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HomeMy WebLinkAbout79-00477 REV"". IB.78' COMMONWEJ\LTH OF PENNSYLV J\NIJ\ DEl'ARTMEN'T OF' REVENUE nUHE/IU OF FlEl,1) OPEH/\'['IONS * . ') / )1/ ,/ I' I IlF.SIDF.NT DF.CEDENT COUNlY OFCIil'l0L'.1\l.i\l'l\2 ~"_L~~4._ IMPORT ANT, ~~. ~ ..~.__.__._.~~~~~Tl"'c..'\'"'!""~"""'t"..........-~___. __., d, .d .,.. ._lr'-,,"~~"l~~ _~._.,....'u 'T''''~.__'__~''_~ ThlM rOlUrl\Ill\IHI ho llllllll'I(\!l!11 hI t1Cll1lllllHI rth'd ill II\lflli\!lIttl. with fllIlItlllPht1d, willlllw I\t'HiHh'r fif WIIIt; Ill' th" Cuullty whuro dcc(,dont rCHldcd, Ih~lurll 11<1 due "'llhlll IIlml rllOlllhli ufWr 111111' IIfdtllllll, t111luMM lIll t!XH1mdOIl iH "rlll1l(\d h~' till' SrcrclllfY uf ftt\\lClllltl, (St'I'lioI\7IU of Ilw IlIhnrlllll\l'l\ nlld 1':Hlnll' Tux ^t'l uf It}fd,) I -. -, ~. ...._-.-.. ~~r' .--,- .......".........-. ...+ ...-.-.- - ~.. - .. - ..- IN 'I'1I!l MNI'TEIl OF '1'111' ESTATE OF .DI\.lS"_T\'\CR~l~ ILL_, LOr.K :1 TT "('STAll': ~\JLI. r~^,JF OF nELI.:rlE~nl } AFl'lI1AVlT OF . 'AII~IIN'STIlATIlII ~..o of~I,.I..l"\Br;.f\I..f\NO 5.... of '.'~c.,;e.liclf}i..l..jl\ NIl'L HH \ .., County of._ llr.\\:l,tRLI\I'l.,Q"H"} .,. -'\.LI~ R E..Q,G., .LO~K iT]", "',__,~______~___.._,_,_,_,_"'___, .. of thCl ..tolo (If lhfl nLovtI-rulmDd Jee.dent beinG duly IWafOj d.pu.. ~ 110uodoll' ,11.,1 J,I.Lcl..L.__...__U ..' 1'1 ]~__{, ' tMONlIO lliAvl (Yf':A'll Inl..lnlfl N.m. ..d ,dd,... .f .".'.oy ., } '___-AJ.._r:..R.\:..Q.,'~~L.1...cc~..L1...__~'~.m.._'______,_____ ath., aUlhorlud '.pf...nla,I". 10 whnm . r.2 ." (;'i ~ . .11 '."..p,.d.." .haul" h. m.II.d,___..fi.~D_.....~_, _.._\.lCl)l.._~1.L___.....,t1liL.,\.~,U. \:. \ I:L.J.I.cU.:.?..,_,._., Thllt "' IIlIchJio.l'\uill;iT_BftT.o.R_d"pflllcnt I. 1'II11llllnr wllh Ihe IIrrlllr. Or IIlIid e""le IInd Ihe prop.rty e.llll1llll1l1ng tl:)(IICI'TOfl.^nMINI~;TI<^T()fl) I the nH1W(H thereof IIntl their l'uir mnrkl',l value. Thot ut tho time or den lit there WRS no Hufc deposit hox rcgiNlcrud in d(H.~cdcnl's Indl\'h,lulIlnl\mc. (lr julnt!>' with, or l\H agent or dcpllty or Illlotlu.lrl or ill docodent'!j Individulllllllll\e. with right ur lICOoNS hy llnntl.or IiH "sont or deputy, with the excep,lon ur Iho f"lIuwin~: .. COIJIIly At1ll1lninlru(tll and lay fJ ' II. ,. ..It ., h.r'l LJR ) =_. .."".......=~.:cr-~=""''''=.....~=<<;;.n.=-''',u.-."'''-==..~''''''_~.,=.......,'''~,,. ;~:;'.c;.;r:..=;::"'.,;;"l";;~~~.J......;:=_=....--'...=.=-==='~=~ .,~r- --==::-"'."--, NAMF. M<4n AI)l-1Hl!S& OF [UNit oh OTtttiR INSTITUTION IN WtllCH CI!CIWF.NT RENTEO A SArI{ DEPOSIT BOX - - - HIlS !IAfE Uti:P08IT UOX IH~NTF.() IN NM<lt': ah NM,1ES Of' ---...-- R~t..^TIONllt1IP of~ JOU~T HO!.OEIU TO DECEDf.N'r , -----,--------_.__. ---_._,_._._.-.'-----~-~._----- =--===~.~=-_._~=~_..._._==,=~-=_~-=:::.~D..&:]::::::_..=-- =-._~= -..v.-- -=.=~__'""'.,,'~'-*"=.;l;.-....~ ~-..,"":<.--=--==:.;::_.___ ---- Thnl Ihe eunlento uf onld IInro .h'I'UIIII hox IIr hux.o nro il.ml..d undor S.hedulo.-==-of thill relurn, wilh the .xeeplloll of the rollowlng, fur Ihe rellllllnll herelnnr'.r lie' furlh: Thnl ScheJule A IIl1nclwd ho"'I,, nlld ml\de pnrl hereur IIOt. rorlh full)' nnd III detail 1111 tho r.1I1 prnperty In the Commonwenlth er l'ellnllylvlIllln ef which deeed.llt died "Bving 1111 IIH'''I'.t therein. II nlllo lIetll rllrth Ihe mortgn8. enollmbtllneOIl upon IIl1eh pllrc'" III' relll I"op.'rly lit Ih. dlllo of denlh, 81vin8 Ih. IImollnl .1iI1 due ftl dDlllh, namo of mortgllJtco\ dnle, rute or Interost, nutl hook nnl! IlllUlI of record tho1(:of. II also Nets forth In the eolumllll provided Iher.r",. the nlloelllicd vlIlullllolI of Olldl or IIlIitl "lIrcelo. Ihe olltlmllt.d II1l1rkel vnlll. Ihereof I\It !If dnto of dt~nth of dllC{JlI<~I1I. Thill StheJu/e 8 IIl1l1cl",d lu"".o IIl1d II1l1tl" pllrt hert'of 11011I I'ollh roily IIl1d ill tletllil 1111 "er,olllll properly whereoover ,ltullled nwncd hy Ih. dl)('.",lenllll Ihe tllI1" Ill' denlh: IIl1mllnllYII len hy the decetlenl IIllh. lime or donlh, whether ill tlt'cedt:nt's illllncrliutl' !lost-ir.ssiol\, slllndlng In dCCllllcnes crudil In hunkH of dCP(Htll. HlIvlng!. hanks, trust cl1mlulllicN, fir other instltuliCIIHi, wlwtlwr indlvidul\lJy, or 111 truIII for uny lIthor Ilcrson or J10rHfJIIN l(ivlns ulNO scpurntcly tile nccrucd inll~rt:S( Ihorc(Jl1t ir 1111)'1 down to IIlr. IltSl Inlure",' dKY prior to deccdcnt'fI t1uuth In tho CIISO of l)uvlni4s bllnks, nmt III t1w dllUl Ill' dO(lUdcl\l's dCllth in nil other C.'IHHlHj nil hlll/dN, IHHltnl saVings, truRRury cortlflcl\tcH or 1I0tCfl ,ulIl nllwf cvldofl(.lC or IndebltHllll1NH of thu 11l1ll(~d Slntc.HI In II1\.' du.. Gcdontj ull ohll1(l\lluI1H, wtwthor hy Ntntulll or llgft~(nUont they l\rc dc.ndgnntod UN lnx. frlH', nr tho lJhltcd Stureti, or IIny Htuloj or political suhdlvlsiul1 .hc.\['I\(lf. lit Ill' 1111)' rtHllh~n !JIHlutry, whirh Itr\1 nWfll'd at the ,limo ufdouth: nil wearing IIPllllrol, ,jtlwclry, ~;jI\'on\'llro, p'illlllrl:S, bouks, workN IIf IIrt, IHHPichohll'mnlturc, ltflrtlO~:_ clIrrll\gClt, Rtltumnhilc!ol, huo tfi , Illld /lll}' IInd 1111 olhl~r IHlfsIIIUtl dlllthds nf whltlNol~vcr kind lit llh(urt', Il,n hy l!cCCl.hllll, tngelh.r with tho rlllrly .01111111,.,,1 mllrk"t vllh", Ih",,,"r: 1111 ,,,,,"I. "lid IIlllrt8I1B''" hnld 101' dncetl"nt 1I11l1 or 1111 clnimN due lUll! I1willl-\ dot:cdl'1I1 nt tht. linw ul' dr-nth. IIUtl nil (ltnlllissory fillies HI' IIlhor InHlrumcnlliln writing rut the )loymonl of 11\UI\cy of which dCi.}cdcnt die'" IHlSSCHscd. of whntsoevcr nlltufO, with inlcroKt thero(ln, If 1I11~', givin8 Iln' rllt'e \'lIll1e IIlld 011 "'\111 I<HI I'lIlr ",nrklll Vllltlll th.ro"r. IIlld ir Sllch .lIlillllllod rnlr Illurkot vnlne he 1..0 thnn Ih. rllee VillI"', it ..111 fllrth hri.,fll' tI", "'lIs"no f"t ou"h dUJlre","tl"" 1111 10 elleh Ilem; IIl1muneYR pllynbl. 10 Ih. .otule rmlll fir" 11I1I","nu" l'I)Ii"I"o """"',, h~' tI...'otl.lIl; 1111 nllllully und elldowm.1I1 ennlrllet. tho pr"ceudo nr which were JlllYllhlo upnn Ihe drlllh nl' Ihc tI,,,'otlolll: 1111 IIntl Ihe ""'I""nle IIluckll IInd dividendo due thereun t\ud UlIlll\ld UN uf tho dnto flf denth, 'hnndN 1\1Id l\na~ll't1 InllHl\lH 11I("\l'Oon tll tho <lute of docedent'H donth .nd nther Inveolm.1I1 .e"IIIIIII'o nWII,'tI hy tI," d"",,,I""t "' the lUll" ul deolh, wilh Iho IIl/lIkl't vIIIII. therco of .t oueh limo. / i /,5''''i) , In t.ho ORHO ur Roonrit.tti8 td' 01(1811' Ill' I'lllntJ)' llonH~rnI.J(lna, tho vfll11fJH rt'llOrl.ocl aro as fill' R8 l'oHtdhl(l "'!lhHtnut.tntor' IJY (,Innunlnl Ht..nt.Ol1lUlll,H nt' lhu 1l(lrllOrntlollHI Rhuwlng t.lIO R'iI\OI,K find 111lh1l1tloH tht'rflot' 1\" or t.ho (Int.e 1If' (\oflUI. Tho H(lhalltlln alRn !tot" ('(II'f,1I Uloltlt,urllHt f\,r rtonnilont, nt, tho ttmo of' l'nntll III 1I1\~' fHl40l'hrt.norHhtp ul' htllitnoHfll 1I1ul .In H\ll'IlC11't. of' t.hl' vnl\tn uf' "tlnll In\'tH'oflt, Ulnro 18 nllnnXU(\ tll 1'111111 Hldlll(tllllll f'lllntwln~ Ht,nl,nmnnUI ~howlllp, UmftfHwt.K ltnd Ilulllltl,lnR 01' AllltlllO-lIftrf.lIerHhlp or hllH1IIORHt A 1'(lJ1~' or !lliI (';o"l'nrt.nnrHhtp ngl'unmn'"'1 (If nrnl, n HI,nt.Oltllln" HI1t."'"~ l'OI'l.h tho IlId,flro 'II" U1II Il,l(rnnmont,) 111~~,.tlll'1' with 1\ Ht.Ilt.OIT\nnt. sut.t1111I, t'or!.ll t.l1tl chllr'~ot,l1r fir till! hllHIIUIHH, Itfl IUf1Ilt.111Il1 /\11<1 HII('" ot.hor f"IOt,H PPI'IHIIlIIIP. In t.ho hU~dI10RH ilK mny Ill! portlllonl, tll n fldr fllId' ,\1181. 1\1'I'I,,,IHu1 111' 1,11ll fhHHllltHlt.'R Inj,f)rnot I11PI'IIIII 1\l\1'i1 hn f\\lhmlt.t,f~ll, It. Hhmll,1 1l1Hfl tint. l'III'th In tt.f!11lItfllt f'ol'AI,' t.o~lt.hur wlt,h tho rl\lt' mnrkllt. vnluo Ihnl'f1ol', HI1)' otllnl' prnpnrt)' nwn~,l or hnC)lIof\lhllil hy thn Ilnnlulollt. Ill, t.lll' "'Int, ot' dHnl.llt TIH' Scht,dlllp C lit tnnholt htlrot,n nllfl !fulll!! l,urt 1I1'I'opf' Hfll~l ('flrlh ,1 {,'II11 HIlHWlll' 1.(1 nnnh 1nllutry \'lillllllllOd tlll'rl'tn /tUtllT1 t.hn 01tRfl ol'II'HI1Hf'nrH (I1'pl'nllllrt.~', runl III' IJflrfl()ll1ll, wlt.hln two ytlnrR of flonudont.'H tll'ntll, 11\ t~nllt.l!tllllllttt{)1I nf' <lol'(Hloll1,' R c1nnth, fI" Intollllolt to Inlcn nrf'oot, In pnHtloHHlul\ or on,1oymnnt. fit ur Ilf'll'l' t\1'HI,h, Hnl11 RnluHllllo HU!,H l'IlI't.h t.ho 1\1\1111'11 1~I\ft \'IIIIIH ur HIWh I'I'olll'l'ty. 1.f1 whom t.rnnHf'orl'tH1t UIO rr'lnl.lollHhtp of' t.ho "I'uHHt'oronfl t.o t,ho rlollfHhmt., t.Ilft Ill'flptlrt,lcHt'll,O Hhnrn "(lIHltvnrl hy onoh t.rltllHf'nrflo .1\11(\ nll (JI!\I'r f'lwtH of' n }lortttlont. llutUl'f1 l'flW\l'tllll~ Hull\ tl'flt\Hf'orH, tn thn I1I'Rfl nf' t"'lltHtf'orH IntondtHI to t.nl'" Ill'f'UOt. In IHH1RORHIllll nr OIl.lOY"lflIlL ,\1. Ill' f\f'tf1f f111IlI.h, tllOl'll tH IllHO ItUllnlll'fl I,n t.hn Holwrluln n oony 01' t.lII' (I""el. trust. l\~rOOllltlnt. or flthol' I nst.rumellt. OI'Ont.tllg t.hfl !.flt>>!.. 'l'htl1'n'~ 1l1HO Rot. fort.h In 8l\ld Rl'hllllt1l0 n lint of nIl Jll'llpnrt.y, s'old IlIHl POI'Hollnl. w.\t.h it,H Vltlllll, whleh pnuwH nt, tlunoctnnt'R llout.h hy v1rt\lH of' t.lll' OXUl'o.lHn lIy floflol\tlnt, nlt.1lt'I' iT\fllv'ehlf1)l~'1 ftl'.Inllltly W1t.11 'tlHlLlIn1', Ill' /lilY pownr (If' nppolnt- Innllt vostl'd tnllotlorloTll., nlt-tlnr lnll1vl(1llul1y 01' Jedntly, \I)' t.ho will, c!(Hlfl, 01' nthnr InHt,rumont or nnul-hor, with 1\ I~Opy 01' t.ho InRI,rnmont oront.tnll. ouoh powl'r ntt.ltnho{l 1.0 thll HoI!IHltI)ll, Thill 5;rht.dv/(' 0 nt,tnohml hUI'ottl !Inti mltflo purl. Illlrollt' SIlt.H ''!lI'th t.ho nlllll11fl 111111 l\fhlrONflOR of nIl IHll'~WI\f; h(,nol'I(,tlll1y int.ol'{18tml in thlH o!it.ntn Itt. till'! Umll 01' rll'(HHlnl1t.f R rtHnt.h. Uln 1I111,uro of t.ha1r reg... "i'(lt.1\,~1 Int.el'ost.s, thoir l'olnt.tollshlp, Ir fitlY, t.o t.hll rlHlll'llflllt., to,~n(.h(lr with t.h(l 1\."OH n1. (,ho Umo of' cI(,l~('''f1nt.I,~ (\ofll.h or 1111 ll\lnorH, nnnu\tllllt.S 1\1111 hOl\t.ll'lclltl'lon fUf It"o Il1lll11r Ilooodont.'H Will. It. nlAO cont.llloM n Rtl\lnOlont. Rhowlll~ whloh of' t.110 hnnof'lo1nl'10f; nnmOfl III t.ho ftooflltrmt.' M will, If nny, dlod prior 1.11 t11'(1flllnnt, tho IInt.oR or U1f)lr dOI\t.h, t.holl' tHAunt fUllI t.hn rnlnt.lIlI1Rhlp nf' MIIOh lRHIIO to tho honoflo1nry. That. S.:/ledu/e r. nt.t.nolloll hnrnt.n f\tlrl "lIulo n part Ilol'oof Holft f'()l't.h'f\ll prolHJrt.y, ronl 1411ft pOl'''' HOIHtl, flWIIOfl hy t.he clnoodnnt ,101nny with Hl1ol,hor or nt.hOl'H, lnr.1U1ltng 1nt.nn~lh1n, Rt.nllll1n~ In tho nama nl' U\1l dnonctllflt. nml ot,hfll'Rt plus t.ho dnt.o nnd plfWO nl' roonrd of IllRt.I'WllUllt.!i nf'f'not.ing tho \OHtltura of ro1l1 f'!itut,f' nnd t.ho <lnt.fl of IlC'lUIHlt:loll of' POI'fWllult.Yt 1I1\1R tho IlnmO, Illtl1rMiH 1l.ncl l'oltd,lollshlp, if nny, of' IlO-OwnOfR t.o thn rlooodotl t.. 'I'hnt SC/lp.dule f. I\tt.nohocl hl.lrnto 1\1111 Innilu n pa1't, 1I0roof' H(lt.S ('ort.h l'ully Ilt1lt In (\nt.n11 nll rlobtfl nnll {IH(lllot.inus 01 nlmoct 1'01' awl nn hohl\ll' (It' I.hlH illJflollunt.' H OHt.Ut.O, Illllll1fllnpo; f'\lliOrl\l o""ponsOR llnldl t'nJTItl~' (Jxompt.tun, whtlro Ilppllcnhl'~1 nnHt.A Ill' flflmIIlIHt.l'ftt.JOIl or t.IIIH (lst.at.o1 OOlltlKol f'OOR fUlll fuoloinry'R (~nmmIBf;lonH Iwlll or t.o hn pnldl cost. nX)llmctod ('fir hllT'll\l t.ruKt.!i, l,omhfll.ullflR or ~rflvnmnrk~rR, nnel roll.. ~1()\lH Hl'I'vlnOH, 1n lHl!\"iO'\UllIlOO of' t.ho flullt.1I nf' t.ho clonnllont.! doht." null nlltlmR OWhlR HlIlt 11l1pnhlnt. t1n\O o'f dllltt.hl t.llXOfi fH,!(~I'mHI tJhltr~r.f\hln 1'01' pndoll pI'llll' to IllltJ{lllon1.1!i IlnAt,1l (oxnnpl. UIOH" n110wnrl undol' flootlnn 01:\1 of' thl~ Inhorltnnon Illld EHt.nLo 'fnx All!.) I t.nlVd,hnl' wJl.h Il Ht,nt,omnnt. nl' IHllllltnrnl 111'0111(011 ror ohllgn.. LlnUR, If IIny. It 18 n~fl'od 1.hnt. l.hn f'ldllolnry will prllHflllt, prfloJ' of Mnlll o'nlmllll nlllitc;nt.lons upon ro- Illll'~t. 1,lInt, If f,hn 1\1Il0Ilnt. net,Hnlly pHllt In HIlt.t.lnmunt. ur fU1~' .'"" , nnmmlHfdol1 or <lnbt. 1N lORR than tho ('fHlrnlll.ntl (tlnollnt. clulmlnp; nncl n'11nwi.H'. t.llnt. t.hn ~nl1lo will hn I'Cl!HH'!.flCI t.o t.hn I\fl.~lfit,or ot' Wills. nnd t,hnt, t.lw 1I11101ll1t. (If' U,"" nHHnRfHlIl (J'1I1 tWI'IHISRf'HHflll III HOI'uI'l1nlll\l! UIIlI'l'wlt.ll. 1'hlll thl' tot,lll~ or t.ho IIJlllrnpl'lnt.n eolllllll1H III Hpholh,loH itA", Itn"l "clt, "g"t /1nlt "F" llfl cHroot,od therotn, I1n\'I' hf'iln i'IlI'I'I!'I' l'orwnrd 'mtl prtlpnrly l'o~lst.nrlHI In t.llt' Hllmmnr)'. -,~'d Subscribed and sworn to before me this ,,,,,,,,,^.,;K[;;':::,,~,,, /J',:,,, ...,..z:.- >>' />I ':~:~.// ,._I"ilIlY O~~;::/"~~i'~~ l\1...,(,~r' ~61~[';57t~J';;f;~\::fi~~;;~' , 4 N',1l1,/'J 11no,,':<"I' :4~r(...t - .., CQJ'I.'I", Cwnhl'/'!i\l1d ('''''Illv ,v CUrrllnU)':i"n ~"<I,IJ,,' fl 'I, I '" 10" NOTE: B"I'orB ft1)41111'K nrl'i(t\~\VYiU(ll A'tlrfl /\11 hlfttlk fI,I\l\fHHI 111 t.Il(! hf'fIII/IVlt. 1\1\11 fHdj('tlllln~ nnnox'f111 urn f't 11",1 III w1tll dotntlf! ur tho wnrrl ItNOllO", 1\111\ III onflO 'tho UnHtl!.H 1,"'lllth! rUrtl 1l1ll1 UII1I"I,01l flootlrtlttJM, HlJ(~llrltlllH of' (llo'ie nr fnmlly onrpnrntlnnft or 1m lnt"rutH ill nllY nn"pnrtunl'''hlp or hUHlnoKR, t.hnt. tho l'lI t.1I 111\11 R (1\ t.llllt(ll1 tH rOltH1 rOl' Ullllol' tho II/H'flJrtrnph IIhnvn' NIl It U,,~ to HfJlllHllll n lI'nlt 1lI'II 11 1.1.1\0111111. ^ 1 Rn mnko f~tll'IIlII' thllt. nnl'lmn #1 111 tho "Hunmnry" IIIlK hoon prnporly t\omplntocl nK Ilhllvn"'IIlrl1otOfl. .,.".,',."~~~ir}nj~t~~~,:,..,..."',...",,.,.,, "",\\,.,Q""~",.,'"'',G"Q,:6,'''"1.,:,L\,...,,..,,,..,'''"..""......,' C(\R~~;r ~:~~~)"J]Q\J",.., (City or TOIVlI alld SUIte) IH-:"~4'" 18.111. COMMONWEA'. Tti Of PENNSYI.VANIA TRANSFER INHERITANCE TAX SCHEDULE "B" PER SOMAL PROPERTY RESIDENT DECEDENT * INSTlllICTIllNS: Thl. Sehedlllo 11\11.1 dl.c1I1.e 1111 tUlIylhlo IIl1d IlIllIl\"lhlo peIHl'"1I1 plllpllrly IIwllo<l,!!!!!.IV!~lIIlIIY hy Ihll, ~~~."lIl, 1I1..!l'" 1111I0 or hi. delllh. !'rol,erIY oWllod hy Iho dlleodelll Jollllly wllh IIIHllher IIr IIlher~ 1011.1110 1I.lud IIl1dor SlOhodllle'"TTf{lt', ll1ll1l1ylhlo pOrHlIlIlIll"OIH1rly, IlIlod III Iho 1IIIII\e IIr Ihe <loeedol\t, hilI pllYllhlo 1I1110ll'h It. IIl1l1lhor III IIlhllr., IlIdlldlll" hlllllolllmllod III !'.O.Il. U,S, SlIvllI"' IInlld. IlIHI telltlltlVII Irll.t 1"'""11111'. 1I1\\H1 hllll.llld. dO'l'lIo Iho rlllll Ihlll they IHe I\ot or ,he IIdmllliHlelod O,'"tO. TlIlIglhlo 11l'1.olHllpfoporty .hollld ho 1I.led flr.I, (c.", Jowolry, wellrlllY IIppllrel, hllll.ohold glllldH, IIl1<1 l'urnlshll1QN. hlXlkH, lHdntlnSH. u\ltumohllllH, b{lutti, tile.) Inlllllylhle p"r."nnll'loPcrty, .lIeh n. hOlld., Iron.lllY eertlflellle., ell.h 1111 hlll\<I 1111I111\ blink, .1I111k., lIIollgll""" 1\0'0', III"elhor wllh 1I0ernod IlIloro'l or dlvldolld.. ,"IIr1o. or WIlYO', 111.11I111100 lillYllblo 10 Ihll o.llIte or fldllelllry 11\ .lIld '''Ip"o\ly, I'lIrlllor.hll' IlIloro.", Il\lole.lln IlIIY IIl1dlHlrlhllllld cHinle or or Inoon", rWIIIIIlIY I'l'ol'erl)' hllhlln trll.1 IIndor Iho will 01 ngro,'1I10ll\ IIr nnolhlll, OVoll Ihnll"h loo"led onl.ld4\ or Iho SllIlo, III Iho 1111I0 or dl1lllh, .hOllld ho II.tod In Ihl. ."hodlllo, ItOIll Nn, \111M LI.I IIl\d do.orlhe rlllly . N()~e. III'O"lhl. tollll OllpO.flo."l'orKU,\lII,\'rllllorty", So\,e<lllle "1\"111 ,ho "i\. ""pllrled" "ohlllllll\l\ 'ho lu'l pl\"O M (hIKIolllrll. UNIT Vi\L\lB liSTlMi\TliIl Mi\I~K'!,'f Vi\LUB U1l1' l\l~ 'I'M Ii NT V i\LUA'I'ION (110 lIolwlllo In Ihl. '1'IIell) ',----'- t-\OMI':. - x X .0,00 N~lW ~ nr-V-4B8 (&-781 C(l~I\'(lNWF.AI.'I'II(lF l'ENNSVI.VANIA TIlANSI'I'II INIIElUTANCH TAX 11I'SI\lHNT (lH('FIlFNT SClIE\lllLl! I'll" HEN1!FH'IAI(II\S .-------...- - - .~....:::=::=..... =-= ---=:::::-:=:: --==::...-....-.._~::-::::..::::;.::::.-:...:.-:::.';"::'".:=.::::::::::---.::...... -----_.--~-- IIF,NEI;J('IAIllHS ANII AI1Il1H!IlSF.S 111'.l.A'1'IONSIIII' , (Stut" full 1111 lllC H 1l\llIIUhluHIHOH or ntl whu (If .I.p.dllldr.o of SlllWivEIl \lATE INTI!IlES'I' OF have Ull Intt'wHt, V IHI t(l(l , cOlltlnyunt or othor- \116ylll01ll16 chlhl,,,,, I1HCI(\JENT , 01' IIIiNEFIClAIlY WiHO, In llHtllIO) UfO 'nvulvud, fHlt STATE YES 1111I1'11 'N !'iSTATE fo,lIl Ihl. fllct,) 011 NO --..------- __3.JL r-.\ _-r~_ ~._- _AJ..,Hle..{LG:.~o.c.K~,:r:-T'-~ J~":~Lai j~~iJ:i.I\UlLC\\~1 _fLltj"'._u."G~_L1L ..------.--.--. ... . , ~ n.ltttl.ij\l~uVd.t.C __t.f\,.c"lL\.;~LL r- f'" n {]J" --- .- - I -~._-------~-- - ~- .-.-- - -- ._~ --- -- ..--'-' --" .,.. ..._- - ,-- -" --- ----.. .- -- -- - - .....-_. -- , -.-- --~ I --, - --- ---... , -" ....:..--- -_.-----;.~--- , ------~-_._.,--_....- --'- --- ------- , , ,- - - , 1---":' . -'4__'_ -;- - , ' ------- - , - , , , --<----.- -- , ---..-- - -- , " " .- - -.--..-- - " , ------.---" , ----- , . - , , , ;d _._~.-' , .. , -~ , ---...-.-----...--..--...... .-- ---.. , - - , , ~ ,-, -- , - . .-.......,.----------- .-- - .....-.-.i ~-------_. . . ---.............---. ,-..-.-..-- ----- - ---.............. , , ---........-. ---.--.-- --....-- _.....-_-0. ---- -------....- --- . - . ,- =:=.:::=:::=-.-::..;-r-' -~~~=-.. ........... .- ----.- - " --_.,-~~ , ~t. t.rl. .E~!,~~.nt furlh.L~ay~thut ~!!..!.h. .?bcv..nam.d~.?n."clarl.. ara living at thl. tl~':..?~~apt bol.\'(.:. .._..~_____________._____....___; __.____ .....O<-~.~....... ..=....~.:..~-.:::::::-::::: NAME DATE OF DEATH RESIDENCE' --........----- ------.--------- _.._._,_.~---_..._- ______,"_hlli....... -~...-- ., ~----'- -~-~-,_.---- --,,- .....-....;....--- ~ ~::l r: j'l .. 'e IJ iii 'll 0 !l o!- "8 1lf" ~ ~ 10 oR '" ~ . (/r"R" THXHblo llatHlc SUMMAR V (Beh, "A") $ (Seh. "II") $ (Buh, "C") $ , $ $ $' Renll'mpurty PerRollal property . TrltllSfcrR ~()I"''TI't 6wl'ieD I'A.ClPE.R'f'l I , ;1 l- II ~ I .. u Il i>oo II ~ Q. ~ ,[5 " ~ u ~ '~,~ r:: ~ .0: '~ ec -i .9 ,u. 'tS ~ ! i' ! 0 "S ~ .~ ~ -a ~ ~ ~ 1 "S llil sl "S J ~ " ~< '~ (Il (AR Rcpnrlud) l.'I,oa <'> \ q l.\._ t:3 '3.;ir.,~~ . . I~ ::>.75' S+ . (2) (A" llolurllllnud) : & - : 1~J'1~.r~ $ . 4.tl/-r.'flf 'I " I l- ) ~ I , sa <I: ~ I:l!: ;... t .. 'a 13 1.1., 1%' '~ Cl. 0 1 ~ ~,~ ~ l- I:l!: 0 Zi \:' '~ ~ ~ Z I:l. ~. '!!l, ~ 0 1 ~ ! .~ '0 i ~ ~ '0 t, '2 ,!j ~ a F:3~ j u' ill: , , " , . IIl:V.l\!J', (1l.7l\1 Ol1PAnTMENT or IIrVENU[ III/IlEAU or riEL[) OI'EIIATIONr. 1',0. (lOX 207Cl HAllnHll1lJnn, f'r:.NNA, HllHi COMMONWEI\LTII or,' I'FNNs\,(LVAi'JJ^ I1ESIDENT INHi:l1lTANCF T/\X AI'I'I1AISEM[!\IT I.M11 --for- n~......1,,1,6l 1 q9~ \~(JlIN'Y ....,9umhcrlllnd '" 1 ,j!1 ,-'1,1-':'..11\.=.1.1.2.7_,_.."..,.. Whol'naH, _ Daisy Thornhill ),ockitt lalo 01'._ Mechanicshurr, In tho County of Cumberland Conllnonwo~ll\i of 1'olln::\,I\'"niil, hilvinq dir'd "" thn 11 t h dny of J un e 19 2.2... , !loi~,nd ~nd POHH""!l(Iti of ,In UHld \" flllbJoct to Inheritance Tux uncleI' th~ laws of the Commonwn~llh of l'nnns\'\vilniil; Thoreforo, I, _ Gloria J. Richa'l'd . ,Ill) ilPPfiJ.iH(11' duly anprJint(ld ,l(';C;OrdUHI I(! 1.,1' having boon dosignatod to make a fall' and cOl1fwioJ'\ilblo ,1\)praifioO)cH\l of tho Haid o:il.olO, ~\n(j In ;l.fJ:\(.'~;~: ilild fit; 1111' \.;1::1\ vill1l6 of all annuitio" anclllfo estates growing out of "aid ostnte, hUl'oby fIlo the following appriliO:V1oonl: In ttw 0'0'011111101 anv hltUfO hHNlut In lhh Ollllto Is Irilfl~h'HrlHllll !lOUllUlu!) or OI\joYlnunllcj (;oll,1Inr,IIIWil" cd till! tll![;I~It11l1 ,lflm 11\1) I,~:pll,llll'" III Any 01\1110 'or "10 or for YOAn, tho CUnlnlollWOAllIlllOfOI\Y O)(p(O~~IY rnsofyns Itlll ,Iut1lln clpprnlso iIIHI ,IU!)" \1'~nHo, IlllV,rH,lIh:'1 t.ll<U~ illltlllli\\'/IU\ enll,'I'" ,II 'AlII 011 nr,y SUCf! IUlu"l InlQfo\l -;r- - ,- '.'J;II,T r..,\,),,;,~:,'ij nUiCIlIPTIOf'l OF NiSI 'I V/\UJE!. tv1,\{I~' tOf III l,,' I illll' (, ',I)' 1111f.",I"', -.....- - -.- D_ ~, , t'a+a+D " Persono.l. Pl"'onel"tv Non TT'AnAfA'l"R linn .,--~ ,J 0 i n t 1 Y Owned $1J.. 3 7_~ 511 .~-'- 1'.....+ D' $13.375 54__ , ....-~- - -.- - ,-- --- - , , - I I I --I I -- . -" -' ._~.... , - _. .-1 -- . ---....., - "::'::'::::l Have been duly aworn acoordlng to lawd I do hereby certify that the above Appl'aisoment is mado in I;onlllf,,'dty with tho law on this Hll ayof "D~A1"I....\ 19 a.. , t f loll/I.,' oil j( .' '/. l I /. -./ ,.,'J1~L- ,,' I i'PPlill'l' --------_._~" INIIIlI!ilq ,\fld !,jll'n\l --1I1u:.o-- ------- :J(:-,r.'l (1''''' (lfI1l1') , , , ~,. (1'1' ! ~] i . I ll'-~, I i, I I ~ idl' I 110 I i3 ! I I I I ~, I tJl i I ~l I 0' rl W t," : I' I rll .1 ~ '~ I e<: I ~ a toll I ()I I ~l ~ ~1 lJll I. ,!:I ~ I I I is 1 ,q' ~..J~ I 0:: ..r ..r ~. '... fill lIl,l u.. l I ,~.... m '" ~ o U I rli ~ ' ~ .1 0 1 u s j Q) -rot; 11 ... I I \ rtt ~ ,.... ~! ~ Ii I 1 '-. '" 1 :s .2l i 101 ~ ! I- 'I, " cu" '\ i i..: .1Il .g W (). ~ I uJ Q)l ! I I ~ ~ ~ .,~ '8 tii r- g ~ I 'l:l .. fa ~ :.: I ... ] 'l:l S'i 1 I ~ ~ 'rs 11 ] fa ! III ... )f I ] I uJ I ,1:1 8 Q I J 111 1 0 I ~ i ~ I I ~ ~' I ~ I 1 '1 ~ I lfl 111-_ V~4tHi 16-111) , ',-' !, ) (/ . '/ -/ / D~DUCTIOIlS ALI.OWEl'I IN OPr ICE or rHE REGISTER or WILLS STATEMENT or DEBTS AND DI:;DUCTIONS nlE SUM 01 _'"...._ I.LL" ? .\ ' .: OAl' AI'I' RrCO '~~'H-cLILfl,Xj) .~, ~b~c~tL:::.Jl.L.,,;6.L.!.~i,__ ;' . ". ._ ._. ",','-,( . ~.~I:U'flrl-,1f Of Wll,l,9, An 1"111 , . . .I 'i " 'I ' , ' , hI' I'. ____.......:..._____.J---._ 7"'---\.'\-'"~'''\--'-''---'''--'''''-''-''' , J ! " I.AH 01' -l~l~{(~.lBi'fuiQ._~_I.lJ'j'I:t_~_,.._...__ DA~E ~!.,~,:~,TH ,?'~ ~ ~. '\.-..1~?.J~~:~:-:::,::,=.::; 'M_'~_'~L+' _~__.____,..__"___ Of f.'J1'\ill:.\\hll.cl..\2..._ COUtHY AND AGENT OF TIlE COMMONWEALTH , ',J " ,.,1 EST A TE Of __DA1~:CJ~,Lu.~lJ':C DATE OF fiLING APPRAISEMENT '\~: t ( (, NO, OF VOUCHER --, ." ,.,.. ---. -----;;---.- -----. ."'-..--."'...,- r i\'[:i;c..('. \ I'T , ('I rl j~ u ~',!' -'--'-'''''' --.--:- -.-,-- ~l \ "I':) ".",.. ".m_ m!j(U\__UWttl&~j........_._._ ~ltta.j),1l1~tlui\1.11iULllbtlI\L_...,,_ ___5:3 ,G h... J. I '2, '1 '.J" J\.\ C.\t/\ B,o_,Jj\,t.L~t-_____._ ',\lA.U1A\J)Lfl.f,,<::.loJ1.:...D.c:..llhl..l'l\i rl(.rU_""a.~ J1...Q, .(. '\ ~ ' 1~) ,../\ I"J:.\.\f,.Q _G-~Lc,J;,K.\J:::L__,,_... .~urt\latf.i>Cc,tb.~ ~..L~,:Ji1Q.!.ll'l~ ...____\ b. ..$ C\_ .1,.I;!, ,'{:l ,Gl\llt\_\iC()o..C.~l'llrAlrLiho.lll\li.d.~ .J.N..I1;..Ii_tlS=J:.tT.r",tl1\.H.J.&..__.___ "frlL .l.c3...L :n. __.___.___ .RlC.~J\ R DJ \.,f\.ci.~s.....__._.,_ ,L.1,l'tc..fifil. IlJl\.tr..lci.L DAJ..llcl.ct. __?J_b () 0 1,J I)J:;.." . ..__.___, .rl\fU.\'iiI.~i\l\Q.lbLll(,~.A~'.l.u.c..lA1J:j......:... ,. 'A '\'11'1 I ~"i'.L~J.I\.H!Ll:L_ _........J. O_Q. LX . -I :1.. __...._.___ .lu.f:.B..L.(L<:;!_.L~.\'...\(iIX.-.- ..~Llcl.\l1liWJ.r\~L.!l..:Jjl.2I!J.,~W .._.~. "L1:.. 7-:"'"'- D. _........_. ji\;"b.fLIQ..l.J3._...\~I.b.LK....___... ..1\no.ll~K"L:_.tlli~.\lLIj\:I..lo,d.." ... ...",..,_+J,i" ..Q~L IJ ~ ,7 ~.__... .fM:ilLCU;..B.l/l,dJ.1~,rlt,1,_...__. icJlli21.rIH1\LtilJ(i:HiliJlo.M."..i1AlJD~:lJ .....$:9,;1, ~ '<. 1, U. .1 ~L _____12 \:l....J (.0 l A l. t1f.O~i\.Lrlr.\.j,',~IL. fu~~l~:,5t{\ oJ ~Qi\lLD\ OJ:t\I\L\c:lI...,,_,~.G:, (J Q_ 1.,5.? ' 7 ) .. ..,..,.._ S-t.\DJ..Ltl.it'lQfu1\.Lfu'.JCi.ULJ..-__ ~\\fiH~lfo.l\..futOiiQi,IlI::,H\j,Ji'LJl\.ct.,':li___._~ 1:0 1 ~~,'1 j " _______ 'I ' ~.__...m..~..___n'___~~l'.\l/\ I, Sll\"LL'.' ,7 ~ I!\...l:. 1.\.:7 ~L". '" ,JJo.!J. .QJL 1.~ I. J~) ..,. ,_........., l\..IJ:.<.u.,Q,JiJ"l:Lt..r{LLL_.._____ ~rlCH\.lll\.r,f.rW.sJ>.;,~:I~..:.~_L}JJ(l..__...1 ~L 'l.. L1S...,..,,_ _.... ) I\Ml~l~ML~ttl\\.l.fihl\L~Mt\:.,..,___~\\1~llll\\t<<fieLli\tkB1~\knt.c.I1UJl~ _..1 ~~t\ "I~n. _..__ fu..LB.LQ_.G::..Lo_~KLLL ,_,_,.___ ..toj):r.n~ ~."........,_...,_______....... ~- G.11h~.L\tc..o._I,)CLLO rb..._ ______~_______..__.... _ _l1,~,,~ Ji). DATI' NAME CP PA YEE R~MARKS AMOUNT , "'..____l<:: j.,iilill~l\f.ti...~~1Le(\1~H..!':ti5(~"'-'n-.-..---.. ._.... .._,...m'"" !l.C.t~\~LO".fi.t\.\l_~,~4),\'(I:.~l\~ 1.\\<3.LI;.,,___, ...",__.__ ___,,__.________.__, ""'.+n.___.u~1,j._ .Q,LO ll<:'l..LQ.l'i~_ __.. ......._.__.....,.._._____........ ,,_J.,..tll~,;.t ~____.__~_ ._ ,...___.__.___._".___ ,....,_......_._...._ .._~.. ________W"______._... ..__~._...,.._..__.~._~__..~_____n.__'_'. ...._,,_._~__, .._._.___.,...... ow' ..____ __._.. ...._ ._u__ _...:==.~"".=:;--;._==-.~--;;;;-,~;__,_;,~_;;..c.._:,:__'..::=,:..:.:..:_:..:__:"~.;"':'_':.._:;":.:=;=,~::::-t.__,_.__:.-:;-.=':..~:;;::_==__::;;;;tt=~~,...:::;:..c~~..;:~;':":'::'.:~:~=_...-.:.~:~l~:":;::_.....:~:::.::::.==~::.._~._::..:~~_t: COMMONWEAL,TH, 01' PE~NS~LYAN'A, I SS, COU N TY 0 I' k.A.;UUj(JfC4...&<F.1:. I .., I I I 'I // '.""L I I, ._.........."'...a_L.!'"J.:.:t:.:...r..~_...t.2,..L:.1.2..A,:L':.L__._ ._._._ HEREBY CER T1fY, THA T TO THE BEST Of MY KNOWLEDGE AND RELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FpHEIlAI. EXI'I,H$ES ANP rxrEN5ES OF ADM'NISTRATlON SUBMITTED TO THE ESTATE 01' _...J)A.L:lj._:,I~.lo.c.rl..l,tr:....,..-.... DroCE^~ED. AS IlEDUC'fIONS FOR INHroRITANCE TAX PURPOSES. -.r ~ l_",) ,__ __~(..L..~'ii...~ui!.A..li_ (L,S,) ~.:.r.!'", ~ SWORN AND ~UII\C(I!65D IIff'.)i1[' M~ TllII _.---".~__ DAY Of .3 ...~I':'f~,J, ~'19 ,"I!H) ,. "':":j--~<~m~~ ~~itff..JiilZ.lJli;tc~.._..n..___ "-,V~,~P. ' 'j' ,_ , 'I 'N Irl!l 1\:\('\ 'C'r ,i:I'l"'~ '1 \. t' 1"""\1." Cal'!Joi."',I. l,.1.:rlll\" ulf'l. I ,. I I ......1 Cl,u'lllll"j."r. "'Xl,II'; ()l'1"'_'1' H, 19~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT *' '0"," "" " ;;( I~ If - ~ 7 ,.O~~~.. . ~,1. 2:? u r;. tJ. i ~/~" J~ ~/ }<~Y' d~_ j '"J) fi~,,7 ~ I II) .~\ ,r.... DATE ~) '1 / ~ )j~J ^ T- c~ (! j.JJ. ESTATE (.l(:) (Nv.~~ '/((('-'..1>( FILE NO, .;(1 - fJ (1_ 0. 7 I) :::: ,~~:J;~ Approlsod Valuo of Estoto: Rool ERloto . - por.onol Proporly + -, Jolnlly Hold ProporlylTransfo,. + l:t ,3 '15, Ij'If . (, 3, 3 r") 5 .. (;" ~ ), II 0 7, 33 . , It C16 ?f '7/ Tolol Gro.. E.tolo TOlol Approvod Dodu.tl.ns Cloar Voluo 01 Estoto --- Lo..: Approvod Chorltablo e.omptlons - Amount Ta.oblo @ 6% Roto 0L Cj(.,,1, , I ~ 9" r,7. '71 '7( Cloor Voluo 01 ESIOIO Subjo.1 to To. to. duo . t"J/fl',Ob Amount To.ablo @ '6% Roto to. duo TOTAL PENNSYLVANIA INHERITANCE TAX DUE . 7/f(,Ob . . · · · · A f1vo per.ont dlo.ount totaling . will bo grantod If 'ho Inhorltonoo To. Is pold by Le.s Crodl1.: DATE OF PAVMENT. f "&1- '7 ~ ) l)' If - '79 AMOUNT PAID DISCOUNT INTEREST TAX CREDIT . (..,'7x.St;+ . 35'. ? 1- 8 c 8 tl /I.!-. .). ~ ..j, *,0 + c 3. J-o -- + . 'nloro.t o..rue. 0' the roto of .1. 16) por.ont par onnum on tho unpaid belen.o of Inhorl,onoe To. from to dOlO of paymonl, Intorosl duo If pold by_~_ Is BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE ---"' I e(r~ll ~CJ.~'7 IA~,