HomeMy WebLinkAbout79-00391
No
21--79
WILL AND LETTERS TESTAMENTARY
""..A
..', '\
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"
PETITION FOR PRODA TE OF
In the Estate of ,..___, .J,IJ] I t\~!h_Jl...Q~!!L.. .. .___ .nn' ._n__.__..~___,,__.., deceased,
To Richard E, Anderson, Register of Wills for the County af Cumberland,
in the Commonwealth ot Pennsylvania,
IS
Petltloner(~ DOO{ the executrJx. _. named In the Last Will and
Testament of _.._"'ll.l!.~\l~L.Hill!.9L,-,-...._---- ..~_.. -....-.... dated Ml1r.c1L.2!l..-J,Jl.li-,
Decedent was a citizen of the United States and a resident of
Township
..__ ~~I) Cumberland County, Commonwealth
llamoden
of Pennsylvania.
Decedent died on --.
Allturrlny
the __...2..~h
day of-:-_ .Juna .--,
A. D. 19JJ__, In the County of ___._.llil!lli.rJ.und._.___~____, State of
PennsvvanIa at the age of .BL..-- years.
Mil h<n her
Decedent has not been married and has not had children born to ~
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
$90,000.00 ___ and of real estate to the value of
NONE
as near as con be ascertained; said real
N/I\
------
estate situated as follows
X1\l1>>~X
Therefore, your petitlonerlsQ respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated June 26. 1979
Name and address
of Petltloner(s)
,!ndA</ //7. U:t.
__Mary ir.' ReItz --6',
501 St. Johns DrivB
Camo Hill. 1'1\ 17011
,
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
Mary M. Reitz
named in above application, being duly BW.ur.lL..__ according to law
say(s) that the statements set forth In this petition are true to the
best of
her
knowledge and belief,
scribed before _~m.;E2f
Sworn
me, .-i1-D1T-~~---- .. 19.?_~._
_y_~~~ .m_U"___"
Richard E, Anderson, Register
.-.----.-....
Filed; June 27. 1979
Attorney: .10n 11. Ln1lav"r
'1,/'
11,1
Ij
L.,o/c'
"'"W O"ICI::.
JOtl p, LA"AVER
117 THUID Ul'lUT
NEWeUII4Ul'l"'''ND,.....,
..
..4 I
lAST WILL AND TBS'fAMUN'f
OF
ULLm U. MOSllR
I, LU,Lm E. MOSUR, of Humpdon Township, Cumborland County, Ponn-
sylvania, boing of sound ml.nd, momory and undorstandlng, do horoby mako, pub-
,
!.ish and declaro thle an and for my Last Will and 'I.'ostamont ho'coby rovolting
and mnk ing voId nny nnd n J.t ot ho l' wi lls by mo a t any l'.l.mo horo to for 0 lundo.
r.
I diroct that my Uxecutrilt horolnaftor namod nhall pay all my
just debts And funerAl oltponsos as soon as convenient ly muy bo done After my
deceusp .
II.
All the rest, residue and remainder of my ostato, whether roal,
personal or miltod, and wheresoever situato, I hereby givo, doviso and bequoath
as fo llows ;
A. One- thIrd (1/3) unto my daugh tor, MARY M. REITZ.
B. One-thl.rd (1/3) unto my daullhter, VIRGINIA F. SHANK.
C. One-third (1/3) unto my daugh tel', I,INDA CRUMLING.
III.
I hereby noml.n.lte, cOllstl.tuto and appoint my daughter, MARY M.
REITZ, as Eltocutl"l.lt of this, my Last Will and Tostament. If the said Mary M.
Reitz should prodecoallo mo, or otherw:lso fails to qualify, or ceases to act
as such, then I nominata, con a titute and appoint my dsugh tel', VIRGINIA F.
Sl~NK, as Ultecutrilt.
IV.
No fiduciary acting undor this Will shall be required to post bond
in this jurisdIctIon or in any jurisdiction l.n which he may IIOt.
IN WI'l'NESS WHEREOF, I, Li.lll.e E. Moser, the 'l'estatrl.lt, have unto
this, my Last Will and Testament, set my.hand and seal this 28th day of
Maroh, A. D., 1975.
~~. .
( " r"t; v'
2/
~'/ ~ lL~/'l.:/
l"
"
c.::~ t
(SEAL)
Page one of two Pages
liCf_.721'rli6J
APPLICATION FOR AND CONSENT
TO TI~M~SrER SFClJlHTIES
REGIS1EREl11N 1IH' NME
OF A IH'SlllENl lJl'CfDENT
'*
COMMONWEAL TH OF PENNSYLVANIA
OEPARTI,IENT OF REVENUE
BUREAU OF COUNTY COLl.ECTlONS
....,..-~._~_...._._--~---~-._... ....
OA TE .J!JID.~r~laLt!1....1.279
APPLICATION (MUST BE FILED IN TRIPLlCA TEl
TO THE PENNSYLVANIA DEPARTMENT OF fHVFIHJF:
Application Is hereby mnde 10, '"IUIII t" Ih" \f11l"ler of the following ncurltl.. of a Penn.ylvanla
Corporation or a National Banking Auoclillloll III'nlad ill f'allll~ylvullll1:
(o)_J..7.L!!!\t_~!..db).. r!')~mSYLV1\NI1\ l'QW~H , LIGU'l' COMPANy........ (c) Cg_n
(NOTE: In dOlcrlblng IOcurltlu onlrr In (n). nh IWU, IIllhul thll number of Ihar.. of Itock or th. face amount of
registered bonds, In (b), the nome of tho 1..lIln\l CUI1II"1111 I1l1d In (c) the cloll of Itock or the .tated Internt rate
and moturlty date of reglllered bandl,)
Feb. 25, 1964, Apr. fl, 19M, tm, n, 1.%6, \-lIly 1, 1~(,.'
ISSUED ON -1lmLt:'c'V\:...Z;" 1,970, nnd hnvlng n TOTAL MARKET V AWE OF L J.,ll"+'J..12-.._____
(00'.;
os of the date of death of the decedont., L1111, Il.KMa..r . . _....w... -., on Tuft, II. 111111
(Hilmi (II O"r:t,dnnl) (Date of doot~l
who wos late oL.'.!llllt, .John. 1)1'1'1',
(SI,U. und Humlnu)
Call1llllUl
(flueIOlflr(l)
CumbarlantL.........
(County)
Ut'U\lyl.,'IRia
(Stott) .
The securities are registered uS follows:
Jb:II, Li1~l.El ]i, )-DSGr ........ ............
(Hum!! Ilf flUlIltl. In which certlfleot.. CIf. ,eglt'.r.d)
~~lmHj\I:Y H, I\(~~~=), ',)1 tit. .fohn. Drive, campllUl"(A~~.~ll--..
NAME OF APPLICANT ..}Jaf;.y..M....na1t., l':ce8U"'~11
COUNTY FILE NUMBER~/.I'I .. J"/I ADDRESS OF APPLICANT.'iOL1:lc...Jobna..Dl:iIIa..- o:? 11111, VA
BUREAU FILE NUMBER. SIGNA TURE OF APPLlCANT/])~-'I /}). h,.I~_'__
~OTICE, IF YOU FAIL TO PROPERL Y FILL I~ ANY PORTION OF THIS APPLICA TIOw,' IT WILL NOT 819
CONSIDIlRED COMPLETE A~D WILL BE RETUR~ED TO YOU FOR COMPLETION,
. ... - - - _.__..._.~~--- -----
COMMONWEALTH OF PENNSYLVANIA.. DEPARTMENT OF REVENUE
CONSENT TO TRAt~SFER SECURITIE.~ DATE1::Jr... 1.~
I hereby consont to the Irunsfer uf Iho Ill",v(l securities now reglstored In the nome of the of ores old
Decedont nnd w(live tho filing of II cortiflrulll curtilylno 10 Iho I,oyment of the Ironsfor Inheritance tox to which
tho proporty nf sold Oocodont is ",ado sublocl I'Il"U(lIlllo tl:o provisions of the Act of June 20,1919, P.L.:52I,
os 1I1111ndod and the Ar;I of June 15, 19{,1, P,L. 373, us nn",oiled. Tl:ls Isolso in accordance with the provisions
of tl:o Act of Al'rll 9, 1929, P.L. 343.
This Cllnsont 10 Trunlfol thll I:",oln d,.scrlbed I'IOI""ty ol'OIulas only In reference to the estoto of the
"b"ve.nomed Decodont,
By
(Signa lure)
(1111.1
(aounty )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF I~EVENlJE
IlUIWi\U OF ('lJUNTY COLLECTIONS
/(1//,;171
*'
RCC:.lJ 10\.'13)
.;) ( I,/',~ 'II
RESIDENT llfCEDENT
COUNTY OF ...Cl.lnP.tu:land..._ '__."'_..
..~~....~' -'-,' . "-"~=1r-~'JII"<In!~~ _ _ __, __
IMPOR I ANl: Thh'i H'turll I1H1Hl ho cumpletod III dOlnllllnd filed In dupllcl\lll. with nil R1tftchcd, with thtlllt'allflN uf WIIIM of 'he
('U\lflll' WIH'H' dl,lf;cdolll rllHhlod; Itcturn hi dUel \\'1111111 nlnt nlunthll uhor dlHtl of dVl\th, unlofillo nil CHlol1Mhm hi MI"I1I~d
II)' till' S('nl'lIl1~' 01 Ihl'lC'l1l1C, (S~cll(jI11U;\ of Ilw InhlJrltllllcU llnd EKtRIC' Till( Act of 1'161.)
... '"-'.-,_.. .... .-,...-...--......---..---..
~r-
~
IN '1'11/1 MA'I '1'1,,1101, Till' FS'I'A'I E OF } AI'FIOAI'IT OF
U1Uj;l ~,,,M?a.eJ;;..,._ ,_...._.._,__,__ EXhCUTHRIX
III \ll' rut ~ ,~^t.1f' (" IHEnnF.NTI
_ . Cu.lt>.erUind. .. __. ___.. County ~
.J'cm'lBY~ \'81W;I._
County of... ...CUmberland. "..._,.
... .. ,..M@,ryhM....Re1tiL.__.h.______....___
of th. ulul. 01 ,the obon.nam,d du.d.nl b.ln9 duly .WO,", d,poll6 ond uYS
Ih~i'('dt'lll IIiI'd .._. '__'. _~___. _~_,_9._, 19~{lo'la'. I.GYln9 a la.l will, cop)' .f whIch I. ht"to allOllhtd I,}
'''HHI1~tl Ill/,'f) IVEARl 'KHHIal( ,
Nonll' ottd udlhn~. III nll...,ney nr} Jon F LaFavex'
Illh"llutllC'rlud lop'nfO,,'ull~f> 10 whom --'--'-317-'Tl1i.rcr-stre-et
(111 CoftupllJlllhncn .1I",.!!! ..,d. _____N<<.o.mberland... PA 17070
Lato pf
51n'Il111
~_'h=) '"
Il~.~IIlMt"ix
'I hili liS slIch.. .EKeCl.\t:r:l.x._H_.._.d"I'''"I'11 is 1'II11111illr \\'llh Ihe al'flllrs nf ""d eslale IIl1d Ihe prnl'orly eOll511111111111
I L >: I (U HIII'/, [IM1NI!l1 R ^ TO Rl
IIIL' IIS"iI'h Ilwl'ool !Iud Ilwir luir markcI \'nlue,
Thllllll Ihutilllc (If dUlIllllherc was nlJ Sl\re dOlloslt hr,x rCHlstcrcd in decedent's Il1dl"ldunl name, nr juiutl)' with, or
liS ll~elll Of dl:PlIly ul' 1111011\1.11', nl' inllcl~cthllll's indlvidunl nunw, Wilh rlghl or UCCCIUI h)' another aM UBenl or th'l'lut)', wilh the
l~'l'elllillll fir Ihl' following: -
,,-..,.--...--
,.,..---.--.-...
",'f"" ...""'"..-..,",""=1..:,=.t-~=="--'__u...<.."_<.=_.'a;=.~""___=t;
-----
.
~l"'.\f.. Mj[l AtHlfU:!it. 01" I\MIK or~ OTHl::in 1I'19TITlJTION
IN WHICH (H~{;l:l)t~NT fH::NTl:n /1 9~PE PI!P"9IT BOX
...--.'c-c.,.=.=..c__=,"'.....__....
THI5 &API~ Pl!POBIT "OX RENTI::D
IN NAMK OR N~MI!8 OF
REt.."TION8HIP O~. JOINT
HOt..OERB TO Ol:CI!OENT
-
=~.=...."..........- -
Thill Ihe "011101118 ul' SlIld SIII'O depo.11 hux or hnxos IIro 1101l117.od under Sohedule5
wllh Ihe eX""llIlouol' Ihe I'ullowlllg, for Ihe rellsull8 herolnllftor sel forlh:
of Ihls rotllrt1,
Thill Sch.dul. A IIl1aehed herelo ,""ll1\lIdo pllrl hereof sot. forlh fulll' IInd In detail IIl1lhe roal properly
III Ihe ('ollll1\OIlWellllh III' l'enllsl'lvlIlIllI of which dee",lelll died having IIn inleresl Ilwreln, II IIlso 501' I'orlh Ihe
mortgnge enculllhrllnccs U)1I111 ench pureel Ill' rCi11 IHOllerty ut Ihe llute or denth, ulvlng the Amnllnl still <<uo "I
deuth, nllme or lUll1'tgU!lCC, dnll\t rnle nl' intNcst, IUIlI honk i1ull pnge or roc(}f(1 IhcrcoL It UIHO Hcts forth In the
columns Ilro\'ided therefore lhl' nsseNsed vuluulinn of cnd, or I\nld pllrcolH, the estimated rnurku1 vnlue thereof
liS or dnte fir dlluth of i1l1l'l'dl~lllt
Thill Scl.oJulo B 1I111",'",d hereto 1I11l1l1\IIde pllrl h,'reul' .el. forlh flllll' IInd In d011l11 1111 persolllll pruperll'
whern,(ll/cr sitlllllctl owned hy the dClaalcnt ut the time of dCRthj nil IIH1ncy" lert h)' tho decedent Ilt the time IJr
tlc.'nth, whclhcl in dcc,1(ll~nl's illul1cdiulc possession, slllndlnp; In dcccdl'nl's crcdil III hllnks or dcpmilt, 811\'1"8,.,
hllnks, trusl (:llIl1pnnh~s, or other InslitlltilJll!<i, wltt'lhl'r indi\'ldually, or ill trusl for IIn)' other person or pennns
~I\'ill!t ulso separatcly lhl' llcnllcd interest thercnn, Ir IInYI down In the lu'st intc.lrcst dny prior III dcccdcnt\s
tleHtll In tlw !JllliO of su\'il1~s hnnks, nut! 10 Ihe dlttc of decedenl's denth In i,1I ntller l'I1St.'S; nil hUl1dsl pn!ltnl
slwlng<;, ll'l'USury ccrliflcnh's or nnles IIntl othcr e\'l<ll~l1cc of Indchludncks or thv United Slllle'" I" rhe tic..
l't~del1l; nil Ilhllgilllolls, wlwlhel' hy slnlllll' or 1I~l'l'el1lcnl they lire dcsiynnted ns tnx free, or the United Stlltest
lIr allY '-lllli~l Ill' polllicnl Nuhdlvlsloll tlll.'rellr, or Ill' nny rOI'l'ign ClHlntrYt which lire owned Itt lhe time or dent":
,t1I'llillllll-\ ,lpjlll'l:I,il:\\clly, ~ilvelwilIC. pil:lurc:-i, hlluks. works or nfl, huusehold rurnilurc, ltorsest cnrrlni'cs,
1l1ltllll1ohll(.'s, honls, IIml lIllY IInd nil olhel' pClsollul dll111lds Ill' whlltslIc\'cr, kind or nnlure, left h~' dCl:cdcllt,
11I~t:lhn with lIU' fulrlrcstil1111tcd mUlkel ntlUl' tlU'rclIr; nil htlllds lint! hlllrl8ugcN held hy dccedcnt untl or nil
clililll'- lIUl' Hlld owing dt.!ccdl~llt III till' time (If "l'lIth. a 1111 nil IHomlssnry nnll's or other Irt~trllmcllts In writing
(01 lhe paVIlIt.!nt of Illoney or which dt~Cl'dcl1t dll'd IHlSNCHscd, nf whnts(lc\'l'r nnllll'c, with inlt'fcst thereou, If
1I1l~, giving Ilu' flWl~ VII I Ill' Ilnd ~'slllllllll'd filiI' rnllrkcl "nlue thcrcnrt nlld Ir such cHtlmllll'd flllr market vulue hu
I,:s,; Ihan llw rnn~ \'nlue, it Slq:-> I'orlh hrldly lhl' rCIISlIlls for Much t1eprcclntlnn liS III cnch ltcmj ullmol1cys
111lYllhh~ 10 Ilw l~.'illtlt: frullI lifl' lllsurlllll'l' 11fIlicil-s curried hy dcccdcl1tj nil nllnulty nut! endowmcnt (,'lIl1lrRvtH
till' pro(;IJl1cls of whkh WI.'I '!Illyahlc UJllllltlll' \Ienlh,,1' the dCCIJdclltj nil fllltlthe cnrpnrntc fttnckH Rlld ulvhJomJH
dlle lhcfl'llll nllll lI11pnld 11" Ill' tlw (In II' Ill' dCUIIlj hllnds nnt! IH'Cr\lcd inlerest theroon In the dute or dcctldcnt'H
<lcnth und "tlH'1' il1\'l'sI11H'1I1 :d't' illl'~i IIWlICll hy thu dC(.;cl,l(h'nt lit thl' timc or t!cltlh. witll the "lInkel vRlue lhuro..
of lit idlclI lime.
In t.hu UtlMO nf' "IHmrll.lotl nl' O\UIiU nr I'lIlUllr I1nrl'nrtlt,tcIlIR, flit) "lllllllH I'flpnrtflfl 1\1'41 I'" I'nl' I\H
pnAf!'ih1n Mllhlltnnltntnlt \I~' f'lnullllIAI Nt.I\tlJlfllll\tH ul' lltll OCl1'\Inl'nt.lilllH, HlluwlllK "hit IUHwt.f4 nlH' IlnlltltUuH
thurnnf ,," nf tho dntu of daRt.h. Tho Iwhnduln IlIM(I "uu.. forth tlllI tlllnrnHt 01' IIOIHHlnllf- flt, tho ttmt! nf'
l\lu.th JIl nll~' oO-llllrtnorNhJp (JI' h\lttlno"", nnll In "\tl'purt IIf' nIt! vnll10 of' Nlll1h Illt(lI'lnj\. tlll'I'lI t'H 1I11l11"Wfl III
.tltle! Nohnd1l11', ('I"unol,,1 At-Ilt.omonl" 8howll1R tllllltKlntlt unll tlnldtlttllR of' Mldll oll-llllrIIJllI'Hlltp 01' hllHllIUIUh
^ nop)' nf' lIw on"p'trtnorRhlp AKrOl1ment, (if nrnl. 1\ Hll\t.nmftllt HHtttnu; I'(ll'tll 11111 1I/lt,lIl'lJ flf' thn 'l~l'llnllll'lIt.)
InJl;nlhot' with II "tntuUll'Bt, tlot.tlll~ ('nrth tho QIULrllot.or of' t,hn hillillll'"", If,N l/lpntlllll, 1I11i1 Hlll1h Ilthor f'nuts
pOI't,nlIlIIH~ to tho 1I\16tnnH8 1\" 1II11~' IIn porttnnnt III n f'ulr 1\1111 .litH!. "ppI'nIHn' of thll IIHt!llllnf\t,IH tllt-nl'''"''
thOl'nill IUIU;t. IIn Hllhmlttnrl, It Rhnul(lnl,w 'tot f'orth In Itomtlull l'orm, tUIV1l-hnf\ wllh thn f'ntr 11llll'knl vul\1"
lhnruot', fillY ot.hOI' propnrt~' oWrHlf1 or l1fif}t1ont.hnrl h~' UIO II<101l1101\t ltt tilt' limn of' llnntl"
'fho SCh,rfll/fl C htt./loholt hernto /tuft lIIultn PUI'I. hnrlll1f' Hllt.H forth II f ,'1111 IIIlMwnl' to ultoh. tl\lllltl'Y
l)nutntnnd thnroln I\ndlnt.hn ol\neof'trlll\sf'nrHofpl'OpOI't.y, I'onl ot' l'ul'finlllilt vdthln two YfJUrH of' IhH\m1.ollt'H
doat.h, In ountolnplnUnn of dooortontl8 noltt.h, or tlltondod tn 1 ~\lw flf'fnot. tll l"lfUHltlMloll nl' (]n.1n~'n\t\nt, at. or
after donth, 8111rl Koholl\l10 Rots fort.h tho nntllrt-! III1Il \'1\1\11' or Mllnh .IH'nplH'l-y, t,o \'ihul1I t.1'fl11Hfnrrrut, t.ho
-relnt,toI\Khlp of t,hn transforoes to tho nnooc\ultt, 1,110 pl'llport.toll/\ttl Mhul'n l'nf'fllvlld II~' onnh tl'l\IIHf'nrno ntHI
nIl othnr f'nolR of' It part,tllunt tint-urn rop;nrrlinp, AnJlt t.rnnAfnrHt In t.!ln (HIMn 1If' tl'tHlHf'nrH tnt-oullod t.o
tltkn of'f'ot'lt 1n pORRns81un ur on,lo)'f11ont nt fir afl-or r'unt.h, U\t~l'n IfI nl"'(1 nt.tnehllrl t,o t.hu lir.hllr1l1ln l\ (011)'
of' tho etoort, trllRt, nnrl"cn1ont or ot.her Instl'lImnnt, oront.fn~ U\fl L,'utlt.. TIll','n Ifi 1\11'10 Hnt forl-h III Huitl
aehottulo n Ust. nt' nll pr()pOl'ty~ ronI and pnrsonal, with itH "nIHil, whtnh IlIlt-RUH /It IhllUHlolltlH (It'l~t.h hy
virt.ue of tho exol'otso hy tloonltont, f,tthor hultvlltllnlly, ol',1ntntly with nnllthol', or nllY pflwf~r ot' nppolnt.-
mllllt "oHt.nf'1nclnnonorlt, t,dt.her InrUvill\lally or jointly, h~' the Will, "0011, nr nUlUr tUHl.l'umollt. of' llnotllOr,
wtth f\ oopY of tho tnRtrurtlnnt oreA.t.1l\g Huoh powllr ntt.ltohed to Uw Rc'll1ocllllnl
Thl\t Schedule 0 nttl\ohn" horeto nnd mlldo purt huroor Hot.1i f'ol'l,h I.hn H'lInllH Hl\It fullll'4HHHlR of 1\11
porNonR honoftci/l11y tntoroat.oct In t.hlH oalllt.o nt. Uw ttmo of' (\lwmlout.l R donl-h, thn Ilntlll'l) nf' Uwtr I'OR"
poctivn intornals, tho!r rnlnt1onRhlp, ir Rny, to t.ho Itooo<lulIt., t,op;uthnr with I,h" ngl'H n1. t.ho tlmn of'
(h~OOllenf,IR dnllt.h of nIl minorA, llnnlltt.I\Ilt.H llllrt hlllwflotl\rlnH for tll'll 11111101' (tolll!l\Old.'H \YtlJ. It. n]KlI
oontnillPt n Ntnt,ement. "howing whloh of t,}\l-J 1Ionol'Iol1\rloH HOlT\ol! In 1.I1fl Itl1Nll1nnt'R will, If UIlY, dlod lJrlor
to rlnfJodont, t.ho dnt.nM of' U\flir donth, t.hol1' 1 Htlllfl, RI1I1 t.htl rolntloflslltp 01' RfI(,h IRH1t(\ t.o Uln hflllnl'lu'llry,
Thnt S~""edult' E nt.t.nnl1ocl heroto norl mfuto ,\ pnr'l horonl' HotH f'ol't.h 1111 l"'ollol't.y, l'Oltt 1m" llnr-
BOllnl, ownod hy tho dooflflont, Jotntly wtt.h t\not.hnr nr ot.hers, Inc]\Illll1p; tllt.nttJ!.lhllll Hl,nnltin~ lu Uw nl\01n
of t.ho donodont anet ot.horR, pI\l8 Uw dRt.O nnn plnoo of' roonrll oflllflt,I'I\IIIHlltR of'f'not,tn~ tho \'oHI,1 turn or
ronl oRt.nt.o Ilnn tho dntn or noq\ltHlt.ion of porHoflnlt.y, plllH thn tlnmn, l\/hh'(1sS IlIHI t'nlnl.lnIlRhlp, lr any,
of oo...ownora t,o tho deoodon1..
That Schedule F nt,tnchorl hnrntn nnd mado It pnrt horont' ROl.H fOl'f,h f'ully IItlll \11 IInt.ntl Rll Il0tJt.R
nnll (\ncluo tionR 0) nimod fOIl Ill'" on hohA 1 t' 0" Ud R clfl(~ orlon t. t H OR t.1t to, t Iwl ,id i II~ limn I'U I I~XpftllfHJH pft I 111
t'amlly nxomJltion, wlwrfi nppllr:nhl(q onstH ur lulmlntntrnttnn of t,hlM nRt.nt.fll CHltlTlMUl 1'1l0R 11111' f'wltolnl'yt R
enmmlsslofl8 paid or t.o ho pnill! COflt. (lxpolHlod {'Ill' hurinl f,I'UHt,fi, tomhHt.nllflH or fl,r/lVnmlll'l,nl'Uf nn<l r(lll...
Rlo1l9 Rorvio08, in nonROltHOnCfl of' t.lln dent.h 01' t.ho dooodonl.l rtoht,R nod 111HlmH tlwln/l; H11I1 ItT\ll/\lrl nt. t.llllO of'
dnnthl t,axos nocrtlol1 ohnrgoRhlo for pnrlol' pI'Ior 1.0 Ilocoflnnt.' R Ilont.h (ox(1npl, t.hoHO nlloWOll Illlclnr HnllUon
(}51 of tho 1l\horU,nnoo RtHl Est.nlo Tux Aot,) 1 t.O~OUlol' with n Htnt.nlllf1tlt. nl' rolllltnrnl p\("t~nrt f'ol' nhl1.p;,n-
UonA, If nny. It, Is l\ll;rnort ihnt t.ho f'trlunlnry will p,'oRonl )II'no1' nf Hnlcl 01 nll1lntl nhlll~lltlnnH \lllUll 1'0"
,\I1OR\., thnt, If' tho Itlnotlnt not.tlnl1y paid in sott,loml1nt. of' I\Il~' f'IW, (101ll11ltHAlnl1 ur rltltd. IH tOHR UIl\11 t,hn
osllnllltorl flmoHllt nln'mtng IIml allnwnd, t.ll"t. t.ho fWI11f' w\ll hn t'''llfll'!.fld to tho Hl'gtRt.llr nf' WlllK, nnd thnt.
t.hn nmonul. (If' tnx n8NnH8fHt cun 110 rURRHftRHO(t In nccol'dltllfHl t.lllH't\wl Uh
Thnt f,hn totlllR or tho I\pproprtnt.o columnA ill Rf'hofhlloR "A", "n", "C", "I~", nnd "Ji'" 1\8 d1r(Hlt,nd t.l1nr0111,
havo hoon c/\rrtnct forwnrlt Rull llrnporl y rO.l<tRt.nrOII 1n t.ho 8t11nmnry,
Subscribed and sworn to before me this
.l//tl
,..,,,,,,,,,,,,,,...,,,,,,,/,,,,,.,,..
. .... day of
/
10..1.9, ..
.....12~ffm;~~/Z~i~iI~~..I{""'Relt'z
.. ......5Ql...St.",..J.QbnIL.0l;',;\,V\il,..... ....................,.",",.."".....,.
(Sweet Numb",,)
canpllgL~i\"J70g .
(City or Town and St4te)
}j.'I'
",..,. ,...",.."..;".I.",{,.( (._1.
Suunne M, lemlle, Notary Publk
Mr COITlJtlhlJnn hllllH 1,,", 2], 19a1
He. (un>llcrltnd, PI (umb"'.n~ C_y
NOTEI Httl'orn Htf(lllnp, nf'l'tdnvlt. mnkn Rtlr{1 nl] lllallk RpnooR III tlln HI'fllt,\\'I'- l\lld fwht:'I'1l1n!l. IlJlllllXOI' urn
f'111od III wlt.h dntn118 01' UI(1 word "Nonn", ItIl<l ill nltl:\o t.h(1 nHkntH tlwllHln 1'1\1'(\ 1111,1 tllIllRtO" fHlourl.l,lnR,
H04!III'lttt!R of' (dOHO or fnmll)' oorpOrl\tlnnH fir 1\11 ltltor41Ht. In ItHy ('O"P'll'l,IlfOl'foihtl1 or lJlINlnURH, I.l1nt t.lll!
lInt.n fl1HI R\.ftt.nlllf1rtt.H rfl'1"1rn(l IlIlt\or t.h(1 I'Rl'llp'rnph ahnvnrolnt.tl\A 10 Sllhl!f\'lll' fIn" 1l1"1 nt.l.flnholl. AlfHl mnkll
fwrtldll thl\t I\Cllllnm lit In Uln "8\11"1II\f'Y" hilA h[lUll prlll1nrly ('omplnt.l1fl liH flhovo-lllrnlJltllt,
REV.,UI! tll..!1I1
COMMOMwe"L TH OF PENNSYLVANIA
TRANSFER IN~tERITANCE TAX
SCHeDULE "B"
peRSONAL PROPERTY
RESIDENT DECEDENT
-.--
-----------.-.------..----
'*
. . ------,-.-.~-~-~.._..-
INSTlIII(''!'IONS: This Sdlodlllo mllsl dlsclos. 1IIIIIIIIglhlo IIl1d 1011lllglhlo por"lIIl1l prlll",rl\, 1111'111111 IlId Ivldll" III' hI' Ih.
~,,-,,,,~I."I1!L!'-'-.!!!O tlm" or his de.th. Prllperl\, IIwlled h)' Ihe dee"dellt jlllllll\, wllh "lIl1lh,'r Ill' IIlh,'" mU~I'he Ti;:j;~J"'--'
1111I1\'1" Sl'hcdlllclijtlT, Illll\lll(lhlll pO~HIHlnllHolH'rtYI t1llud III Ilw 1l1lllW III' 1I1l\ dCl:,'dcnl, hili l'la~'lIhh' tll ((unlll \Il 1111111111'1
III 1I1111~P;, llll'lutllll" hUllltlllllllltcd 10 P,O.I). Il,S, SIl\'IIl"k HlllHlti IIlld (l'lltullw Inlhl u('('o\lllls, ll1u>;llw lisH~d, dcspllr
till' Inet Ihlll lI11'Y llrv IIl1tlll' till' IllhllllliH lurt-'II cstjlW.
Tnnulhlo l1l'rsllnn1llflllllHIY Hlloult! he 1Iltted nOli (c.~. .ll'w,dry, wlll\rillllllpplHCI. hOllsl,IUlltl Ulllldhl 11lH~
hllllilihlllllh, hooks. 1Inllllll\1P" 1l11llllllohllcN. hOlltN, llW.)
IUIIIII"lhll' lI~ni4ll1HlIHOlh!rtYI kllt'h UN hlllldN, Ircll~ur~' l'tlrtlfl('ul(~h. l'ilSh till huntlund III hunk, sltll.'k!'l,
mllrtHll~\H'1 lIolCh, 101-\\'IIH1I willi ItlTrul1d illlllllH" or dlvltl\!l1dN, "uluduN or WIlU'~S, 1I1t,url\ll~\' I'IIYllhh~ III thl' n.tnh' fll"
l"idudary in hl\itl {',I'IIIWilY, Iluttncrl;hlp Inll'l'llHI". IlltlHCtit III nny ulldlslrlhllll'lIl\tHUh' of lit ilH'IlIlW 1'1'11111 nllY Ilrolll\rtY
hcltlln trmd Ulldl!f llw will tlr I\Kn~(\llll'lllllr 1\l\olllor. 1.''','\11 Ihough IUl'u1etllllllHldl' III" lhl' SIIIIl'1 III th(' IIll1l\ lIf dl~lllhl
,1t""ld hI! ",II!.IIII thl, ,dll'd"I",
~.___.. ,_~_._,__,__.--,___'___.'______..'T~_..'n------.---------- -.--.---.- -~--------------.'-.--~_.__..,...,----,-~_._.__.-._-
Ilem
No.
l.
2.
3.
4.
5.
6.
10.
11.
12.
13.
14.
l'Iml
Li'II\IIt1.I"",'flhe r"lly
IINIT ESTIM/\T1',1I
VALliE MAIIKI\T
VALliE
7.
Household furnishings (see attached list)
Dauphin Deposit Bank and Trust Cctl'{lany checking
acccnmt fi61 74 606 1
First Federal Savings & J.A)an Assoc. Savings Acct.
ff2-8654
First Federal Savirlgs & Loan Assoc, 7. 5Of. Savings
Cert. #216-108151
First Federal Savings & Loan Assoc. 6. 50'1. Savings
Cart. #217-808152
First Federal Savings & I.D8ll Assoc. 6.50"1. Savings
Cert. #217-416793
American Express Travelers Cheques
50 shares of ccmron stock of Arrerican Te1ephOlle
and Telegraph Cctrpany at 57 3/4 .
100 shares of COllITOIl stock of Bethlehem Steel
CorpOration at 21 1/2 ../
50 shares of cc.mron stock of Burlington Northern
Inc. at 51 1/8 .
25 shares of 5 1n'7._IJt.(;lf~ed stock of Burlington
Northern Ine. at f49 15.L19) '/, () r I
100 shares of cc.mron stock of Exxon Corporation
at 51 3/4 '
50 shares of ccmron stock of General Motors
Corporation at 59 1/8 -'
100 shares of cOOlOOll. stock of 'fue Greyhound
Corporation atl.l_5/16"> \ l\, l\ ;',,1)
120 shares of comron stock of Kennecott Copper
Corporation at 22 1/2 -
173 shares of carm::n stock of Pennsylvania Power
& Light Company at 19 15/16 -
50 shares of cammon stock of R. J. Reynolds
Induutries, Inc. at 56 1/4 -
200 shares of comron stock of Uniroyal, Inc. at
5 13/16 -
8.
9.
15,
16.
17.
18.
.....---.- .-.--..--.--.---------------
Insl'r1lhis 11ItlllllPIlONltc UPt.lOHln"t PWflorty", Schedule "W' In
the HAs RI!J1orhHI" column 011 tilt! Illsl 1'llgC (lr thlH return.
IlIWAlllMENI
VAI,lli\lION
(Dn nllt wrlll! 111
thl. Sl"""-)
,_______~ ~.__--.--d-__-._
x X
'2,445.75
576.08
10,766.66'
6,739.57
6,1181.65 -
6,022.01 .
360.00
2,887.50 .
2,150.00 ./
2,556.25
., -"T.{,"" I '/,'(, () r,
(~'!.()l~,\t) . v
5,175.00
2,956.25 '"
~~~~ \ll.\-L\~. UJ
2, 700.00 ~....
3,449.19 .-
2,812.50 ,"
1,162.50 '
1.3, 3 () ftdJ it>
I~~
:~I
Ih
m
SUMMAI\Y , (As 1\('IWrlu(l)
1I0al I'roporty ,,,,,,,,,,,,,,,,,,,,,,,,..,,:,.,,,,,,,,,,,,,, (Soh, "A") $..
I'orsooal Proporty ,,,,,,,,,,..,,.,,,,,,,,,,,.,,,,,,,,,,,,,,,,,;,,,,,,,,,,,.,,,,,,.,,,(80h. "n") '$?~.,O,~~,9.2..
Tral1iEors ",,,,,,,..,,,,,,,,,,,,,,,,,,,, "",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,(80h. "e") $.. .."""'..,,....
"_""",, d,,',' ,..,,,, "",,'..' """ '''''' ," Hi "...,'..'....""" '"'' ," '''''' ""'''''''''' ,,,..;..,,,,,,,, ". $."" u,,,,,,,,.,..,,
",,,,,,.,,......,,,,,,,.,,,,,..:,,,,,,,.,.,,,,,,,,j,,',',,"i.;;',",,"i"",,,,,,,,,,.,,, "".., """""",,"',' $.""..:""",. .,,', ",.",."',",,
Gross Tmbie Estate ",.. "",," ''''''''''''''''''''''''''''''''''''''':'',0'' ' $ JI3,.o&G.92,
I ~] j j "
~ I
'~
~ ~ J
.
~ ~ ~ !1.1 I ·
. . .~ .1
0 ~ ~. .~ ~ ~
~ j
~ I
---- 0
. ..s "
= ~
0 i ,J
~i
~
-
;, ~
;l
~--:
d
(2)
(As Dl'll!rmhll'd)
$
'$
$
$
$. ...","..
$
11l,V-41\.\ (k-nl
County, Nulnbor allil Nal11o.___~?.l:.LC:.Il!ll.I'.IlT'.lll.I}.<!."..... -..-...-...
F 110 Numbor .__...... '."_u.......' 2J.-'1-1l---O-3-11.J.---.......-.-.-----......-.
Ou to ul 0 oath ____... ..S--2--'1-11.."... ..-..-.....-....- ...... .... -----.---
E.tato Namo ___M'O'll.or________-I.1,lllIL__._...__.1:.A._.....__.
(t.AHT t~^Mn ltllRfH NAMI',I IIt~n 1^1.1
SUMMARY
._'.-_._-~-_._.._.-"_._--~~---
COMMONWEAL Tit rlF PENNSYL VANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEOENT
.._.______.~__.~_._. 4~ __~".~~,__. ,___._..___.__._____._ -.------.---.-.
REPORT OF INHERIT ANCE TAX AflPRAISEll
I, tho a"dolllgnod duly appalntod IlIhorltanco To. Appral.or In and far tho County al__....Jlumb.....' 8't1d '
POllnlylvunla, do rupoctlully roport that I have oppralud tho roal aud p.,.ollal prallorty a. r.port.d lu tho for.golng roturn at
tho valu", lOt forth appoa"e .ach Itom In tholaat column to tha right III Schadul.. "A' , "II", "C", ancl "EH,
Dutod'
~ D9Q911l))An '9'1<1
, I _I' I;
'.'/ 14/ /J.LI ,.i / . ..JY......c.J1.Li_L,..
ItHIIi lfl-rAtIU-_ 'I/'X AI'Plli\IH!:H
., .___~~~, ...,. _ _.,. __. __..~._ ~~_ ._~.h....'. .._... ..._..,_
-~...--_.._,.,..-.~.~.~------_...-,.
REPORT OF TliE REGISTEr~ OF WII.LS
I, tho undolllgnod duly oloctod Roglltar of Will. In alld fur ____ County/ P.nnaylvanl", do roapoct-
lully r.port that 1 hovo allowod doductlonl In tho amounts clalmod by d.pu"o"t, ..copt a. to tho.u Itom. wh.,. a gr.at.r or
lo..or amount I. lOt forth In tho 10lt column to tho rlghlln Schadulo "F". which ur.ator or I....r amoullt roprount'. th.. lum
ollow.d a. a doducllon,
Dal.d' .
INVENTORV
nonl Pruperty (Sch.dIlIPl AI
Pauollal Proporty ISchuduht BI
Julllt.l-told PrOIHlrty (Schedulfl E)
Trando,. (Schedlllo Cl
TOTAL onoss ASSETS
Loti Dohll .mti Deductions
ISCHEDULE PI
CLEAn VAt.UE OF ESTATE
VALUE AS APPRAISED
Illclllfil ell or IVILLfi
A-;;~~Sl'MaN;;C" --
ODE IHAnfllSOuRO USE ONLY)
IIEMAINOER AI'I'RAISEMENT CODE
~3f3nfi
001
10'.
20+
30+
, +
40-
03,
ESTAlE TAX ASSESSMENTS _ $_
\=
'~
VAL-UE
(00'
Vnlunlloll of IIfo utato, or .:1:.---
UllIHJltlu.....,................_$
PRINCIPI.E
E..Ofl USE OF REGISTBR ONI.Y
Till< on $
To;( 00 $
Tal< 00 $
TUl( 011 $ __
TOI1 \Hl $ _
El<ftlllpllon.
lolnl Esh11D
2.2.E.!.
COMPUTATlqN 01" TAX
2%
0%
18'1\
$
$
$
$
$
TOTAL TAX
$
(') A. ovldonCtld hy Cllurltahle
Bl(pmptlun Cflrtlflentul IlIul'Id
by the Snerotorv of Ru...enu".
LOlli hiM f,rflvlou,ly paid $
RA LANCE $
Lnu 5% ()f I\1X If ru1tl wllhln
3 mOl1lhlt tlfler tloolh $_
~
lIALANCE OF INllERITANCE TAX PUE
Add Inlernst ot rata of 6% from
_____'0
AMOllNT 01' ESTATE TAX ASSESSED $
(:I;I"tu I(1)( puld $
BALANCE OUE
Adtllotllrul \It fC'lht of 6% from
10
C'
$ J
$
$ L
$
$
$
TOT AL TAX IlALANCE
PAIP
Supplem.ntal Cadoll (FOR USE IN HARRISBURG OHL Yl
48-Adl".trnont
49,Adlu.tmont
56-Annuity
6O-Llfo Elt.to
92+.Romalndor Apprallal
93- Roma Indor Doductlon
93C-Charlty
94-Romalnder ROllduo
96-Succo.. I vo
Lifo Eltoto
FOR USE OF REGISTER ONLY
ADJUSTMENTS
NOTE, Wh.ro lubu,!uont adlultmon" aro modo to tho abovo computation of ta. by tho Raglltor of WIIII, for propor "alon
sarno .hould bo natod bolow, with .hart o.planotlon, /
lH~V.401 t".781
DBI'AflTM~NT Of flEVBNUr.
IlUnrllU 01' f1~lD OI'f.flIITIONS
1',0. \lOX 2D70
HllflflIGlllJflO,I'(;NNA, 171m,
J:OMMONWEALTH OF PENNSYLVANIA 1 DIlTE fi nA~fl.mb,ol' ,1979_
RESIDENT INHFnlTANCE TAX COlJ~'r'l ...c:..!!!!1.!>h~r1Ilnd
API'RAISrMI.NT 1'11'. NO. ..2.1.&.'2.9.0.391
------......... -,---'--'-~"-'- .-..-.-.----..- -..-.-----.
WhOI'0I111, r,t"~n 1~.. t.1nAA'n __._..__nlatool' lIampnnn rrup.. "_c_.
In tho County of l"lI,nhA...1 Rntl __ _ CunllllollwoClllh of Ponn"ylvllnin, h 1'11"'1 ,I'.
tho 9th dllyof JuntL _ 191L,Rolwdnndpossosflod.. "",
subjoct to Inhorltllnco Tax ulldol' tho Illws of tho Comrnl,lllwoClllh of PGIlwlylvilldn;
Thol'olol'o, I, Sandra Stone.._ ' ,iln i1PPI'i1isol'duly ilppolutod oUl'"",li,,,, ,
having boon doslgniltod to mako il filiI' amI oonsclonnblo ,WPlili,:OIlHII\t of tho ,Iilid O"lilIO, and 10 a!l.qoss nud fix II'"~
valuo of all annuities and IIfo ostalon growing Ollt of snid ulllnl.o, hOl'lIby fIIu tho following nppt'lllsomont:
,I i
ii
1/\ 1I1U OVOllt thltt .lny fullllU l11luro\lln tlll\ llt\,lltll, tr,IIUhlTr(ltllfl 1l,'H~"i',i"l1llt (,nlt'Ylllilllt In 1,,,lj,I\II,,,1 llulr~ of ltHl c\lH:ntll'nl .llll" \1<< .'iF
0/ AllY 01\1110 lor 1110 nr Inr VII;'U, II'" COn'IlIOIlYlU<llllllltltIlIIV U)(flrll~slv tn',\lrl/l'~ "," IIqlll I" "llpr;1I~I' ,llid ilHfj~~ tl,'III\I\lf 111111Jrilllm:II \lll(Oi /111111,1,1,'" ,I
~to 011 /lIlV ~tlch fulurn Intolosl.
.,
- . - --- ....,.-"
- .-- ::J _.~.
IJn-.CIIIf'rION Df' I\'i~, I , I , '"
I
_~'h.
I
- 1)412 , f'ai'm"'.o. N
n " D w...
TX'le'QD .p.-rCl - - ..~~_.."
__,Tni n.... 1 l' OwnAtt N
Tn+~ , .. $.113 ,
......-+._---
- _._~...u<
- ---..
"
..
- -
- .-.
~-
, ,
_.'
- 1--,.
-
---
. , ..
.-
.. -
,
-- .. ~...-
,
~....
,
-.-.
. .. -."
----- --,--
-..-,,-.
,
. ,._,
- --....
..
--
,I 'I-
I.;, I"""
',0--'
,one
~J)6.
lo'~-
! --_.
l!Clnll ,
I
1
one 'I
306 106-
l
I
Havo beon duly sworn according to lawclldo hOl'oby "ortlfy thai tho above appralsomontls made in oonf''''l,lilY
wllhthelawonthis. 5th ayof DllCEl~~._ , ,,',' 19 --}.~
'-.-frlfl"-'/ ),,) "'fill):' __.__.. _
j'i'i'I.\i"
(f'J'l",blll Mid <;\fnC\'1
__...__,_,~ .._____.___M___.~__.__
lIb!!.
(I 'Ii ~ t l 1ff I I 01
lli!'.llliMAIl2f:L
T9 In.ure proper orodll to your aooounl, Iho nama 01 tho 0,1010 Ilnd fill' nun\i>or ahould ho oloolly print.
ed .on tho oh.ok or monoy old."
Thl. o.....mont Is modo In ocooldonoo I'!III' Soolloll 70S of IhO InhalltonOo ond ealoto To, Aot of
1 ssI (72 p,S, i 24S5.700),
'fo the oKlent that Inhelllanoo to. 10 pold within th,oo (3) nlilnlhl ollot Iho dooth 01 1110 dooodent, e
dl.oounl of five (51 poroonlls ollowod (72 I'.S, i 240S.716)
Inholltence Tex. other then to. on 0 fUluro Intoro&l, Is duo 01 tho dOlO of Iho docodont'S death ond bocomol
delinquent el tho oxplralloll of nino (01 months ollor Iho dooodonl's doath 172 P,8, 6 2405.711). Inherllonco
Tux on 0 futuro Inlor08t Is poyoblo wllhln throo (~) monlhs 01101 1110 tronslo, lakos ofloCI In p088o..lon ond
enjoymont ond II dollnquont tholoohor 172 1',8, i 2466.7121. Colouloto Intorosllrom Iho dollnquont dolO shown
on the fooe of Ihls form 10 tho dOlO of oo\Uolpaymom using Iho (ollowlng Inlolo,llol>lo:
..---...--.........- ---..........--... ---..----...- --,- ------....------ -... -- - - .._~- ......-----.....- --... - - -- --
, month ,005 4 monlh, ,020 7 montha ,036 10 months .060
2 monlhl ,0\0 6 monlh, ,026 8 monlh, 040 II monthl ,066
3 monlhs ,016 6 months ,030 9 montlls ,046 12 monlhs ,060
-
1 daya ,00017 1 I dOYI . ,00186 21 doys ,00362
2 day. .00034 12 doy_ ,00203 22 doys ,00369
3 day. ,00061 13 day. ,00220 23 daY. ,00386
4 daYI .00086 14 days ,00237 24 days ,00403
6 doys ,00086 18 doy. .00260 26 dsys .00420
6 dayo ,00101 16 doys ,00207 26 doyo ,00437
7 doy. .00110 17 doy. ,00284 27 doys .00484
o doy. ,00136 18 doys .00301 28 doys .00471
8 days .00182 19 days .00310 29 doy. ,00486
10 dOYI ,00109 20 doys ,00336 30 doy. .00600
...____ ______ ______'.._.._ ___ _..._... __ ___ __ _..___...._.... ___..,____ r- - -... -....-..---.. -- - ..oo.
Any party In Inlolast. Inoludlng Iho Commonwoolth olld Iho poroonn! ,oPlo,ontotivo, not ,illl,lIod with
Iho a...88mant moy obloot Iholoto within ,Ixly (80) dRY' RlIor ',oOOlpl 01 11'" Nolloo os provldod by 8001l0n
1001 of Iho Inhorllanco and Eotot. Tax Aot of '~6' (72 P.S. 92406.100\),
M~ko chock or money order paveble to;
"Register of Wills, Agent"
Mall to the oddress listed below:
JHl',.QJlMATlON
To Insure proper oredlt to your ~oooun\' Iho noelo of Iho oslnlo and fllo nllmbor ohollld bo oloarly print.
ed on Ihe oheok or monoy ardor,
Thll ol&oumel11 II modo In occordoneo wllh Soellol1 706 of tho Il1herllanoo snd' ea,otilTa. Ael 01
1901172P,S, fi 2488.7001,
To Ihe e.,ont that Inhorllaneo ta. Is pOld wllhln tli,oe 131 1110nlhs ottor tha dOOlh of Ihe deeodsnl, a
dlleounl 01 live (0) porconl II ollowod (72 P,S." 2486,7,101.
Inh~rllenoe Ta., Oll,or than ta. on a llI\lIro Inlorosl, Is dl'o ot tll0 dolo 01 Iho docodon\'l doolh ond bocclmea
dollnquent 01 Iho o.plrollon 01 nino (91 mClllhl ottor tI,o. dacodol1\'o dOOlh (72 P.S, fi 248B.7 11 I, Inllorllanto
Ta. on e IUluroinlorosl Is poyeblo wllhln thraa 131 mOI1t1's ottor tho lIonsf., lokoo 011001 In p08808l10n and
enjoyment end Is dellnqllent tllereallor (72 P,S. " 2486,712). Coloulelo Inleresllrom Iho dell"quont de,te shown,
on the f~oe 01 thl. form 10 Iho dele of ootusl payment ullng Iha following Intorllol loblo:
......---....--.....-----............-..---.....--..-- --- ,---- --...-.......---..... ...----..- --...------- ,..-...- -,......_-
I month ,006 4 monlhs .Q20 7 monlh. ,036 10 months ,060
2 months ,0'0 8 months .026 8 'monlh8 ,040 11 montlll .06~
3 months ,016. . 6 motolhs ,03l'J 9 monlhs ,046 12 monlhs ,060
1 deYI ,00017 ,'day. .00186 21 doys ,00362
2 deys ,00034 1,2 doys .00203 ' , 22 daY' ,00369
3 deys ,00061 13 dnyI ,00220 23 deys ,00386
4 deys ,00088 14 day. ,,00237 2,4 days ,00403
6 days ,00086 16 doyo ,00260 20 doys ,00420
8 days ,00101 10 doys ,l10267' 26 day. ,00437
7 deys ,00118 . 17 days ,00284 27 dsy. ,00484
8 days ,00135 18 day. ,00301 28 dSys ,00471
9 dsys ,00'02 19 dnyo .00318 29 dayo ,00488
10 dsys ,001.69 20 doys ,00336 30 day. ,00600
'" . . !
-- ----------...- -....-----...- --......... -.- --- ......- - - ---....-... .--.. --......... - - - - -....-..-..-.. --- ...-
Any porlY InlntoreSl, IIl0luUll1Q Iho Commonwoolth nntl 1110 parsonol reprosenlslivu, not' sollo/Iud with
Iho Il8essmonl may oblGot Iherolo within oi.ty (001 dove ottor roeolpl of Ihlo Nollou e.! provided by aOOllon
1001 of tho Inhorltonoo and EOIOIU To. ACI 01 '961 172 P,S. fi 2406,1001).
Mako ol1ock'or l11onoy order payable to:
"Reglsler of Wills, Agem"
Mall 10 Ihe addross Ilsleel bslow:
\.
~.ie'1'1t11iT I!_~~- '\1"" COMMO';~~;'~";;;;;~~::IA'I'
IlNOJO'~'4'2 8 6' DIP,.flTMINT OF "'VENUe
e ' ." " QflFICIAL",CIIPT 0 PINNSVLVANIA INHERll'ANCe AND .'TATE TAX
If~="'"'" ..c.' . ...~~=1=C~=~."-.1ccc.. . .... ......-..
e RrCIIVI!J _':'.:~.:-.:-':,,,:~_:..':.,:::c:.~~IOm.!W~~ .,.Il"I'y-roUILIa.. JlI'lQQ~~~~~==~,:,=~.'.'llmtMr-
" fuprolunllflO Penmvlvunla InherlloncQ or
i.l,' """ .J.o.nl'~-r~~~~~ttifll,q. . ...._.._ _F.~~"~O_~l~cJ..u_e--"(lI''..I~~~wl"g .'ta~~:_____._
"rldr"...~.U7._'.rhLrd .t.,ut.~_. ,'A 1m on L. $
~
-.
-.
~"~__:;:.::':_::~~~~:--;:-:'-~'.1 ~....~~
.-ll.w.CWllb.r:lan4.....RlL J,107Q
6l,lhlllon
,~,-----...........
$
File No, _~.~~ 79.:~~.!._Dale 01 Doath ~":~-]'~'79
Counly
CWllb.lCall~_._____
IS'A In' 011 $-.- $
'A lox on $ .
E'tolo 10', Acl 01
May 7. 1927 $
lOlAl lAX CREDIT $
le.. live percenlum 01 10' II
pold within Ih,ee monlh, 0/10'
,
dOlo 01 dnolh $
Plu, Inte'ell 01 Ihe 'ole of
__%I'om.
10 $
10lAl AMOUN1 PAID $
854.31
Dale 01 Payment _..._ir."~ry._10L..;L.~8.IL.
Name 01 Decode"t ~LILLI. B. MOIl........,....,..........
Remark'l
".AID 1M lULL"
'D'OO~[po:'~@&'D'rn SEAL
8114.31
NOTI!: Thll Trlpllolt. R,"*pt to be ,,,,.hled fo, ludtt purP<"'"'
. -'Ci!iA .
Haro v. 0 ,
D~t.~~r r' WI'l.
Till. '
Received by
NOTE: In acctpllng Iht Ifanefer Inhttllanu lOll on 'ulu,. ellnl", prIor 10 the dealh ollne IIle
'enanl or Iflnant for vtOtl, o. ,vldenced by Inll r."lpl, It II unde"tood Ihot III, Commonw.alth .hall
nol be pretludtd or r.,.",.nt.d ham h.reafter ou.ulng oddlllonollnhtrUullu 10l ot Ih. d.al" ollh.
llf. lllnonl or I.nont at 'f.at' wh,n""'f It appear. Ihnl luth addlllona!lo, nlay bll l.gally d",. and
collt<llbl. fo, any r'tllon whallo"".r,
.1
. -- ---- .---. - .... ...,., ,_, L' _.... '"_..~ ~,.... _,.... ....,,_ ,...., " _,... ._~__ ...~_ .___ ___T. _...