HomeMy WebLinkAbout79-00295
No. 21..79
PETITION FOI\ PRO~ATE, O~ WJ+L AND L~rrERS ,T~S:rAMENTARY
In the ,Estate of __~!1l..>t.e<t '>~le~ Co Lt",!'l'.1Lr:c\"'YV{~('~~~-v..1 deceased.
f"ir~"''''
,,-'.... Ji,
"
To RI9hard\:' Anderson, Rc~lster of WIII~ ,for the County. of Cumb,r1and,
, In the Commonwealth, of Pennsylvania,
.. 'IS .., ,
Petltlol'ler(s) ei'e the eXecut-'l:~:::-_- named In the Lost Will. and
Testament of ~...JJ1tJ...wj;"v"('.U 1::a-v\L:.'.;:I.~t:v~- doted -6ka/\fr ,~, 111/9 ?!.l-
Decedent was a citizen of the United States and a resident of
V In'' T"OWl'Ishlp . .
,.1-:tr . Borough, Cumberland County, C,ommonwealth
~~:.~.:~ ~:.~I~~.5.~ wJJ~"^th.~.dOY of ~ .. ,..
A. ,O~ 19l1, .In the County of .-.D ~~y,"~ ,t..'v\ " State of
,J .uv~-^Z\IJv"(JvL,:t;~ at th~~e .of'? 7 years, he'r '
Decedent has hot been married ,and has not' had children born to ~
s,",ce the, execution of the above described Will. .. '. It
,O.cedent was possessed of perscmal property to the yalueqf (!lOt (.I(J-(./
and of real estate to the vah"uil of .
as near as can be ascertained; sold reai
'!
estate 1I1tugted as follows
.. ,'. ,. '. . . El~
Th.refore, yqur petltloner~ respectfully applies for the probate
o. ft...h... SO,I.d L. ,ast Will. and T~st~ment a. n.d..../~or Let~.)JT.~ tome.ntary....thereon.
Doted .'" {Jy'v\./Y':.tt 7,.1 cl1j , '. >fr11t:po !~~1.,.Lc:~
...... .. ... . ~~~;.~~~~:~I:i..(;:t~;;:u"::-';;1~ .
e~l-\N'~~~, W~t'.te \ ~c,. /."70 I r
COMMONW..,EALTH OF. 'PEN.NSYL.YA.N. IA l .
COUNTY OF CUMBERLAND. . . \ S5
" , . " . ~1:LV~"> (~, FOvV("L~.;l.~".Ja'ries' Stuart I"~rJ'~.eter ,
named In aBove oppllcatlon, being duly ~~~<,.u'~NV" ..-.. according to low
soy(s). that the stotemehts set forth In this petition are 'true to the
best of L,:~ knowledge and ,belief, { ',A..I/
S-<..,-.~(I"YI.A.. b- and subscribed before ,:'~1';I[l/'
mel
i .19J_~L
f
-~'-""'.~-=-'-'t
lPl~V,
Rle ard E, Anderson, Register
F.lled;
,'fl"/?,.,,( '1,$"
1979
.'-."
flit
. '
.
OATH OF SUBSORIBINQ WITNESS
COMMONWlllAL?ll Oll' PIUNNSYl,VAI'IIA
ootJN'rV O~, OUMUIClU,AND
! 8S:
Thlslllllll Ii 1,',111111 nil It 1I11111'l.1+1~1l, 1111' i Iii III'; I '1111' 111I I I'" ,.. dllY, uf . 11.11111111, I ,,~~~. 'II' U '1'11' II' i.....I" 11111 III II!" 1111 A,O" 1 ff,7.~',,, i
, "
bl1foro mdltlohlll'd E, AndorHOn\ Ito,II18tor for ,tho PI'obuw of Wills Ilnd Kl'llntl,t1s lottol'sof AdmlnlatrllUon
In 'nnd fur auld County of Cumborlllnd, In tho Commotlwoulth of Ponnsylvllnlu, IlOl'sonully cumo "'"......:..
I11I1 f II'" i '~~I~~I;II .S.t II ~~I~'~ t.. ~,~l:I'I~J:',; H~'~'I' ..11 ~~.~ I 1 'lI?-;n'<<:"~~I~I~ Ill~ ~'II ~'~~}I~~I"" "'.'1....11..11 .111 i I it Ii' I, I' ..HI I f 1111111' I
, '
,
"tho subacrlblngwttnossos to tho forogolng lnatrumont of wl'IUng Plu'p<H'Ung to b,o tho Illat, Will Rnd
Tostament of ,I,..'.' '''' "..~~ ,~,~~~,~, ,~.~ ,:~,! ~,~... ~~.~~.~.~ ~,~.~..,....,',..."...,..,.., ))ntod ..!;l,~f.f!,~.. .~,h" ,t.~ ,?~,;..."
Illtoor ",,,,,,,,,,,,''''''i''''''''~'~~P.'''~~'~~'''''' ".... ",............... ..,..... ':.......... ..""," Cutnbel'l~nd COUllty PII., qoollllBod
'who being duty ""'''I''''IIIl'lIHIIII,1"!H'''"l1HIII according to low, d~p()so nndsny"Lhut IIli",ql!'IIl""!llllllli",,""Il11"
prellont,und SIlW und heard tho tostu.....".."..,...................,
,.,..i"II!I'''IIII''ill..I'III'I'I''''''I''''''IIII'III''1"II,Hfllllftll'"
sign, soal,l)ubllsh, Pl'OnO\lnco Ilnd doclftl'o tho said Inatl'ulT\ont ofwl'itlng IlS und fbrh.....,..".,.... 'rostamOllt
and Last WlII, and ,at the tline of so doing ..""..."."..,,,.,,,,,,,,,,,,..,,,,,,,,,,,,,,;WIlS of sound ulld dlaposhlg. mind
j' ,,""
memory lInd undol'stundll\g, to the best of """,,,.....,.....,,,,,,:,,..,,,,,,,,,,,,,,,knoWlodgo, obsol'Vlltlon and belief,
, '
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. rd'.1,{1.1. a,(;, ,(,!.., ,;.1.~.,1l, HI. ,..C "it, (if;; (K.l(.{rl('r,.~)
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,,,t.;-rf?it,d:, .~,,~tf..,{,.,. &..;.." ,(;r:t; (.,(. (r.f!.~l~;''''
I"Hllfttfll~~I~n~llttll'~lllill"n"'I" an aubacrlbed before
IIt""!!",,,,," ." till'" ,'11.111 ."""""I1,,..,lIlltllj.."1
1~lcltard E. Anderson, Register
.
'"..II'HII...'H'I'.,'....IIIII.II'..""""11.IIIHI...I..I.HI.lilll",..itllll
AFFIDAVIT OF DEATH
COMM, ONWEAL,TH OF PENNSVLV ANIA t SSI
COUNTY Of CUMBERLANO ' \
'. '. '\L' v__lL <; ,r'(I'vv~ri<,je~~' . ' i .
, :"...."",,..,,','" ,,,.. ''''''cr'"",' ,,,.,, ,,, """ " " ".. " ""."""".".""'"...." .""."" .""""":""..",,,,,,,,,,,,,,,..,,.:,,,,,,,,,bo'n.dul,
.....~;;y,y." ',"""'''''''' ~,,~~YS th~t as)JnollrlY as~u\1 b~~sc~rtalnod t~ said de,oedent ""...".""",,,,,,,,,,
, A. n p'\l:.vd..l I C>-.",C ,0 \'.- <1,,' ;\.r;r.~f)- t.v~ dl d
....."."'''..,.::".,.~''''',' "",,,,;'i-r..,,,,,,,,,,... '''r''''':''''n'''''' "\""Y"""""'~"":',,""'~""~"{)',',"'.'"'''''''''''''''':''''''''' e" 0;'
".".$,.\'lTiX;';\-':"i~~"""'" the ",,,.,,O'~~;y,hT.x..,,,,,,dUY of """'~\1~\;;\.;'t.,,,;,,,,,,,,,,,,,,,,;, A.D., 19.;J",r
at or 'about IIHlilji,~.fI,:"c;:.;;:t1"'HIIlI"'''''''' o'clock.t::..M.
'G' ' C-
L,' ., ~-
I""""" .A,"~:i1.~';\l\<>''''ltl'I,.lrt~''II,,(\nd subscrlbod this
Iv. M
~:- . " tL
....."",..";;",'1"""..".,,,,,,,".',,..:" dAY of "" "" ,,,..~;.;7;,
19,""J,,~1.., beforo
OATH OF PERSONAL REPRESENTATIVE
OO,MMONWEAllrH OF PICNNS'iLVANIA} .
OOUNT'i OF CUMBVllU,AND ". SS,
" ,.
'B~t'oremo, tho Reglstol' flll' tho PI'ollllto of Willa und gl'llnthlf{ (II' !.IJttol'/lol' AdmlnlHtJ'utlun In nnd fbl',
the C,ounty qf Cumborl!lnd;'pul'sonully cllmo """""'~'(.\':V;)y~i~SI....S,;,..f,:'f1.7:f:t.~;h::~~,,,...,."..";,,,,,,,,,,,,,,
." . O. ~) Q
I wh~;'botng duly 1~-lY'~~:;Y')('II'I"1 do rI.:?1111 dOpOHO' 1l~l<1 HUY thut IU1,...!\.~~Vr'nQJJn~":';I:I'~I~;'~"IIIIIIII"illlll'1'11111
. o;,tho last Will and Testament of "",,,,,,,,~L.~.~~(.~x~~,,,,.LV(;\;.,,>(.~~.eL.,Et::,'Y.~?:;&.r...dOCOaSed
. """,~:-,..~"",,, will weiland tr~IY administer tho gOlldH und chllttolH, I'IghtH IInd crodlts of slIld dooeased
I
,
. aocordlng to Illw. Andnlso wl11 dillgontly comply with tho pl'ovlslons of tho luw I'olnting to Trunsfer
Inherltanooll, ".Arlr.~,-:y.\;~:l;jllnd subsol'lbod
before mo,
J,,,.,, " " " ..."" , A. 0" 197.~"",,)\ 1'1.t~"/2"()tfj(,~~t?r.1.j,L."""",.""..,,,,.....,
( ~X;v ,
- .'
ttllfllllltllll"HlI I' . ...."" I""II!IIIII'.....""....
Richard E, Arderson, Register
'11'HI'ljll"tll."".ItI,,,,,,,,,,'I"H,,",,,,,,II"Ilt""ltlHII'"11t1O1111
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DECREE
~I
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~e it remembered that on tho 1t1l1l..~1~ln","" dny or'"."""I1I1....,,it~.~.~,..""""n.'''..j' A, Oil 1'9 J.?III1' there
Was probated and recorded tho Inst Wl11llnd Tostnmont of "!:1g~!:~.~"~~~.~.H,,~~.~.~~.~.~!!.~...,,",,....,,,.,
,
late of 11""I".tll'IC?~m~"~I~~';"II' ...,1""..,1".11'1'1....1 """"",Cutnborlund County, PennsylvnntR, DOCOU80dl Letters
or.et.amentary . Jamee Stuart Forreater. , .
. '1IIII..;Io""""I,"III""I'"ItI.""O'II'" "11" woro granted to I1II I'" I. '1""""II'tl"'IlI'"''''''lfl''' "11''''11'''111''''''''''''11'"'1111'"1'"'
Wltnoss my hand andomclnl Bon1 tho dllY und YOllr uforoHlIld,
.
...
. I ...,
COMMONWIALT,H 01' PINNSYI.VANIA
,COUNTY OP CUMIIRLAND
}
...
_~~.....;gI\~lDS -,8" 1I'Q.~jlJY@,TmR _.._.._-__~________
boln; d~ly n'Qrn. 'aooordlng'to law,dofJa,., and .oy. that,ho }8 ,the, .l(llOI1~Qt' ...,,;.:-._
_.___ ._.~of tho e'toto of .JU1..QRillD ~~VE~r" FPRRllll;lTWR'
loto ol_,_..-.,.q~".I~!H.._,___"':_._-,...~___.." , __I O~mb,rlohd ,Clo~ntVj Po.. ~'o'm4..ndthot tho
Wlthlnl'Mlnmtorym'do by" James S. ZO.Irl'st!,'.1:....._ ~'~~'I the ..ld~ecu1;:ot' ., '
01, tho on, tlro,', .'14t,' of lAId,' doc.dontl oon,lIlIn9 01 all th.", por"on.1 prop'.rty ind,' rool o,hto, OliO, .pt ro.l .,ta, t. o~"'do,
Ih,o Com".!"onw, oa/.h 01 P,nn.ylvonl., and thot tho fI9~r.. opPOllt. OIoh Itom 01 tho Invontory rapr,..nt It', hlr val~o
., of .the d.to of dooedont'. death, . . " . .,'" . ,
Sworn, ..
.;.;".+____ ond ,ubmlbed boloro mOl
.;..........;"
79
_19--,-_
'tC#I'NCLJi?t;I/2t~~_
.-.., " ,----...-....-- , , " ---
(hmtol,' .........
. 00 Westertl Drive '
b$o!'mber;L4
~P14~~,1?J:L~~~
Myoomrn:lll~ion expirl;ls
Behnl New Mexico ,,87002
May 131198
Mdt...
P.to of Dooth
1
DoV
r.......l'
-~~
Month
, +9'79
, Yut
INSTRUCTIONS
.1. ,+.n Inventory mu.t bo fllod withIn throo monthl allor appolnlment of pmon.' r.prenntotlvo;
2. A .uppl.mont.lnventory mUlt be fllod within thIrty doy. oldllaovery of additIonal. 0...0".
a. Additional .ho,'" may b. ..thohod II to porlonalty or realty
4. ho ArtlalolV, Flduolart8l.Aat of 1949\
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11Iv.nlorv 0/ Ih. lIal and Ptrlonal .,101. ~/
;,1
,
Mildred W~voll Forrester
--.-' '---
dto.aud,
_.J~-.,
"~"~~ i;;"".m+El.-.,...'....~~~_
1. M~.P.UCloI1.0I,\S ~~rsond' a,l!fects
,
2. 20QSharascommon Stook ohiomcUion @U5.l1315
"
.300 'ahars.common Steck General 'l'e1epht)hrt Ii mleotrto ~$28. ~875
4. 1, 2QO 'Shares C\'jmmon stoak V\lgel:, Sound' l' & r.. @$lG. 8812
, 6. '8,000 J:ntfl\!'; Cllp.1.tal r,iquidflulllt:
$l!I,OOO' NQ,rt,nel:'n ,York Co. Soho03. Pist:dot: Bond
6 1/2\,"'1984
Amerioan mxpl:'eas
B@~lO
5 @$1I0
Saving.'1\dpC/unt i001...OOllO!lB6
l\lI)liIl:'~Oan slIvinge lAnd ,LOan^llSOQi~tion
Albuquel:'qus, NoW Mexioo 87190
""9. OhlilokingAaoount i301lRl06 04~R 3
CommonWeal th Nit t.1. on III Dank
Harri.bUl:'9, Pehnsylvania 17100
10~ Sav,1,ng8 ^ooount'~30~0010047"'3
OOn\tnonwlllll1'bh i Nationlll Bank ,
H~l:'l:'.hburq ,Pennlilylvltnia 171'00
MotuedInteres t:
't~raVmlnfl Chcloka
11. Oer,tifioate of I)f,\lposit: i30-176
Oommonwea1l:h Nationd Bank
Harri8burg, PennsYlvania 17108
Marued, Interest
12. Savih9~ Aaaount i002R041494R2
OCNB
New. cumberland, PennEly~vania 17070
MorUed"Intereat
,saving8Acoount # 95- 52 869 4
Harl:i.'Sav~n9a AUooiation
:. .IUIl:'rispurli!,,'Pennaylvnnia 17105'
Illarninglilowll
MonlilY Cartifioat:e #1-13-601746
Harri8 Sav~ng8 ^.sooiat:~on ,
,Hatri8burq,p~nns~lVania 17105
lllarn~n911 Due .
f '1' L
$,,300 00
I,
"
3,'187 ,50
a,456 25
19,Q97 44
5,000 00
,
, 15,107 50
(:- \
;, I
. 180 00
1,665. 10
404' 69
5,4$2 28
26 50
10,000 00
402 22
184 99
10
"
105 00
28 08
10,000 00
197 79
306 44
COMM"NWEAL TH OF PENNSVLVANIA
DEPARTMENT OF REveNue
llUflEAU OP COUNTY COLLECTIONS
APPLICA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT Dl:CEOENT
*'
._-----......~~~-'_.~-----~~---.-~--""_._- ---_.......~,,<-.~...----.._,
~ (MUST Be FIL.ED IN TRIPLICATE)
TO THE Pl:NNSYLVANIA DePARTMENT OF REVENUE,
Application 1$ hereby nlado for c onnnt 10 Iho tran$for of tho followlngs,curltlu ofa Pennsylvania
Clllporatlon,or a ,National Ban!tlng Assoclallon locatod In Pennsylvania, '
(a).,' 200 '" (b) Oh~o Illcli~e~" ",',' (c) . OOl1\lnon
(NOTE, In dmrlblnp s,oc, urltlosente.! In (a), ab, Ole, olthor the number of, sharn,af .tockor tho fact amount of
reglslorod bonda, In (bl, Ihe name of the Issuing company aod In (c) the clo81 of stock or Ihe atated Inlerost rate
andmllllJrllY dolo of regl.tered bonds,) "
ISsUeD ON Maroh27 , 1979 , and having 0 TOTAL MARKET. VAWE OF $, 3,~00. 00
(Dot.) , ,
as of tho dale of death of the deoedent, Mi;l.drl'id Wli\ve.~l Forrester
DATE Mfty'2S, ~979
(Nom. or p...d.nf)
,on Apr.il 1,1979
(Do'. .1 d.a'~)
who was late of
404N.2!lthSt.
(5',." and Nomb.,)
Camp liill
" (po.t OHIQ')
Cumberland
(C.only)
l'A
"
The aecuOtle. are registered as followSl
($feitt)
~AD,'I\ltllnR'" TClR)
E,XIllCU'1'OR ' )
Mildred,Wavell Forrest~r
(Nom. or no.... In whl,boottIUoa'.. ot. "ol.f.i.d)
404 N. 25th St.
Camp Hi;l.l, pA. l~Oll
, (Add,,'..)
NAME OF APPLICANT _ James S. Fo~llter
404N. 25ilh St.
CO~NTY FILE NUMl3eR""'/~ 7'1.'.:IS'.)": ADDRESS OF APPLICANT -U.....-:l7011
BUReAU FILl: NUMI3ER . SIGNATURE OF' APPLICAN~ ~
NOrlCB, IP YOU PAIL TO PROpeRLY PILI., IN ANY PORTION OF THIS AP :rIOH, IT WILL NOT sa
CONSIDEReD COMP~En ANpWII.L BE RB1'llRNIlD TO YOll POR OMPI.BTloN.
COMMONWEAl. TH OF PENNSYL.'lANIA - DEPARTMeNT OF REVENUe
" CONSENT TOTRANSFER ~EfYRITles ," ,PATE .4,l.f.,/"J ,9
I'hereby COhlOnt 10 tho trqnsfor of the above securlllo,s now reglst,ered In tke name of, theM;tOlald
Jamee S. Forreeter
(Nom.)
Pecedenlcnd wolve Ihe Ill1ng 01 a cnrllfli:ate certlfYlng,to the paymenl of t~o t,ranslor Inhorltanc:e tax 10 which
tho,proporty ol'aald ,pecodel1t Is made subloct PUrsuant to tho provisions of the Act 01 June 20, 19191 P,L.521,
aaal11e~ded and tho Actof Ju~o IS, 1961/' P.L, 373/ os qmondod, This Is also In accordance with the provisions
,of the ,ACt'oIAprI19, 1929; P,L.. 343, '
abO\lo'hcnlod Decodol,I"
,
1'hls ~onsont 10 Trallsfor tho heroll1 doscrlbod property oparates only 111 reference to the ~Itoto 01 the
,
~~~'
",I'f,WZ,
th_ ";~ ..\.
Signed lor tho So r
1/
(Slsnntu,.)
I
Ely
:-'('fill.) (County)
COMMONWe/l1. 111 O~ l'etHUYLVMll/l
PEPARTMeNT or nr.vntHiU
1luReAU OP COUIITV r.OI, I. nr.T1otU
ArpLICA nON FOR AND CONSENT
TO TRANSfBR seCURITISS
. . ReolsTlmeDIN THE t4AME
01" ^ Rt!SIDF.NT DECEDeNT
'*
~.,.,....__~_,~,.~,."<.,,,~.,,+=__,""~ _~__ _>"',"' """"",,'_._H' 0""",';' .,._.,__"__'~_,~',.~r ,,____.._..T_~._._".n___'~. ,.,--.-..-...-.-.-.--------..'.
DATB Mav 25. 1979
~ (MUST BI!, PI~ep IN TRIPLICATE)
TO THe PENNSYLVANIA DI!PARTMI!NTOP'REVENUEI
Apl,llootlonl,a h.rohy med. lor 0 allonl to tho tronllor 01 tho lollowlngjloourltln of aPonneylvClnla
Corporollon,or u Nutlonul Bnnklng Auoclntlon,loantod In Ponnaylvnnlal
(0) J OO,....-_(h)__~~.~o.~!'_~..~~~!ilJ~,!lon<:.~~.,~J.e.,?,~riQ ,_~ (0) Qommon' -
(HOTS I In dOlarlhlng lOoUtltlu ontor In (0)/ nh 0/0, olthor tho numbor olaharoa ofatl/ok or tho faoo ali10unt 01
toolllurod bQfldl, In (b), Iho 'mlllO of tho II~ulnd onrnpnny and In (c) the cia.. of Itock or tho Italod Intotoet rato
ond maturity duto 0/ fOolll.rod handl,) .. .' , ' ,
ISSUED ON. Ma'l:ollJ.fi../...lill~,and havlno a ,TOTAl. MARKET V^,LUe OFSY_62.00
01 01 tho dato 0/ d(~ri;h) ollho dmdont,.Mildl:~~_ ~lIva.lJ. D'url:e.:'te:.__., on J\PrU 1, 1979
(I~.... .1 p..ndo"t) . (P.to .f do.'.',)
whowaa lnlo 01...!l!.1~.~~_..~~.~.1l.. at.!..".._,_~+~~Il)P 1ii..~~___~cumber_1Iln_L. PA
($"..\ ,'nd,~Uinb.,) (P..t Offlco) (C.unly) (Slolo)
Th. l~curlllOl aro roolltorod aa 10110wsl". M~~,dre<.L..~j\vel1__t.9.~~..!tj;~,~~,,-
(~,11'" ., n..... In whlch,..'tlll..I.. 0'0 "91110"d)
404 N. 25th St.
"AI)MIMt'''RM'ElR~.21\"'.~!U~.!.__~~.l.lE~~_1:.er -C"--~, ',__,,~~_..-.Q~l1\p. Hill. , Ph..- 17011
Ii1X T (~.mo)', ,(/ldd,...)
. JDCU OR NA,ME OF APPl.ICANT _. Jllm~:11.~' D'orl:.~tl\\r
~ ' ,404 N. 25th st. .
COUNTY PIl.1! NUMBI!R~/.:.::L 1'.)r1- ADDRESS OF APP\..ICANr.9.fl.!!llLI:l,;l.llu~..l'A. 170H
BUREAU PIl.E,NUMBER._-,-__~__SIGNATl)RE OFAPPLICANT . ~~~
HOTIC,~I If yOU f^,~ TO PROP8R~Y PII.~ IH AHY PORTIOH OF TfllS AP. ~ TIOH, lfW1~1. HOT a.1!
CbHSIDBRI!DeOMP~BT8AHD WI~1. BEl RBrURHIlD TO YOU PO OMPI.l!TION,
-------,.--...~-_.......~..;...~.............-----~~-----------_....---...-
..............--.-.,-.~~-_......._._.---'-""_...._.--.....-,...,.,.....--... --<-...---.....,-.
COMMONWEALTH OF PENNSYLVANIA "' OePAR'rMENT OF REVENUE
. . CONSENT TOTBANSFE~ SeC;YRITIES DA1'E\.f~..~/7r
I horally COllU'" to the tralls!or 01 tho obovo Bocutltloa now roglstO/od In tho name of Iho.1Qto'al~
" " ';, ' ,,' ,,,,,,, ',. " ,
pec.d.nlandwalva tho 1I,IIno ala cortlllcato cortI/ring to thopaYl\1ont 01 tho translorlnhorltanoo tax 10 which
'thoyroportyalanld Pocodol1t Is 11l11'dosubloct pursuant tothii ptov,lllons of tho Aot 01 Juno 20, 1919, P.L. 521,
ii," "
01 amondod and tho Act,ol JUno 15, 1961, p,L, 373, os amondod. This II olao In accordanco with ,tho provlslonl
. 01 tho Ant of ^t\rIl9, 1929/ P.L; 343.
Thla, Consollt to Ttanslot tho honll" l!ollctlbod PtQPorty oporotu only 111 roforenoo 'to tho oiltato of tho
obov,o.namod Dooodonl.
, \'.h.
~ij'{,~.
,Im,r
I"'J~ il
'~I""'L'I\.
51g110d lor th S
tly..._,_.~."
($lonoliJro)
J,:1C;,' 'j",;
..---.-- ~'>-+*-~._.~-..._-------,~~::.
(Tltlo) (Co.nly)
He':'1i! II).f'Bl
APPLICATION FOR AND CONSENT
TO TRANSFF.R SECURITIES
REGISTERED IN THE NAME
OF A IlESIDENT DECEDe~IT
*'
COMMqNWEAI. TH OF PEHHSYI.VAHIA
DEPARTMENT OP REVENUE
'IlUREAU OP COUHTY COI.I.ECTIOH~
...-_._-_.--,_.._-,~-~~~._--~,."--_........~,.~-_.'''- .....,'_...........-...._.._.-~....._._.---~-----
DATI!.J'IaX 25 , 1~79
~ (MUST ae FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DePARTMI;NT OF REVENue,
Application I. hereby 1R0de for <<onsont to the tronsfor 01 tho lollowlnu ucurltln of 0 Pennsylvania
Corporation or d Notional Bonking Auoclallon located In Pennsylvania!
(0) 5000 (b) Int.er capi t~f_ Liq~i_CL_Asset' . (c)~9mmon
(NOn!, In duorlblng securities enter In (a), ab 010, either 'fho number of shores 01 stock or the face alRount of
regllterlld bond., In (b), ,tho nlllRe of Iho luulllO company IInd III (c) the closs 01 stock or Iho stated Intorolt rllte
. and lRaturlty dolO of regl~ttrOd bond.,) .
ISSUED O",Ma~ch 28, 1972~, and hllvlng o TOTAl. MARKET V A!~UE OF $2.1!00.00
(Dot.)
os 01 the date of death of tho decedent, Mildred Wavel1. Forrest.\!l:t~, on_!\pri1 1, 1979
(Nom. 01 o.o.donl) , (Po" of ~..Ih)
whowallaleof .404 ,N. 25th St.
(sutttond Num~,.')
Camp, H g.*-__.Qw.n.QID.J\Ild
(Po.' offlo.) (Coun'ty)
PA
(Stote) .
The IOcurlll8S ore reglsleredlls fol,law$I Jildped"l1ilveiL_~QUu.t.eL_---
(Nomo 0' namo. In whloho.ttlfl,o.i.. 0" ,ool"".d)
404 N. 25th, St.
A91,',lttIHR,l. TQR) Jam~s S. Forre ster CaJ1\l2.. Hil 1 J..J:A..\..-..17 O~l
EXEOUTOR )., (NomoI ," (Add,~..)
NAME Or- APPLICANT _~iL.S... For:p;as.t:et"
. " .", 404N.25t.h,St..
COUNTY FI~E NUMBER ~/- 7'/.." fJ.'r'~ AP,DRESS OF APPLICANT __Ca !il..J..,.-M,. :L~o.J,l
BUREAU FII.E NUMBER SIGNATURE OF APPLICANT
NOTICEI IF yOU MIL TO PR()PP.~LY PILLIN ANY PORTION OF THIS AP ATION, IT WILL NOT 1111
. C;,ONSIPIlRBD COMPUTE AND WILL Illl RETURNED TO YOU FO OMpLl!TlON, .
COMMONWEAl. TH OF PENNSYLVANIA ~'-DEPARTMENT OF REVENUe
,; CONSENT TO TRANSFER seCURITIES A-I 'j'"
" , . . DATE...;.J.L,.;!,~-e':;19
I H~reby consont to Ihe transfer of th~ IIbave soc~rllles n.n'1'( r09,Isterod In the nome of Ih~Afore'6Id '
,pecedent and waive the filing of 0 certlfleato certifying to the payment a! the transfer Inharllance taK to which
" ' '
Ihe property of s~ldDecedont Is modo sublect pu~suanl to the provlsl,o,\s of tho Act of Juno 20, 1919, PoL. 521,
"aumondod and the Act 01 June 15,1961, P,l.o 373, asomonded, This Is dlso In accordance wllh the provisions
01 the Act of April 9, 1n9, P,L, ~43o
This Consont to rran~lor tho horoln doscrlbod prollarty opnratos only In rolorence to the OBtato,oHhe
obove.nllmed Decedont,
::~:.d 'n~~eL~/
(Slg"otu'.) fnlr.lI^nn ,. ""'"...n"
m:rHfillIlU1'V!\!I'j
, , UUMUUU/IIIU l}j;HlY
---'jTfiTOf--,,~-,_u_(Coullty)-- -
eOMMUNweAL TIt OP PUNNSYLV"'HA
oePARTMuN1' O~ ReveNue
bUReAu Of COUNTY eOI.I.aCTloNr,
Arpl.lCATION FOR AND CONSENT
'1'0 TRANSFER SECURITIES
ReGISTERED IN Ti'lE NAME
OF A Rl.lSIDENT DEceDENT
'*
______...~____....__.._. ....._._~_.u_.._'4_~~___-.-.~__~._,._,~~.__,.,,__--._.,'<... M".~,,_,<,O_"''''___'""''''_____''_"''''''_H._..__
~(MUST BE PIL.epIN TRIPL.ICATE)
TO THe PENNSYI.'VANIA DEPARTMENT OP REVl!tWEI
Appllcollon la horoby modo fc;H CQuont to tho tronal.r 01 tho following ,ocurltlesol 0 POllnlylvonlo
Corp?ratlon or a Nal,lonol Bunking Auoclatlonlocotoclln POllnsylvanllll '
(0)1200. (bl-J:.':!9Cjlt', So.,!nd ~..!..1!,-~-,._,-~_..._~._. (c)...,Q.9lll1!lQn ' ' ,
(NQTEI 'In describing aocurlllol ontor In (n), ab OlD, olthor tho numbor 01 Iharol 01 .tock or Iho focoomount 01
roglatored bond'e In (b), tho namo 01 tho 1~lulng company anclln (c) tho clan of .tock or tho .tatod InttrOll rote
and mOlurlty do to 01 reglat.rod banda,), . '
ISSUED ON~arch 27...-12J..2., and having 0 'rOTAL MARKET V AtUIi OF $ 2.9,800.00
(D.") " " .
aa 01 tho dolo 01 d.ath olthodocodonl, MildreQ Wave~l Forreatfilr ,oli Apdl 1, 1979
(N.m. 0/ Q...d.nt) (Dot. ., d.oth)"
DA TI!~!1~Y '2~J 9 7~__
who~a. loto of 40,4 N. 25th at.
(Str." ond tol~mh.,)
Camp liill
(r"t Offl..)
Cumberland
(eo~n'Y)
,
PA
(s,.',)
,
,Tho,aocurlll,. aro reglatorocl 01 1011owII_ M:I.ldred W~vell Forrester
IN.m. or n.m., In whl.h ..'II1i,..'..... "olll...d)
404 N. 25th St.
Camp_Hgl:../l?1\. 17011
(Addr...)
NAME OP APPLICANT_ Ja!M'JL.1'h-.1'Qllti.te.r~ .
, , ,~ ' , 404.N. 25th St.'
COUNTY FILE NUMBER :;U...7 ?'..;.r.s ADDRESS OF APP\.ICANT~p-Hill,,~P.1\ .1,701,1
~UREAU FIL.E NUMBER'," " SIGNATUR,e OF APPLICANT~~."UlO'4~
HOTICBIIF YOU FAIL TO P, ROPERLY FILLIH AHY flORTlOH OP T, HIS AP ,I TI9H, IT WII.LNOTBB "',
CONSIDERBD COMPLI!TE AMD WILL BE RETURNED TO you PO OMPL,'ETION, !.
AElMnHST~A 'FOR) ,Jamee S.' Forrl;lster,
IllXElCU'I'OR )--- (N.m.)
- - .
COMMONWSAL.T.H OF PENNSYLVANIA - DEPARTMENT Or-REVENUE
, CONSENT TO TRANSFER SECURITIES, .I, ' J.
, , DATE St!?~t.21
I horeby consont to thettonslor of the obovo socurltlos now roglatored In the name of tho cdoresald
Decedontand:walvo tHe IllIng of ac~rtlflcalocortllYI;lg to the paymont 01 .the translor Inhorltonce tal<;~owhlch
"; .',\
tho,property of sold Oococlonl Is modo lubloct pursuant to tho provisions 01 Iho Act 01 June 20/ 1919, P,L. 521,
aa amendllclllnd Iho Act 01 Juno 1S, 1961, P.L. 373, as omonded, This Is also In accordoocewlth the~rovlalons
01 the Act of April 9, 1929, P.L.. 343,
obovo;named Decedent,
TIlII Conaontto Transfot the hotolri described prollorty oporotosanly In roferonco to theeatate 01 Ihe
I
~.
:':necl far~rrZ:d4;J\ "--'.
(5IgnQt\fto) jII1,!:!:,V;:r,'!:;',; II"
f'~~/"":'! ~:',.:i,
~&'~
"...~~Ij,.t\
, r,wl!1:? 'I.
--rrTtInl-~.--' (Co~n'y)
," tI
"
) j'., il? /J ~) (,"-) /7_
.'''''", ,- / - i/'''IC, /,~;)
'*
I
'"
I"""nl 1100-1111
COMMONWEALTH OF PENNSYLVANIA
P~PARTM~NT OF REVENUE
BUREAU OF COUNTY I:OLLECTIONS
COUNTY ,OF
,
G\,lMij,l!IR~ANP""""".""", """,.",.."
1l~IiIDIINT nllOlltllltl'r
I Ml'OIlTAN'r1
"1
!IM. nl' IlnOI,h, IlIllol. "" IIxl.onatnll I. I\rnn~od h~ I.ho Bonrotnry
thn (IIhnt'Hilno. urlllllHL"Lo 'fox AoO,t or IlItll.l
IN '1'1111 MAoTTJlR 01' ~'1II1J1M'r"'I'tl 01'"" }
"I'I'ID" VIT 0"
~U:r.CRIllD ,WA'lIllI.ltilr.ORBIll13'l',lllR, ..,,,,,,, IlXIlOUTOR
(fUll. full ,"11111 ut ,leJlodfpl)
&.ale of ,."QYMBIllRr.ANP OolUll, ~"li9t~
or 1I0vonuo, (Bootlnn 7011' or
Bille of ",NlllW,M11lXXCQ,
Ooanl, 01
''''''''}.I'
.,'"',,..
o\VMMNGWt
JAMlllSS.
of Ih. ..Ixl.
1!10RRES'l'ID~ ",,,,,,,,,,,,,,. ,.,
of Ihll,.hov.,n.med deoedenl "ehlldal, .worn, depoleS xnd ..,S
IIM~1 ' l8IVZ;~'{ ~~~~"VIO;. 1.11 ,011I, 'ap~ of ohl",' Ix h.,.,. .,lIoh.d, }
.......'., ~lor
l\pril
" nluilthl
II N....lI."oIl.d~".. of .\la:,"W;'} JAMES' A. ULSH, ESQU:J:RE
:h;~' .~'; :~rr:.'.r::,r:,:::"';.II;: to: SHIllARmR, Mlll'l''l'E & ,WOODSIDE
..11..'. " , p,O, BOX 729, H1\RR:J:8BURG, PA 17109
!rhllt nR RU,eh ",..",!i1.15,\il,g,l.I,Yr9.~"...",,,.,,,,, c\opOl\UlIt Is fllmlllnr with tho afl'lI'~R of Bllld eRtlltellnd the,pr~p~rty oon-
(~:.I'rllt(lr'^tlllllllhltmlilrl
sUtutlt11I tho uSRetR .thoruof !lnd their filiI' murkot vllluo, '
1'liht lit tlie t1mllot dOllth thol'oWaR no HlIfa deposit bUK l'ojflRtel'od In' docedent's llldlvldl1l1.1, name, or jointly
with, o\' liS lIl/ent or deputy of Rnother, 01' In (\(loodent'a IndlvldulIl nllme, with l'illht of 1I00eSR by IInother llMlIllent
or daputy, with th\l llKoellllon of tho, folluwlng 1-
, '
ne",dlnl dIM
Till R RhfE o_roUT UOK RENTED
IN NMlR oR No\NRS oP,
M foe . ~or.reate
433 Nu~th ;!;i.flt /.leXA'.
L:l1mp liiJ.J., J:'a,nna. .L/ull
ro I,ll r!\!,
, Thot tho oonl.olltA of Aohl rjhro l'olioRit hoX or bOKSe aro H.m\z~d under Sohedlllo" ....lL- of
wi th, tho exnoptlnll or tho fOlloWing, f'or thO roaSonA horolnaftor lot forthl
this
~hat ~ch,"vl, A ol.l,aohed linrnto IluIlmnde ..nrt hOroor sot. torth fulIv and In'det.U aU tho
rou} \1ropilrty In tho OOl1Jl1\onwoolth ofl'onllRylvon1n of whloh Ilooodent cUod hovlng un In'toroat ~horotn. It
n\'8o \lO,tx torththo mortgngo opOllmbr,ftnoes UI'OIl onoh pnreol or rool I'roporty at the dato of doath,ghlng
tho IUnOI,I,t1t .tlll dU.,,"I. Iloath, n"mo'ol' mortgogoo,' doto, rnto ot Intoro.t, and hooknnd pOgO of rouord
t,'loroof, H ,,\so .ot. I'orl.h III tho oolllmns l1rovldo~ t1Ior,,,foro ~ho ossoa.od v"lllatlon or oaoh of laid
I'nroola, tho oatlmotodmnrkot valuo I,hqroor as ~r, dut.o ot' dunth of dooodont.
, "
Tnot ScMdvl. B atl.nohoclhorol.o a,lIll mado, port h,orool' aot~ forth rlll1y ond In dot.lI a1l porlonal
prO)lllrty whoroaovor att.uiltod 01'1110,1 hy I.ho dnoodel1t at thn Umo of doaUII, nil ,""naya I.ft. by tho dsoedol1t
Ot tho tlmo qf' doath, whothor III <,Iooollont' a Il1UIIodlato POA,osslon, al,al1dlng to dooodentll orod1t In banka
or "ollllalt, aovlnlla hnuka',truat oOIlI11\'l1loa, or othor lnat1t.llt1one, whother Indlvlllllnll)'" or 111 l.ruI,t for
"nn)' othor por"ol1 or l,or.ol1a glvll1g "Ian .opnral.oly t.ho ooorllod Intoro..t t.horool1, It any, 'down to tho "XL
,lnt.o..,o.l, I'ayprlor to Ilonollonl:t. <lonth III \,ho ooao or ,aavltIA" !,ank., and ,1.0 I.ho dl\tQ"ot dooadent'l dUAth
In nIl oth~r oMoal all hnndll, pnRtill aOVlngA, tronallrynorUflootoa or notol. ~ncl ot.hor "vl.doneO of In"
,Ioht.olln'osaor 1.1\0 Unltod 8tnt.oa 1,0 t.lio dooodooll 011 ohllgotlonA, whothor by,.t:at\J.t.oor Bgrqell\Ont tho)'
orn doaillnntod os tox ,fr,oo, of Lho UI1It.ol\ 8tol,0., or ony 8tOto, nr polltlO.lallhdlvi.ton' t.hor~of, or 01'
IIny rnrolgn oountr,y, whloh Ilro'owl1od'ol. I,ho .tImo or doothl, nil 1'Ioorlhll opI'orol, Jilwolry, ,Sltv/)r1'lnrs, 1'10-
1111'0., 'lOok., work. or IIrt, IWII.ohol<l ",rnl t.uro, hor.os,o'l'rtnlloa, IIl1tomobilqa, 'hoata, ""d "ny .nd all
II t.hor flor.ol101 ohntl,nl,a of' whol,.'oovor ,kit'" or nntllro, left hydonodont, togol,hor'wl~h tho ralrly oltlmOI,od
1I\llrkot VIIIII/) thoroofl nil hond. onll mort/fntns hold hy dooodont IIl1d or .11 ohlm. dlIS' ~n~ owing <Ioondont
,It. t.ho 1,1010 or dnnth, and n11 "r"nllslory notos or other In.tr,..onta In w,rJtll1g ror tho, pnymont, of monoy
II r whlnh dnoollont c\1olll.oaaoAaod, of whot.soovor nol.llre, wi \.1\ lntoroit. therool1, tr OilY, gIvIng I,ho fllOB
"nlIlO 1111'1 o.'.Imal.ol\ faIr mnrkot 1'01110 thuroof, nnl' If auoh oallmatod ralr markol, valuo hola.a than I,ho
"<100 vlIllI". It .ota forl,h hrlor,)' tht. ,roalono ror Alloh Ilo\1roolatlono, to'oooh It.o.., all ",nnoy. I'uyahlo
it, 1110 ('a LIl"" t'rom Ilf'o I n.,lrnl1oo 110110\0. oarrlod hy dooodon 11 nil onnlllty ,on<l ol1ll~\nnon t non,t.roo t.o U...
1'01100",1. of whloh woro,l.nY/'hluUllOl1 tho donUI or ..ho Iloooclol1tl, AnI! all the oorporot. atook. ~nd 1111'1,101\11.
,I,," Ihnronu 01111 11111'01,1 oa or thO ,Iotn nl' dOllth, :I~J!1II. onll 0001'11011 Inl,oro.t thoroou to th.dato nl' "loooN
01.."1'" ,Innth 011,1 nl.hor Illvo.l,mnll!. lInollrl tlo. oWllnl1 hy U\n r1.oedont .t the t\tllO or dn.th, wi th tho m.rkot
\' d 1111\ l tlotlOllf' n l, 8'1011 Limo.
II '
" ,
.
.
/
In t,hn UllfW nl' tHlntH'ILln" ill' nluHII IIr f'nn"'~' Illll11"l "II t.1Uf Hit t.I\lI vnl\l1lH rfllmrtfHl n"l1 Uti I'f\r na
\,',\1""1111" "1111.1,'"1\.1111.,,,1 hy 1'1,',11111'111" HI.III11l1llllll,H ",. I.hll 11111'1"11"1111111", "h"wllI~ I,hll "",,"1.0 111111 IlllhllHloH
OWl'Ullr "" 1\1' flIO'IIIII.II Ill' '1""I,h, 'I'hll ""hlllllll'l III"" 1I11\0,I'IIl'l.h LIllI 1111111,,,"1, ,," ,IIIIIilll,,"I. 111,1,1111 1.111I0 or
,\,'nUt,'" nH~' 1~,U"IH\1.t,l1nrHhll' "" IHIHIHOHH, IIwl IH,ItIIPlllll't, nl' t.lw VlIllltt tlf' ""111l Itlt.IlI'U8L 1,llu,;u IH nnttuKU(\ t.u
Hllhl',""h"IIIIIII 1'''.'1\111'1111 "1111''',"11111.0 .1I"wlll~ \,hl'I'"""to,'",,,1 I IlIhl I 11.111" "" ""1,1 Oll-I'OI'I.II"I'"hl\' Ill' hliUllo"',
A' Olll'Y "" t.Il1' """1'"1'1,1"",,,1111' IIU.I""IOI"" I. , (II' 111'/11, II "1.1'1,1111"'"1. 111'111"1\ 1'lI1'lh fl." \)111.111'/1 Ill' I,hll IIgroonlOIIl)
t,ngot.hnl' wl,th n l1\n1.ul1lf1llt ttl!tt,111'~ f'UI'I,11 1.1111 1111l11'liol.ot' Ill' t.hii In'KluIIMH, It" tntlutttHh nl1l1 M\lllh oUlor rftot..
l'orl./lIIIIII~ 1.11 filii 1111,,111"'" "" lIl"l' Ill' p""UI""I, 1,110 1'/111' 111111,11,"1. "I'PI'III""1 ",' UIIlI\1I0U,lllllt'" IIIl.or,lIHI
Ullll'(lIII III,nlhll""h",'I,III", It. IIhlllllll 01." lIill, 1'1I1'f.1l III 11"'11I1/1111 1'111'1'1, I.II~ol.llIlI' wllh 1,1111 l'illl' mlll'kot volllo
thl)t'oot', nuy 'tlt.l\l1lt'111'nIHJ1't~' IIwnml "or hfl1lilllut.IIlH\ 1))' tl!1! dnnlHltltlt fit I.hl! "lUllI nil Ilunl,11I
Tho Scherlulp C nt.t,lInlll\l1 hnl'\ltn /lull 11llldn purl. !lflI'UOt' HUI," l'nt'l,h n t,I'\HllllUIWlJr \.0,9(\oh h\llulry
00111.1111111<1 1.1101'0111 011I1111.1,\... nOllll Ill' "'"I1II'''I'"III'pl,""i",I.~'. 1,,,,11 01' ","'IIOOIlI, wll.hll1 tWIl, rOIlI'. 01' <lonotlnnl'R
IIII"U1,ln """I,OI11l'llItlol1 01' 1111110"0111'8 ""111.11, III' 1,\1.0",10" 1.11 1.11\<0 111'1'0111, 111 1"'0.11"01011 or ol1,tdymont Ot 'bl'
ri rtot' tlt'H\ t,h", 811 lit M01HHlu) d au t.H I'ul' Ul t.hn till t'H!'lI 111111 VII 1 1111 (l" ~ \loll pl'lllHll't'~'1 t.n wllnm t,rnnflltorrfHl, Ml0
1'01 ilI.l01l8h II' II/"U\O 1,1'11110 f'oI'O"O 1.0 Lho 1101""'"111" I.lIn 1"'111"'1' \.I 0,," 1.0 11111"'11 1'''"" I V"" hy ""011 1,1'0llorOI'00,onll
IIU 0\1)01' ('1101.. Ii" II '1'01' 1,!tI"I! I. 1I11\.!11'II l'OI~IIf'(1I111\ 11101,1 ''''1111111'''''''' 111 U\II ""."1'1' 1.1'IIMI'ol'. Intonllell 10
IlIko orl'ollt. 1111"'.80",,1"'1 (II' ol1,lnYIllIlI1I. 01, (11'111'1,"1' "ohlh, l,hol'IIlo 111"" IIII1111h"" I,ll \.110 .0ho1lU10 II oOIIY'
of' t:!IU llno", 1,I'U8t II1\I'II0In(llll, or ol,lIol"IIIIII."llIn""" "1'(1111.1"1\ Lilli 1,1'11111.. 'flllll'o I. I\I"n Bot f'o."th 111 ulll
.lIhOlllllo 1\ IIBt IIf' 1\11 \"'"1"'10\,,1', 1'(1/11 111111 p"I'IIOIIIII, wll.lI 11.8 VIII ,,0, whlllll 1"""0. 111,11,,001101111. II0lllh \IY
VII'I.l1o Ill' 1.11" o~III'ol"o IIY 1101111I10111., 1I11,linn 'IIIl1vI'\tllllll', !!1',l"IIII.ly wHII 111101.110", or OilY I'owol' of' o\ll,ollil-
mnl1t VOlllo,III1""o""lol1l., oIU'"I' 11I,III'IIIII,dIY III' .!1I111t.1y, "~'IIII' wll!, ,11111<1,.111' IIUIOI' ItIBI,I'\lmol1t 01' 11l1othol',
wlU, n unp~ rtfl I,ho ,lnflt.rlll'\Im't,' nrunt.1111l. ~lHl!l IHlWfll' tll,t,IHlIl(lll "t,u tho Holwlhlln,
Thnt. Scht'd!~It) (J f\t.t,nohflll h,OI'fl\.l) 111\(\ 11lf,,'n "llrl, IIln'ont' Rots f'ort.l\ t.lIO '"\lnOR lHut Rctdt"08S0ft of 1\11
111l".u\lS hIlllol'! 011111 Y ! 111,0 "0. IIlII III 1.11 \" 0,1'1,11 III III. ('hll 1.1'"11 II t' <llIoo,ltml," 111I1I1,h, 1.\111 1\111111'0 of' tllol" ro.~
l'O"tlvu.IIII"'l'lI"I,., 1.111111' 1'"111t.1""11I1\\I, 1(' ,'"'Y, I.Il 1,1111 ,\01111110111" (.01\01,11,," wH\I 1.\10 ngu. III. I.ho lImo of
110001101\1(.1\0111.\1 nl' 1111 ,"llIn"8, 1\1'"111111111.8111111 "0111.1'1111111'10' t"", lll'o 1111<101" 110..01\11\11.'. 1I1t'I, 11. a180
oOlltolll1l II o to (,0,"1111 I, III111WIlII\ whlllll Ill' \.110 IlOlllI,'lolllr'oll IUllIIllll 1\1 1.110 ,1011(1110111.' 0 wIll, lf'II11Y, llioll'llrlol'
to 1\1I0lll\0\lt, t.ho <\1\1,"" o{' 1.llI,l" IlolIl,h; I,ll..'" Ill"";', 11I,,11,1111 l'itlllt101l81111' nr o\lohl..\lo tn t.ho \I_lIonoilll':'-'
That. ,S(!lpr/IJltJ {:.. nt.l.nohnll I1nrni,11 lUll! 11111<<111 f\ lu\lll, h01.00t' Rllts f1ut'th nll l'rO\lort.y,,, rOll1 ftI,llfl~r-
0011111, oWII",1 hy t.ht' <\0011,10111. ,111tnl,ly wall IIlwl,h"" III' 1I(,IIl1I'Il, '11l.,IIIIIIII(\ IlIt,ollglhl", ~1,lIl1dlllg hi 1110 l1amo
or tho (10011110111, 1111" 1l(,hO"O, pl\I" II", <111(," "'HI "I II1\''' III' rll"ol'II or IlIoi.r'"11o\lI,. o",'ool,hlK 1110 vo.tll.\lI'O of'
1'0111 oof,I\f.o 11\111 thn <\111.0 nt' 110'1111011.11111 01' PIII'Ollllllll,y, pIIIO I.ho IImnO, 11<1111'0.. 1I1I<lI'Ollltloll.hil" If'MY,
or uo-ownnrfi t,n ttlU dooodUl1 t. ' '
T,llIll. Sc!>edvle r 1I1.1,1I0hllll h"I'nl,1I 111111 IIII1<1n II 1"11'1, 1101'11111' 801.8 rllrf,1I "\Illy 1111I1 III 1\011111 oil 'dobt.
I\IHI Ilo<llloUO"" olldmo,! 1'111' Ilhllllll"lIl1hlll (' III' 1,111" ,10""110111.'" OB 1.111.0, ,,,,,luIUII!! !'IlIlol'lIl UXI'III1BOBlloidl
fomlly oxom"I,lolI,WIIO"" 111',,1 I II11h1 "I 011111,11 111'1111111111101"111,1,," III' thlo II.I,lItO' onllll.ol ,'0011 1\111\ r\lcllolnry' 8
.IImml.Ill<Hl. 1'01<1 or III 1'0 \.01111 "".1, /JXIHlIIIIIIlI f'o,' 1111I'1111 \.1'1111',', 1,,,,,,hol,OIlO. or I\I'IIyomlll'kOI'H, 111111 1'011-
1\1011. "orvlooo, 111,001111.01\11011011 0" UIII IIIIIII.II,"f' U". 111111"11111\1,1 Ilo"I.1l 1111,1 01111"'0 owh',~1I11l1 111111111'1 01. lilllo of'
IIIIolhl t,ox". 1111111'11111' 011/'1'1\11111110 I'llI' 1"'1'10/1 1"""1' I,ll ,1,,,,"1111111.'. IIOlIl.h (O""l1pl, l.hooO 1I11I1WO,1 11111100 Sootiol1
nftl 1If' 1.11" IIlII.I'I,,JllhIlO 01111 ItR "II !,n 'r"x A_f,lI ..ogol,I"'I' ~,HII 11 ~1,1I1,"IIIOIl(', III' 001'1(1(,111',,1 1.lllIlgo,1 1'01' .hUgII-
1.10"", 1f'IIIlY. Jl, 1ft 111\"0,,11 .1.1",1. \.1," l'IIIIlIlIIlI'Y will PI'O'O,," prllo" nl' 011111 0111111I111101'11/1111.1011. 111'011 1'0-
1\1I1I.t" ,llllll. If' 1.110 1111I1111111, 1I0t,lllllly plllll Ill, o,.I,I.lnIl1<l1l1. or Imy I'no, 0011I11I1..10" III' Ilohf, IH 10.., thlln tho
IlRI.IIIlII,toll Ollllllllll olll\tllll1(\ 01111 ollllwoll, u,ol, \.110 .II'"O wIll 11<1 1'0,,"1'1.0.1 10 Lllo ItnlllBIOI' ot' Will., ,"d that
Lito filtlU\1t1t, ut' t,tO( nfHwfU~Of\ ann lit) I'lHtRRHHHnll In 1WUIII'(\l\llOU thnl'owl "'1+
Tllo" 1,110 "0..111.01' I.h" oPI"'UI',O\III,1I 01111111I11" III Hoh,,,IIII,,. 'A', 'II', 'e', 'g', 111111'1" 1I1I:III"ollt,o/l tllorn1n,.
hnvo ;\J(Hltl onrrtOfl ro,.~t\rd I\lut ptl(1pOI'ty t.ogtHtorncl III t,hll liIlITlInnr)'.
Subsnrlbod and 8Wol'n to beforo mo this,.,.,,,... ...";...........,,
,....,...../.~.t.....:~~" dl,IY of J1,~.,e '1(k.",f~t:ll \l..7.~,
.:_,.,-iJ"./~"" ..1?J ,J:f.,.,J.C'
~f.~~)~&d.._.,
",f4"Q"O.,.,We a t.el:.tl....Ox:i,\T,a,,,...,.....,,,,,.."',,..,,,,,,,.............._..
, (Street Numbtr)
13.!'l,~E!.n.L.N~w..MlilK~Q,Q.."..JllQ.O",",............ ,
(eltll or TOWn and St4U)
NOTI':, '"d'n"o "111111111\ IIt'I'lllnvlt, lIIok" ,,"'01111 1I111l1k "IHWOII III u.n ',I'l'llllIvlt 111\,1 "01101111100 '1111101<011 al'o
1'1 Ii"'! III wlU. 110''/<110 n" t.hl' wnl'll'S"Il"" 111\01 III I","n ".., """0'" 11\11111I111 1'111'011",1111111010,1 .1I01l0ILlo.,
1HHlII,'llloM flf' olnRo or' hlln't~' (Hll'l'(lI'nl,ltHif4 nIt /\1\ 11I1f'ruHt in /IllY (\n_llj\1'LnoliKhill nr h\1Hhl0fUI, thAt. tho
,lul.U ",,'1.101'''",0111,0 1'0'1111"0,1111,,101' 11111 1'''''U~''"l'l, UlollYII ','"lul.\lIl\ '" HIlII",III'" 'lI' 111'11 of,l.l\o,ho,1o Aho IIlIIko
iwrttdil IlIut. uol\\I111l 'lit III thf! "!;1I1!'\l1I1,~11 hllH hOf'Hllrf1l1ol'\Y OI1Il\pttll(!(t n.. i\htlVo-ltlrflolD1t.
, ,
. RCC.~
I
COMMONWJ~Alm' 011' PI~NNElYLVANIA
1'IlANSIl'l1JRtNII1!:Rl'rANOro TAlC
'*
BOlUtIllJLm "a"
11lUSIPlUwr OltntnUI1lN'I' l'tnllSON AJ, Pf\OPIUI\'!'Y
IN8TlIVCTION81 Tht. 80htdllll ,l11llltdholi>le .lItMI~tblo Aliillnunitblll'plromlA1 p~9plrtr Qwnld ~
by thQ deoedlnt. attl,e tl1111 qr hie de'tlll I'rope~ty ownod II)' tho dooodont JQlnUf wHh 'nnther,or otlll,rI
I11Uotbel1Hed uh\lor Brhtdlllt '/l". l"tanNlb" p,rlnnal ,'ruporty, ttthd In tht 11_'llr thl,dooedent, but
'PI~lbll,M,~'llth to anot,her Qr Qt,horo,I",oIIlIUn~ bllt nnt 11111ltod to P,O.D, V, 8, f1avln~' lIonllo and tlnta.
'ttVe truotaQOn"l1t,o, I1lUlt bl IUtod, dUpltO,the rlot"tl1at tlley aro not Qr thl a,llmtnhttrld ..tat.. "
Tanilblepenonal property ohoulrl 110 lhted rlrot 'e'i. Jowelry, wurlnl apparel, hOU"hold
BQQdo,lM ('urnl.hlni" bOQko, palntJnllo, autoI11Qhll.., hOltl, etQ.)
" Intlnllblo Illrlonal llroplrty, IUQII II bande, treaoory QIHlrlqat.., Qllh an lIand And In hank,
HOok., I11Ortaaie., nQtoo, t'Olloth.r with RQurufld IntArnet or dlvld.ndo, "\arloo Qr WIll'" lnourll101 "'f-
aUI. tu the eURU nr ftdnoUrf In 'al<\ OA'"0Hy, pArtnerlhll1 hlterute, Interut Inan)'llllIU.trlbuted
..tat, Qf or l11oQl11e rrol1l anI' pruporty hold In truBt under the will or lirUl1llnt Qf Inother, .y.n thouah
Inoat,d Qut,aide '1" tho State, at Lhe tll1lo of (leath, "hdUlII bo 11ltort In thh o.hellUIo.
Itel1l
No.
10
11
12
13
14
ITllIl
Ltot lIIld doeorlbo "Illy
UNIT ESTfMATRD
VALUE, MAIIKlW VALIIll
9
Misoellaneous personal effeots
200 Snares Common Stook ohio Edison 1 .9375
300 S,nares Common Stook C1eneral Telephone
Il Eleotrio, 2 .l875
l120~ ~h~resComrnon Stoolt 1?\.1get SOl.\nd {;~ib
5,000 Inter Capita~ Liql.\id Asset
15,000 Northern York CClt Sohool Distriot
Bond, 6 1/2% - 1984
Ame~ioan Express Travelers Checks
8 at $10 - 5 at $20
Savings Aooount#001-002058S
'.. Amerioan savitlgs and Lo'an Asspoiation
1\;Lbuc,juerque, New Mellioo 87190
chedkinq Aooount #302-106849~3
Commonwealth National Bank
Har~isburg, Pennsylvania l7l08
Sa~ings^6oount J30-00l0047-3 .
commonwealth National Bank
~arrisbur9, pennsylvania 17108
AoorUed interest
Certifioate of Deposit #30-176
Commonweal t.hNa tiona 1 Bank
. liarriebur9,Plilnnsylvanh 17108
,MorUed 'intel:'est:
Savings Aooount #002-041494-2
.. CClia ,
~ew Cumberland, Pennsylvania' 1707q
Aoorued interest
SavitlgeAooount#05-~28694
Harris 'Savings Association
Harrisb\.1rg, PennSYlVania 17105
Eat'nin9$, due " "
Money Certifioate#1-13-60l746
Harris Savings Association
Harrisburg, PennsylVania 17105
Earnings due '
1
2
3
4
5
6
7
8
Inlort thie toht oPlloM! to 'lIoraonn1 I'rn"url.~" 80holll,lo '1\' III
tllo "As I\ollortol!' oallllht1 ~It t.ho \not pllga or Lilia rol.llr\"
$ 300.00
3,787.50
8,4fi~.25
19,897.44
5,000.00
15,lB7.50
lBO.OO
1,665.10
404.69
5,482.28
26.50
10,000.00
402.22
184.99
.10
,
105. .00 .
'28.08
10,000.00
197'.79,
DKl'A/ITWBHT VMUATION
(Do not 'fH, in
thll " ~o.)
:; I V1, E; 0
I '1/ H,$" (J
x X (01, 3Q5..[4) tOJ t. H', of' (J
.#t9~' .
~ '
,~ l
SUMMAIIY
I\llull'rtlllurty "j,''''''''''''''''''''''",,,,,,,,,,,,,,, ..", """'"" ,,(Svll, "A")
1'Ilr8onill' i'rnllUrty ":"""""""''''''''''''',,,,,,,,,,,,,,..,,,,,,,,.,,,(8011, "13")
1'rnuBCufB """'''''''''''''''''''''''''''''''''''''''''';'''''''''.',''''''''''"""'" (Sull, "0")
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