Loading...
HomeMy WebLinkAbout79-00246 . ' , . :1 i " ,. ,. I If' " 0 ,. ~ .~ " ~ ,. J/'. ~ I'" ,: '~ ' " ,~ . ~ d' " " I . , . ~ " ,. .,. '" " I, ~ . . ;! . i:-1 ~ ~m ~. rH~r-illl ~ ,. :;,J ti '(u r:CI p., 'fij !><j' ,. r t.;l I IU I 1Il " b;L! 0,. ,. ;";' N bj) ., f.t< Cl)1~g ,. ~ p., 0<' A ~ c.) " lIltf.llfl ~ H (\J~ u J 10 ~ 4'),t/",1' ~ .~ 00 (1l I' p:l ;0 ,.!<1 (U i. ~ +'H.cI ... 1.",lm u I-;) ~..cv. &-' "", 3 " i ,-, it-- ,~ ' I' I' ,r l1_1" ~ -~, . - ., 0.......- I . , " -I' flee-U 104.",11 t.jl:L '1/7 '1 ,;u - 7 ,- r.:>! rye.. COMMONWEALTII OF I'I\NNSYLV ANIA DEI'AlrI'MENT OF IlEVI\NlJE BUREAU OF COUNT\' COLLECTIONS *' RESIDENT DECEDENT COUNTY OF __ O\lll\b[)l'lnn(_~_ - IMPORTAMT, Tltt,. rat urn mUtH hC-COOlI1Il't~d In lI-;tl\lI~'~I~d ftl~(i 'l~;~ tIUI~ilc;i'h\, with 1l11l\HIHJhIHt; with IhCl Kosik'''r ~IIIR flf the County wlll1ro doccdont TuttllHt; lt~tt,'rn IN dill! within 111110 1l1olH!lw ItflUT <lntu of del\lh. un108" nil uxuIl\HIUI1, IN arnntut! hy Ihll So~rclRlY or 1101I01IUII, (91111111lu 7U~ III II... Inhll,IIIU1<'Il n,,,1 E.tll'. TnK ^"1 IIr 19101,) ~- ,.~--- ._- -. -.- -.- - ]\']nl':r .-----....-.-.. IN TIIIJ. M^TTllll OF.TIIH IiSTAT\( OF , } AI'FII)^VI'\' UF O. FD~ . _____.__.__. IiXI\ClI'I'0I1 18"rA'rU FUL.l. NMv1E 0'" O;Cf,:fJUNll Cumberland ._. County 14~!!'Ij!~;~-*:nt6:; Lata of ll~'Jl!Wnl'!I~It<ll PonnEl ylvr.t\1;tr~ County of (JUmbe111und ,lo/leph Y., li'p.1\: of Ih,' IlIIlqt. ~f Ih. nh"y,'naould d,clldotil bel!:,Q duly ,WOrnj d.pou and',av 1,1111'011 28. ,;9....:.rl-{I..'.t. loovlnv 010'" will, .opy ,I wh'~h'l",h,'ot,,"'~'h.d, ) IMONTHI IPAV' 'V~ARI IIiI(/lqfoX M.m. and .dd.....f o"..n.y o.} ,T. HObO!.j; ~t!lUff'or'-1'11\l'1{0j; SCj1:\UI'fJ. Bldl',.. ath.r avtho,lud r.p,...nlatlve to wham, .. 1'1 "1'7 01:' r.!" all co"..pondence .hould be'flallod. ' l~ooho.n-l OShlAl1!f. 9.. ~~,)) UOl1lHlont dlud St.l. 01 -'} ,., Rxucutor Thill IIH Hllllh Ji:xnn1l1.,.'" v llcpollenllH 1'II11111111r wllh the IIl'fRIIS OfHllld eHtllle IInd Ihe prupcrtl' eonslltullng t UXEC:UTO R-AtlMINIST RA TORI Iho """oIH thllroof Ilnd thell I'RII mllikel vnlulI. Thllt lit Ihe tlmv uf dDntll Ihclo IVIIO no oRfodepoHit hox IlIglHlorlld In doeedenl'H Illdlvldn,\lnll1110, or Jolnll~' Wllh, 01 IIH ngllnt CIT depuly of IInothcI, Olin r)lIcodpnt'H Indlvldnnl nlln1ll, with rlUhl nl' 1I00eH8hy IInothot,lIs'lIgllnt fir doptllY, with Ihc oxcopllnn III' thc 1'IIIIowlng:- " - - . ~- == nus liI..f1f. DEI'OSIT nox Rl~N'I't~P IN NAM~ OR NAMI!S or - NAMr: AND ADIJRRU OF "ANK OROTHER INSTITUTION IN WHIr.t~ tHiCEDENT RENTRO A S.~-f'E:: PEPolHT bO)( Nono fl(gl.ATIONSHII" 01' JOINT HOl.Ol!RS TO t)I~CI!DENT Thllt the conlenls of 'Rid ,"1'0 dnpllHII box or bOKDH Rre Ilomlzed under SehcdnlD' with IhD exeDptiDn,of the followlns, 1'01 the reIlOOI\' hcrolnllflcr 'at fOrlh: Tbllt Soh.rlu/, A ntlRehod'hnlOlo IInd mlldo 1'"1'1 heronf .Olh f(llth fully IInd In dOlllll .11 thD IDIII, propelty In Ihe CommonweRllh of Pcnn,ylvRnlR of whl"h deoDdenl dlod hnvlnB nn Interoot Ihcreln, II Rlso Hct' fOrlh Ihe I11nllUlIoD enoumblRnees upon ell"h pnroDI of Icnl prop"rly 01 Ihe dRte of dcnlh, glvins thD RI110unt ,till due nt deRlh, nllme of mOllSn8eC, dRto, IRlo of Intcrest, Rnd hnok nlld pngo of. record lhDleof, II RI,o HCI' fOllh 111 the oolumoH provided thllleforD Iho ",,"sHcd Vllhmllon of onoh IIf snld pIIIOIII., Iho D'lil11Rled mUlkel voluD theleof UH of dnlc of dcnthof dccodonl, oflhls IDturn, Thllt Sch.Jul. B IIt1Rohcd helolo nnd mlldo pnlt IWleuf '"IH fmth fully IInd In det.1I nil pOI.onRI, plopelty whervHovol ,ltuRled owned by thD dDoodont nt thll Ilmc of dcnlh; nil Illnno)'s loft by Ihe doocdenllll Ihe IlmD of dOllth, wholhcr In decedent', ImmodlRl1I poooeHslon, Hlnndlug to deccd<nt'o clcdlt In hRnk' of dDtlO,It, HIIVllls' hllnk', 1m" compRnlco, 01 othDI InHtitutinn', whcthel lodlvhlunlly, or In Im.t 1'(11 nny othor pcmlll 11l pcnono giving nl.,\ .epRIRIDly Ihc Roorucd Inlolo,t Ihcrolln, If IIny, down 10 Ihll InHI Inlelost dny pliellll dccedoOI' s dOIlIl\ In Iho cn.o of ollvlng' hnl1kH, RIllI to thc dntc of docodcllI" d.llth In nil othol ORHOSI 111,1 bOlld., postnl HllVings, IlcR,ury oDr\lflcllleo III' oole, nnd othor evldvnvo of indohlcdllo,o of Ihe Unltcd Stnte. to Ihe do- ocdcot; 1111 obllgRtlon', whelhor hy ollllotv or ~grollll1Cnl Ihoy lire deHlgontcd n, IIIH ftco, of the lInltod StRtO., 01 IIny 'lillO, or pnllllolll snbdlvl,lon therDllf, III' of nny rorelgn country, whleh nro owncd III tho Ilmll of dcnll\1 1111 II'cllrlns IIppnlRI, JowellY, Hllvelwnlc, plolure.H, hookH, wnlks of,"t, hlHlHllhnld furnlturo, horocH, onrrillgos, Rulonmbllos, hORh, and nny Rnd RII (,thoI' porHnnnl "hllltel, of WhIlIS('"VCI, kind or nlllllrD, II1fI by deoDdelll, tugothor with Ihe fRilly cHllmllled lonrkot vnluo Ihllrllnf; nil hnlld. IInd mnrlgllgoH hold hy decedonl IIl1d nf nil oIl1lmH duc Rnd ~wing deoodonl lit tho Ilmll of dvnth, IInd 011 I"om'"orl' ontc, or otholln'tlumonl' In wrillng for Ihe pnymllot of moncy uf which dooedeol dlod I"",,',"od, nf whnl.oevor nllluro, with InlelOHt Ihclllnn, If "ny, giving Iho fllce vn.luv IInd oHtilll~ted fRII IlInlkel vlllno thoroof, IInd If .ueh eHllmRted fnllllll1lkvt vnluc hc Ic.~ II1l1u lhD'fllee vlllulI, II ,elH forth brlvfly Iho 1'011.011. 1'01 ouch Ilol'loclRtion liS to oRch Itcmllllllllonoy, pDl'Rblo I" the cHlRtO flom 1/1'0 Insllrnnec l'nlleleH "nrllo<l by deovdllnt; nil IInnulty Rnd ondnwmvnt onnllnelR thll rrnoced, of whlllh WDrV pnl'nhle npnn Iho delllh of the <lvI.cdonl; RII Rnd IhvenrpnrRtc .to"k, 1I0d diVidends due thDrcon IIntl unpllld l\~ nf tho dll'e nr donth, bnn<lH n,"III<"'ruod InlorDHt thcleon 10 Iho dlltc of decvdcnt'o tlonth nnd olhDI Inveolnll'lIl ",..mili,', IIlIn.,<I hI' lit., <I,,,'o<lonl nl Ihv lime of <lcnth, wllh the mllrkel vRloD thore. of lit .IIch tlmc, " In lhfl,_(;n~U)lt_' HIlIHlrtt.lOft Uf'OJ'IHO tll; f'ltmtl~' IIOI'IIH"lltfnIHh t.lltJ vHl WH t'(1 1I1'tud Itl1fJ HR. ('1\1' UH 'l'<lI."Il>III""I!"li\"IIIII:,,\\..\j~''''II\IIIIQIIII 1I1",\,Il'"UI\\,II lit' ""I1"r"'I'IlI'"t,\OI\II,"hll\\lIl~ ho 1111 .nll 111\<11.1",,1\11.111" tl1l"'lIol' "" 111' Ihn<li,tll nt' ,11I1l1,II, l'h" ""II,,<ll\tll 111"",,11"1," 1'111'1,11 """ IIII,(\I'""I. 1',10(\ <1111\1, lit. \.h" LlnllI III' 11""11> III 11111'011"''''1'1.11\1",,1111' 011' 111\11.'111I""',"1\<1 11\ ~I\\I1IclI'l, III', I,hn \,'!)I,C;' cIl' ""011 IUlol'llfll, I,II~I''' \ ".1I1111",,"1 l.lI "II \11 "..111"11\1 (\, 1'\ I\IIl\n I "I """ l'I'nlUlli,., "hnw II\A "I'" 111111" I." "I\d II "'" II (.f,," III' "" 1,1 o,,-PIlI' \.',1" I'IIll1l' ur hllll'I1'''""' ' 1\1'I'lp~,' {II' 1.111' 'on"lwrt,ntH'tilll11 _"I\f111ll1ll111lt,t (t (''(lI'n\, l\ Htd\'to"_IIJh!, HnLt,IIl~ ('lJl't-h t.lHlj !\l'I,llro nt' tho 'iH\l'fI111lIOllt.) t())~nll1U\' 1'l-11,1I-11 Ktnt.i1l11(Hlt, Rflt,t,tll'~ l'm't.h UJIl"llhnl'lwl,(il' hI' t.hn'l,liIKIIW'HHl If,H\nOI\t1ull, ntHl HIWh nlhol' l'nt!\,H P"'" ",,11"1', ,I> U,,, III1"ti","" Il' 1II1l~' Ill' 1"11'1,111"11\., III II I'll I I' 111111 ,1""1, IlPIII'III11111 011' \.11" I"'OIIl\OIl\.I" 11I\.1I1'1I"\. thi'l'I'In llltHI Illl R\lhmtt.I,f1lh It Mluilllcl nlAHAot f'ill't,1I In It.nrntl,l1<t t'ol'I)II 1,(II~nl,hul' wlt,1I t.ho ('1\11' mttt'l<bt ,,,ulw, IllI'l'l'ol\ 1I11~' (It,lIfll' l'rn()(J1q.~' ,owl\lllnr 1lfHI\lOl1t1tUtl hy tlliI c1nnllilnllt l\tl.lIt1 t.l111(1 01' iluHt.ll. '1'110 SC/I,'dultt,C nl,l.llnl\mlllol'n{,o Hllll lI11ulo 1'''1'1, htll'nuf' HOI,H ('01'1,11 II 1,1'\10 HI\HW01' to Ul\uh 111I1\llt'~' llOlllHllllHI 1 11111'41 In l\1l1ll" t,hn IlnRO nl'I,"ItIlHf't1I'H ()f'PI'UJHl1',I.Y, rllnl 01' l'tll'Htlllllh wlt',lttl1 t.w'n ynllrH lIr duollllHllt.1 H (h'IlUIt III (J(Jllt,nlllltlnLtoll nl' dOt1IHlntlt.' ft donUt, 01' Inl.olllln(1 to I,olw of'f'fillt.'Illll(HHWHIUnll 01' oH,lnYIJItJlll. nt fir ul'1,OI' I\Oltl,!" Aldil RolUlClultl RO~.Hf'lIrl,h t.ho nnl,urn HIHI Yl\lHU nl' RlIoh PI'(qHH'I.Y',' t.o whom t,1'IITlRI'nl'rud', t.ht! ro 1 II I, t (JI\Hld II .uf ~,hn t.rnflR l'orooH t.u t.llo fl(\ooclnn t, t.ho propo,'I,,1 on" (,11 Hhnrn 1'0(11) I yotl by unoll, t.rnUHf'ClI'on IIllll 1\11 othlll' 1;,wLH nf' n p01'IJtnnllt.nnt.Ul'" l'ol-V~rtlll1~ Hul(' 1,I'flIlRI'nl'H. In !.tIO nlHlfJ of' l,l'ullRf'urH Illt.Oftl'"" ..0 tllkn Of'f'IH~t. tu pnKKnHHJon nr ntl,I()~'!l1ont, nt, or Itl't.nr flnllt.hl tho1'f) tM, nlHn nt.t,flllhnrlt.n t.110 Holln",,]ll n otlll~' of' I.ho \"",,11 \.1'11.1, 1I1l"OOll,OI1\. 01' III.hol' 111'\.1'11I110111, "1',",\.11111 1,\'" 1,"11.1" :rh"I''' I" 111"0 ""I, l'o,'I,hlll "01.1 Hllllnl\II'I' II ltHt, 01'. Ill] lH'ClII(1rt.y, rOILl UlIl'pnNWl1nl, with It,H Y,1I111n, whtllh 11f\f.flHH n't. ilOMlIl(!f1(,'H !tOlltlllly vl!'l"II 01' \.1\11 lI,v,'~I,," IIy 1100lllt""I,. ol\.h"I' h\l\lvilllllll\~', "".Iolll\.l~' ..1\.1, 01111\,1'0", III' 011~ 1'0"111' III' "l'poll1l,c nt'lllt VllH.tnd In (looodol1't:. 01t,\101' lnlUvl(1l1ul1y fl!' ,lnlnt.ly, hYl,\In wlI1,,,(1f!fld, nt' nt,hnl'1tlflt,r\lnIOIlI, cll' I\untllflt!; w I ill l\ (lOpy nf' t.ho hlHt.run,ont. nrnnt,hll~ RIll1h IUIWlq' iltt.nuhnll t.n \.tin twhuillllH, Thld/ Sc/l"di,Jl, 0 ntt.nohlHI luH'ot.n nllll 11l11(\n put't, hnrollt1 H(.!t.H f'Ul'th (,JJ(1 11I1I1IOR Hurl t\{\drORfHlRflt' HIl 1"'1'"""" \"III,1'I'loll\ll~ 1111,111',,1\1,11I1111 \.11\" ""I,II.V III. 1,1'" \.\.11I0 III' 1111""'\1\111,1" 1I0IIU" \.1101111\.111'1' 111"1,1\011' "0"- p"ul.lvn 11I\.II"""\.,,,l.holl' 1'0111\.11111""\1', II' 1I11~, I.,i 1.\""'\0""110111" 1.1I~IIU"'1' wlI,\> \,\>o 11/,0' Ill, I,ho (,111I001: IhHHlt\flll\.'Sc\ol\th of nll mlnot'H, I\nnuU;t\ntH lillI' h(lflnf'lcllllrinf.l f,;;,'11f'o'11IHhn' {to~;o(lnnl,IHW11lt It, {l'lHII 1100\,,10" II " 1.11 1,lllOlln I. .lIl1wl111! W\ll~h 01' 1.\1" Ino,"I'I~IIIl'l!'" 1I111111~" III '!.I,,, 1101I0d""I.'II ..Ill, 'tl' II'II~, 111011' prllll' 10Ilo'!'!,IIlII\., 1.110 IllltO" 01' \.I,"lr '\0111.\1, I.hflll' I ""llfl, IIl1d \.1111 .""1111.10,".11)1' 01' Illloh I ""l'" \.fI 1,\'0 110llflf'lollIl'~' ."l1nt. S.:hf'dulp. E ntt,llohnd hnrot.o nl1~t IHUllo II pllr.t. hnt'f'lnl' fH'lR fnl'th Itll 'PI.'OPU1't'YI I!oul HUll )I,':lr- """01, lI\mllrl \I~ t\lll cloollll"nl. .Iol,,\.I~ W\t.\I """\,},,,I' fir ('\,\>fll'" Inlll",\1111! \11\.II,",III1f1, "1.II"I\111~11I ,1.\111 ,"""0 01' \.\I~ ,,(>O~dOIlI, 'hl.,,1 ot\lOl''', I'lll' 1,\l1I <tll\.O ""rl I'I/IVlI 01' '''"HII'II of' 1n"I,I'III111,"I," 1I1'1'00t,fIlAU,o \fI"l.lt'II'" ,,(" I'llll\ ""\.111,0 111111 tllo,dnl.o 01' 1I~1\111"1t.101I or 1I1'''''III,"l\.~,'11lnll 1,\10 nll'I\O, 'ltlill',!"" 1111,1 ,0..III\,lon'I1II', 11' ""~', of' oo-ownUl,g ,tel t.ho t1UOOtlOllt" " 'flint, Sched(1lpf~ nft,nohl}(1 hOl'nin /11111 ,"I\(to 'n 111\1'1, hot'ont' A(tt.t~ 1'01'th f'1l11~' HlIlI In (lnt,nl1' /Ill l\l)htt; IIlnl <10<11101.10111' ~l11flll",I I'll" IInll oil lniitol1' 1'1' \'11,1" <10001101,\.1" 011\.111.0,1 II"",,\1nA 1',ill"I'III '''I'OI1"OR llt,l'III 1'IIl11lly 0"'11I1'1,1011, wIlO"O "1'1'110"1'10\ IIn.I.A "I' 111\11I11111\\.1'111,1011 1I1' \.hl" ,,"I.It1.fll o"'IIIR"l f'o". '1111I\. ",lIlllfll"~"" ollo,ml""IIIIIII 11/,\.'1 III' I,ll \10 1""111 1111"1. o'l'onl"1<t 1'01' hnl'I"1.1-1'1I"\."1 \.011I"1\\.0110" nl' A)'"V,!III"I'I'OI'"," ,,,"l 1'.,11- glm,. ,0I'VI~11', In Ollllllo'innl1llo 1I1' 1,11" dl'II\.1,oP \.ho ,IIIOlllllllil,1 ItO\l\.' 111111 III III"'". lIW1111! 01111 nll\IIII'\ Ill, j.11lI1l "I' <I~III,\l1 !.IIXI'""00rnl'11 ~\lIII'!l:o"\l11' 1''''' 1'01'11,,1 1'1'11'1' 1,0110111'11,,"11" 1.1011\.1, (o,vlll'l.. \.I,o'~ 0110w"" 1I1111,!1' HI'OI,I!"1 0111 010 '1,\111, In\l"I'I\.III1"" ",\II I~"\.II\.O 'rllX .11\1.) \ l."AO\.\lP" w\l.\I " 0\.11\.011I0111. 01' ",,\101.1"'111 1'101,111"'1 i''''' "11111\11- tjo"., 1\' 'III~,II, \1\ oAI'"",1 I.II',\. \.110\ l'lclllolllt'~' w1ll 1'1'0"0111. 111'00,1'111' .11111 "litl!IIIHH1I'llll11j,(ln,' 111"'11"'0- '111""1., I,hlll, II' tIlO'..lIl1l1l1l, 1I01.1I111l~ "nil\. \11 "01,\.101110111, Ill', lillY, 1'110, 1I1111111111111jOll III' ,110111.,1' 1,,""'I,lInl1 I,llI' o. 1.1 IIInl,,,,1 nllloillll olnh1l111~ IIl1cl 1\11 oW"", \.111I\, \.111' ""mll ..Ill "" 1'''1'''1'.1,,''1 l.n\.holllll!l"I.OI' 11.1' Will., '\1111 I.h"1. tho IIlllCl1m't, of' t,I\X IIRHf1RH(lit P/lfl 111' "!1ftliHOHH1H1 In nnoi1I'(lnlfoI1 thn1:nWI!Jh .' Thnl. t.\Io 1.01.111. Ill' \.110 "\11'1'0",'1"1,11 ~olltml111,,11I HIIIIIIIIIIl"" '~',',oU', ~O', ''''. '1I\IC1'1~' "' 11I"o,,\,iH\ 1.IIUI'olll, hnvn hocm NtrrtrHI f'orwnrf\ IttIC'. jll'tlpn1ily rUl1.t~,t.ornc1 111 t.1\O Hlunl1i~'.'~~" Subscribed n'1d sworn tol;eforo mo.thla ..,............,,,,,,,,,,,, " '( c) '.. (7. "..."."..,...",\,:.1:"[""...,,......, dny of ""..4(<!1,1.f!....,..",.."...".., 10,,,7.,9.., t "'0 ...."..,,'\~\l-..,"/ ~4J04:;y:,,',I;J~6;^6r;~}.~.~(~{l1n, nv'rilli\'(D' )tl,;{"l.<// ,l <4;,(4<:..,. IMI.'I.I.IIIII.U;'lilIIHlIJII.IWU.OII .. 1 ,. ,1i1ll.llIllllit/lI! IJQlJllfV MY GU~llid".,ON LXi'lRr.!II,,g,.?P, IOIQ SI1TI';1 lIol'nr" .11!!II'lAnl'l\ldllV\1. lI,"ko lillI''' 1111 I> I nlll\ "11/'""",,}" \,hn nf'I'lllnvl\, 111\11 ""h'llh,lIJlI ."nllo,,'" '"'" 1'1111111 111 WI\.h 1101,,,11. or I.hll, WO"Il "N'IIl'i", nllll 111 ,"."~I,I,o """01.. 111111111111 1'11,'11 11111/ '1Il1!.!.",1 '011111'11,111", "0""1' \ t.\ 1111 nl' 011111" "1',' ,"011,1'18 ""1'1"\111'1.1 III''' 'Ill' 1111 1111.111'1111,\. I IInll~ .!"',~l'n l'I,1I1l1'"h II'" 01\ loll" "III"~.l. 1.1111 \. 1.1111 ,111111 ""11 "I.lII,Olllll!'l,lI I'lIqllll'o\lllIlIlol' 1.1'.\1 "1"''''/\1'1,,,11 III "'V 0 "0"': ,1111\ "",HIIIIIICII,ll' "II'. III:" nl.l.lIl1hl"', ,\1"" 1111I1,1' (!III'1.I1111 t.till\' (lClltlflltl 111,,1,1,1 U!.11 ItH\lnIlHH'.yl' hdK"lllJOll ;,\',l,'hl1f'I'IY n 11I11"1.'1.1111 IIH f1111I\,fl,,'llrfJ(!(,l!lt, .~. ' /,,-,^ ' c> ' ";L/.,..'c~ye' ,',,',"" ;'(E~;W~ ,"'" ,,,~)&~.<;,,,,,:,,,,,,,,,,,,,,,,,, ~,:~~~~t~tc~~--,...,.,... .MeO}~i~t~~t;}&KI';d~~9,r:~r.17Q~!>.,.....,. . , <1rn~"'I'IlMblo ll"llllo-:"~:~ "-, " (1l (,A" ItopurlQlI) , ," . 0.00' {":,lO,96Z,2fJ . ". ~OO .' 1 r'j.l)I"rl 117 . ' , $ _ Db i1J.!',I.(). !.l~i (2) (AN Dolormlnod) ~~~ ii, S :a ~ 0 ~ ftB 1St ~ j i ~ llI: Runll'rupurlY l'orNollilll'roporlY Trlll\NrUr~ ,',' J 0 .nl; y oimc,ci S\JMMARY ,(Svh.' "A',') (Suh. "II") (Splli"CIt) PPClpo~',1i}' tLrPh .:" W' 1 " . . . . . $ -' 'I ," -,- " ; ]i I i, , '0' f' ... u :l '~ tr'! .tl ?< Ul f.J ~ ",-, - Q ~ ~ " !\ 0 IH .. ~ .' '~ " ~ '" 0 hi '(J 0. " Ii> ~ ,~ d ~ ~ ~~, ,I ~, ,-~ ,-I . ~ Q Z I:l 'Cl~'" .!tl r~ '?i ,,.. OJ !S r, " ,~ 0. .... Iii I!l Q1 " ~,' '. ' ;~ , I; J l5 t,~ oS' .C) ,-'I 1 III 'Q r>: ~' \>I "S ,~ I " (Ii u ~ t~j ... 0=<: f~'j,j .:l u ,. , /, i / ,- I' ", Ilct";,'jt\ ('OMMONWEALTII \11' PENNSYLVANIA T1IANSI'EIt INIIHllITANCE TAX llESlI>l!NT IlI!CI'.IIIiNT ScllJ1.\lIILE "Ii" ,IOINTLY ()\\'NEIIPIIOI'E1\TY * INSTHll('TI()NSi TIllH 1\011111111111 IlIIlHl.dlHol(lRo"flll 1I1~1IJ1(!rt)'1 rll,ul IUtl! )lUI'H(l111111 lIWIlIlll hy UIU"lloc~(\II(lllt, .IolllLly ""1111 IIIIhthl1l' Ill' 1l1,hUI'H, hl1jlIHUug IlIt,UlIgtliluH,HtUllflilln 'Ill 1.110 "((l1I11 of"t.IlU dlllltHIOJl!, 1I11i1 nUHII'Ii. Ilint. rl1nl flNt./do ('II'st. IIIi lHlt",'ut,IoHI lIr ,101111. tpllnl1t.tlt ~IVlllg "rlof' r!tlHorlll{,loll,/IHtIH1JoUt.lHl 111\ltOI' fillhntlulll "A"1 plUti 1.110 Ilut.llHlllt plHo!) of' l'ilfHlf'11 i.lf'1I1Ht,'1'hllIflIlL 'ol'f'ont,!IlK ,",tlHI,lt,lI,'n. hllt:"111 I1nt, Inn11l1'n onUI'nt.H'H (II' lilt I 01' Nt.at,(I l'un' oHt;nto vnluo t-n"u'HIlI,d ,,-,;'Iultl,lml 1l0l\llTllh Jiu"fwIHll prnlHll't,y A 1111 ul II hn IlfftOd. tlH 111 Hnhudtllo "II", 1ltuH dl~t,(j uf' 1lU1lillHll.lnrlJ' IUHI Lhu 1lUIIlO, Illhll'n~" lwei f'ulnt.lllI\Hhll' (J I' nm') ,of' cw-nW110rN t,n t.lll' dO(\lilltlllt.. Unsl'l'lpf 11111 (If" l'I'ul1ort,)', Unf,(I nf' AoqtllMJt,hlll, Nlltllft lJltll, Iluruullf,f1Uo gHI;f1l.o j\lldrtlS'i,IUul 1\01 ntlnt1!ihtp nt'Cn..OwllorHI utili PlllfllJ VnI\!o Hhnro VnlUflLton of' l\ullUrll nr 1llstf'tlnllJl1t whn1'o' noll] gHt.nt,lI. x x Ton (10) OerttficDtpn or.Dopon!b with 1'1,11 )i'i,pot Bonk nncl 'J.'l'1.tnt. COrnpnny of' rlochon;1cob\u1(;';,Pn.., oJ.1 T'OC;:tlJtopoc] in tho !lomon Qr Mf\1'Y C. FoX; or. "J'Q!loph'Z.. ]i'ox. (JoDoph \',.}i'tlX il, j;llo r\llihop pi' tho dooedont 1;111(1' survives hOl') .'...... (a) f!:5,ooo,OO-71:f~ OD rmtnbopecJ ;3::;7.3 Jool.lacl J9,n\l(1)'Y 2" 1970; dtlOll.,tx (6) yooro from ~Bt., Int~rBBt ~o~nb16 OV(H'y throo (,3) \llonths.i" l'l'lnolpnl InlioNllJt. uoortlod 1m H.ttl'oh 28, :1979', ( b) ;1;;::, 000, 0(J"71~i{. OJ) tWm1)Ol'ocl:n at: lsound 1101'011 1, 19713,'~1uo nix~6,) yeurn rr'otn(1uto,. :1.ntOI'efi~ )l\\y;l\blo ovo~'y 1;h)10;;1 (3) mQbbhtj. Pi'inoiJlI1,J.. , lntc>l'ollb 'Mort\or,11)oHf.lroh,'~, 1979. (0) :/l;;, 000. 00-714l!... 0..DrJ..'.Hl.lbO.r"i1d38,)7 'lA[Jl.lod Buy Za,J.970, (\llOptx (6) YOl1!'fl .Crom dnj;o,!J.nt)(tl',OI'l,~ poyf.\b),o Avorythl'~o t3)mont~lJ. Pl'tno~PBJ. . Into1'()[It f\OOrt1ot1 bo Ntll'oh 2(\,:19'19. (d) fl:5, 000. O~~7~"f6Cl)m\n\horJ€lF13n3~~ l,'nuod ^pri~ 17, ),97[J, d\10"uix.( 6) yam'll f'l"Oln" d(l,t;o,~nb~..l'Of;ltpo;yr,\blo 01/01';" tlweo (3) llJ9I1j;hrJ, l'l'inoJpo.l Into!'en t o,ool't.\et1b() H ul"oh20, 1'979, ( 0) :1;;;, 000..oo~71>1'{, Cj)nt1l!lpeI'<ld')9qO 111fiuod .Tuno' 1,1978, (h\9,O~f;hj)(.(I) Y(1f\Pfl .r1'9'O\ d~\toJ :Lnbo),'o,nt puynh10 ovary thj1opt3) month~. 1'1'1 noi.pl.d ,.,,' Jnt(;l'oflI1 [\0 oruo <1. to Hl\l'oh ~8J .197't. ' (f) 10,OOO,OO"'7,'75tJ"oP \,\uml>er'oc11IM() :touuod JI.1n. ,16, .1979, duo eight ,,( L) yo Ill'S from, clUliQ, !.1.ntox'Ol.l t pnyn b.lo (l\\fIrt.ol'ly,. " Pl'l.nn Ipo.l .. "". .,' . ! Intol'(](J t D,OOl'uocl.tp liJut'ohi;Q, 1m9. (c) $~, 000. oo..7lt~t, on, rnunbol'ocl 21!.'i7 . los\led hUG.\\,f\t 1h J,n!>, duo" nix (b) ~'Om.'ll 1.'1'OlIl'cll,lto, :l.nlul)',O(/1; 1'n)(e'1.110 OVOl'y ,thl'00 (3) montl'\o. " 1'1'lnclpnl 1nl;01"0[l1; ooc):'t\lHl ho l)fll'oh. 8B,,19:79, (h) ~;~;, 000, OO,,:71IS{, OD rtllnb?I'O<l i:~!5;;l' Iflllllotl ,Tuno 15 (J,n6., tltlel od,X, (B,) YOI\J"rl j'y.am c1!.\t(~ ,i.\1to:r.oatp!J,;rnb~(l 'AUHI'I;OI'lY, .i:'~".'..&;.; r,n01 )Ftl .. ' '... " . 11 111Yorl Uti H f,n 1,/11' 01lPUH tt,(! hllil tll'.:l~' OWiHJll _1'1'''1',0'' t;y", HolWlhll U "Nil In thl! _"A" I\Olltir'l,olpi', tl(llllilDLOI,i;;',hfj,)HHt;ll/I~1I nf' tht<< ,'ut.llrllt :1,00/,; 100).\ locr;; 100;" ].00;" lOO}{. l()Of'~ 100;'; lOO;~ 10a;~ l()O;~ ll':1C1X, I" (J": ;;,/'. t'~O' -,,; pC' " jl SOlI!:;J)UI'P: 11,8" - 1'ldH:: 1 IllCI'AIlTMIINT VAl,lIt1'l'lON (1AlITrON-1l11 nut. W,'lI.u In ThlH H )tWill VuIlIO or 1')1 Ll ro Jlf'upnrt,y ValulJ (If' Ilot'ortnlll,l H Int.nl'tlHl. 5.000.0 89,7 . ,..-' ./ "I:;Oo'O.O(/~ ~-":Jlr2' , c., t_ ,. !50QO,O(0 ' . 38.)( .~OOO,O( ~ 71,..5( ~OOO, er( 18.11. .. .10000,0(' ~' 156.2 2500,0 :22.1 ItI' V""8" 18-71' Cllunty,HumLllr and H"'n.__~!:9.':I!1)h~r!und Fila Humho, __~ l-_L~:9.~4.L.~_____..._._..___. Duto of Dllolh__MUI::().l! ..~~ L ,!91~___,_._..____ ('.tolo Hamil _.._...X~~_...,..__._,__.__ 2'ur~___. (t.MiT t~AMt;) (FUHn NAMlj) SUMMARY C, tHo TI "1.1 COMMONWEAl. Tl1 OF PENNSYl.VANIA TRANSFER INHERITANCe T^X RESIDENT DeCEDENT REPORT OF INIH:lUl ANCE TAX APPRAISER I, tho "odor.ronlld duly opp~lntod Inltorllilnc. Tax Apprul..r In and f~r lho County of Cumborlund. .- , P ann"ylv~lIla, do rnp09tfullyrop/'rt that I havo appral..d thll roal and pononal proporty a. roport.d In'tho foroglllnO rolurn ot tho v~lu.. ..tlllrlh .Pp~.lto oneh 1I.~.ln th.I..1 column to th. rlo~tln Seh.dul.. "A' , "B", "C", and "ll", Dllt,,": _-' Atl8u~t 31. 1979 I / r ' t -{' ".,-/'ill? { /1.~"2./" !l?-~ (n.!) INHtmltANcnTAx APpAMSIiR - = RF.PORI OF THE REGISTER OF WILLS I, tho uod6r.lonod duly aloct.d' RooI~tor of Wlllo I~ and for , . County, P.nn'ylvaola, d. rupoct- fully roporttho' I havo .llowlld dllducllllno In th. amou~h clahnod hy dopoooot, oxcopt 00 I. 1hooo 1I0mo wh.r. . gr.ator or lo..or amllunl"..1 forth In th~ III.t c.lumn to th. right In Schlldul~ "F", which gr.at.r.r 11I...r .mount r.pro.ootl tho .um "lIowlld u. 0 dlld~ctlon. " Datod: RUO\flTRR OF' Wll.l..a INVf;NTonv VAl.Un AS API'RAISED ADJUSTMENTS ODe IHAI1RIOIIURO USE ONl.VI DOt 10+ 20+ 30+ REMAINDER APPRAISEMENT CODE nonl Prnllortv (GohoduI8'A) l'J:!rliOlHII Prnportv (Schodulo n) J{'lll~.llold f'rol)orty (UOlllUlulb El Trumfora (finhodlllo 01 TOTAl. OIlOSS AsnUlS Loss (1ohtslllld Ooduo11anl (SCIIWUU PI' CLEM VALlJ~ OF EBTATIl 9 + 40, 93. Valuullon of IIfo 011'0101 ~r "I, ~ nnnultlu~..t,. ...1.11.;." ..... ,__w$ :E.BINCIPl-E ~ EACTOR VAL.UE ,.... ESTAlE TAX ASSESSMENTS _$ t= ---- E.9..B..!!ftg..9J: R BOlSTER ONI.V Tax ~n $ Tox on $ Tnx 011 $ T(l1( ()II $ .-.. Tnx 0/1 $ E,c'omptlotls Tot[II Un,lnlo -~ CODE - cOMPUTATION OF TAX __ 2% 6% 19% $ $ $ $ $ TOTAI.'TAX $ (') A, .ovl~"n..d by.C~or"abf. E.oinptla.~ Cortl"ooln In..d byth. Sa'crataryotRe,venue. . ,... . Loas 10l( provlnuAly p"ld BA~ANCE LflU 5% 01 tn~ If paId within :\ IHwllhH urlcr dntlll1 $'i...."..~.....'.'.....i $~-':' ;',_. ....:' '-- $ , ,. =- I\A'-AI!CE OF INI1r:1~I'I'AI~CE 1;AX DUe Add IIl'VrJ!nl lit Hiler of ~,% (tC'lfn ' _'_'__'A""""'_'.._ 10_ AMoWn OF ESTATs TAX ASSeS5sD $ GR11'H1' f[l): Jl"lcI $ :. ~AL^,~CE DUE Adcllnhltf''ll lit ,uln or 6%'frofTi 10 ' t_ I , $ $ $' j $ $ $ , " TOTAl. TAX UALANce rAID SupplolTlontul Codal! (I'ORUsaIN HA'RR1~~URG ONL V) 48-,Adluolmlln' 49., A,llu.lmoo' 56-A,lIIulty 6O~Lif. E,t.tll 921.R.inO'lndar Apprah.1 93-Ronl.lnd.r Dllduotl.n 93C-Chatlh' 9,4-Romalndor Ro.ldu. 96-SlJocoulvo Lifo Ihlat. FOil USE OF REGISTER ONLY ADJUSTMEN'fS NOTEI Wh.r. .ub,equant adlu.tm."1a or.. mild. III th. .bov. computatl.n .f tax by tho Regllt.r of Will.. for prop.r r...on .omo .houldbo nllt.d I,~I.wi wllh .hort ,'.planati.n. r , . .. " " ;(. I -,' , ._J! ," ,"- , '. " , ~ I! ' , ,-" "~I ,. " ,'! ;'1 ,-, , H ffi , 1 " m .~ ' ~ .. ~ Q. i>" ~ .- " .l: " III ~ ~ r.I !I I , & ,- , 'Lz. l:l ~ .~ 0 Q) ~ ~ ~ ~" .... 1', , ,&1 III ~ ... .- f- .... .... ,0 Ei - \. f' C( O!; '0 0, ~ ,,< ~ ~ '0 Ll. \. ~ ~ ~ 0 ] ! /." oS ';:l , 'E ~ t,o.;.l i, 'S 0 'j:l ,~\ F.l~ '" 8 - ,. m is'< j a u ". \-, I' " ,. , "