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HomeMy WebLinkAbout79-00269 NIl. 2l.79 PETITION FOR LETTERS OF ADMINISTRATION IN '1'1110 I~H'I'^,I'" OF rJ1:()){m;,,,"',WGl~aUIM\lX"J:[)tL,,,,,,,..,,, llJ~(,\':AHlm, ;'""'.,,, q,,''',II. i 'I'll ",,R:l.ohar.d, ,1>,., "1\.\14.~r.I3.ol)'...".".",..".."",,,,,.,..,,.,,,,,,,,,,"'"'' """",.,,,,,,,,,,,' .,', f\OglKiol' of' II'II1K rIll' t hu ('(lIII1I~' 01' (:1111\1101'11111<1, III I ho ("III1Il111IlIl'OIl1t h 01' 1'IlIlI1K,l'll'lll1ll1, '1'1'10 IJutl tloll of "".. ,G ~p,r. ;1." ,,1\,.., lltlnl~.1,1~RJ:\.".. ," '" " ,,,,.,,,.,,,,,,,,,, "" I '''','' t" """ "" III '"'''''' ,,,,,',,,, II' !ill".'''''''' i I ,,,,,mil'" ,tt, "..,."" ,.... ,,,'" It""';""'''''''' rOHpm! t I'u Ily f'i hO\\'BI h thn t _ -',,, J;'t\OX',~~" ,Z,t~H~~ff;t1IlaQ,l\1;J;):t,~n"Hlll"'" I'" WIIH II rOHlclol1t of."....M(lnJ,\m~~n~ll~\r.u;...""...........,,~~~~ ,Cl1l11hlll'llllld COIlI1(Y, Sin'to or PllnnK~'l' 1'1\11111,' IInd II CltlZllll of UnlhHI S(lItllH, IIl1d, d(llllll'lod (hlH 1\1'0 IlIloHhilll In thll CO\lllbi lll' ,:....""1;""",,,..,.... "",,!,n,Q.1:.~.~Q,~\~;t;, ,'.."" '" H nd Sf H t II 'of .,."" .y';I,,~;g.:' D,;l p,., .0, '''''' "'" ,.."",,, ""4t ;Ii":""'"'''' "',, ".".!t"i.,,!!.t t.; '11";;""" i ./tll' on '1''''''11''''''1''''''''''''''';'''''''' "t.ho ,,,,2,lJ,t;1)..,..,,,,,,,.,,........,, dny (it' ,,,.,,,aJ,aJ~~lnl"V,,,.,..,..,,',Il,u,,,,i;i A. I)" I U",?,7."" , - i . IIllho IIgll of "",~,r;l...,.. ~'OIlI'K, . Thill tho Hllhl ,i,,,,,.GPR-r.g\l..7,,,~pg;tt;\l1jlllI1\UtPl~..,..,,,.,..,,' "oeuIIKod, lol'l ~lI,I'l'll'llli tho' (ol1owl/l1l' nnmod' wlclow' OJ" hl/Khlln", holl'K 1111" I1md (0 kin, to wI( : Nllmo alp~ in., ,R. t.., Jland, ~:t,Qlf"",.".., 1'1""" l?;mlUaJ,EI. ,Edw.ar./;l" .UElnd,).;tQni,' """ 9,~f?~g~",~J.~R\ M:~.,l.l,~W.~i~;\:,~n",Jh'.t h'n.ro.-. .~~, In... .llnJ1J~ ,t 'hR,1;l";,,,,,..,,,,,,,,,,,,, Q.tR;r.~ft.. .A, "" ~~p)~"", .......,,,; ,to ;""" "_" A,~ll~\, ,Q.UllY" ,UI,\\\\1, ~:t.Qn""""".""""" M~lIhll~,h" ,\".,." .\iI~m.1.l;j;p,I.1"", """'" ;.., l.',l111T.\kUn, ,.P"., ,lJ,I,\l\l,i.;1,;tc;m, "",""0 ,.." Thomas Keith HamHtort It.,,,''.I.''..'..',....,,,,,,,,..,,,.,,,,,,,...,....,,,,,,,,..., BollIUUIlHhlP I' HOHldoll(\1l ",,,,~tf.~,,,,,,,,,,,..,i,,",,,,,,,,, ..~,Q~",a"",l'lIM1Mj;",at,..t1li\l1h.an.i.\1llbut'g t PIl.. ,.. ;j\,apXl.,., '1"_' ,",' ,j" I'; 'Hi, ~~, t .,7.,t;).\.,M1.Q~1~1""n~.tIl.tM;t.,I;\<l1(:ftQ.Wn.., i pa . . H' ,.,~f?,1~, ".... ""."."",,, '" it, II, ;;ft.~,9, ;.~W,q.,hP.J~Hl!!~~'~ f7~Jl~tt\I,;~.1-.~fJ letowpd. t """Jl1J.,~lg).,j;~,v.."""""""", "U,lJ"Y.l,,,..l'ld!),.Jlt,,,,t~~w,1m.r.\.19,lIbul"g. Pa. , ,..""tl1J.,ug;)~j;flJ~::"""""""" "~,~",,1,f,1Il,~111~,,P1.1.,.kl;l.~1d,l,ft:t';\\m... Pa. '." i ,,~R'" ""Ill "i;",,,',,';j'" ,jj iil" ..1ttl.i P.,,,,H.-b ,.Jl~);\g~,~n;\:.QWl.\"", J?n."" 'lj',';~P.\" ",,;1; ,.;. '" ".., ..',;, ,. n, ,~~.~,~" ,l=f,~j, ,t1n..~p, "ax. ^ .,M;t-~~'l~t~,WlJ, PH. ."""am~",,,,,,,,,".:;,,,,,,,,,,,.:i,, ""~,o.~",!;\",,,M[l..\1~,~j;,,,at,,,.t::IlIQ)~m~~n!lbUt'~a. Son.. ,Second S1:. llwnmela1:own Pa. "tI"H"",,,';""'I''''''''''''''''-''.II .".."""........""."Il,t"."'''.I...''''I''''',.'...,,,,,. 'I'hllt thoHo II!JOVO nlll1l11d lI\oludollll of tho nox1; of ldn..Ko flU' IIHknown, 'I'ho Klliet decoden1; WIIH pOKRoKKocl of pOl'Honnll>l'oPCI'\.Y to \.ho (,'~lInlllt(1(1 \'lIh1<101' $",M'il~I3.,,;\:,\lIm,,$,~. 000.00 und of Bonl )'1RtOto, 10BR 11l(',UlllhI'II1100, io iho oKth)lIllod "Illno of $"",~,iim.~"..",..."!,,',,,,, IlH nOIlJ'i\H olin ,\.10 I\Rcerilltnecl, , Thut tho Kuitt Itdid JtiHtntc lit ~o far H~ IN '1ttlowtl IH locntodin ,,,,',,;W/A""'H,,":';""""'HI,o.-."""d;ltIHiI"'"'' ",,,,..,,,,,,,,..iH,...,,,,,,,,,,.,,,,,,,,,,,,,,,,tt.,,,,,,,'..,.....,,,",.it"""'"'''' ,it"..;i;'."."...,i'I"""'..",.,,,,,tii,,,,,!",it,...ii.....i'f;'"'-'III1"",'''i.I'.II'' I'Olo,,J,lltl<H'K 01' Adl11llllAlt'llllon hliho nbove Theroforo, YOllr potltlonor(K) l'oHpoc(f1l11{lIjlply(lcH) Illlmerl eatnfo. Dllted ",,,,..A~~J,~,,,..,,~.,,,,,...,,,,.,,,.. A,)l., ,l\l..7..~,i" Signature 'Hnd Addli('R~ of l'cllllllllUl'bt) !"--:, ;(i~~" ~ (.I -- : _r -- 0 i-- ; ...."...,..:~I:..,..~ , '" " i" ',H" O!t9};';;tiJ.',; ,fl."" l~filtm11'~~,(lT,l,.... It." """ ilt "" 'I""" ;;" OJ;""''''~ .o,a".e. P,~\ 1;)~, .t1.li\ r,~~~;t;...f3 ;t::t'.~~';b;j Ii Ii""" "" II , ';... '''' ,., ,..,NIil.\11~\\n,i,q/ll,1.~l,\~g"",).',\!1\m~y.1.~n.n.~1I;"r?,05 5 , COIlUIO NW);1AlJl',)'I" 0)" Pl'~NNSYLV A NIA,1" '-, ,- " '" " " ;KHl COUNTY 01<' CUMBliJRLANll '. ,. ",,,,..., "".'......." II.., (.,.'" ,','""",,, "O,l,QX'.~a. .-R..., .llAoo,i. ~t.Qnd q;'"'' '0";'; -' oj p,,,,,.-....,,,,,, It;; It 1/" ",,; H" if"";'" "'I ",,,,..,,! nn nlcd , ' In tho l\bOV~l 1I111\lIulltl0I1 blllnl( dul~' ........AW,/;l);'~l,,,,,,,,,,,,,,i,,....,i,,,,, hU(!OI'(lIl1gto IIIII', RII~" ,thllt" t\10'fl\OIR ,KOt , ',',', "",: ,':,' "j!' (orth In, thol~hlll'o lI\ll1l1clltlon 111'0 (1'1I0 lp tho 11llR( o\,,,..h~r...,,, 1(l1()w,!oclgo nncl hcllo(, . ,:::O~;:";";"""""~"""~'"''''1' . """""",,,,,.,, "~I] I.h ..,..:!.f\'~n:"):~' ,~:2".1~..... .. ................................."............."......................"....... ",.."....""..."... ,,,..' ~,,,.(t..,,,,...~..,......,,' """,.",..',,,,,,,,,..,,...,,,,,,,,..,,,.,,,,,,,,....,,..,""",,,,'!"',,....,,..," H('ldKIIlI' U, 10 '. AtlOI'IlIl,\': ,,$,I'H:. pI^. lSi1\\.", ~lq ~;fI qm".~" ~~. r!J ~,l~~R \ ~1 \ i 1\ d . 1"lIml: ."."",1\P~,P.,'~.!..",,..1:~,??,''''''''''',.... ("Vill') " Estate No. 21~.79..............,:~~~,::;' BOND KNOW Al.l. MIlN 0" '1'IlllSIl PlUiSIlN1'S, Thai \liC, G1.0I1IJ\ . It. IlAMlflJ:ON " ' , ' " ",. . " ; , " . , , , " .,..."..,."""".".." ~ " ' .. .. " " " , , .. . ". , " , ' ".." " '. , "."."" ;,., ..., ."......".",.. ,',..", '."'"''''''''',''''''' "'"..,,.,. '''''''''! ':~,.,.."""." n':_........ ,.."., ''',~':'''' ,., ,,,.,,... ,." :,...., ":'''''''''1 prlnclJ1111...""., and ,:::V.oitll.d"Sta tea "Eidel1i,y",and,.Ol,laranty. .Oompany...",..,. "." ,.. "".;"., """"'" ,,""'" "",' ,." ".\,,,,,,!,,,,,,..,, ' ',.i,,,,,,, ,;.. ";,,, ......11'''''''....." .."'''',''..'''.'''' "..,.... ,i; ",,,,,,;,,. '" ",..". ........., "" II''''''''''!'' ,'",.. ".".", ~,,,,,,' """"....,".."::1 . s'urct~""""" . arc held and flrml~ bound unto the Commollwealth o( l'el1l1,)'II'alll;I, In Ihe sum of ,..",,,,,,,,,,,,,,,,,,,,,,,,,,,..,,,,,:;,,,,,;,,,.. " '" "" ,.'~W.9,,,t,U9.Y.~~.~,I?,,t.+.Y.B,,,Hm:mmm,,,,,,,,Dollars (S"g..~.!lo.....Q.o",,,,), 10 be.pal<lloth~ said ComnionweRlth, her certRln Mton;eyor asilglls, 10 which payment, 'Yell alld trull" to hemadc, we <10 b/lld ourselves, jointly i ~lId sCl'erally, and our and each or O\lr heirs, executors, ndllllnlslralors, s\lcm,ors ~nd aulgns, firmly, hy lhese l>resents, , lor and III tho whole of the SRld S\lm, , Sr.ALI!D and daled thc ""...:,.""......""!.......",,,~1J,h, .....,;Ia)' or """....l,\rn~liJ..":"...."",..,....,,:,,, 19,7,,\1... , \'V'l-IRRI!AS, the 'aool'c'nan)ed .,."""..q,1,g,1~:L,\!.J~"J.!I\l))gj;!l?n."..",,,,,,,,,:,,,',,,.,,"""""'":'''':''''1''''''''''''''' . ,. .", ~'''! '''''''',''''''!.' "',,,. ,,_, "H'''' ....",..",..."", .,... '".........,.: "; "'",',, _;,... ",. ,".. L H.' ..,,, ",." .... ..,"'.... ". ...".,.... .........."......".;"........;;"". . has' or ,hal'e IIlAde,.ar Is or Me IIho\ll .10 mllke,'. "PI,lIollllo11 10 the' Re~lslor of Wills l'epns;'ll'lIlJla, rnr' the grnnl of 'Iellors ,..,~.tI,\~.f.!:\~,"1J"P.t(t;;L.()!:\I, """'''...,,,..,,.,,, ",.". of Cumherlalld Counly, .................".."'1.."".,.,,,....'. o\llhc cllale of ,..@g\W!::,,:~J;~GJ!mu,~~u.:J/J:QN ....,.....,,,,,,,, .Iale of ,Machal1icshUI',g,Dlll:\OUgh, . , .. i' I, ;.- , Cumherland County, Pennsylvania, deccased I , -,- I' . , " . THI! CqNPITION 01' THIS OIlI.lGATION Is, Ihat,lf! the sRld personal ropt~sentallve ,..."..,h or any or. them shall welJ'ahd lrulyadmlnlslor lhesald. estnte according to law; thl. oblllialloll shall. be void as to. the personal" ," " ..' .. j',. -- . rCI>rescntatlvc or represcnlatlve. who shall so admllllster th c said. estMc; b\ll otherwise, .It' shall remain 'In forcl:, \ ," ,- .. , · "'^r::j!JtJJJlf!l{.--,,";q4i~~e~A1'i . :.:~ ~.~~::~~:~::~::::':::::::::::::::~,:~: ~:~::: ~~i~~~~~df~~~~l;;~tt,~ -<<<< .-. -" -,... ... ....."..,.... .--.." ~ ".",,'. -. '- ..~-_.~....--........ ... ...........~.. (SEA-I.) ... .._-. ....-..." .". ......-'. ......._ ._-.<<....- H_..._ .........~.'. <<.."..__ ........ .....,(SEA L) CO~MON~X'I!AI.TH .o!' I'1!NNS\'l.V^NJ^ Coti~'1' , ql' CUMlIlHll.ANI1 'SI ...."."".",,,!,,,,,,,,,.. .' '''''''',''''.''''''''''';'''''''''''''''''' In nnd for Ihc cOU'~!).Il.J.- slntL'j "ror'csald .....".."",i!....';,....,...... .,."'".,.."I;,.,.;i..,~,d"d..,,.,.,'.'.'H'" ,.,"".".H""'".."....""if'I....,...-"'".."....~:;'''".;".. i' ,\ "'~,' or,.. .,..._""..".",,,,,,,.....',,,,,,,,....,,,,,....,,.....,,,.,,,,,.,... ilncl ~ ;i' """""""",""t,',",",",',!,'.."',',","',',"','''',',~,"""',.'.':,",;",',',''',',.''',,','',',',.'''',,','',',,','.",,",,',",',,',',':",,",,",',',',:',:', ",',',',',. ,",,',:,',' ."",...."""...."'''''...''''''''...'''';-.....".,...''''...'''''.;."..,...,..".."........~,:...,..,'",.... ... ",rilles Oil IhSllhovd houd who helng dilly 5wor~ (nfflrll1e,!i);.. rdlllg to law, depo!e and say lhallhey mh OWl) <<t'al li'lllle worlh Ihe who!\' ,of IIIl' l'clI,,1 slIrn n~l11cd In IIw-nt;O;", hand, (lye d ~ho'lc'lhelr delli. andlhe ,lebtor's cxcmptlnn, ~ ' . ~.-' Swmll 011111 ",llStrih"d Iwfow '!It.1Itt( .-- ~. -,..~~~:,,' ILlY (I( '" , 1" , "" , " '~ " .(~t',I) .,.,,"'.",, '~',~~"......., (~"I) "H"'~ (~t'ill) ,- d, ..... ..... {SoaQ. ,.-." ^. n, I" .-",,'., RC('-Ul4-HI' OJ 1 (' I ( ., I". ) I .\ 1 COMMONWEt\LTH OF I'ENNSYLV t\NIt\ DEPt\HTMENT OF HEVENUE BUHEAU OF COUNTY COLLECTIONS ,;"1 ,/-.,/'(> '*' RESIDeHT DEceDEHT COUNTY OF _ CUMJlI:RJI\NIl - IMPORTAHT, Thl. rolUrn mu.t b. .omlllolorllo dOloll onrl rllod 10 dupllooto, wilh oil alloohod, with tho ROli.lor 01 Will. of Ih. Couoty whore dooodool ro.idodi Roturn I. dun wlthlu 0100 11\001h. .hor dolO of doolll, uol... oil oXloo.loo I. I,ootod by tho Soorotory olllo~oouo, (SoOllon 103 of Iho Inho,ilono~ ond 11.1010 Tox Aot or 1~6L) -- ._-~ - Lnt. of ____Qll!l!lllil" lun(L Stol. of Pennsylvrm:ln } AllPIDAVIT OP . 1ll00CUTOR C AOMINISTRATOR aunty , IN Tim MATTIlR OP TllllllSTATIl oil ____.GEORGE ZIEGf,ERllIIMniroN _ ISTATB "Ula. NAMB OF DIlCHOEN'T1 County of_ CwnblilplRml J ." Admlul'ltIIlOcr :Ix G10l~:lU R. Ilnmllton Jt!JOO(I)O( 01 thl "tot. of ,hi abav.tnarntd dlCld.nl b.lng duly Iworn"d.paua and uy B I Uoeerlol1l dlod Jllnuul'V 211, 191.l-...{~l((l(l>tll<l4!lIl4'4<<ll!Il)(OIl~1/4jItllillWlltO(""'~~U1UI""Il'e1I,) (MONTHI (PAYI (YIARI, lntlifat. Horn. ,nd ,dd.... ,I o"..noy " } Anelbnkel'. MQCn lob & E1Jcl<lJ1' ath., aulharl..d 'lpru.!'Itatlva 10 whc:am 171 SS ,II ,ol/upondonco .il,uld b. m,llod, . 111.1 \~ost Mu:ln Stl'oot. Mochun:lo~bllrg. PennsvlY'1I1:tn .. ) ThM o. .uch Adm:ln:lstrutrjx dellonentl. famlllor with lhe offolrs nf sold estole ond the pralleI'll' .0n.lilulinH \ EXE curo R..6.CMINISr HA TORI Iho a..ols Ihoreof ond tholr fall' mllrkol voluo, Thai ot the tlmo: of denth thore wo. no .afodoposlt box roglslorod In docedont'. Indlvldulll nom., or jololly with, or o. IIgont or dopllI)' of .,oothor, or In docoden\,' lodlvldual nomo, with right of accOSS by anothor as aSent or doputy, with the oxecplion of Ihe followlnH: - NAME AND ,A.OURIiUOI'" BANK OR OTHER INSTITUTION IN WHICH OECl!DENT RENTED ^ S_~PE Dl':P081T- BO)( THIS S""iJI'E CEPOSIT .BOX RENTBD IN N"M~ OR NAMES OF REI..AT10N8HIf' OF JOINT HOL.OERS TO OI!CBDENT Thol lho coolonts of. .IIId sol'o .doposlt box or hoxo. oro Itel11lzod under Schedulos with the oxcopllon'oftho following, for the roo.ons horeloafter sot forlh: of th Is relurn; Thot Soh.du/. A aUoched horelo IInd mado pori horoof set. forlh fully and In detail olllho root proporly In tho Commonweolth of I'enll.ylvonlo of'whlch c1eoedcnt dlcd hovlnH on Intcrest thoreln, It 01'0 sots forth the mortgoge encumhronoo, Ut",n .lIch porcol or reol proporty at tho dale of donth, giving tho amount slill duo at c1eolh, nome of mortgo.geo, dale, rotc of Intoro.t, ond book IInd POHO of rocord theropf, It IIlso .01. forlh 10 lhe columns provldod theroforo tho II.oo"od vnlullllon of olloh of .old parcels, the e.limoted mnrkot voluo Iheroof n. oLdote of donth of docod,'nt, Thol Soh.du/oa oUllched hereto ond oUlllo port hereof oot. forth fully ond In dolllll oil per.onol proporty whoro.ovor oltulllod owoed by Ihe dooodent ot Iho limo or deolh; 1111 mono):. loft by lhe docodont lit tho limo of d.lIth, whothcr ill docodonl'. Il11modllllo po..c..looI .Iondlng to dccodont'. crcdlt Iu bonko of dOllO.It, ,"vlng. bllnl<., \ru.l ooml'onle., lit othor In.tillllloo., whother Incllvldulllly, or In tru.t for IIn)' othor por.oo "I' por.on. giving olso ,0'"11010Iy .Iho ooeruod Inlerc.t thereon, If IIny, down 10 tho In8' Intcro" dol' prior 10 decedont'. doolh In tho Oll.e of OOVhlH' bonko, ond 10 lho. dllto of deccdonl" doolh In 1111 olh.,. co.co: oil hondo, IHI.lol .lIvlng., troo.ory certlflcolOO or noto. ond olhor ovldonoo of Indohlodoo.. of Iho Unltod StlltoO to Ihe do. codont; 1111 ohllgolicllto, whotho, h)' '1lItutc or 1I.,eemenl Ihoy 111'0 de.lgnolod 118 tllX f,oo, of tho UnltcdSlllto., or 11(1)' .lUto, ,,~ polltloal .ubdlvlsloo Ilwroof, m or IIny forol.n cllunlry, whloh 111'0 oWIII,,1 III Iho limo of dellth; 1\11 \\'curing ul'llurcl, jowclry, ~dl\'erwl1rc, l'lcturcH, hooks, works of IIrt, IHlus~I\Old furnllllro, hnrfics, cnrringcH, onto1110hllos, hool', nnd nny nnd 011 olhcr "or.onnl chnllel, "I' whnl'''ovor. kind lit nnturc, lefl hy do,'edont, logolhor with Iho fnlrl)' o.tlmotod IIIllrkol volne Iherollf: nil hond. nnd 11111ttgng", hdd hy docodent nud of 1111 e11l1111' dno Ilnd IIwlng dooodenl III thctl111e of <1onth, IInd nil ptlllnl..o,y now. or olhc, Instrumool' 10 wrlllng for tho pn)'1110nl of ')H>no)' of whkh <locedcnl dlod "osse,"ed, !If whnt,ool'or 11I11nro, with Inlel'e.1 Ihor.on, If nny, giving the foce I'nlno IInd o,tlllllltodflllr mnrkel vnlno thoro of, nnd if ,neh o.tllllnlod filiI' Illllrkot vnluo he 10.. thlln the foeo \'nlne, II ..IS forth htlol'l)' tho ren.ooo fur .neh de"recinllon n. to ooeh Item: nil money. "n)'ohlo to .Iho o.tIlto from 111'0 Inonrnnce polklo. cnlllod hy dece<l(",t; nil IInnnlty IInd e,idown,onl "onlroct. Iho "roeocd. of whloh wo,e I'nl'nhle npon tho delllh of Ihe ,Ieeedcol; nil nnd II", el,r,,"'oto slock. IInd dll'ldond. dlle thereon I\lul 1I111,,"d IlN of thc dlllo or ,dcnth, hUllds nnd nccrllcd Interust tlwrUlln tn' the dItto of docot!cnt'N delllh IInd olhN Inl'e.lmonl '''''nrillll" O\l'ned h) Ihe d"ood"I\I lit III(' 11111e of dellth, with Ihe Inllrkol I'nlno Ihere- nl' Ilt ''lIcit lime, ' II ]u tho (HUH" ~'r 8o()\lrit.tOtl uf' olOMO or" f'nml1y OOI'110rnli,onlfj t.t1U vlllHOH 110IHlrtoc1, f\l'O flU flnr Rft 1'0881\.10 8uh8\.lItll,IIII,~!1 h)' 1'luIIIIOI~l,}\.II(OIllUU(. o~ ,Lhr, oorl'O~.(\olj$j !lltowll\g lito ,n'80(8 11111\,110111,11(\08 Ihol'ool' 88 of' U.o (\0\,0 01' 1I0o\,It, rlto ""I)Olltllll 11181' "018 .1''1,rt.1t Lito lul.or08\",ol' ,1000110111, ..L I.lto 1,111\0 or lIolltlt In Ml)' OO"1'8l'Lnorohll' ('I' hnsln080, ,11I\l11I"8Ulll'0\'1. of'lltuvuluo 0(' S\lolt .llll.oro.\. \.1t""""18 1111I'0801\ to 811111 sOI"H,I!llII, ('lnllno',1I18\,8tO".oul,0 sltowlng 1.110 .08oh nnd 1InhI1l\,loo 01"'s81d ~O.l'nl'lllll"'l';'fl 01' h\l8111000, ^ COl'Y 01' LIIn lIo-llllrlno"81t11'llltI'OOIl\Ouh, (II' ~r.1,'" otnlolllo,,1 sOIII"jll'llI'th\l'o IlId:"rn or tlfO, '1II"O,"I1,ont) togl\t1wr with" St.Rtolllont, ROtti1l1l. forl,h t.ho oh(l1:aotol' 0,(' t.ll(lhllHltWRS, tta loout,hHII I\IHI Hquh,oUunoi ('not" lH11'ln1l1tllg totlHl \)1I811Ul,,'8 nu fUny ho 1I0rt1nIH)t. t.O R ru11' unci .1tiHltlpprldHI\] (Jr"J,liu d(ltHtlhmt,1 H tfltoroltt. thtq'ultl II\IIRt lID HU'lmtt.tf\(h .It "hnulcl 61"'0 not f'nHh In 1t.(!lfl~l,otl f'Ol'nl1 t.ngot,hor wlt.h tl1(, futr' "11\rkot \'1I1\1U t.lloruof', t\t1)' ot.hol' l'ropu'i'~)' OWlInd nrJloqwlllt.hofl h~' tho IhH1o'rlnl1t ul, t;lIo timo of' dunt.lI'~ Tho S(h"dule C Att.nohort horo!'o nlld fll/lfln 11"rt. hOli(wl' HotRf'orth It tl'\lO IUIHl\'nr t.o 0"011 111Il\lJr)' oOlltnlnod thurnln 11",1111 \.llo Ol\RO,(lt' truflHf'orfi nf'prnJlo,'t,)'. runl flt; 'porfHmn'l, wflhtn twn )'ORI'f1 of', flo(}odont'" dUf\th, in olHlt.o,"plattol,l nr Ilooollont,18 ItonOI, "or Int-onlloe} t.1I tnkn'of'f'oot tl1 l'OAROHfllol1 nt'ol1,1n)'1'IH!nl Ill, or aftor (\ol\th, sntft RohOll1l10 fUlta f'urth UHi JloUU'O f\llil vuluo or fHwh m'nllotl'li)', to whom t.l'mla"orrnd, t.llo ro1nUonshil' or tho t.ruI1Hfot'(IOff to ihu '\oool"mt, tho 'propol<t,ionnto shnrD NHJol\,ofl hY, onoh' t.-rtlrHtf'llrc.l(} nnd Illl othol' fuot... nf' I, pot'ttnont nnturo ,'op;n1'cUnp; fwtt' trlU1Rfol'R. In tho OI\RO ,ur t,I't\HR1'orH tut,ondOI' t.o tuko ol't'oot, 1" 1'0,81")8...1011 or on,loytnont l\t. or I,rt.or rleut,h, thoro 1s nil\o n'ttllOllo'" l.ol,llfJHoho(\uln n 001\)' of' UH1 fluod, trllflt. ngroomont. ,or ot,!!tJr tnRt,Funlont oro'nting tho t.ruHt. tthforllta nlHil HIlt' fnrth '" RI\1d f1chUIIII]O Ii 11 lit. uf' nll rroptlrt'~'f ron1,nnfl porlwnul, wit.h 1t,8 \'(\1"0, wlduh lIUfo.ROH nt flUooit~lIltlH ctunt.h hy vlrt.\lu of' tho oxoI'olBO hf dooodollt, ul::.lulr ,111f'1vldllully, or ,1ni,I,l,L]y,wtt.h 1\1\(1 {'IH1l', or I\n~' I'nwur nf' u1lllnt-nt.... mont voot,olllnllooortont, ollhol' lnlllvlllll1111y 0" Jointly, b)' Lho wtll, do",I, n1' ntho1' Ino\.I'1I111onl. or III\l)q10r, with n 0011Y ot' t.ho tnRLrllmollt oronUnA '8uoll 11oWor R~t.IIOhod t.o tht' R'ollolttllo, Thnt, Schedule 0 nt.t.Rohed 1I0rot,o luul mudo 1"u't, hnroof Rat,R f'ort.h 1.lln tlR~oFlnl1rl ,uf\c1rnfUwH or Illl porBolls hOllofln1n1ly .ntor08tol1 ill t.hls ost.at.o Itt, tho tln10 of' doondont.l;,fl, ltnrlt,h, t.hO'lIut.ttl'(J or t.ll0il' roo- pont1vo 1ntorostR" thoir rolnt,iollfthlJ1, if nny, to tho clooodonl, t.IIRot,hor wi tll (,IHl I\I1,0Fl nt t1lH Unlo 01' (\000d<'l\t18 rlenthof fl11 IIlinoNl, nnn\titnllt.A AUrl 'IClTlof'ioll1tloH for lifo'tIlHto'r r\o(1Odollt.'H Wltl,' It ft18~ contnlns Il stutomoJlt ahowing whloh or UIO hOlloflotnrtoA nnnJort in t.ho "(loorlont.l" willi tf I\ny,~dtol' pri,or to rlo,omlont., the dUtOR of thoir dontl" thoir lHfntO, and t.hn t1f11fll.1onshlp or 8Hoh hHIUO t,o tho hOllorJo\nry. Thnt, SI.~"t'd(J/,li nt.t.nohocl horot,o nnd ,rondo a pnrt I1nrouf Rols f'ort,h nl1 11rol,or lY, t~Olll IllIII por- 80nnl, C1wnod h~' thO r\oco,tont. .1otnt.1)' with Imolhol', nr oUlnrs, 11l0]UlItIl~ Jnt.ttnp;,tblo, Rt./lwHulJ; lit,! tho nmno r,r tho dooodnnl And oUUH'R, p1\18 Lho r1llto nnd p11\00 of rOl\orrt nf lnAtrllll\ont,g ot'I'oot,tuff tho \Of;t.tturn or ron] 08tl\t.0 I\ml tho rlnto or tlOfJUlfliUOIl of' 1101'Aonnlty, tl1\1A tho Humo, IHtllrOflM (\l1d rolllt.tOllMh:tp.' if nny, or oo...ownors to tho dooadont. Thrlt Sc/l(}dul19 r liLt,Rehor' hn,'otn llncl mndo R tHlrt heroof Rot,S forth, fully I\IHI hi d(lt.nl1 nIl dehts nnd rlorlllot.1ona olulmort for nllrl on hnhfllf' or t,hiH dooo<tont'H oRtnto, iTlo]II(l-ttlft 1'lInor,'d HXflOI1HOR pnldl fnmily oxempUon, whero npp] lnnhlol nflRtft of' 11I'mlnlstrnt,lon 0(' this ,oAtntol OOlln801finofi 111\,tf'udtolnry' R oonunlRstons Tll\td or t.n ho pnl(11 OOfIt. O'Jl;llOlHlocl 1'01' hurl/l1 t,r\lHt8,'tomhA,t;otHlH or p;rnVt'lmnrkOrH, ntllt roli- gious 8orvioDH, in onnfH11ltlnnnouf1 t.ho donUl of UlO IloooftontJ 'Ioht.A nnd o]nl.1llfl flwtllg nUll Ilnpn.ltl I\t, t.lmo:of donUq tnxoa Ilcorunct 01tl\r~onh1o for IlUl'iol) prtor t.o flnoodcnt,1 H ,Ionth (mcoopt UWHO 1\110WOlI UOllor Roctton 6tU of the lllhnrlt.llOOO nTl(ll~Ht:llt(l Tox'Acd,)1 t,f1Jl;ot.hor wit.h Il 8t,I\\.01l111"t. of' 0011tlt.tlrllllllorl~tHt for 0"1ign- Lions, if nnYI It. La llKro(ul t,hut t.h~' f'tchlolnry will tHtORont. t'roOf'of',HHi(I'olu\mnd 'ilhltl4ilt.toH8 ttlHlI1 1'0- fllWSt, th/lt. tr thn (lmOllllt, not.ut\l1~' jlf\i(\ ill Rflttlnmnnt, O'{' Ilnr rhO, nommlss1nn or; ltoht, lR.lnHR thnn M,o p.8t.1mut,nd nmnllnt 01'0111110g tln,t IOlnwod, t.hnt, tho "limO will lHJ ropnl't.od t.o tho !logtHt-ur of' Wtl1R, nnd t.hnt. t.ho nmo\lnt. nf' t.nx llHHOFlfl,u~1 ntlll hn rOIl~H(JHHOCl III /Wonr(\lInOfl t.hnl'nwl tilt Tllftt tho lnt.f~lFl 'of' thn nl'llrnpr1nt.(1 onlllrnllH';ln Rflhodl110A riA", "U"i "0", "1~1l'; nwl "1~~ f\ft dlroutntl l,horolnt hovo houu Cfil'rtf}cl rorwnrrt nn" llrtll'orly rCI~iHtnt'nd In t.ho ijUtlllllflt;y. Subacl'lbcd and sworn to before me this """"'''''''''''''''''''''''' :J ,:""""""":"""",/"'ZI',f,,. ..... c\IIY of ", S:::?;i2li1~_",.,. 1I1~, ,," ,,' .~" .r /;:;)-/i// . / //(. _ ':/ """,.",.L"aurt&'UKtf-., CI.?, ~<17#~ ., QI.TI!MIIIII L 11/>[1';11i,1, "'Iff,lii PI/IIlIC /i;(CH;',; ,'!C:;HiI:{l nOIlOlHlll l)!Ji,iIlLl/lMIIlIiIlIJIHY MY r.OMM\.~H1N t'<P'''r~ ,,'0 21, 1081,; NO'l'E; Uu {'Of 0 H I J~l1t 11p, Id'f'l ctl\vl. t mllko HU"f; IOJ }illmk !'Il'/HHlK In 1,110 n f'fHlltvt t. 111111 Holi41Jhrl rlf.1 ftllllOJ(od flrn f'111(111 111 wi 1.11 dnl./ltlt1IJ1' Ulnw'Ullf1 "NCIIlO", hull IU:fHtHI1 t,hU,'iIHtHlt,H lilfll\lllo)'/1!'11 UIIi!,Ullllki.,:dHIHlurIUoR, MOfHIl" UOH fd' 01 OHU 1~'~',HlnllY, U,(I,l'JU)I'HtJ (jIl'i fll',.;ILJI'I,1I (.oru" t.i. t II ,f1"~' n,o"'plIl't.lln;'K11i11 (lr hUH IIIO'HI" t.hlll, t.ho dllt.rt hllft,Ht.f1tfllllflIlLH 'HI\lil'(:(tHll~lIH'thfl l1it't"II~l'nl!I,I, ItlIHV(',l'oluUnll. ,11n Huhlllluln Iln",.llltO,,/lt,tItHhf1clt, l\tfHIIIIUkl1 Hfl1't.I,11l 1.IInt f:ctl11lfll1 t Iii t.llfJ' "Hlllllllflll)'" hllii h~HlI1 PI'fllHlI.ty'tlCHlIltlot,fll' fiR l~hn\'n"'jl1l't'1l111.\'11. , ' ,,, .~; ~""i~~~~~~-; ! /?9~".~.9Hj;)1,..,M~.1;)~fj,.t"S,t~9,filt,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, (Sh'cct N1Unbor) . .,,~1~9)1/1.1,1.;I9fflJlH.PW; ."...IXlI111ffi':lJ..'l.onJI.l.., ....l7.O'~.5 (City or TOUln aml S14te) . new..,..,. (1~~(,.1) ~ :o~, ~IO~ \\'1:,\ 1.'1'11 f1F I'I.:~I :\s\'\' 1,,\ :-1101 IIlANSI'I':1I INIIFIlITANl'I': T,~ x IIESlIIENT IWI'EIlI':N'I' ~;Clllj:DULg 'T)" Ill. ~.r'",\"', I"!~"j ,"If I ,"'\,I,~rl, ~ "i'}\~t;/..'1~ ,,' ,'(,"""'i.~"v)"';, ,. ,11I,:NI,:J.'ICI,liI(ES ..._~...- - ___._ ~ ._~_,__,~.,..~~",_....._ "_ _'~'_'~'.r'_"'_' '~'n' ~_~_..'_.I"_~_ ...__ 1$ tll I ~H;:~rr',~;~~nll;;~i,~~:f,,~,J,~:~"~~.r'~1.'~-:,~':: -1(1'II"il'I~lll;,i:~:\~f~YI!~lhllll';;r ~1~ii;J~:110m~ _.- ; 1/;,;~:-...-.=--:;-t~:~'~.~I~~~:::;'~~::'~:':'~;:::;.: I ' It "" IIH Il1Ultl 0' (I"flfl".,il ;/1" ,flF nJt:Nm"I('IAII\' 11"(1 nil II .nrm~f I V(lHt.od, oont.lnnonl. UJ'uf.lwl" 1I1'f' lOyul vorl , HOtH'..\ I '.YhH,' IN VS1,\rn', ___.____._ WI""L In IIRI"I.<'\ 'I"rlh IlilH 10"1.1 011 NO ..11111'1'11 " , ,_. ------..-..---...-..--... -.-----. -.,.---.-.~-, ---.-..'-;-.. c__..,...,_ -- -,,- -~.--'~',,,,-,,,~-,,-,,,_uof-"- ---~ JUoriuJ~~..Jlwnil:tQ1L._......:.._.._-,-_ __.~..._~'___ _._~____. _'--..~..~__ ~!!~.::~I}.~:E.LQ.!~L~~!lid~e _f!JlJL5.Ql1tIU1al.'ketfl'~l'eet '" .,' . __. .____.___ 4.,'___'_'___"_~_""""" ___,.___._ ..__.o-~_..~._~'. _.___.....,'_..__---...____._._._._.._ "Mpohanioshllt:B. POnll~ylvanill' __..____ ._.,______ __.__.... _._... " .._._.._..__._ --....-...-..--,...-..-..--,,--,.---- --' -_.-~ --~-- _._--~_.__.-. -~'-~.~....---~-;;'~-_.'~._'-_._- ..- ,- .fr.Q,lloJ.lLJ~fumr.~Ulmnill.Q.U----,-::'_,.., SQ!L__,-.__. _.._:(QJL._ ...-'<-_____ 11~ -twl11.fth (l.~~L_~,_ _Z.!LM;lonl!lJ.J)l?i.YJL_____~:..___ .------'-,--,..--l-....------.-...:.~. '--'''''---'W' ~~~~~C\ue ' "'___H_~ .11i!J.\ll,Q.tQ.wn.LJ,Jenn~lyJin:!,!!..____ ' , '_-~'-_...,._...' ,,- -. .._'._--._.-.~.-+- '.:->>..--.',---.--. .,.---.----.:--.-.-... ._....-..-._~'-..-"'_..-..'-. -~._---,._-...-. -....----.....-- ......-'-,----- .GQQ1:'l!;9..Z;!.-9J1M!.I2.JJf!mi1,iQ!h Jr.' jj-'J!l...fi\'laj;.PJ;'.{L~~ Roac!_ .M;iJldlelmln..J>.l.IDIItly1..'l!1n!l! ...SD!L_.____..._ ..~_Ye!!~....:._ ________._ tm!!.::twe~ftlL.Q.LgL._._ , , of t'os~c1ue . .'-,_.---'~--"~''''''- ......._'.---._-~ -------- ~..._:..:.~... " . ---~'......'_.',-._- -~-,'--_..,.-~.-,~ ------.....---..; ~.........----------~.-.._--.- , , , ' --------.. -......----.- _._-,-~~- j-...'..-.'-.....,.'-.-...---.- ~n.J;;UIl...l1am;1.1 tOll 110 West Main Street ---.-.-. ------ Daulll1.t!l!L..... Yes' ol1ll~twelfth (1/12) -,-'r--- --------.- CiTl'es:lc1l1e--------:----- --- -.--....-.----..-. ..Mocl1lll1iasbll1"g, PfmnB~l vani -----;-- -.--.-.- ----r---.---..;--.--~--, ~...-----~..;..---._._-_.,,-..-'-_. ..GlorilLi\.. KoolL. D!ills\rI;JW_ __XlliL __..__._ one:..twelfth (1(1,,gL..,,__ _23 _.JQfHlwLIlr.;l.yf.l.;________ ____:.:.....__~.__.,. .____--'-._. ________ orr~ i~~.__._."....__ Middllltown. ,PonnsYlvnnia - '--" --.... .Al.an_J.l~U1Y HnmiltQU... _Son_,.__;..__ _Yes.. .It.J.)_..JL_____-:-~_ ._._ ,.. , , .JJ;LUl,';],QsJ;QW1..J'ennsv,1van:!:!!...-_ ___:_~-'-"______ _"_._......_ , one-twelfth (1/12) -0:11' resfclile.----- ---_._..~...- ...-_._,_.~..-'.--'._--,..;.--_..--'--,-~- ----<--.-"'------- ...-..'---..- " ...MichuIlLL._lIwuil_ton._______,__ ___eQn...,..........~__ ___Xq!;1.__._ ., ~"_,___,, 0110 -t,,!e1i'th ..2lill.-EllSJ: Main Strellt . ' ___. ____.......::..... ' _'__ ..pfl.'eSlc1l1e .Midulo:to.wll..J'..enllilY],YIDI;!.EL.__. ___ '. ____..._. . , ~'----;--;-"'~ ------- (1/121-_ ~_~_.__....... ____.._n_~.._' ..~... .l'ral1]<lilLD._J1EUnjJ.:t.on~ ____. ~.J2011 .5!J~j:ll1ltt;l1..Mp.t'k.lD;_fitl.'e~t _-'- ..MUU!ll"UJOlllllllig_... l'!llillily_lvanin__ , . Yea .----..-- one-twel:f.th (1112) pf 1!eaiquo ---.._- -------.-- , , .----'---- -------~, "-----. -----,-.......-.._-~.- ....,_..,__.._'__."..,~_~_1.~_<._........ ______'_.,...__._ ..__.~__~__ ~.......______ __. 'j, .__________ :_GJJnt:I,mJQd_o.n_ Pl!g,LL..._~____ _~_..__._.,_.___.____ .__~ ' . U.. .", ,__,___....'d'.U,_._...__.__~.'".__.._.._,_________.__.____,~...'_~.__ ____.._M_--.;...... _~~:!!~.I!.~!.!~.I.~__'_~~~~I"I~~I. HUYH' f,llnf. n'l,l f,t,I'f' uhnvn...f'(IWI(I.h~Hll:~.~~!~~~~v~~~~.~~~!.~. ,t.lmo nXnO(-;-Lt;;l;JWI ~-- -. ._- "u. . ,. _" ...., _ .~....._...'.'.,. ".._".""." ~." Co "'" .._.,,'__.,._._ _..,.._.____..-,; ____._~.---.r,~.-::~::'~::; _..'::-:':::::;::=::::':=:"'::::::::::-'=--=:::::':=:::::: N^~IJ~ UNI'I': OJ-' IlJo:N/'1I ll1'~SIDI':N($ ...,.--_____.,.--___4_ _ ---- , --, ,......-.---.. ,. ....~,._-..- '.-"......------,. -- -------~_...- --...------ . "-,'--' .....~,___._--4.:.__. --~....- --..---~------ .-----. - --. -::~::::.:::.:::-:::::::.-_...,..r---...:.:::::::.-=-~-:...":.:.:=::::--:::==::;::.::;:=.~;:;::::::;....:~-::.::.-...=.~'f .~......~::.:::.:::.:..::::::::::==;::.,.;~;...:::.."'.j:.:':.":=::.:=.:-:~:.:-'-~n..:... __,_, ., " o .01 j; ~~' , '" 9 'fa ~ e I hi ~ati ~ >, o z --,-' 6 1 ~ e ,~ ~<'f, " II<-nl .Pr<l\lO!'ty l'urslll1111 I'l'Ullurty , TwnsCurs S!JMM'IllY . (Suh, "t\") . (S(,I\, "II") ....(Soh, "C") n,'." "".1. n; , GI'OSH TlIXllhlo Estlllo (As (1). -~ Ih'pllrll'c1) $ J. $ $ .. $ $ "'''1' ,. 1'0 .,~ , ,I "Il'; 'I ~ G1 If> ~ '1&. '~ Pol .~ ,,0 '.. ~ ;. .~. ~ ~ ~ l' w f:l' ~ p ~ i1l " ~ ~ Po< ~ .~ ~, 0 " ~ oil . .'~ "5 6. ..J' ~ ~ iL " = "S 1:' " ~, " s S = ] 0 <3 u , ;, 'I ,. ,. " i' $ $ $ $ $ $ 'Of (2) (t\~ ))1'11'1'1111111''')' " " . HeV'4Nllll.70) cn~"'ONWI'.AI.TII or I'HNN!iYI,YANIA TItANSI'I'II INIIliRI1'ANCI' TAX 11I!HIIWNT IlI'CHllI!NT --- III'Nl'flWIARmH ANIl ^,IIllWIlSIUl '. (Hlnlll full "",".. 111111 IIl1dr...c. of 1111 wllo hllVllll11 IlIlIlro.." YCllltod. contlugont or olhor" wi.., III ..tnt.), 'rhomas Kn1:th 11.._' 1 +On" .6lloond StvaBt Hununalstown -' ., I , " . . , -~ . ,. SCIWl>lJl.H "I>" IlFNEFICIt\RIIIS 1U!I,ATIONHlIll' (If ,IOP.allldtoll \.r IlIo~III"1iI10 ohlldroll IU. IIIVIIIVl\ll, ..1 forth Ihl. focI.) !:l oh... ' , .. " HUll YIY HI) IlI!Clm\!NT IiNTI! Y Eli Oil NU , ,,-.. , ' --- IMTI! 011 " IllflTlI * _. ' ~ ~~~~- -. 'IN'I'\!IU!HT Oil IIILNI!FWIAI\\' IN flHTAT\! . oI1B~two~fth , -o~. VBI'I:I,dlIO . , (J.!12) _ . '.. , , I - ~ - -. - J ~ " I i; , . , , - I, -. . ,. " , , . .- , . - - - . , Dopollont further .ay. thaI 011 Ih.. above,"omed bonall.t.rlo, oro IIvl'nu., thl. limo ..copl bolowl __..t--__.... _ MAMe DA.TE OF DEATH = RESIDEMCE -- ~~~ g~ ;: ,..' g ]l~ 1 r =8 s 'tl ~,~ i ~ ,~ SUMMAR Y (Suh, "A") $ (Suh. "Uh) $ (Suh, "C") "'$ $ $ $' ,.' . Ronl ProporlY' PUrRonll1 !'ropullV' 1'r,IlIIBrers' . ~ I Clrm Taxpbl,e IlBtutll , ~ I' " '.-_f. I' {o' , , " w ' (As RIlPllrllld) $ . . . $ '$ ~ l' , .. I 'tl U tl U ?< H ..l Q P ~ !5 ,!!It ~ ~ a " ~i=l g; .~ ~ ~, 4( if 0 F< ! 'Q z c:l 'S~ ~ ,j, ... " ~ C ... Ii; III ,. " 0 , J ~ oS' 0 " - ll. ... e ~ '0 ;1j ~ j:>P ... j u J ~< .!i j! I' I \: , (A. (1) Determined) .. ,. Ie , m:V.4lil p.11(1} COMMONWliAL TI1 OF PENNSVLVANIA DE.FAIITMENT OF REVENue TRANSI'EfI INIiEfIITANCE TAX IlliRIDHNT DECEllE NT INHERITANCE TAX APPRAISEMENT *' ~-="'UIIoo_ ......'- - - --- Eslate at HAMILTON, Georgo Ziolll.or ... File ND, 21-79-0269 County Oumbedand Date Df Death , 01/24/17 PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE 1, TOTAL REAL PROPERTY - SCHEDULE "A" , , , . , , , , , . , , , , , , 2. TOTAL PERSONAL PROPI:RTY - SCHI:DULE "B" , , . , , , . , , , . , , , 3. TOTAL TRANSFERS - SCHEDULE "C" , , , , , , , , , , , , , , , . , , , 4, TOTAL JOINTLY OWNED PROPI:RTY - SCHEDULE "1:" . . , , , , , , . . , , , , TOTAL f\EPORTED PROPERTY None 10,384.96 one None 10,384.96 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BYTHE COMMONWEALTH I' ~ TOTAL UNREPORTED PROPERTY' TOTAL GROSS ASSETS None 10,384.96 LIFE ESTATE OR ANNUITY CALCULATION ------ - - I do heroby certify thilt tho ilbovo npprulsomonlls modo In'conformlty with Ponnsylvnnlo Inw nndhilS boon filed this dny with tho I<oglstor of Wills, . ,'i,) ,~; '... ".,- p! r'\'/~A. 'J.{it -' It 'h'li,} ~ I API1HAISEU 06/18/80 (lATI! I ~ ~ ,~ , ~ ~ ~ ~ 1 It> ~ 0 \''ti ~ ~ ] ';:l OJ ~ ~ ~ 0 ~ ~ '~ rl N '" ~ " r::; d 0 t~ ~ ') ~ 1:<.' Z 0 ~ ~ .~ ~ f ~ , ~ ~. i 0 z ~, ~ 8' ~ Po< (; " ,. ,I " . , " I ;,,'., -'-'" ._;..,;-'-> L'_'-,-_~ ......-..,..-;:"':"--...-T'1.~ _< I ROO.31e (1)-781 allAaAu OR aXAMIHATloNa _ ITAAWBllAA: ,auARI, HA~~I"'_~AQ, MHtt' - r' ..=~_ ""~'ri'i'~;"".., ~,,~. '~_;'H rc-'__ "_-C_'""_"_'~~ ;,.".__. OITATION CONTROl. VOUCHI!R ~_.- ~+'""-H""~...~_-_~.,.,.....~~.,'f..,.,..."....~ -f i (ORPHANSOOU~TOFFIOE).. . '. . 08680 " .PATE FILED "J'.a.~l"O NO. ANO YEAR a1..'...... ITEMI~Ep ,OOSTS: ..ti~iun tg~ gi~cion "9_ ., OATE ~ (~~ .." ESTATE OF ',I FILE NO, '" I . .OOUNTY OOOE I OOUNTY NAME (, " ir';,;, " ',r. .. ,. 1/ .;, ".ao, / L ehaUon 3.00 . e... t:U.t.s l:""., a.uu . p"'~., "'I"~'\' ,,) .,' . . I!, 'rOTAL ~'IL"~~, ~~NATtJ7'<: ',' ,. ..... . 'I.u.uu .:' ., '.i""..,. ......... -.,,...,..- .'''-''''. ,._-; _.... ,.....'"'.,--....-.-'i"""""'""-.---~..._- ~ .,......i- ~-..'" ,.~ ,. >:Ji 011 "t;;l rn :ol. r.Ll ~ . ell l> ~ ~ ~ ~ ... ...:l 011 \ .el' I:l< .U) H 'I' t:.i Q) 0 121 121 121 .;:I'M ... ~ 1211 0 0 IZI ~' 1:1 Q) I &:1 H t) 0 ~ Q) CIl 'iCO ~ U) U) $ I- = N H H Q) ;:I. .- 0 . ~. 121 .(:l 0 ~ .' P:; 0 ~, U '~ 0 t) ~l..;-It) ~ H 0 t>i 1 'X Q) .Ill r... . ,. r.. ~ H "m CIl 0 r... 0 t::> H 0'\ .~ i:J ' ~ .Hg... ,~" pj 0 8 .el rLl f-< t) N p., l.. 0, =.0.- tx:l 0 l:t1 H P:; ~ H t)Q) U.el . t::> ~' U I t) 0 '.' . ,.~ . 0 bO 0 0'\ rL, . r~l ~ " I'l' il-l il-l'+'; .- f:l' U 011 .., t- e N 011 1:1 1...,0<0 ' ~ U) I P:; ~ "< .~ ~Q)N,~ ~ p:; ] .- fLI ~ p., fLI fLI N ~~.. ,U) , -- ~ U) _Q)q~.), . t/""l ~ 121 " ~ ~ 'H A'rl 4->. l.. ,Il:l . 'He t::> "\ ' 0 CIl . '+';,p. ~ j:!j Of 'U) fLI e '~'HCIloll'+';'1ll t) 0 IZI J'-l tn U l> 011 P't.o,~ l:t1 I' h \,,\('" "\ I I' . 'I' I (I, ).: 'I COMMONWEA~TH OF PENNSV~VANIA DEPARTMENT OF REVENUE INHERITANCE TAX NOTICE OF ASSESSMeNT OF AMNESTV NON-PARTICIPATION PENALTV AND STATEMENT OF ACCOUNT DATil UTATE OF DATil OF DEATM FILE NUMBER courm ACN '*' 1/ BURE~U OF INDIVIDUAL TARES IHIlLRIl"H(;r: TAl( IllYtllON nUll, lfl06Dl HAHIUSI\URD. flA 111ra~0601 n~.lnlU "t !h.W RICHARD C 5NELBAKER E5Q 44 W MAIN 5T MECHANICSBURO PA17055 05-13-96 HAMIl. TON 01-24-77 21 79-0269 CUMBERLAND 101 \= ~ount R.~ltl.d MAKIl CHECK PAVABLE AND REMIT GEORGE Z '1 PAVMENT TOl REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE I To In.ur. prop_r or.dll 10 your .ocount. .ub~lt In. uppor portion of Inl. for~ wltn ~our tOH p.y~ont. CUT ALONG TH18 LIN!! ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiKV': 16 ii'f Air -ii!- APP -rei lj:'9& 5-- - - ~iii;-iNifiiiii"ANc1f-T AX- s;,'ii'fEHENT 0 OF - ACCOUNT - - i.MM --- - - - 0 00.. __0- - - - - -- ESTATE OF HAMILTON GEORGE Z FILE NO. 21 79-0269 ACN 101 DATil 05-13-96 THIS STATEHEHT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF TIlE STATED ACN IN THE HAHEO ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAR DUE. APPLICATtON OF ALL PAYHENTS, TltE CURRENT BALAHCE, AND. IF APPLICABLE, A-fHOJeCTEO INTEREST FIOURE, DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 07-00-00 PRINCIPAL TAX DUE, 623,10 PAVMENTS (TAX CREDITS), PAVMENT DATE 01-10-96 RECEIPT NUMBER AMNP PEN 01 SCOUNT (+) INTEREST (-) 195,55- AMOUNT PAID ,00 NOTEI THE 15Y. AMNESTV NON-PARTICIPATION PENALTY IS COMPUTED AGAINST THE LIABILITV NOT PAID aEFORE JANUARV III, 1996, THE FIRST DAV AFTER THE END OF THE TAX AMNESTY PERIOD, ' THIS NOTICE IS TO ADVISE YOU OF THE ASSESSMENT OF THE NON-PARTICIPATION PENALTV. THIS NON-PARTICIPATION PENALTY IS APPEALABLE IN THE SAME MANNER AND IN THE SAME TIME PERIOD AS YOU WOULD APPIlALTHE ABOVE REFERENCED LIABILITV. PLEASIl NOTE THAT THIS NOTICE DOES NOT EXTEND THE TIMI! PERIOD FOR THE APPEAL OF ANV LIABILITV OTHER THAN THE NON-PARTICIPATION PENALTY. INTEREST IS CHARGED FROM 10-25-17 TO 05-21-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF.THIS FORM,* AMNESTY NON-PARTICIPATION PENALTV HAS OEEN ASSESSED "OTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ,00 623,10 11118,80 1,511 ,90 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF AOOITION~L IHTEREST, I IF TOTAL DUE IS LESS TltAH H, NO PAYHENT IS REQUIRED, IF TOTAL allE IS REFLECTED AS A "CREDIT" ICR), YOU H~Y BE DUE A REFUND. SEE REVF.RSE SXOE OF THIS FORH FOR INSTRUCTXONS, ) I I ~Q It, ?' u' t~ V 19- " PAVNEN! , O.taoh 'hi top PCirthm of 'hit HaUa..nd IUb.it Hlth your plv...nt ,...dt pIV_blt to prln~.d DO thl rlvlr...lde. ~ -'< d~ :'1;/ ~...l f.~ Cl thl n'.' IlInd tu1dr.1I u )ll!;l If RUIDEN! DECEDEN! .1.. 'hl~H or 10nlV .rdlr p.Vlbll \'1 ReOISTER OP ~ILLS, AOeNT. If NON-RUIDENT OECEDPNT .,HI ohloH or l.nlV ordlr .IVlbal \0' COMMONWEALTH OF PEHNSYLVANIA. (~w' " c' ',.\1' '-"'1' I,'" ~ , r.' .:1 ~... I , :;~\ q, Ii; Sot All plv"'nt. r.o.I~.d .hlll bt applied flr.t to anv Int.r..t whiCh .IV b, dut with Inv r...lnd,r IPpll,d to thl tiM, ';: REfUND (eR)1 A r.f',tnd 0' " hIC or.dlt, whlc~ was not r.qu..t,!d on thl TlM,Rlturn, .'V b. requutld bv coaplaUno an "App!lonUon for Rdund of PanR.vlyanlll Inh.r1tlnol Ind Est.t, Tile" (REY-131S), AP~lIollt'onl ara a"alhbll .t thl 0"101 of thl RagS.t.r of Willi, anv of thl 25 R,vlnul 01.trlot Offlol' or fro. thl D.part.lntll '2~-hau~ .n.w~rlna I.rvle. nu~b'r' for for~. ordlrlngl tn Plnnlvlvanla 1-800-562-20&0, out,ld. '~.nn.vlv.nl. and within 100tl Harrllburg arl' (717) 781-10'4, TDDI (111) 1'12-22&2 HIllring hlpalrld onlVh REPLV TO, Quelt10nl rlglrdlng .rror.'contalned on thll noUOI Ihould h. .ddr....d tal PA ,Dlpart.."t of Rlvlnul. aurnu 0' Indlvhtull TalC", ATTNI POlt A.."....nt R.vll'" Unit, Dlpt. 280~01, IlarrltburUI PA 11121..0601, Ph!.m. (7171 767-6&0&; D1SCOUNT, If .nv 1;al( ,d'YI 11 paid wlU;tr, thrtt (S) cal.ndlr lonthl IH.r thl cilcldent'. dlllth, . flvt parOl'" UlO dltoount of the hI( paid." allowad. PENAL TV I The 15;( ta~ .lWIlltV non-partlclpat1on p.nllb It co,p~lhd on the total of thl hl( and Inhr..t .......d, Ind not paid b,"or.,Jlnuarv 18, 1996, thfl f1rit dlvaft.r thl Ind of t~. talC ..nOltv period. Inhr..t II ehlrald b.glnnlnu with Hr.t dlv of dtllnqulnov, or nln. (9) lonth. and on. (l) d~V fro. th.'datl of dl.th, to thl dati of p'~lIllnt. talC.. which b.a~" dlllnqulnt b.tora Jlnuarv 1,' 19er blar In1;.rllt It thl rat. of .he (6U) plro."t plr annul alloulahd It a daJ1v rate of ,000164. All hili' whlah bao..a dlllnqulnt on Ind'aftlr Januarv 1, 19AR will bl.r Inter..t at . rate whJoh wUI y.r)' frol a.land.r Vllr to a.landlr VI.r wUh that rat. a"nounaldbY thl PA n.pntt.ant alRtVlnue, Thfi IlIP,pllaabll Inhr..t,rate. for 1982 thrlJuDh 1996 ar..,; INTEREST' VII': Inter..t Rt'tl D.Il~ Intere.t 'Jatar V..r tnt.r..t Rlts OIUV tMlre.t' 'Flatar ' 191~ 20X .000548 1917 9~ ,000247 I9IS 16X ;000411 '1918.1991 II~ ';000501 I" i914 IlX .000301 1992 9~ ,OOD247 1915 U~ .000SS6 1"91'1994 7X ;000192 1986 111:< ,OOOE74 1996-1996 9~ ,000247 ....tnt.r..t Ii OBi'oul.t.d II fol10WII INTEREST I SA LANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X OAILy INTEREST FAOTOR " --Anv NoUal '..uld Iltlr thl tIN..baaa... dl1Jnquent will rlfl.ct an Intlreit c.lauhUon to flftll" Uli) dive bayond thl dltl of tha ......~ent. 1f pav~.nt h .ada .ftlr the Inter..t C10*putIUon dlt~ 'hown on t"l HoUal, addlt10nal Inter..t IIlU,t ba n.ioulltlidi , .' ,