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79-00335
, , , . COMMONWEAI:I'II OF PBNNSYI,VANIA . IlEPMTMI1NT OF IWVHNUE IlUllHAlI OF COUNTY COl~I,ECTlONS , 71',. 3.3<.5 '* n c: c.~a 1".71\ , RC$lQBHT DftCEOBNT COUNTY OP CUl'QWand _M'l!~~~~C~'~Y"n"""": . ." _~.__. --;_~ It,lPOI\TAHT, Thl~:Il.lU'III11I1~1 hlllllllll"llIllI<I III ,10,"11 011<1 fllo<l hI \It,,,llolIllI, \.lIh 1111 1IIIIlol",<I, 11'1111 Iho IlolIl'tol of Will, of Ihu . Ollllllll' WI)II111 <1110\\1111111 10,,1<111\1; Ih.lllm," ,ltlo II'lIhllllllllo 111111111.. 1If1~r <lulo of <h'lIlh, uUI."'.1I1l o,tuMlllill. 1I1111\1u<l hl' 1IIII'S""'oltlll' or Ilo~""llo. (H<'\.lIol1 71]) of 1I1l' IlIhollll<II." 1Ii1<1 1,.llIlu .Tllx AOI iJf 1%1 ,J . l---:'~-- -~ '--""~':;"-"..'-.r~ - .~-'-~~~~' .... IN.TIIIL ~,^,I".l'l'.lln" '1'1111 liH'I'A'I'IUlI.'. }.A'."l'lIlAVIT III' ..~.J~\.n._~~!1_l1!.)b;:an ~.~.._...__'___m__..' IiXllClJ'l'lIK 1,!itAT! r\H.I. tlAMti: nIT ()!t('j!I)IHHI , AIIMINIHTIIA'1'll11 LII'. of ..~....~CUmbet'land. H....__..... _...__ Counly S,",..I .....J~il~Y.lyan~._...._-_.._-,} .., CO""ly, of ~-:.,_Cl.lnbirlarul'''''''''''''''~H,...._'~' .. ..Georae.T , .t-bran.,_sl.ll:ld,ying.-Spcn,l/la_~__-_ ^,lmlllhtll\'.ltJl - of lliu "lul" ijf tho ahc)v"MItI.dd.~.d.llt htlng duly IWfmll d,pou Ih'"lllltilll ,11t,,1 ,_.__Septe!rtar _ ~ _, 19 J.a._{ """ONTlH \tJAVI' "UA.RI 1.1.".,. .lh.~::~,:;';:;~;'~:'p::,:',,;~I;:~": :h''''} ~.~~~.~Wgmee- nil cot,,,I(lQlll!C1I\QClIjIHIIIIII !", I" I}d. ....n.......Naw-Cun:bA't"1s:.nrl....-J,'1\] 7070 ", ., Iboontor Clhd ny } 'l'hill u. .""hsU:v.Lving..SDOUSe_tllllwIlIIII1 I' f'"lIlIllIr wllh Ihe ufful" uf 8uld 118tntll lIud ,Ihu IlrOllurly OUI;811IUIIIIQ (LXH(;\JTOII"^nMI~lI!iTf~ATOn) , the II1\SIII' Iho,"of 11111\ Ihoil' I'nlr lIIill'ketl'nl"o, 'l'hlllllllho IllIIe 01' dllulIllhol'e Wllk IIU 8i1I\, dllpo,11 hu~ I'IIUI'llIl'odln dueudeuI" 1!ldll'ldlllll ullmu, ur JulnllY wllh, Ul' 'IN I\ilonl or depUly 01' uuulhur,lIt' lu d""lIdllnl', IlIdlvldIlUIIl'UIIIO, with rluhl uf 1I11('e'8 hy utllllhur II. nyeUI Ilr (IOlluty, with thll "U~Cllll,lllItI HUh" .rolloll'lu~: - ~=='~~---="'-"'\"""''L'~f==l'o'-~~=:i.."="",:,...,,,,~~=_. - - - ~JAh1I~"'-H'J AIWIH:BD OF tlA.NI< on c;lTlllOl INUTITlJTION IN WHICH r.nit:lwIWT Rf!N'rHLi ^ il,\Pli nlwoFlIT nox' _.~ '~.-..'ff_" 1- _ THIS SA"'! PItf10IUT BOX RItNlP'l) IN ^M!,:OANAMIlSOfl' fUU.ATloNSHII'" 01' JOINT HO\.,PflAI TO tJn::Cll:OIlNT ., r ":"" 'I'hul Iho ClIIIlIIIIl. of '1I1d 'ufo deplllllt llOX III hllXIIH IIrll 111I111\1.od IIndor Sohodlll08 il'lt'l ,11\11 OXOIIplloll'lll' Ihll flllloll')ug, I'llr Iho I'OU.UIIH hllrlllllUflol' .el I'mlhl l'hlllScltedu{o A illlllohed hOl'lIln 1I1ld nll\<lo l\tlrt horolll' .01. forth f\lllY IInd In dolall'lIl1lhereul prorellY , 'ill Ih'\! COllllllllnll'Ollllh, of l'onll'I'lvnnln of whloh dooodonl dilld hllvlnu 110' Inloroal Ihorllln, II ilia" 80lH f"rlh the nwrta!lall "1!III1tnllrnnllo, IIpUII (lIllh I,nrllol uf 1'11111 I'l'IIporll' III Iho ,dnto III' donlh, '"Ivlng Iholllllonll1 sUII duo III dlllllh, "1\111\1' nf IIImlall~oe,.dlllo, rnlo Ill' Inlorll81, ulld book'lIn<l 1111go of rOllllrd Iherollf; It ul,u .olx. fnrth lu tho onllllllb. i""~ldod Ihllrlll'II1'II ,!l11I nHHII.xodl'lIllIlIllun 01' IIl1l1h of .nld ,,"rool., Iho e'HUmlltud mnrkot I'lIlno IhQ[y,llf II' ol'dlllll"l' dlllllh,of tloo"tlolIl, . of Ihln rolnnl, '1'.1\111 Saltoc/u/o B nllnoho<l hOl'lIln IIlId mlldll 1'111'1 hOl'lIo[, '111' I'mth full\',und In doltlll 1111 "or80nlll ,,1'II1'erll' WhOI'II'O""I' N!llInllld oWlled hI' IIII' dll lllltloll I nl tHo Ilm'o of dllnth: nllmon"I" 101'1 hI' Ihu dooodunt nllho limo Ill' . .. , <llInlh', Wlllllhlll III dllllodllnl" Inllllodlnlll IHIHHIIHklllll, 'Inudlny lu d.lIl111dollt'.'orodlt In blltlka of dopnkll, .lIvlllQa " hunk., IrnHI .cqulllnlllll., or olher 11..lIll1l1on., whothel' Indlvllhllllly, or In tiu'l rorllllY IIlhor rOr'"11 or "or'(HI. ,Qll'llIn 111.0 HII"nrnlell' Ihll iloormlll IlIln''"l 111"1'11011, If II II\, , dowo 10 Iho 111.1 Inlllrll,1 dill' prior 10 deoodonl'a donlh III Ilw 011.0 01' HlIl'lng, hnn~,', IIlId In Ihll dllto'ol' dOllodonl'k dllllth III nil oilier 1I11.IIN: nil 'llCllld8,llU'lnl .1I\,'inil', Irllll.nl'\' Olll'llfllllllU. or IIlIIO. IInd olhol' 01'11101100 of Indohlodno'k of Ihll !Jlllllld. Slnto, to Iho do,_ Oodllnll nil lIhlla!llIhn.,\I'holhllr hy '11111110 0' IIgrllllnlOnl Iho\, nro do.lanllllld 118 Inx 1'1'110, of Ihll Ulllted SIIII08, or nlll' .111'111, "'I' "olll.lclIl .nhdll'l.lon 'thIlI'O('f', 01' 01' 1I11\, 1'1lI'01"n cllllnlry, whloh nrll' oll'llOd III II\<\ limo 01' dllllthl nil 1I'""rill" "1'1'11.,,1. .i"""hl', ,lll'olll'Mo, ,,101111'0'1 \Jook" II'prk. "\Ill'I,'Ht\l"8.h\lldlrll~ntIUre, hor,o., olltrl II ""8 , ;1I110I1lohllll.,\HHlI., IIlld nil\, HIHI 1111 olhlll' pllrH 01111 I IIhnlllll. ofli\'III1I'...:'~:vbr:;kfl\U;~rllnl,llre! IIII'l hl'dollodonl, IO""lhor with Ihll 1'1I11'1\, 118111111110d lI\11rhl \,111,,0 Ihol'eof: 1111 hOlld. 'rlllh'lII^riuIlYIlIi hold hy dll0lldll111 1111<101' 1111 01111111' dll' 'i1lldp\\'11I1\ d(101ldlll1l 111 Ihll 111IIl! III' dOl1th, 1111111111 Ilrllll1l.,~liry IUllo" or IIlh~r In_lrulllCl1t. In wrlllny I'n, Iho P"l'1I111111 01' l1111nol' of\\'hlllh dOll(dll111 dloll 1""HI""II.ol' Whlll'llllvllr nntllre, With !tll II 1'0' I Ihllrelll1, If 1111)".'111"1111\ Ihll rill'" \'111110 ;,"e1 o'lllI1l1lod filiI' I11l1l'kol I'lIluo IlIorolll', lIiu'IIf._uoll e'lil11l1tod flllrll1l1rklll vllluo ho lu.. Ihllll Ihll fllco 1',,11I".II.ot, I'lIIlh hrl""ly tho 1'0"'011. for .uoh dUI\roolllllol1 1lH..tnenoh ItUI11II1I1 illllnll)'.' lltll'lIhlo 10 Ihe 0'111'" I'rolll IIfll 111'"1'"1"'0 pollclo. ollr,llId hl'doolldllllli 1111 ul1nl1lty nlld IIndOll'lIIoill OOl1lrUOI. Iho prol,""d, 01' \\'hloil 1\'l!1 11" \,11 hh: 1111011 Iho IIOlllh IIl'lho dlloodont; IIl1l1nd Iho lIol'1lllrlllo 8lUokH IInd dlvldlll1d. 1,1110 Ihlll'chn I1l1d ol1pl1ld 11. "f II", dill" "f d""lh, hlllld.llnd lI"orllod 111111111.1 thorool1 10 Ihcdlllo of dooodunl'. dOl1lh "1111 III hili' 11"'0,11\\11111 "",' i!i.,. IIII'1I0d hI' Ihll doolldllnl IIllho IIl11e of doulh, wllh Ihe mllrkol I'lllno Ihoru- nr 'Ilt HlIclllll1H!,' ' , , In thuoalo of uourltlu of 01010 orf'amlly oorl,oratlonl, tho valueR roportod Iro"al fIr .1 l'oulll1n lullHhntlRte,1 by rinlnoh1 Hltomuntl of the uorpol'ltlonl, IhowlnK t,he 01101.1 and 1hhlllthl thoroof u of tho dlto of d'lth, The lohudll1e Ilia lotI fort,h the Inter..t, of ,tooodont at ,tho 1,lmo of " doothln any on-rlrtnorlhlp or bUllneNl, allll In IUllllort of tho valno of Inoh Intorolt \.horo la "'lnoXlld I,ll uld Inhodlllo, flnonohl Itltomln\.1 Ihowlns th~I"etl Ind I.lohllltlo. lIf Bol,1 Oll-t,or\.norBhlp or l\ullll0.., A. ooryof tho oo.t'"rtnarlhlp agroomant, (If orll, I ItlteMent ""I,tlng I'ol'th tho 1I0tllro of tho ,Igroomont) tog~thor with I Itatomont lottlnll forl,h tho ol.oraohr of t,ho hllBIIUUI, HB loOOtloll, and Iuoh othor faot,1 portalnlnsto tho hUI\noll aB mayho portlnont to I f'olr and ,tUBt opprollol or t.l1P Ih,"odo"tle Intorolt thoro In mlllt he Iuhmlttnd, It Ihould alia ut forth In ltoml,od form, tollOt,hor with t.I,o fllr markot valllo tl)oroof, any othor proporty ownod or hotluoathod hy tho ,lOllodollt at tho UIOO of 'Ioot.h, Tho Srh,d"l, C Ittlohod horoto IInd mldo Ilart horoof .01.1 forUI II truo IlltOwor to olloh htllUlry uolltalned thoroln Ind In tho 0810 oftranul'orl ofproporty, roal or porlonol, within two yoarl of dooodont'l 'clolth, In oontornplatlon of clooodont' I dlath, 'Ir Il1tollll.d to t..ko of'f'lIot In 1"18l01l10n or on,toymont at or ,fter <loath, IAld lohodllle lOti forth tho nature IInd valuo of' .lIuh prnportl', ,I,n wllom t,rlUl.forrod, tho rolat!onllllp of tho tran'foro.. .,1.0 tho dooodont, tho proportlonato IlIoro roooly'"l hy oooh trlnlforoo ond allothor 1'101.1 of a rort.lnont nlture rogardlng IRI,It.ronofor., In tho 00.11 of t,ron.forl Int,onded to tIkI efl'e<Jt In !'ououlon lir en)ol'll1ont at or If tor dOllth, thorll II oho ntt,ouholl t,o tho .ollodu\o 0 oony of the doed, trust asroomlnt or other Inltrument or.ltlng t.ho trutl(.', Thorn II 01R0 _ot. rorl.ll In laid, lohodulo a lilt of all proporty, real .nd TlorloMI, with Itl valuo, whtllh 1'11'"01 at. ,1000,lont'. doat,h hy ,virtue of tho oKorollo by dloodont, olthor In,\lvl<lu.lly, or,tolntlY with onol.lior, or 1111)' 1,owor of appoint- mint veltod.ln d~oodont, olthor Indlvltluelly or Jointly, by t.ho Will, dood, or ot.hllr In_t.rumont of enother, with a oopy of tho Inltrum.nt oroAtlng luoh powor .ttoohod to tho lohoclulll, That SrMrlvl, 0 Ittaohocl' hero to .nd mldo part horoof 001.. f'orth t.ho nllmOI 0'"' Ildelro..ol of 1111 porlono bonoflolally Intoroltod In thlo oltlt,o at tho. tlmo 01' dooodonl.' 0 ,1"It,h, tho nll(,urll of tholr rOI' pootlYo Illterootl, their rolotlonlhlp, If' any,to Uto ,Inonelont" logol,llIlr with t.ho ngo" lit. tho time of deoodent'" doath of all mlnorl, annultonto o'ld honoflolllrlol for 111'0 'n1l'or ,looo,lonl,'o Will, It aho oont.lnl e Ihtomont Ihowlng whloh of tho bonorlolarlol nomod In t,III' Ilnon,lont.'. wIll, If Ilny, (\lod prior lodeoodent, 'tho datol of tholr clooth, tholr Ioouo, ond tho rolllt.!on.hlp of .,u,h I..uo to !.I,o hnnorlolary, That S~~,dvl, I! ottnohod horet,o and modo a part horoof.ot. Torth aU proporty, 1'0/11 on,1 !,or- 10MI, ownod by I,ho dooodont ,Iolntly wllh /lnothor or othoro, Inohllllng Intanglhlo, .t,alllllng In tho n.l1Io 'of tho dooodont onel othore, plul t,ho e1ot,o and phoo of ronor,1 of In.trnmontl of rootIng tho vOII,lturo of roal 011.01.0 Ilnd tho dol.o of oooulolllon of Ilorlonolt.y, ,1'ln. tho nomo, Il,lelro.. on,1 rolotlonohlp, If any, o'f oo-ownoru to tho <looodont, That SrMdvl' f' ottoohod horoto ond modo a I,ort hOl'oof 00(,. fort.i, fully onel ,In ,101.011 all ,Iohtil and deduotlonl olalmo,1 ror and on bohal f of thlo dooodo"t'. o.tat,o, Inol,ulln/\ f'lInorlll oxpon.o. 1'01'11 famlly oxoml'tlon, whore opplloahlol 0001.1 01' adlRlnlltrntlon of thl. 1I0t.llt,01 oounool f'oo. and fnellolarylo oommlealonl paid or to ho poldl 00.1. oKpondod for burl/ll tl'Ult.., I,omhot,onol or grovomarkora, and roll- glonl ..rvlool, In oonlo"uonoo of' t.ho dO/lth of tho e1ooo<lontl dohl,1 an,' ol/1lml owing 011,1 u!'l,a.,1 at tlmo of , ~flathl tan I aoornod oharglll,lO ..for porlod prIor to dooodont' a ,loath (OXllOpl, thoao nl10wo" nnllor80"tl'"' O~1 of tho Inhor1tanoo on" re.tato TOK Aot) I t,o!llfthor wHII a o totomon I. of' 0011 "t.ora1 l'.lo"llo,1 for obllga- tlona, If /lnl" It 10 agrood that. tho rl(hlolory will I'rolont pr"af "fH"I,1 o'I'olmo" "hll/latl,,"o upon ro- "nolt, that If tho omo\lnt aot,\lally.pald in lottlomont, of allY fOo, ooOlmlH"lon or ,Ioh', Jo 100. th,," tho olUmato" amo\lllt ololmlng "nd allowo", that tho HOmO will bo rOt,orto" to t,h" l\ol\iotor "f WIlIH, and thlt , tho omount of t."x nllollocl Dan ho roao.oHM" In aooord",,,,o (,horowll,h, Thot 1.110 tol,alK of tho aPllroTlrl"to 001nmn8 In 80hodlll01 'A', 'II', 'C', 'IC', on.1 'I'" 110 ,lIrooto" thoroln; hlvo boon ..rrlod forward .nd rroporly rOl\lot.orod In tho Summary, " 'Subsorlbo~ and sworn to b)re me this ,,,","" "'''''''''''''''''''', ",,,,,,,,,,,,,,,,,,,,Z.:;:r;l" day of '5.,'2.t~,,,,,,,,:,1~,2.2, ,~~~:~~~~[t?r~~Pouse ",,,,,,,,,,,,,,,.""~';;~:~'t':!,,....... .,'~, ,.(~it" ,~<'{~''''''".,.., . ....192'O...'j;:.'tS~:,t;J''''''..''''''''''''''..,...':'''''...'''''''..". 7 ~\I:"(':,~J'::~~' ~~1,.~ ... .N!l\'!9.!lJP~1!ID~...J?A,17,Q.7.P",."".,,,,,,,..,,,,,. H'" c...ltINM, ~A (....... (0IMly , (eltll or Town and S~u) NOTt" IIl1for." .lg1l11l1\ offl"av!t mako ouro "II hlonk 11",""a In t.ho ol'f'I(lllVtt, 111111 Hollollnlo. annoxo,1 "ro flllo,l In wll,h "0 tall ,. or. tho wor,1 "Hono', and In oaH" 1.110 0..0 t. 11111 lIulo r"ro ","1 unl I I t.o,1 .0011 rltl.I, flQQUrtt.JoM of 01(lf10 or fnmlly oOllport\tlOI1I1 or'nn 'il1t.flroA(, 111 Imy ~n-l'nrtl1orRhl)l or hIlRt"oRR, t.hnt. Ute Ila to all" 0 t,o tnmont. ro"nl rOll nndo r tho I'arlll\ra"h "hoVo "01" UIII\ to HohOltulo "II" IIrl! "ttaohnll, A10l\ mako Dort.hlfl t.hllf, onlllmn ~t 1.. tho "RUI1tTlR1'Y" hnR hool1 l,rcllHH'ly l!lIltll'1nt,ofl tiS nl1flvoHlllront,o,'. , !l00..37 (12.63)' l'O~'~IIlN\\'~:Alm'l M N1NNH\'Yl.ANt/\ 'I'1\ANRI"IoiIt INII~mI1'ANCI') 'rAX 1I~.8Il>NN1' IlIWI':l1l'lN1' " HCIIElJ~JLg HIY' . .1'1 .' tl,' f," llIo;NI\I"ICI^I\II,:S n"1N~1fIlcIAI\ltC8 ANIl ^-I~lllmSSI'18 "--"~l/ii~fi~~1;l:Il~~,\~)l'UI' Stilt. 11111 1I11,nO" 11011 1111111'''"'"'" of 1111 who 11"111111111110 I1hlhll'IJlI 111\'. nil lnl."I,."t, vo"l.ol), uuOI.III"UIII. III' ol.hul" 111'0 IIIVI,lvMI, ,ul . ,Jtl"., 10 Olll.l\I,U) u_ _-1"1'111 1111".1110\,) .. . . SlJllVIVNIl 1)1~(,I,':IJI'~Ntl' S'lINI'I': YJ;:S olt NO IlIl'J'I': nl" Illlt'l'lI , IN'l'ICltN.H'I' Ill-' 1l1.1NIWlO1AltV IN InH'I'i\'I'I~ ~ , _.....--.- --.........~.~~-~_.- ----..-----. -".......--_........--.-- ........._-;~. ;~8~~~ ttlran at, ~ Old liicko~' Son_____________ Adu1t=e~ ~J~~~ ~:'~ T :...._, PA .. -,"-~~~' RMitlll M .. t~nnl~~ Ii~' 1 RnArI FltmMnll, ?A. ,,- - ---:----- Adult '. Interest in ~oint' \Jl:O shcMn en attaChed seM , , ,---.-- '-,------. . _._.__.1", ....,.., '~__ ___~,___ ________ __ .. , __ ._____....,1, ......-__.___ -__ __. . u._ ,.-.___ _~~=._'~-:='-t,~--.__==. ____u___..u_ ________._uu._,_ .., , , , " . ------..----..- -- , , " , _.~--...........-._~._..- - , , , . , , I , " , -'- l'i " . , - " , --..,' , , --4 . . , . ---....~-'_..- !lopl'Jtlont r\trLhol"~RUYR t.hut, lil1 ~ nhovo"nn"'t1(1111111ul'I~~1~~o ]tv~~~..:~t~~~~_~:~,~~H1t h(}l~~._._._..~_..._._" '--._~-"-------'-r---~"-+-~--'.~----- ~-~,~--- '" .----~'--~~.T~ ..~..~_____, _.__..____.__.~L ...-------,-P~_~__ NAMl!: DA'I'N tW Im,\1'1l HltlSIIJgNCN _"fi.:'. IiI .!l) L ,; " RUMMAI\Y R~nlllnllIQrlY",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.(Suh, "A") $ PurlIIMI. Proporty"":"".""".."....."""".:.""....",,. . ",..,,,,,,,( Suh. "il") 'l'rnnHfou' "".".."."...........""......:.... ...."..""..."".""...".."."."" (So\1. "c") ."",,,,,,,,,,,..;...,,,,,,,,,,,,,;,,, '"''''''''0''' ,."",,,,,,.,,,.,, ".j,,,..,',,.,,,,,,,. ,..""..,.,.....::""",.;,...,,",.;;, ,..,,,,,..,,..,,.,,.,.,.,...,..,,,-,,..,,.....,,.; OroNl TnKnhlo Ihtl\tu . .' . "....",., ""..","';"" ",.,,,,, ,.., """"""""./":"''''; " a ~ 'i I Ii' I . ~ I ~ , ~ ..~ I' e ,ll ~ ~ '1\ ~.. Z . ~ Il< --- ~ ~ I 1 ~ 13 ~::J Ii "5 J ,;;j "5 ~. ~" ~ B m-r. a ,. (I) (A~ lIopnrtucl) $:.:;".,.""",0"';; $.. ......".....".."...:. $.. ."....,," .'"""";,,,;.. $..\\..,........ " . . m (^~ J)ut\lrtnll\(,t!) $ $ $ $ $ L 'l'C;M~H;NWEi\l,'l'1I OI' 1'I'.NNHYI.VANIA Tlt!\NSFHR INlllmI'I'ANC~li TAX IWSIIll\NT nl:.CI!IlI'.NT .' ~~,' ~!~{i!'1\r~) .~. t"l.t\;\\,.f il,I... ji~~I\ .,'II"V.I," ~. V'f' 'lh,\.i\~..t SClllWl,lI.1'. "Ii" ,'OINTI..,\' oIVNI!IlI'IWI'IOrn' INRTIW("I'IONR, 'rill" ","hOIIIlI" nil III I. "'."Iu.o illl Jlrul~"r"Y' rt\1l1 onll l,i'rNunul, .2l!!1"1.1iJ;!)~.lIl~"'II'"I:J"I'.!.U.~. .!W..!.!!..."I1"Lhl'r ur I' Lilli r,. , '"qllilll"l\ 1"1,""nlh111., At./lnllllll\ In, I.hll Ilf\nt(" 0" 1.11/1 110"0I11111t. R,"1 "O,II,'A. 1,'"' r,"" ('~II,H' l:lrAI., 118 1lI1tlrnl,lu.. or ,Iolllt. t.I,II"1I1I.H, Illvll1l\ liI'lor IItINlIrll'"jllllt 08, 11llflOlil,l,,1 11111'1'" RI'ltnlhll.' ",~", 11111R lIl1'- IInl,n "'HI 1)1'l\on (ifl rttnnr" nf' il\HtrUlttflnl, t\l'f'uul.'''R Y';HI,_' I,UI'Il, tlilt. fin .,ot, Inulu'''' nIl1,11',f:lt.l'.~, fir Oil' nfl Ht,I,t,11 rn'itl flfit,nt,(t yrdllu Itl flst,nt,nVnltlflt-tnH_OHllunll. Purlolnllnl 1I1I'nllflf't,~ Hl\nll1ll'lIl1 It~l:fIll IIRIII Hnhll"II'U "II", 1I1llH llu,t.n nf' ncHllIhl1 t'lnn, 1\1\(\' U1U nlHl1l1, rulcll'n"" 1111I1,l't""flllfHlhlll (I II 1l-1I~') f~t' 111I-'f1Wntlrlt III till' 11(1l'wh'llt. . ,--, 1. 7 Series 1-1, u.s. OOvt. BondsOll'l'led jointly by Bonita M. t-bt'an & G. Matthews 11:>ran total:lng . $7,000,00 at date of death (see attaol:tnJmt~ !/2 valUE! inoluded herein . 2. 5 Series E, U.S.:OOvt. Bonds owned jointly by Bonita M, t-bran lie G. Matthews 11:>ran totaling $7l177.40 at date of death (see attaahment)w i/:t value inaluded herein 3, State Capital Savings lie Loan Cert. of Del', fI002-20-147oo dated 4/20/78 owned jointly by Bonita ,M. t-bran lie G. Matthews Moran with a balanae at date of'c\eath of $5,000.00 w total value ~naluded herein 4, Harris Savings Assoa. Cert. of DeP. fl1287eB . dated 8/11/77 owned jointly by Bonita M. t-br lie G, MatthElWS Wran With a balanae ' inaluding aaarued int" at ~t\i of c\eath of ~5. 068 .16 , nus aert. was pur~l1ased with a withdraw,ll fr >>an;is Savings Acct. fI4-47844 (item 5, below) on 8/11/77 and this had ,bean in joint names s:l.tiae 1972- 1/2 vall,le inal'uded herein 5. >>an;is SaVings ACat, f/4-47844 dated 8/15/72 jointly owneo by BQnita M. Wran lie G. Matthew Wrlm.with a balanal\l ~t date of death 'of @i,j:B~::4'gl w, 1/2 va1ue" inoWd~~r~i;1" 6, State Capital S & l; Cert.o?beP, f/o02-20.~132 dated 6/29/77 jointlycmnsd by Bonita N, t-br lie G. Matthews Wrl11'l Witl'l abalan,ce at date of death of $10,000. 00 ~ total value inaluded he in 7',10 Series E, u.s...Go.V\: ,Bondsowned.'jointlyb Bonita M, Mor.sn&l Bonita M. Marino totaling at date of death $14,911.~0 (see attacllnent) - 1/2 value., inaluded herein 8. 4 Series H, U.S. GOvt, Bonds owned jo:lntly by Bonita M. Moran' &I Bonita M. Marino totaling $3l500,OO at date of death (see attaahment) - 1/'t. value inalw:led herein 9, >>an;is Savings Cart. of Dep. fl128787 elated 8/11/77 owneo jointly by Bq\ita M. Wran lie Bonita M.Marino with a balanae, inaluding accr\,\ed interest t at date of death of $5,068.1 . nus aart, ,was pUrahasedwith a withdrawal fr >>an;is SavJ.ngsAcct. f/4-52640 (itel1l 10, on nex page) on 8/11/77 sndthis had been in joint names since 1973 w l/Z value tnaluded herein lfphllr-111llpll uf' I'rlll"!l.t,~'i Unt,1! nf' MHIII,I..It,ICIIl! Nflmn o\iIlh'li~h 1I11111111lul."III"III1' nt' r".IIWIIII"., 1111111'111111' tf' ltlll!irl' ot' llif4l r',"UHIt, wtloNl 1\00d 1':H I.nt,(\. i"-'--. ,. x:-: ' '/~'"xxy'.)X' ';t-~ , >< Continued on separate additional sheets 1111\1. VIIIIIO l'C1r'liflllt,ll~ft HlInril 1!~H lilll.n Vult",I'"" _..~",." _,........,........_..<"."n.. 111,:1' " ll'l'M11:w'r' V'\1.U,'l ,.I' ,(I,\\J'rION..lhl Illll \\ I j' 1 ii fflll A ~~~::;.;_.-. .._ Vuhl" nf Yltllll' II!' I':nt.lro 1l1'1'llth'Il\'''' pru nrt, lnl.HI'4tlll 3,500.00 3,588.70, ....>) ;"'\ ~ I ,,?~, J\'" r'\ /~ " 5,000,00 u,1,II ~ 0,000,00 I oq,~;}, 7,4S5.80 1,750.00 Z,534.08. '''"IIrl. Ll,ia t.n~1I1 o""oaHo O,lolnt.lY(1wnolt I','oporty', ij(lho,IIIlo \n tho O^~ I\OllUrLodo 00111"" on tho lo~t 118,;n or IhiA ro""rll' Ul a(,t1.~ ,.~ Paae ,2 . ' SCHlIDULE ,1'11:" JOINl'LY 'CMNIID PROPERTY (cont~d) , i', "! lilllllll"I.li:'lit'u't"I;.i,~~-lllil'I'. III ^l"llffllllllllll ~Iltllll 111111 "'t, 1'1'111 "1',1' '>"11'1111 \<lII'Il!, Ii ,!IIlI ,Utln I, ""1111\ III 1I1'''('1I..0'lf11l'11l.. "11I1 IIlm'll y"IIII' HIIIlI'" Y 11111111, 11If! lit' H""nrl' tlt' '"Htrlllllllll WIlIlI"1 111111 .1';'11,111,11, ~~..::::.;:t:"~(~6'~ '~ /I " 6, . '~",,".,.1',1...I.," ..:";. < ,;.,,:,.:'.;,.;..... ,<1, .. IIlo:tt^"'1'!II':WI' '\',\1'.11.1'1111> 1'^,I'I'IIIN,'1I11 ,"01 W, II' .J.1fl./I'lll" ..!U!.!l!:.'::-.,...._, YRlun nf' Vnluft HI' I~n U r" Ilnllllll,"I\.' " l'rl1,nrf. I II 1.11 rll",. 10, \iAQ:'z:'ie sav.l.nss Assoc, Savings Account {,I4-52640 datid 143/73, c:mned jointly by ~ta M, Moran IlIld Banica M. Mar:l.no havitla, a balance at date of dea~h inclUd1ni accrued interest I of ~2i, 959 , 38 1/2 ve.l.ue included her.ein \ ~\ 0, ~ ~ 11, State ~:Ltal S & L Cart. of Dep. {IOO, 2-20-l448' dated 3/78 owned jointly by Bon:l.taM, Mo):'an & Bon:LtaM. Marino with a ba1$\ca at date of death of $10,000,00 - . . total value inoluded herein 10 I 979 ,69 "...- fD,LI .' , . " In..,H tlth tntlll "l!I,oMltn .,'"1111,1 ~ nwnOI' I'rOl'llrt,~., liolt",lulo .1,:. In tltll .AN I\ellortorl. 0011111I1 on tlto lutit pugn or tllla roturn, Rn V-"14 (1.-71) Counly, Humb.r and Homo, 2l_:....E.umbarLand .FII. H...,bor '21:"j.2-03~__.,_"___~_ (loto of Donlh.__._~~!O.5L7.~~_ n__'_'''~ _________. Il.tnl~ Homo ___~~.~_..". '... _ Il9.l!~_tlL._._ __.1!.!._. t1.AII'r t,'AMtd .. - (riufll ",A!.4H) . --. (1I11'IAI.I SUMMARV COMMONWBAI. TH Of P BNHSVI.VANIA TRANSfBR IHHERITANCU TAX RHSIOeNT OeCePENT ... ~IlPOn'f OF IHHIlRIT AHCR TAX APPRAISER . I, tho undoralonod duly appolntod Inhorltnneo To~ ApJlrol..r In und lor tho County of Cl1mberLand . , P,nn.ylvonla, do ro.poet/olly roport thai I hovo npprolaod tho ,r.al nnd poraonal proporty 01 roportod ,In tho 10r.oohl0 return at tho valu.. 101 forthOJlpo,lt. 'oooh Itom In tho 1011 column to tho rluht 10 Schodul.1 "A' , "8", "C", and "E". Daioell _ September S.' 1971 ... )Ll"t II (I, (! t;"./; ,0 " " / tNIHOUTANCfi TAl( APPMAUlLlt -- - RIlPOR1',.OF THIl REOI!lP.R OF WILLS I, Iho undoralunod cluly oloClod Roul..or of WIII.)o and lor ,County, Ponnlylvanla, do r.lp,ct. lully ropor. Ihat I havo, allnwod dOduetlo", In Iho omountl elalmod by dorononl, OKcopt 01 to thai. Itoml whoro 0 IIroat" or . I....r a,no,'nt II lot forth In tho 100t column 10 tho rluht In Schodulo lip " which or.ator or lo"or amount ropr,..ntl th, lum allow ad 01 a doduetloll. Patedl RIH1l8TF.A Of" WIl.1.8 INvnNTonv nonl I'rfllllJrly (Oohodlllo 1\) 1'0"011.1 PropoIIY ISol1odlll. III IJul',\,.!.t'ohll'rop.rlV (Bqh.<illl. 01 Trnn.I." IG''',IIlll. OJ ,TqTI\~ 011088 ASBna ~"I Uohl' ,nd O,;lllollon. 180Hr.OU~B PI OL~^" VAlliE OP USTATE VAI.un 1\8 ^I'I'IlAIBI!O OPr. (ft^WdM~tMtNJCp. OI\\~V) $ None 00. None 10" 61~862 43 ~Ot None '30t neMAINDDA APPnAlBBMDNT OOPD . 40, , 03. - BSTATft TAX AsseSSMeNTS -$- t: "0'0' t VAl..;UI I.... Voluull.n 0' 1110 "'ul.' 0' .::!J-........ f.B!J:tQJJ>.J:.J! annultfollt..lliI. t. 'tl,I'" ,..~_ $ __.... ~ l!.Q.B..l!!!J!; OF R~G'9TIlR ONL.V T." on $ .......:~ - ToJC an $ Taw 011 S- Tax 011 $ 'Tux 011 $ 6lCempllonl u--- TOlul n.,.,. " Q2 !2!! OOMPUTATION OP TAX ""'--- G% $ $ $ $ $ ..... -18% .. TOTA~ TAX $ (') A. o.ldonOld by Chorlt.bto eumplloll,Cortlflaotu IlOuod by Iho S"rolary of Ro.onuo. La." huc flfnvloual'l puld "HANer. L... sr. of lu" II pold Yfllhln 3 Iflol11110 .1I10r (lndlh $ =-:1: :-~-~ ,- 11M.MICU 01' INltelllTANCE TAX DUB AdcllrllorllullJt ruto flf 6% from ___..... IQ_ AMOUNT OPRSTATP. TAX ASsi!ssno a.hllll lcL'( I'llld' I\Al.ANCU DUe Add Inl~ltl1l1l lit tlllu 0'6% froln tn ~ ....__..____-----L- --- ~=I== $ I $ $ t~ $ $ $ TOTAL. TAX nALANCe PAID.____ Supr.IAm.ntal Cadoll (FOR u~e IN HARRI~BURO ONL Y) ,40~Aclluitmont 49+Adluitmont 56-Annully . 6O-Lllo Illlillo ,92+Romal"det Appraliol 93-Romalodor Doductlon 93C-Charlty . ~4-Romalndtl Rnldu. 96-SucoolIlYt LII. Bltot. FOR USIl OF REG1STI!R OHLV-.------- ADJUSTMENTS .'~,..~-..,,-.,'- - NOTIl. Wher.lubulIuollt adluitm.1I1I are ntad. to tho abav. coroputallon 01 taM by tho R'OI"er 01 Willi, 'or proptl rtolOn lam' Ih~uld b. lIatod b.low, wllh .ho,. .~plall.tl.n, . , ''''V'~D'118'7.1 nuR'fA~d~~~TL8FoPBXR~}blJs f',O, "OK a070 HMlnI9UURO, ~BNNA. 17100 OOMMONWEAI..TH OF PL:NNSYLV/\r~IA RESIDENT INHERITANCE TAX ArPRAISI:.ML;NT . !:il,ii, Septembor 5. 1979 " I Oumberland 21R79ROm COUNTY I'ILI; No, -_.----- - -~ Whorons, Bon~t~ M, noran 1010 of' _l!.!l~ouSh of ~a\'f Oumbar~l\nd h C r Oumbarlftnd C 1'\ 'I In t 0 ounty 0 _Dllunoliwon 'II or Pn,lhay VOllla, having dltld on tho 5th dnyof' September 19 !!!..., !Iolv.od and pOBao!l!lod of' 011 oalalo subjeot tolnherltanoe Tax undor tho Inwa of tho COll1ll1onwunllh or Ponnaylvanln; .. Thoroforo, I, Sandra L. Stone, ' lal1apprnlaol' duly appolntod Rooordlng 10 low, havln\! beendoal\!natod to make 0 falr'and oon9010110blo apPl'olsoll1ont or thoaolc\ostoto, nndlD omulss and flK tho ooah valuo of allannultloa and 111'0 ostates Wowing out or oold outnto, horoby 1'110 tho following oppi'oloomenti III tl\o ovan, thllt anv WHite Inturolt 111 tllh 6"n'0 hlran,'nHud In l)!Inouhlll fir Olll(lYIllOl1l to ~lJllfttOf41 holn ,Vf1l1o dUCflllD'" aHar UUI tJ)<IUrallcll1 of any oltelth for Ilf~ (Ir Hlr V'M', thoOnmmOllwollllh hllrfll)V t))(llfOUIV ItJl()IVU~ thfl 11<<111 IUIIIIllf""P IIlld 'U,ilU HAhthH fl1l1fttllllllCfJ 14KO' III \110 IftWfil\,CfllIl'ltotllt rilt'! 011 any tuc:h fllHHU 11\lotot'. , 1 ,,1{~~\Ji .JlIH:,~ll ,morl'. lJESCRIPTION (lI' IIIlS.'1 VA'. U!I M~~~ 0 I H 101 1t1llU.U at;:; I,UHlllOI Real Prouerty. , " . None , , Personal Property None JointRHeld Propllrty , 61.862 43 "C" -,.- " . Transfers , None , ., 61.662 TOTAL AaSETS 43 , .. " , " , .. .. , , , , .. .. , . .. , , . , , , I' " , , , , " , , ',", " , " , , , " " , - , " , , , , , " - , - , , - -' , , , " , - , , , - , Havo boon duly sWorn nQQ~dlno t6 lowd 1 do huroby aortlry t.hnllho obovo Olj!)rlliO,omont Is n'1tldo In oonrtplitY wlthl.holawonthls. . Ot, nyor _", I I ' ,Bo~t(lmber ", _ 19 ,\I , , ' .ld ,dt.\l 1.//,01 e J ^IIIHnl~\H j"'UlllljOlt\nct filrollt) I arr1B urg (1i(J~t 0111(;1" , POnn,l, .--...'-p'>.', ..,4'..", I i RECEIVED '1 .. . .., ~ . , OOMMONW&AI-T.H,OP PINNSYLVANIA, .' , "',~' '.' ..... ',';;" '" OBI'AI'ITMIINT Oil I'ltiVRN\J1I .. " ,:, ",", '. . "~,PIOIAt RBCjIlPY.'PIlNN8VLVAN'~ INHeRITANOE! ANDB8TAIJ'. TAX' ;'c"""~"n:;,;,;~",u~,',';",':jh,~,':,~,','-:,:\ii,;,', C,' :,', It"', ,'" "',; 'i' .' '" '",".' . 't i' ';,' "',,:' ': ",.':t':~>' 'in,"'"'''' _ ....~~,..,~-"-'-'~,'i...'.-.',"-";;.;.;;.::.'.;.;.;;"'~~..;;.;.:,.;.;.:..i.~;"~~--...,.;'.,.~~'~'''......~~. ........ -.',.-"';<"",- ......................J1'H1U!lB 'l!lOUSAND FOUR HtJNDIUm 'J!HIR'X'Y-ONB It 17/100.........!'dollor. ,opro.ol111ng Pennlylvanlo IIIhorllon<8 or E.talo la' duo /tom Iho following o\lalo, From, "9n ,. waver. E.q....._.,...__..__._ I Addro~?~l~;~nt:" M.~:.n~!__.._._m. rei 'tor,ell I H." OUlllb'J"a~c;l.Pa. 1701.0__...___ 2 'iI la, an $ $ $ . $ $ $ i $ ,.h" .17 $ $ 6% la, on $ F, No,_I_b19.."5 0 I f 0 h ~..IO\..1018 15" 1 . a 0 0 '01 _~-'!:.it. __._ II' '" On . D' '01 Payinont ~1 ~Oll91~ IOl(lTA M. MORAN, , N.w owabtr1and. T01Al lAX CREOI1 Lo.. 'IIvo p.rcoolum 01 10< II paid wllh", 'hreo lTlanlhl aller dolo al doa'h plUllnletesl'ol 'ho rcllo of _I'</toro 10 Namo of Oncodon' 'i\; la, on $_ Estnt. la', Act of May 7, 1927 Caunly R.marks. voo ~ [p~,~ @w1i'[1\ SEA L TOTAL AMOUNI PAID 1 i I I I' II Ii.! ._.... H_' ~_. ,'on" ------'" ,._~ __ ..._ ._........._ ",_d ...;..,,~ __.._........... ,.--.- _'~T' _,u, UH_' '-...-..... ",.,-' ,,_0' I I I I I ,j "ou, Thll T,lpllo." ~Io.tpl'o be '''''nld'tor ,lIdll purpo...' , Recolved bv NOlti In a<:c.tpUnQ Ihelran,lor lnhtrllontl tor on lulul8 .Uolcn, prior 10 thu death 01 tho Ill, Ilnunl Of '11'101'11 lor V,afl, UI evidenced by Ihlt ,.(tlpl; lilt Vr'ldllfllood Ihut thl Comm(mwoollh Ihall I 1'101 h, pt,~lud.d or pf,v'nt.~ from htt.allir au.nlng Qddlll~nu' InherHanclI l(j~ ollhe d.oth of Ihe lilt 'Inont 0' '.nonl IClf yla" whentvt' II apt'''o'' Ihol lue\1 C1ddlllonol lo( mllY bo legally duo Qnd colltdlbl, fotony 'I'!lon whatlDlVtr, ~~.., _.__~ _._. .___. ,_,. ".'.'H ~..',_""',_+- ~~~ .~M ...-. ...-., ~~. .._- -.-, ~-