HomeMy WebLinkAbout79-00458
21.79 458
ImmSTEII (II<' WILLS OF ,...... .......,.....,......... ........ l;OUNT\'
NO,
I'gTITION 11011 1'1I0llATE OF 11'11.1. ANIl 1.1':TTEIIS ell" AIlMINISTHATION
CUM TESTAMENTO ANNEXO
r.gTTliIIS (II<' IIIlMINISTIIATlON m: 1I0NlS NON
r.g'I'mIlS 01' AIlMINISTHA'I'ION ng liON IS NON CUM
'I'I':S'I'A~WNTO ANNI':XO
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3. LcUt1rs uf Adanllllslrntllln ('.1.1\. l\rtl 1ll'l!Clud hO('lluSU ..t.lli.-j-,,,,(,-;"I,CN,df,,,,,,,r.t.i'.l.i.V/::h,,AtJlJt,,,,,,,,,,,,,
'-r.~J)SL..C~M.P:!tI:l:j......,Ii}t.f:.,.H4!.dl.(.,~aL!R...G..... 11l1l11"'lIl1l11wr(,) =, III ...7.#/.1./(,.., cllpnelly IIN
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4. Det'odolll diM" m;nmll'ilml In~...J!t.NIi:.rY.I.\l,0.}j/!)...... wllh ht, 111'1 IIIRllly or prlnelplIl
o enT9wnnR,,'reln').... }
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tS, (\Vlwro dO('(l(llllll died lusfnh,) D(!l'('dol1l wU.l\ lIut mnrrft'd nn" It child W!HJ nut hurn to or
IIdoplod by dOL'Odonl IIlh'r ",""nllnn of Ih" will (IInd wl"'r,, "ppliellnl I, III10g'''1 'pOII'O) 1l0' WII.' deeodenl
divorced Irom nppllcllnlllll." o"'cllllolI nl wllllllllllll d,,"lh.
6, Tho ,"111 \loc,,,I,,nl WII' p"""".II.d 01 Cn",I" Chllll"I" IIlghl' IInd Crodll, 10 Iho ONlhulllod
vllluo of ....uN..t.::~l.(/:Mlt.DlIlld nl 11,,"1 E'IIII". In tI", 1"lImllh,d vllh", 01 .....,..NOHLc....... "' nonr nN
elln he llscortnlllud, 'I1ml tho ..mid I\('ul Estnll' In so fur liS known is loc~i\INl In ,""""."."""..."",,,,,,,,,,,,,,,,....,,
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7, (Who", doeodonl IIled Illh'"IIII" "' 10 IIny pnrlloll nl Ihl, "slllll'). PoIIII",,,,r IIftor II \"np"r
sonl'eh hilS lI,cerlnlnod Ihlll d""edont w... ,''''I'II','d hy tI", Inllnwlng.nllmod porson' onlllll'll 10 dlst,l'ullon
undor tho Inlo'llIl" Ael 01 1947,
Nnnlll 1I"llItln",hlp l1e,ldonct.
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Thoroloro, I'Otltllll""(') r"'pr',tflllly "1'1'11", I", (proh"l" nl 11ll> IVIII 1'''','''"II'd Ill>rowllh nnd
for) 10110'" 01 "dmllll,lmllllll ...,(....J~,A............,....................................~'I~..'........,...."fff""'fj!"UUU~'"'\'''''''I'''T''' . ~~t.A. I
J)lIllll1, "...,i!.MA:(.....~,4,~......) 9 7 9 SlglIOdi ......".t:!;!X]. :tJ.(J."{~'I,..IrTb'{W. (,,,AI..f:.NiiMIL t:I('()
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t;OM~!ONWI~^J,TII.OI' I'gNNSYINANlA} ss
""""""."",.,...""", ..",."."",.. ..." .., ,.,.., ..""" H', .." .', "" "" ,.,.,..", ,., ... ,.r...LI.M.l1 t~ AI.",~/.^I.!J."", ".,...,.,C()tJ Nl'Y I . .
-::tl!tr". t:..1.,~~;.1:'.,~~4NJ',..,t...~I.o. ...llL(),:~L.,. ,(., ~,.Mf.tl.M.Y.I.,..NI,:(...ff.rl.r!lI.C ,;,(j,I.J/!..~;" Iho \letlllnn", ( , )
"Ill Iho "hovo "1'1'1I""1I1111, h"I"g dilly ..,;.s/.LbRf.,J...., "l'C'Ilrdlllg 10 )"w '''yl') Ih,,1 Ih" ,1"lrm,,"1s '01 I"rlh
III Ihlllllt'llllolI ''''' I"'" 10 till> h",llll .....:t/l/.J~".. kllowll'd~.. r Ilw.Ii"., . a " : ,,'
""', ' .. " J, "y......3 '........ ...." .7..~..... ....(a.I).,~.LI,I. OU~. ,deL...J.: ,(,I L~ ..,V,,,,,,
.. ...................... ..../i7..Ji..I.d f} I~,(.r..t,~.{....",......,.....""........"."".
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1//1 A~on"'y" N?J~Y ""~ ~d<jr'1NY
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11111,,11
L'U 1 Y
25,
1979
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OATH OF SUBSCRIBING WITNESS
C()MM()NWI~AL'J'II {lJo' I'I':NNHYLVANIA !
HH:
COUNTY (lJo' CUMllImLANI>
, I) U .:::tjl...-' '11.}{.~' '7(1
I:~~~':::' ~;~. ';~;~;;~ :"(~~~"~'~'~':;~'I:~:)'I~"" ;~~~~;~~~~:' ;1::' ~'I~~I::,:fl:I:~~' ;;~."" '1'1 ~(:]!c; '~;'::';:~; :~~' ';~'~~~::~,.;:;' ~d:~; ;~::;:: ~;;~:
in und fhl' Huld County of Cumhul'lnnd, In Ow Cornlnonwunlth of Punt\Hylvnnlll, pOI'Honnlly CIIIllU """,,"""
t'/ N .N.L",. ./;.",..N t,I.l:',IJlI,7.:",;,.". ,..I A (,oK.., /;,., .N.l, / L{t,!.J.,,,,..,,,,,,..,.,,,.,,,,,,,,,,,,:,,,,,.,,.,,,..,,,,,,..,,,,,.,,,.,,,,,,,...,..,,,,.,.
thu HuhHeTlhin~ wltnollHuH to tho fhl'u~oin!( InHtl'lllnont of' wl'itIn~ (lUI'lxlI'tin~ t.o hu t.r IIIHt Will nnd
'['uH\.nmunt of ,. ,.t.;.v.Nl),.".'/.".,EOI.)Kt,~ ""." ".. ,."" ."""", .""", "".""", ,.., Dntud ",', ,,S,/,,jO/,t,(;;,,,.,,. ....
Inl.lJ of."MaW,f(,,,.!1.I.,/;,,IJI,,JDI!.\},(;;J/,.IP.,,,,,,,,,,,.,,.,,.,,,,,,,,,,,,,,,,,,,,"'" ClIlllhul'innd County Pu., due~un~l'd
who buln~ duly ""SJ\){,\~JI.."""."".""" nccol'Cling tu Inw, dOlxlHO IInd Any, thll\. ""7I/.t;)(,,,,,,,Wtr.:L,,,,
I)J'OHont, IInd HIIW IInd hUlIl'd tho \.OH\.II.1.R,I~."""".",,,,,..,,, "'/;,/l.,A/f).,, " ,'I.., ""f..C!/.",Kfil/...." " ",," " " """"
Hi~ll, HOld. puhllHh, (ll'onuuncullnd doe1l1l'n thu Anld InHtl'UnlOllt ()f'wl'ltlnr~ nllnnd 1'01' h,/.;;<:"""". 'l'e]HtUlnUnt
. ,
nnd LIIHt Will, IInd nt tho Limu of' HO dulng """""",,,,,,,,,,,,,,,..,,,,,,,,,,,,,,,,,,,,Wl\fl of' Hound nnd dlHpOHln!( mind
momOl'y unci lIndul'Htundln~, to t.ho hOHt of' .":!llt.ilZ"""."""""".""",,,knowlucl~o, obHcl'vntlon nnd bl'lI~f'.
..,....".."~~Rli,~",,..,'"'' "".."" nn HubHcl'lbml bufol'o ,\ j~?,~~,~R~:,s:t~,~"""", """""""" "",,"
X;, . /! ')', ")'-' :;'1--- .
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Hichal'd E, Andol'son, Rolllstot'
AFFIDAVIT OF DEATH
COMMONWIMLTH Ol~ PENNSYLV AN[A !
. HH:
COUN'I'Y OF CUMBERLAND
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.,..,....,....". "" ..:/.M.{~.-,'''''.' ..,., ,~B.,L..,1..2,,'"'...".I".'lj.'..I....."".I.....",...,.1..,,,,.,.,.,...I.II,,,,.........,..,....hoinu- duly
~/~vJ ..' .
..."."';...\,l.~\,..f~/."",,..,,""""" Hnys thnt ItS noltdy IIH clln bo ItHcOl'tnlnod thu slIlel docodont ..",,,,,..,,....",,,,,..
. .I:V N. 8..,..",1.(,.. .(~ QJ h.~t~'K." II"., ,.", """"""'" .',..., .1........,..............',. .,..,..........1'.''''''.... "' "'t"""""'" ,died on
./1 A/iliA V V';;ttc J.I.I/ \/ 1"/)
,,,,\'Sl..'..{.v, '/.1..;"...."...""""."... LIto "..."",Q';""""d.tt....clny of ........",,\ I .~"-J./I..tI"......ItI.."..I""" A.D" 19, .../.".
lit 01' Ithout ...".",1J,,,,,,,..It?lL,,, o'clock, jiM,
........"..,...."..."'~~.<?t.!:I""."""".,,ltnd Huhscl'ihod thlH
"..""',..,""',.,~,~~}:\;,.,.....,,..,.,... (tny of' ,.~~H,ly..,..",..,.,.
, . ~ - _--:.....;.-
. . ~'T -II" . /---
l!l, .7.~..., IwfOl'll
Hidllll'd K Anc!e"'Hon, Hl'fliHtl'l'
OATH OF PERSONAL REPRESENTATIVE
UOMMONWIML'I'H (JIt' I'I'lNNRYJ,VANIA}
COU 'Y Ol~ CUMm~HLANn HH:
{oglstol' fhl' tho I'l'obnto of Wills nnd gl'nT!t1ng of' Lottal's of Adml
tho Count,y of Cunlhot'lnnc I crRonully camo ",...,.,""".'..,'''''..'''''''.'....''..'.,.''..r~~.{/.",,,,,,,,,,.,,....,,,,..,..,..,..,,,,,..,,,
who, bolng duly........,""......'''......,
..""",j dUpOHO nnd HUY thni us~I'.r;;<.:,''''''''.H''''''''''..:''..'.,'".,..,,,.;..,'....",.
, ~-
of tho laHt Will and TeHtnnlunt. of "." " .., ..., ,~;..~(~~.:. \t.", ".,..', ".~J..~',","" ""'f"" ,.".." ,.,.,.., """"",." to """...,.ducoasod
~,
..."""""...."".." will well nnd trulyndmlnlst.or th?:iln<i.~~ nnd chllt,tels, rights nnd credits of said decellsod
'"
according to law, And nlso wlll dillgonyy"comply with thll"~avlsl()ns of'the law relating to Transfer
//' "'-..,
Inheritances, ""'....".."."'.,,,~~~I'd-SUbSCl'ibed ~
before me, //'
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Richard E, Anderson, Regtater
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DECREE
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Be It remembered thnt on the ....""..~,S,j;)),"" d!lY of """.".."""y.,-l.~y..."',,.....,,......,,' A, D., 19 .??.... there
was probated and recordod tho lust Will nnd 'I'ostnlnent of .....~~.n~."x,~",r.~.~~~.~''''"....j......."........I.........,
t ... fLower Allen Township , ,
II"" 0 "...,........."".....""..""":.....,......""...."""........."..,, Cumborlllnd County, Pennsylv!lnl!l. Deceased. Lettera
of Administration, eTA The First BanI<: 6< Trust Co. of
,t. ....", ,"~ ,.. t.. ",..,...... .... ....""., ,." "" II woro f.{l'ontud t(l " .',. ...'., "., ,.. "'" 'Me.cna.illc.sou.rg............. "...........
WltOllllH my hnnd nnd ofllcinl HOIII tho dllY IInd YOIII' nfhl'OHllid,
\
-."....."'."....""""....""........ "...".."".............
Hil'hnrd g. Andorson. &lgiswr.
COl.th'(INI'!'( AL 1 It Of ,., Nt~~,' L \'Mil/.
01 "/.f~'Ml'" (II HEV! NUl
IIlHHAU 01 CDUN1\' COLLlC"OII',
AI'I'IICATIOIi FDR IdW COt<SEtH
1(1 Tf.:1.t<SFER :'ECUrmIES
REGISTEREl1I" THE N/,ME
OF A f~r:SID[tn DECEDEtH
APPLICATION (MUST BE FILED 11< TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMEtH OF REVEtWE:
Appllcotlon Is he.oby mode for c"\Selll I~ 11,0 honde. of Ihe following securlllos of 0 Pellnsylvonlo
Corporollon or a Notional Banking AHOciollon locolod In Ponnsylvania:
DATE .lIQgUB!:}.L.1\l}9__
(a L_)11Y~B.~~~(bL!,".nnB'y1vllnia. Relll F.Bta~o 11l\~"B.tme_n~~ruB_t~_.~ (c)____._~_,___..___._..__,__
(NOTE: In descrlblllg sacurllles enlor In (n), ob "'C, ellhor Ihe number of shoros of stack or tho face amount of
roglslorod Loods, In (b), tha nomo of tho Is!,uI1l9 Cl>l1Ipnny nnd In (e) the class of stock or tho stated Inlerost rate
and maturity do to of roglstered bands,)
Cert. No. U3741
ISSUED ON .._~IQP,_.7 '--.1%.7
(Dol.)
as 01 the date 01 death of the decedont, __ Ednu Y. Folker
-, and hnvlng 0 TOTAL MARKET VALUE OF L_~5J,~,JO...\l,?__,.~_,____.q.._
(NU/Ill' (If Docodftllt)
on July B, 1979
--~--, '-~'''''--'-''-~-'._--------''-,--,---
IDol. of d.ath)
who was late al..__l!".~hIlnL\I~p".l1e__
(StrtrOl anti Humll.r)
..M8chanicsburg, ..
IPa,t Offle.)
Cumberland
ICounty)
_ ,~e_nns'ylvanill,
(St.t.)
The securltlos are roglstorad os 101Iawsl.~,._.....1>.-:na, y.~ ~()lker.. ...._________._______.._..__._____,_._
(Name 0' nom"l In whlth c:ertHlcUlol ore rogllfer.d)
ADMINISTRATOR) The First llnnk and 'frust Co., Main and Mark_e.!.._St!3.___~"h~i9_sE':l~~~...r>a.:...~}055
-fiX-Er.;:U.roR)-- (No",.) (Add"..)
NAME OF APPLICANT .rne I'Jr:st Bank..II11d__r!'.~re.t.~~J1lP_".!!Y_qh_
\
COUNTY FILE NUMBER.21-7?-458.. ADDRESS OF APPLICANT Me~ll~r~jc..s~luf11'-IIjlalf~},?O~!-~>_.
~~~I~ ~~ FII ;;~uU ~~I~ Rro'PROP E R L Y F I L C II~NAAN~U~oER ~;o~ ~~L~~I~NA ~ P Llt~t~/f'f~~kl/~1\~~~~~-' ""'-
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLE~ION, i /
_nn., .-- -~=:::'.-.:~',':-~:_:~_~-::'.- ___"h'. .. ... ____ h ._;L::-:~ :'..:';_';_
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE ,~_/
f.9.N.SENJ T() TR~NSFER SECURITIE~ E (1 L3. 1(1'](,'
I hereby consont to tho Ironsfer 01 tho Clbovo securltlos now reglstor~d in the nom~:fTlh~ ~~~bld"-+ 1-
Oocodent ond wulve Iho II ling of 0 cortiflcCllo corlifylny 10 tho paymont ollhe tronsfor Inhcritance tax 10 which
tho property of sold Dl'Ccdcnt is madc subl~ct P""Ullllllo the provisions 01 th~ Acl 01 June 20, 1919, P,L, 521,
as amended olld thc Act 01 June 15,1961, P.L. 373, os Cllllond~d, This is olso In Clceordonco with the provisions
of the Act of April 9, 1929, P,L, 3~3,
This Conscnt to Tron~ler tho 11l'loin "e,erlbed property opl'rules' only In reference 10 the estate 01 the
llbove.nomed Decodant.
\~...
t!'...:r~~it
1I~,1..~. t,." .":\
.l~, ~\<1)1 ,\J)
. <.J >l.i"~-"';""-II,;
Sl~n.~ lor tha Secr:'Dol Revonuo ._~
~(1\i(.k~ t... _~(I~J,k..A~rr..
R~H~n I. ~'$lgn~lI".1 d
111(;1\1111 !ii,', '
I'll" .:>.,::.1 (, ,1'(
(Tltlfl) (Cl111tlt)')
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1,I'I'IIC I, lIC1tJ FOR M~II cow,Eln
HI TIU.tj~,FFri sr:ClIfmlES
fiFGISHRED 1I~ lHE IWI,r:
OF ^ RESIDENT DECEDENT
COMMON'I\'f.l.L1tl (11 f'rNtI:,~l\'/d.fl^
['EI'AH1MU'l [If HfVlNUI
I\IIHlALJ Of C(JlIt'll COLl.EC1\Cl,n
DA TE_J\\19\'!'iL},. )~.~IL
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVEt~UE:
Application Is hefeby made lor C<r1sent to Ihe lIons!er of the following securities 0/ 0 Pennsylyanla
Corporation or a National Banking A~soclolion located ill Pennsylyonla:
(aL1.00_S.1:B.~_(b)--n Glll.fnoilCOrl'~ration. .._ (cL__C!!!'it/iL__.__.____
(NOTE: In describing securities enter In (0), lib O'e, ('llher the n"mbor 01 shore~ of ~tack or the lace amallnt 0/
regi~lered boods, 10 (b), tho nOl11e of Ihe i~~uing cCllnpany lInd ill (c) lito closs of stock or the stated Interest rote
ond nloturlty date of registerod bOllds,)
Cart. No. D 213G81
ISSUED ON __..11/22/76 _._.._, and hoying 0 TOTAL MARKET VALUE OF L_.?L?~!}!1H__.____.._ .--
(D.to)
as a/ the dote of death 0/ the decedent, ___..Eqna.Y. .~~ol~o.L
(Horllll of PflcttdoJlI)
. __.__ , on .__il.\llY...!!..J9J.2.....-----
(D.,o .f d..th)
who was late aL_B..othnany'{,ill.a9.El... .--..I1".cohan i csbur9 L
(Slruel olld Numbel) tPollOffiCfl)
_.c;,lml:l8 ~)!'.~<L.._. ... _ _J!!.!1.rt...Y!.~!!.n. .i.'.!.
(C.unty) (St.,.)
The securities are roglsternd o~ /ollows:..._._Fl.d_n~._y.,._F~~!<_l!r... h_'_'_ H...__._____...._.___._h___.~________
(Harno 01 nomu In which c:uftlflcatu CHe f"glll"f1d)
ADMINISTRATOR). :~eFjx:stlla~ku a~dT.rust Company, .~ainlll!d J'lark~~__~tEl~.1. .~_El()hllTl!()!lIoU-~.'h'p'a,.! 705
-e-X-EE:IJ-TGR) (Nomo) (Ad.iro..)
NAME OF APPLICANT ...The Fir.st Blllik..l'_n_'t.~:r.u_stfClIl1Pl'11.y. ..-
COUNTY FILE NUMBER. 2:1.: 7?l-45B.... ADDRESS OF I\PPLlCANTMOC).7i;s,lr~'1(f)~.'fl !Of.5b=:~--
~~~~~~ F :;; ~~ ~ ~I~ Rro PRClPER L Y FlcC \~N:NTyU~~ R ~ro~ ~~L ~~I~NA~PL i~~(i-WJ.'!\'f.viltL..~o~J~iJ})J.~---.-
CONSIDERED COMPLETE AI~D WILL BE RETURt~ED TO YOU FOR COMPLETIoN,
I '
...._,_,.__........._,... ...,.._~____'_ r "-.,-- ----.....-..--.-
.-"'-'-'-"- COMMONWEALTH OF PENNSYLVANIA _ DEPARTMENT OF REVENUE -.'C;,/-+-n.
fgt-l.~EN:r T.O_"fR.AN_SF~R_5.~CURITlE~ DATEQ~W..J~/~
I hereby conunl to tho trons/or of the auoye sncurities now reglsterod in the nome of the afordsald
Dec~dent and walyo the filing 0/ 0 certificate cOltl/ylng 10 tho paymont of the Itttns/er Inheritance tax to which
the property of sold D~cedent Is mode subject pursuant to the provisions of the Act 0/ June 20, 1919, P.L, 521,
os nmended ond the Act 01 June 15,1961, P.L. 373, os OI1,"!'oded, This Is also In accordance with the proylslans
0/ the Act of April 9, 1929, P.L. 343.
This Con~ent to Trons/er tho horeln d~scrluod p,oporty (.perotns only In rnferellce to the estate 0/ the
Ilbol'e.nunlod D.oc~dont,
\'l<.
l!'~S:-:l'to
.t.:;>! \'\I";<'r;:.':\
rr:~ __v,,,,', . ,..
11"1' ... ~,', '..Ij
-,,,,"'{lJ,.'f"W,1;,
SJ.?".orl::!t Ihn S,'e,ctory of Reyenue
~'l"'~t.,L( ,.J J ~ r~~~t~;'d' kt~A"
n,', ,,,) ~gl\(\tur") \
j", -j '. ',', "
I,' '(,
(THIn) (Cnlllly)
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((JMM(Jt~wrAL 111 or "rNN~YI.V/d;l/,
r,rl'AR1MUH 01 11[\'[NlIr
UUREAlI 01 COllN'IY COLI.[ClI01;\
M'I'L Ie l'-IIUli rOl~ /,IH' COliSEt<l
TO T fU"j~,f[h ',rCUf,ITI[S
REGISH:fI[llIU '11lE t~AME
i OF A RESIDENT DECEDEtH
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~
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I W' .\
ld:{.lt/.;;~
APPLICATION (MUST BE FILED IN TRIPLIC/,TE)
TO THE PENNSYLVANIA DEPARTMEtH OF REVEtHlE:
Application Is haroby modo for crosollllo Ihr II"nsler of Ihe following securllle.s 01 0 Ponnsylvonlo
Corporation or v Notional Bonking Assoclolloll located in Pennsylvania:
DA TE_!.\.l!\'1IIlt,}L~5'79...._
(aL~lU,tI~._... _._(bL..J'hillldelphJ.a.Elcctric.company .. ....- (cL.f,,!!'!1\S'!L.....__...,_....__.. -...--
(NOTE: In doscrlblng securitios elllor In (0), ob "'0, oilhor Ihr number 01 sh,"os 01 slack or the loco amount 01
roglSlarod boods, In (b), tho nome "f Ihe Issuln~ company and in (c) the e1r,s> of stock or the stolod Intorest rota
and maturlly data 01 roglsterod bonds,) Ccrt.No,C0375%9 - 1/7/58 Cart No,C0662973 -- 10/27/67
Cart,No, C0514108 - 4/25/(,1 No.Co[l24663 - ]0/10/70 No.C0743205 - 10/28/69
~. C0417137 - 6/18/69
ISSUED UN _.._ ......w..._.. ... ..._, and having a TOTAL MARK ET VALUE OF L. .Q74..llA________u__.....__
(Do'.)
os of Ihe data of death of Iho docodont,____~<!I}!'_ Y.. yo1k_er
(t~(JrIll' tlf Dl'codunt)
u.. ..____.. , on__,J.uly_.ll...l!l29__..____
(Do'. 01 doo'h)
who was Iota al..22.B,,~hll'-lY. Vi}la~e .__.._._Mf'."hanjgs.I<\Ir.9L
(Stroat and NumLar) (POt' Offlca)
.....Ctl~" Ll!l.ncL..~._..,... .!'!'!!!!!~.YJYi!l)Il!__
(Counly) (~IO")
The securities ora roglslorod o~ lollaws:.
_ _~_ _ __._ _. .....~_ ....._~___._.,.. ...., .____~__...__....._____~__.. n~_~~__~~___.__~_._.__..~____._.~
Edna Y. l'o1ker
(HalllC! or nom.. In whl,=h C:Cllllflcaht. arC! raglftl(lfed)
ADMINISTRA TOR) The First Bank and Trust Co" Main and Mark.ct S\:s'__z.1ech.~"iGsbur9L,P.a" .1J055..
EX-EC-ltTGR)' (Nu..o) (Add"..)
NAME OF APPLICANT. ~'he First Bankat)d Tru13t_CCH"Eany
COUNTY FILE NUMBER 2l~79-458 ... ADDRESS OF APPLlCANPlaCh~n\~.cSbUrg'I"ra,.,J170.5J --- _"
, J ' 'I r v .
BUREAU FILE NUMBER..... _ SIGNA TUR E OF APPLICANT L!,Ill :~,(.~ II' .' i.,~. ~~ J1!~ "
HOTICE, IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA'r1 N, IT WII.L NOT BE '
CONSIDERED COMPLETE AIW WILL BE RETURNED TO YOU FOR COMPqTION.
..------ ._~---_.__.~-_.'...._~. - - - ..
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
c:O..NSEN! TO. :rRAtiSFE.~ SECURITL~~ DATEClJ ,J1.JPt-
I horoby cansont to tho Iran. lor 01 Ihe obove seeuritlos now legl.lored In tho noma 01 tho altasold
Docedent and wolve tho filing 01 a cOltifienle cOrlilying 10 Ihe paymonl of the IIanslor Inharltance lo~ to which
the praporty 01 sold Dr'cedont Is 1I10de sllbjoct pu"",,nl 10 II,r plovls10ns 01 the Acl 01 June 20, 1919, P,L. 521,
os amendod and Iho Act of Juno 15,1961, P,L, 373, oS "",c."dod, This I. also In occold"nco with the provisions
01 the Act 01 April 9, 1929, P,L. 343,
This Cansont to Tlanslor the Iwro!n descrlbrd ploporly opo,,,los ollly In roloronco 10 the ostate 01 tho
obave-Ilomed Decedent.
{"~' ~';'I~
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It ' . _PH" 1 '.,,1
.1....... ....l,,~.. _-,l.
Si,g.n.,ed)OI Iho Socletar: O.fA\ovonuo
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'itdrS" I' ,WIU1U~".) \\ ~
Iti;';i,liF'
fl'" L 'r
(11110) (Cf'IHlty)
,
'.
, I
fH C-'JJ (4-1.1)
,1" '1 t("
('OMMnNII'I',\\'T11 01' I'I':NNSYI.\'ANI;\
\ll':I':\I(lMFNT OF \(\.VFNIII'.
III I\( I ': \II 0\; ('01 INTY ('01 ,\. F('\'IONS
I~) J'.- 1 '/
COUNTY OF
. Cumberlaod..-..--u
RESIDENT DECEDENT
~~ __z.o _,..~.~ ..w.hr_ - . - ,--, . "' -- -'. -.---- -------...- "-~-.- .-'
IMPORTANT, Thilol return mllKt Ill' ~'Ilt1lI'It'II1~lln dl'tlllllllul flhHlln iluplit.;IIIt'. wllh UllllllHI'ht'tl. wilh tht' Ih1~I!lH!r ur WIIIM or tlw
l'tllllllY whore dOOlHll1llt flHddt'tl. Ht'tlHII IN ,hw within ullltJ month.. ltlh\r dhtr- 01 dlHllh, ulllc~H nn uxttHlHlun iN lIrlllHCd
hy the SI'llfl'IIHY ur HC\I'illlll'. (St'I'lllln'ltU o\" 1I1l1 lnht'r1IlI111'l.l um\ EHlHtt\ Tn'" Al~l III' 11)il1.)
..
..
~_'_'" _..~U'_
~._- -
IN Till' MATTElI Ill' Till', i'STATI': Ill'
} AI'I'III,\VIT Ill'
. J,"~i(~1'1'(1l1
,11l\UNISTI\,\Tllll
Edna y, Folker
- -'-+-rST'^TT.'f.uC~t.1'1 --"oF-riVe i::6-" II 'II
~ata of u.._C.l!!!1jJ~.r 1 ~nd
SIal. of ..__~_e.nnsYl',li\nj~.
Countv oL. .C_l!jllhexl~n(L n'
County
}."
..The _f'lr.st I}ank and Trust COJ\lP~ny . Mechpn ic.~I2!.lr.9.JJl...--,-. ll~fAAlk"
I\dnllnltllfllllll of the ulola ulllll' ubova.nnmoli 'ducarlo"I being duly twom. d.ltOID and .a'f
IJIICl',kllt tlh~ll_.Jl.ul..Y----.---~--~' (l1~l.~_~{IO'IPlft leaving n hut will, COIl'f of whiG" I, h.relo oItQ.,h.d~ ,)
It,lON1Hl 1!''',,{' ly!:/dll lr""ntn.
Name and oddrlllt 01 01l0ll10'f ('I } ..,__._,...__.._._~-~----..----o_-_.
olh., outhorlud rtr,...nlallvll 10 whnrll
nil cOlr..pondonco Ihauld he lllnll(td, ' , - - .--_...--~_.---.-_..~..---~~---......_.._------
Thllt II" HudL.Adm.inlstrator--... ,kl"IU"Ut is 1IIII1111ul' with III<' IIfflllr" "f ""ld e'tllle IIlld the pl'''pel'ty euu,lltutiu"
\ l;xrCIJ lOH-fl!lMIHI:H 1~^'nW
Ihe us)o'cls Illl1rcof IIlHl1hl'ir fuir IlIllrkel \'ultll1,
'1'111\1"1 till! IlIlIe III' denth Ihc:rt\ wns 1111 slife dlJp{I~11 hllx n.,~lIiNlored In decedent's lndlvldunt flnl1l,U, or jninlly with, ur
'IS ""euI "I' "elluly "I' lIu"ther, '" iu "ee",I"ul'H lu,livl"Ulllulll1\'" wilh right "f lI"e".' hy IInnther II' IIg"nl or "epulY, with Ihe
cxt:eJllllln of lite following: -
~,_,,~=,,",..;;..=,,~<"":U-O:""' 'c","cc..:.'...,=,=J_'C"''''-' " "~,,-,,,--, 0;;-,
_ __",_ "c'. __-"-,.:.;,,-"";:=c'--'_-::..'''';o'''"''''----'~;;-=~''''-'.;.,.---.-''--==-.=
.
-----"'"
~1I.ME ANO MH"HH"!I~i 01' nAll~; nli (jTtlt":u 1I1!J11TUll()~l THtS S^fE IH"_1'09IT BOX RI.iHTIi:tl ftEL^tlaN~Hlf1 or .JOINt
IN WltlClt I]ECI'(II':IIT RU-ljl-D ^ 'l~fll-; [ll"f'(j',IT nox IN tll\ME ORNM.11.!5 OP liOLDERB TO tJP-cF,I)I!NT
rh'a..~llist.ia~r~aiidJiu;rC;rnp.any-=::':.-....--::~:::~==:. JfdnZf"J.olkeL--------.-
.1'.... O~Jl!uU<.15.O.--------. .--'" '''---.-..--....--.'''"----''''. ,..------,,--..-
_J'~.h.allt~.burJklL.. J ZQ5.5. .___,_ ....,~-,", _..._.___u__.______.
____._.________________.~' - _.. ___0" .~~_.._.----.~-_~. ._...______n ----~---..-~----
-"
---~.,=-"......,.,~,:=,"".,~=- .:..---------.""=-===
Thill Ihe cIIIII"nl" 01 ,nltl ,nf" de(lllkll hux ur hoxeK nrll iternll:ed nn"er Sehudllle,__Lof thi. relurn,
with Ihe exeefltlon 01 thn [ullllwlng, fur the rellHlII" herelnnfler Hel forth:
Thill Schedule A ntwrlte" herelll 111111 1Illlllu pllrl 1I<>,eol Hel' lorth IlIlIy nnd In delllll nil the rOllI prnporll'
In Ihe CnrnlllllllWllllllh nl I'l'llllHylvllnltl III' whillh """edelll died hnl'llI" nil IlIlereHt therein, It nl," ,el' forlh Ihe
nwrtg"ge encun\hrl\nC\~H Hillin cUl'l1 pilH:L'1 01 1'l~l\1 property I\t Ihe dltle IIf denth, glvinll> thu nmoulIt KIIII duo Ilt
del\th, llOI1\O of llInrtgltl-tc\:, dllll\, rule of illlcfl'lil. lint! hook lint! pnHt~ IIf fecord thereof. It nlso sets forth lit the
CO!tllmlN pruvhtud thcrcl'llfc Ih<.' i\StH~llsed v\lluutilln of end\ of l'illid pl\uJcls, tlw cstiOlllted mnrkcl vl\luc thercuf
UIi of dute of duntll III' ducl:dt:lll,
Thllt Schedu/o l3 lltlnc\wd hurl'lll untl I1lIHk IllHI htnl'''1' sets forth fulh' nnt! in dctllil UtlI'Ct'KUlll\1 pwporly
whorctio\'or SIlUlllcd nWl1l.tl hy llw lIl'{'I~tli'l1t III Ilw lime nf tlcnth; 1111 Illllneys left hy the tlct:edcnt ul the tlmo of
denth, whether In dcel!denl's imllll'llillll' pllsst'~~illl\, slundillK 10 dl!Ccdl~I\t'S crmlit In hunks of deposit. sIIvin8s
hnnks, trutil COI\lrHl11ics, (If ollll'f IIISllll1tlill1~, whl'thcr intlividulllly, or In trust for I\I\Y olhcr llerson 01' 11lmitlllS
~h'ln" IIlstl ,el,"rlll'lY the IIrn..,," illl"""" Ih""'IIII, if lillY, tloWII to the 11th I illl..r..,t dill' "rlof to de!:etl,,"t',
denth In (he CIl!H1 or t;nvinv," hUllks1 1\11(1 III Ihv dull' Ill' dCt'I'tlt'nt's dentll in lilt othN l'l\!;CSj nil honds, IltHltnl
Nuving1i, trl\I\IHUY t:crtil'ic.;lIlt'~ or !lnll's and oll1t'l l'\'ith'nCl~ of IllilchledncsH of the Unlletl SlntcH to tho de-
Cl'dent: ull tlhllgl\lillIlS, "'IWllier hy ..laltllt~ Ill" lI~II'(~llIt'lIl Ihl'Y ill'i~ dl~sil(l\llled liS lux frec, 01' (he United Stllte!';,
or I1I1Y stull', or politknl S\lhdivhdoll Ihl'H'1l11 01" of !tllY rIlH~,p;ll l'tlunlrr, whkh nrC oWIH't1 .,llhc time of dentlt;
1\11 \\'t'urit1" I\Pllllrt'I, jewelry, "ih',~r\\lln', pkllll"l'S, houks. works "I' nrl, hll\lSl~hflltl furniture, hllrHeN, cnrrll\Quli.
1"ltnmllhih~H, hnllts, nml lIny l\ml ull nllwl' pnsntllll dlll!ttd,,; of wh,ltslltwcr. kind or lluture, lert hy decedent,
together with Ilw fl1irly c"limllll't1 nllll'kt~1 vlIltle lhclt~nr; 1111 bonds lint! l1l11rtQn"I~t; huld hy decedent l\nd of nil
dnlms d'll~ l\ut! nwinp. t1cl'Ctll'nt III ll\l~ linlt' \11' tltlath, l\ull 1111 promissory Il0tt!H or lither in"trumonlfi in writing
fur the JlUYlllOUt Ill' money 0\ which llt'et'l":l\t dkd p(l!iSl'SSt~i1, Ill' whatsoevcr flutufe, with inten:st theroon, if
lillY, Hiving thl~ flll'l' VlltUl' IInd l'~tinHlltHI filii' Illlll"kl'l \'uhlt' 111t~H~nr, 1\1111 if such cstillll\tcd fnil' murkot vulue he
tCHI'i tlmn the f\\l'U "lIll1c, II I.;uts fUflh hricl"ly Ihe rcnSlll\S for SII(:h lIeprudutloll nK tn eneh Itenli uti moneyfl.
Illtyuhtc In lht~ l'l'tntc fllllll lift' iI\Slltl'Ill'I~ I1lllirkli cnlfil'tI hyt!t.H:\Qlet1l; nil nnnllity I\nd endow men I colltructH
thu l'flll'ocds 01' whil'h weH' pnynhlc upon Ihc delllh or thtl t1eC(~dl'nt; nil unt! the l:orl'"rnte stuQkR and oividentlN
(hill 1lWfl~lIIl lllUI Ul1lHlitl tIS (If the t111le III III'lIlh, \muds nud nt:cnlt~d inltHcst thereon tn tlH~ dute uf dcccdcnt'H
lIel\lh nnt! ottlln in\'l'NllOenl ~it~Cllrltil's "wlu'd hy Ilw dlH~edl'llt nt the lime of denlh. with the "larket vRlue thoru..
uf lit !-itlch tinH'I
,
" .1
III Hill (1I\HO lit' MtHHll'lI.luH 0(' olOH'o fll' -"Hmlt,\' f'{JI'lHlI'/ttIIlIlH, Uw \/IIIUOH Jlt'POI'I.HII,lU'U lift f'nr nK
I'l'HHltdo HuhHtUIII,lllt,ocl h~' f'll1Hllnlnl Ht./lllll1ll'lIlH (If' UII! l'OI'I'ClI'u!.lollfi, HhllWlllA 1,110 HHflf/l,ti ltllll llllldl11.InH
tht'l'\JtlI' 11M of' Hlft dntu lit' dnltth, Tho Ht,lllllllllo niHil !HltH ('01'\.11 Ull' III!'OI'IlH!- 01' ilnllndlJlll. lit. t.hll "1mB of'
ctnnlll In nn~' nn"IHII.t.TlnrRIl11' or htlHIUOHH, lIllil III HIlJlllllI'l, of' tllfl \'uluo 01' ~1111ltl Inf,(IIlflHt. I.IU'I'fl It! /l11lll1lwtl to
snld /-whl'dlllul f'tlllllwtnt Ht.nt.UlllOlItH Rllowlng thflf\HHfll.H flnd Ilnhllt1.IIlH nf' ~/llll (!(1''''PHI'l.II(lf'Htllp Ill' hllHIIlHRRt
" l'OIlY c'If' 1,1111 (1(1ooJllll1fllnl'lilllp ngl'fll\111l11lt., (if or/II, II Ht.ntnlllflnt I-fll 11 Illl', f'ol'!-h tilt' 11Ilt.IU'f! of' tho IIA1'flOI1l11nt.)
t (l~1'111l'1' W tIll 1\ H tit t.lllllfllll. HH t I lll~ f'ul't.h t.lltl olin l'flC! t.III' tJ r t,lIn hUH IlllIH''h I t.H ) {lnll 1.111I1, 1111I1 HtltllI n tllnr 1'/10 t.H
lltlf'lttllllllA to tIlfJ hw~lllflHH 1I1i IIIny IIfl pl1rlllllHIt. I,t} /I f'llll' /lllll .I 11M I. npprlllHul 01' l.Ilo "(ll1UdOIlI,IH .1 II t.llrllli I.
Ihpl'lllll l!l1l~t. hI' Rllbmlt.l.f1rlt It. HllOllld ulfin Hllt. "tll'l-1i In 1t.01ll1",,1I 1'01'1", t.llAnllln!' with tho ('nIl' IT\llrknt \'nIH!)
tlwrlltlf', nllY nt.hfll' pr{)pfll't.~' OW'\fll\ Ill' hOf/II11lllhnfl h~' t.ho dl!C!Ildpllt III t.hll I tl1llJ 01' (Iuntll!
Tho ,~ic/l(,'du/p (' Ilt.t.llohu(\ IIfJl'ot.o IInd lI\1ulu pltl'l. htll'tlOf' Hnt.H 1'01'111 II 1.1'1111 HIIHWIl,' t,n U1wh lll1lt1lry
Cllllllnlllfld ttwrnln 11I111111U1I1 nnHftnf't.I'UtlMI'fll'fiOf'PI'oIH'I'I.Y, 1'nnl 01' pllrHntllll, wltltln two yonrK of' IloondontlR
i1111\Ul, III POll\,rlll\pllll.-lulI of' t!(HlllflflUI.'H dOIlt.h, nl' Illt.lllHlr!t1 to tl\kfl nf'I'(lot III JlIlHfwHHlnll ot' on.loymflllt. ul. or
11ft-or tlflllth, Hulll Mcllf1dlll11 Hllt.M I'UI't.I1 t.llo IIUt.III'1! /tlld \'1110" ot' HllnJl jll'oJ1nl'l.y, t,(l whom t,1'nnHf'(lrrnclt U10
l'olRt,1nnHhtl' of' t.I1t1 l.I'I\IIHf'nl'llUR t.o t.ho ftntloflllnt, 1.lllt I'I'ofH11't,IOl\ul,n Hllnl'l~ l'll(lfll\'otl h~' oueh trnnH!'nrnfl unll
1111 t11,ll(1r f'not.R of' II portlllflnt 11111.111'0 Ilf'gllrrllllp; Auld 1.rnlHif'orH. In l,li(1 OHHn nf' tt'lIt1RforH IIlI,om10f1 t.o
tnlw 11 f'f'oC! I. III POHHf"HR I nil 01' fin.! nY1I1Ulll. f~ l. (I I' Ilf'l.n r dnlll,iI, I.hol'" I A 1\ 11-10 1l1.1,1lf1l1fld 1.1) 1,1111 Hf.lI1I11hlln fl (lOllY
nf' l,hl' /lund, t.I'URt, Ilgl'noll\(lut. or o l.!ln I' IIIHt.rllrnOIlt. nl'onl,lng l,ho 1,I'lIH1. 'f1!lO"1l 1H f\lHO flnt. f'ort.h in Hnl(1
fwhfllllll(t 11 llf1t. IIf' nil proplll't,\', 1'(l1\1 nlld IHlI'HfHlIll, with It,H \,1111111, whlnh pll~,Hf1H /\1. t!noOflnnt1H IIOIlt.h hy
vll'l.w' ot' tho nXol'ntHnli~' flo[Hl(lnltl., nlthuT' Illdlvldllllll~', ol',IIIIIll.1~' with I\!IUt!lfll', or (lilY IIOWn,' nf' U)lflntllt-
munt, \'tlHt,nd hlllooO(lnnt, ult.lll)f' IllIllvldlll\lly nl' .lfl_tlltl~'l h,y !.hl! wtll, 1j(\lId, 01' tlt.hul' tnfolt.rllmont. of' nllnl.hort
W l 1.11 Ii lH1llY 01' tho t nH trllllUlfl t 0 rnll t I np; Huoh 1l0Wfll' II I.l.llnlll'rt to t.lw Hflhllflll I II,
Thill. Sr:httdu/p. 0 nt.t.lwhed h01'ot,n /llltl mfldn purl, hlll'nof Hflt.H 1'01'1.11 Uti! II1l1lln~ /lilt! nddl'flHRllH of' nIl
pOI'HOflfi tWII(1f'tolull~' IIIt.OI'(IHI.(1<1 III tllIH IIMt.lltn lit. t.llll IllIItl oj' 11f'1!I'lh!JII.'H thlllUlt tlln Illltlll'fl of' UIf'II' 1'08-
11H1~tl\'1l 11lt.(,1f'OSt.H, t.hflll' l'olllt.loFlHlllp, II' lillY, t.o tlto !\HfHHlonl., tOl-l;ot-hnr with tho 1l1((1R nt, t.lln t,lmo of'
t11~CtlrtontIR (lollt.h of' III 1 mhwNI, IllUl"lt.nnl,R It!HI hlllH!('lotllrtuH 1'01' 111'(1 111\1101' dUOfldollt.'H "'tIl. It .UIHO
l1ont.1\1w-I n At,IlI,OlTlont. Hhuw1n,tl; whlnh of t.Il(1 hflTl(II'\ollll'lnH llllllUlfl III 11111 Ilflflf1llol1l.ff; will, If' Ilny, dlml prior
t.o 11f!(1j\rlf1l\t, Iho dol.oH nf' 1.11011' 1I1l/It.h, 1,111111' IHHIlI1, HUt! t,hl' )'tllllf,lflll!thlp 01' Hili'" IHA\Jl! t.o tho hlJlHlf'lelnl'Y,
1'11111. r)'.;N'du/r E ntt.nf1IHlll I1nrol.n /Inti 11l1lrl(t n (11\1'1. Ilnl'l'of' fifllH f'fl,'t.h 1111 pl'flpl1l'I.~', rlHd nlld }lor'"
Rnn/ll, OWIHlr! hy 1.1lr> r1p.lloflflflt .I0hltly wlt,h unnt.hol' {J" (11,\101'", Illf')lIdllW, 111l1\IIglh1o, fll.HlHltnp: In t.ho IIl1mn
flf t.I11' dOCtHtnllt., /11111 nt,)wl'R, plllH 1,llp dllt,n nml plul1fl of' l'flflol'(1 flf'lllHII'll1nnnt'l nf'f'nnI.11l1-!; Uw VORI,t t.tlrll of'
rOlll t'Sj,Ilf,ll /lurl l.Iw IIII\'O of' I\O'IulHlttofl of pnrHnnlllt)'1 plUH thn IIl1t1lnl Illltll'flHH 11IId ,'nlnl.10TlFlhlp, If' ouy,
nf' llo-oWno,'R to tho (Inoodol1t,.
'l'hnt Sc/lt'du/f:' F flt.tnohllll ',,,,'nt.o 111111 lIl/uto Il !InrI- hOI'nof' HOI_H 1'01'1,11 f'LlII~' IUlll In d.'t,ull 1111 clohtH
uull dOllllnl.lolIH olnlmol\ f'ol' nlllloll hnllntf' nf' UllH tlflnntlol11,11'( (lHt.llt,o, Illlllllllllt,ll. 1'111101'1\1 nxpflllRIH-I PUlf"
t'undly O)(Ontp1.lolI, whol'o /lI'pl tflHhl111 110MI," nf' flllnlllllnll'/lI,11i11 of' t.htf<nHtnt,111 (!lIllnHu) f'nnR f\Iut f'1If110IIIl'y1H
nnmllll!iH tllnH putt! or t,t) ho Ill\ I II; OOHl, l'Xllllllflnd "or hili' In I l."lls tR, tn1llhH tnllflH nT' ,~,'u\,(l"lItrknl'H, nnl1 rol i-
1J;lllllH HorvlcOH, In llonRHfltlfITUlO Ill' !.tIn c1l'lll.h of' thl! dnnnilt1lltl II(1hI.A Hllll nlnllllH nwlll~ Ilwl 111lfllltd lit. t.IIl1lJ of'
dl1ulhl tflXOA IW(lrllllfl ehnr.,;onhln f'or IHll'IIll1 prior tn fh~l,'f'll<"'tf H (h'IIl-11 (nxnHl't t1lnHo 1l1lnwml lITHlor Snnl.tufl
flllt oj' l.Iw IllIllll'ltl\!H1!'l I\lId gHt.lltl' 'rllx Apl)1 I,n'~tlf.hnf' wttll 1\ <{j,nt.ll!lll'Tll_ nf' nnllnl_III'/t1 )l1(HII((.1(t f'or nh11~n...
l.tOT1fi, If' HIlY, ItlR lI~r(1nd UIIlt. t.hn f'lltllplnry will prOHflll1, )I"oof' nf' HIt\l1 olnllllpd nhll/VIt.loI1H "pnn 1'0"
quos!., tllllt, If' thn I\lIIOIlIIt, Ilfll.lllllly plllll III Hnt,tlnnlllJ1f. of' /IllY f'(IH, 1'llmrnlHHlnll or ftnht t", lnHR 1.111\11 t.ho
(lttl.lnllll,(ld 11111omlt, olldllllnA 11l1d nllowod, I,hlll, t.hn Mllml' will !In l'fll"H'I,OII to Ulll It(Jj.l;IHl,tll' nf' W1llMt unci t,hllt.
tlln IlTnllllllt. nl' tllx HMRflRHfHI flflfl ho l'flIlHMnHHf!(1 III HOfHII'dlll1n'l tlwl'i'wlllh
Thnl, 1,11l! t,nt.l\lM uf t111l RI'PT'nprlllt,o C!Olllllll1R In HnhflllllluR "1\", "un, "G"t "II:", nTIII "F" f\H II 1 1'('11 t,(I(1 t!tor(llll,
hllVH 1100" I1llrr1OtI rnI'Wllr(\ ntHl J1I'npnl'IY r('I~IAtOI'(1(1 In Ulll HtIl1Ulll\I'Y,
The
!~i\st Ba~~ ~nd~lyustlo.mpanY
cltuJ)/. c.", \ \ K.lfJ/'clf",..,,, ,,,,,,,,,,,...
(:7~tor. dn lllla~raZt
Main ng ,M!:\r~,!llts,tr:..!i1t~,..,,,..,,.....
(Street Numb",)
M~c;:h~nJC;:~lJ~rgLPa. EQ5~
(City or TOWII nnd State)
Subscribed and sworn to boforo mo this
, .
.."",,,,;l..I:.....J.ll.
)
,
day of ' ,\,," ,,,L ;.,,'<,,1.1,(, ;,(
," tu",;,:>.',_,
'hi
c..!tfo(
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N01'I~1 Ihlr'UI'lt AIAlIll1R IIff'tclnvll, 11I111(0 HlIl'O nil hlltll1, t-lpHf!HH III thn uf'f'ldnvll /llltl ~wlltl""1nH Hllllfl"l"t /lrn
f'll11111 1f! with clotlltlH or UI(l wnrfl "Nnlln", nl\fl III flllHtl l.lln /It-lHIII,!i 11101\11111 l'IlI't! /tllll 1111111'41,1111 HtlClllrll,luH,
Hfll'IU"IUOR IIf' Dl11RO or f'llIl\lIy o{JI'Il('I'nl1nll" nt' ('-11 Illlnl'flHI, IH /lll)' l'u-pn"lllfll'tiltli' lII' hllHII111HHI Ulllt, I,llf!
/111111 IIIlff "t.III,('III(lI1I," rO'llltl'mt Ill\flot' l,hn 11l11'1I~t'fll'll /lllO\'o l't1Illl,lflg III HI'lll'dlllf' "II" 11)'0 nttIlClllnf\. ,\lHn mllku
(~I\I'11l111 thftt, flol1tmn 111 III Lhn "Hlln'll/lI'Y" hUH llf'nli I'l'nllf'l'ly (100l1'1(1"'1(111'-t Ill1o\,H-dlrllnlll(\.
'.
,
I\ce-~f\
(:()MMnNwli:~I:l'lI OF 1'1':NNI;Yl.v~Nl~
'l'Il/INHI'l':1l 1 NII1'~I\l'I'~N(:t': 'I'~ X
1l1':SllmN'l' m:(:!ml':N'I'
HCIII.:IHILll: "H"
I'lmHIlNAl, I'ltIll'l':II'1'Y
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INNTHUCTIONH1 'flIIH Hohoclulo mUHt. dlHnlnfio nIl t.nnglhlu nnil tntnnglhtn 11(lI'HUllnl prollOrty ownod lnillvlfhll&11y
lIy tho tI~(\oclunt" nt tho t,lmo of' his dnntlh I'rol'orty ownod hy thu Ilooudont, .101111,1)' wi th ultnthor or ot.hUrH
must lio Ilsl,oll utllhlr Hohucluln "l~". IntnnAlhln IlorHunnl 11rollOrt.Yt t,ttlocl In UlO IlRmO or 1,110 clooOllont, hut.
Iln~'nhlo nt. clouth to IHlut,her or ot,horft, Inoludlng hut, not J ImHuel t,(1 (lIDID, Il. Ht HlIvlnKR !lundA and f.nntu-
Live t..ruHt. Rooounl,8, mUHI, ho llRtort, dOHptt,f) tho fuot Umt. tho)' urn not, of' t,hu ndmtntatoroft ofltntn,
TUIlf(t 111 n JlorRonnl IlrnJlnr t.y Kholll rl Ita 11 H toel rt rR t (0, K' ,t ownI ry, WflUr illg Apparel, hOIlROhol rl
gunda, Ami f'urlli8hlnKR, hook", pntnt.ill)(H, IHll,omohl I f1tJ, hnnt,H, ot.o.)
Intnllgihlo porson"l proporly, 811011 ilK howls, trnllMury oort,tf'lolltoN, ol"'h on hand and In hRllk,
HlookN, InorlgllgoH, nntoN, to~ot.hor wHh nocrllod Illtorost, ur Illvlr1onclH, Rlllarlos or waguR, InsurAnoe pay-
Rhlo t.o UlO oRtuta 0" fiduolnry In HIlllt oRpnoll,y, pnrtnorHhlp Int,nroAt.H, tntorost in unyunrlist.rlbutod
os tat.o 0 f' or t lIoomo f'rom nn)' IlroJ!ul't.y hnI tl t n t.rUH t. undor tho wilt 0 r "M,roomon t of "no thor, ~ven t.hough
IUDRtod out.H'lllo lit' tho Ht.nto, At t,ho ttmo of' doatll, should ho 11ato(1 In this sohochllo.
I tom
No.
7,
8,
9,
10,
11.
12.
13.
14
15.
16.
17.
18.
19,
20.
I'rl'll
111H\' RIllI cloHurthn f'tlIly
UN IT gSTI MATlm
VAUJIo: IIAllKJilr VAHlE
OEI'AIITl&:NT VAJ.UATION
(00 not wrlto In
thls S1'800)
1.
2.
3.
4
5.
First Bank and Trust Co. Mechanicsburg
Balance Checking Account No, 121 227 3
Pennsylvania Blue Shield - Medicare 65 Spec,Check
First Bank and Trust Co, Mechbg,-C,D. #3179
Accrued interest on C,D. #3179
First Bank & Trust Co, Mechbg - C.D.#3843
Accrued interest on C.D, #3843
First Bank and Trust Co., Mechbg - C.D.#3005
Accrued interest on C.D, #3005
Holy Spirit Hospital - Rofund
Penna. Public School Retirement Fund -Balance due
Bethany V1l1age Retirment Center -Refund on month y chg.
First Bank and Trust Co, Mechbg-Balance Savings
Account 505 527 2
Accrued interest on Sav, Acct. 505 527 2
6.
Jewelry - Various rings and pocket watch
55 Shs. Philadelphia Electric Co, Common
(Appraise 1
attachec)
@15.9062E
560 Shs. Am. Te1.& Tel. Co" cOlTlnon lil67.875
100 Shs. Gulf 011 Corp., Common lil27,59375
711 Shs, Pa.Real Estate Investment Trust @21.2812:
50 Shs. Income and Capital Shares, Inc, @/?,78125
Dividend on 50 Shs, Income and Capital Shares,Inc.
-
1,264.07
70.00
20,000.00
333.33
6,000.00
77 .08
8,000.00
143.33
4.00
24.14
780.00
3,603.11
24.02
80.00
874.84
32,410.00
2,759.39
16.130.97
339,06
10,00
"'Hnrt, thlR tot81 OJIIIORItO '('or80nnl I'ro)lortf', 80110<11110 'II' \11
t.llo 'AR lIo)lnrto<l' ""llImll 011 t.ho hst )l8g0 or this rot,lIrll.
x x $90,927.34
('I~J '1~ '1. 31
8{/I
, ,
ncc.,,! (12.1,,)
l'OM~10NWI:,II.'I'1I OF 1'1':NNS\"'L.lNIA
'I'HANSFJ.:H INln:HI'I'M,n: TAX
ImSIIlI':N'I'IlJ-:,'\':IlJ.:N'I'
SCII'W\JI.I'; "))"
llENEFICIt\IIIES
- --~. - = lIi,ij,ATIONRIIII' --..
- ..___r--r
m:NI':~'ICIAl\mR ANI> Al>l>m:RR~:R W slop.chlldren or RUIIVIVlm 1>,1'1'1': INT~:IlI':R1' (\10'
Sl"to l't111 nllmO" "'111 llllclrllH"OH llf ull WilD I culllrnnle children l)gCNI>NN'P OF III~NIWICIAIIY
ll\'tl 1\11 Int.ol'(lut'l VllHI.ud, QUIlL Irlllunt. C1I' otlwr ' aro InYoly(~d, Hot s'rA'n: YI~S IN f~S'11A'I'I':
WiHO. tn OHtuttt) (lirlh thl, (ncU Oil NO II 111'1'11
---
Mary E1i7.abeth Bryan -Il4~hteJ:. Ye~ ^ du.lt.. noo~Aue-QfA,tAtA
325 \ole.s.le.v. Drive
Bethany Village Box 12
-
_~Dicsbur~2.lL..JZn~~ -'--" n___u
.
-!L1JLNei bert GreAt Gi'Ann. .-Y..e.s.__ . n..Ulllit of $1OO~0-._.-
411 Alison AVfJ, .JilllJghie.J:.__ - -
_MechanJ.csllur.g.J A 17n~~ 1--,--,
----
---.--
Betsy Neibert Great Grand- v... . Bequest of $100.00
-
dauahter ,
-AlLA 1i son Ave. ._---
_ Mecbanicsb_uJ:9. Pa. l1.Q~~ .
Trisha Neihert r."A"A. VA' "eq11lillit of $100.00
411 Alison Ave, dauahter
- -_.-
MechanicsburQ. Pa. 17055 -
--
Lynne E, Ne" bert v". hf ~~ ~nn nn
411 Alison Ave.
Mechardr.',,,"" PA' 17n~~ .
-
.
- .
- ~---
.--
.
l1"I'"II"1I1 l\.rt.hor HOY. t.hol. 011 t.ho ohnVO-llOmod hellof'folorlo. ora liVing 01 I.hl. t.lme eXOOIII helllO'
_______.,._. .__..~___.____,__----'-; ______.L..~. ...__.._ ___~
NAME
DAT~: O~. DI~ATII
RJt:SIDf:NCIC
~
-.--....-
---~--,-~_.~~.~-_.---
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.. ~
Is .:a;l
: ~ 9
-'8
I i.
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8UMMAIIY
110111 I'roporty ......,............\'..,..........."....'''..'''''..' ....".., ......, (.80h, "A")
I'ursonlll Proporty ,..""..,.""..""..."",..,,,,,',,,..,,,.,.....,,..,"",.., (Soh. "U")
Trllnsfors :""".........! ..,,,....,..,..',,..,.... """,.."..",.."....."....,,,,.( Soh. "0")
....."..,,,.,,..,.. .,..""""",,,,,,,,,;.,,,,,...,,,,,,,,,.,,.,,,,......,,.......,''''''''",.".....""""""...
....".,.,.".,...."....,;,,,,,,,,,,,...,,,,,.,.,.....""',",,.., ....".,.i"""" """""".,.".,."
Cross TIIXllble Estllte ,....
i ! )
~ Clo I
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'51
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(I) ,
(As 11"81>1'1(111)
$ "..,." ,~". ,7
$,.~.Q.I,m,,:~4 , .
$....,. 0 .
$."..".
$......" ..."
$..~q, ~RI..3.4..
-, ;.
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( 2)
(As l)l'lfJrlllhl<'lI)
$
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$
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$
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f,lInl lie (' ,10
I',
,
Drour.1I0NS ALLQWnl IN
Vi. _. ,:{d' 111'/'
1./' "
Tln- ~UM or . II, ~ I
/ ( \ , I- ( (,; (:'If
DATE A...."OVE~.. .. . '.'~ " (I).
. tJj, (I~ l' \, ".1 I
_ I' IJy i ..{, ,'() . I'J; f,,'h'__
j'" ,~ a'Oll" of Willi, AOfnl
'I '
(t(J
OfFICi opr THI.:
Rrll18TlA OF W1U.8
STATEMENT OF DEBTS
AND DEDUCTIONS
o. ....J:UMllE.RLlItill----. COUNTV
"NO AGENT 01" TH' COMMONWIAl.TH
ESTATE OF Edna Y. Fn 1 ~"e I IlWf'~ ~" nn T , co< ,
1.....,.. 01"
\\ .-, ' 111'\"[ 7/[\/79
O...rE 01'" PIt.INQ A,PRAIIIMINT -l/~,\., I ' _D"'TI 0" DIATH
r
o"n: NO, 01" N"MI 0' .....VIll:I """''''RK' "MOUNT
VOUCH." -
IQ22_ Reaister of Wills. Letters Test'l nentarv & Short r."rHf~r,i'n~ hr Inn
July 23
Aug. 2 Holy Spirit Hospital - Balance de 161 70
- .--.
6 Cowley Associates - Professional S~lrv ices ?4 00
6 Hnlv Snirit Hn<ni+,' _ V.rev <ne,. r"c "n .00-
r; M"".... -: ,", Un..." _ - " hll n r".' nn
~ 'l< >n"r - ry - ~fll.:lnt":) dlln !i!i _.4[i,_
14 Bethanv Vi llaae Retirel11ent_!&rl1r>r - ,r" rllIA n nn
, a I\All T"'"nhrm,, rn _ Fin" hl1' . co
20 Richards & Knauer - Lettering l11en orilll stone 39 llli-
24 Cumberland Publishers. Inc, - lid' 1 1r; ,r;r,
28 Cumberland Law Journa 1 - Advert is I nr1 ,,,"<- 1Q !llL-
---
Oct 11 R<'l,~d"... of W~'lc - <:l1n...+ cerH' - 1 nn -
,r; T c.h"l'" r.nnhnv _ Nnt.rv f""c 0 nn
31 Real s ter of Wi 11 s - Short cert Hi rate , nn
..Jler R"n'<'~~ nf Willc " Fi" ~ ~ .. . ^~r , ....~rt. .
D8ductionc .n ON' ~ q DO
1n '('h,,"" n~~ r"n... n"rHnnon... _ ^.-- .;__, c., ' n n G----.
Reserve for the fnllowil1r1'
The First Bank and Trust Co, . Ad linistrator's fee 4 546 17
511"" '~r Mf'I':,'nh R, r.,,' > - ^. _..~~' 'c fno ~ r,nn nn
Reserve for lliinD aceo"n!' ete ,nn InD-_
.- ----- .._-.. .,..-.
-
Tnt.l ~" 1 1;1 D1L-
---
-
,
,
COMt.10NWE...L.TH OF PENNlSYL.V"NIA }
CoUNTY OF Cumberland ..,
" -.--W..1yne P. Kautz. Assistant Vice Pr8s1dent & TrUJl.! Offi~t>I~.vc..TII'V,T"AT.
_~_.....-io~
.-.----- ,. -
( ,
COMMONWEALTH Of PENNSYLVANIA
COUNTY Of CUMBERLAND
III
The Fi.rst Bank and Trust Co.,.,WayneP. Kautz.__ '_'~"""d___',U......._". __".. ",..,
bolng duly, -- _..s_worn _ " According to lAY" dopolel "nd lAY' that he ..1.s-Adm1nl.stt'ator..
-, of tho Eltate of ....J:dllllj,..J:ol.ker_~____..___'._.....m..>U_~__~__
leto of ...-1.awAt' AllAn Town~~ip ___.__.....:...., Cumberland County, Pa" de08llOd and that the
within II an Inventory mad" by h.1m.. ..,.___.. . .__., the I8ld__Adrn.1nb.tratQr._
of the .ntlro Oltato of I8ld doccd.nt, conlhtlng of all tho porsonAI pro".,ty Md reol ..tate, excopt reel oltate oullldo
tho Commonwoolth 01 PonnlylvAnlA, And that tho IIgur.1 o"pollte .aoh It.m of tho Inventory roprolOnt It'l fair valuo
al of tho doto O~::CCdont"doath, The I'Hf Bank and TrustCompany,Mechanlcsburg
. J ';~'I ,,' ",' and lublcrlbod bofor. mo, .-----itLt(t~.U!t... dJ~~..-., _'__....
)C , )" i..t.:t~. .AdP{Jnlll/llor
'-~~" (.,'{,. ;. (I 19.r....i::..- . :7
" ,,"-
I /1 ___, ( .
__ \. _/:.>.., /r/cL/(, (c'"li6u--J1aJn..,llUg .,~t:.ke..:1tre,!lt9___..____.__
n f'f;"!)[JY, Ni,f;!IY (lutlllr .~. M h .., C! ,",,, ..E 17066
" " C"'nh.-c!M',1 COllll11 --.. Ele lln_l-C....~r.g~. A~II .-,-----,..,-.-
n,,! ?/ IlIii?
'I '1') i ,\',:, "'(:"1 (11'.)(1,'11(';;
Oote of 08lth ____.._--.BJ1L.,___m.._....___.__u.._._~~.\I1.L.._..________,__
'a.v Monlh
1979
Vu,
INSTRUCTIONS
I. An Inventory mUlt b'; fllod within throo monthl ~ftor oppolntmont of perlonal re"relontetlve.'
2, A lupplemont Invontory mUlt bo' fllod within thirty dOYI of dllcovory of additional allell,
3, AddltlonAllhooll may be att~ohod al to porsonalty or realty
4, Se. Aitlcle IV, Flduolorlel Act of 1949,
..~ ~ s.. 1
~'. r- J
~ It. ~ If 1
I r- ei.
u. . .-
~ Ii 0 >- 0:(
III i J
.s \
r - IJJ
:2 ..J ~
J
~
]
'I,
Inventary af the real and per.anal ..tate af
Edna y, FO_'1-kBl'._________.__..__u.________de.e.ud,
--
_. ..;-_-==-'";;::.---.:----=~:::::::=:.L=:.:===:::=;: r_.. .....~
First Bank and Trust Co., Mechan1csburg - Balance checking account No.121 227
Pennsylvania Blue Shield - Medicare - 65 Special checks
First Bank and Trust Co., Mechan1csburg - C. D. #317~
Accrued interest on C. Do #3179 .
First Bank and Trust Co., Mechan'lcsburg - C, .D. #3843
Accrued interest on C. D. #3843 .
First Bank and Trust Co., Mechanicsburg . C. D. #3005
Accrued interest on C. D. #3005
Holy Spirit Hospital - Refund
Penna. Public School Retirement Fund - Balance due
Bethany V111 age Ret1 rement Center - Refund on monthly charge
First Bank and Trust Co., Mechan1csburg - Ba'lance Savings account No.505 527 2
Accrued interest on Savings Account No, 505 527 2
Jewelry _ Various rings and pocket watch (appraisal attached)
55 Shs. Philadelphia Electric Co., comnon @15.90625
560 Shs, Am. Tel. & Tel. Co., common @57,B75
100 Shs, Gulf 011 Corp. common @27,59375
711 Shs. Pa. Real Estate Investment Trust, @21.28126
50 Shs, Income and Capital Shares, Inc.@6.7B125 '
Dividend on 50 Shs. Income and Capital Shares, Inc.
Total Inventory and Appraisement
r
. "
-- .-
3 1,264. 07
70 00
20,000 00
333 33
5,000 00
77 08
8,000 00
143 33
4 00
24 14
780 00
3,603 11
24 02
80 00
874 84
32.410 00
2.759 39
15,130 97
339 06
10 00
$90;,927 34
....
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THE' FIRST AND FINAl ACCOUNT OF THE FIRST BANK AND TRl!.ST COMPANY,
MEG.HAN ICSBURG, PENNSYL VAN IA , A.ill1U!Ul}RATOR C. T. A!_. OF THE ESTATE OF
,
EDNA Y. fOLKER, \')ATE OF LOHER ALLEN TOWNSHI P , CUMBERLAND COUNTY,
PENNSYLVANIA, DECEASED
PERSONALTY P~INCIPAL
RECEIPTS
The accountant charges itself with the
Inventory and Appraisement as filed:
TOTAL PERSONALTY PRINCIPAL RECEIPTS
~90,92U4
~90 ,927. 34
PERSONALTY PRINCIPAL
1979 DISBURSE~lENT~
J'U1Y 23 Register of Wills - Letters Testamentary & Short
, Certificates 60.00
Aug, 6 Cowley Ass.oci ates - Professi.onal servi ces 12.00
6 HOlY Spirit Hospital - X-ray servi ces 24.00
6 Myers Funera 1 Home - Funera 1 bil 1 2,676.40
6 Dixons Pharmacy - balance due '43.86
14 Bethany Village - Balance due 4.00
14 Bell Telephone Co, - Balance due '3.62
20 Richards & Knauer - Lettering stone 39.00
22 Cowley Associates - Balance due 12.00
24 Cumberland Publishers, I nc, - Advert is i ng 1 etters 16.66
26 Dixon's Pharmacy - Balance due 11. 60
28 Cumberland Law Journal - Advertising letters 18.00
Sept.26 Holy Spirit Hospital - Balance due 161. 70
Oct. 11 Register of Wills - Short certificate 1.00
16 Isabelle Conboy, Notary - Notary fees 3~00
31 Register of Wi 1 ls - Short certificate -1.00
Dec. 11 Chuck Bricker - Appraisal fee 10.00
28 Register of Wills - Filing Debts & Deductions'
Inventory and RCC Forms. 9.00
l'l.l.i\ tl~ 1";Jf :.'64
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PERSONALTY INCOME
!?lSBURSEMENTS '
The F1l"st Bank and Trust Co.- Comm1ss10n on Income
TOTAL PERSONALTY INCOME DISBURSEMENTS
.~107.a4 .
~107.84
REAL TV INCOME
RECEIPTS
None
REALTY I NCOm.
DISBURSEMENTS
None
~ARY
TOTAL PERSONALTY PRINCIPAL RECEIPTS $90,927.34
TOTA~ PERSONALTY PRINCIPAL DISBURSEMENTS 16,196.46 $74.730.88
TOTAL REALTY PRINCIPAL RECEIPTS -0-
TOTAL REALTY PRINCIPAL DISBURSEMENTS -0-
..0..,
TOTAL PERSONALTY INCOME RECEIPTS 2.166.76
, TOTAL, PERSONALTY INCOME DISBURSEMENTS 107.84
2.048,91
TOTAL REALTY INCOME RECEIPTS -0-
TOTAL REALTY INCOME DISBURSEMENTS -0-
-0-
BALANCE FOR DISTRIBUTION .$76.779.79.
BAL~NCE CON~S OF THE FOLLOWING:
Cash- Pr1nc1pal $23,136.62
"
Income 2.048,91
$26,186,', 6~
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