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PETITION FOR PROBATE OF WILL AND LET1"E.RS TESTAMENTARY
In the Estate of .n .1<!l.t:.hertnJL J, ,.. .Clf.\rl~.
, deceased
To Richard E, Anderson, Register 01 Wills lor the County of CLHllberland,
in the Commonwealth of Pennsylvania
XISK
Petltioner(s) arc the executorfl n(Jmed in the Last Will and
d~g:~~~~i:ad~f~~:~f1grt~~" J>i~}~E\ft~t~~n8~~Y ~ 8rbjjJ~~' :tCamber...U,n,1961
Tawnship
. ~~1, Cumberland County, Commonwealth
East Pennsboro
~.__....-__._~_____._n ~__ __.....___..'
of Pennsylvania.
Decedent died on ....W..edT.\9!U\'U'_..._.... the wl1t;h.-.. .. day of
A. D. 19".79...r In the County of .C.4lJl.QQ1'JllnrJ '.
___._.!,_~n!l.s_y.l'l~n;fl..-, .' ._'" at the age of .~.;L. years,
*mt ba5 he r
Decedent has not been married and has not had children born to,mlalt
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
-1~00~9.Q;.Q.0. ,__.__...____ and of real estate to the value of
$30,000.00
.ApriL -----,
. _, State of
estate situated as
as near as can be ascertained; said real
follows ..29~.2.I1.e~.i-o!1 ~oa.~.!.. G~IUP I:l.i.l.llP~nl!.s>,ly.!!!lj:!'L.
__._.__. 'r._.'__ ~_~__~_ ".'.-.---- -.-
.-----------.-.' - --
- ___,__..__.~_....... .____._ "'--_0.. ,.._____._._.._.~~,._.
apply
Therefore, your petitloner(s) respecHull',1t~ioo for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated _,~2J,J.f2-1--._--- .~ ~....( ..~: l.;-
. . Name and address .. ...pQte..r.b.,_~S..9hwi.ers,,,V1cjLl'.r.e.aident
of Petitioner(s) N~tional Central Bank
222 Market Street
..__H,.,-r-ishl.lvB-.--PA-.-..-1-110g ,---...--'--
>: ~~t. ~ AM~-1- .
'--"--2'0-8 WaInu t-S.tr-;;e"t"-.-------
Harrisburg, PA 17108
.~.._ ___.._.._ .__.___.__ _ ._._.... .___... __.___u._._~.___~_..__________
COMMONWEALTH OF PENNSYLVANIA ~
55
COUNTY OF CUMBERLAND
Peter A. Schwiers ,Yi_c:.El.. Pres. Na tio1)aJ.pe.nf,:ra,1....B.lll1k./1J'IJ.lJie<lt.h. L.L.Allel1
d. b I' t' b' d I sworn d' t I
name In a ove app lea lon, elng u y .. __",-_",,_____ .n accor Ing 0 ow
say(s) that the statements set forth in this petition are true to the
best of ....J:he.ir.__.-- knowledge and belief. NATIONAL CENTRAL BANK
~ /
__...J?'!'!prn_~.9_-... and sLlbscribed before ~., I3y.er..f? ~~~.:'-' n~
Vice President
me, t7&i Xl~r.;"-'-- 1:'~~ ."
____ . \l..J7~QX.1L!../~ . .. .
Richard E, Anderson, Register
_.)l;..~.,/)~=..-~~~
Heath L. Allen
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Filed;
July 9, 1979
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Attorney: Heath L. Allen
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J.M!T WILL IlND TESTAMENT OF
KATHERINE L. CLARK
I, KATHERINE L. CLARK, of 2912 Merion Road, Camp Hill,
Cumberland County, Pennsylvania, declare this to be my Last Will
and r!'estament, hereby revoking any <1nd all Wills previously made
by me:
F'IIlSrr I It is my desire that the arrangements in connection
with my buriul shall be as simple as possible and shall be performed
at reasonable and moderate oost.
SECOND: I give to my older son, Deane David Clark, my antique
English seoretary. If my older son does not survive me, or renounoes
this bequest, I give said seoretary to my younger son, Barry Drewe
Clark.
I give to my younger son, Barry Drewe Clark, my Elizabethan
ohest. If my younger son does not survive me, or renounoes this
bequest, I give said chest to my older SOI\, Deane David Clark.
The balanoe of my tangible personal property, including auto"
mobiles, clothing and jewelry, but not including money, securities
and the like, together with any insurance policies on said tangible
personal property, I give absolutely to my Aurviving issue, per
stirpes. If no issue Burvi ve me by thirty (30) days, the sarne shall
be sold by my executor and the funds realized shall be distributed
under the residuary clause of this Will. While I hope that my sur-
viving issue will dispose of said tangible personal property in
acoordanoe with any intentions that I may have made known to them by
written memorandum, I specifioally declare that I do not intend to
create any trust, either in law or in equity, with referenoe to said
tangible personal property.
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Should my issue prove unable to agree to a division of my
tanqihle personal property, suoh division shall he QOoomplhh..d tUI
follows:
1. My exeoutor shall plaoe a value 0/\ 8ltoh iI'Dm 0/ lilY
tangihle personal property.
2. Eaoh beneficiary el\titlod to taka under this Ihm
(or the person seleoted by my exeoutor to rapt'onBnl I1110h bOI\(jfi(Jiary
under eighteen (18) years of age) ahall altol'nately noluot /11\ item,
the order of ohoioe to be determined by the ago of thu bonefio1,ary,
with. the oldest of such benefloiarie6 (or his roproaontative) to
receive first ohoice.
3. When a benefioiary (or hie represontatlve) hall
seleoted items whioh total in value his ahal's, he ahall have no fur-
ther right of seleotion. If the ohoioe of an it8m produces a total
in exoess of the value of his share, he ahall supply the ElXOeSB,
either in oash or in items, for use of the othor benefioia.1'1.es,
4. Items not seleoted shall be Bold by my exeoutor at
suoh prices and under suoh oircumstlln~'es liB it deems reasonable, and
an appropriate distribution shall be made lunong my benef'icia.ries
under this Item so that each benoHciary may reoei ve sufficient cash
in addition to the items he has ahonan to achieve his proper ahare.
5. Tangible personal property and oaah distributable to
a minor under this Item may be cU stributed to said millor personally,
or to the minor's guardian, or to nny other persons seleoted by my
exeoutor, and the receipt of said millOI', said guardian or said other
persons shall be a aomplete diaohat'qo of my executor with regard to
Buoh distribution.
THIRD: All the rest of my eatll.le, of what.soever kind and where-
soever situate, I give to my trusteo horoinafter named, IN rrRUST
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NEVERTHELESS, to invest, reinvest, mdnllge and distribute as provided
in this Item:
1. rro divide the residue into as many shares dS there
are ohildren surviving me, or deceased ohildren who hllve left isslle
surviving me. In making suoh division, my trustee shall take into
aooount any obligation owed to me at my death by my younger son,
Barry Drewe Clark, or his estate, and shall reduce his share or the
share of his issue, by the amount necessary to satisfy said obliga~
tion. If I have made other loans to my children or to my issue,
said loans shall be satisfied in a similar manner by appropriate
reduotions of the shares involved.
2. With regard to each ohild who survives me, my trustee
shall pay the net income from said child's share to said child in
quarterly installments. In the event that the net inoome is not
suffioient, in the sole judgment and disoretion of my trustee, oon~
sidering the other resources, abilities, and earning capacities of
said ohild, to provide for the oomfortable support and maintenance of
said child or to meet extraordinary expenses in oonnection with ill~
ness or inoapaoity, then my trustee is authorized and empowered to
pay to said ohild, without the intervention of a guardidn or oom~
mittee, at any time, or from time to time, portions of prinoipal
(other than stook in Harrisburg Cold Storage Co., Ino,) sufficient
to meet such requirements as are not oovered by net inoome. It is
not my intention to insulate any child of mine from the necessity of
working for a living if he or she is able to do so,
Eaoh ohild who Burvives me shall have the power to appoint
prinoipal held in trust/ free and olear of the provisions and condi~
tions of said trust by d Last Will and Testament, through express
referenoe to this power/ but only to or among the issue of said ohild
or to or among my issue. In default of any such appointment, or to
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the extent that suoh an appointment hdO not been validly exeroioed,
the assets held in trust shall then be paid, trdlll:lferred and dio-
tributed to the surviving ioBue of Bdid ohild, per stirpes, or if'
no suoh issue BurviveB, to my isaue, per stirpes, or, if no such
issue Burvives, to my sister, Mrs. Wayne Vogelsong of South Enold,
Pennsylvania, or. her issue, and my nieoe, Mrs. Roy Burns of New
Cumberland, Pennaylvania, or her issue.
Any trust or portion of a trust oreated under this Will
whioh becomes distributable to a perBon under the age of thirty (30)
years, shall nevertheless be held in trust by my trustee until said
beneficiary reaches the age of thirty (30) years, subjeot only to
the perpetuities olause hereinafter contained, with the same powerB
of invasion as hereinafter set forth in Item 1'I-IIRD, Paragraph 3,
3. With regard to the surviving issue of a deoeased ohild,
my trustee shall pay the net inoome from eaoh suoh issue's portion,
to or on issue's behalf of the benefioiary in quarterly installments.
Eaoh portion Bhal! be held in trust until the benefioiary reaohes the
age of thirty (30) years, at whioh time the trust assets shall be
distributed absolutely to the benefioiary. In the event that the
net inoome is not suffioient, in the sole judgment and disoretion of
my trustee, considering the other resources, abilities, dnd earning
oapaoities of said benefioiary, to provide for the comfortable sup-
port and maintenance of said beneficiary, to provide for the eduoa-
tion of Baid beneficiary, or to meet extraordinary expenses in oonnec-
tion with illness or inoapaoity, then my truatee is authorized and
empowered to pay to or on behalf of said benefioiary, without the
intervention of a guardian or oommi ttee, at any time, or from time to
time, principal (other than stoak in Harrisburg Cold storage Co.,
Ino,) sufficient to meet such requirements as are not. oovered by net
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inoome. In tho lJVel\t of a death of <.l benofioitu'y prior to reaohinq
the age of thirty (30) yeaI's, tho trus t ttr.HJeta allall be distributeu
to his issue, or, if no suoh isalle surviveo, to the issue of the
deoeased ohild of mine involved, or, if no sllch ioaue aurvivea, to
my iaaue, Ol', if no aucll isoue survives, to 1I\Y siator, MI'S. Wayne
Vogelsong of South Enola, Pennsylvania, or her issue, and my niece,
Mrs. Roy Burns of New Cumberltlnd, Ponnsylvania, or her iSllue.
FOURTH: I direot that any and all inheritanoe, estate, aucoes~
slon, transfer and other death taxes that may be aasessed in oonse~
quence of my death, of whatever nature and by whatever jurisdiotion
imposed, and regardless of the nature and ownership of the property
at the time of my death on whioh the same may be assessed or imposed
or to whioh tho same may be attributed, together with any interest
and Penalties thereon, shall be oonsidp.red a part of the expense of
the administration of my estate, and aocordingly shall be paid out of
the prinoipal of my residuary estate; and my executor shall have the
absolute power in its discretion to pay the 5~ne at once, whether or
not the law under which the same are imposed permits the postpone~
ment of payment of all or part of them to a later time, However, I
am oonfident that my exeoutor will weigh carefully the advantages
of installment payments of Federal Estate rrax imposed in conneotion
with olosely held business interests.
FIFTH: I appoint Fulton National Bank of Lancaster, l,ancaster,
Pennsylvania, as my executor and trustee, and direct that it serve
without bond in any jurisdiction in ~lich it is called upon to act.
SI:lCrH: I give to my executor and trustee the following powers
during the administration and unt il the completion of the distribu~
tion of my estate, and until the termination of all trusts created
hereunder, in addition to, and not in limitation of, any authority
given it by law:
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(a) '1'0 retain any property of any Id.nd of which I may
die pOeJs9slled;
(b) Toinveet or reinvest in suoh stooke, bonds or other
property, either real or personal, as it, in its eole dieoretion,
may' deem wise, without bein\] limited to what ure known lie tIlE/gal
investments"; and to deposit and maintain, in its sole disoretion,
funds in such amounts as it deems proper in bunko of its ohoioe;
(0) To exeroise any options to subsoribQ for stooks,
bonds or other investments; and to join in any plan of lease, mort-
qaqe, oonsolidation, exohange, reorganization or foreolosure of any
oorporation in whioh my estate and trusts may hold stooks, bonds or
other seourities;
(d) To sell, transfer, oonvey, mortgage, pledge, lease or
exohange any property, real or personal, whioh at any time may form
part of my estate, for the payment of debts or taxes, or for any
purpose of administration or distr.ibution, at either publio or pri-
vate sale, for suoh prioes and upon suoh terms as it, in its sole
disoretion, may deem wise, and to exeoute and deli vel' deeds of oon-
veyanoe or transfer thereof, without any liability on the part of
the purchaser or purohasers, or anyone else dealing with it with
respeot to my said property, to see to the proper applioation of the
purohase money or prooeeds;
(e) To renew notes or debts of mine, and to borrow sums
of money, giving s\loh seourity therefor as it, in its sole disoretion,
may deem to be for the best interests of my said estate and trusts;
(f) To make settlements and oompromises OIl such terms as
it, in its sole disoretion, may deem wise, without the necessity of
obtaining any oourt approval thereof;
(g) To make distribution hereunder either in oash or in
kind, as it, in its absolute discretion, deems wise;
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(h) In ita discretion, to amortize from :I,ncome premiuma
paid for inveatmenh which are callable, or have a fixed maturity.
SEVENrj'H: I direot that my exeoutor and trustee oontinues to
conduct the bus:lnesa known as Harrisburg Cold Storage Co., Inc, I
recommend that each chHd of mine be employed by the business aa a
mambe!' of the Board of Directors, or otherwise, at a salary 01' One
J~ndred Dollars ($100.00) per month, if the finanoial security of
the business will not be jeopardized, I further recommend that, dS
long aa it oontrola the business and as long as it emplo'Ya a manager
who it believes is oompetent to manage the business, it extends to
him the opportunity to manage the business with a minimum of super-
vision over day-to-day business problems and at a compensation that
it deems appropriate under all the oircumstances.
This authorization and prior restrictions on the distribution
of atock shall not be construed to prevent my trustee from aelling
the business, either privately or publioly, or from liquidating the
buainess, if, in its ju.dgment, such course of action would be
advantageoua to the truats created hereunder. However, it is my
reoommendation that my trustee permit a minimum of two (2) years to
elapse after my death before sale to avoid the distreased price that
often is obtained through sale of a business shortly after the death
of a principal of the business.
EIGHTH: In 'che event that any trust created under this Will
shall not have previously terminated, it shall terminate in any
event, and distribution of the principal shall be made to the income
beneficiary twenty-one (21) years after t.he death of the last sur-
vi VOl' or following peraons: 1\11 of my issue that survive me, all of
the issue of former President Dwight D, Eisenhower that survive me,
and all of the issue of President John F, Kennedy that survive me.
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CODICIL
I, KATHERINE L, CLARK, of 2912 Merion Road, camp nill, Cumbeu:-
land Count.y, Pennsylvania, deo],are t.his t.o be t.he seoond codiQil t.o
my Last. Will and Testament dated December 21, 1961.
1, I revoke Paragraph THIRD of my Last Will and TeEltamont and
provide, in lieu thereof, as followsl
11URDl All the rest of my estate, of whatsoever kind and
wheresoever situate, I give to my issue, per stirpes,
2, I revoke Paragraph FIFTH of my Last Will and Testament and
provide, in lieu thereof, as fOllows I
FIFTH: I appoint National Central Bank, Harrisburg, pennsylvania,
and Heath L' Allen as my Exeoutors and Trustees (referring hereafter
to them in the singular neuter gender) and direot that it serve without
bond in any jurisdiction in whioh it is oalled upon to act.
3. In all other respeots, I hereby ratify, oonfirm and republish
my Last Will and Testament dated Deoember 21, 1961, together with
this seoond ~odioil., as and for my Last Will and rl'estament.
IN WITNESS WHEREOF, I have set my hand and seal hereto
this 8th day of January, 1975.
~;~~tfi~1\RK
(SEAL)
SIGNED, SEALED, PUBLISHED and )
DECLARED by Katherine L. Clark,)
as and for the seoond Codioil )
to hor Last Will and Testament,)
dated Deoember 21, 1961, in the)
presenoe of us, who, at her )
request, in her presenoe, and )
in the presenoe of eaoh other, )
all being present at the same )
time, have hereunto subsoribed )
our names as witnesses: )
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f.'JdA )1/1 /L. (A I ..::Jt!t 1"' l';f-)
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Cumberland Co., ss:
Be It remembered thot I, . Rtol1lf\rd. U),. .Md~raon . --, RcglBter of WI11B
of Cumberlond County, PennsylvonlA, do hereby deputltc nnd cOlmnI88Ionote,J)9n~r~R),fil.
..l.!l~~l!flor.l3. Holt:1,manRelllst\!r of WIIIB, of DIlU}:l)1in ..... County,
Pennsylvnnla, to take the Affldavlta:)f.Myr.~1.111folu,Un~.Wgl:>Ci+a Mc;l(j(ml).~JJ,.... aBA
non-subscribing wltness't~J the IlIst 11'111 and testnment of l<l\tl)oriQ!L.l.,, Clark,
lote of.. . .Eal3t pennaboro 'rownship, Cumberlnnd County, Pennsylvania, deceased.
Said wt\l bearing dllte the ..21.ar dllyof peoumber. A. D., 19..\?L, and hereunto
nttachcd. By virtue of the Act of Assembly approved July II, 1917, P. L. 803.
In testimony whereof I have
seal thls..2.~~11...day of J\lIle
hjlreunto set my hand nnd affixed official
A. D., 197f~~._ ..____~
......".....y.... ., .......,..........".. .........
Register of Wills, Cumberland County, Pa,
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.... ....,...~~l!.~~~~~........,...,...County, 88;
This .....__..? 0..... day oL/t-<.,t.;""... ,. .......--- A. D., 197$, before me
.........!!l.l:l!l,a.I!~?:..B.....H.oI1:~I!'.al1...d..... . Rel!lster for the Probate of WIlls and grant-
Ing Letters of Administration In and for SAid County oL..__..P'!I,\U?l)An....... _.......In the
Commdnwenlth of Pennsylvonla, personally came..t-Iyr,~.lEl_Mu!:~in...~.n~..............,..
Darbara MCGonnell
_ p _~~_k""_ _ _ _". __. _. __...' _.... _. _,. _ _ _ u. ......_ _ _ _" _ _. _ __..,._ _. _ _ ~.. n.. _ ...... ".._~. _...- ---- - ~ - ~ -.... ..~.."".. W" - -- ~~-- H - W ww -'._~.
non-
XlIlIe)D{ theV' Bu\,scrlbing witnesses to the foregoing Instrument of writing, purporting
to be the last Wl11 and Testnment oL..__..I<a~J~E!t'i.n.eL. clarlt .........oom..
....m . w._. .-H_ . ., lote oL.wEast, pennBb()r:o~()..,nsl1iJ;>. .............
.......... . .... ., deceased, who being duly......... . S\II'()!:I1....".... ...__.... ,....uccordlng to
d d I they are well aaquaintGd wH-)1 tlae handwritinq
Inw, eposcs an says, nat . ,. ......", ..., m.........prcsmil, nnCfsaw lInQ nenruttre
of the
testat.dK.., oo...I<.~1:l1.e.l?il1e }-!..C1llrk. .... ......siRop:xooK,x,mdximloPlfOncxJOOl:>VfId
.dcn[Xiibac~~MlIMRkx~~JiIlR.Xltlk~~~XX~;r1C~lIMRk:JlRalx:bNx,aooI,
oOOc14RP&d\klt~WulltlWc:li'kJl~~ing ... . . .... .1<I\l~~I\ffil<ll~~*TfM,x
llUllIll1llJ\\KXllDllxmD~xllOx:~>bmc-dxxxx)()(x)(kR<<\IClail!OlxJbacmra1ltaaxlOlubcbrollcf.
....~w.o,r;!1. ....
. lInd subscribed before
() . .. (J ir ~
..-1'1/,!,tf::(j f!.....j_.IJ.e.(,.t~L!~~__
MYtt1e Murlin
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Barbara McGonnell
. .f.i",~{'?:1. ...//. )r!:tf:.~4~~'':~1... Register.
......ooR~~.~11.P-l ..County, Pa.
Cumberland Co., SS:
Be It remembcred thllt I, ....Riohard .El~ Anl;lerson.., ..., Register of W1I1B
of Cumbcrlllnd County, PcnnaylvlInlll, qo hcreby dcputlze lInd CtlmmI8BlbnllteJi91.\Q~~l:lJ~
Il1J_~.an()r, B, Holtzman Rcglstl'l' of Wills, of D.UPJ:l.i~ ., County,
PcnnBylvunla, to tukc the uffldllVltHlf. Mi d: leMu L' Un& l3arb~faMCGOll!1~n__lIs_
~B to a Codicil
non..8ubscrlblnll whnesjl' to the lust wtllnnd te8tlllT.ent of Katherine!" Clark
Inte of .m.~llBt. PennebQro rrownship, ,Cumbcr\{lnd County, pennsylvanlll, deccased.
5nld will bearing date the lOth dnyoJ JUf\<;l A, D., 19.p.7.., and hereunto
attllchcd. By vlrtuc of the Act of Assembly npproved July II, 1917. P. L. 803.
In testimony whereof I hnve hercu\~to sct my hund und lIff1X~\Y offlcllll
selll chis .m.~8!-h...dny oL"June, ' A. O"lliA ~ _ 0,_"
".... ". __ N.. . ..( .......~..".._
'R'lglBtcr of Wills, Cumberland County, Pa,
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..... ...P'!\l,l).>ff,J;N. ,......... __ ...,...CO\lnty,881
ThlB.........f:t4:..____ day oL.;u~", A, D., 197', before me
__...__!llJ~_~1l9_;'..~!.J:lR;J,t.ZI\18:n, .__..... ..RegiB!cer for the Probllte of WlIIB und grnnt-
Ing L~tters of Administration in and for sllld County ,of... ....JJ.aJlphin , ,...In the
Commonwclllth of PCnll8ylvllnia, pcrsonlllly came.. . .MY!:'tlBt-l\A1'lin....Il!ld............__..,
...__. .....!3.~.J:Rl)q:aM9.G.Qm\eJl,...w.--... ..... ..... ...........,....
non-
oaxxaX thll" subscribing witnesses to the foregoln II Instrument of writing, purporting
to bc the laBt Wtlland Tcstllment of ...,..__. ,'Kllth~l;ine..l;..QJa~k.,.. .----.......--
...w.... . 1 Intc of..., "E~Bt pen,n,Bboro..~owl\~h.~I'...___.___
...__,.....__ '1 deceased, who bclng duly.... ".s~()rn ...--- ,.__..........accordlng to
they are well acquainted with the bondwriting
law, dcposcs lInd says, thnL ,____.... __.__"" ,.' .., wu~~l<8OQclll'I"UI:Da:i::lGJ:1III:idl<l*lll
of the Katherine
tCBtat"l;'.~IL, .__.___________.m.. L~C_l!lr.k____.. .... ..__~~xHWk~WRDdl~lO.>>d
dcsNmD<xuhexlGRklxllR~jl~~x~xlJtlJo<liRR:K~xhx:Kxxx..,ulDlltDllX-xfumtx,w:j(I,
tmdxlCKl\tX8IlX:llbocxlmcclDk 11)\ MRqX . -
~ImRI6X"Rdx)lRW~R~~>tllxtftt,x~M:K~X. . .. x~\ll1IRlIlVf~~M:iOOC~>WI\!R
Bw()rll.. . ,. and subscribed before
cin,") . . /,h'L /} ,
.n._~-'tf~---ilt1r h~LU."'U.-
/7 ,- fJ. '- i.! .':,
....t.2..L::U;i""<L-l~f "'~'~""'cr,~t:t:
naroara oOonnel '~
.E'Cali,<,<,tr"..t!/;flt.;;;A:YL--- Reglstcr.
, .. ____~)~.~!?l1~.n.
County, .PlI.
Cumberland Co., 88:
Be It remembered that I, ., ,Richard .E.. Ando.raolJ., Register of WlIIB
of Cumberland County, Penmylvanla, do hcr1lby deplltl:e IInd C0l1l1nI8Blonnte\l9!WI;!I,b,j.~
.. .IUeanor p,llqltzman .. Register o.f WlIIs, of DI\l!Rl)in County,
Pennsylvanlll, to tllke the affldavhlOf MYrtle ,Ml,lrUn .&.[~arb~r.a ,McGC?llneJl aB III
non- subscribing wltnes:;{()'17h~" I~~;~~I{( and tl'stom(1(~t of Kathe ri na 1.. clark.
IlIte oe...m.ast ,Pennsboro 'I'ownship, (i;umberland County, Pennsylvania, decensed.
Said will bearing date the 8th day of! Januax:y. A, D., 19 J?.., ami hereunto
, I
IIttached. By virtue of the Act of Assembly approved July 11, 1917, P. L. 803.
In tcstlnlOny whereof I hllve hereu;~~) se\:y hand and affixed m~offlcllll
seal thts...~!3~ll..day of Juntl A. LII., 19 1.Q LeG: J (~
...... R,i,l~LA',"b""~ c;8i:p~.
)
.,...I?~1.!RI:IIl:'L.....,........County, 8S: 'J
ThlB .....7:./~.. p" day of. .I""~c \
... A.O., 197{, before me
......,..~.le.~..no.r ..l?'. Hol t~llI.a.n..
R"I'.IRt/~r for the Probate of WlIIB lInd vrnl;"
. . . .
Ing LetterB of Administration In and for said County eM .....O.a\lPhi.n
Commonwealth of Pennsylvania, perBonally came..M.Y.rt:1.e .Murlin &.
._......pl3~r'b~ra.Mc9'Ol1nell....,.- .. ....
non-
3KK)U{:Hl:he! subscribing witnesses to the
a codicil to
to bQl'the 11Ist WlIIlInd Testament of..
.......... ., ". , IlIte of.,
.............. p" .., deceased, who being duly
they are well
law, deposes lInd says, that. .... . ,... .
'of t~ix Kather ine L. Clark.
teBtnt...".....'m".........."...... ........
.c. .,.In the
foregoing, Instrument of writing, purporting
Katherine L. Clark.
.}'..... '" 'P .. .............,
Eas;.tponnsboro. ,T()\'JoshiP... ",,'" ..,
u (...sW()l::n....................accol'dlng to
. acq uaintedpr~s~~r. nWd"'snl1arJi!"IMf~~~e
\
.. ......aIp;x mtaQclplll!oli.opqmmullmoculIld
I
.lIUalexxKKxmHal~~xdx~"~>Mx~,{Rf<x1xH)(xx1M~l<lH'IOcxboe.xWlil,
I
:ltAilxWx~xWx~RM~Rix, .. " .lIIJQJI:XlilllSlllHM:Ulbdtapo1lq>m~
nJaDOQtX~~~Rll>><r8c~x~9AA~~,kxxxKx~.KR~~l\wkJbellpf.
sworn
nnd subscribed before
"):nJ~-:.ll G;_~. D.1LLLf~.!.L-.._
MY1!Jt1o Murlin
/f) // '-"J ' /)' /
..."V.2{Ll..'..q.H._L')7L~..........'"".f:P/ -
Barbara 1'\ooonno 1. 1. ~
~ ,.., - - -. - . -, - .. - ".
_ .~.(q';~~:,:~e:1. .l<. !/:(?;;;;!(.';~-!.., Relllster.
.. ....D.l\!JJ.>[II.~..County, P".
_.,.-_.,-~-,-------_......
~1 O'2G
OATH OF PERSONAL REPRESENTATIVE
COMMONWIML1'H ()14' PI~NNHYLV ANIA }
COUN,rv OF ClJMBlmLAND HH:
Boforo mo, tho Houistor fhr tho I'l'olll\to of Wills nnd uruntlnu of Lottol's of Admlnistrntlon In and for
tho County of Cumhorlund, porHonnlly (lllmO ...~).~~~.f:,..~r...f?,?h~~~,~".":Y.r.,..~~,,,~n~,~~1:l,~~.,~.~1:',~r.~J,.,.I~.ank
Heath L. Allen
who, boing duly """~~'~~~""""'''f do~~...".. dOpOHU und Any thnt nlft"."."~.~~.C?'A~.~~~".."..."".."".""".."..",,
of the last Will and Testamont of ",,,,,,,,,,,,,,,,,,,~~,~~~,7.~~.~,,~,:,,:~.~~.~.~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,",,,,,,,,,,,decoasod
."."".~.~~;Y""", will weilund truly udmlnlster tho uoods und clHlttols, 1'lUhts und crodlts of suld doceused
according to law, And also will diligently comply with tho provisions of tho luw rolatlng to Tmnsfor
Inheritances. """"IJlII.QI:^"""." and subscrlbod
before me.
,
...........,...,.~.~~~...~,?........., "'"111'\" A.,D., 191~~"....t
..",.".,,,~.~~..~:.,,,,,,;.c:=.::,,.,,,,,,,,...,..
Richard E. Anderson, Register
'<.
. ""....01.'...... ..",.., ..........11".,....'..."1..............,.,.
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DECREE
Be it remembered that on tho t1.......~~~........ day of "........"...."q:~.~~.....".......""...t A. D" 19 ..?~..t thore
was probated Rnd recordod tho lust Will and Testament ,of .""...~.~~>>.~~.;.n~".f:.~."~l~~~:"..."..."...,,........,
East Pennsboro Township . .'
late of ........,..,...... .......................,...' ,......,..,.,.,...,... .."..,., Cumborlund County I PonnAylvnnfn, Doceasod. I.,etters
..."..... ,,,..,,,,,, ,,:'R.~.FA ~,~~.~ ~~,~,y.,,, were grl1 nted to ."..~" H~m.~ ~.. ,9, !W,1; r;,Ii!-, f.,. ,~.~ n~.,.,.,~... .I:l.~\~,h. ,,~~ I.,..M ,le n
Witness my hand and officlul soul tho dllY und youI' ufol'osuld. ",,,,,,,~~,,,,\~~,,,,..
Hlchul'd I~, Andlll'S()n,tlfu'~lst.ol"
COMMONWIAI.TH OF PINNIiYLVANIA \.
COUNTY OF CUMBERLAND J
"'
Heath L. Allen, Esq. "a"n~__~a_tionIl1.. CeI1t.rlllnB...a~~_._._______.___~_.-___.-nH
bolng duly" __ ,.sworn., _ ___._ .ocordlng to I.w, dopolel .nd I'YI thot thtV'm'.arliL-___~u..__.__'_.n
Executors . ...... of tho Elt.te of _.__Ka.the.tine..nL~_,Jll..ark.______._
1.le of..- EIlIl t; pennsboro Township H __ ,..",,_ ___.,., Cumberl.nd County, Po" decul.d end thot the
within lion Inventory modo by Heath..L. Allen,Eaq..&. Nat.ionalCenw:.a.,llt~l"\~d----Exeeutorfl,_.-
of Ihe entlr. utate .f 1.ld deoedenl, oonslltln\l of ell tho person.1 prop'orly ond reel uhte, &Kcept rul elhle outside
the Commonwoolth of Pennlylvonla, .nd Ihat tho flgurol oppollle uch Ilem of the Inyentory reprelent It'l fair veluo
II of the d.te of d.oodent'l do.lh.
Sworn
.nd lublcrlbed boforo me,
\ /~-~-f..:lor"'m_......__.."..u
~~;IO. \&~~Tl~:;~~~_____
Vie eside t and Trust Officer
Z22. arl~!ilLs.t,_.._I'~....o...._J3.mLl.QlL..__m m
"'ddr."
Harrisburg, PA 17108
D.le of Deeth ....:..~_.llth.______.___~ri~._m_n______
DIY Month
1979
Y"r
_._~.
INSTRUCTIONS
I. An Inventory mUlt be flied wllhln three monlhl after appolntmont of personal reprelent.tlye,
2. A lupplement Inventory mUlt be fl"led within thirty daYI of dllcovery of .ddltlon.1 allllh.
3. Addltlon.1 Ihoots m.y be .thohed 01 to p,rlon.ltyor really
4. 500 Artlole IV, Flducl.rlel Aot of 1949.
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3 :I
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~t!~li!U&P.
Inventory of the "0\ ond po,.onol ..tnte of
. d d
Kather.ine...L,.~C1arlt_--,,------_..,----._-_. onoon .
,~__ "_.__0
-.-.~:::=':~ -
Reoe:l.VEldfrom U.. s, Treailury,
1979 Tax. Refund
Adjustment to Valu~ of '
1~3 share$Harr:l.sbur~ S~ora~e Co.
Check dated January 17. 1979 drawn
against deoedent I s account to pay bff
a car loan o,n Dpnna. ClarkI s (daughter)
car'
881 60
6,253 00
3,183 53
,,'
140'318i13
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"
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f'CNNSYL VANIA INH 11\ITANGrJM_(I!'~J;J(f\klti[9nM_^.TI()N
1. PEllsgNtRE~e9.~JiJIJg.f.9I~.llU!!ill!
Soction 701 of tholnhOlltanco alld Estato Tax Act of 1961 plOvldos that tho following flUlSOIIS shall pfollaro and fila
a fOllIrn:
a, Tho porsonal foprosontatlvo of tho ostalo of tho docodont as to plOperty of tho docodont mlminlstorod hy him
and such addlllOnallHollOrty which Is or may ho slll>joctlo Inhorltallco Tax of which I>o/sl>o shall havo or
ar.qlli ro knowl OdRO;
1>, The transforeo of IHOporty upon the tWllsfor of which Inhmltanco Tax is or may be llIlIlOsed by tho 1961 Slatuto,
IncllldlnR a trustoo of property transfollod In trust, plOvldod that 110 sop<llalo retllrnnood bo mndo by the Iwnsforee
of properly illcllldod In the retllrn of n personal rOIHosllntatlve.
2, PLACE FOR FILING
The retllrn Is to 1>0 Illod In dllfllicato wltlltho RORlster of Wills of the county whorein tho decadent resided.
3. TIME FOR FILING
The relurn Is duo nino months ilflor the docmlont's doath, lInloss an extension for filing has boon applied for and
gfnnlml by the Socrotmy of Rovonllo wltllinlho nino-month period,
4. [AlLURE TO FILE RETUflN
Soctlon 791 of Iho 1961 Statuto plOvidos IlIat " , , ,any porson who wlllflllly falls to fllo a fetnrn or othor roport
roqllirod of him, , ,shall ho porsonally lIablo. , ,to a ponalty of 25% of tho tax ultimately found to ho duo or $1,000
whlchevof is tho lossor to he rocovered by Iho Dopartment of Rovenlle as dobts of IIko amount aro rocovorable by
law."
5. TAX flATES
Inhoritanco Tax is payablo at tho rate of 6%on transfors to lineal doscondants, such as father, mother, hllSbandr wlfo,
son, daughter, gfnndchlldron, grandpment, son-in-law and daughter-In-law and at Ihe rato of 15% as to all othors.
6, PAYM~NT OF TAX
The lax assessed on the liilnsfer of property rOllorled In tho rotllrn Is dlle 9 months after lhe docedent's doath. Interest
atlhe fate of 6% pm annllm accrues thoreafler IIntil payment is modo. All payments rocolved me first appliod to any
Interest which may ho dlle with ;lIlY romalnder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED,
All checks shollld ho made payable 10 Ihe Registor of Wills of the cOllnty whoreill the decodont ro~lded and are
recolvod slIhjectlo lho final determinntion of the Department of Rovenuo,
7. FAIl.URE TO PAY
The taxes Imfosod, together with allY intolOsllhoroon, me a Hen upon roal properly, which lion remains In effect until
the taxes arll intorest have been paid in full. The taxes may be slled tor agalllst any roal proporty In the decedent's
estate or against allY property belonging to a trnllsferoo liablo for tho tax.
B, !]JfilLOF_L~LSE RETURN
Any purson who wlllflllly makes a falso retllrn or report required of him shall, In accordance with Soction 793 of the
1961 Statuto, be guilty of a nllsdemeanor and, on conviction thereof, shall ho sentenced to pay a fine not exceeding
$1,000 or lIndOlI(O Imprlsonmenlnot excoeding one yoar or both.
tifLli: COmlll!llSil!ion pnlrllo an estaln felllosolilative; namoly, all exoclltor or ilClmlllislrator, fOf sefvicos porfoflued
In adllllnisterillg nil estate Is repoltilhle 101 P()lIn~ylvnllialllcomo Tax pllrposes, Thi~ taxahle Income item should ho
repolled r~n f()rllll'^-~O-llIdlvldllallncollle Tax HollIlII.
QUESTIONS CONCERNING PROPERTV THANSFERS
1. Old decedent, within two years of death, mako any transfor of any matarial part of his ostate without receiving
valuable and adeQuate conslderalion? (Answer "Ves" or "No",)
2. Old decedent, within two years of doath, transfer proporty Irom hlmsel f/ herself to hlmsel f/herself and another party
or parties (Including a spouse) In jolnl ownership? (Answer "Vas" or "No",) _
3. If the answer to one or two abovo Is "Ves" and Iho transfers mo clalmod 10 bo nontaxable, provide the following
Information:
a. Age of decedent altlme of trAnsfer. __
b. Copy of death certificate,
c. Affidavit by the attending physician Indlcallng the slate of decedent's health at lime of transfer,
d. All other Information supporling nontaxablllly of transfor.
4. Old decedent, In his/her Ilfotlmo, mako any trnnsfer of proporly without rocelvlng a valuable 01 adeQuate consideration
therefor which was to take effeclln pos~ession or enjoymenl 01 or after his/her death? (Answor "Ves" or "No".)
a. Was there any possibility that the prOIJerty transferred mlRhl relurn to transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Ves" or "No".)
b, What was the transferee's ago at time of docec1ent's dealh?
5. Old decedent In his/her lifetime make any transfer without receiving a valuable and adeQuate consideration therefor
under which transferor expressly or Impliedly reserves for his/her life or any perioc1 which does In facl end beforo his/her
death:
a. The possession or enjoyment of or the rlghllo Incomo from tho property transferred? (Answer "Ves" or "No".)
b. The right to designate the persons who shall possoss or enjoy tho proporty transforred or income therefrom?
(Answer "Ves" or "No".)
6. If the answer to five b. above is "Ves," was tho right rnservod In decedent alone ( ) or decedent and olhers ( ),
7. Old decedent In his/her Ilfollnllll11ake a transfer, the conslc1eralion for which wns transferee's promise to pay Incomo
to or for the benefit or care of trnnsferor? (Answer "Ves" or "No".)
8. Old decedent, at any tlmo, transfer property, the bOleflcial enjoyment of VYillch was sublect to change, because of
a reserved power to alter, amend, or revoke, or which could reverlto decedent under tellns of transfer or by operation of
law? (Answer "Ves" or "No",)
9. If the answer to elkht abovo Is "Ves," was tho power 10 alter, amend or revoko the Interest of the beneficiary resorved
In the docodent alone ( ) or decodonl ami olhers ( ). '
"
\\~.. '
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must Include all properly, 1'001 and personal, ownod by tho dec~dont Jointly with another
party or parties as Joint tenants with right of ~urvlvorBhlp, Both tenglblo and Intangible property are to be
Inoluded. List real estate first.
1. Describe all reel property aslndlceted In the Instructions for Schedulo "A," Describe all personal proparty
as Indicated In tho Instructions for Schedule "B,," Include tho namo, address and relationship to the
decedent of the Go.ownerls] anel tho dato the Joint ownership was established,
2. Indicate the totalmarkot value of the jolntlv owned property,
3, Indicate the percentage of the decedent's Interest.
4. Indloate the market value of the decedent's Interest.
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HfV-414 ttXt (HOI
INHERITANCE TAX SUMMARY SHEET
(I3URE~U U~E~NLX)
File Number _.__._.. ..2b'7-9,,041k. .
o Original
[i] Supplemental
o Remainder
Estate Name _.u...._...........KaLhDl'ine. L. Clark
Date of Death .___m_. ..Apr.il .11,. 19'/9-
Social Security Number _.210r26,,5922
REPORT OF INHERITANCE TAX APPRAISER
I, the undelllgned duly appointed Inheritance Tax Approlur In and for the County of.Cum~el'l~nd
Penn.ylv.nlo, do re.pect/ully report that I have appralud the real and per.onalproperty a. reporte In t e foregoln~
return at the value. ut forth oppo.lte each Item In thela.t column to the rl ht In Sc dule. "A", "B", "e", and I e"
Datedl
Septemb~:>'i, lGBl
(
.--...-..------.-.---- ..
..---------..-
INVENTORY
VALUE AS APPRAiseD
CODe
ADJUSTMeNTS
(HARRISBURO USE ONLY)
ReMAINDBR APPRAiseMeNT CODe
3'1,13
Nona.
-3.,
_.~O,318.
00+
10+
10+
JO+
11+
Roal Property (Sehodul. A)
Po"onol Proporty (Snh.dul. B)
JalntoH.ld Properly (Sehodulo E)
Tron,',.. (Sohodulo C)
TOT AL GROSS ASSeTS
.
l.... D.bt, and O.ductlon.
(SCHEDULE P)
CLEAR VALUE OF ESTATE
o LIf. e.lote
o Annuity
040.
u.
RATE
FACTOR
PRINCIPLE
VALUE
CODE
~.~";''':''-''-''-.._,:.=.~",;.._. - ----~
]
ffili.USE OF REGISTeR ONLY
Tow on $
T nw on $
Tal( on $
~
COMPUTATION OF ill
.
.
.
.
$
6%
lSI1
Tax on $
Tax 01\ $
EXOml'llon.
Tolal E.tul"
TOTAl. TAX
INTeREST FROM
BALANCE
TO
$
$
$
LOll Crtldlf.
DATE OF PAYMENT
~OUNT PAlO DISCOUNT INTEREST
5 + 5 5 ~
+ .
aALANCE 5
INTEREST FROM -.--.._ TO 5
DALANCE DUE S ----
~CREDIT
$
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DEDUCTIONS ALLOWED IN
Off ICE (If THE
ReOISTER Of WII.LS
STATE:MENT OF' DEBTS
AND DEDUCTIONS
TIlE SUM OF I _
OF __CUMBERLAND COUNTY
AND ADENT OF THE COMMOHWEAL'fH
DAT! AI'PROVED ____......____._..._
AEUI8T1~fl or WIl.I.U, Alllun
P.STA Te OP
KA'l1mIUNE L. CLARK
LATEOP EAST PENNSBORO TOWNSHIP
. - - -
DATE NO,OP NAME OP fAyeE ReMARKS AMOUN T
VOUCHER
197~L .-
J.lUy-- n" 0 i " f.lU"....OL...W.i.l..l..a IT.n ,. "",." 'r!:!s f'uml.!l1l'ury R1 iliL.
----
----- ---- - Short: Ce r l:i Hca to s 5 00
....-_._-----~ CumQcrland J.tllW Journal Adue r . I I.!ttcrs Tefl tama" I' n~.. 1 R QO-
-.----.-- -
31 -.---- Musselman Funeral Home Funoral scrvJ.ccs 2 285 25
_____.L.
An" ?H P~n"n""; nnnT Ph .... IRnTnnM' ..1..~ ..2.5.. ' ~
Dr. Sidney Rubens tcin Bulance due {,2 00
-
....-- -.- _..9..ui cke l-Conner Assoc. ,M. D Bulance due 82 c.Q-L
-_.
-- Ile ll......Qf P.f).!lllil.Y.lY.anJ.II Halance due 1" _8..L
fuutt " neoi"t"r nf WI'l" <<"ny" ('nvol-i...I"n"n" 1 nn
Engle-Hambrighl' & Davies LiabH i. ty Insur. premium 93 00
Oct. 3 Harrisburo Hosnital Balance dne 303 ..QJL
Keefer Wood Allen und Reimbursement of misce 11.an- -
- estate arid cas t
eOlls expense
Rahal, Esq. of advertisJ.n~ Letters Tes-
~~~~ntl1ry i.n West Shore 7?
"' 'n ..llL.
-_.
T 'J' "_~_M' "",. . '1 ""r I. I " n' "f' ~ m,.n 1 r\1 I? Inn
--
-- A.L.Beck. Appraiser Appraisal of real estat!:! 7~ .iliL
-- Harrisburo Cold Stol:n.geCo Outstllndin" Loan bO 426 56_
--- Keefer WooJL.. Allen and -.
Rahal, Esq. ProfesRional services 7.500 00
- --.-....
---....._-- Heath L. Allen Co-Exel~utor -- e-1..000 .QL
_.--~ .
---_.--- -. Mq'-innal CellU:.a.' 11",,1, ',,~_ 1I..nn."",y R """ .iliL
-
I~s tima Lcd cost for HHn!? inventories Hnul account
-
. =- Ilnd clofli.ng udmi.n iEl tra tJ.o COR Ls 500 00
~- .. -
DATE OP PI~ING APPRAISEMENT _
DATE OP DEA TH
APRIL 11., 197\1
COMMONWEAL TH OP PENNSYLVANIA I
$5,
COUNTY OP CHMBERLAND _
WI.! it]]"",!, L. Al LLllL..1.llliLl:Jnl'jol1l1l. CenlTnl IInllk HEREBY CERTlPY, THAT TO THE BEST or
MY KNOWLEDOE AND BELIEP, THE POREOOING IS A JUST AND TRUE STATeMENT OF DEBTS, PUNERA~ EXPENSES AND
EXPENSES OP ADMINISTRATION SUBMITTeD TO THE eSTATE OP_ Unl'''"rinn T -C.l ",-1,
DECEASED, AS DEDUCTIONS POR INHERITANCE TAX PURPOSes,
TOTAL $40,633.07
/
SWOi...,~~<,SUBSCRlnED BEPORE ME THIS ./ / ~
. 't.:'t) lUiQ.
\ <,':.:.... " >'.,., eJ;ij.i __
NOI;l1ry PublIc
J.t.l.~
L.~v
(~,S.)
DAY OP
NATIONAl) CENT~.I~_B..b~!;
BY:i.~v.:..!!..~' (OJ'II'",.,_.
Vi.ce~rcsidcnt & Trust Officer
I" I ,
I,
~Iy I', .':.
~I """,, ,.
RI-: V-4IU (0-",
OFP ICE OP TltE
REOISTER OP WI~~1
TltE IUM OP
DEDUCTlONI A~~OWED IN
5_.
STATEMENT OF' DEBTS
AND DEDUCTIONS
OAT! APPROVED
OF ._,~~!tWEH1.AND COUNTY
4lW AGIlIH 01' TlUl COMMOltWE4~ Tit
---
nt!uISTf:n QF WIl.LI, AlIHlT
~STAT8 OP ~l1l1mINE L. CLARI<
LATB OP flAS'}' I'lmNSIIOHO TOWNSHIP
OATH OP PILING APPRAISBMCNT _
APRIL 11, 1979
DATe OP DBATti
DATU
-19/9
J,l.llV q
NOIOP
VOUCHER
RBMARK5
HAMC DP PAYER
J~!~iiat.or of Wills
Lettors Te!ll'umontary
Short Corti.ficates
^\!r.~~~~J'-
C,umlH',rlllnd L/J\~ JOULlli11 Aliver. Letters 'l'estamentn.r,'L
Ml!.E1..f!iU,man FU1.l2.!i!.1 1I0mo Func ral f1ervices
P'W.Q/uU..r2ua] Ph armn "V
Dr. Sidney Rubenstein
Ouickol-Connor ASROC. ,M.D
IIc1,L of: P~:mnsvlvanill
lialL1.~r. due .
Ilnlllllcc duo
1I1l1ancc due .
-
J!n 1 1111 ce clue
:2sw.L.. .iL '.
Ilno:istJ1L,QLJiI] 1 Q
Engle-Hllmbrir..ht & Davies
.1iJllu:.LQr..rJjJ.' i. cat: e s
Liability InBur. premium
Q~,t. _,J
HarrtRburr.. Hospital
.l<eef01~QQQ.... Allen and
Rahill, p:sn.
Balance c!t1C!
Hei.mburucnwnt of miscelllln- I
cous esLate expense and cost
of: advertising Letters_ Tes-
tamentary in West Shore
.'tlJne B
'~qJ11 of jewelry
lIpprai sal of relll osl'ate
,T 'r Cfllonen tOl:. APH,t:LlLlP,.
,A. L .lJrlillL-Allpraiser
Harri,nburg Cold StorageCo OutBtlliWinl~ Loan
I<eefor.. W(Jc~ Allen and
Rahal, Esq.
Profess:lonal services
---, --,
Heath L. Allen
CO- Execu tor
Nu..t.i,OJ \.Ol-'lQUtr a 1 R llnlL_ Co - Rxe cuI' or'
;::;;'-.._--..-:=-~-
Est:i.mllted cost for fili.nl! i.nventori.es final aecounL-
and closinn ndministratio1. costs
_.===.:-1.
AMOUHT
R~ I no-
5 00
11l.JLQ
2285 25
0'> 1,
lI2~_0
82 r-9Q.
~l, lH
1~.QJ)
93 00
30310Q
n..:w
U. JHL.
__..15. _00
o 426 56
7 500 00
1 000 00
R. nnn JlCL.
TOTAL $1~0 ,633.07
500 .Q.~_
COW,llmY/eAL TI1 OP PDIII-I:,YLVAUI^ I
55,
COUNTV of-C.lI!1RERLI)ND__
We i:\UcJU'h 1.. ^] 1 1'>11 1l11d,J1n.U.allLl LGentra 1 Bf\lll{ 11eRebY CERTIFY, THAT TO TIle beST OP
MY I(NOWI.CDG~ AND nCLleF, TilE FOaP-GOltlG IS A JUST MID TRue n^TeMCNT OP DllbTS, PUMCRAL ExpeMSCS AMO
ex 'ENSDS OP AOMIMISTRATIO~I SUbMITTED TO Tile eSTATE OF J( '11'''",oi"" 1. ("1 "rl<
oel:eASEO, AS DEDUCTIOMS poa INI1ERITAMce TAX PURPOSES.
" /I.,',{', I.. f.!!~I,v....
SWC'I\tI AND SU~SCRIUCO bEFone ME TillS ,I / .....~.i.- DAY OF NII'l'IONAlj CENTRA~ B.A~"""";'
:'b2~(j.l-/';ir:~7T 19.Jl.Q. BY:IP:, :'O"H ,b. {ch(:,'.. ,_
Notary Publie r'I'1 r I )'11' ,..- Vice resi ent & Trust 0 fieer
"_ ' j " 1'( PtI'l'(' ~
11...,::1"':111, J, c ~:';"II(I' ,'/
I.JY rO:'!':"'"IDI/ 1'.',11'," 1'1' " I')"
M~,lIbcr, rt',jti~,vII'lOla h,..';',: l'L(.~; ;,,', , ;~,
,
(L.S.)
RE V-4806 e;x+ t~lIdl
File Humber
Eltate Harne -'--'"
INHERITANCE TAX SUMMARY SIlEET
IBUIiE^~~?J::.Qi'l1,.Y)
21.-79-0i!l1,
lliJ Or! ylnul
o SUllplcII\cntul
o ROIHull1dor
CLARK, KnChorJ.no. 1"
Date of Deoth n___" 01,/11/79
c .__ ".-~-----.... ..--.. ..---- -"...--
So~lal Se~urlty Humb"r --"-'"
REPORT OF IHHERITAHCE TAX APPRAISER
I, Ihe underalgned duly oppolnled Inherllon.. To~ Approl..r In ond for Ihe Counly of Cumborlllull '
Pennlylyanla, do ,.Ipeclfully reporl Ihat I \1ayo opprollOd Ihe reol ond pononol proporty 01 repo';r;.rlnTho lorogolOil-
,.tum 01 tho yoluOl lei forth oppolllo each Ilem In the tOI'..1.. ;mn 10 Ihe rlghl In Schedulo."A","B", ".e", and "E"
." 1)1 Ie
Doled. _~ 4. 1981.' uJill..iL.L.j-~j (() III ( ( C..
INHER1T^NCll 1A)< APPRAISER
- ..-...--
INVBNTORY
Roal Praporty (Schodull Al
po..anal Praporty (Schldulo B)
Jalnt.Hold Property (Schodulo E)
Tranll... (Schodulo C)
TOT AL. GROSS ASSBTS
L.... Oebt. and Oeduatlon.
(SCHEDUL.E f)
CL.EAR VAL.UE Of eSTATE
o Life Ellale
o Annuity
,...- . --.
POR IISE OP REGISTER ONL. V
TaM on $
To" on $
TOM on $
T OM an $
TaM on $
eMemptlon.
TOlol11ltat.
\..ell Credits
DATE OP PAYMEHT
:.::.:::=..;::.:::;:---=.,;.-=.:.:::;:::-:=:.:=:=,:--==~:.;.-..:::-:::.~:=::::::~----;-~-;;:::::=:;.::-~;;:.:.=-=::::::---:::.=:~-~-==.=..---
VAL-UB AS APPR"ISBO
CODE
"DJUSTMENTS
(HARRISBURG UIP. OHL.YI
REMAINDER "PPR"ISBMEHT
CODE
-.-...--.----.-
..!!L
.._.__...~_._--_..__.__.-- -.-.... ~..__. _.-_.~--_.
$ 00+
-.--.--
238. 826 93 \0+
...2Jl...o.o l!I) +
None sot
...._.2.6~ .82.6 93.
---- ---. ---
___..______ _____ _r_______.__..__. - --_....--._~--
n.
40-
----.--- ----
__.__--.-- ___._r_-
MI!
P"CTOR
PRIHCIP\.E
VAL.Ue
-
CODE
.--
---
--
W/l.
COMPUTATION OP ToIlX
" -----.---.- ---
$ --- ..---
S
6%
1&%
---~_.------~- ,.-~--
" ---....----..-----.--. -.-...-
-
$ ----_....-...---..~ -----
TOTAL. TAX
IHTEREST PROM
BAL.AHCe
$
$'
.--.--
- -_.---
TO
$ ------.-.---....;...---.- -----
"MOUHT P"IO
$
~~~
INTEREST
lAX CREDIT
$
---
- $
a
+ I
.r_.-..-~.__.--. --....---
--~
PAL.ANCe
IHTEReST PROM _--- TO
tlAL.AHCe DUE
$ .-----.--......-.-.....
.-.~_.--_.-'~..-.-
$ ------
S ___......_.._---.-...------.......--.
.
,'c ,:-:11 \4~1 \\
. '
.
i
/
/ /
,1' .1' \'
".
COMMONWI':ALTII 01' l'I':NNSVLVi\NIA
IlEPA'lTMI':NT OF I{I~VENIII':
BIIIlEi\l! OF COIINTY COLLECTIONS
Rr,SIOEtH DEcaoEIH
COUNTY OF ....(:.Ut-ll\t.;R~~~~_
1"."T'~.tlt'"'-~~'~==~-'T ..._ ..,...~~__ "'''.,.r~'''-''''''''''''''''''''''._'....,...,.---'''''''''''''~~'''''''''''''''''''''-''-'- ., "_....~,..._.h.., ...~.~~;~._,
IMPORTAH'rl ThtH rl'llurlllllUHI hI! (lurllllh\tmlln "Inull UII" l'iled In c1u"lIcuw, \\1111 1111 nllildwll, wilh rhu UI'Mlfilollll Will" Ilr tllu
(!UlIIIIY whtlftl t1c'lHlclulll I"lihh'll. It''lurll lit \lut! wllhln nhlll tlllllllllM Mu'r lilli" IIr llonlh. \Iulu"'R nil (ll(lt\nMlun Iii nfUlllucI
hy lilt! Huun"nry uf Ih"IlHlUtl, (S(!lllIUII '1tl.\ ur IhlllllhnrltUIII~I' IInd ElillllU Tl\~ AlII PI" IIUd,)
........
..-..............
.-----......--~
. --~
.."
.."-
Loll, of ~_'_d'
CUMIlE RLAND
} AI'FI\lAVIT 01'
EXEl'lIl'lIl!
X~l(ll<'KtKIJoll<lK
IN Till! MATTEI! 01' '1'111' ES'\'ATI'. 01'
KA'l'1lERINI~ 1.. CLARK
.___'r filY-~ ~fif"FutT,t7i\~iiT(jt;-f;R Cl,:-rlt':N Tl"---
Cauntv
Slnt. nf _..._.X~.~l'!.~,YJ..VA.~I'^'__H'}
'"
Cnunty of ._.~..clIMlHUU..AND.. --.... ._,-'
,~ll\~~& . ..Il.<:a tl1..~.~.Jl.J.J(l.llL~8..'!~. _a_n..(L~ll t i..().n.~l J1.(!D_t:!-:{ll.._'p'ill}JL_
01 the ulat. of th, ohOY"Mm,d d.c.d.nt b"lnu duly .war". d.pau Cll1d tay I;
UOCUdllllt dlml Aor.il 11, 19--1.2.._1 taalQ,.loaylnuo l""wlll, copy Q' which I, htr.lnattach.d..}
IMO~lTHI WAyl IVPAW ~lO~K
Nom. and add,... olo"oln" a' } ..lls.1.Q.,tlLL.. Allen.JfliI...-",-..l<./ile.fe.r....-Ruo.d..Jll Rn & n"l'aL__
olh., authorlud ,.pr.nnlatlve to whDm
all ,0"..poOlI.n.. .t"old h. "oll.d. ..1_Q_~-210 Walru,Lt...P. t.. P.._Jl---..ll.ox..ill_Q,,-H.arJ:is.hurg, PA -
17108
ThlllllH Hueh__..,g~ece.I!t.QrlJ__dupol'ellt 1< !'lIl11ll1ar with th.. IIfflllr. of <lIld u,tn'o o",llh. proporty cnnHlllullo~
\ (,XF: CU TO R-At1MINIS.T nA Tn RI
lho ""OtH thurenf IIl1d lhelr flllr 1II11rkul vnlue.
Thol ot the time of deolh lhere 1'11< 110 Hllfo depnHIt h", re~I'lerod III douodollt' H iodlvldulIl nllme. or Jolnlly with, or
IIH o~eot nl duputy nf nnnlhllr. III In douudeul" individual nllmu, wilh rllthl nf lIueOHH hy IInolhur OH IIgent or doputy, with 'ho
o,uuplion nf tho fnll..wln~: -
HxccutorS
=:,,-;l,=::;;So.~;-.~,'''==:''''='~a:L~='I"'''I.~:''''-;>'<'';''':::'~"= -- .. .""....".";;; ".=-"'-"'''=':''''''=
~=i:..:r'"
-
NAME "NO AOORlHIEI OF flANK OR o TtHiH IN9T1TUTION
~~~CH OUC~OJ!.!:!~lm A 5_~PF.: Oll'POSIT ucp<
THIS 5Afll~ Dtif.'0StT llOX HUNTED
IN NAME OR NAMU9 OF
----- -.--
REl.ATIONSHIP OP JOINT
tlOI.DURS TO [1!'::CIH)HNT
-No,,'"
..-------.-----..-..---.-.-..
.-----.----..--.- --_.._~--_.._~. ._---~------_.--._.
--.------...--
...=--~...=_=_w_~..===.
-. _ .-,==0<.=;= ~.. --------
=~
=
Thnl the conlunts of Hnld snfe dep",lt bnx llI' bnxes lire Itomi,..d tlndor Suhudule.___of thiH rutu;o.
wilh the uxeeptlonof tho f(,lIowlng, fill tho ronHOUH horelnnftor sel forl11l
Thnl Schedule A Illlnohed heretn nnd mlldu pllrt huroof SelH forth fully olld in dolull oil Iho reol properly
In lllll ComnlOnwunlth of l'ollnHylvllnl1l nf whluh dooodent dlull hllvln~ un Inleresl lhureln. It nlHe HetH fnrlb the
",ortBuBU encumbrances upon onch IHlred of renl pl'uporty nt tho dute (Jf oOI\th, "lvilt" the nmoullt HUll UIIO at
donUI, n"me of mortguHco, dulu, rute llf intMost, nud hook and pngu nf record therc-uf. It ulso sets furth In tho
colulTlns provided therefore the llSSO!UHlll vnltlulion or cuch of hflhl plll'lll."lls, tho eslirnlltcd mnrkd vullle thereof
ns or dote of denth of deeodcnl.
Thill ,~rl,.du/o 8 1It1l1uhod horelO lI11d Illudu pari haroof 'illS fol'lh flllly IIlld In dlllnll 1I111\e1SOlllll prnperly
whcrcsnvt'r IdhH\tud owned hy the de(:l!denlnt the time or denth; nllll\llllcyS left by the decedullt at the time (If
denth, whether In dcccd(,~nt's 11llllludluto pOSSCH!iioll, "Wilding tll {h:ccl1cnt's credit In bankN of deposit, slIvlnus
bunks, trust comIH,nlcli, or olhur IIIHtitutlull~, whether ilHllvldul\lly, or in lrullt ror l\ny other Ilcrllon 01' 'll'plons
nlvlt11' alsu Rcp:untcl}' thl~ accrued intorest tlwrenn, If (lny, down to the Inst Inlorcst duy prim IV l1clJUdunt'f;
dl'lIth In thn ClIse or sovings banks, 1\lltl 10 the dute or dl'l,.'cllent's dClIlh In nil nHH'r l'nS(~SI IlII homb, postlll
sl\\'lnus, trl!lltiury ccrtlflcntl!s or notes nnd other c"idence or IlHhJhtudllCSS of the United HlnhHi to the do~
cl'dt'nt: ull ohliuntiol1H, whether hy Nlat\ltl~ or ngrcclllcnt till:}' Ill'e (h'sl[tl1lllcd flS tnx frf'll, or t:IC llnllod StbtcA,
or OilY stlltu, or pnlilicid sulHli\'islull t!lIJreof, or or uny forcign ~ountrr, which nfl1 owned Ilt tl\ll dmo or dunth;
nit wunrlll" uPl1lHl11, jewelry, sil\'crwnro, piC:lurCN, bnu~s, works of flrt. Ilouseho!d furnltufe, hOf..;,CU, ("lIrri,\~Os,
ltutomnhllcH, hORts, 111111 IIny and nil I,thul' personlll rhaltel!. of WI\l\tHoe\'lH, kind or nnturo, loft by lICl,;I.'I!l'IH,
together with the rairly estilllall~l1 l11urkut \'alue (Iwfl~nf; 1111 hnlld~ 1111(\ 11\lIrt~i\nCH held hy dCl,.'IHlcnt und uf nil
cluims flue and owing d{ll~cdcl1t ul the lime of d\!nlh, !lilt! nil promistwI)' nolcs or other 1I1Ktrllnll'nt~ in wrltln~
fur the payment of money or whh:h dl'ccdcnt cth:d Illl~SC~!'H111, of Vdllllslle"er I1ntllrc, with intl'rest thereon, If
1111)-'. giving tJIll fueo vl\lue unt! estiml\ted full' 111lll'kcl valuo 1Iu:fcof, u1\tl H HUl~h ostlmuhHI fnlr I1lnrkcl vnltul lit]
Ill."JS IInm Ihl1 fll(~o vullle, It sets fllrth briefly the I't!U!o.lIll't rnr ~,Ich depH~Gilllln" nH In onch ItUll\i RllmoneY:i
lJ:\yahlc tn th.:: C:,(lltu flOm life InSlIflllll'll pulldus curried hy dC1:c\lelll; ull nUllllity lInd ondoWmcltl Clll1trl\CtH
Ih..s rrucl~cds uf which WC(11 I'uyublc UpOIl t!lll dl'l\th (If thL! <lccculJl1t; 1'111\1111 the l:nl-pnrull' ,;Iu{:ks nlld cllvltlllnd:oi
dnlJ (herulIn IIlld unpllld ns of tho dull' of dl'nth, tmlld!', and ,ln~l'lIL!d lnh'rcsl th(\fl~lln 10 tho dati' or d(!cudI111t'S
{kllth UIlt! ntlwl' In....'1s1Illenl sccurltlc" owtled hy thtl 111'C{~dcnt III the tlllle Ilr (lu;!lh, wilh tho mlHket \'1I11Ie tlllHll-
(If II t hUl:h time. . ,
"
;/"""i~~I'i'~':'''t'o\';tt",.4',.,.,'}r~~''''''~;, '"'
.-r--__~_..n. ff.."___~(f~~''',,",,,''''''''-~'''-'''~'''''-''~'~- ....
."
. . ,
.
JlI lhH (ll\Kfl "I' Nflfllll'lt.lftH "I' nIntW or "/II1ll1y (l1l1'lltIl'nl. I 1I1l!'i, llll. \'U\IlUH rfllHlI.t.llCI !lI'U hU f'ur LLH
pntlKthlo HlllIHt,nlll-lnt,(HI 11)' f'1IlU1H,tlLl "tnl.Oll1nnl,H of' t.llfl unl'IHll'IlLllll1H, III'lIwltl~~ UHt UKHut,ti unet ) Inhlllt,tflH
tht'rnuf ilK ut' tl!lI t1l\tu fit' ,1!lnUIt '1'1111 Hnllfllhl1u nIuu fUlI,H 1'111'111 UIl! IlllllrllHI, (II' Ilnn'lIttlll!. nt. l,hl.~ 1.11'\0 nt'
elfin t.h III IlllY IHI",'"rt.llftrHh lp (lr 'HIH tHoHN, 111111 t II !Hlllll(l!' t, nl' t.hit \'1111111 (J I' HUtll1 J" !.HI'U" t l,hol'lI 1 H 1\l'llIIlXtll' l,u
Hule' Hnlltlltllllt) "I""llolIt1 ttt.f\t,umfllltH Hl1nwlu,\t.hflIlH",llfH I\llft IllIhllllll"( flf' nnld (1I1""I\I.t"n\"IIIIp nl' hHHlnmtHI
1\ CIIPY of' t.tlt. (llI~l'lll.tlllll'nhtp Iq~l'tttlllll'llt" (It' (If'ul, It IItulull\lllll. Hllt.llll,\ 101'flt tllr, IIl\t,lIl'U Ill' t.ho ltl~I'IHllnflllt.)
tnlJ,l\th,~r wltll n flllltmtll~llt, Htttt.l",~ l'ut't," ttlll ulml'ut'tur of' tI\l' hllHlllllfHl, IlK Ifll1f~l.l(lIl, 1\111' UIIO" nt.hnl' ruotti
11\trt,n'"11l1~ f,n t.hn hllMlnohH UH ItlhY hn IUII'tlnnllt. tn II I'nll' UIll\ .I"t1l, np\II'/tltwl flf' Ulll {"tlltHlullt.'/I lllt.ItI'flHl,
tllHl'lt In mil'" lll' ~llhnlt I.tn(', 1 t IIhClll\11 1\ 1 HII flnt. t'nl,t.h III I tHIIII","ll l'ell'Itl, t.CljlItt,llflt' wi tll I,llt! f'n I I' Illltl'I(~ t. vnl \In
t.hnl'fWr, nll~' nl.1w,' Jlropnl't.~' nWllfHl ur hnfl\1OIlt.hi:td hy t.llft IhHltlllunt. /II 1,1I11 t.lmnnr llllllt.h.
'l'hn Sc/lt'dul(' (. HI,tlwhu(\ hnrflt.o I1IHI ltHuh~ Pili'!. Ilfll'flU!' !I(lt.n 1'1I1't.h " t.I'Ull IIIlHWltl' to nnull It\ftulry
(,~(lnt.niIlHI' thlll'nill nm' Inthfi (1(IHuol't.rIUlHf'fH'HOrl','olltll't.y, I'fln' 01' Illll"HlIl/II, Idthln t.wo ~'IlIt\'H 01' c1notlclullt.'f1
clouth, in IHlntlllrtplnt.lon nf' {"tOIIl'Hllt'll (Iurd.h, or fnt.tlllclnll to t.'dirt lIf'!'IIf1t. III ll1lfi~WHHtOI1 or flll,'(Iym~nt. nt. 01'
aft.tlr rloHt.h, Anlll "Hlh~l'\llo tifttk l'm't.h "hn ttllturo /IlIrl VUllltJ Ht' HlIllh III'llJlnrt.~', t.o ~IWI11 t,rollst'llrrtlll, t,h~
rolntlonshtp of th6 tl'l\IHoit'orUf:lH to t.ho dnooftont" t.he III'ullol't.lnl1ltt.n ll11nru 1'(J('ntvufl h:v flllUh t"'l\ltHrlJrOtl nnll
nIl nt,hftr rUUt.H of' n }1llrt,lnont nut.\II'U rf'gltrfHn~ fin'll' trnl\Mt'OI'~. Tn t.111' Ol\HU nf' t,1'/t1nII'1II'H lut.enll"l' t,o
tnl<.o nfl'oot in pOHHftKKiol1 nt' on.loj'lIlAnt, I\t or nl't"I' Ilnnth, t.huro ItI ultHl 1t1.t.UI~tltHl t.o 1.110 HohfHlula II oonY
of the dtHHl, t.I'UHt. ul;roorn~nt~ or 01,11111' intjt.I'umunt orBI\t.lng 1.1111 tl'\lKt.. '1'hol'" Iii ntsn HUt. "orth in HAid
Hoh~lllllo It list. uf' nl1 prOpfll't,y, ,'(IIt! unel pursolll\l, wIth it.a Vl\llln, wtlloh l'nl'lHIlK lit. {ltHHHlullt'H dOH.t,h by
virt.u" of tho oxurolsn hy (lflo8lhmt" tltthf4r Infllvlfl1lnll'l, o",lolltt.l~' wlt.h llIlUU\tlr, 01' nny l,uwAr of' hJ1pnlnt.-
n16nt. vo~t.t'clln dooellont.. oither llllHvllluully nr ,Jointly, by Lho will, f'OfHI, or ol.hur ln~t,I'IlIl'''nt. or nnnt.hnr,
with f\ oopy or the instr11IT1H"t OrAI\Unp; fluoh l'owflr nll.ltohtl{l t.n UU'l Hu!lll(\nlo.
'l'hnt Schedule 0 nt.t.nuIHHl llfu'ot.Q 1\11<\ I11nde phrt IWI'(}or Rflt.'"' f'lII.th t.l1fl 1\"I1\O'H nnrl ufhlroH,",OR oi' nIl
tleNUHlH hnnof'lolnlly int.eresttlt' In t.hts ul'ltnt.o nt I.lIf! t.llllfl of' (hlflfH'nn,,fH llout.h, till! IIHt.UI'n or t.holr 1'09-
po"Uvn l"torllHI.., their rolotl"".lIlp, If' ""y, I." t.1," ,lll""Ilo,,\., t.ogo\.\1Or w\.t.h I.hn "go, 01. t.ho 1.1"0 "r
,dececlent's (lent.h of nIl IlllnorH, llnnutt.f\l\t.H milt hnnorltdnl'luH rOl' 1t"o umtnr (lotlAtIAnt,lu Wlll. It. a180
cont.nlns n Ht,ntAllltmt showing whloh of t.he hOTlof'loinrlnR BllllltHI In t.hi.! dOt~nfIPrlt.IH wlll, it' nn'l, (Uud 111'101'
to deoecll:lut" t.ho lIntos of UHlir dOl\th, t.hutr iA~\Ie, find tll'" l'nlnt.ton~1l1p nf' H\lt~h i"HUt! t-.o t.ho hnnol'illll\ry.
Tl1l\t Scl1edule C Id.lnchtHI ho\'ot.o l\IHl I1Illrh'l Il PILt't. Ilnroof' 80t.H f'ort.h 1111 pr'opert.y, I'oul UIlI\ pHr'"
80n1\1, owt1l'd hy t.ht:) deoel'ant. ,1otnt.l~' wit.h nnnt,hnr or othnrH, inc1Ilfllll!\ ttll'.nn,~lhlo, ~t"1111InA in t.hfl 11/11110
of the cleoof'unt mlCl oth"r~, plHH t.ho tlnl.A nnrl pl/wfl 01' l'('(HH'c1 ul'lllHtl'll1llflltt.1I nt'f'(wt.lng UIO \tlHt,lturn (If'
rOlll OHt.l1.t.O nnd t.he dt&tA of' ncqulH1Uon IIf lWI'Hol1111q't }lltlR \-.110 IIIWIll, IlfhlrORH nllll l'nlnL'lonHhl,p, if' "ny,
of nD-OWJlHrB t.o t.he rleoodnnt.
Thnt, Schedule F nt,tnnl1od hnrot.n (Ind ,",ldo n )lnrt. !loroor SlIt.H f'ol't.ll fully nlld \n ch,t.nil nIl lloht.s
nnd dorluctionR olnimftl\ 1'or 1\11(1 on llflhnlf n(' Ud~ {11lr.nrlont.'H oHl.ld.H, inlllwtlttg f'tlllOrlll nxpn'I!HtH pnldj
fnlntly ox""rt.loll, whorll oPl']I,,"h]O\. "0"1" 01' '''\11I1111''1.''11'1011 or \.Iii. ""1.111."1 emlllHo] f"oH ollil f~"!l,,llll'y'n
oonulIisHtons pnld or 1,0 lIfl lHl'lt; cost oxpttlldncl for \1\1\'1111 t.I'\l!:.t.NJ t-.(lJ1lhNI.ol\flH 01' SJ,I'nvnmnl'kf,rR. ntU' I'utl-
IllO"" .orvlc"., III co"Holl"OIlOO "I' t.ho "ool.h ot. tho ,10",,,10,,1.1 ""hI." 11",1 ol'''IOH owl"lI "",1 '1111"\\.11 III. t.I",o or
deothl tOXBH ""c",,,,,1 ohlll'I\,,,,1I]o I'"r por\.I,,1 p"'"" 1.0 "0"0,11'"1.' H I'o"t.il (ox"opl. II")H" lIJ1owoII un""r flool.to"
fH\1 of t,ltH 1nhol'ltunoo nnd EHt.nlu 'fnx Ao\'); t.111~fll.hf1r wlt,h II utnl,ofllnnt of' t:olltL\ttl'ul ,,10(11~IHl for ohltgn..
t.lon9, tr nny. It, :1t1 Ilgl'tlfHI thllt. t.ho t'hhtclnl'y \'flll prI'H/!lIt, Pl'f)(lf nf BII1(1 ~'lfdlllflct ohltl~(lt.lnnR UpOIl I'H-
'luoHt, t.hnt. If' \.ho 0"''''11\1. oo!.""Uy po'rI I" Ho\.t.lo,,"ol. 01' "oy 1'0", ",o",,,\H"'O" or Ilo'li. In 10HII t.Il/1II tho
ost.lmlltorl nmount cl nllJ\t111~ IIllt' IIllowod, t.hllt. thn tiHltl1l will Ill! 1't'POI'I,N\ to lh" I\nl~t~t.fW of' Will>>, nBI' 1,llItt.
tho nmClunt. of' tllX l\BHO!HH!l\ olm hn 1'f."I~iBiH.mnll III H(~I!OI'(III"(H.' t.1wl'nw\ t.ll.
'filll\. t.ho tol.n]" or t.h" Ilpproprlol." ""lu",,,' 1" fl"'""Iol"H ",I", "II", "C", "I':", "",I "1'" "n ll1rool.o,I I.hero\.",
hove 1"'0" oo,'rlorl l'''l'wllrd "",1 I"'''I''''']Y ""I\\Hl.o",,,I III \.I111 Hn",,,,"ry. )J...~ tiI.... L, ~.
NATIO~~~)CENTRAL~ BANK/I
.l.ly'kl':;;t::~~~f{~'p"""
2 2 2JGr1~e t.St...,.P...... O....B.ox..,lnl.L..
(St~cet Ntlmber)
H.urI'~. s bu.! il, .... J'9DI}f,lY LViiI} :1,11.. .. .1]).9B
(City (JI' TOlOn and Stille)
..... 1\L.~Q.
Subscribcd IIllel. Rworn to h(lforo me thtH
............/L~ .... (Iny of . 'lMM!f~.
/P /)1" '-:.t:..'
...../..//.,;.,K.: ...~ 'I*f!<f''' ~' ] ;\~. .... ... .
_~ r o"a/;" HI? ,C
I l . i\L,I,;. dr.,. .Ale:
IlMtnS;)1illil {I"U1':!irl ( ijdl1
MY crIM~k,~;!UN DPi!(:'; (Jir_: ;'7, 1, '.2
Mr'mtll'r, 1\':ill'il','.'tlll I",." "I (I,'
NOTE: Jlnf'llf'f) RI~',llhlP; nrf'ldnvli m"kll HUI'O ntl h1l1nk topllC'llH 11\ l.hn IItTldlLvtt. Hllfl bch"tltlll1~ ullllf';(utl nl'U
1'tllC>lt III wi tit du(.tdlH 01' t.ho W(JI'I' "NtlIlHIl, HIll1 III CIl!Hl UII"IlHh''1~ \1I0111\1n I'HI'l! Ilwl Hill \!ll.ftl' Rw!ltrlt.lfHJ,
HO<:lll'iUflR of' (lloKO ClI' 1'ltlllll)' OUl'pOl'nttOlHI nl' Hit IlItlll'''''t. 111 Illlj' 1;t1-PHI'tlllll'fihtp or lltlHhwHl'I~ tllllt, lItt~
(l" tn Hllll H t..\ lfllWtlt tH rll filii "~{\ 1I1t""r t.llll pit 1'lll~I,:,,'lt 1111(1\'11 ,'oln t Illg t (J HI'ltl'l'lIl tl "IF' 111'0 /I t.l,l\e}tlt(l. ,\1 Hn Iflllkn
cnrt,'II11 t.hat. on'''''''l III In lIlfl "1:1\111U1I1I1')'" llll!i h(\f'll pl'Opi'1'1~' ('(\ll1plutflll fit. IdlOvn-lllrl'ct,I"\.
.,
FtC Cd.. 14.1.l1
. COMMONweAL TlIllF PENNS,"lVANIA
DEPARTMENT OP REVENUE
BUREAU op'COUtlTY COLLECTIoNS
TRANS PER INHBRITANCE TAX
FlBSIOflNT DBCBll.WiI
SCHEDULE "A"
REAL PROPERTY
~~I)
~.l
ROlli properly In Ponnsylvanlo, wllh slalemenl of mortgago oncumbrancos upon each parcel 01 dealh of d.ce.
doni. Proparly hold by Ihv docodvnl 01 lenanlln common with anolhor or alher, should be Idenllfled
os 10 quantum of Inlorosl ond tho ..lima led value shoulll bo lhal of Iho docedenl'. Inler..1 only, (properly
held 0& lolnl lenanls wllh rlohl of survlar.hlp vr tonancy by onllr.llea shvuld bv reported on Schedule "E.")
------ .
Th. ,.01 p,op"'r lo.o,.elln 'h. Cammonw.al,h of P.nnltl.anla .havld b. (I) (2) Ul
ducrlbedlty lot and "lack numblr, Itrllt and .tr..' num Ir, 'oglthlr with onPARTMI!HT
a a.norol dourlpt!on of ,h, ptop.r'y, wllh a r.f.,lnel '0 the rloord DC the AISEIIOD VALUE VALUA TIOH
.an"ran.. br whl.h ,h. d...d.nl '.ak Iltl., If a farm lIa'. nvmb.r of d. paR VEAR 0' UTIMATlo CAUTloH
cru, 011D .totlm.nt of martgagl Incumbranc.. upon laah parall at d.ath DECRoEHT'. MARKBT VALUR (0. n.t .rll.
Df dludlnt, TON", a...",m....", occru.d In'''..' on mDt'gag.., .,,:/or. olATH 'n 'hi. .,...1
ta b. lI.t.d on Sch.dvl. "p" .nd mu,' n.t b. dlduot.d from Ihll .ah. vii.
-
NONE
,
.,
,
, ,
.
,
,
..
,
.
,
"-
,
, .
..
,
,
,.
, ,
Inserl this 10101 appa."e "real properly" I Schedule "A" In Ihe X X X X X
"As Reporled" column on Ihe lasl page of thl. relurn.
0.00
/n (1/1,' I
Act-41 t..lIt
COMMOHWEAL 1li OF PEHHSVLVAHIA
DEPARTMEHT OF REVEHUE
BURIlAU 01' COUHTY COLLI!c.:TIOHS
.11 I. nCOI'4D STREeT
HARRIS'URG, Polo.
17121
COUHTV 01' Cumberland
SOCIAL UCUIUTY 140. 1-_
TOTAL GItOn Anln $230,573.93
I!SfATI! 01'
DATI! 01' BIRTH
5TATIII'ILI! 140,
Katherine L, C11u'k
-
04/11/79
21/79/0414
Plene provld, our ollie' with the Fair Market Vatue (a) for tho following bualnau
Inl.,..I (')1
9.
Harrhbu~&'~'?ora8e Co. C C 153 Sha. 1/15,383.66 )'bl l,:ib . bL
-,
H.",. ,f lutln,"
Typ, of Type 01
Butln'" Stock
. 01 Shl,
or " Owned
Report.d
V.lue- Total
Bureau
Voluotion
1.
2.
3.
~.
5.
6.
7.
8,
Remarka! We were inforn..1l t.hat 'If! IRS audit was being done on thia company, after which we
were to receiva the Corporate Stock Report. To date, nothing haa baan received.
Attom.y/Admlnlatralor/EKecutor Hamilton Bank
and Addre"l . 222 Market Bt,
Harrtsbur8. ~A 17101
Enelolld la the ayalloble financial data for each of tho aboye
,.queat..
;.I'I'ROYW VI f. :? ~~ ~'I )
fOR 7~~.3...l>
p\I\\:.CiO',t
Very Iruly youra,
;dLMUi. J '/ijll.llll" ((
Gloria J. Richard, c.A.
Cumberland County Inheritance Ta
April 22. 1981
~
In.lrucllonl on R,v.,.. Side
fOlIO, 71?
(IlnoJ. Junll 1\)/3)
11~I'Utt]\dlllllllh"r'"l1fr
"IVlnll ttlnIlUIS,r"lu
D"I~o hWlmmco C~nhllncnt for 0 Docedent (Insured)
(10 hn flInll IJv (JXOr.lltor wltll fmlnrRI (:,t,,'o 'rllk Untlllll, 101m 7(J())
I (Jocodn/ll'. flr.1 /lUI1IO ond rnl(IIlIo 1/lltlol 2 (Jocllclll/ll'. 11181 /lomo I 3 (Jlllo III do.th
Kathorino\" . Clark . . 4111179
. · ,... ;""'"';;;~ ',.",,;;,-- .---. -- -~ ~ .------ f'-";""" .~;,- .;"'" "'"., ",.;;;,-- .
~~"~k~!:..0!n.t"~o.!1lJ_l.!!.!!-.!~~._~.o~ny --~---.._----~
II Kind of policy 7 "oll..y /lIIl"lIor
20 .y~~_~>-,.~ife 1~105L_______
8 Nomoo 01 bO/lollolorlo.
_....__.~___.m_.__._~...~..__..~-~.~---_........_-
The Estate of Katherino Lyons Clark, National Central Bank and Heath L,
Allen. Exocutors
. -----.---5~OOO-;uO-- --.
, , . . . . ~_...._--
..L-nonll---.-
-,----
. nonQ
_'--I1ono
..1-...nonO--
, _L5...09!WlA2-
, L'ulLlull' , , '~..i<( {.i0;iiiiuC
: "'.""J'a:i d, up .1 0/1 ~ '$""""7.,''',"'''' ,
9 r.co ornollnt 01 IIollcy
10 r,IIlclll.1 01 .IlY Irulohtodllo.. 10 tho cornllOllY dodllclllllo 1/1 dotormlnl/lB /101 proooodo ,
II 1/lloro.t all Indolltodl1095 (110m 10) ocorllod 10 doto 01 do.tll .
12 Amount of accumulated dlvldolHlu
13 Arnollllt of po.l-I11orloll1 dlvldo",l. ,
14 Amount of roturnod pfornhll11
15 Amollnl of procnod. II pnyolllo In ono ""m
16 VIIIIIO of proconds "0 of dllto of dootll (If nol IIoyolllo In ono slim) ,
17 Do to of IS.lIo 01 polloy .
10 Amolllll of promllll11 , .
19 (a) Provisions nf IIolloy with rospocl 10 Iho dolorrod poymonls ," 10 tha Instollmonto,
NOtOI Wllo,o morllllldoclllctlon '"1dor Coelo sootlon 20!l6 I. Involvod, If othor Ihon lump sum soUlomonl
flulhorlzocl. copy of 1l1surunco policy should bo aUactlod.
(b) Amount of Inslollmont. , ", . " ,."" . . 1 ·
(c) Dolo 01 blrtll and 1001110 of any por.un Iho duration of who.o IIfo may 111088uro Iho numbor 01 paymollll,
(d) Amollnl oppllod by tho Insurnnco compony os . 0110010 promlum rOllrosonllng 1110 IIurchooo ollnolollmonl I
bonoflts, . , . . . . , . , . . . . , , . . , . , , , , . . . , , . . - $
(0) nosls (Morlallty lohlo ond rnlo nf Intorll81) IIsod by In.llror In vol"lno III6\01l1110nt 1I0llollto.
20 W O. . ii;~' i;;Bi;;~;i' Ii; ~ ';;,;;;;1\;;;;' .~;. b~;; B"'I~'I;;;Y' ~i' B ;;~;;; ;;,;;;ity' ~;;;;i ;,;~i' iB~';~;I' '1;;; 'ii;.' ~~;;;i;~;;y;" .:....'.......:...:...:... ..'.fj' 'y~"'" ~.. N~
21 Nllmo. of componlo. wllh Wlllch ducodont corrlod olhor IIollcloo ond ol11ounl 01 such pollcloo II 1111. Information I. dl601000d by YOllr
rocords.
'I<
Includes 99.94 delayed interest paid in accord with Company practice
'-"
Tho l"'dorsiullRf:f'!lrro.r;i~~~l;hovo'l1;1f.lIIl~1 InsUI'nnco compnn)' IWfoby cortlflaR that thin 8\lItOnl0l1t BOts forth corroct and true
Inlormollon, (,.,,>-..7 a '
~nn.l"" I- . ::::.,s.;.':",.......:.;" :;.r/C~-t/f lU!U2tce ~.rl)sldent O\!!.'!...!!LC."lfI'"t1.,,~/20/79
'( --" 1\ '. Im.lrl/cl!oIlB
PuqH1!lO 01 Stnh;lllilnt.-41O Inlorllliltloll nfllCllt uf tllo COl1lpilllY hnvllll1 neeoss to tho
shown hy this stHtollltlnt Is roquh(Jcf for tl1(I rlll:oHI!1 of tho cOInpilllY, ,"or pUqlO!\OS uf
purposo of dotorll1lnlnn lho ntntlltory Ctn!ls thl!~ atnlolllnnt, n fnc!olmllll slW1Clturo Illny
ofttillo of tho Insurod fur Fodoral f.15lot(l tllX hn Ilt1Cllln 11011 of n Illilllunl 9igllolur-o "nel.
purposos. If lilitH', sholl lJo hlndlnll us n mOUlInl
81010mollt 01 IlIollror,-TI1I. ololol11o,i! .Inonl",o.
must bo marlo, on bohalf of tho lnl:lurnnco Dilly to Fllo..-,lt In tho duly of tho OX(H:U'
co",pooy which IS8110d tho policy, by 011 tor to P,"Cll'" till. .tulol11001 frol11 Iho In.
SurllllCO COlllpnny nnd fUo it wilh tho return.
Ilnwovnr, If npeciflc,llly ruquP!ltod, tho In'
nurllfl{:n C0ll1jU1I1Y should filII thIS nt,'ltelll1mt
cIlroclly wltl1 tllO nfllclol of tllo Inlorl1nlllnv.
011110 Burvlet) mAkIng tho roquust.
SnfJnrato Htnton1ollts.-A lIopnrnto !>liltO'
mnlll 111115t ho fIIlld for oneil pnllcy IIstml nil
tho rolllrn which oOl1otltlllud 0 port 01 1110
gr098 oatata.
. d,'1.oro, '''J4~It.U-IlU'"114
"II')
"'11\ I ~_
Life In ;umneo litatoment for a Dec 3dent (Insured)
IRev. J\1I1(' '''131
PfJ'III1.".."tnltl", '"'''''''' ('to 111I 1111 II hy llXOClIl(1I with rndlllul Elitlltn 111)( filltl/tll, Form lOm
TJf;:';;.":;';;::;:~' ;i1.st 11/1f.1l0lIlHI f11hfdIU.lllilJ{I.1 --T2 IlP.f11.} lont's.llIst IMIl.'" .. . . -1:j-IJIlJ;;;! /.It"~II"'"-"
.' ) ;,1: :I ..(.. ;-' f, _..1 c ( /11'tr; (t: II-?;
'C~i/~,i;, dill;,i,~,~1ill;j;,(;,V'~ "T~E ~R~VE~ERS .. ...-- ..q--_....=-:. '~~i)'?:'~;"~::)':';'I_"~~~"'~;'~~~~~lIl";'-';;-k""W'"
'-oK'ii"T,)(jiiilii:y.n ..n__._n__ ---~~ ~-~~- ~,-; ~_. .h.___._._._._____ -~.' 2:;~:(,'J~'t(:1
-.-- ------
(1."'/ 7 p~11 13,.}A.lk
(.) r -I-I, tiI r-.!..,. ,11- r,..- I'l
/ ' (1/ /) "
'jj-N".Il/Il",iliii,lOii,:Iliil,J.----.
1/' /J 711 I., lilt (Iv' II ^,'cI
A/f) 7 /tll'/,i /
I- Y E(~ i( Till':,
!f!.LL!.!.J ^'/~/L.'
~~._-_.-..
$!J()('J'._...
$
.111._
j
.!i..______._.
o Far:o al1lCHlIIt of pol lev
10 Prlll"'flnloIIlIlY IlIdllhlodllo" 10 II", "Oll/flllIlY dllllu"lIhl. 111 dOlormllllll1l IIot proeoods
11 Inlo,o.1 on IlIdohlodno..lilllln 1011l"",lIl1li 10/1010 or dO"lh
12 Amollnt of UCCUI111llntllcl dlvhluf1c1s
13 Amoul1t of post'llImtoll1 dlvlrllJlHls
14 Amolllll of rlllurlwrl PI'llIl1I111ll ,
16 Amolll1t of plocundll if paVllhln In ono Slim,
10 VIII"oor Illoellod. ,,, of dill II or <lolllh (II 1101 plIVllhlo In ono ,,"n)
17 Onlo oll!!llllol polluy
10 Amoul1t uf Ilrnll1hllll ,
111 (a) I'ro.I.'o", of poll"y wllh ''',p"ullolhll d"fllll"d ,,"y,"""ls or to tholllSl"IIIn(lllls,
Nota: WhOlo 11111111,,1 elorlllutllllllllldll' Colio .oulloll 20fiB!s IIl.ol.od. II olhllr Ihalllumlllllln sotlloll/onl
nuthorllOd, copy of imurnllfJll policy should ho 111Iar.hocl.
:~' Ll.-' /~ '; 'f.'
~ (~i:-~l7JJk~G';''':''
GROUP BAS'~.
(11) A/1IolIlIl of II"loIIIIII"'ls Ls
(0) 001" of blrlh 1111<1111//11" or IIny I,,",olllho dlll"tiollor wh",,, Ilfo may ",o"suro tho numhor or "l1ymOn\!,
Id) A'nonlll .ppll,,<I hy 11111 InSllllll"'o UII/1lllilllY lIS 0 .11111'" 1'1111111111" rOfl' o.onllno Iho "WelIO'O of Installlnolll
honof/I., 1$
(0) HII.I. IMorl"IIIY Inlllo ,,"e1 rill" Ilf 111101'1151) lII,,<I hy III'urOl In .01111110 In.tollmont hOIl"fllI,
....................................,............................................................................................................................................'...........,.....
20 WIl' Iho IllIlIrod Ihollrlllullonl 01 IIIIIllIflullllY of IIny ill1l'"l1y conlrllel ''''lOd hy tho oompollY? . , 0 VOl lJ No
21 Nomo. of eO/1lpollll" wllh which d",welolll cloll"d olh", pnlll:l"s IIlld amoonl of such pollclos II Ihls ',\formntlon Is dlsolosud hy ynlll ,,,.
cords.
/ ~
{/{...,.J:'-;-L--(-l...<. A-t.../
\
~----_._-_._.~---_..--_....~------~.
Tho undorsl{lllod offlcor of thu ohnVIHHHl1lUllnSUlllllcll C10rnpllllY Iwrohy emllllos thot this atfltumoflt aols fnrth corroct oml trull lllfm,
IlIllllnll' 'I. J... T 011"'10'. ? /7 ;"..
' l't.'(tIr.~J , I~ /;"")'1/ ,1' ,Ulo^ClcliloIH&oroup ("- - L
~._, ~~}.I!!!~~~~~.~____~.._'".._~.~~.I__~. _~_.._.:~:.~/.___..___~_.._~~,.. .r IHnl~st'llr.tr~~I~n Onl1nrtrllon1 11ftlO 01 Cortlfh:nlllll1" _
PuqJO~n of Stntnmol1l..-lho InlmllHl' luc:mds of tho n(}l1Ipuny. f:or purposos of ill!lWlll1Cn company should fllo lhi\ stlllo'
lion shown hy this s III 111111 III 11 if.I(llllllnul this 5111101l1011t, i1 IlH:slmlllJ slUlllltllrn l11uy m(lllt dlrontly with 11m offlr.lal of tlio In.
fm thl! IHllpOMI of clnlonnllllnu tho Slill' hu u!lod III Hill! of a I1Htl'lllul sl(lnotlll'o anti! 1m-nul R(JVllllllll SOI'vlcn making tlllllllqIHJ~,t.
lItOlY {JI'OU IIslulu of tho ImllllJd for If llsod, shall 1m hlmlillU us 11 llll1llllal SepArato StntOnlonts.-A SOIHHOlo stlltU<
rolin, nl tl!llllto tnx pmpnslJ!i. SiUI1i1IU111. lllont must ho fllnd fm onch policy Ii!itnd
StlllOl1l01l1 of 'IIIurur,- Thl. .1111>11110111 Duty to Pllo.--III! Iho e1ulY of 11llIlIxoc, 011 tho rolUIll whleh "omlllutod 0 pori III
!nust hn muclu, on hohalf of thu lll!illrmWIJ utor to 111 ()(JUI n this ~lnton'ollt from tho Ill' tho oross ustato.
COl1llhlny whlr.h IS!lund Iho polh:y, hy nil StlrllflCO cornpl111Y 11l1d flln It with thn roo
offlt:", of Ihll cnmpany ha.11I1I IIC"O" 10 Iho IIII'll. HOWO.III, II .po"lIlcoIlY roquo.loel. tho
- -
L.0010A nev.12.'17 f1rlntatJ 111 U,a.A. lJ.1l QOYUllMI"' 1""'111"0 nr'ICI i llI1lt-- .41111,1117
/
.'
'.M\ 11? GJ Lifo EmJUl'lllinco Gt )~l\)mrJDrt for a EDolCcl1cnt (Insured)
CRn Jun. 1913)
r..lt"l~'''' 01 tll, "utll"" (To bn flIed hy ol(ecutor wIth r Ider.1 E,tat, Tlul: Return, form 70G)
flt.flul "tv,nUI hl~IU
lD8c~di,',~i;;-II..1 n8mo and 11lIddlOII',ljij,'I--120llCOd.m.:-ii",;".tnom. I 3 Oat. 01 doath
__J\I\I.II,.I~LI il;_.__mn...__.._~___._.nJ..___L_.._.l.L,iL\i.\_,._ L-a!./1 III'.
4 Nalllo ollnaulanco CO"'!>Rny ,JOliN NANCOCK MUtUAl UI! INSURAHCI COMPANY D Uocod.nl'a ,o<l"I"orll, nombar (If kno.n)
_,__~~~~~~~~.!..:~~_~llIU U~! 1 t Dalton, Mu..ohuulll 0111' 1 ) 1 1).-) h- I, (j,) :;
8 Kind 01 polloy 1 I'ollcy numb.,
liLJ!_~_J..L1;....kL,1\l.lLJ.lLHLU.L 1 '}Lil"i-DO
8 NomOI of bonellolMloa
tifllll-ilil,L ('1'111 hilI I\/Idh '\I~U HL\lll L i\lLl.Ij i\lJlllN!:iTi\I\TUR.'i OF '1'11:1 1 ~llll.()iJ
)::J'l'Nl'J~; Ol l;/l']m:m:m: I" U),-'llU;
9 race .mount of polir.y " ""
10 f'tlnclpcll of f\llV In(lt,htodflO~5 to thn cOlllpltny doductlblo 111 c1f1lnrmlnlny !lst proctlods ,
11 Inlorost on Indoht..loo.. (110111 10) or.t,uod to dat. 01 doRlh ,
12 Amount 01 actumulnlod dlvldonds
13 Amouot 01 POSHI10""01 dlvldoods, .
14 Amount 01 rotuln"d ~rol11lum
10 Amount of proccoda If 1'l11Y11blo In (lIlu SIIII1
16 V.luo of ~ror.o"d. a. 01 doto ol,'o"h (ilool p.yoblo 111 000 sum) ,
17 Po to 01 Iuuo 01 !>olity , ..,. , . ,
10 Amount or promlum ,. .." , , . ,
19 (a) Provlalons of policy With ,ospocl to tI", dofo"od pnymonll or to tho Inlt.llmontl,
Nolol Who,o mOlIl., lloducllon undor Codo 60r.llon 2056 Is Involvod, If othor Ih.n lump Ium '.III.m.nl
authorilod, COllY 0' lrllwfarlCO pulley nhould bo atttwhed,
1 'ji/II.: Ii)
. .
. , .
t . t t t
(b) Amount 0' In.tollmontll. . t . . . . .. ..... . . , I . . . t
(c) Polo of birth nnd nemo of .ny f1urson tho dUlotlon of whoeo lUo mny mo.suro Ih. numbor 01 p.ymonb,
$
(d) Amount .ppllod by tho InGurnncn company .e . slnnlo promlum I.prosontlng Ih. pUlche80 of Installment I
benofUG. . . . . . . . . . . . . . . t t . . . . . . . . . . . . . . L!-
(0) U..,. (Mortollty leblo end mto olloto,o.l) usod by Insul8r In valulnr.lostallm.nt boneflts,
.~_~~...........~........ 0.............,.... H................... ,_u __....... .... ........... '." ........0 ............. ......... 0..... ....0. ..... o. ...... ...~...... .......
20 W.8 Ihn In.u,od the annuitant 01 b.nullclary of any onnully contl.ct 'ssuod by Iho eomp.nyl . , . . . . . 0 Y08 0 No
21 Nom.1 or cornp.nloa with which <loco<lont carrl.d oth., pallo'.. end amounl of 8uch policies If thl, Informotlon la dl.cl08td by your
records.
/
Tho undor.lgno" o[flcor of tho abovo.nomod Insurono. com pony horeby c.rtlflos thll thll st.lol11ont loh forth co"ecl .nd Iru.
Inlor::nt:~,~~ '" .;d ''''1:l..j -jd."J.~b n\I~.J';..~nESIDENT 0.\.01 Corlllloollo. t>(''!..121/h _
O' . liwtnlctloll&
ofllcol tlf tho conlpnoy hovlnn oI:cos. to Iho
H!cordr, 0' tlla r:ompany, ror Ilurposes or
tillS ntntomnnt. II facslmllo slHf1nturo may
lJo Wind In Iiou of A mallunl slgnntuto And,
II ,,&od. &hall bo binding as . 1110n"al
Slenllhlto,
Duty 10 FII.,-lllalho duty of tho oxoeu.
101 10 PIOCUIO thl. Ilat.m.nl Irom Ih. In'
Purposo of 9toloIl10"t,-- Tho Inlollllotlon
shown hy this !JtntonlOnt Is rnqlllrod 'or tho
purposo of dotcrmlnlnn tho stntutofY ltro~.!J
o.t.,lo of Iho Ina",od fOI rodo,"1 osloto tax
purpoBoso
Statemont 01 Insurol,-,Thla s'olomont
mual b. modo, an bohall of tho Inaulonco
comp.ny which IlIu.d the pnllcy, by on
&,,'onco com pony ond lilo It with Iho mlurn,
!Iowovor. II spocllleally loquohlod, tho In'
sUrllnc~ comr18ny should filo this st.1tomont
dlroctly With the offlclol 01 the Int.rnol Rov.
on,," Sorvlco moklng the loqooll,
SOp.,O'O 9talomonla,-A aopnlAlo aloin,
mnnt m".t bo 111.d for .ach polley 11,'ed on
the roturn which conatitul.d I part 01 tho
glOlI 18tll.,
I nil'" "HlIlI " "I
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bM1 W~ltL I\..ND 'l'ESTAM&~.I....Q.E
~Ttl&RI~E L. CLARK
I, KATfffiRINE L. CLARK, of 2912 Merion Road, Camp Hill,
Cumberland County, Pennsylvania, deolare this to be my Last Will
pod TllIt4lllent, hereby x'evoHnq any and all Wilh previoully lIIade
by lIlel
fiRST I It is my desire that the arranQemenh in oonneotion
with lilY burial shall be as simple as possible and shall be performed
at reasonable and lIIoderate oost.
SECOND I I qive to my older son, Deane David Clark, my antique
Enqlish seoretary. If my older son does not survive me, or ~enounoes
this bequest, I give said seoretary to my younqer son, Barry Drewe
Clark.
I qive to my younger son, Barry Drewe Clark, my Elizabethan
ohest. If my younqer son does not survive me, or renounoes this
bftquest, I give said ohest to my older son, Deane David Clark.
The balanoe of my tangible personal property, including auto-
mobiles, olothing and jewelry, but not inoluding .oney, seourities
and the like, toqether with any insuranoe polioi.s on laid tangible
personal property, I qive absolutely to .y lurviving issue, per
stirpes. If no iS8ue survive m8 by thirty (30) days, the saae shall
be sold by my exeoutor and the funds realized shall be distributed
under the residuary olause of this Will. While I hope that my sur-
vivinq issue will dispose of said tangible personal property in
aooordanoe with any intentions that I may have made known to them by
written memorandum, I speoifioally deolare that I do not intend to
oreate any trust, either in law or in equity, with referenoe to Baid
tangible personal property.
I '1;1 J
7(: alt, k';'L "i ,~L w..-
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Should .Y i..ue prove unable to agree to a divi.ion of .Y
tangible per. anal property, such division .hall be aooo.plished ..
follQwll
1. My executor shall place a value on eaoh item of .y
\ 'ngible personal property.
2. Eaoh beneficiary entitled to take under this Item
(or the person seleoted by my exeoutor to represent such benefioiary
under eighteen (18) years of AQe) ahall alternately select an it..,
the order of ohoice to be determined by the age of the beneficiary,
with the olde.t of suoh beneficiaries (or his representative) to
receive first choioe.
3. When a beneficiary (or his representative) has
seleoted items whioh total in value his share, he shall have no fur-
ther right of seleotion. If the choioe of an item produoes a total
in exoe.. of the value of his share, he shall supply the excess,
either in oa.h or in items, for use of the other beneficiarie..
4. Items not seleoted shall be sold by my exeoutor at
suoh prioes and under suoh circumstanoes a. it d.... rea.onable, and
an appropriate distribution .hall be made ..onq my beneficiaries
under this Item .0 that eaoh beneficiary may receive sufficient oa.h
in addition to the item. he hAs oho.en to achieve hi. proper .hare.
5. Tangible per.onal property and cash di.tributable to
a minor under this Item may be distributed to .aid minor personallY,
or to the minor's QUArdian, or to any other person. .elected by .y
executor, and the receipt of 8aid minor, .aid guardian or said other
persons ShAll be a complete di.oharge of my executor with reoard to
suoh di.tribution.
THrR~1 All the re.t of my estate, of whatsoever kind and where-
eoever situate, I give to my trustee hereinafter nam8d, IN TRUST
?f'~'(lrt.f'C.t~....'(., ,j f~,;/ttt k.'
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NEVERTHELESS, to tnTest, reinTest, m~nage ~nd distribute as proTia.d
in +hh It...
1. To divide the residue into as many shares as there
ar'l! ohildren sUl'Viving me, or deoeased ohildren who have left iIIsue
survivinq me. In making suoh division, my trustee shall take into
aooount any obligation owed to me at my death by my younger son,
Barry Drewe Clark, or his estate, and shall reduoe his share or the
share of his issue, by the amount neoessary to satisfy said obliga-
tion. If I have made other loans to my ohildren or to my issue,
aaid loans shall be satisfied in a similar manner by appropriate
reduotions of the "hares involved.
2. With regard to eaoh ohild who survives me, my trustee
ahall pay the net inoome from said ohild's share to said ohild in
quarterly installments. In the event that the net inoome is not
suffioient, in the aole judgment and discretion of my trustee, oon-
aidering the other resouroes, abilities, and earning oapaoities of
aaid ohild, to provide for the oomfortable support and maintenanoe of
said ohild or to meet extraordinary expenses in oonneotion with ill-
ness or inoapaoity, then my trustee is authori.ed and empowered to
pay to said ohild, wi thollt the inteMention of a QUardian or oom-
mitte., at any time, or from time to time, portions of prinoipal
(other than stook in Harrisburg Cold Storage Co., Ino.) suffioient
to meet suoh requirements 4S are not oovered by net inoome. It i.
not my intention to insulate any ohild of mine from the neoessity of
workinq for a living if he or she is able to do so.
Eaoh ohild who survives me shall have the power to appoint
prinoipal held in trust, free and olear of tho provisions and oondi-
tions of said trust by a Last Will and Test4lllent, through express
referenoe to this power, but only to or among the issue of said ohild
or to or among my issue. In default of any such appointment, or to
/(;.... ('I" ,-< it ...~4..
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the extent that .uoh an appointment has not been yalidly exeroi.ed,
the AB..ts hel.d in trUlt shall then be paid, tran.ferred and d.i.-
tributed to the suryivinq issue of said ohild, per stil~es, or if
nQ suoh issue survives, to my issue, per stirpes, or, if no suoh
issue suryiyes, to my sister, Mrs. Wayne Voqelaonq of South Enola,
Penn.ylvania, or her issue, and my nieoe, Mrs. Roy Burns of New
Cumberland, Pennsylvania, or her issue.
Any trust or portion of a trust oreated under this Will
whioh beoome. distributable to a person under the aqe of thirty (30)
years, shall ne'..erthe1ess be held ill trust by my trustee until sdd
benefioiary reaohes the age of thirty (30) years, subjeot only to
the perpetuities olause hereinafter oontained, with the same powers
of invasion as hereinafter set forth in Item 1~IRD, Paraqraph 3.
3. With reqard to the survivinq is.ue of a deoeased child,
my trustee shall pay the net inoome from eaoh suoh iseue's portion,
to or on issue'. behalf of the benefioiary in quarterly installm.nts.
Eaoh portion shall be held in trust until the benefioiary reaohe. the
aqe of thirty (30) years, at whioh time the trust as.ets .hall be
d.istributed absolutely to the benefioiary. In the eyent that the
net inoo.e is not suffioient, in the sole judgment and diloretion of
my trustee, oonsiderinq the other resouroes, abiliti.s, and earninq
oapaoities of said benefioiary, to provide for the oomfortable sup-
port and maintenanoe of Baid benefioiary, to provide for the eduoa-
tion of said benefioiary, or to meet extraordinary expense. in oonneo-
tion with illn... or inoapaoity, then my trustee ia authorized and
empowered to pay to or on behalf of said benefioiary, without the
intervention of a quard1an or oo~ittee, at any time, or from time to
time, prinoipal (other than .took in Harrisburq Cold storaqe Co.,
Ino.) suffioient to meet suoh requirements as are not oovered by net
.~.,/ I
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inoome. In the eyent of a death of a b.nefioiary prior to reaohinq
the a(/. of thirty (30) yearl, the trust allleta shall be dhtributed
to his iSIU., or, if no suoh isaue lurvives, to the illue of the
de"'Jased ohild of mine involved, or, if no suoh illue lIurYiv.I, to
,u~ue, or, if no ~uah iallue lIurvive., to my siator, Mrll. Wayne
, 'NJ.III)l\<;I of South Enola, Pennsylvania, or her i8lue, and my nieoe,
Mr.. Roy Burns of Hew Cumberland, Pennsylvania, or her ilsue.
IQYBIUI I direot that any and all inheritanoe, e.t.te, IUOO..-
.ion, transfer and other death taxell that may be alls.saed in oonse-
qu.noe of .y death, of whatever nature and by whatever jurisdiotion
imposed, and regardless of the nature and ownership of the property
at the ti.. of .y death on whioh the same may be allseslled or imposed
or to whioh the slUl\e may be attributed, together with any interest
and penalties thereon, shall be oonsidered a part of the expense of
the administration of my estate, and aooordinqly shall be paid out of
the prinoipal of my residuary estate; and my exeoutor shall have the
ab.olute power in its dilloretion to pay the lIame at onoe, wheth.r or
not the law under whioh the same are imposed permits the postpon.-
.ent of payment of all or part of them to . later time. HoweYer, I
am oonfident that my exeoutor will weiQh oarefully the advant~e.
of installment payments of F.deral Estate Tax imposed in oonneotion
with olos.ly h.ld bulinellS interests.
FIFT~I I appoint Fulton National Bank of Lanoaster, Lanoaster,
Pennsylyania, as my exeoutor and truste., and direot that it serye
without bond in any jurisdiction in whioh it il oalled upon to act.
~I I give to my .xecutor and trullte. the following powerl
during the administration and until the oompletion of the distribu-
tion of lilY elltate, and until the termination of all trusts oreated
hereunder, in addition to, and not in limitation of, any authority
qiven it by law I
. //' ' /0 {.t f
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(a) To retain any propyrty of any kind of whioh I ma1
die po......d'
(b) To invest or reinvest in suoh stooks, bonds or oth.r
prop.rty, eith.r r.al or personal, as it, in it. sole disoretion,
may deem wise, without being limited to what are known as -l';Al
investments-, and to deposit and maintain, in its sole disoretion,
funds in suoh amounts AS it deems proper in banks of its ohoioe,
(0) To exeroise any options to subsoribe for stooks,
bonds or other inv.stmentsl and to join in any plan of lease, mort-
qAqe, oonsolidation, exohange, reorqanization or foreolosure of Any
oorporation in whioh my estate and trusts may hold stooks, bonds or
other securitiesl
(d) To se11, transfer, oonvey, mortgage, pled;e, lea.. or
exohanq. any property, real or personal, whioh at any time may fora
part of my estat., for the payment of debts or t~xes, or for any
purpose of administration or distribution, at either publio or pri-
vate sale, for suoh prices and upon suoh terms 4S it, in its sol.
disoretion, may deem wise, And to exeoute and deliv.r de.de of oon.
veyanoe or transfer thereof, without any liability on the part of
the purohaser or purohasers, or anyone .lse dealinq with it ~th
respeot to .y said property, to see to the proper applioation of the
purohase money or prooeeds,
(e) To renew notes or debts of mine, 4nd to borrow sua.
of money, qiving suoh seourity therefor as it, in its sole di.oretion,
may deem to be for the best interests of my said est4te 4nd trusts,
(f) To make settlements and oompromises on suoh teras AS
it, in its sole discretion, m4Y deem wise, without the necessity of
obtaining any court approval thereof,
(q) 'ro m4ke distribution hereunder either in oash or in
kind, 4S it, in its absolute disoretion, deems wise,
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(h) In its disoretion, to amorti.e from inoome premiums
paid for investments whioh are oallable, or have a fix.d maturity.
~~I I direct that my exeoutor and trustee oontinues to
(' :'""",,; l the business known as Barri sburq Cold Storaqe Co., Ino. I
reool1ll1l.nd that eaoh ohild of mine be employed by the business 4IJ a
member of the Board of Direotors, or otherwise, at a salary of One
Hundred Dollars (3100.00) per month, if the finanoial seourity of
the bu.ine.s will not be jeopardized. I further reoommend that, as
lonq as it oontrols the business and as long as it employs a manager
who it believes is oompetent to manaqe the business, it extends to
him the opportunity to manaqe the business with a minimum of super~
vision over d4y-to-day buBineBB problems and at 11 compensation that
it deems appropriate under all the ciroumstanoes.
This authorization and prior restrictions on the diatribution
of stook shall not be oonstrued to prevent my trustee from selling
the business, either privately or publioly, or from liquidatinq the
business, if, in its judqment, suoh oourse of aotion would be
advantaqeous to the trusts oreated hereunder. However, it is my
reool1ll1lendation that my trustee permit a minimum of two (2) year. to
elapse aft.r my death before sal. to avoid the di.tr....d prio. that
often is obtained through sale of a business shortly after the d.ath
of a prinoipal of the business.
EIGHTH: In the event that any trust oreated under this Will
shall not have previously terminated, it shall terminate in any
.vent, and distribution of the prinoipal shall be mad. to the incom.
benefioiary twenty-one (21) years after the death of the last .ur-
vivor or followinq persons: All of my issue that survive me, all of
the issue of former President Dwight D. Eisenhower that survive me,
and all of the issue of President John F. Kennedy that survive me.
_I. ~ /,J
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CODICIL
I, KATHBRINB L. CLARK, ot 2912 Merion Road, Camp Hill, cumber~
land County, Penn.ylvania, declare thi. to be the .eoond Codicil to
~ La.t Will and Te.tament dated Decemb.r 21, 1961.
1. I r.voke paragraph THIRD ot my La.t Will and T..t4m8nt and
provide, in lieu thereot, a. follow.,
THIRD I All the re.t of my e.tate, of whatsoever kind and
""ere.oever .ituate, I give to my illlue, per.tirpeo.
2. I revoke Paragraph FIFTH of my La.t Will and Te.tament and
provide, in lieu thereof, a. follows,
rIrTHI I .ppoint National Central Bank, Harrisburg, penn.ylvani.,
~
and Hea~' L. All.n .. .y Ex.cutor. and Tru.tee. (referring hereafter
to them in the .ingular neuter gender) and direct that it .erve without
bond in any jurildiotion in whioh it is oalled upon to aot.
3. In all oth.r respeotl, I hereby ratify, oonfirm and republilh
~ Laat Will and T.stament dat.d December 21, 1961, tog.ther with
this .eoond Codicil, as and for my Last Will and Testament.
IN WITNESS WHEREOF, I have .et my hand and .eal her.to
this 8th day ot January, 1975.
b.t~~~~.LM
(SEAL)
SIGNED, SHALlD, PUBLISHED and )
OBCLARlD by Katherine L. Clark,)
a. and for the aecond Codicil )
to her Last Will and Testament,)
dated Deoemb.r 21, 1961, in the)
pre..nc. of UI, who, at her )
reque.t, in her pr..ence, and )
in the pre.enoe of .aoh other, )
all b.ing pr.s.nt at the same )
ti.., have hereunto .ub8cribed )
our n.... al witn....sl )
)
)
)
)
)
)
)
)
)
'1 '\,/ J-t j 'I;; 1/"1/"1' J./UI..LJ / J
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COMMONI\'I'~ALTII m' I't:NNR\'\'\.AN1^
TIlANst'lm INm~1l1TANCE 'I'M\
1II,:smt:NT IJI,;ct:1JIo:NT
SClmnULF: "n"
IIgN~~FICl^I\II':S
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\mNIW1CIAIIIES ANn Almll1~S81';S 1IE1.A'I'IONHIIII' 81m V1VI':(J IlA'rl~
W "trp,ehlllil'rn oe lNTlmi':fl'I' ()\o'
Stllto :ul I nnll1lJR 00'1 "ddroRnol) of 011 who I r"lIlmol. rhllllr.n nl':Cl';lll~NT 011 IlJo1NI':F1e1 A 11\'
n\'O on Int.ol'out, yontod, oontlnnonl, or nLhot.. nro Invotvutl, sot 8'l'A'n: VI~S 11.111'1'11 IN 1':8'1'A'1'1':
wl.l\o. In ""tutol flll,th thl. filet,) Oil NO
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NAMt:
DATE lW llF;ATII
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('()MM(IN\VE,,'L'I:II OF 1'1\NNSY\,V^NI^
TH^NSFEH INlIElUT^NCE T^X
-
INSTllll('TIONS: Till" Hlllwltuln mllHt. lllnuloso nil prfll'nrl,)', runt IU"I IHll'fiUtlf,l, nWI\lIlI.u.x tlw .Innollot\t. .Iullltly
.!.L!.ll nlltlthor nt' nthnrH, lnlJl",t111J~ ll1t,Rn~lhlntlf Ht.nrHltnn In t.ho IInmll of' t.tln dnntllhmt. 81111 nt.hol'H, 1,1111.
n'nl I'Htntll ('It'Ht. UK 1I1l1,lrnt.tuK. ur ,Iolnt. lo,,,mt,Ht Kivll\lt IIl'tol' ,liHwrlpt,IOT1t ,," .tlttlOfltnll ",,'nr Hnhndulu
"A", P'UK thll 1111!.H IInll III "un flf rnnnrcl or tllHtrlllnonf. nl'f'flnt.tnK Villi'" IIlfO, "'It. tin nut Innll1llt, ~lntlrllt.ltl"
lit- nut tit' Ktl\l.U l'onl fI~tnt.n \'lltUI) In flHt.nt.o ynJllnl.lun 1101\111\11, 11(11'HOtll\' pfllptll't.)' Rhoul.I ho lIMt.m' "" 111
Hnhfld\llo "II", plllH (Into ut' II(1I11II'IIt.tnll, fllIll t.ho I1l\nll', IlIh'rflflR Alii' rl,'I\ttllllAh11' (Ir nny) ur no..n'nON' t.n
t hi' ,llIf'41df111t.
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YIlluRt.lnn
- -. --
Ut'"l'rll't"lr~~r PI'npnrl,y, Un!.ll Ill' Af"llltftlt,Inll, Nflmll 1/nlt. }1nl'UIJIlI,lIAIl
AllIll'ONA nlllt lhl1nt.tnnHhtll lit' en...Owl\u..", Anll1'lnllo Vul\lU Hhnrn
of' 1\I'florl' 01' 1 nRt,rlltlHHlt.. wllol'o HI.'IlL.~~'~~ :-J?:'":
ex><; :< o;x '-1,;<<;.'4 ~ ~<'N ~~-::: Jo'> I'
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llI'a'AIITlIl':N'r VAJ.lIATION
CAUTION-no not, IVI'\I..
In 111 t" 8nnoll,
-
Vnlun nf Vf\luo of
IlI1 tI r. O.oOllon t' 1
pro"lrtv lnloront
Real Estato known as 2912 Mer1.on Roaq,
Camp Hill, Pa,
Lot size is 72.5 x 110,5 x 120 x 139.
In~rovement 1.s a s1.ngle two-story
frame building with attached garage.
Deed to property io dated November 20,
1968 and recorded in Deed Book A-23-
234 for Cunilierland County, Ponna.
Dced is in names of Katherine L. Clark
and Deane D. Clark with right of
survivorship and not as tenants in
common,
Deane D. Clark is a son of the
decedent, Katherine L. Clark,
Appraisal attached indicating value
of $56, 000.( al/U4"'~~ ffJ(I,
50'7.
28,000. 0/
.
,
, ,
, .-
, ,
.
, ,
, .
"
lnnrl Ihl. 10101 opllOlHO ",JoIntly o.nn.ll'roport,y", Bohodulo "E"
In Ih. "A" RBporlod" 00111111'1 00 lho 1M I pORO of thl. rot,orn. 28 ,0000 (if1l/
tlJ..J; {)-(,t, L~~'
.~
,
~PPHI',J:;I L HI';I'Of1T
I~H'r"'l'lJ: 01" K/1'I'l1lmINI~ J." CLMiK
2912 MIJ:HION HOAD, C"MP HILL
CUrml~IiL,. ND COUN'ry, PENN.9Y rN/I NH
J!1nUElry 8, 1980
OeElr Mr" /l11enl
PUrSUElllt to ,Your I'ooent requflnt for !111 F.lpprlllsEll
of the Above lloted property, ,Your "ppl'alner has t;horoughly
lnllpeoterl thin nroperty Ilnd reports A/l followSI
'I'hA Pt.'oPArty ill A flj n,,:lA 2 ntor.y f1'/1mo bu1ldin":
with attl10hed ~nrn~e. The lot /lirA in 72., x 110.' x 120 x
1.19. 1'he ntrmlt in ml10nrlnm Ellld the clrivewAY in Fllno mllof1dllm.
t.hOl'll iEl A OOl1nrnt;e WEl11twl1,y 10/1ell.nl', fl'om the ntZ'flllt to A
nmFlll front; noroh. The roof is oonntrllotod of Clompoll1tion
mAterial.
'rho bnnol11ont in pnrtifll wlth Clonorete floor E\nd
W111ln EIre of palntod blook. ~l'here iF! fltl ent;rlll1r.oWl1Y to the
renr yard. !lootl11n; Oonflil'ts of All all fired stoElm syntem.
Proporty in lHlrvioed by both Tmblio wrltor ond SOWC]'.
DomfJl1tlo hot ~IA\:er for summer unfJ is provided b~' the boiler.
/I spaoe ollato for the 275 ~allon 011 t~nk. The bolleI' room
01 so hA Fl bund ry tuhs wlth oonneo tiona for tho Welsher f.lnd
d l'yer.
'('ho firnt floor oonllil'tn of A l1vinp; room, fElrnily
room, k.ltohen, dintnl'; room allel pOl1Clor room. /Ill rooms hElve
wall to wall oElrpetln~ with the elception of the kltohen
~Ihioh 1.s l.lrloleum. \~f.1lls nnd oeil1ll~n nre pAintfJd pJ.I:lAtor.
1'he kitohen hnfJ '" p.ArbF1f~e clinpc)sal whioh does not operllto,
F.llld A /l;tilS stove.
'['he S('loond floor han J hnrlroomR And bAth l;op;ether
with hnllwny. TherfJ is wf.lll to wnll onrpetinp; in the 3
bor:JrodmA Anrl halhll:1Y. There is tlln floorinp; in the bL1throom
with pa:r\:il:l1. tile w!;Ill ooverll1,,:. ~ll oellinp;f1 are pll1nted
plAflt,er Also the Upper flAotlon of the bllthroom. 'I'ho WillIs
of the bedrooms And hAllway Are painted plEl/lter.
'['he oxterl.or nlln Ill] of the j,nterior should be
pL1inted And All of the WElll to WElll oarpeting should be
replaoed.
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('
REV, 1B47EX I 1-B2)
. BUREAU OF' EY.AMINATION . \ NOTICE OF INHERUANCE TAX \ASSESSMENT
PI,NNSYLVANIA DEPARTMENT Of REVENUE. APPRAISEMENT, ALLOWANCE OR DISALLOWANCE \ CONTROL NO, 101
HARR~S~U~gx p~32i 7105 j OF DEDUCTIONS, AND ASSESSMENT OF TAX
,__._____ ' .. __,__"_"'._.'_ _.._...................".......d.... ..,. .......".... .."........,O'~T.E._".. Qg:.Q.;!:;-JLI;............__..
ESTATE OF CLARK KA~'HIlRINE L fiLE NO, 21 79-0414
PIIJg or..p.EAIl:I...,c.4~.U:::JS!-....--u",..---u_-.' . ... _ "'-- . ,COWrY .. ,.. cUMBI;;R!..rllill --
NOTE: TO INSURa PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION Of THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REalSTER Of WILLS Of THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REaISTER Of WILLS,
AaENT." IF TAX PAYMENTS ARa MADE WUHIN 3 MONTHS OF THE DeCEDENT'S DATE Of DEATH, A DISCOUNT
Of BlI Of THE TAX PAID MAY BE OEOUCUD,
HEATH L ALLEN ESQ
210 WALNUT ST
HBG PA 17101
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
9UT AJ.9!'19 .1H_I~ .L!N_E, . - . .
_ .. .. _ _ ~ ._ _ .. _ ~ . " _~ .. .. _ _ ~ ~ _ ._ _ _ _ _ .' _ _ _ _ ~ _ ", c _ ~ .- - .. - - .- .. - . - - ,-
NOTICE Of INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSMENT Of TAX
._. .'.._.' _._ ._.____~_..__...._____._~_.....____....~~_..___'".__a___.___..___n___.~__..~...__..._.__._-_._._.~n~---~.~---_.
E$TATE Of CLAm:
KATHERINE L FILE NO,21 79-0414
ACN 101
DATE 08-09-82
._ ..__...______.!.AX_.~.~,LIfl~LW A_LiJ;J.^.g.C.~I'TEI2..A~ f1L,~D. .._J___.l_i:.I1.A.f:19.E.~_,__._._._.._.__~.. ..---. -'--~--
APPRAISED VALUE OF ESTATE:
1. Re.1 Eote,e (Schedule AI
2. Stoc~.o and Bond. (Schedule BI
3 Clo.ely Held Stock/Partnership Intere.t (Schedule CI
4, MortQ.geo .nd NolO' (Schedule 01
6, C.sh & Mi.cellaneous PersOnAl Property (Schedule EI
6. JOintly Owned Property (Schedul. fl
7, Transfe" (Schedule ClI
B. Tolal Clro.. A..e"
I 11 ______--.9.Q...'"
I 21 "._ .00
131_.__.!~
( 41 .OQ
,( 61. .00
( 61._____ .00
( 71.____..!.QQ......
( 81
",QQ.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm1nl&lrltlve Costs/Miscellaneous
E xpenseo ISchedul. HI
10, Debts/Mortgage./Llens (Schedule II
, 1. Totll DodllCtlonS
12. Net Value of Estate
13, ChaTl,able BeQueslo (Schedule JI
14, Nel Value Sublect 10 Tax
I 91_-.--1..Q&.l3. 07
1101 .00
( 1\1
1121
1131
1141
..0,633.07"
40,633.07-
_ . 0.9_,
26f?, 511~.
ASSESSMENT OF TAX:
16. Amount of line 14 laxeble al 6% rale
16, Amount 01 line 14 lax.ble.1 16% r.le
17. Principal 1" Due
TAX CREOJTS:
\1-PAYMENT'l-REcEiPT..----:r. DISCOUNT 1+1 "I,
._,__~~TE__~ # ___+_. INTE~ES~.1.....-,---~__
'I 07-11-79 003298 540.00 !
07-15-81 , 029648 \ 470.69- I:
\ I l \
'--_..___.__1-__.___..__.. --...------....--...,.......,--....--..-....-."'-\-...---.----....,..-..,
THIS ASSESSMENT IS BASED ON: 1 SUPPLEMEllTlIL RETURN i__.:~..~__:r.~~..-~RED!~-\._..-gL74-~!4Q
NO INTEREST IS DUE IF PAID BY 07-15-81 l_.~~LA~~~n~F. y\~__~~,E...l_--.._,..~!Z.42.~2 ..
IF PAID AF1ER DATE INDICATED SEE REVERSE FOR INSTRUCTIONS. III B.I.nce Due IS I... Ihon $1.00 no payment" reQulredl
(161
(161
266,511. 99
.00
x,06-
X,16-
( 171
15,990.72_
.00
15,990.72 .
---,
AMOUNT PAID
10,260.00
2,419:09
RET AIN THIS PORTION FOR YOUR RECORDS
'9S3~qqV UO~ ~ooa NOlt::>nU1SNI xv 1 3:lNV 1.I1I3HNI 31H ;IilS 3S113^311 .Hj, NO NMOHS A1NnO:l 3HI.
UO~ SlllM ~O U31SID3U 3HI. 01 lN3~AVd UnOA HI.IM I.I~On9 ONV i^JUO~ 91HI. ,10 NOIl.UOd dOL .HI. H:lV130
. " .. r ... ... ri ... ... .. .. .. ... ... " _ H _ . . - .. .. ~ ... - - .. . ~ n _ _ ~ - - ~ - ., - . ~ ... .- - . - " ~ - ...
00900' 'AlP Or. 9C1:00' ,Alp O~ 69100 "'P 01
88VOO' &Alp 6Z 81COO' ,I,IP 61 t9100' ,AlP 6
I LVOO' 'A'P 8~ 10eW 'A'P 81 9CIOO' 8A'P 8
V9 VOO' 'A'P a vezoo' 8A'P L I el \,00' 'A'P L
LCVOO' ,A'p n LQ~OO' OAlp 91 10100' ,A'P 9
O~ VOO' 'A'p 9Z 09Z00' 'A'P 9 I 98000' 'A'p 9
CO\,OO' 'AlP V~ LCZOO' 'A'P ~ I 89000' ,A'p V
98COO' 'A'P CZ OtZQO' 'A'p CI \9000' 'AlP C
69COO' 8A'P tZ COZOO' 'A'P ~ I VI:OOO' 'AlP Z
~9COO' 'A'P I ~ 99100' .A,p II L I 000' A,P I
090' '4\UOW ~I 9VO' '4\40W 6 OCO' '41U04' 9 910' '41uOW C
990' '4\UOW II 0\10' '4\UOW B \lZO' '4\UOW 9 010' 14\UOW ~
090' '4IUOW 01 9CO' '4\UOW L otO' "4\UOW ~ 900' 4\UOW I
. .. ... . - - . .. ~ -~ - ... " .- - ... - - ... -, " - ~ .- - - ~ . - .,. ... ,. ... * .. . ." _ _ .. .... _ _ ~ ~ ... .. _ _ .-' _ _ .. 4. _ . .. - ... ... .. .. .. - ..
"lNiDV . 511 11'\ dO ~U5 X1)a~" 101 alav AVd ~iQ~O I1NOW ijQ ~OiHO a~Vl'l
'1100\ _ 98~~ '01' 'S'd UI 1961 10 PV Xll 01'\'3 P'" OO'"\"14UI O'iI 10 \ 001 ,,01\009
^q poP!^OJd U S;)!lON 1141 10 \d\80eJ JOU' <JA,p tog) Apqa UIIt\lM PQlqo A8Ul \UOU.l811811l1 PUI lUilWUllJddl
'4\ 411M plIHsl\n IOU '.flnl\U8UJd8J IluauJod ell\ puu 411'OMUOUJUlQ:) 04\ IhllpnlOUI '\G8J8\UI vi A\Jld AUV
OL'910'~9 IUOWA1d 10
"'0 01 IIIJI1UI
"".,__,_-,_.,- PUI XII l'i@
OL'9~ G ,+1 lUIWA'd 10 1\10
01 \""lul.!':\Id
iiiYcioO'ZG onp XII 10 10U'I'S
'Inp XII
10 OOUII'q 141 0)
100,olUI 041 PP,\(
C diU
OL '9~ G 1Sil~a1NI
"-m:t1'O'-r----,n1IrOr]'lJlltB
OO'OOO'~$ onp XII 10 10U'IOa
~.Ci:lO' . \IIJ8\UI jO III~
~~~lY'""+ . OA'Q O~
010' . &4IUO~ ,Z
,________. :u, 81ln'l~
08~C~-9 01 08-CO-C WOJI "1"lUI
'\98".\UI
10 ",) 141 Aq Inp XII
10 10uII,q 041 Aldl\ln~
~ daL&
'MOloq .,ql1 0'11 WO', "'JlIUI
.0 91'J e!,U eUILUJ8\80
~ dU&
._-_.~
!MOloq PI"OIPUI $I pOlolnoloo O! IlI'Olul 141 'Oij-CZ"9 lIO
op'w 01 lUYUJAoo pus '58-!:-/; wo'1 .nl0\' Iu.nbulllp I UI 81 OO'OOO'~G'IO .np .01 10 louollq 0 II !31d~Vy.a
(M013a ,aldi^JVX3 aasl 'XII PlOdun 10 wnowI 141 uo LunUUI JlO IUIOJOO 191 XIO 10 ""'
041 '0 p.6J84Q, II \0"8)UI W"Op ',IUOPOOop 11I1 JllIl '41UOW lei "UIU lulnoulllp IIwoooq Xli .OUllIJ04"1
'PIMOII' 81 plIO XII Oll\ jO %9 ,0 lunoo'IP I '4111p ',"'lp.Olp 041 J.lI' O"IUOW tCI "'41 UI,,\lM PI'O 'I ',"1 141 II
;19SV~ UOIIP" 'S'd Ul 196 ~ 10
,0';1 Xll "'18a pUG 10UI\!JIIIUI 14\ 10 60L "O!1P"S ,opun "0^16 oq 01 plJlnbAJ OO'ION 041 'I IUOUJnoOP. 0141,
NOI1';1~~O:lNI'
"
;j!:_lthft~1
\1,]\,' r:Ulnu
lillI/ II :11111 la.
L ;:I!U<i
)Jmll)8~ij
IN'3TRUCTIOlIS
To Insure propor credit to your lIccount, tho fllll1l0 of tho O.tlltO lIfld fila nUl1luer should bo
clearly prlntod on tho chock or money ordor.
This dotermlnotlon ofld ossossment Is l1Iado Ifl lIccordoflco with Soctlofl 421 and Soctlbn 732
of tho Inhorltonco ond Estoto TlI~ Act of 1961,72 p, S. 2~B5.-~21, 732,
The estate to~ Imposod bySoctlon 421 Is duo ot th9. doto of tho docodoflt's dooth but sholl
not bacomo dollnquoflt until tho o~plrollon of olghtcon (18) 11I0fllhs of to I doeodont'. doolh provldod
thot any ostoto ta~ occoslonod by 0 final chongo Ifl tho Fodolol roturn or of tho t(l~ duo thoroon
sholl flat uocoma dollnquont until tho a~plratlofl of OflO (lll1loflth aftor Iho porson Iloblo to pay
tho to~ rocolvos flnol notlco of tho Incrooso, ClIlculoto Ifltorost frOI1l tho ,Iollnquont dllto shown
on tho faco of this form to tho data of POYl1l0flt USifl\l tho followinG Intorost toblOi
--------------~-------------------------------------------------------------------
1 month .005 41110flths .020 7 months ,035 1011l0fllhs .050
2 months .010 5 months ,025 8 months .040 11 months ,055
3 man ths .au 6 months ,030 9 11I0flll1s .045 12 l1lonths .060
.- ~~-_..-~_. ..-,.-. . .- .~..,._-_.'" ~ ~_...-- -".---~-
1 day .00017 11 days ,00186 21 doys .U0352
2 doy s .00034 12 days .00203 2 2 do y s .00369
3 dllYs .00051 13 day s ,00220 23 day s .00386
4 doys .00068 14 days ,00237 24 do y s .00403
5 days ,00085 15 days .00250 25 days .00420
6 doys .00101 16 days .00267 26 day s .00437
7 days ,00118 17 day s .00284 27 days .00454
8 days .00135 18 do ys .00301 28 days .00471
9 days .00152 19 days ,00318 '}fJ days .00488
10 days .00169 20 days ,00335 30 doys .00500
-----------------------------~---------------------------------------------------
Any party In Inlorest, Including tha Coml1lonwoolth and tho porsonal roprosontcltlvo, not
satisfied with tho assossmant nlOY obloct thoroto within sixty (60) days altar racalpt al this
notice as provided by Section 1001 af tho Inhorltanco (1I\d Eslato To~ Act of 1961 (72 P.S.
~ 2485-1001)
Make chock or manay brdor Iloyable tOI
"Roglstar of Wills, Agont"
Moll to tho addrass Ilstad balowl
.,~~--
'J "11!ntr_n"~",
....~..... ""'III"V"'.."''l.n.. "y.
".:.. C'" ".... ".~,. l.
_:'"t~ d"~/~~ ...-
t-.... ". "..,'.. :!.:_.~; -' .--'--.' ~/
jl: '''~:;I~~ )
..,,).~~j/
! ,,,,/illlj(1:l3U
.,,~'" ':::"'."*"lll".' \ ''''~:::,~,'.;,' J:;,:::~" l '
Ollc.llull\' Nl1mu (I.ult, Flr\yml MIIIlIlollI,ltI.iI L Oncollolll" Mllren
DECEASED'" L:.. \ a V' \\ t .1"\Qil\\.~t1 Di. . - -'-., H .
...,.... . SIl'luISUl:llrIIYNU~hr OO~~~O~I:~.J.9. .__ m._"__~_'''_'___'___
CIlECK 1. Orlolll.1 Rllturll [J 2, SUI'lllumulllOl n01U1ll 0 3. nomllllllor lloMn LJ
4, l.1I0 Elloto ['l &, Follorll Ellolo TI. Cl
Aolurn Aoqulroll,
DLDCKS 0, U.collolll dloll 1011.10 [J '/, O.collonl m.llllOlnod 0 living 0 a. Total Nllmbol or 1010 0
_._........ .ul.~It."h-"~~!.~~iL....-=... _ .".'" .__'!."!I1AIIUch copy Df Irllllln_~_"___" dOllosll bO)<(I' InvDntorlnd
All curlO,pund,"co .nd cDllfld.IIII.1 tu. IIIIorlOl1tlDnlhuuld ho lI\roololllOl
CORRE. - . ." .._. ..... _' .. n ._........ -j" .,,- n' . ....-..... .. "n'__"" ---'--
SPONDENT Nom. Il ~ \.,. F.. Ad!lrQlL_~~~-=-JJ.}a..lD.1.!.k~.~-
T.~;il~,p.N~.aJ.._\- ._C_~.J\.I..QI---...~'.\L ""'n_' ..._..._tr'4',e.&....\:-\ \ 0 I ----
I .m__________.._
=".=..~.." .~.~..~ _." ___._ .=,=..~. ,. ~.~..~=.~ .~==.~==".==__Blt.- ...~_~_ __'n'_ S.J!!l! ~__211l
APPRO.
PRIATE
RECAPIT.
ULATION
AND
TAX
CALCU.
LATIDN
CDmput.tlDn of TI.
16. Amounl Dr nno 1410.l1bl. 016% ralo (16) ----
!lnoludu vahlOI trDm Schollulo KI
10. AmDullt .llIno 14 lo.oblnot 16% rnto (10)
!lnclullo VOlllOS frolO Schollulo K)
17, Prlllclpol IOK duo I.lld 10. frDm IIno 16 Illullo. frDI11 nno 1el
18. Tolol Prlnr paYl11onll:
(01 AmDunt Paldu........__..____..._
(b) PllllOlscounl ...__....-..____....._.
(c) MlnUllntorOlI ________..__...__ (18) ------.-
10, Dalanco Ouu (IIno 17 IOlnulllno 18)
Mako Chock Payahlo 10: Roolllor or Willi, Aoonl
* * * PLEASE RECHECK MATIl* * *
RacopllulatlDo
1.
2,
3.
4,
6,
6,
7,
8,
9.
Roal E.lalo (S,hodllln A)
Slockl ond 001ll\! (Scho<lulo 01
Clololy Hold Stock/Parlnurlhll' InlorOlt ISchodulo r.I
MnrtOl1ool and Nolos (Schodulo 01
Cosh & MllCOlloIIOOIII POllonal Prollurly (SChOlrlllo El
Jlllntly Ownad Pro,,"rly ISchadulo FI
Tronll"l (Schodnlo 0)
TOlol Groll AllolI hOlo! 111101 1.71
Funo..1 hponlos Admlnlllrallvo COIII/MllcallonaDIII
E'IronsOl (Schodlllo III
Oohll/MortooOOl/L1ons (Schoduloll
Totol Datlnctlonl hotolllnDl 9 & 101
Nal Volno of Ellata (Uno 8 mloulllna 111
Chorllablo 8aquolll (Schadlllo J)
Nol Voluo IlIhlact to 10' IlIno 12 mlnuslln. 13)
-
( 1) ___~__.__n___
I 2) _____
I 3) ____.
(41___
( 61____.._
I Ul..._.______.__-
( 71 __..._.__..
( 8)
10,
11.
12.
13,
14.
( 9).
(10)
(11) 1-\011003.01
(121
(131
(14) _
)(,06-
)(.16-___
(17)_
(191
.-.._--~~,.. .-- ---~.._-~~----_.__.~-~._.~~.--.-----
Und,r II,rlAltlOIlIllrorlury, 11Iaclaro Iholl hovo o"mlnad Ihl. roturn, Includlno occolOponyl,g IChodulol anlll\OI01110nll, and 10 tho ball of my knowlalloo
oml hollol, It is 11111I, 1~:lIrrn'l anti com"lol" Ooclaratlon III "rolloror othor Ihanlho pOTlonol raprolontollvoll bBlOd on olllnlorlOltlon of which "roporar hal
ony knowludoo, l / R / J--
SI(lNATllliE Orl'!: 80 AI:~EPllESEN ' ........-. -Ar)DiiiiBB"--~---'-'--- --~-f4%ATE
-iilnNATUl1f' or PIlCI'AIlEIl OTHFl1 THAN mrlll'SENTATIVI:.'
~... ._-----_._~---_.__.._~._..._- ....-------------.
----"..,._~-_..... -~~-- _.~._-~-_._._----~._---
AOlllll!Sr. DATE
DEDUCTIDHI ALLOWED IH
'UI:V-4n tfl*lIl
.
Off ICE Of TltE
RBOIITBR Of WILLI
STATEMENT OF Dr:I3TS
AND DEDUCTIONS
THE IUM Of __ . _
DATB APPROVED
Of _ CUMlIERT,AND COUHTV
AHD AOEHT Of THB CDMMOHWEALTli
,WOI&TFiIl 0" WIl.'.I! AOI'.tH
-
--~-----,.....-
ESTATe Of
,
KA'1'lllmJ.NI\ J.. CJ.MI<
TOWNSHIP
11, 1979
DAre Of fiLING APPRAISEMi:NT ________ OATS OP PHAlli
......-:.-====;::::::.:::::.=~~:.:.:::::::;::.~_....- _"=r-" ..~-_......_-
DAte
HD,Df
VOUell!"
HAMB Of I'A ~u
RI!MARKI
AMOUHT
1979---' .. ---.......---.-....-....-----..--.-.....- ..-------
July 9____.__ ._RUlILu,LI,'x .uf ..\Hllu.._...__..__Lc,1J.;llrll 'l'eutuII\CI1!'I11"}'
__._____w ...___.... ._ ..._,._..m.___ !ib<?l-l..J.:~Jl:t:.ujclll:ua
1:11\1\1111\'1"11<1. LI\W. ,,IIUI!:1l1.! L___hdYI,u:......W L: 1:01'11 1ila tam\;'n tary
NUflJI 11] \11/111 _ FllIlf~I;H L.!!(lll\t~._...__El1JJ!lrn I 11 orvil~otl -1..1.B_:i. ,.~'?-
__31,
Mlj~.L._2IL. ___.___J'rUfCqjILL(lIIIII...l'll/.lt:luul,:..'t'.----ful.lu.u~-l1U(!
.\Ir, n I dllllY HIIIIl1.11l!!I'JI.L......._ .!ll.'l.nnee duo
111111'1((11'-1:"11111'1' A!lIIll\\"M.Jl finlanol' cluo
_ __ ,.. _ ,r,__ __,~._ _.,..___~__.
~J.:>~..Q'(1._
8:'. 00
11111, I. lJ f 1'1'1\1I11.v IYIJIl.L/L".__l~.D.lgjlll~! duo
31 Q 1
L ..\LI._
001;-,--__:.1... .__._........ J! (\.1:yl JJh \11]!.J!!!!!11.1!&t
.Dill/mOl! duo
_..3. LQ._
9:l ..QQ....
cUlL
_,_._.~~__.___.uu _.,_~_~_~.~_~_~
J~('I'.J,JlII,!1' ol' .\HUIL_.___ _abort Gcrt:J.ficn\;.ll!L..
~!,:lll',ly H 11/111111 l'IJ~,'.I_"__~.~vI(I:!!- T.illbil; j ty Inall1', premIum
'{.iQltL..L
__.......____ .~...__~__ ..I~J.'\!J\LLL.H\II!.lIL Alton !!.!H.L"Rei.\~~IJel1lent of miacellnn-
, coua estate expcnae and cost
_..._____._._ .._.__._____..Hlll.!!.ILI...-'::,!.q!---.--- of advertIaJ.ng Lettill- Tes-
tamentnry J.n WesL: Shore
________ _.__ ._.._,_..._._...__..,.___.__.______ .Tilne.lL- .
_...____ .-'-_____ ._.L:J.:4..GuK\1I,m l.t'J:...All.lu:.ill.ll..Q.1' A1Hl r!li sa 1 0 f j ewe 1 ry
_________m __.____. _A"L_.ll.!J.\).I~.... lIP.I'.I:.LlifiQ.l.----- h.\112.l:rlS.al.....of renl os ta to
__._..___. ...__..__...lluxx:Ul.bJ!El\,(L')LiI RI~l1:!.)g9.Qo Outstanding Loan
__.__......___.__.. ,151)}' ft'L,_Wl1l1.\L ....6J.LIltL./1l1 d
1.2 3.0-
l'
___J.._Q.O_
~5_0_L
o .426 2L.
___.....__. ___ __,,__n__'~<-+-'
__..}{1l!11,~1,.. g~'_(l'_._....._____
1\0111 h L. ^' IIH\
'"0" _~____. ~_~._,,_.._,. ..'.,""n__~__"
Profesalonal services
7 500 00
_..__w~__.. .~.." _____~,_.."..,
Co-Executor
1 OOO_il_Q......
...B..,Jl.D.0 .0.0_
____..O_,.____U..'........__"_T.'
Nu l;!U1Hl J.CI.!lJ ~l:I1LJ.lLLLlk
_ell - EK{' c.ut.nr
1J;;o;.:;..1=a"...-,o',.'1-'"
..~..__"_u...I~.Il.llmll-'[)d..~'()IIJ. ID.L..tLUn' Inventories. fJ.nal account.
... ..",.lIl1d 1\l()lIlng/llhl)!<~lJHt:"n.Uot costa
,"""""'~~'_" ....1.",..1 "'.""''--'.._0 ,...",~.,;;...__~_"'%.".7.t1....-+-----4"--n-
.--...,.
500 00
-
C:OM/.\\lIlYlIlAL.11I Ill' l'I!lHlSVLV^Nl^ I
U,
COUlllV nri.._CUHlIl~ltL.l\NlJu..._
~Il' Cl<lllJl1~hL.AJ.J.Lln.uI1J_NllU.UuI.lL....GCJltl:l\Li1I.\nl( HEREBV CERTIFY, TH"T TO THE BESl Of
MY KNOWI.EIlBll "NO IIELIF.f, TIIU fOIlUGGINO 15" JUST MW TRUE ST"TEMENT OP DEOTS, PUNER"L UXPENSIlS ANt>
IlXI'IlHiI" 01' AllMlIllHIlAllIlll SlIlIMITHU TO TIlE ESTATIl Of Unl'hnrin" T r;, nrk
Il11CEAUW, ". IltlJlICTIOHS fOlllHIIElllTANCE T"X PURPOSES,
TOTAL $40,633,07
\Wlllltl:j' Nil. IUIULIlIII. Ell 1111 POilU ME THIS 1/ 4
_ --J' '......4....r-- _~ . 19 Jlll.
" 1/ _. ~.' l
~ ......-4.__~_~-J-.-6-+.pi-'. .. _I'
N(l"III~Y Public
1'''iI I " ","1' I
IJi I;'
',1\ ! jJ~/:: I I'
~Ii dn j'",!;; ; i I," t, p'))
i (i' /!",lfH
D"Y OF
/~ L.~(L'S.)
N^TIONAl)mNTRAL13i\.~15 '[I
BYI / I J" .' .' __J Z/", 1,',-
Vice 'si & 'rruat Officer
!Vii,~
;! I ',r
R~V, lllU3EX 13-B2 I
I
f'rl~NSYLVANIA IJ~PAmM~NT ()f REVr.NUr, INHERITANCE TAX ,ASSESSMENT
IlURI.AU or ACCOUNTS SElll.EMENl 1-' , CONTROL NO 101
f' 0 BOX 2055
__~~~_~....:..:.~~~___ __~.~~~R~,~~~~~~~.~T......___-_.__J~.~':~_.J.o:"<:'{J.::aL, ___
ESTATE O~ CLIIIU~ Klll'IIERlllF. L FILE NO, ~~l '19-0414
PA.R .0FPeAlt\ 0.4":'U-.751.. ."...d . .. COuNTY CUMIlEHL.lIND, .
NOTE: TO INSURE PROPER CREDIT TO VOUR ACCOUNT SUBMIT THE UPPER PORTION or THIS ~ORM WITH VOUR TAX
PAYMENT TO THE REGISTER or WILLS or THE ABOVE COUNTV, MAKE CHECKS PAVABLE TO "ReGISTER OF
WILLS, AGENT,"
IIEATH L ALLEN ESQ
210 WALNUT ST
liBel PII 1 ?lOl
PLEASE RETURN THIS
PORTION TO R~GISTER OF
WILLS IF PAYMENT DUE
CUT ALONG _ TH,II! LINE
_____~__44 ~_L __~._.._.,~.~_.. ._-~._.
"INHERITANCB TAX RECORD ADuUSTMENT.'
..,.._~.__~_... _.__~____<__...............____.~................_~_.~.._.n_.'_'_~__~_~'____~____'_.,.n .____.__--.._.______..,____.__ ,-..~........-._.-.-...---
ESTATE or CLARK
KATHERINE L FILE NO,Xl 79-04l4
ACN 101
DATE 10-20-82
I\~J.L!~'M~t-lJ BA~.ED O~_____.____..__~_______...___~________"c~
VALUE OF ESTATE:
1. Real ~slale (Schedule AI
2, Slocka and Bonda (Schedule BI
3, Closely Held Slook/Pannershlp Inlerell ISchedule CI
4, Mangage. and NOI.. (Schedule 01
5, C..h & Miaeellaneau. Perianal Plapeny ISchedule' E)
5, Jainlly Owned Properly ISehedula FI
7. Tran.!e.. ISohedule GI
B, Tolal Gra.. Auels
,..__---------..-_._----~--~~-_.~"._~
1 11 ,_______...!.QQ......
( 21...__ .00
1 3) ..____...'----t.9.Q...
(41~~__ .00 ,
( 61 _......J1El, 70B. 53_-,
( el _--,__~!L 000. OQ.__
( 71~_..,.......2,JB3.53~_
( 81
270,892.06
DEDUCTIONS AND EXEMPTIONS:
9, Funeral ExpenleslAdmlnlllratlve COIls/Mile.lianeau.
Expen.e. (Sohedule HI
10. Debll/MorlDlges/Lienl (Schedule II
11. Talal Oeduotlonl
12, Nel Value 01 ~sllle
13, Charilable Bequest. (Schedull .11
14, Nel Value SubJecl to 1Ix
( 91 _,..__..19-,633.07
( 1 Q I _ ..&Q.......
( 11)
( 121
1131
(141
40,633.07
__ 230,25B.99
-~---_.._~~
230,258.99
TAX'
"
15, Amounl of. line 14 taxable al 6% rale
15, Amounl 01 line 14 lax able al 151\ rale
17, Principal Tax Due
T AX CREDITS 1
, (151_.J.30,258;~!L__X,05"
(161 .00 X,16"_
( 171
13,Bl5.54
.00
l3,Ble.54
003298
029648
540.00
273.45-
----~~--1
AM~_I~~'
lO,260.00
2,4l9.0Sl
PAYMENT
DATE
07-11-79
07-15-Bl
-
RECEIPT
#
.
DISCOUNT 1 +)
INTEREST I~I
-------.---------
NO INTEREST IS DUE IF PAID BV 07-lS-Bl
IF PAID AFTER DATE INDICATED S~~ REVERSe FOR INSTRUCTIONS,
"'E TOTAL TAX CREDIT l2,945.~!_
_BAL~~! OF TAX~UE___.. 869.90
(II ealance Due ,. Ie.. tha" e 1.00 no payme'lI II requrred)
ReT AIN THIS PORTION FOR YOUR ReCORDS
ii'
INFORMATION
..~-~
II Ih. I.X, I. p.ld ~Ithln three 131 month. .ft., th. d.e.d.nl'. deeth, . dileounl 01 6% of Ih. I.x peid
I. .1I0w.d.
Inh,m.ne. Tix b.eom.. d.iinq,18nl nln, 19) monlh. .ft.. th. d.e.d.nl'. deelh. Inlere.I" ohe'g.d .1 Ih.
rele 01 .Ix Ie) p.'e.nl p.rennum on Ih. emounl 01 unp.,d I... ISEE EXAMPLE BEL~W)
EXAMPLE, II e bel.no. of I.. duo of $2,000.00 I. in . d.llnqu.nt "elu. Irom 3-3-j!Q, ',nd Pevm.nl I.' medo
on ~.23}-BSl2 Ih. Into'ost I. celeul'led .. Indle.led b.low, '
STEP 1
oot.rmlno Ihe tll' of
Inloro.1 Irom Iho tlbl. bolow.
STEP 2
MulllplV Ih. b.lene. 01
lex due by tho rele of
inter.sl,
STeP 3
Add th. Ihl.r.'1
\0 th. bll.ne. 01
I.x duo.
2 Monthe. ,0'0
20 o.ye . .:!:..-.~
Rile 01 Inl..OSI . ,0 I 336
BlIene. 01 lex due 12,000,00'
Bell.,.llLlnIl\WL.___~~.3.L
INTEREST 1 26,70
B,'.ne, of \Ix due
!'ru. Inle,..1 10
~..eAY1I!t!lLi'I:1
i'O,AL I'x I~
Inlernl 10 Del.
01 Peymlnl
___-'2,000,00
$ 2pO
Inl.".1 Irom 3-03-BO 10 6-23-eO
Re.ults in:
$2,026.70
-.......-' _____o_----.
~ - - - ~ ~ * ~ ~ .. ~ - ~i.- - ~ . - -,~-.._---..~~--~~.. . - - - -.... ~.. - -- - .. - - . ~ - - - - - - - - .. .. - .. .. .. - - - ~
I monlh ,006 4 monlh. .020 7 monlh. .036 '0 month. .060
2 monlh. ,010 6 month. ,026 B monlh. ,040 I' monlh. .066
3 monlh. .016 6 monlh. ,030 9 monlh. .046 12 monlh. ,060
1 d.V ,00017 11 d.ya ,0018e 2' d.V. ,00362
2 dev. ,00034 12 d"V' ,00203 22 deva ,003e9
3 deya .00061 13 dey. ,00220 23 dev' ,003B6
4 deya ,0006B 14 deys ,00237 24 day. ,00403
6 d.y. ,00086 16 d.ya' .00260 26 dev. .00420
e d.y. ,00101 16 d'YB .00267 26 d.v. ,00437
7 d.v. ,00118 1 7 d.ya ,002e4 27 d.v. ,00464
8 d.v. .00136 18 d.ya .00~01 28 d.y. ,0047 ,
9 d.ya .00162 19 d.ys ,00318 29 d.y. ,00488
1 0 d.v. ,001e9 20 d.y. .00336 30 d.y. ,00600
MAKE CHECK OR ,MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT"
DETACH THE TOP PORTION OF THIS FORM AND SUBMIT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR
THE COUNTY SHOWN ON TftE REVERSE, SEE THE iNHERITANCe TAx INSTRUCTION BOOK FOR ADDRESS.
REV, 1807 (AS)
\ OF.I'ARTMI;NT OF REVENUE L ACN
~ BUREAU 01' ACCOUNTS SETTl.EMENT INHERITANCE TAX 101
.__..._,.;IA~lRII~~~~~~~!.~~~~__."..__ ____:.~.:~:~:~:_:::~:,:~:~., .".. ,.._..".. ~~n._.,Q~~~~::~l.___._..
ESTATE OF CLARK KATHERINE L FI~E NO, 21 79-0414
oAn.QF OEAnLO.4~.ll=1.ll.__~_...,.___._....u .... ,._.__.._ ____..,..____,.__I::O\lNTV____ CUM6ERl<1I1HL ..--- .......-----
NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT
TO THE REGISTER OF WI~~S OF THE ABOVE COUNTY, MAKE CHECKS PAYAB~E TO. REGISTER OF WILLS, AGENT,
HEATH L ALLEN ESQ
210 WAI,NUT ST
HBG PA 17101
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
CUl: .A!-9~~. THI~L!N.E. . . ..
_ _ ~, .. _ _ ,4 _ ., _ _ - - - - - -. .. - - ~ - - . ~ - . - . - - - - - '.
". - - - - - - - - - " - - - - - - -
.. INHERITANCE TAX STATEMENT OF ACCOUNT ..
ESTATE OF o:lLTlRK Kl\~'HERINE L FI~E NO, 21 79-0414 ACN 101 DATE 06-13-83
,__.__..._.._____._... .._.___~..__"____._n.." ..__~....._"T________.' --~-...,-....-----.,.-_...---~--.. -.---~.~----.---------'-.~._---
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE .NAMED ESTATE, SHOWN
BELOW IS A SUMMARY' OF THE PRINCIPAL TAX DUE, THE APP~ICATION OF A~L PAYMENTS, THE CURRENT BALANCE, AND,
!i~P~Ll.CAIl~!;'_^__"_Rjl~!;9.TED ,!~!!;~~~T!!oJ,J~.I!,c_.u_.... ..___u.....__. . "..--.-.--..-.---~-----.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 10-20-82
PRINC II' AL T A)( DUE:""".".",,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,, ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,.,,...,,,,,,,,,.,,",,....,,""''',,."',,'
13.<815.54
PAYMENTS ITA)( CREDITS):
'PJ\VMENf- ---'R~CI!lpf- '--'D!SC01Jlilfl+T
_...P~!!.-. _NUMAER__.._ INTEREST (.)
07-11-79 003298 540.00
07-15-81 029648 272.50- .
11-15-82 049969 69.54-
AMOUNT PAID
10,260.00
2,419.09
939.50
,J' TOTA~ ,. AX CREDITS
-- 13,816.55
'Cl'
BA~ANCE OF TAX DUE l.OlCR
I'"
INTEREST 1,00\
"
.. TOT A~ DUE
I_it, I 1.01CR
l..iJ I l~ ""
."- ~
lit Blllnee DUB i. leu th.n '1.00 no plyment II required)
. IF PAID AFTER THIS DATE SEe REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST
RETAIN THIS PORTION FOR YOUR RECORDS