or deoLh, ohollld be 1101.0,1 In thlo ochedllle. Itom ITI')I UNIT EBTlllATEIl DD'AIITlIENT VALUATION NO. Lle t. nml deser lbe I'llIy V ALIJR IIA1\K1'..'l' VALUE (Do no t write In thlo Ipoce) Incomece~tificate No. 15009 wi th CCNS ,000 $5.000.00/ in Amount of $5,000.00 Interest check "260209 on Income Certifi- , cate 90.63 .... Medicare payment check No. 63159815 49.20..... 1978 Buick Skylark:title IIA30213878 4,400.00''''' (sale price Stocks KATY lndustries, Inc. , 14 shares , (fi3. 75~ <15. 75 Certificate "JC0932 ; 1/8 ( National Central Finance Corpora tion Certificate No. No of Shares 65709 53 36173 115 24649 1 20293 4 , 56887 1 51474 11 185 ~2. 25'- 4.116.25..... National Central Bank Certifica te No. No. of Shares I 05150 110 '~2.25 2,447.50 .. Delaware Fund Inc. Certificate No. No. of Shares C205731 160 C239593 8 C155526 40 C278926 11 C312310 9 C263984 11 C290712 16 C334554 18 C406598 9 C381534 21 C444087 20 C427552 20 C463149 4 347 10.94' 3,796.18'" l"sort. I.htl'l totnl 01'1,"81to "I'nr80l\nl Propert.y", 8ehollulo "U" In X X the "As nCllorted" column on tho Ifts" pn~o or Ut18 roturn. " .~ FARMERS TRUST COMPANY CARLISLE, PAt 17013 '. DINHII C. C.\I."L.Y .,Iit..,It"tcl'...lCIl"" .... ,."" ."acl. June 8,1979 JIM : % iS79 -. f7171 24)03211 Robert C. Sa.1dis, Esquire Ba.1dis &. Guido 26 West High Street P.O. Box .$60 Carlisle, Pennsylvania 17013 ReI Estate of Ralph L. Kline Dear Bobl Using Mr. Kline's date of death of February 22, 1979 e.o the baDis, I disoounted the balanoe due under the Agreement of Sale several different ways. ,Jr' vir -l. .: ''>/'9 Firet, I oaloulated the amount of interest that wfoll be reoeived under the rema.1n1ng amortization period of seven years seven months at eight peroent as called for under the terms of the agreement. Then, using 1~ as a reasonable interest rate if the note had been negotiated as of the date of death, I reoalculated the total interest payable. The differenoe is the disoount. Interest due on $20,636.34 @ 8% Interest due on $20,636.34@ 1~ Disoount :Balanoe Outstanding Discount Date of Death Value Beoond, I oheoked U.S. Tree.our;y Bonds and Notes to see how lllUoh they would have been disoounted as of February 22, 1979. Fortuitously there is a U.S. Tree.our;y Note due within one month of the Agreement due date which bears interest at 8%. It we.o selling at $93 15/32 e.o of the date of death. The valuation calculation appears below. U.S. Treas. Note 8% of 8/1.$/86 = $93.4687.$ :Balanoe Outstanding S 20,636.34 Value of U.S. bond (as peroentage) x.934687~ . Date of Death Value $ 19,288. 3 .~.- '" "~:~~~'Ta;!'--"''l---''''''- . . ..."'__~._,_._..~__. _ 't ... ':T,..1'~1j':.\.i;.:- \1!lo" :- r;!.: . . . '~St:'';t~':'\'' ; I .' " I . !:.';JI' ." : '.~' .~~"./.'l-.'.'-;: ....:r'r..~.",. .... ~ . \ . t. '. r, . . ...1.." . .' '. , oj ... .. I 'I. '. t I' I' I',. ....i' ,."... ,! .... ~ ',:. ~"'f': i '..,' '-l~; .. -. . ,h.( '. ",'~'. ~~. 'If" " I.' "~' ....'.". .Ii. if. '.'..' " . I"t.'. - . ,.;, . ..' , .. ,\ , .t., L ..-\, ,." f I- I ,., 1 . i ."~ " . :\.. : . I '1. " ..' , 'Ji'.f;.' . ~ ,,' . ' I' I . ',.' ' :,' \~ . . I f ", I' l /, '"'I'" . '. \0 ' .' :,.," l' ,r.l, ~ ..' ....,.. I ." .. i'l" .;. 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L,'. ........... .,,1_:;. "'1 I.., ',~.,~' I . ,'. . ' '.J' ,.... ..,,(' ll' , "'f .,. . .- , \.,.: .....' .,'-;f:" ," ,I . ' .", ,. II' J, '.. '1. ". ", '~ ',. . I ".., .i. ":\: . i.:..... I ,I,. f'/'::"{! ;.' . '. .' , . ".' ; i . " : .('.:,~ " t"' '. 'f' ' I . ;,..' '" '. . '" I '\, .l . ". "'.' .' I','. '1 ~ ' .' 1 I' '.: . '(..".'r;,' " ..... . ....'. ' ., J I.... '1/' .... ,'.. " 'f . ." ". '. .' I ,\ . 'r . ," . , '.' '; . 'lof., ~., " . ", '!. ." ',. '". u' . I' . ,," '. .,..t' I , . ~. .1 ',. , , . " ,.'. . it . l , I. f' '~., "i'~.;'" :'. f'" t \' I' , , . '.1', t-.'.7. ~ ':... ,," .:'.' :. .....'. .~.. .... .':. ..:.....; '." :.~'....,I ,} .;, I '.1./..'.,;'..'..,.;,...."....... I..",,!,. '. 't. ';' ~"""'.. '/ . ...,. ......,... 't''''''' . . I , " ", ',' ", ", t"., '. ' I' " . ~ :", .... I . " . ' ) t.. 'I ;11'1',.... ' '.".. '. '. .... '.' ,'" ,j' ACC-37 (12.63) l'nMMOS\n~III."1I OF I't:NNSY\'\.ANIA TIIANSn~U ll'im:Un'ANCE TAX RESlDt:NT V1XElJt:NT SCIIEIJULI, "IJ" IIE:\~:FICI"IIIES DENEf'ICIAIIIES AND ADDRESSES IIt:l.A TIONSIIJI' SUIIVIVt:D JlATE nr .tep.ehildren or INTEREST Of' State full nartles Bnd addressos or all who iIIegltimDle ehildren DECt:DENT OF DENEt'lCIAUV nvc on lntcr~8t, vested, contingent or other Dre involver!. .el STATE YES IN ESTAn: .tsp In estote" rorlh thl. rDel.) OR NO 11111'1'11 Frances Miller Kline scouse 7 N. Sal timore St""et V",. ., - ~ .. \0 lnml. Mt Hollv SD"inll"', PA - Ul~ponfml f\lrthcr 9R)'9 that. nl1 tho nhoyo"nnmf?lt hcnortctnrlo8 arc llvln~ ot till" time except bolo..: NAME DATE OF DEATJI IIESIDENCE . . . . RCC.JI. . cmlMONWEAL TII OF PENNSYL \',\NIA TRANSFER INIIERITANCE TAX RESIDENT DECEDENT SCIIEIJULE "E" JOINTL Y OWNED PROPERTY *' INSTRllrTIONS: Thh Nelll'llute mllNt dlMcl0!U!' ftll Ilroll~rt)'t rOlll II.JIII Iwr!umnl, 0111""" h~' III... .1"1'1'.11'111 julntly "llh ,,,,uthpr ur othors, lncludtnR Iflt"n~lbl'~Rt fllRlldlnJ; In tho flA"'" ul' tho eltle,oll"IlL Itnll uth.!r". 1.lsl rt'Rl "fltatu flrRt. 118 entlr,'Uul, or Joint teruUllat .;lvlnJ; brlor IhH,crJl'llnn, "" !lllllellflOII IIl1llnr Hehncluln ..\", )l1ua thu ,tato hud Illltee of record or InHlr1lnK'nt. prrecllUR vlo"'tllllrn. IHlt dn nol tnclullo tlntlrotl". or oul or 8tnto rftftl 08t4to vuJuu In QHlllh' YftluftUon culumn, PerRon/ll IlrOIHtrt)' ..hnuld ho 1181".1 "" In Schftdulo "U., plUM IIllto fir IU!lllItNl UUII, lUut tho IInm'" IIchlroHH 811,1 rlotuUul1shll1 (11' llIl)') or cn-o""~r. tn tho tlot'utlp.nL. Descrlrlton ot' IlrUrnrL)', Unto of Acquhlt1un, Nllmo Addres. Mfl llo1atlonshtp of Co-Olllllorll, "'ld PIneo or I\t!cord or Inlltrumunt where ItpII1 Estlllo. en! l l'nrcl'ntn.;o l-;wLntn mJ'AIITII~:NT VAI.lJATION Vahlp. Shar.. Valuatlun CAUTION-Do nol Write In nllfl 8n"CI'. , '/,"" \'alu.. or VIllue or 'iX /Y ">6 N I::nllre Oecrdtml' . a u JlrutlorL)' l"tor08l h'S/~ Leasehold improvements at Forrest Camp Site No. 1-C-495 in Michaux Sta e Forrest.District in Dickinson Town- ship, Cumberland County, Pennsy1vani, acquired by decedent and spouse, Frances M. Kline on October, 1956 Joint Savings Account with spouse, Frances M. Kline at CCNB Bank, N.A., Account No. 0046137, Balance at date of death $4,959.80 accrued interest on above account 0.00 $20,000.ob 0.00 0.00 $4,959.80 29.97 Joint Checking Account with spouse, Frances M. Kline, at CCNB:Bank, N.A. Account No. 0313-1273-748-30323. Balance at date of death 2,160.79 4 CCNB Income Certificates in face amount of $5,000.00, 4 year term Certificate No. Date 16426 7/26/77 16427 7/26/77 16428 7/26/77 14991 9/13/76 0.00 2,160.79 5,OOC 0.00 20,000.00 Inlort. lh18 Lotll) ot'llasUo ".Iulnll)' UWIIl'11 I'rUJ1~rl)''', Schc,lul~ "WI In tho "'\5 I\cllOrted" culural on the )nKt (1"~I' or thlK n't"rfl. fJV;nu .' :.,' ..., <CC~lE3 . . , , '. " OCNDIiIA""'K.NA . MAIN OfFICE 331 BRIDGE smEET NEW CUMBERLAND. PENNSYLVANIA 170'10 .7171 7740'1000 Date' October 12, 1979 '1'0, 811d1l " Ou1do 26 W. High Street '. . CarliBle, PA 17013 - ~r'" ATTN:' ROBEm' C. SAIDrS ..... REI , " .' ., . . ." ~t" "'\~~ '\~ '. .' '. Estate ot' Ralph L. Kline Name or Decedent " .' all ot The . rOllowing is a complete record ot the above decedent' II acOOuntll February 22, 1979 Date or Death . .' " Account' No. Type or Account Balance on Date ot' Death Principal Accrued Int. Names on Account , (All. Ovners) Date ot. Creation or Joint Ovnershi . R. S. , '40/, Steph~!~ Autho~d Signature ." . " ... "a-:;:"N~TP.I~Q""""r.'E.. . (...----..... .~~~~--~...."'~......~l.'".t_'f?--,..........,:'"'_ "..r.............~'. ~. . ',..,.'.:..I,J...\j..'\....J:. f'.~. "S.!!.'" I " I"'~ .. ...t~'""~,, I .~. .... 'f;'.I~ ..~.I,I, . "'1 .,f .,,',:t' 1/~~.i . ',: "1"';{. 'I... . ::,>! :': I ';.".~',. it. \J ~'" . ..\ ~ t '. !' .t. I I . 1. .", . " . .J I ' . '. -. . ..... ~" J . . L t 'J . .. '/ . . '. . ~" '\o'~ ,. I , , .,. t. 1..'. ~' I . " ,.r' '. \j' '. t '('Il"" . ~J '~."~1i.' "~!.,~ :1"; i ." "';'~l~ . .,o ....\~;:! ~',~' .t'. 'i .:..' ~I't..." ' f; .,~" . ''', '~.' \ '. :':, '..~.\.~ IV I ,0 'of III ,\.", 'i.f. :..1" I J ~f. . .... ','" ',., 1', o. ",. , .' '.. rl I' " , .J . . ';, , . ., .~ . . ,..... "'I, . . 'I'" " I ".' 'I . It " ,... I \li\, L'" . . ,'. .. . '.' t :t.. '\ "Ill, ..J I ,",.~h'..,~ 'j~',~ l','...' 'l:t'.~, " 'I'~ '.~...I "'~'\\:'. " '';' ,''\ . J2."~ ~,. "t' " 'I' ~. f' ~" '.jJ:., ~ 'f', l~ ,) ::\ '\ :,i.\', (.'L.. '. rt?,1 . : : I'~! '} ".,:, ; :, ::~., ..' .. \ ,.'I)Pi: \ '. i I';' , ',1 ,l i ~... ~ V' <.'; /.:"~';,.l,; .;/ ,;\;! i ..1\.... 'IL., I jt"~ 11("40 ,'."'1 ',. 'I'f,..,,~ , A(.' I ,t', ,.'1'~IIJ' ',"" ,.('.'... .,.,....". ,..:,;....'......:. '\'tl :.'I\~;.I, {'1' ".l,",,~ .~.I.\,.."...\.," ':"~"" ....'..'.1...... ''''',l''';'j'!,',. ""'."~""I"ll'<1 ':/l~\" ...~ .:, ..",'( .f......;,;.. '!'''jl,'}j:'''j f' ",: ~'f'I'r~'."'i'l ','. i.' ,.\ .;'..:.., ' .,' ';<(1: , . .' ...r:.l; '.' I ....... .' ,_. :J I~:", t . ( .... .' .: '. ~j I ~,J '. \ I '. . ,_' :.. ,'; . 1 "!.!f:' !~:. 1'r.~!]J.' 11.'1' .'. :""','.' ",,''':'~r'r~\ . '1. ";.1 '....;":'. "'1:' 'f ",,1.(.'. 'Jt~ ( .' ...... .f~i..'l . s: ,. ,j , #., '. , .....~f ..' ~ ~.~, J. I. ':':., '.'. ,~\ _, .'/' . i i f ~ ',. '.'~'}'l, .,' ". ." t": ;.. " I '~i~'. I,:. .,'. '. '" .~. . "", . ,\ .' .)'1 ,"', , "fl ,.. .' , :.:;',l . :rl;:"~:" : .~.'.. \ I'::.. \.~~r:;)/l. l' .~.:':..'..~'[...'I>.\ .:. . ...... ......,........ .'. 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(3.1101 INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) File Number _____3_~~~~:~17~ Estate Name ____KL~~~.,~~Ip~_~~ 02/22/79 Date of Death Soclnl S~cllrity Numb., REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inhe,ltance Tn App,alser In and 10, the County 01 Cumberland Pennlylvanlo, do ,elpectfully 'eport that I ha.. appraised the real and pe..anal praperty 01 ,eparted In the la,egalng ,etum at the valuol lei lorth oppollte oach Item In Iholall column 10 Iho rlghl In Schodulol "A", "B", "C", and "e" Dalod: June 5, 1980 '. , 1." .f 7 .~/i.''T/;' ) .n't ;1,.,." INHERITANCE TAX APPRAISER INVENTORY ADJUSTMEHTS VALUE AS APPRAISED CODE (HARRISSURG USE OHLY) 5 None DOt 40,018 92 tat None 2llt None 3at 40,018 92 ----.- 40- REMAIHDER APPRAISEMEHT CODE IZt Ro.1 P,oper'y (Schodule A) P.r.onal Property (Schedule B) J.I",.Held Pr.porty (Schedulo E) Transfe,. (Schedule C) TOTAL GROSS ASSETS Le.. Deb,. and Deducllon. (SCHEDULE F) CLEAR VALUE OF ESTATE 93- Valuallon of life nlalu or annulll... . . . . . . . . . . . . . !!!TI FACTOR PRINCIPLE VALUE CODE 1 FOR USE OF REGISTER ONLY Tu on S ~ COMPUTATION OF TAX $ S $ $_ 5 6" " TalC on S IS!. Tax on $ Tax on $ To. on S Eumpllonl Tala I ellale TOTAL TAX INTEREST FROM BALANCE TO $ $ $ Leu Credlls DATE OF PAYMENT AMOUNT PAID TAX CREDIT S s INTEREST FROM BALANCE DUE III ~ DO ::; c.: ~ ~ ;l < w :::!- z ~ ~ H ." 0 tl In "Cl ~ III . :; Iii N '" ~ ...:l ..... ..... '" 0 w ....... ...:I Irl Irl III I < ~ . ~ o<f - U Z .... 0 N C- - 0 ~ U ..... N ClO lz" lz" - C- O ~ I ~ lz" d lz" Iii 0 '" 0 z d ('( ~ en ~ ti d - ~ z z z d - d tl ::l ;:,; Q III III Z Z l- t:: Z ~ ~ en ~ 8 0 ~ III Q :l Rt:Y-~n (I-7111 COMMONWEA~ TN OF PENNSV~VANIA OEPARTMENT OF REVENUE BUREAU OF FIE~O OPERATIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT *\ . --D~':E-=:&-=Il= 1 '1_ APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made fer coosent to the transfer of the following securities of 0 Pennsylvania Corperotion or 0 Notional Bonking Assoclatien located in Pennsylvanio: (0) 347 (b) Delaware Fund Inc. (c) Common (NOTE: In describing securities enter in (a), ab Ole, either the number of shores ef stock or the face amount of registared boods, in (b), the nome of the issuing company and in (c) the closs of stock or the stated interest rote 101r~J~4uritI1/tu}6sg;sts7Ulg~s;.) 3/15/67; 3/15/68; 12/15/66; 12/15/67; 12/16/68; ISSUED ON 12/15/70; 12/ 151,6J1,il h~~tn~VTar At1fAWi?Jlt At6-E1ji1V 3,796.18 (Da'o) os of the dote of deoth of the decedent, Ralph L. Kline . on February 22, 1979 (Name of Decedent) (Date of death) who was late of 7 N. Ba 1timore St. Moun t Holly Spr ings, Cumberland, Pennsy1van ia (Stree' and Number) (Past Office) (County) (S'alo) The securities ore registered os follows: Ra 1 ph r....JUin.e. (Name or nomos In which certificates ore registered) ---~NISTRA~ June K. Rouns1ey, 2404 Boas Street, Harrisburg, PA 17101 EXECUTOR) (Nama) (Add,a..) NAME OF APPLICANT June K. Rouns1ey -- c70SaICJ1s & Gu ldo COUNTY FILE NUMBER :J.I- 77- / 7'1 ADDRESS OF APPLICANT P. o. Box 56_0 '\.~~islev PA.l: 3 BUREAU FILE NUMBER SIGNA TUR E OF APPLICANT . _~2 . \)_", , . " \, NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLI TlON. IT WILL NOT BE , CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. - COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES I. l \ i 9 DATE((I- - I hereby consent to the transfer of the above securities now registered in the nome of the of ores aid Decedent ond waive the filing of e certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is mode subject pursuant to the provisions ef the Act of June 20, 1919, P.L. 521, os om ended and the Act ef June 15, 1961, P.L. 373, os amended. This is also in occordnnce with the provisions of the Act ef April 9, 1929, P.L. 343. This Consent to Transfer the herein described preperty operates enly in reference to the estate of the ebove.named Decedent. Signed for~ Br_}____ __ (Signature) Reyenu (T1,1e) . EL~:?'?:- .....~}.:.. _:1 [~'~'~:~~;':::!..~~'L_ (County) UUfI.;,I.\J VI III....,) v,'lin" ItV,.:' "....v.J....~I\..:....j 1.\ .l"~ ;~t-\.".: . OF A RESIDENT DECEDENT "-.........'-'_ ,.1 APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby mode for c Q1sentto the transfer of the following securities of 0 Pennsylvania Corporatien or 0 Notional Banking Asseclation located In Pennsylvcnia: DATE_lo-1{ -'71_ (0) 14 (b) KiI'j Industries Inc. (c) Common (NOTE: In describing securities enter in (a), eb Ole, either the number of shores of stock or the face amount of registered bQ1ds, in (b), the name of the issuing company ond in (c) the class of stock or the stoted interest rote and maturity dote of registered bonds.) ISSUED ON March 19, 1968, and having 0 TOTAL MARKET VALUE OF S (Do'.) os of the dote of death of the decedent, Ralph L. Kl ine (Name of Ooudanl) 113.74 ,on February 22. 1979 (Date of death) wha was late of 7 N. Baltimore St. Mt. Holly Sprinqs Cumberland PennsYlvania (Str..t and Humb.r) (Pas' Office) (County) (State) The securities ere registered os follows: Ralph L. Kline (Home or namn in which cartlflca'us ora raglslar.d) -AOMlNJS+RA.1=OR) mCUTOR ) 2404 Boas St. Harrisburg, Pennsylvania (Add,...) June K. Rounsley c/o Saidis & Guido COUNTY FILE NUMBER ;:11- 'It; -171 ADDRESS OF APPLICANT P. O. BOl( 560 \. Carlisle,. PA l7~:p BUREAU FILE NUMBER SIGNATURE OF APPLICANT ,~\,\- ^ \,\. -! ". \ '. -,- NOTICE. IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLIC --T,ION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPJ.:ETlON. June K. Rounsley (Nom.) 17101 NAME OF APPLICANT \j DATE ~ 4 l-=-r '7 I hereby consent to the tronsfer of the above securities now registered in the name of the afareseid COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES Decedent and waive the filing of 0 certificate certifying to the payment of the tronsfer inheritance tox to which the property of said Decedent is mode subject pursuontto the provisiens of thc Act ef June 20, 1919, P.L. 521, os amended and the Act ef June 15. 1961, P.L. 373, os omended. This is also in accordence with the provisions of the Act of April 9, 1929, P.L. 343. This Censentte Tronsfer the herein described properly operotes only In reference to the estate of the ebave.named Decedent. ~'", ~~<ff.....O Irn~~~t"1~,~ ~~~ By (Slgnalur.) ; -(f',la) (County) -------...---- - '* DATE_Ct-_,-'~jiiJ--~ urv-!JU 11-'781 COlollolONlilEAL TH OF PENNSYLVANIA OEPARTIoIENT OF REVENUE BUREAU OF FIELD OPERATlON~ APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Applicotlen is hereby mode IDr coosenttD the tronsler of Ihe lollowing securities of 0 Pennsylvonio Corporotien or 0 Notlonol Banking Association located in Pennsy\vanio: (0) 110 (b) National central Bank __ (c)_c:~mmon ..._- (NOTE: In describing securities enter in (e), ob Ole, either the number 01 shores 01 stock or the loce omDunt 01 registered bends, in (b), the nome 01 the issuing compony ond in (c) the closs el stock or the stoted inlerest rote end maturity dete el registered bonds.) ISSUED ON opcernbpr 7. lQ7pand having a TOTAL MARKET VALUE OF S_2,AA7_..50--- (Da.e) os 01 the date el deDth 01 the decedent, Ralph L. Kline -' (Hame of Docodont) ,on~ruarv 22, 1979 (Date of dctoth) whe was IDteel 7 N. Baltimore street Mt. Ho11Y2P.ring~_,,-~u.!!l!:>_erland Pennsylvania (Straet and Humbctr) (PoIIOfflco) (County) (State) The securities arc registored es lollows: Ra lplLL~linEL- (Hama or names In which certlflcatas ora rnghtorctd) ~~~~~) June K. Rounsley, 2404 Boas st. Harrisburg, Pennsylvania 17101 EXECUTOR) (Home) (Add,.,,) NAME OF APPLICANT Jun~ K. Rouns lev c/o Saidis & Guido COUNTY FILE NUMBER ~ / . '/7 -I 7<1 ADDRESS OF APPLICANT _!'. 0 ,_J3ol.L.!L~O_--- c~;sle"'PA " 170,13 BUREAU FILE NUMBER SIGNATURE OF APPLlCANrx- ,',,::;~vn\.L~~~"'" HOTICE: IF YOU FAIL TO PROPERLY FILL IH AHY PORTlOH OF THIS APpllC pOH, IT WILL HOT BE, ') COHSIDERED COMPLETE AHD WILL BE RETURHED TO YOU FOR COM_PLETlOH, COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES /. -I (- II. DATE~ -- I hereby consent te the transler el the obove securities now registered in the nome ellhe oloresoid _. ._..._._-_._-_.-_._~ -------.-- -------- - - . Decedent ond woive the filing 01 a certilicate certi/ying te the poyment ollhe tronsler inheritnnce tn. to which the preperty 01 soid Decedent is made subject pursuent to the provisions 01 the Act 01 June 20, 1919, P.L. 521, as emended ond thc Act 01 June 15, 1961, P.L. 373, os omended. This is nl,o in occordonce with Ihe provisions 01 the Act 01 April 9, 1929, P.L. 343. obeve.nomed Docedent. This Consent to Transler the herein described property operotes only in relerence te the estote el the ::"'. :~_~crc 2c (Signature) r.:~!".., r .... - r L-.. ' t.."._ ., .,J lu,'-~_'__ (County) ~"" ~'-' 'L~ L. -~r~t ~)\ .~......~~.~ (Till.) REV-!l1J 18-71) COMMO~WEAL TH OF PENNSYLVANIA OVARTMENT OF REVENUE BUREAU OF FIELO OPERATIONS APPLICATION FOR ANO CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT *' APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Appllcotien Is hereby mode lor CCllsentto the tronsler 01 the lollowing securities 01 0 Pennsylvanle Carperallen or 0 Nallonal Bonking Association lecated in Pennsylvonia: D^TE_~~(T:'lI: l,\- (0) 185 (b) National Central Finance Corp~ra~.!on_(c)___~~~mon~____ (NOTE: In describing securllles enter In (c). cb Ole. either the number 01 shores of slack er the lace cmount 01 registered bonds. In (b), the oame 01 the issuing company and In (c) the closs 01 slack or the stated interest rote and maturity :t'f~'l//,~~te~#,,~~) 3/20/73: 2/15/73: ISSUED ON 3/21/75, 311-4/-1-5. and hcving 0 TOTAL MARKET V ALUE OF S~~!.!16. 25 (Oal.) os 01 the dcte 01 death 01 the decedent. Ralph L. Kline ,on February 22, 1979 (Homa 0' Decedent) (Dale of death) who was late 01 7 N. Balt imore st. Mt. Holly Spr ings, Cumberland Pennsylvan ia (SIIeet and Humber) (Pa.' Of/I c.) (County) (S'al.) The securities ore registered es lollows: Ralph L. Kline____ (Harne or names In which certificates ore regl.tered) ...,t,DMlNl-s:FR*'FGR-) EXECUTOR ) June K. Rounsley, 2404 Boas st. Harrisburg, PA 17101 (Nam.) (Add....) NAME OF APPLICANT June K. Rounsley c/o Saidis & Guido COUNTY FILE NUMBER";?/-7? -/7i ADDRESS OF APPLlCANLp~,O~Box-560 ca'~iSle, \pA '\ 1701'3 BUREAU FILE NUMBER SIGNA TURE OF APPLICANT _ !-..1,^",,-\f:\./,,,, ...\1, , . NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLI A:rION, IT WILL NOT BE ~ CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. . COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE (p-ll - 71 I hereby consent to the transler of the above securities now registered in the nome 01 the aloresoid Decedent and wcive the filing 01 c certificate certifying te the payment 01 the transler inheritence tax to which the property 01 scid Decedent Is mode subject pursuant to the provisions 01 the Act 01 June 20. 1919. P.L. 521. os omended and the Act 01 June 15. 1961. P.L. 373. os omended. This is olso in accordance with the provisions 01 the Act 01 April 9, 1929. P.L. 343. This Consent to Transfer the herein described property operates enly in relerence to the estote of the above-ncmed Decedent. :i:ned 10rV~. (Slgnntura) .;:tF:,~' J:_ r,',~" -1 r.U;')ii;; {,I;' ' .____ .._n .l"~~~_~~.LJ2~.~_ (Title) (County) ':'JIJd'jl:.1f.1 t. ~H ',d' f1rHH....YLV^~Il^ DePARTMEN'OF RCVENUE nU'EAU O~ t:OIJNrV CO:"LECTICNS I I I I REGISn:;~i:D lto.: Tf-:E NA/.:E ("'-.1 OF A Rr:,,~.D::NT r)!::CEDENT t::Y'.'.{~ ./.. APPLICATION (MUST BE FILED '., m-JPLlCATE) TO THE PENNSYLVANIA DEPARTI,~r= .r. ',":', i;: I.pplicetion is hereby meoe fer ccn:;enl to the Ironsfer of Ihe following securities of 0 Pennsylvania Corpe'ollon or 0 Notional Bonking A~s<)cief!en lecole~ in Pennsylvania: 1 ~,~ (e) ^ <} (b)_/o-)~p:nf.,..e -_C:(,-ti:;,-'L/mtlv..L<:.-~~t!!- (c)~~ (NOTE: In describin~ securities enler in (u), eb e;e, either the number"f ~hares of Sloc,( or Ihc fece emounl of 'e~isterecl boods, in (b), the nome of II,e i~suif1~ ~cm~ony ond in (c) Ihe cless ef slock or Iho staled interest rele e.ul molurily dole 01 regbtered bonds.) ISSUED ON --r.,..f-'~!.n. , Md hovin~ 0 TOHL II.ARl{ET VALUE OF S_b.bJ. . <:)7J (Ou'n) I!".....C.<.. "'.../ /' 1// . es 01 the dot., 01 death 01 the l. - .: .,.',--:.7>t._.<./..LL~jC_t--.~ , en (t'f"t1In of ')"r.~"ft".) who was lole of....::7-.N""-/&<lk'~_Al!Y'-lt(;fdl'1_~?1~n (Slreot crnd Numbrr) (Po!!.' OHlc~') I I / (County) A! 'I '1,It.A 11111: I Oli MIll LUN~LtH TO nA~!Sr:[f~ SECURITIES " .\ .. .'\ \ ~~.~.)'~, .; 1:- L1'~..~=.r j .'~l , ,~_,'.J,,,,, ""'''''r; '.. "',oJj -:'~"'<'')''''''r- DATE_U"" ~ _ ({... 19IJ? (Do'e 0' death) Od~-J .A- . (S'a'o) The securiti~s ore registered es follows: . ~t;t?~ L. I~L:- (1~'2rw or no,.,n In w~lch et>rtlflcotn ore reglsler.d) :::1;.I,'U./ ~---/2aW/g""1 ~~i>!(-&J.-.c ('f4rI-luu<sL..".. (~ ' I') /0/ (lleme) ~- ~~r"u) J NAME OF APPLICANT _.J~_,e~e(.s-f~", . C/o .s......:J.,.; If 6-"/d- COUNTY FILE NU.IIBER.;'.l (-IJCJ. 1?4- ADDRESS OF APPLICANT _;?-,-o...:J3,~'1,p C-~f~ A~ l?tJ{') BL'REAU PILE NUMBER SrG~A TUR E OF APPLlCANT~ , ~~~I.(",. I"~ I~. NOTlCt:: IF YOU FAIL TO PROPERLY FILL IN M1Y PORTION OF THIS APP~T10N, IT'WILL NOT BEi\' CONSIDERED COMPLETE AND WILL llE RETURNED TO YOU FOR CoMPLETION. \~ . ~. - -. ._- .. .-- .. COMMONWEALTH OF PENNSYLVANIA - DcP ARTMENT OF REVENUE CONSE~i TO TRANSFER SECURITIES Q, 9 ------ DHE \1., I . I ?f I hereby consent !e the Irons fer ollhe'cbeve seclIrilies new registered in the oome of Ihe efore20id AE'lIl~'''''''M J. "'e"') .... -.. ..t.. " EXECUTOR ) Decee'enl and waive ,he filing ef e certificate certifying Ie the pey",eo! of Ihe Iro"sfer inheritance tax 10 which the property of soid Decedent is mode subject purscenl to the provisiens of Ihe Act of June 20, 1919, P.L. 521, os amended ond tho Act of June 15, 1'761, P.L. 3i3, es emo"~ed. ihis is elso in occorcence with Ih previsiens of the Acl of April 9, 1929, P.L. 31,3. This Censcntto Transfer the herein describec preperly operetes only in reference 10 !he estele of the ebeve-nomed Decede"l. ..... 1)...... ..."7".('..........,. '. ....-...'.... f'. ,1.'....'._" /.",~~.<,..:.:,.: ;';\ "" ,. ,.' ..,~ .,.....,.,..s/"~..,.. J L~'i;T COMMONWEALTH OF PENNSYLVANIA I COUNTY OF CUMBERLAND J UI JUl)e K. ._R9tJlls.l.!U'___.___ being duly ---.aw.o.m___ according to low, doposes and SOY' thets he i" Executrix....____ of the eliote of Ralph L. Kline lete of _M!;.....HollySRrings '.' ..... ". ...___, Cumberland County, Po., decused end thot the within I. on Inyentory mode by ._..June....K......Rounsley__. .._ , the sold F.ltecu.t~ of the entire osteto of sold decodonl. consisting 01 all tho porsonol prop.rly and rool ostoto, e.cept rool elioto outsld. the Commonwoolth of Ponnsylyanlo, and that tho IIguros opposite ooch itom of tho Inyentory roprosont it's fair voluo os of tho doto of decodont'. dooth. , 19~ \~ . ff I ,0 S' w ~. r. ~ E~.cuto, ..... Aclmlnhtr.lor . I \'ZA.Q.L.!iP.lU! \. ~......~""'... and subscribod bofore mo, ROBERT Co SAlOIS. Nola Carlisi., Cumberland Co,. a. J!! ~~mlsalon Expires August 14. 1983 Harrisburg, PA Adch... Dote of Oeoth 22 Doy February Month 1979 Vu, INSTRUCTIONS I. An Inyentory muli bo filod within throo months oltor appointment of porsonol roprosentotlvo. 2. A .upplemont inventory must bo filod within thirty days of di.coyory of additional o..oh. 3. Additlonel shoots may bo ottachod os to porsonolty or roolty 4. Soe Articlo IV, Flduciorios Act of 1949. ~ \, \~ "'-. .~~ "- \ J- .,; ~- ~\ t ~ w .. ~ M ~ '" l- .. I w ~ .... .. ." l1. u g 0 '" o-f .. \~: .. w w ~ C " '" >- t'- :r '" '~~.? .. .. l1. l1. " \ z l- ..J U. ...ij .; ~ U. ..J ji 0 l1. \, "- 0 ... w 0 < .~ ~ i- I' ~ ~ > Z '" Z 0 c " ~. " - '" Z ~ IX 0 '" Z w < ." ... l1. -0 l: - ~ ~ 0 ~ .. ... , .. E -0 ... - ~ 0 .. " 0 .... 0 it CD form Ret,lO ~ OHICI 0'" THI "IOIUE" 0" WILLIS i ( /. !", Ii i ! . / ,(..f._ .' 1,/: I' STATEMENT OF DEBTS AND DEDUCTIONS D' Cumberland COUNTV AND AOINT 0" THI COMMONWIALTH ESTATE OF ~/-1~~17'i Ralph L. Kline FebruarY 22. 1979 L"'TS or Mount ~ ~'/0 ro DAn D' DUTH , DATE 0" "LINO APPftAIUMINT ..."'OUNT nl....ARK. QAT' NO. 0" YOUCH". NAME 0" ~Avn Dr. Donald K. Roeder Carlisle Hospital Family Exemption aidis & Guido Ex ense of last illness 321 00 las t illness 2,777 75 to Franc ~s M. Kline 2 000 00 Reimbu rsemen t letters ~ h. 39 00 au to insu rance 64 70 Na tionwide Insu rance ti 1 Cumberland Law Journal 18 404 00 2,111 40 190 00 letters Harris Associates P.A. Joseph W. Gibson Funeral Herbert P. Lenton, M.D. X-ra s i Amy M. Kuhlman, tx collec tor 1/2 school taxes on cabin 80 Saidis & Guido prior bill for land trans. 184 Saidis & Guido attorney's fees 2,000 00 Regis ter of Wills Reserved 6 00 CO......ONWEAl.TH OF PENNSYLVANIA }.., HP-I.ev CIRri". THAT. TO THE liE.' 0" ,.UNEAAL. CXPINBII AND ItXPEN.r.s 0" OICCA.I.D. .... OEDUCTIONS ,.OR \, \\ , \ : "',' ^, I COUNTY OF r.l1mhp,...1 ~nn I. .h1l'''IiP l( Rnllnr::l"Y MV KNOWL[DOI AND aEl..lt,.. THI: ,.OAlOOIHG 18 ... JUST AND TRU [ .:AlENENT 0' DI:8TI. ADMINI8TRATlON I5UB~I"ID to THE UTAT( 0" R;t 1 nh t... Kl ine INHIRITANCE TAX PURPOfE.. '~T'-I .WORH ~..C"'''O ...oor. M' TN" _/ , ( '~7~c:rJE= to-xL / Es6l "1 tsnCinv ~')J!d;J UO!':lO!lIJWO) Jo'.'J ~, .Pd "0) PUlljJ.)(IUh.) '<tPI I) . PlIqnd N'IOIl '~IOIVS ') ltilUuj ><.._...:.~..L,>":_~t cA.Y or \ \ ~ . eL. ..\ , "- '- ')