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HomeMy WebLinkAbout79-00363 . /J ../-rf-:j,- /(tJ ,It' (L(;.'. ~~/ COMMONWEACTH OF PENNSYLV ANJA DEPARTMENT OF REVENUE BUHEAU 01' FIELD OPEHJ\T10NS ..v . 1'/ ....3t,.9 (.'/:1.. . 71 REV-449 (8.781 -* COUNTY OF. CUI!ll){i).-l ann HESIDBNT DeCEDENT __=,__~_n~_~__~"~~ __ ...... _. .._._ ._~~~~"'''''.-... ,--, --.- ---~~, ~ .. ""~'.,,,-,~~'_r""~'''~~-'----' ~-~.-.- .-. .>~ ~_,..--,---tr;""...,., lMPCRTANTI ThiN return mUll1 he {wmplollHI in lIt1Willllul flltHI ill cluplicllh'. wllh Ullllltlll:hl'll, wllh lilt' Ih'Mllih1r of Wlll~ of 1111\ C~lllllty whoro duocdt'n1 rVHhl(di IlcU1t1l iK \\tll\ within nilw [IIl/ntht\ lIflclr linlc of dl'uthj lllllllMH UII IlXIVllHllIll 11'1 llrullwt! by the SecrellHY of 1tI'\I<"1I110, (SI\Ulillll 111.1 uf tlw Inlwrlllu\I'c nml HNIl\IC Tux At'l Ilf !CUIl.l .",_.l__.'._~~' ,,--<<- ...c_.~u". ,..;~- ----:/-,..- _ _;: _.__, '" "._ _....._, .~_ H' ~..__..--- -- ~""" T Lol. of ..'iI!_'I'll\\O;!Ul)~n'(:;u SIal. of __...J'!P.Il!.I.fJ':L)Y~\!ljE__..,_",--} '" Coullly of __._Q.1U!lh~:...~~1,!.,!!~:._.___..._._- .~.9~lY(ln_Jl-,-_nh~ll~c.l g.. .ue.l\!:"i.\I~.:Q.C._~~(! ~~1~.~12~'::~~. (f] on) Admlnttltrrll\ll I)f th. "lut. 01 t~C1 obov(tfnnmod dtc.d.fIt b.lng dllly ,wo'", d'PO'fl and u)' Hn'Y 7, . IIJ_:L2-{tuloh l.ovlnG ri leut will, ,"opy ft' which I" ~I!ato attach,d, ) tf',IONil-il (IJAyl tYl!AI~l Intutalo .. , } J , H(l\)()PC Dt.ouf'l'CI'-HUl"\<ot ~JqUr..r'C' lllc1g., t4om. and oddr... of attor""Y or ,~,.._,_.,______,_______'_H-~~-U.--~'--""'----- olhtl outhtlfls.d '.pr....ntallv. 10 whom . -. , ollcorr..pontl.nc, .h~llld bn moll.,l. __11.o..c.llf.lnt..Q.QJ~@~~}Jl.!.-1]i~~2.~---------------- , 1'01.111 n1; find tl on, Thill liS fluchJl.,:~:v:.lvinE I__d"pllf,onl i, flllllllifl' II'llh Iho flfflli'H III Hllid 0'(1110 ,Ind Ihe p,operlY o""Htlllltlng (I, xl!CIJ TO R" ~IlM1Nlfl r R ^ TO III the aSHetli thcr(~nf I\ml their fnlr mnl'hll \'1\11H:. Thill III (he t;mo IIf dOlllh Iho,e WIIH no Hllfl\ dopl,"1I hox ,ogl'Il\,o\1 ill docodonl' H IllIlivld,,"1 nnme, or jolnlly with, or us agcnt or llcpulY of I1l1othor, or ia lIclHHluntt H lndlvlduul llnl1\C, wilh r1"ht of l\CCCSH by unnthor UN ngent or doputy, with tlll~ excul'llon of Ihe following: .- } AI'I'IIlA"1T III' non nIle! SUI'V \ Ville; JoInt. 'l'OllHl,l;. 1\KJ{({\JX{lIlX ,'J;1Mlllllll'I'IU;roro: IN TilE MAT'l'IiH 01' TilE HSTATIi lito' J.:\.nn\.o ]i'. Hhouc1f.1 ,. ... ..--_. ----nIYATrTlliJ"Ci:-'NAMI:"6-f1lIfCT:"i1R'N"ii..----- County liJi.l'\IfOI'. l)ecoc1unl dhlll ---_._....-~ --- _ _ _....:.,=~~~:.-"".fJ><_ =-..tr=~~.,..,~=u".",,;:;; =,-=,';-.c;-:c.~=.'=..-"i~.,".:.ol"""._,"",=.".::.:.-..;==,=..=.::..===-:;--==.:;.--==~- _=.......-ri N....Mfi ^N{) ^IH)fH~96 OF I\ANI( OR OTH~H INfIT!TUTlON IN WHICH DfiCl':l'JftH Rt!NTlW ^ lIId't:: Of.POtlT aox -- - - THI.!ll>Af1I:: tH<:f\olllT BOX RENTP.P IN HAMF. OR HAMBl! oP' Rlll......TIOHSI.UP or JOINT HOl..lH,:RB TO DftCg()EN T --~------~-----'-'_.'~--- __--A. -...-------......---...,---..--. -~--*- ~-_.~--_. ----------..---- ----~----_..-...---_.~~---_.- -_._._."--~---~- ----------- ----...----.--- -~-~-----,-_... -.........---~-----_..- -------- ~~ ...-~r -~ .~.....%#"_=_:I=""'_.:1=1::# -;:,;-=0:=- ......-- Thill Ihe oonlunlo uf Hllid Hufe doposll hux or hoxeH u'o Ilumlzed uuder SoheduleH___.._of IhlH ,olll,n, with Ih. eKeeptlen uf lhe following, for tho reason' ho,oinufler s'l furth: Th.1 Sch.eI,,'. A llltfloho" ho,olll 111 III nUlllo pll,l herellf ,elH furth fully Ilnd In detail 1111 the ,uul propOrly In the Cummunll'elllth of 1'0nllHylvllnlfl of whloh do"odolll dlod I\lIVing IIn lulo'esl II\(\reil1. It II10u HutH forlh thlJ morlgago onuumhrllnoeH I1pon elloh pllfcel "r 'elll p,opo'ly III Ih" dnle of dOllth, giving the IImOl1nl .tlll duu 01 death, name or morlgn1\lW, dute, ruh, lIf interostt lIull hunk und page or record thurcnr. It u.hw ftcts forth In the "olulllnH provldud therof(lle lho IISHOSfllHI vflluflllon of oflch of Hllld pll,ueh, Ihe oHtlllllltod IIIl1,ket vllluo (ho,euf flS of dllte or deflth of deoed"nl, I'hfll Sch.dulo D'ollllched 111",,10 lI"d II1f1de I'flrt IIe,,,"r Hels fmlh fully find ill detllll IIllp"'Honnl p,uporty whe,oHuvo, llitllflted uWlled hI' Ihe doct,dl\nl fll Iho limo or "l\lIlh;,fllI mOIlOYH lofl hI' Ihe decedl'''l flllhe lilll.. uf dOlHht whethor In dccudlHlttto Imnlcdin1c Illl!iHl'SHiul\, stl\1\dlnH tll dcclHtcnttli credit In bunkN or depositt Nl\vlf\~R bunkR, tr\lHt cOmllllni\IHt or other inHtitutlnl1~, whether Inlllvldllully, or If! tru!;t for any other pUN on or personH 8lvill" ntRD f1r.pUClltcty the l\ccrued inlerl\sl thel't~lJn, if l\l\Yl down 10 the tnst intorcHt dRY prior to deoedcnt's donth In lilt' CIlHO of I1I\vlnlPI lH\l\k!i, I\nd tll the dlltc 01 dccudcnt1", (kuth ill nil other \~IlSCHi nil hondH, IHlfltnl IitlvlnUl", trenHury cl.lrtiflcl\tt)H ur n{ltc~: l\nd 1I11ll._~r c\'ldcru.a\ uf IndcbtlllincsH of tho United Statcti tu tho du.. cellont; nil (Jhlh~l\t\(InHt whether h>. ~tI\t1l1l'- or ,q~rt!Clllellt they l\ell dcslgllutcd l\S Inx frect of tho tlnited StilleSt Of uny NtutCt ur politic!,! Huhdlvifdon thereof, or Ill' nny forlllgllclluntry, which 1\f{1 oWlwd flt the limo (If denlh: ull wen:ing l\11111HcI. jUWlI!rYI sll\'Nwnre, pictll1es, hlloks, works llf ur\, household furnltul'.~, h()flHHi. CUrrll\BNI, RulnlnnhiloHt boatH, und nny null nil other 11CIHOIll\1 t~hnltcll1 nf whntsoever kind or Ilhturt', Idt hy d('cedent, together with Ihe ftllrty oHtlmnlod mnrkcl \lIlItIl' lhnrcor; 1111 bnnds !lnd ll\lirtnugcs helll hy dCl~cllI.-nt nut! of lilt cluifllll elm'- nnd owinll dOClHlcnt lit tht: tll1H' of dcnlh. Il"d 1\11 promissory flntoH or olhcr II1Htrnmcl1tl\ I" ""riling fur the 11Ilyml\1I1 or rlHIIH'Y of which dCClHknt tlIlHI pll~uH'l\sed, or whntftoc\'cr nRtllll~, with interest thereon. If "ny, giving tI\l'. fn"" vnlu" IIl1d "sllll1l1lod fnll' mntkOI vlllu" 11""onf, lwd If such ".HtlII1nted fill, mn,kol vlllue he leNS tlum th" fnee VUlllU, it sots forth hrid'l)' thu rOU!WI\H for Huch dcprcdntlnn IUi tn oach item; all mOllu)'fi pny.hlu to Iho eHlnl<' f'"1ll life IIIHllI'uno" pullden ""rrled hy decodelll; nil IInllult)' ulld oll\lowmenl ellntrllolH thu proceedH III II'hli'h 11'0'0 \lnynhl" Il\lnn Ih" d"nlh of Ihe do"edolll; nil ulld Ihe oorpo,"t,. HlookH und dlvl<lend, due tlwrcon llulI nl1l\llid us of the dllte Ilf dCllth, hOlldH nnt! IH~t:ruetl interON( tlWl'cnn to the dllto (If dCc.ltHJcntt/o; denth "I\d other InvcHtmrnt NCl1UrlttCN UWIl\~{' by lhe (h~c(\{lcnt Ilt the limo of dcnth. with the mRrket '/uluo Ihero.. or lit fHlCh Ihm',. 'l il ,..j- I'" ..., I'/-(~:){: I ",j , ! III iho unHO ull IHHHlrtttu8 (If' 010Hl1 or f'llol11y (Inrpt;rnUCIlIfI, t.llu vnlHuR roport.uc\ nrt! us flRr t\H I'nHHlhlu H\lhMt,ltlIttnt.oCl by 1'll1n1\oIA\ Ht.l\t.01ll0I\t.6 uf tho OOrl1urlltlntlH, flhuwlng tho UHno,t,t! Ilnll IJllhlli t.iftH tht1rf!ul' fIn 01' tlilt (tnt,o nf' llnnt.h. Tho Hohnrtlllo 1\1AO HOt.R fort.h t.ho Int.nr(lHt. nf' flooOllont, lit, Mitt t.lolo nl' ,'nulh III Imy tHi..pnrt.norHhtp or '1\1111"0"8, milt 111 Hllpport. of t,!lfl vnl\ltl ut' Kltoh 1"\'U,'oRt, UIOI'O iH tlll1lflXofl t.o huli' Hl'hfHtlllll, t'II1111l0Il\1 Ht,lltnolfllltfl ,.huwlllK tlwuflfJf.liH unrl 1lnhllll.lllfl nt' "ulft (Ht-,lnrillornhlllllr hllHilwftfi. ,\ l'IIl'Y of' f-Illl lW"llnrt.nnl'Hhtp nHrnllml1nt, (Ir nl'UI, II H(,nlllllllltlt. twll.lnA 1'0,'1.11 thn flllt.III'n nf' t.llu t'~"tHHnnllt,) togtll!lI'I' wlt.h II Ht.nt,olllonl, fH1tttllA forth t.lln OhnrfH1t.or nl' thu 1lWdnrlMRl It.A IOOllt.llll\, nnll Hlll'h oUUlI' f'"ot,H \It'!'tllllllllg tn thn IHI"II\HflH ilK IIIf\Y lllt Ilnl'I,llIllflt. to f\ f'nit' nlul .I11Rt. nl'lll'ntHul ot' (.tllI ctnnndont.'R inturoHI, 1111'1',,111 1Il1Hit 1,,1 Hullllllt,t.ll('. It HhOllll1 1l1~CI ROt. ('ol'th In 111l11l1'/.lld "orllll tOI~Ilt.hor wlt.lI t.ho rntr nwrkot. \-'n\lto 111I'r,rol't ltllY nt.lwl' Ilruport,y OWlllld IIr hftqllllllt,lllul h~' (,lIn dlll!tlllllllt. III tho t IIIlH cd' (l(lnUIt 'I'hll Sc/Jf'du/f1 C nt,t,twhod hnrntll BllcI ""ulu I'HI't. hlll'tlllf' Hnlll fnrt.h II t.l'lIlt llllHW('r 1,(1 unoh 1111lulry pOllll1ll\od t,!lnrolll nlll' 111 t.hu (1 liMO of' I.rnllHfol'fl O"l'f'upnl't.~J, 1'lHd Of' pOI'HO"1I1, wlt.htn tWII yearH of'duOlldont'R 1II'nl.II, III nOIlt.l'I'qL1ntJnll nf' .j(I(llHIlllll' '" flnlll,h, 01' IUl.ollflflcl to tlll~n orf'nnt ,,, IHIRfiOKtdOIl or nn,luYOlunt, at. or IIftllr dnnl,h, Huttt H(lhml\11u HlItH ('m't.h lhn I1nt.llrll llll(t vnlllll (If HIHlIi 11l'upnrty, to whom 1,I'ullRrnrrndt t.ho 1'1' J II t.Illl\Hh 11' n f' Uw t.rnllft ('nroon t,n tho dn(~IHllltt t" Urn )lI'OP01' tI 0111\ I.tl Hhnt'O ""Of! I vorl hy (tRoh i,j'nnHforon or,,' (II 1 nUl'tr 1'nol,H or n }lflrt.trwllt, tlntllro "l\p;llrrllll~ Hnlfl t.r/\ll~tt'l~rf" III fohn onRU lit' t,I'llllAt'OfH tnt.omler' to I.llkt' nl'f'lll~t. III l'nHHHHHlnll nl' 11n,ln~'JI\nlll HI. nl' 1\f'tOI' dnlll.h, UIl'l'" tli nINo tlt,I,(lol,llll to t.hfl HotHHlllln " (lOllY fit' I,htt cl/lf-ld, !."URt, IlRl'Oomont nrfllt.llfll' lnHt.!'UllItHtl. orulLt.1l1~t 1.11(1 trllflt,. 'l'lItlf'n 19 ntfHl HUt. f'ort,ll In aRld HtdHlItul11 II IIHI of l~ll PI'OPUJ't,y, ronl /Lilli pot'Hollul, with HH vnlu11, whtnh pl'~,HOH lit. fh,oo(tOllt.'fl rlonth hy vll't.lItl /If' t.ht! ",wroiH" hy llooodunt., ull.hnr lwllvt,luully, (ll',1olllt.ly wlt.hnnot.lwt', fir nn~' I'owur or appoll\t.- Il\t,ld ','IH.J!,iH\ 11111(>(wrtnnl., otUmr hllUvjltllnlly III' Jointly, by j,hn Will, t1nncl, OJ' nt.lll\r hIHt.r\lmont, ot' nnoUlflt', wlt.h n (~llPy ot' t.lw inRtl'lImont, crontinR Huoh pnwnr nt,t.nnholl to UIO HilhlHl111o. 'flint Schl:*du/t' P nt.lnoholl hOl'oto 'mil ,",,(Iu pnrt )wl'onf' fillt~ f'uI'1.II t.hll I1IUJIOH HlJIl tHhlroRAoA of nIl pnr~ollB hHI1('f'lt,tnlly tnt.nroatotl 111 t,hlH r"Huto (lL t.hn l.lllln of' d(l(lltll(\ltl,l R r\l'nlh, t.ho nut-lire of t.hotr r08- IH'nt,IVtl tntol'Uf:lt.f1, thoil'rolnt.loIlHldp, if' (my, to t,lt!.l rluon,lullt., t.tI/\nt.hor wHII t.lw n~otl ot U\o Urno of (l(ll~l'd('llt.ln (lllnt.h ot' nIl mlnorH, f1l1ntltt.nllt,8 unci hOlluf'Jrdlll'tnfl I'or ljf'o "wlor lhwodnnt,'H Wlll. It. nlso (lollt,nIIlH n stnl,Ol1lont, 8howlnK whloh of' t.llo hunol'lolllrtoH 1\1101011 In Ulfl ctllonclotlt.'H will, if' fillY, diod prior l,f) tlUOllllunt., t.ho dutCH of' t.hnlr clOllt.h, t,hnlr IH'I\l(l, IIw,t,I1'-' rf'lnt.loIlRlllp ot' H\lllh ISflUll th t.ho bO\lot'101nry. 1'hnt S~~/'cdu/(J E nttAnhod horot,n lUllI murlo 1\ pnrt horoof' Rotn forth ,\11 propol't.y, ronl nnft per.. HOllnt, oWllort hy the decodont .101nl.1y W1t.11 nnothul' (II' ot.hUl'H, 11l01ullltlR Int.nnAthlo, Htnnct1.Uf,4 in tho name o I' tho llu(~prhll\l. tult\ nt.hflrR, }lI\1N tho (lllt,o nnd p1'lOB nf' rooor(l nt' Infllr'umunt.fol offnot.1T1Jt; t.ho \-AIlt.i turn of rnul nHt./d,(l nnll tho <lnt(J 01' HOC(utRllinl1 or 11IJI'fWl1nlt,Yt pIttR UtO III1IllA, urf('roRH n.nd rnlnltollehip, ir any, or (lO..ownorA to t.ho dooodon t,. 'fhut- SC/ledu/C' F t\ttaohndl\llroto and mluto n pitt'" horool' HOt-R f'ort.h f'1I11~' und tn dotnq nIl debts IIlId ((11(1110 t.iol\a oj nlmmt 1'01' ntlrt nn hnhlll f' of t.ht H df!londnnt.' Ii ofltll!.n, Illolllcllng t'unf?I'nl oxponseH pn.tdl frlmlly 11xompt!oll, whol'o UPll] 1c.Hlh1(l1 (loRt.fi of' fHlmtniAtrnt.ton of til1H oRtlltfJl oounRO) 1'008 nnd rurlioinryt A eommtlHltnllH plllel or t.o bo }Iniel} OMit nxplllHlfHI fnr Inl1'1nl t.1't1flt.H, t.nmhHt.onOH nr gl'nvOmRrkerfl, nt)(~ roli- AIO\lIi Ro,'vlnns, In con&leqlt0I11111 uf t.hn clnnt.h or t.ho llooodoHt.l doht.R 41lld nl,dmH owtn!\ tine' llnpntrl nt limo of illlnl,hl t.ll](flfl 'Hlorllml ehllr~onhlo ('or pnrtorl pl'jor t,o ilnllOdol1t,IH lhlllth (O)(oopt (,I1nHo fL1lowecl ulIlIor RfJot1on (Hi I of' t.tlll InlloritlulOO ullcl 11:HI,ut,\1 Tux An!') 1 j,ngnt.hor with n Rt.ntfllHnnt. nf' \lollnt.orlll plorlp;or' ror oh11gn- t.1(JTI~, If' nny. It, 1Y ngl'ood UlIlt. tho fl{hwlllry will III'oRnnt.. pll(JOr of' Ruld nlo.\mlHt nhllr(ntions Uflon ro.. 1J1I(lIil" lhhl 11' tho nmount nct.\tnlly Ill\lc\ tn Rnt.tlnnlont. nl'uny r(lll, rHlmm1flflioll 01' rluht 1s leaa t.hft.11 the tHII,'lmld,l!cl nmnllllt nlnlmillg find n11nwort, t.hlll t.hll HRllle will hn ,'npOI't.oti to t.ho HOJ(tfltOI' 01' WillR, and thnt tho mnnllllt. nt' t.nx llHKORflocl ORIl ho 1'(1l\HF,tlHtinrl In Iwool'tlltH"" UwrfIWIt.h. Thill. tho tnt,nlR of' t.ho nppropl'lnto (lOlllmnR In 8nh(Hl\1loR "A", "I'", "e", "gll, nnel "II'" ItR dirollt..ed theroin, hllVt! lil"!11 Nll'rlocl t'nrWllrd (l11d pl'oJlol'l~' rnKIRt.llrod III t.llt! HlImmnrYt Subscribed and sworn to before me this II (A .,.""..........,,, JJ. ,_.... .... <IllY of.. ) .1.'. ','"~ '79 . 1.0,."".,..". );~f) ({~,a"1.L.,,, ,D", (ld,('1..?.11d/..~L"".""",",,,,,,,_,, ! (E",~....4Umi~) fHlrvivOl' OS. Socond St. . .,., " , . '( siT;;t' W;imb't;: j' .., "'''''''''''''' """'"'''.''""' \'Iol'lllloynbUl'i". Pc nnu, 1'(01.1.3 .... ......{citil'orT~;;;~'aild'St~t;;r'.'"'.''' ".."",.?:'.~ ,,1,.,':',/._,.. I;\H:J. (ili,liY 1', I"J\i'l, rHllAHV,ftUUI.IC In Lrh(.i'~,l':,rl\l i'(lI/(JllIHl t'l i.1, i' ( i; I i,:; IJ (:0 ~Jtll Y 1,)'1 (O;.1i,\l;,:,iOil I.'~i'll:i:; lll:t:, {.\l; lUlU No'n:1 Ihd'nf'H Hll4nlng nrf'irlllvll. mnkn Hllrn 1111 hlnl\'k Hpn()nFI 111 t.ho nf'fl'dnvtl, (llltl HollOftlllllA I\l\nox:o(\ l\rn f'lltllll In wJt.h clnt,utlR ur tho w,w,1 "Nl'll1l1", I\lut In ollHO t.ho IlHIW!.H ltlolllllo "/Ir(' tlllll Hill IMto,1 Roo\lrlt,icl8, Stlp,lI'lt.llH-I nl' oloflO or f'lllnllY"(H1t'llUrIlUnllfl or 1111 tllt.orOHt. 111 (lilY C10-pll,.t,ltflrHhlp or hUHlnOHH, t1ll\t t.ho IIIlUl ILIIII Ht,/\t,fllnOlltR rOfllliro(1 umior ,tho Jllll'ugrnl'lI nllovn rolnt.ltlg to S(lh(\(lllln NU" nrl! nt,t.notHHI. A1f10 makfl cUI'I,flllI l.t1l1t a01\1",n H1 hl t.ho "Bunlnnl'Y" hltH huon propol'l).' (HlO1plo!,ml ilK llhllVO-llIl'IlOtofl. ( , J/,~'. ~ , ./ \ "...'.'!".;......... /(,'- ) (, ( 1'- -_J ./.", l,' ,( Ii 'I JWV--4!1!1 (II-HI *,",,', ,i , , , -'-t I Cml\l11NIVI\ALTlI 01' I'I!NNllYLVANIA TRANSFJlIt INlIHIII,(,ANI'1! '('AX ItF~lIIII!NT IlFC'lmI!N'1 SC\IImULIi "11" III!NEFICJAIUIIS - M~""'.__'" .. -:::.:.::::-=;,'=...-::::::-..:.-;-~.=..= =:':''':;:;:-;:::~-:;:':'t'":;::;:;-,::,,:,,:''+-_+::~::~'':'':::-':':;::~-:::-'::'~,,....:=::1. ..- .,_... ._-.~-~...._-- - .-. lIJ1NIWII'IAltmS ANIl AIlIIIWHSIlS III\LA'I'IONRIIII' (SWill full 1l1H1\llH IInd nddruRiwH ll[lI\1 Whll ,(II .I~p'dlll,ltlln llt SlIIIYI\' Ell IlATH IN'I'llIlllH:l',lIl' h11V11 1\1\ hlll'WMI. vl'tlllld, l>fllIllllMlIlll nt Olllllt' III~MllIl1IlIlllllhll<lfllll IlllCBllIlNT Ul' IlIlNlll'WIAI\Y wl"",lll IIHluIO) "fU invtll\'l.ld. H'" S1'1\'i'1! YI!H 11I11'1'11 , ' IN \!S'I'ATI! [orll< Ihl. fUlll,)' 011 Nil , -.----- -- --.-- ~ -- .- , -_..._.~..- .-. .......-. ...........-----....-- -...........~---,-- _..9'y'1 v mL!2.,t. RhOads --.- ._i.WL..~~_ .....:.l.eil_~ ~--_..-- _,_..Enll.ir..e. IJlsta.ta;......--. 30 Sout;lt Second IiJ(re et - , -- , , _... W 0 rmle.y.s bur lI;-t-..e.el1Ul4.-- ~- - ---.--....- - , -.- - " . - - - . - . .- - - " ---........... , ------- , -~----._..... - .. - , -.. .. .. .. , , - - , , " , ' -' - ..- ---.;. - - , " . , - - ~ , __, ..-...-, " , , ' ., " - -- , , . - , , , - I, - , - ..' , -..---- ..-:.;.- -' --- , , , , , " "" -- , ______t --- - -------- - , " , , -.--...- , , - -~ -- .--.--. , --- , " , " , " , - - -- --- ..._....;. ~~-_.. ' - -- ;. , ._- ---......... 1,"-- -- ----- -"....... " , - -- - - ~ - 4--' -- Doponunt fur1h~r 'oyi that 011 tho abovo.namod ~onoflclarlOi aro living at thl. tlmo oxcopt bnlowl _--:=.--:;:~------ --;-'.:=:--- ---- ....----- NAME DATE OF DEATH RESIDeNCE ------------- .......---:- -~~-_....~--- -_....--.- --- ~1Il'" a::r. :illl 0 :B,.\l '8 l' f.. Ii i =- - Rool I'llIp~rlY l'orNonllll'rnporly ~,.. . ~/i,(,p(1.dlY S\JMM^IW (Soh, "^") (Soh, "II") (Soh, "e") {~';l1h J" iI,") (JflIh 'I'ftxoblo llllalo_ I I ... 5 00 ) ;... a ~ t~~ 't1 ~ ~ ~ 'j ~, ~ !).. ,a ~ 'el ~ , 0 .i r-.. ~. Ill. ! l "/l Ii:! '~ ~ :a ~ J ::e: "S lIfl sl :i "0 i:' l ! jI:< 0) . . (^N lt~pnrlod) . .-1lcn'l . Hf\R'I .~'~ .' ~o . , . ,~ J 'I ~j()l ~.9 . . . - . ~ . . (2) (^N Uotormlnod) rlCe.l11 Ill'SIIIi'.NT 1li'.1'EIII'.NT SI'IILIIIII.1'. "I'" .!IIINT,",' IIWNFIII'IWI'i"ln\' ~ ~;~~~ r'I-"J"" . ("'''I t~~l~ ~,';'J' U~ ,(i.~ti;,.'Jt '," 'j 'i 'T '~'\'i',,~Lptl,-::'.'J ('IIM\lUN\\I',,\LTIIIII' I'LNNS\'I.\',\NI \ '11l,\NSI'I'.11 INIII'HI r":-'l \. TA' _.________..___..~_,.M L'IS'l'lU'('T10NS: TI1I~\ 'ildl1'dlllll nilI"I dl!-\olllliU I1II PI'lIlH1I'ly, I'l'ul Illltl PI'I'<IUIIIlI, _~~~!~:~_.l_'i\ hl~~' d,:t:,,'.I.'o~_~I_!I~~I}.~.IJ', ~1-lllIllllll'r 01' "tlll'I'';. 1110111111111\ lutllllglhllllil HIHllClllq~ III 1,111' 1111I1Il' of' I lilt 111','I'd"111 '11111 1',llll'I'I', 1.1',1 rn;1l 1',..llllp l'tr"d, IIH t'IlIII'l'l.It'H, 01' ,Irlllll tl'llll11I", j;I\'IIIA 111'tlll' IlllHI'I'll'llllII1 IIIl 111111"/111'11 1 II I tll'!I' 1-1,'1111111114' ".\f1, plllH 1111' ,Iuto IIllft pllll!P nf' 1'{IlHII'<1 (If' IIlHII'III1ll'1l1 f11'1'tll'lllll~ \'1l1lt.111I1'1t1 Illlt. dll Illll Ilwlnd!' 11Iltll'l'llm. 01' lllll 01' slal,1! 1'11111 llH1.1l1.1! vill1ll1 111 f.'.,l.HI.l' vullllltlllll (!UI\llIl11t I' 1 ',nl., II 1111 1 \lI'O(lI!I'q' <4110111111111 11~ltl'd nH III Hdll'dlllll "II", )lIIlH ltnll' nl' 111'q1l1HI t.IOIlI 11I111 1,Ilo 111111111, Illhll'llllH 1I11fl 1'/lllltlollhhlp (II' /lilY) III' l'u"oWIlIlI'h III till' 1 hH1l'tlll II 1. , 'M'" _ t!1I11 )II1I'UI'"I.11I~I\ 1';1';1.1111) VII 1 1If' HIIII"I! V,,1Wltloll 11I':I'^\l'l'I,II';N'1 VAI.II,\'l'iffN CAUTION-UIl lUll, WI" t.1I Illv..:!2l.!! H'I\nl', .>;.~X , \'/111111 nl' 1';lltll'll I'I'O\lIlI't..\' VIIIIlIl lit' \Illl'fldl'HI,l H 1111111'11111 Five Cortificates of Deposit with Cumberland Cc,unty National Bank and 'l'rust Company (now known aB CCNB Bank, N, A. ).1 all rer,istered in '~ho joint names of Minnie Ii', RhoadB or Sylvan D, Rhoads, as follows: (a). f7,OOO.00, 5% Growth Certi- ficate, Oert, No. 1123G), issued April 27, 19,/0, with ac crued int, $3,990,98, ono-half reported Prin. $7,000,00 Int. $3,990,93 (b), $2,500~00, 6,5% Oert. of Dep. No. 116108, issued July 25, 1977, with accrued inter~st l~312.83j one- half' l'eportod Prin, $2,500,00 Int, 312,83 (c), $1,000,00,7,25% Oert, of Dop, No, 125289, lssuod Nov, 8, 1978, with accrued int, $37.61, one-half reported Pr:ln. $1,000,00 Int, 37.61 (d), $500.00, 6.5% Oert, of Dop. No, 122333, issued March 6, 1978, with accrued int, $4.0,23, one-half reported Prin, . 500,00 Int, 1,0,23 50% 50% ~3 ,500.0 111,995.4 ' .... , . vj!) \' 50% 5(J% '2~ I <:')':'It;. U' '. ( 1,250,0 ., ". (156-;"4" ,} '?,J l L ,'? 0) \ \ 1,) I) 0, \,:... ,- 50% ~\ 500,0 / 0\ 50% ,18;g ) ...- .?> "I . V (0). $1,600,00, 6.~% Cert. of Dep. No. 125827, issued March 12; 19791 with accruod :I.nt. $16,72, ono-halr reported Prin, Int, :111,600,00 16.72 to; ~..1 r.., ".:. ,.t ,- 50% II (250,0 5df{, ,;20,1. ) / . Lll.') ,'" o~~ \ \ lo 0':> (,..-,' ~ 50% ~ 800,0 > 50% , 8,3 " \.e, ,'') llUI01'{, t.htH t(ltlll ol'pnKll.ll "1Inll1t1~' OWllfll1 PI'ol'''rt.y", Rulllllllllfl "JJ1l8,4.99.2) in t.IHl IlAH Hll"n.'I,I~"" nulllllDI nil UII' l',IHt. 11"Jl.11 ell' UIIH 1'1'!.IlI'11t . ,. I ...l' il of! , B B ~., .... . ~ ~ C<l ,Q. ~ of! 15 'Il !2 ~ e C<l ." m ~ i:: l2 ~ ... ;;1 ~ :J i! i' .1- .i. ~ II< of! . .a IV c.: o ~ u. '" - &: t" .. Q. IS " i .- - '15 'W ~ c e i:.Ii c.: c l ~ .- :i u " :Ii: S ~ i II> ~ 'a 1->, i3:{1 . .!:l ' I ~ 11I=<1: j U , , lCOMMONWEAl.TH OF PENNSYLVANIA I1H>lDF.NT INIH,Hn MICf' '1 A)( AI'I'HAISF.MI:NT -- ......---...---...----- DIITE COUNTY IILI NO, July ~~X~.__ Cumberland ..11:.79-0363 IH\!dHJ" (11.'1") llm'lIn'rMI'NT OF I\EVHNUI' llUIlElI1J or r1HI) OPEIlIIIlONIl 1'.0, UOX ;1010 ItARl\ltl1lURO, PENNA. 171111i WhOI'Oilll, Minnie F. Rhoads Iillo Ilr Wormlevsburq _____." in tho Coullty of Cumber 1 and ____. Cnlllll1UIlWIlillih of l'ollnHylvanla, havill'.! ,! ,- ,i "I' tho 7th dilvof. Mav 19.J:i., sol~od and possesflL'd ot "'i ,:,1.1" lIubjoc:t to Inhol'llonoCl '['ax undol' tho lawn of tho COll1lflOllWOilllh of POllnnylVo1nln; 'l'hol'oforo, I, __~eo Full1ln I t I _ ,iln ilPpl'i1hlOl' duly oppolntod IlcCurdlli\i I ,1.'11, IllIvlnu boon doul\1niltod 10 mnko iI lail' illld c:onuoiollablo apPl'irifiolflllnl of tho unld ostnto, i1nd to as.qess nnd Ii>: IiI" '..1'.11 value of nil nnnultfollllnd lIfo ostilton \WOWin\i oul of Huid oUlato, hflrnbv riln tho following nppralsement: InllulIlVIlIIIIII"t /lilY l"two llllurott In \tlh 1l~1;lln h trilll\ll,.!'l\II'1 I'I'H..\;j"l1 "lu,qllYfllUll\ Iii ("II"f,lr,1111llIU IIf Ill" dococlflnl .101" Ill!! .,. !-i',;' nf /lIly "'11110 for 11111 or fm ynlUtl tho CflInnlllllWMllh Ilnnllly III/PHI,'l;, 111'>"IY'" 1I11lliull\ I" ,1I'1I1,1\;0 '''HI a'~l''i~ {"II"for illhnrllnllCtl ttll<lli ,1\ IIII' IlI\'lhll i 0I1.0! f/llllOll illlY 'Ileh lulLlln 10\n(IIH , .~" -.- - ---_.-,_.....~~. --. 11100,CllIP-' I{)r~ I JI {\~,'i I I V^l.\Tr~. 1',,'1..,\1 , r.,l,III,-I.o' ,..I. lc'.- I''!'I' -~,.~.- Real Estate ; n~m_<:. _ - - Personal Property none ~!:'.tly Held Property I 1 502 -- -_...-..-~~._.._.__.._- .._.1._....... Transfers .- nOJ'JL .-..-- -- $i-i';~~~] TOTAL ASSETS - -- , I ------..--- - -=,~~=~] -- -- - - I 1 -- '-_.-~,.: , ______ ___ .J - ._~_J -- ! - .-~. I , I - --..-. .-., ~. , - --,.._- I I -- .~.- . , , , , , ..-- ...__...-.~ , ,- ..-_.....-- I ----------...---......-- -_.~... , , -- ....-- - -- , '~'__n" -- - '. w~__._, " - " -. 1--"---' , , .,... -- - -,"--, i I 1----- - -- -.., f , , I __u.. . - - "..~-~. .- BB Havo boon duly swo~'6 a~oo\'dlllu,to law I 1'do hOl'oby O~tifY tbat th, e abovo appralsoment Is made In oon[(>lII,;I'I with tho law on lhls t _ ctnyof \ uly (,,_. " 19 ..1,)_. ,(\ t ' '_.~.-t- '- i\U;;;-;-;-~~,'; .--- (Nlllllhnf <1l\cl 51rool) ____.___._..__!!!!!!J2.~urg ... , ; """ I (I'O\IOf!lcal I'; . , , ,. ~ \] .~ , , J , , ~ , '0' , M: ~: , ~ , /,1 : a a ~ CIl: ,. .-1' J .0: r.tl ~. f;]' Gl: ~ 15 ~. "".j f,' cl ~ 'c) : :p.i ,~: ..A- 11,1, Q.i,: f'r, I ..1, r3: ~ I' ~ , ~: 0' I " , ) rl~- : c, , .~ , I t~. , '['1 : ' , os :-JI , .,r:: : 'S j, i ~ r~' , ! J -I' \j! . '1,-1 , . .. . ,; . . ~, . f., " .,. I'. " ,'{ " I) !", ,,' ", j' ,. I , J, I .. fl d .... I j C<l ~ '~, 15 'Il ~ ~ < m 'tl ~ ~ Ie - ~ ~. - ~ 'f-< -1. !S ~ .. l /:ll: lI. 41 41 i ~' I:) - '8' .~ e '15 \;l. " ! c c :i 1 aJ .~ s; 'S 1; ,i to, j j ~< ~ ", ;', r ," VA'!.' PI.lI\) lJ(,i'AJI'rMt:NT Of JlF.VF.NlJlO JlUIl\'AlI or FlEW fll'lHIATIONfl P,o, !lOX 20111 "'^,HHSIIlJnn, I'I.:NNA. 1'I10h COMlvlmNIUIL'f / I OF ['j'IJlJS'(L\I,\NI^ I IUlI:Jf: I'JT 11\1111'.111 1'1\ i'JC L TI\I< ^Pl'nl',I~:"\1IrH tli' '" _~~l_J.!..L..I.2Z~__ Cumberland C(J\JN1Y 21:-7'9-:"0'3'63"--- rIlC'ltl, ..--- --..- ----~~._-- -.---------..---..'-<" ----..---.-.., .q.............. -.,---....-- '. WhOllJo1il, Minnie F. IIhoall.ll.....-.__________. lill(' 01' Wormley.burg ___.._,___ in tho COllnty or CumberIBn.s!..-....,____..u,_.......~________.____.o_,.__ COllltllUIlWt!<l1111 of P"lill':\:h\ln\il, l\;;V1!lq .H'd (Iii tho 7.!J.l_ ddV 1:01' __'1aL____. 19..1:J.., fllll;"od <lilt! POHflO!l';r;t! '71 ,Ill o,ltillo ~uhjo()t to InhorltRlloQ 'Cax IIlldol' tho 1,1Wil /.If tho C'''lltlH>lIWI)'llth /.II' 1"11l1l-'vIY;IIlIIl; Thol'oforo, !, Sand ra L. ...H.illl.!L_.-.....__.____._... ,.\11 ,IPIlI"'i.-,,1' dlllv .\Ii!)/.IiIlIOd ;"""".dill'l'o I"w, havinq bN~n dOfllqllllted to mako l\ fail' mhl cc,nl;r:iUlL,blo Ilppr<li:,fllllont of tho i:i\id o;;ltlln, lUlL! If) .I'--.;u~'lI dlll\ ll;-~ Ilw ciuh valuo of all nnnultloR and lifo ostntes gl'OwlrHl out of fJ,lld oiilHlIl, hOI'oby fllo tho following IlP1Jr,li!:oll\l1nt: In \110 ClVltllllll." .,ny hltllrQ Inll/loll III tllh I\Sliltrr h h,\n\fo'lllfJd ill pl,ulluhlfl nr Ollj\'Yr\'11I1UIl (.tdl,'\tlt"lllllll~ "111),1 d\1rlltil:!\1 .1Ih'l !Ill! lll<<lll,lllllll ollltly tlIlAtll fOI 1110 or for YOIIISI tho COflHll(l!lWOlllth IHJltJl1Y li~-llIlJ'itl\, Ill~l!rvn~ 11I1' Ilflhl 10 .1Pllr.,hll '''Hi iU\oq t'Ml~lf" Illhl.'til,l/lCll Ifl\((I!i ,11 1111' lilwlltl {I1I1,\11I1 ,11 lilto /'11 M1Y IIH:11 fuhuo l!ltfJtost. iiNI . I~ I' f ,1 ',f"ll "11 I JISC ll!Pf InN {l1- I\".'d I v/\_LtJI-' I,L,rlo f'.,r InhiqJI,lll(.1' lill'l'll/ll,l'tll' - Real Property \; none - -- ---,-.- --- Personal ProDertv -- _._lUo_ JilL --12J nt-He I d Prooertv - -. -nona... ...--..- Transfers none ..--- -- ---- ---- -- --.. , TOTAL .L\mJ.5.-_...____ u. ___.Juo. I.ll - -.--..--.. .- - . ..- 1-------- ---_. /-.- - ----.....- !.- -- ----- '--- - - --- - - ._--- , - - - - - - , .. . ". - '----- '''- -....-..------.- . - - . --- --- -- -- - -- --I-' ,- _.- ...--- --' - ----- ---- - .--.. - ....- -------- Havo been duly swor~acoording lo lowll do hOI'~by o~l'tlfy that the Rbove RPPI'RiRonwnt Is mmlo lnl1onfo.upilY with the law on this 1st (ay of AUgU. ~ - 1 C) L2-. '. '.(fI, /ieL \..., (/)) ~____ __ 1\1 Jfl! .,1 ~I" Hn ~frTslbltl~lg ''!'hdl ~-_._.._-_..._---,--~--- (I'()\l()rrj,,') 1"'0,1110"1. ~~;~;~~~;~:~~~@:,~5~€::::;'8T~~,~~~oiti, $ REefl VED . ~~~:_~~~=-..~~..r.lYl.H!lWNmrll1'Y.' IX.. It II ~ f"",,, ........ ~ At 1S!i.._... ~ ~~hani.~~1:l~~L~~' 17055 S f II. No ...._.!!-7J-3~!.Dal. of D.lllh.!S~7~1~'7_'_._ 1/ Dnlo 01 P"YIIlU"I __..n~_!~~1' 2_7.~ .l.??,! ..:JLI."f~Gd~~~4.f.q~ Mar:Jc.~. ..~_"'~!-:~_.1.1",-i_1.4inq . _6_5/1Q_o.~_~-~.~_~~~~~~~_-:""~~~~~~~.~~~'!'_~"'ttrIIIC1rli Ifjpfo~ul\ling Ponnliylvonlo lllhorllol1co or F!.lolo lox cluo from Iho following ostatol . - .__._._'-~-------"'---"-'--_."-'-~---""--'._'-,-----_" ) I" T(lll Of) s_____.._____ $ brA,. Tm: on S__....._.__.___._ $ 15'k hIlt 1)/' $-". _5- .._--~--_.._----------- (!c: lUll: on $ $ E.lal. To" Acl of May 7, 1927 $ TOrAl TAX CREDIT $ llllA.All l... flv. ".,c.lllum of la, If paid wllhlll Ihr.. month. aftor dolo of dool" $ plu. IIlloro.1 01 Iho ral. of __% from to. $ TOTAl. AMOUNT PAID $ 11I6.61 t Nom. 01 Docudo"I __~1"~. _'-.L..IUICl~aa ..... (ounty __.__.~.__.. CUllberlan4 ROmnrK$: "'AID 1M J"ULL" li)111~lP[b~@f:iju[~ SEA l NOTE; Thl, T,lpllolte Receipt to bo 'etlln.d fOf IUd" purpo.... I Recolvod bv NOTE In o(uplltlll HUI IIm"l.r lnherllonu IOK on 'uhH' utnltu, priol to Ihe deolh of Ihft life tenont Of IMonl lor y'CHt, 01 .yjd.ne.d hy Ihll receipt, It II undorllood Ihot tht! Commollwllullh Iholl nol be pr.duded or pr.v.nt.d from h.r.nlt.r olU"lng oddlllontlllnh.rlloll(ll 1(11 ul tho d.oth 01 tho Iii. lenanl or l.ml'll lor ylOfl when'It.r II appear. Ihol tu(h addlllonal Int nlOy 11ft legnlly duo {Jnd coll,dlbt. for nlly reUlon whaliolytt. .... D.pu"y ---. .--.... _... h.~. ~_.__.,_~..~_ _'_~'''_~_m'-' ....__ .u..~.