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No.21~79
PETITION FOR ~ETTERS OF ADMINISTRATION
IN 'I'1I1~ 1';H'I'A'I'1': OF "AI.:NN,;Jd..."4..,,.,5tl~dl'?":t.A:?,IlI':C'I':M\lm.
'I'u ,,~f.?tfl.'U:';b, "c:."t1:\l.l)[-,'(!$.cil0" ,. .",.",,,..."'" ......, ,...., .",.... ",..""
HoglHlol' of WIIIH fill' tht' l'ullllty ul' c'lIlllhul'llIlIt!. III lilt! ('''IllI11UIIII',,"lth "I' I'l'I\1lHyl\'lIl1ll1,
"ho 1'..1It1011 0 I' '" ,cf Ay.,4.{;"", /.G:",,5 i:I.,t', t.'I F Ef../R"".,,,,,,,...,,,,,,,,.,,,,,..",'" '$:"""'" """"""" ,"'"
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II I I' i'i/JI.,.,..../... CO"" 'I'uWI1>,hlp, I I I c' I ~I t t'I"111,"\'1
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VIlI1IIl, lI11d II CIU1.011 uf UlIll..d I'\tllll'H,)\I1<1 dOll1ll'tod thlH III'" illl"Ktll(n III tilt! l'olllll~' 111' ,,,,,,,,,,,,,,,,,,,,,,,,,,..
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011 ",~~('l\:I.,ti'.d.,y",,,,,,, Ihu """""""~,~""'"'''''' dll~' ul """""""t-(,I"tV"<!;"""""",,,, A, IL, 1\l,7.,~",
III Iho IIgo ut ",~I."", Ylllll'H,
'I'hul thu Hllhl ,,,Kt:('!t!!,f[I!{,,,,,t,,,,,J.'tt,f..f1.CCl;K..,, d"''''"HOd. loft .nll'\'I\'llIg lho I'ollowllllr
nl\mod widow 01' hllHhlllld, hoh'H 11110 1I0xl Iu kin, to wit:
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Nllme
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Thill IhoHo IIbov" nllmed Inoludll 1111 of tho nexl 01' kin, "d'fl\l' IIH knowlI,
'I'ho HIIlllllccedont WIIH POHU"K"",I of pO\,,,onllllll'Olllll'I)' to lho nHlhl'I1I'l(l Vllhll1 01' $"""."~&~",,,,,,,,
IInd of Helll 1'1Rlllto, lo"u hwumbl'llnco, 10 Ow ""lIll1l1lod vllluo 01' $"""""~(,t!/..K:"",,,,, ilK 11l!1I\' l\H mill be
IIRcortlllneq,
Thill. Iho Hllld 1\0111 1';"[1110 In ,,0 1'1\1' IIU iu known Iu IOCIIlml in .".tJ1.,(.i().:l),("(l.,$'.f.lIi""T(;.)/:?,..,,,,,
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Therefol'o, ~'Olll' llOlltlollU\,(H) \'CRPllClfully nppIY(!OH)
11IImolt 08tUtl',
Pulod """"",,,,,:!it.4..(,,,,,,,.s;f.,,,,, A, IL, 111.1,9"
fo\' l,ollol'>I 01' At!l11lnIH(I'IIUon In Iho IIhove
Signature !Iud At!dl'l'HH
01' l'ollUnnl'I'(u)
/i ',d .
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".."....7"d:~;:;; ;;ti~~;:,af.." ~...<"~,<..
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ltli(o
UOMMONWI'1Alml 01" 1'\'1NNSYl.YANIA 1
. AA:
COUNTY OF CUMHlml.ANll
..", "..""" ,..""",,,,,,,,....,,, c; 61,>('#'./;"" ,6:;'." :-S:.k..f.&.re.f.~"".,. .",..",,,,..,,,,,,,, "'''''''' ,,,,,,..",,, ,:,,,,,,,, "., ". '11110100
111 Ihe nbovo nppllclIllol1 hnlng dul~' ,,,.,,,,.,,s<:Y..~r?,~,~.,,,,...,,"'" nccor<lln~ 10 Inw, AII~' thllt tho fnct~ Hot
forth III thu nbovo IIpp!lcntlon 1"'0 t\'un 10 till' 1ll'~1 of ",,ij,f,:'$:: ~~lllw~(hl'e 2P~0~' " (" .'
''',.,,'''''''''''''',..5,;.u,(J,~,d..,' .,,"'" lint! ~UhHCI'II)(lll 1 ,..:j.,...,~"A71..,.,(..,...2:j~,:,"".,,,,'-:d<ll#(,,I,,,,,,
bofore me, r' t ,,' "." ,. ,..."........" ,.........."... .....".,...,."....,..""...,."....,.,' ""
""""""""'I"'fj;lil.I.-!.Y",(;"C:''''; A, 1>" 1O,Zi" I "'''''' """."",,,,, ."""",,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,",,.,,""'"
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(0\'01')
OATH OF PERSONAL REPRESENTAT1VJo:
COMMONWJ<1ALTH OIi' PI'lNNSYLVANIA
} ~~:
COUNTY Ol~ CUMBlmLANIl
'11111" ""...."""" fl."", "".. ,r:;.'s.Y. (;,,::, ,,,. ,~,'.. .,s;:.ltI.'fIEt"Et.<", '''''''' I '"'' '''J'''' "..",..., ",.,.",;"" '. '1otltlonOl' (R)'
beln/& duly ''''"......::'1:(;~p.~~.........".,,''''''...,,'' LWcol'dhlll to Inw du.P".\t".."" doposo 'nl\d Hny thntllR tho
IIdn1lnIRtrllr~l~. "". of tho OS(lIto of ..,,,ijf'(Mt.ll.t.,:r.t.:I..,,?,.,,,:$..it.f.:tf1.e.c:~,,,,,..,,,,,.,,.:.,,,,,,,,,,,,,,,..,,....
"""'111"""""""'.0""""""""""""'"""""""'11""""""""""""""""""'""".."'.,...,.."".1"'....."'."';;".,._.'.'.'..""""""""""""'
decellsod ",$.t.t#m..,...., will 11'01\ lIl\d (I'uly ndmlnl8101' (he goOd8 nnd 01111Uo18, 1'Ill'h(8 IIl1d crecllts Ilf RRld
decolIsed, IIccorMI1ll' (0 law. Anll IIlso will dlllll'onll,I' COl11Jlb' with thll 1l\'ovI8Ion8 of (ho IlIw I'elntlng
to Trllnsfer Inherl(nncoR.
"""."'"''.''~tf.~~cr?~~H.''..'',..,''' and !'1I1lu'ICI'lhutl
before mo.
\ ./'. j - '-,' '
"'"'~''''' ,'IJ" 1,10,29.... ,',:~(.~(.~A:..."t.f.;;:,..&(4i.;~.i.If~:r;(,r(,:""",,...
\ r7 (f/
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""'1""""'"
Relllstor
DECREE
Be it remembered that on the "H\"t"i".."~~h"",,q!l ,dn~' of ""'I".Jt"'~~'+').''''''II''''''''ItIl'1l11 J\. n,j lO!~IIl'"
Letters of .Mmlnlstrlltlrm in the ostute of ",,,,,.,,,:..,,',,,,,,,,,,,,,,,,,,..,,,,,,~~n.o~1r.n,,,Jt,,,,,.~:\lf\l:,,.~~,lU:"""""",...
.' '. Midr-Ussex Township
IH'"''''''''''''''''''" ..."".'.""tllll'f""HlI.......'.1l ""","""""' 1~\te of '" ','" ....lIll'" ""."", "".." r' ,., "'"111 ,",""/111 I HUIlIiI""""""'"
C b 1 d 'p I' . 'I Gayle K. Sheaffer
urn er an. County, ennMY vuntn, dccet\f,ed, were glnntO( to '1....,""...,,"..."I..I'''"''''''''....H''.II'''''lIlIH''''~...
"" IIIH ,.",,,.,,..,,....,,.,,.... ,'" It ',..II I:" 1"""11'"'''''''''''''''''''''''''''''' "" It"..,..,,,...,,..,,,,,, ,i",,,,,,,.. i Il.... '" I H IIH lilt'" '"'' tit";; "II to II 111'11'
Witness my hllnd alld omcilll SOli I tho dul' nnd y~;';',~.,.::~~,I.'.~~~~:~:.M~
"
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.
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..... . "'/()'I
BJ];NUNCIA'l'ION AND RELI!JASF. Ol~ INf]'E;S'J'A'J1E INTEREST
WHEREAS, KENNE'l'H L. SHEM~I~ER, of Middlesex Township,
Cumberland County, Pennsylvania, diod intestate on Jurio 2Q, 1979,
survived by dayle K. Shoaffer, ~iB wife, and Randy L, Shebff.r and
Sandra K, Sheaffer, his ohildronl and
WHEREAS, the Baid children have been advised of their
interest in the Estate of the aforesaid Kenneth L. Sheaffer pursu-
ant to the Probate, Estatos and Fiduciaries Code of the Commonwealth
of Pennsylvania and the approximate value of said interestj and
WHEREAS, it is tho desire of the aforesaid Randy L.
Sheaffer and Sandra K, Sheaffer to renounce and release their
intestate share of the Estate of their father, Kenneth L. Sheaffer,
Deceased,
NOW, 'rImREFORE, in and for the sum of One ($1,00) Dollar
and other good and valuable consideration, the receipt whereof is
hereby acknOWledged, the said Randy L. Sheaffer and Sandra K,
Sheaffer, individually, do by theso presents renounce and disclaim
any and aU right, title or interest of any nature whatsoever they
may have as an intestate heir of Kenneth L, Sheaffer, deceased, .and
do by these presents, remise, release, quitclaim and forever discharge
the Estate of Kennebh L, Sheaffer, deceased and Gayle K, Sheaffer,
Administratrix, of and from any and all actions, suits, payments,
accounts, reokonings, claims and demands whatsoever, for. or by reason
of being an intestate heir of Konneth L, Sheaffer, deceased, or any
other aot, matter, cause or thing whatsoever, from the beginning of
the world to the day of the date of these presents,
IN WITNESS
\'iHEREOII,
.~I,I~
the partios have hereunto set their
hands and seals this
day of August, 1979, '
Sworn and subscribod before me
thls':)~\day of August, 1979,
(_i!..h+!" i (,ll ) )l(~";' t, : I /;~~~
'I:RIENro MA~HEVI<A, Notarv rub",
.1..1111,1", C.umberla"d Co"nty Pa
Mv Commlulon hplr.. (: ,./ I r ,I
6i.o.~ i.ILQ~...~~J . (SEAL)
1::::,,\J .LL,__"'\~~~__(SEAL)
Ul.lIl inti I,,: 5,-=:':>
IHl'''' ('J.,q'l
COMMONWf'AUII Of I'LNI~SYlVAtn^
IlEI'AllTMENT OF IlfVUIIJE
IIlJllF.AU Of COUNTY COLlECTIONS
AI'PUCATION FOH AND CONSENT
TO TI~AtiSFEI~ SEClJl~ITIr:S
1/r:GISTn~ED IN THE NAME
OF A HESI[)U~'I DECEDENT
'*
APPLICATION (MUST BE FILED IN n~IPLICA TE)
TO THE PENNSYLVAt~IA DEPARTMENT or: HEVENlJE,
Appllcotlon Is horchy n""lo lor c (J"l~nl In tho Ironsfor 01 tho followlnll ~ocuritios of 0 Ponnsylyonl(f
Corporollon or 0 Nollonol Bonkinll Assncintlon 11Icotod In Ponnsylyonlo:
01,23,14 and
(0)u2000IbJ. (h) Pa, uPo".1' ,. L1sht OOleStd. 04 ,12.17 . (c) oODllllOn (over.) .. ...
(NOTE: In doscrlhlnll socurltlo~ ontor In (0), ob 'W", oith", Iho n"",bor of ~hUlos of stock or tho loco ol11ount 01
roglslo,od bonds, In (h), Iho rHlIllO of tho I..,linll cOlllpony und In (c) tho d"ss of stock or tho st,,'od Intorost rolo
ol\d l110turlty doto of roglstofod bonds.)
DAn
09.20,19
ISSUED ON,_.. al..noted
,ond hoyinll 0 TOTAL MARKET VALUE OF $. 118,~81,50
(Dolo)
os 01 the doto of dooth 01 tho docodont" Kl!:NNE'l'H L, SHEAll'PBR
(NmTlIJ of OflC(J(!Ullt)
_., on
Q6,24,'l9
(Ollie of deolh)
who was 1010 oinT. oountl"J Olub. Road, Oa1'11l1e, Oumberland, Penn.llV~~~"..
(Shllnl unci NllndHlr) (PuttIOOI"o) (Counly) (Statu)
The socurlllos 0'0 roglslo,od os follows,
Kenneth L, Sheatt.r
(Nllm'l or IHlIlUlIl III which COfllflculllS 1H€l wllIl.forad)
~~~~~i~~A TORl 0 G&Jle ~~,,,,~reatter, 1 OountZ7 Olub Roat~I'h~~fl"'l'. ,~a!_..___,__,_
NAME OF APPLICANT Wm. A, Krlllltr'.2ncl ......H_"'"
COUNTY FILE NUMBER.21-1Sl-lio.4 ADDRESS OF APPLlCANTOl)eo Irvine Row. O"J:'J.~_'o:!...._~a,
BUREAU FILE NUMBER 00 Om 00' SIGNATURE OF APPLICMIT c<..Jl1~I.,~Yt/fa.nte~rSJ..ffd.,_.
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT'hLi NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEAL TH. OF PENNSYL VAtilA .. DEPAR.T..M..ENT OF REVENUEJ
<':ONSENT TO TRANSFER SECURITI.EJ DATE. / e :J. ,.~OJq'l ~
I horcby coosont to tho trnnslor of Iho ohovo socurltlos now roglstorod In tho nOI11O 01 tho olo~SOld
Oocodonl ond woiYII Iho Illing of 0 cOflltlcot" cortlfylnll to tho pnymont of tho tronslo, Inhotltllnco tox to which
tho proporly of soid Oocod!!nt Is Illodo subi"et l"lrSUllnt to tho pr(fvlslons 01 tho Act 01 Juno 20, 1919, P,L, 521,
os o",ended nnd the Act of Juno 15, 1,961, P.L. 373, os o",ondod. This Is olso In occo,donco with tho p,ovlslons
of Iho Act 01 April 9, 1929, P.L 343.
This Consont to Tronsfor tho horoln doscril",d proporly oporotos only In roforonco to the ostole 01 tho
oboyo-nol11od Docodont,
~
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f."; I
,,~lPitl \
..."/' 1.r" ".
':I;'..:.' ll/I,U,I,
SI gnod for tho Socrotory 01 Royonuo
...}) I a . C' J. '
By ~_~\I(.H(,\k~. c. ~ v.\l,li1a...1l{ -{.n. \I,~j~
(Slynofufo) .~ \).
(Tlfl';)
. i., ..n1
(County)
,
NCC~U I"-HI'
COMMONWEALTII O\' I'ENNSYL VANIA
IlEPAllTMENT O\' IWVENlIE
BlJlU\AlI O\' (,()lINTY ('OLLI\CTlONS
*'
,~/') 'I" '1("1
~ESIOEHT oeCEoeNT
COUNTY OF __9JJ.t1ill.k!lI!..fl!:JJL..------
.
IMPORHNT,
- ~_, __0_. - ~
'I'hiM rnturn Illtlfit he (Hlmr1t\hlCl tn ,hlllllllllld flh1d Illllllpll~lltlt~1 ",lIh 1111 nlllldl(1ll, wllh tho thMItHl1f tlf Will" or lht"
Cuunty wllllru dOClldulll H,,.ldlld. Itl'llllll IN ,hll! wllhllllllllt! IIlUlllh!! nlltll illite! (If tll1nlhl ulIl\,"" I'" olCtenlllun IN arnntllll
hy the HClorutnry nr tteunut'-, (!.il'liIIIl1l7U.\ Ilr Iht. Inhl1rllllll(il.1 lint! HKltHtl TUk Aut Ilf l'Ibl,l
~. .L
-_._~ -
-....
IN Till!. MA'I''I'HIl III' 'I'IlF HSTA'I'H 01'
} AI'l'IIIAVI'I' OF
+--<</I~)(lli*
AIIMINIS'I'IIA'I'11l1
KENN1~'l'1Ll,,-- .'illJ.:;~L_____. .....--
In;t.1'i!"'rlIl.t. NAMI,: or !)IH) I.:OP.N T)
L.,. .f ..__g!HU~?2..rJ&mL ..__'.... County
S'at. 01 ..E~nn8ll VUIJ. .!!l...._.__."............,}
.It
County 01 ....jJ\l rnh f) rJ.und..,._...",..__... ...'
_.._n_.__._.__.._.._._. .'_"n_.__ .. .... ,.ailY LI.:; .J\....fillEilJ.i~l".illL .__..~______!4%&iGN>1C
Atlllllnlturntnr 01 th. ..tat. olth. abov,.nafTl.d d."d,nl b.lng duly _worn, d,po.. and .ay I
Dt'H\lIUIII dIUtI........-i.~'" 4 , tt',_'Z!l.--{IOIlat' '.avlng Q la.t willI upy of which I. h".,o qtfach.d, )
{MONTHI ([JAyt ('( r~AW Inlulot.
Horne and add,.. I of atlo,n.y 0' } Wm I A. Kr..1.).mQr-,.-__2lliL~._.,
olh" al.lthotlud ftp,...ntolln to who",
.11 '.....pand.", .hauld b, ",.'I.d, One Irvino H_q'!L.L.Cur1is)..Q.1 l'onnsy1y,Q.nia 1701'1
Thot 0' Huch Administratrix dorononll, fllmllillr with Ihc IIITlllr' lIf ,nld o'h.tc nnd tho P,oportl' cun.tltulln"
(EXP. CU TOR-ADMIN! 5 T RA TO HI
Ihe IINNot' theroof IInd tlwlr filiI' mllrket vllllle,
Thnt lit tho limo of dOllth thoro wo, no ,"fe dOpOHIt ho' regi'lered In docodenl" Indll'l.lnlll nllme, nr jolntll' with, or
IIH ugent or deputy of nnnthcr, or in decodent' ~ Inill\'ldul\1 nUIllO, with ri"ht (If nCCCNH by "!lnth!'!\' Uti n~unt ur dCllUty, with the
CXCClllilll1 of lhu l'tlllnwII1Q: -
.~_.~_......- -
---
-'r=-"' -.-
.--.=-...."In
..:.l:=.....-==~~---~=
NAME ANn AonRESS OF BANK on OTHER INSTITUTION
IN WI~ICt~ OF-CenENT RHNTl-W A S_~P'l' DlipaStT "OX
TH1!; SAFE IH:"f10fltT ItoX HENTf.l"/
IN NAME OR NAMI'.tl Of
AEl-ATIONBHIP Ot. JOINT
ttOl-DERI TO tHO:CP.fH::NT
.NO.NE
----~-.---
,---......'
_.-
Thot Iho contonts of ,"ld Hofe depn,lt hox 1lI hnse, IIro Itoml"ed undor Sch.dule. --- .of thl. rotu/O,
wi th th. excoption.of Ihe following, for Ihe rOll'OnH ho,olnaflor Hol forth:
Thill Sch.dul. A IIllllched he,eln IInd mode pnll horeof .0tH forth fulll' IInd In detail oil the reol property
In tho Commnnweolth of Ponnsylvllnlll of whleh dec.dent died hovln~ 1111 IlIter..t the,elll, It olso .ot, forth tho
mortgllge elleomhran.c. uron ollch rarcol of reol propertl' lit the dllto of dOllth, giving the IImount HlIII dllo ot
death, nome nf mnllgogoo, dote, ,ote of Inll're't, ond hllnk ond pllgo of reclIl<1 thllleof, It 1I1.n set' fllrth In Ih.
colomns p,ovlded therefore Ihe aHHo",od volullllon of .1I0h of ,"ld pII,ool" the e.timated mll,kel volue thereof
II. of dlllo of dooth of deoedellt.
ThO! Sch.du/. B ollaohod horeto IInd mil do pnrt herellf ,ct. fllrth fnlly IInd In dotoll oil po,"onol prupe'll'
whe,eHovor HllllOtod owned hI' Ihe decodentllt tho tin", of denth; IIl1m,,,.el" Ion hI' tho decodent lit the time of
denth. Whether In doccdcnt1s Inunedlllle llllfiHlllitdon, stullding to decedcnt'N credit in banks or depClHit. f1Rvlngs
hanks, trust compAnies, or CJther Institutioni'll whether Indivldul1l1Yl orin trust for ony other portIOn or 'HlfIion~
giving IIIHO .oparlltell' tho lIee,oed Intero,t Ihorellll, If 11111', dllwn tn the 111'1 IntereHt dill' rd.r tll deeedenl'.
delllh In the COHO of ,avlng' hllnk" ond In Ihe dllte III' decedent', dentl. In 1111 nther COHe,; oil hond" 1",.101
,"vlng., t,en.UlI' eorllflcalUs 0' noltl" IInd other evldenee of Indobtedno.. of the Unllod SllIlo, tn the de-
ceLlent; 1\11 oblisntlons, whether by Htl\tnlc or uHrccl11ullt they nrc dct;lgnl\tcd AS tax heel of thu United States,
or any Htate, or political Hubdlvisiul1 thurenr, nr of un)' foreign country, which arc owned nt the time uf death;
all wcurlns uppnrel, jowclry, Milvorwarcl pl(:turcfi. hooks. works of art, IHlusl~hold furniture, horses, cHrrlnges,
automohiles, bootH, nnll Rny nnd nil other IlorHlIllul (:hlltteIH uf whatsoever, kind or nalure, left hy decedent,
togethe, ",lIh tho falrll' e~t1mllted 1I10,kel Vllllle Iheroof; oil bOlld, nlld lI1ortunge, 'wid bl' doeedelll olld nf 1111
cll\lms due nnd owins decedent at the time of dcnth. l\1\d nil promiMsory nntcH (If nther InRtrumcntfi In writing
for tho payment ur money nf which dl~cedcnt died PUHfHlHHCdl of whutsoc\'cr nature, with Inlcrcflt thcroon, if
nnl" giving the fllee vnllle IIlId eHtin,"tcd folr mnrket I'lIloe thereoi', IIl1d If ~lIeh eHtlmaled folr mnrkel valllo be.
Ic.~ thnn the fnce \'nllle, It '01' folth hrlenl' tlw rcn'on' fo, ,"ch depreclllllon os In ellch Ilcm; ollmnneYH
plll'able 10 the t'tnlo fmm life 1lI,"rnleo pollcle. cnrrlod hI' deeedellt; oil IIl1nlllll' ond endowment eonlrllch
lite pmeoed. of which worr pnl'nhle 111'011 Ihe denth of tho decedenl; 1111 nnd ,ho eorrur.te .Iock, nnd dividend.
duo therenn and Unl'Hlld IHi of lhl' llllll~ Ill' dlHlth, honds nnll Ill~crucd InteruHI thereon to the dote of deccdcnt'H
deRth .llld other In\JcHlllW111 Sl'l'llIilll'''' O\\lI(\t1 hy Ihe \ItH1cdcnl lit the time (If denth. with the "'Arkel value there..
of pI, !luch time,
'.
III tlll1 1\l18t' nt' IUlClllrltt(lH nl' nll1Hll III' f'umt1'.\' lfHI'1I0rld,ItIIlH, Ulll \'1I'IIIt'H l'UP"I'I,uct III'U lift 1'111' f\H
1'1lHt\lllil\ l\ilhHll\llllntnll llY l'tlllll1ulnl 'Hflt.nllll/lltH ut' Ulfl OIlI'IH1l'lItIIlIlHI 'iIIIlWIIIR I,lln /lKHUI," IIll1t llnhtllt.ln.I;
Ihlll'I'III' Uti Ill' 1111' Itnt,., ot' 1I1IIIUII 11111l 'Whlllllllll niHil t\llltl 1'f1I'11! 1.1111 Inl.III'I1H\. IIf' I\lW(I(I(\ll1. I\t, l-lUI thlfl flf'
tll1nlll III Illl~- 11U"l'fllllllllr"'hlp ul' hllHIll(1HH, /lllll III tHl II I "". I ilf' Iho \'1\1111\ 01' HlIllh tl\l,lIl'l\fit UUlI'lI 1M 1l1\1t1ll(llll to
ti u III '11'111111111111 1'11111111\ I n I fl 1,11 tntllftn tH ':lhuw IIII~ tlln IIHIiI! hi II III I I I nil 1111 i (1M ,ill" H 11111 11I1~P/(I' 1,1l1l1'Hh I Ii /I I' IHHIIIIlIHH,
,\ "(Ill,\' Ill' 11\11 t111-I'III'll\fll'Hh11' ftl~I'lttllllllllt., (If' 1I1'f1I, 1\ HI 111.1111"'111 HltltllH~ 1'1l1'lh tho IInllll"1 of' Ihlt 1"~I'l'l'llIfllIl)
11H'1'11t"1' \lltll It ~jtnl.(\1Il111l1 f!lilI 11I,r, 1'111'1-11 1111' 011111'111\1,111' fll' Ulll hOMIlIlIHll1 11M 101'1,1,11111, lillll HI III 11 "Ihlll' I'IlI'IH
\l1'1",II,ll"!, III tl\il 11I1HIIIHHH!lH IlIn~' hn 1"11'llllfllll 1,11 111'1\11' ,.wl .II1HI 1I1'1'1'IIIHlll FIr 11111 dllowlo"I'H IlIlllI'lIHI
111111'1,111 Idl'illll'HlIhllllltllllt 11 ..llIllIld uhlll twt l'ul't-1I III Ilflmlt',lld 1'111'11I, l-oW'l-Ill\I' with l.hfl f"III' lllltPl;1l1 \'1I11111
1111'1'1'''!'1 J\Il~' lll.hll\' Pl'"II1II'I~. OWlllIll HI' 1111'1"11111111'11 hy Ihl! dlll'l'lllIlll III I.h.. 11mI'llI' dllllllll
Thl' '.r'I'f'r1t/hJ (' Ilt,IlIld1fHI "nl'llt.o 111111 itl/llln 1'111''- 11111'11111' "'111H f'III'I-1I It ITlIII IUIHWlq' III 11/1011 IIIIIIIII',\'
1'11111111111'11 lli"l'pllI hlll,lllltIIH, I!lIHIIOI'I.I"II1HI'IlI'HIlI'I'I'uJlI'I'I.\'1 l'tlHI III' plll'HI1II1II, wltlllll tWlI ~'tllIl'li ul' Ihtllilttllllll!i
111111 ,t h, 111 I'CJIlII'III}l t nit 011 01' ill1lll\tlf'III' Ii Ih'H HI, 01' 1111.. 1I1111t1 III t ,1\,,, ,,1'1'1'l1l. III V"HHl!tlH loll 01' llll,\ UYllllllll. ,11 Ill'
111'11'1' l\llHlllt ~IIIIII Hltllfttllllfl Hlltf! "nl'I,1I Ulll 1I1I1,IIt'll /Illd \'1111111 fill Hllnll I'1'lllll'l'ty, In W1UIlII t.I'IlIlHI'lll'I'llll, Ihn
I'll 1 nl, IlIlIhlll pol' t.1ll! I.I'lIll1'il'1l1'1l0H t.o 11Il! fll1l!ItI\l!lIl,t 11'11 pl'O)lIlI' t.l (11111 1.1' ",!tIlI'11 l'fll'I'1 vl,d h~' tt/lnh 1,I'HIIH 1'1' 1'/111 hllll
III I ulllI'l' I'lllqH ot' 1\ P"I'I.llIlllIl. IlnWI'll l'flJ~I'rfllllJ!, 'Utl" 1,1'IIIIHf'lll'H. III I,!ill f!llHII 111' l-1'II11Hl'llf'tl tl11,lllldll,1 III
tl\kf' pl'l'nnl- 111 )lOMHlIHHtllll Ill' nl1,lfl~'tnllll!. lit. III' IlI'I tt I' dUIII,It, !.!lIII'lJ IH ll'~1I 1l1,1,IIl,tllltl 1.11 1,!llI HollI!lllllll II l'lIll~
of' tIll' 1101HI, (1'\lMI, lt~I'(II!Illl1l1l. nl' II l-Itll I' IIIHI,I'lIlllll11l, 11I'l'llt.11I'~ l.llIt 1,rl1HI.I 'I'hlll'll IH 111 'in AnI. f'tll'III III Hltllt
H(1\ll'tllll,. II 11 Ii I nf' II t I 1'1'111101' q'. 1'1'/11 ""11 IHII'HflllIIl, wil.li I I.H V/llllII, wllll\lI !lnull'A II t, d\\f\flllnlll' H filtH 1.11 h~'
Vtl'l\ll' \II' Ihl' nl<tlI'oIHll hy dOI\fltlllllt, tlll,hlll' 1IlIIIvldllHII,\'1 tll'.Iullltl~' .....11.11 1\11111.111'1', Ill' /lIlY JlIIWOI' of' ul'pollll-
JllIlllt. vIIHtlllllllllnonclont., fll!.III1I' 11ll1Ivldllllll~' Ill' .l(JI"II~', lt~'11I1l \'0'111. dllll/lt fll' 0(,\1(11' IllHI-rlll1\llllt. of' 1\110111'"'1
with 1\ ('OilY lit' 1,1111 hlHt.rUllll'lIt. I1I'll/\t.lIl~ Ml1flh pnwlII' 1lt.t,llllhIHI 1.0 I,hll HlIIlollllllt.
'I'11I1t. Sch(lt!fl/p 0 1It.t.IH'hHlI llUI'lll.O 111111 1Ii/1l11l PltI't. hltl'llId' ,.,nt.H I'ol'l.h lhl1 1I11111f\H IlI1fI Ilf\tlrI1HHf1H nt' 1111
)lI'l'HIII!!-; \'Pl1lll'ltllnlly IlIt.lll'I1Ht.flll 111 !.lItH IIHIIII,1\ lit. UlII Ilmll Ill' IIp!\lldj'III.'H df1I1I,Il, I.lII1 llltt.l1l'll HI' t.llnll' I'UH-
IIl'pltyl' Int.I'I'HHI,f1, thull' rnlllt.loIlHltll', tf' HIIY. t.n t.lttl ilflllllll11Ilt., l,lIgttlllf1r with t.llt1 ngoli flt, !'lip tlmll Ill'
11(lI'I'fllllll.'~ Ilnllt.h nf' 1111 mlnorH, l\nl1l1lt/lIlt.H n1l11 ""l1tll'IIlIIlI'111~1 l'nl' 111'fl IlIlftfl\' 11Il0IHlflllt.'H Wtlll tt. ulslI
('fJlll.lllll!i II Hl,nt.flmnnt, HltnW'InJl, whtolt (If' t.hn hlll\nl'lnll\l'llIt\ 111111\11(1 In 1,110 Ihll'fllIllllliH wrllt It' lillY, Illlll' \,1'1111'
to 1101",111\111" l.1w illltftf; 01' t.hnlr dftn!.h1 Ulf'll' IHHtlH, Hwl t_hn l'flllll,I""Hllll' lit' HlInll tHHIIl! t.o tho hllllflf'111lHI'YI
'flint. S.:llrd~"f' F 1lt.t.I\ohnd 1'\01'111.0 /Ill" nJ/uln 1\ pHI'1 111\1'11111' Hlltfi l'ol'UI III I 1'I'1I11lJ1't.~'l l'fHt! nllll pOI....
Hnnn1, oy,'llllfl h~' t.llo c1fl(WIlnllt, ,1(lil1l.ly wll.h I\1Wt.lH't' or III.hot'H, .llInlllilIIH~ II1I_l1lI~\lllll" Ht.1l11lItllJ.( 111 t.hn IIlImO
of' 1.11.) tlnnndl1ld. 111111 Ilt.lWt'H, pl\lH thn IIHtn nllll p11l0n 01' rtllHll'll nl' 11IHt.I'tllllfllltH II.'I'H(1I,11\11; t.ho \fHott.ll,lII'" of'
ron1 l!ti(.III.I\ /11\11 t.lll' dnt.r> Ill' 1LOIIHlnlt.lllll ot' JI"I'HflUII\I-,\', Jl'lw., t.ho 1I11111n1 'llcllll'OHH /11111 ,'"11l1,hlt\Hltll1t 11' flllY,
nf Cfl-nWlltll'f! I.n !.hn IInoolhmt..
'1'1111 t, Sc/1pdlJ Ip r 11 tI,f\ohml hnt'ot.n nllil mUlln II ptlt't. 11l1l'nll I' Hol.R l'ol'f,lI 1'1111 y /lwl III 11f! 1./1 I 1 nil i\Il" tf't
1lJ\(llltJlhlt1t.lnnM olnlmlHt rllt' Hll(1 nl\ hnhnl f' 01' t.hls t1floflrlnllt,IH Ot-l 1.11 l-lI, 11Iell1fl\1I'~ 1'lIlIlll',\1 f)l(pfl1t~WH pllllll
1'lImil.\' llXflmpUntl, whol:o ll!lPl tnuhlnl f111HI.f1 or IlfilllllllHtl'lll.loll 01' t.lllfI f'Hllltnl IHlIlIHWl l'mHi 111111 lilllll't/l,,~,1 '"i
110rnll!lHHlol\II l"dlt or t,ll 1>0 11/\111; ell!;t Ilxpnnllllrl fill' l)lll'lnl 11'ItHtAt l.nlll!lHl.(llltIH Ill' ~1'Il\,nllllll'kol'R, /tllll rill I"
p;toUH HI1t'vloOR. III (}OllHoljllflllcn 01' 1.111\ Ilnll!.ll IIf' !.Illl Ilonllllnllt.1 111I\ll,H 111111 (JlttlIllH OWlllJ,!; Hill 1 tlll)!HIII Itl, l.tmo lit'
IIonUlI 1.f1~llfl IHllll'lIlHl cl1HI'Ronhltl for Illll'lflll 1'1' I lit' t.o 11nollllflllll H Ihlnth (l1)(nopl. thORn Il110Wftcl IIntlnl' Hnl't.lnll
ntH fit' t.ho tuhol'ltnnnn 1\1111 HA1.I11,1l 'rill( Aol.)1 t.oglll.hnl' with II HI,IlI.nlll(lnl, Ill' l\ollnl_f11'1l1 p1lJlll1,IHI l'tH' uhlig""
tlllllR, If' lIlIY. 11,11'1 1IJl,I'IHHI t.hlll. 1.11" l'I(ll1f1tRl'~' will JlI'll~H'IIt. \,1'1101' OI',Hlllfl tdllITlI'1l1 nhtll\llt.lol\!i \IpOll I'll"
qllt""t., t,hnt If' t.ho nmolllll. Hl!t.1I1l1Iy pullt III f1flt,t1nlllf1l1l, Ilf' /IllY "!l(lt IltllllllllHHloTl 01' doh!. tR InHR t.hll1l UIII
flHttl1Hd,l'il "lHll1l1lt tllHIIIIII1~ Hnil nllllwlI(l, 1.111\1. t.hl! HIIIIlII wttl tlll l'IlJ111I'l.llil to thn 1\1l~1st.111' ilf'WIIIH, Hllll t.llul.
I.llp. lllllfl\Ult 01' tllX IIHR(1RHIlII (\1111 1m l'IlIlHHIlHHIl" III Ilnt~IJI'IIHIII~" t.hOI'llwl tilt
Thill tho tnl/\lR or tllO 1I11prnprlnl.o 11111111111114 III HI'llf11hIIIlH "A"l "II", "e", "g"t nnl\ "i"" 11M Itl,'ont.lHt Ulornll1,
hllV!! h(J(In o/lrt'lt'H\ j'nrwnrll (\1'111 t1rnpnt'ly l'llJJ;IMl.nl'fHI III t.hn filllUlIlHl'YI
Subacrl\x1d and aWOl'n to before me thla iL
d,~,l.:\.l> ""yof SeptElmbev .....111,,1\l~_~~*~~...(..,'"''
>d)~()l C~ I-,~"- n "\Cllllv (k kcl..... O/OWm,A",J\:ramer,2nr:'~qUive..
M~RLENE MARHEVKA, Not.lv P.bllc (Sf.reet Numbor)
(.,lill., {umbollond {ountv, Po, One .Irvil}EJ.J3.9\'L,,, "QElJ'+J.G..1EJ~. l.',<l,.,....:\.7 013
Mv COlllllllulon bpi'" In \ 'II~,~ (City 01' Town and State)
SOTI'", "1,1'111'" 'i1~lltll~ 1l1'f'tlll\vl t lli/lkl1 HIII'n nil 11111111\ 1i1'1l1l1lH III tl111 nf'f'ltlllvlf. flllll Hllllilfhltf'l,", HlIl\l!Xml 111'0
l'lllt;rl III wllh tlnt,lIllH or t.htt wol'll "NIlIlU", HIlII '" IlItHll Ihl) IIMH!'I,,,; Illlllllrll1 I'/tl'l! ,tllll \I111tHI.I1(1 HIJl~llrtl.lflH,
'illl'III'lt IOf! fit' nlnHn nr l'IlIllII~' (~III'PIlI'IIII11ll'" Ill' IHI 1111"1'111;1 III Illl~' Pfl-PIlI't.llI'I'lildp Ill' h,llHlllHHK, t,!tut. !-Illl
IIHIIl tUltI HIllllll\1llnl.H l'"qllll'1'11 111111111' t,lIn l"I1'Il~~I'lIph Il!lUVIl I'I11111,11IJ-', III !'iuhwhlln ""n HI'11 III,t.lIl1ll11ll. ,\IJoIll Itllll,,,
l'''I'lnlll Ulnt 111111111111 tl1 111 t.1Il! liHllt1lnHI'~'" hUH IIIlPII pl'(ipfll'I~' ollmpl,'I.llll IIH Ilhll\'tl-dl-rlll!t.IHII
" Ree -3i\
1 tom
Nth
1.
2,
3,
4,
5,
cmrMONWJi:lIlll'lI OF PI':NNSY1,y,\NI II
'l'I\ANB1'lm INlllml'l'ANCl>: TAX
*'
11I':H 11l1~N'I' IlIWIWFN'J'
!'ielllWIJLI'~ "ll"
l'!!:IIHONAL Pl\lll'lm'J'Y
ISHl'H1JCTIONHI '1'111" Hnhodlllo IIIllfit 1I1KolnHo Ill1 t,nnglhlo IUlll IntRngthln 1101'"OIH\1 l'rnptlrty ownod 11l111\'lduBlly
hy tho lIonnltllnt. nt. tho t,trnu fir IIIH dnnUh Proport.)' nWl\n!t hy Uw tlnoodunt. .Intlltl'1 with anothor or othors
mllHt. ht! 1 Ahl,od 11I\1101' HuhOltulu "g". lntllllgthlu JlOI'HUllnl 11I'tl1H1rty, tHlud III Lho nllmO ur tllo rlooo(lunt, uut
I'u)'nhlu nt, lluuth t.o ItI\ol,II"I- nt' nt.hnrHI IlIul\lCtlnK hut Hot, ltmll-utl t,o p.O.Il, tl. Ht Hnvlnp;fI lInndY Aud t.unta...
t Ivo trllllt. IHHlU\ll1h, IIIUHt hn Ilftt,flll, "I'HJlttu t.hu {'lint, t,hnl. thoy R,'n lint or tho ndmtntRtorod eHtfLt.fJl
1'unp;lhln IHJr"UlIlll prnplt1'l,y f11101l1d hn IIRtnc' fll'HI. (u,g. .Iownll'y, wotlrlng nppl~rtll, hOlltlohnld
nlHHIR, null f'urlll.hltt~fI, hunkH, pf\lntlll~H, 1I11l,lJlllllhtluH, huutfl, ot.o.)
lllt.nllKlhlo IHlrHntH'1 I'rnport,y, H\lull ,ut lHllllIH, t.1'lllUtlll'Y uUI't,U'lol\t,nH, OfiRh on hRllIl and 1n hauk,
HtonkH, Innl'tl~I\p':UH, not.o", t,n~ot,lInr wlU, nlHll'lIfHl Int,lll'UHt. fll' 11lvtr1nndfl, ItnlnrlflH ur wnnns, IIlRUratlOO }lfty"
IIh10 In !'hft IlNt.nt.o nt' f'tfhlt\Jf~ry In Hldlt 1II\pl\1lIt.y, pnl'tHol'Hllil1 IIlt.nroRt,H, Illtor~8t in unyullclist.r1\J\Il.od
oRlnt,n (If' or Illuunlo f'l'um uny 11l'nlJfll't.~. lintel tn t.rtlHt. llIutor t.IlO will nl' ngl'(lomt-tlt, of another, ovon t.hough
lllnUtlhl out.Rllln ul' t,llfl Ht.nt-u,' nt, tilt! t.tlllfl of' rlnnt,ll, HhlHllil hn liNt-lilt III t.1i'la Rohodulu.
1'1'1':11
J.IHt. 11I111 dt.HIlt'lhn '\111y
IIN 11' (CS1'IlIA'rlm
VAJ.lJl>: MAIlKl.:r VAWg
llI>J'AIlTlmNT V.u,UATION
(J1o not wrHe In
thlo speoo)
Misoellaneous personal property $ 250.00
Checking account No, 182-812604-3,
Commonwealth National Bank, Carlisle, Pa,
SOP attached letter 14,502,26
19'(4 Chevrolet Cheyene, vehiole I, D, II
CCVlljll5l56105, Black Book value
,
.,
3,150.00
,
4 shs, Birch Cabin Hunting Club; See
attaohed letter
400,00
Carlisle Fish and Game Association,
Carlisle, Pa" charter membership; See
attached letter
25,00
"
6,
2000 shs, Pennsylvania Power & Light
Company, cOl11l11on; See attached let ter
19,50 39,000,00
'(
7,
Dividend on Item No, 6 declared May 23,
payable on July 1 to holders of record
on June 8; 51~ per share
1,020.00' )(
8,
800 shs,
Company,
letter
Pennsylvania Power & Light
$B,70 preferred; See attached
64,950,00 ./)(
5.....
81.18
9, Dividend on Item No, 8 deolared May 23,
payable on July 1, to holders of record
on June B; $2,175 per share
1,7110,00'-- Y
5,037,50""'- x:
400.00 ~
2411,53 rY
<I.
1,169,67 (
X
1192,01
10, 200 sh. Pennsylvania Power & Light Compan, ,
$8.00preferredj See attached letter. 5,187
11. Dividend on Item No, 10, deolared May 23,
payable on July 1 to holders of reoord
on June 8; $2,00 per share
12,
13,
1 I/,
1"
J,
16,
Amp Incorporated, uncashed paycheck No,
676809, dated 05,18,79
Amp Incorporated, uncBshed paycheck No,
6B6063, dated 05,25,79
Amp Incorporated, Harrisburg, Pa, check
No. 727639, accumulated vacation pay
Amp Incorporated, disability benefit
Amp Incorporated, disability benefit
--~
z' '..,
~ ..~ ..
~J:d
~-
'1l.e
. S,
tl~~
pt:
~n!
!ilJM~I^HY
(~oll;"^")
. (Soli, "1\")
. (8011,"0")
..(S(lllE)
1\<01111'1'1\1)(11.11',,,..,,.........
1','rsol1nl I'ro\l"l'ty
'J'rIllIsfllfH
Jointly OWl1ed 1'l:'!,p'el;'~Y
Grnss. 'I'1I~nhk, I~Allllo
, .
".
, .
(II
(^. l\l!porh'lIl
$ -o~
$153.359.20
$ -0.-
$ -0-
$
U53. 359,20
(;1 i '
(..\.. 11""'1101111'111
$
$
$
$
$
$
~ ~ ) . ~
- ~ ~ .~
;... ~ 1
I ~ 'tl
re ~ ~ 'ij ~
~ ~ l!-t t ~ ~
~ .~~ ~ H 1 F.! ~
ci ~ ~ ~ ,.~ . ~ ~ ~
", t-=l ~ ~
-'-- I,;, 1 '~ lie
0 il
~ 'tl ~
,$ ~ ~ '] ,. .
g ~ ! ell
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H\oV.4!i1 (ll.7f\}
I1UI',~RTMENT OF IIEVENUf.
IlUIIEAU or rlELD OHRATIONS
p,o, (10)( 2U70
IIM1I1Ir.1llHlG, I'ENNA, 1110r.
COMMONWEAL TH OF PENNS'II.VANIA
HESIDENT INHEHITANCE TAX
APpn^ISEME~IT
OA11 _ I; p(tl"nmh"",'l"'l , 07 Q
f:[HJNTy.-.Lumbel"lllno_._
11;1 ",,, _.2.l.:...'L9.",Q!!..QJL'd'___
Whoroan, Kenneth r.. ShAaffel" 100t,) o[ Mid_~.!!1< Twp.
in tho County of Cumberland __ COl11ll1ol1wo"lth or l'clln::\'lv"nin, h ill' if HI di",J ,,"
tho "11th dilyof ,lune 19..!2.,::oizodandponso,ml'doranl",I.\I"
GubJoct to Inhoritanco Tax undor tho laws of tho COll1l11onwoallh 01' l'nnnsylvo1nia;
Thereforo,l, SandI'8 8'tone I ,H\ appr"lh:or dld~l nppointnd ,1ccordjnq 1<) 1,1"',',
having boon dosignfltod to mako a fair and cOilScionablo ap!'>l'f1iHOmont or tho !laid ",'Iiltl', i1l\dle< ",."c"" i1lld Ii" 1111' c,\I:1i
valuo of all annuities and Iifo ostates growing out of !laid or:tato, horoby filo tho following apprniso!nont:
In Ihll OVllnt 1IH1I ilny futurlllnl(jfo\llll In I' uHillo Is lriln,fo(lll{jln IH1'~IlUlon Ilf ullj"yrnunlln t\tll<'Ill,r"llwirS (>! II'" (lIILllt'llllt ,j!l," Ill!! IJ..II(I,lll1"i
or /lny ollato for Ilfo or for YO''HSI tho Cnll\lllonwOlIllll hUltlhy OKI}(CtUly ro,orVOl Illu rlot,1 \0 illHlrl\l'lI lltld <1Hll\!. Ir"''''"1 (nllar!l/lrlCI' lil)<;I' ill IlHllilWlltl t~olt.\l;I."
'<llu nrl .tiny tucll futuro InlolllU
urscfllPlIOH or l\!j!.11 Ill'll,!. l\i)i'iI:;rr~~
V/\LU(:fi Mi\{IO Illf Itllj"'i!,\ll1C\
lMt flur iH;""~
$ --
06 D' l:',t.a+o"", ..
- -
P""''r''lltl:nntlll PTlnpA"''''Y --- ^^
'W
Transferll None ..,---
T..' _~T , u___
--
'T'n+n.l ".- ."- ...2.0.-
- .--
.--
- -
,
-- -
- --
-
- . ... --
-- ..-1
-- ----,-,
- ...1-.--l
-
Havo boon d,ulY sworn according to lawd I do hereby certify t.hat tho above appraiBomol1t iB n)ado In confo/".,itv
with the law on lhis 5th ayof Deoemher, ~ '7 19 -, ' .
,~) rJJ) ,il'-' ; LJ ii; i J ____
/\pP,.",
(Nl"""l" ,1",j ',III'vlI
I1hl/. ___
------
:"'(:;j;'-I
j I'll ~ I ()!!" II
r"'f'l Ill' ('-1(1
llltJUCTIONb AlLOWtl) IN
OFf'lell 0' THK
'''''OIRTEA 0' Wit,,",
',/ i r;
STATEMENT OF DEBTS
AND DEDUCTIONS
, 111(I,n, (il;
TIlE blJM (If
o' .--.9.l!lllb Q.I:lmll._.__ OOUNTY
"'NO "'OF-NT Or' TH_ COMMONW....LTtt
"~I C r I" I (I I, I,"~
DATE APpnOvtt) ,1\./".
(1/ l, I '", j
,_ l' I'-I! J ;,' L\" \, \1 _f' _Il) t
1\ ,\ ,legU", 01 Willi, Agull
"j(' I;
D"H
{)(;
06
06
06
06
06
06
06
09
17
1
l'
l'
ALLOW NCE~ :
/
,(, <'
"
ESTATE OP _lU:NNE'.I'11 JJJ1!l1~Ali'1"E1L cATO o...J:'l.1..\.lUI,'""x '1'n\<mi1hlp
~, ') ') II ',I "'( <)
r.~n D'TI O. D,'TH l Ulll) f.. I .:1__
O"'TI: 0' PILING A..",.AIIIIMINT '" r '"
Nn '" NAMt O. .."Y I' " nlMARKI
"'<JUCHIi~
~:honrr()p 11nnd 1 y (lXClIllP1' -lnn
Blohurd I~ , Andol'IJOIl Ho ,I', Ln t~ tOl'!"
IUoharocl E. A ndrors on flo '. Bond
JUehard F AncloPfHHl I HOft t ') , tlce'
"
Ooor,osl I/lowel's r,'ullf'pal n )1'[1
AMOUNT
')
(.
Hof'f' l'
];NA Illsupanco
Unl ted ~'e
PonnDO'P
(]
o Co )
'r:l.tle transfor
P. P. & L. Co.
Acoount
James D. McCoy. tax eol
Morrison's Oil Servico
Law Jo p \1
<
27
Evenin Sentinel
Lettors
07
10
0'(
11
11
hono
Ac count,
Masland Associates Inc.
Pa. De t. of flevenue
Internal Revenue Sorvice
!,pl'son
Tiled0!' ]
Om. A. Kra 01' 2nd
Att:ol'nn I fJ f'po
c}os:ln eostn
}..,
llAYL.E K.
COMMONWEALTH op PENNSYLVANIA
COUNTY OF Cumberland
'.H
IWO"N AND IU.'C"II'UiD B.'O'U: MI THII . - I
~cptClllll.Ql'. ".J:.L.
.....J ). \ ( '. I , , ,,( ,I \"1' Li , ", f"
MlRLl:Nf, MARHEVKA, Nolory P.bllc
(OIlhll:, (umborland County Po
Mv (ol"mll1lo11 Ekph.. ' 'i ;':.
INFORMATION
To Inlure proper oredlt 10 your' eooounl, Ih. nemu of Ih. .slnl. end fllo number Ihould b. .Ioarly prlnl.
. ed on lhe oheok or money ordor,' ,
Thll oaneeamanl Is modo In oooordanoo wl1l1 Boollon 706 of lha Inhorl1anoo end ellolo To~ AOI of
1981 (72 P,S. 9 2486-7081,
To Ihe e~lenl Ihol In her llano. 10. Is pold wllhln Ihroe (3) monlhl oftor Ih. dOOlh of Iho dooedenl, I
dllOOUnl of flvo (5) poroonllo ol1owod 172 f,B, fi 2466.7101,
Inhorllonoo ro., olher 1I10n la. on . ""uro Inlor.'I, Is lfu" ollho dolt) of Iho deood.nl's doalh ond booomu
dollnquonl at Iho o.pl,ollon of nino (91 moolhs afto, Iho dooudon!', daoll, 172 P.B, 9 2466.711). Inhorl1on.o
Ta. on a fUluro Inlo,osl II poyoblo wl1111n Ihroo (3) monlh. nftol Iho Ironsfor takes off 001 In P08808llon Ind
enjoymenl ond II dollnquonllhorollfto, 172 P,B. fi 2406.712), Colnulolo Inlorosl f,om Iho dollnquonl dllO ehown
on Iho fooo of Ihlo form 10 Iho dOlO of aOlUol poymonl ullng Iho following Intorost tablo:
----...--..-..-- --- -----..... --'...-- ....- - -- - ---- --,..--.... -....- -... -....... -......... --,.. ----.............-.......... --.,...-
1 month ,005 4 monlhl ,020 7 monlhs .036 10 monthl ,050
2 monthl .010 5 monlho .026 R months ,040 11 mOnthl ,055
3 months ,015 o monthl ,030 9 monlhs ,046 12 'monll11 ,000
1 dOYI .00017 11 dOYO .00180 21 dove ,00362
2 dOYI ,00034 12 dove .00203 22 dove ,00309
3 dOYI ,00051 13 dlYs ,00220 23 dSYI ,00396
4 dOYI ,00009 14 dsy'1 .00237 24 dO\'1 ,00403
5 day. ,00065 16 day. .00250 25 dOYI ,00420
o dOYB ,00101 10 daYI .00207 25 dlYI ,00437
7 dOYI ,00116 17 daYI .00264 27 days ,00464
6 dOYI ,00135 16 cloys ',00301 28 daYI .00471
9 days .00152 10 days .00318 20 dOYI .00468
10 doys ,00169 20 day. ,00336 30 daYI ,00600
-- --- --..,--------_.._----~... -,'" -...- ....-- .....- - - --- --... ---,-- -- -.... -.., -.....------ --- .....
Any 'poity In Inloroll, Inoludlng lho Commonwonllh and lhs psrsonol rap,osonlallvo, not 8011.flod with
tho ononmonl in~y obJool Ihorolo within II.ty 100) dnys nftor rooolpl of lhll Nolloo ns provldod by Soollon
1001 uf,thO InhorltoMe .~r1d EIIOlo Tax Ao! of 1061,(72 f.S, 9 2466.1001).
Mako oheok or mOl1oy order.payablo to:
"Reglstor of Wills, Agent"
Mall to the address listed balow:
lNFORMA'tIQt)I
To Inauro proper orod!t to your ooollunl, Iho I\omo of tho 08lalo and fllo numbor ahould bo oloorly, print.
8d on Ihe oheck or money order,
Thla ollollmenl I. modo In acoordonoo wllh 80cllon 709 of Iho Int,erllenco and e.IO!O Tax Aot of
. 1991 (72 P.B. ~ 2495.7091,
To the eXlent that Inheritanoo lox I. "old wllhln Ihroo (3) monlha lIitll Iho dOOlh of tho docodonl, a
dl.count of flvo (61 poroont I. ollowod (72 P.B, ~ 24B6.71 B),
Inhorltonoo Tox. olho, thol\ lax on 0 fUluro Inloroal, I. duo lit tho dalo ollho dooodolll'. doolh and bocomo.
dollnquont 01 tho oxplrollon of nino (0) monlh. olio, tho dooodonl'. dOlllh (72 P.B. ~ 24B6. 711 I. Inho,lIonco
Tox on 0 fulUro Inloro.1 I. poyoblo wllhln throo (31 mOlllh. uftor Iho \ron.for lokos uff.cl In p088.lIlon and
enJovmont ond la dollnquonllherooll., 172 P.S, fi 2496-7121. C.loul.IO Intor..1 from Iho d.llnquonl dolo ahown
on Ih. f.oe ollhl. form 10 the d.lo of OCluol poymonlu.lng Iho following Inlo,oollOblo:
...------.......-- ..-........--..... -------......- --... ................~ - --......... ""'--" - -< --.... ..-..... -- .*----- -- --......... --...-
1 month ,006 4 monlh. ,020 7 monlh. ,036 10 mOntha .060
2 month. ,010 6 month. ,026 9 monlhs .040 1 1 monlh. ,065
3 montha ,016 6 monlhs .D30 o monlh. ,046 12 monlh. ,OBO
1 daya .00017 11 day. ,00186 21 d.y. .00362
2 daya ,00034 12 dav. .00203 22 dovo ,00369
3 day. ,00061 13 dova ,00220 23 day. ,00396
4 daya ,00088 14 daV. ,00237 24 daVa .00403
6 doya ,00096 16 "ovo .00250 26 dove ,00420
8 daya ,00101 18 dove ,00267 26 dav. ,00437
7 daya .00118 17 dove ,00284 27 doy. ,00464
8 day. .00136 1 Q d.VI ,00301 2.8 d.V. .00471
9 daya ,00162 19 (jay. ,00319 29 dove ,00498
10 day. ,00169 20 dovo ,00336 30 dove .00600
__.___ ______ ___...____..... _........... -r--" - --- -- - - - - -- --... --_.---- -... -... -....-----.. ---....-
,~nv parlV In Int.r..I, InoludlnO Iho Commonwooith .nd tho poraonel ropro.ontellvo, nol 8011.llod with
Ihe al.o88lnenl movobjoot Ihorolo wllhln .lxlV 160) dovo alter rooolpl of Ihl. Nolloe o. provldod bV Seollon
1001 of the Inheritance end eltalO To. AOI of 1961(72 P.B, fi 2486.10011,
'Make oheok or money order payablo 10:
"Roglster of Wills, Agent"
Mall to the address listed below:
~:'J;:;;:C:::::~:E~~E~:::~.TATE-T':~*~,
1\=,,,,,",.,,"'"='=='"='" .....--..' "'.~'"
; RECEIVED ..__'!!'...."':.~~...=-.~~.........~-...~~V&ftY...l'lVJl
II
,
~
II
~ FiI. No..-1l~'-404 _Dol. 01 Doolh..I".l4-lt.7J.. 1~lk lox on S
F"",,, --.- "1.-~t~lf:;:h.~;:~l"f.lI'
Add, .,, ._l__xniDL.JIaIf___._..._._.
..._.~~rll..1~ .._!........._! 70~J__
Dot~ of PClymonl
....--r l'L..ll1.l________._
Nc"". 01 Docedonl ~~ L. .~~~.........__
County
c'--rlan4
R8rnCHkI:
".AID OM AaCOUft-
lJrn~[?[L~@[~'D'~ SEAL
NOTE: Thl, Trlpllol'l Receipt to be retained for ludh plllpO....
BUIIDJUID..,DOLLA.II'!':"~~-~--_...-------!!'!.~ dollar.
I opro$onllng Ponruylvanla Inhorltance or
Ello'e Tox duo Irom Ihe following OIlole:
---------_._.~-..-.-,-_..--.,~----_......__.~---_._~
2'/\ To)( on
S
S
6 (n, 10)( on
S
$
$
C;l, Tu~ on S $
E.I"I. lox, Acl of
May 7, 1927 $
101 AL TAX CREDIT S
l.1l five pelc.nlum of lox If
pold wllhln Ihree monlhl oftor
dole of doolh $
Plul Inl.r.11 01 Ih. role of
_~from
10 $
TOTAL AMOUNl PAID $
I
'.114.11
SM.n
00 00
Received by
NOTE: In acupllng th. "under l,,~.tllanc. 10. (In lulur. lulnllll, prior 10 Ihe d.ath 01 Ih, III.
t,not'll or I.nonl for '1"011, Oi ,yid.nced by Ihll receipt, lilt und.tllood Ihol th. Commonwflolth Ihall
/lol b. pr,dud.d or pny.nl.d tram h.,..uft.r Cl","lrl\l additional Inhtrllon'. 10. 01 Ih. deul" 01 the
Ill. I.nonl or I.nanl lor '1'1("1 wh.n'''lr II app.ort Ihat ,v(1I oddlllonollo. may he legally due and
(oUecllbl.lllr any r'Olon wholloh.t.
I
_ ._____ _.___.._.,__._._._..__~____~ _~~ _~._ <_......,._.,. __ .~. __~u_.. __._ _... ......_ ____ ,,___. .___. ._.___ --- - --.. -.-.. ..-.- - --- _. --.-- ..-.--.......-
.,_..._~~....~~,'m'V- - I --.-- -_-_---........~ -- --.~...
:;"'iiiii:' ',' .', '.' . COMMONWEALTH OF PENNSYLVANIA
HQv,'thDj'I')'J7 DEPARTMENT OF REVENUE '
'\;'(i~NV\l"(l't'OPFICIAL REceiPT. PENNSYLVANIA INHERITANOE 'AND ESTATE TAX
1l'~)Yi\;;!.;;i:",:._ " _;".~~'o'~';'co,c~==.=,,,~..'...... , .... ...._ .,....... ." .... .... ,-...~~.,."."",,,,,~,"..~~~-.-;~~=,,,,=
i RECEIVEl}.-"""............___....-Baix.~ .WINfiEEN-".!1!1flDO- , _. . ... ___doll""
.1 ropreuin)lng Po-nn&vlvanlo Inhorltanco or
l:l blolo 10, due from Ihe following .slalo,
~ From, ~_..-Ar D...... -I-1r-Baq.. ...-.__..--~--_._._----_.
~ A~"'r'" 1 tl'V1Ae Row
r
211f T Qj( on
$
$--
~lHl.r.p"",'-110l-3---- ----~-
6'1C, 10)( r;m
$..
$
Fllu No, il-79-"04 _Dale of Dealh6-a4-3.9-19- IS'Y, 10' on $
Dolo 01 Paymenl D....b... 17. 1~19
1)1,. la, on $
eslolu 10" Act of
May 7, 1927
$
$
$ I
$ 619. 'r7
$
$-
$ 'l3.17=
Name 01 Ducodenl KlNNJll'RH L. SIIBI\.PRR---
Counly
CWll~.I'J.anlt
101 Al I AX CREDIl
le.. five percenlum of la, If
pold wllhln three monlhs ofler
dale of deolh
Plus Inleresl 01 Ihe rote 01
_%lroO\
to._____
fh,markl:
"PAID IN FULL"
lJ 00 ~ ~ [L~ @ illliT~
5 E A l
IOIAl AMOUNl PAID
NOTE: Thl, Trlpl60litl RlMlpt to b4I 'I't.lnttd to, .udh purpo..., ,...1 I
Received by ~.
NOTE: In ncnpllng Ih, 1I0nll.r l"h.,lIon'e lax: on lulure e.lnllll, prIor to Ihe dealh 01 the 11ft " " . , atv ..' v \',
I.nonl or '.nonl for V,on, 01 evldtneed by Ihll "'elpl, lilt undertlOcd thaI the Commonweollh Ihall Harold B. aLan.,- Depu y
nol be proc.lvded or prev,nled from h,reoll" oueulng oddmonal Inh,rllonee lox: ollhe death 01 Ihe Resll<\e.. e~ Kf-llB
W, lenonl or Itnonl lor yeOIl whenev., II opp.art Ihol lueh addlllonal tall may be 1'~olly due and Tit
collediblelor OflY 'IIOlon whoUoever,
I
INSTRUCTIONS
To Inaure proper orodlt to your oocount, the noma 01 tho ostuto and fila number sheuld bo
c100rly prlntod on tho check or 1110noy ardor.
This detormlnotlon and ossossmont 15 modo In uccordunco with Soctlon 421 and Soctlon 737
01 tho Inhorltonco and Estoto Tax Act of 1961, 72 P.S. 2485..421, 732.
, Tho oatoto tax imposod by Soctlon 421 Is duo ut tho duto of tho docodont'a doath but shull
nol 'oocomo dollnquont until tho oxplratlon 01 olyhtllt'n (18) 1110nths uftor clocodont's doath provldod
that any astute tax occaslonod by 0 IInol chungo In tho Fodorol rotull1 or of tho tox duo thoroon
sholl not be como dollnquont until the expiration of ana (1) 1110nth aftor tho person Ilablo to pay
tho tax rocolvos final notlco of the Increnso. Culculato Intorost from tho clollnquont dato shown
on the lace of this 10rl11 to the duto 01 puymont using tho following Intorost tublo:
-------- -- -------...---- ---- -- --.... -- ----- --- ~-- --. --, --.--.- ---......... -....-- ---- --.- -- -- -- .-.... .--.- --.-
1 month .005 4 1110nth 5 .020 7 month 5 .035 10 months .050
2 months' .010 5 months .025 8 months .040 11 months .055
3 months ,015 6 months ,030 9 months .045 12 months .060
--_.~-.._..-..."..- '"--~---..--.__._----~-
1 day .00017 11 dny s .00186 21 dllYs .U0352
2 do)'s .00034 12 days .00203 22 days .00369
3 day s .00051 13 dnys .00220 23 days .00366
4 days .00068 14 days .00237 24 days .00403
5days .00085 15 days ,00250 25 days .00420
6 days ,00101 16 days . .00267 26 day s .00437
7 days ,00118 17 daya .00284 27 days .00454
8 days .00135 18 days .00301 28 clays .00471
9 days ,00152 19 days .00318 'l!} days .00488
10 day s .00169 20 days .00335 30 days ,00500
,---------------_..._--------------~-----~..._---~-------------------------------------
Any parly In Inlorosl, Including tho Commonwoallh and tho porsohal roprosontatlvo, nol
sotlsllod with tho assossment may obloct thorolo within sixty (60) days alter receipt of this
notice aa provldod by Soctlon 1001 0/ tho Inhorltanco and Estato Tax Act 011961 (72 P.S.
fi 2485-1001)
Mako,check or manoy ordor payablo tOI
"Roglstor of Wills, Agont"
Mall to tho addross listed bolowl