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HomeMy WebLinkAbout79-00482 \: ,. ,. , , " L " " " , '. " f' " \. "I' i ':_ " t' ,. ." ,._!e_ " J; .' ." I Ii " " . _I' " .' ,. ,. . .CIJ ,j- !' I .~ r:::t ~ " 00 " , ~ , ., " ~ '8 I, ,. " ....... .J,. " " N :I i ';- . ,-, ~ ~ - ," JOintly H.ld P,ol",,'ty I E.lI!l\.ted , VAlue .. ....._,._._..u.._ '_____u"__ ! .._$l;'lep'!'l:'~D!3.t~l:'8_.".pp_"_".,, '" ... ....._ ..;...._.__._ _:_^'~o~'.r~..~.w~~jO in ~:~i~h U::'~d' _::_:- _~_:_:~:--j- _ __~~~ I .----...-..-"-...-.".... ".."...... ."...----..-~...... -.---.,...........1....-.-.....-,., ..... I --___...-C......._______.._...__._.,_._.,..__...__.._._,__.._..___.....-..-....---.......--_1...___._,_..._..".. i .-l__~......_. ..____~ ,._ "~-'----'---- ------.....-,--.-..--.--..,---..---.......--.-.-..-..., -----..-......' -...----'-',-. '--"--- --"f-----.,.. ..-..- . ! -==~='u==...'l=__..:-;.;~_"'"".;:;:_.;--;'"..~~"'-.., .;:..c.:~,....""',...';:=..,.-...o~n.-~~,...tc!;=""_="'c...:;.;--.-=;:&:'''-=..n:t,:.-:.;rr-~,-=,,,,~,,,,,, -; t:,,===-:--C,-"=":'_ TI'.n.r.I" wllhln TWO YEARS Prlol' 10 n..lh I ......cCNB...Sallin.glLAc.Qo.unt...jI.O'Q.2.-:.Q.7JlSjn.::-_J..!n...nf!m~HL ()_:C....MaSg!\ r~j:."ll...~..._.____~___...__. _.... I . n 1 1 hA rot. Dr Wi 11 ialTLB.......B.tJ.ll.L QP..en.lLc\'..AP1;!L._4L.:!,.$l_7JL::.J~_~1~noe__.._.__!_..._.___.. ._.._ 88 of 11/.BJ..78 - $5..A73.67 .._.___.____._._____._._.___.__..___.,_,_._.__...._. Ace. Int. - 25.B6 . . .1 . ...$.5J..ti.2.~J___._..T~?I~bl,l;'l..j__5 OL__,_.~._..__..___~-..~! I 4 9..? 'L. . .~e o::::::;:~:f:~~;:~~:::~::_~;~~~m: ;:--;,;"- ~~~r.... :.~ne..~=~_]- _-:. -- Thai .llhe lime or d..lh th.r. w.. 110 ..to d.pORil box ,.gIRI.r.d ih d...cI.nl'. Individual hamo, II" Jolntll' wllh, or as agonl or d.puly Ilr another, or In decedent.. indlYldual name, with rlR'ht of lu'('rRA h~ another R8 aK~nt or drJluly, with thl' f1xc>rptlon ot iho tol1owinKl'-' = N A M & ANn A ~)-O; F.~~~~;~I=-A~~~~;~-~I:~t~.t~;~-~'~;:_;~l~~-;~-;~. "-,.=: C~~"-7-~.-'CO_ ,.. -t~~~'~;.; ~) .~'j.I';~~-;c'I;~~"~ 't;~ ~ -;;'I~": ~"'l~~~;~.~ ;;-;; N;i;t~il'" ;; -t~~'j';;,::~ ~ IN WIIICH Ilt;~~~_~~.!.~!::.~~1:!;_!~ ^ R:'!:..:.!!-~_O~I.T_.~~____.... __~u~.._.__!.~__~ ~~..;_. ~.~~_ _~,~ ~_.~:~. !)!~.... r__ .__._ _!_.~!!.~~~U.:1UI__!!'...t!!:.(~..:~~!:~~~._ Dauph;!,n_.Pi'!PQ1:IH~.aI}!<. ~'!'E.!'!f3.t:_CQ.~. __ _ F'~El_dM.... .ai.~L1~.rl: ,...J~,-.. _.. _1.,..I-IUs~!"n~ .arlcl.. -f.::~tr;~t~;h}~'i~=~:::===~_. ;,;.re... ".9i~b'~'~_:t-:~~' f. . ..~~.._ =,-~, ~-=-::..~==,~.,-:-.!~~."~'"'l_;_:_:_-c..,....,...c_=.,.,..,..,.......,......~~.,,.---_-~ -c'",",,-~- - - ..~--_... '-."'--C7-"."' ..".,..,..._..,..-.~-f~~H~1'..,,_.."..,1".,._.:-;-;_. ,_....,..,-.~,. BENE~"CJ^Rn;~ BENEFICIARIES AND ADDRESSES (SI.te full n.me. or.1I .nd Ihell' .dd...... who h.ve .n Inlernt, ...Ied, c.nllnll.nl or olh.rwi.e, In e.l.le,) i>,EL.ATfOJiisliTi> . lit .lep..hild,'.n or Ilolllllm.l. childr.n arc Involved, lot forlh thl. fa.I,) 'SURVIVE'; AdE--opU'jf . ()f'CFDENT TF:NANTS OR ., , ANNUITANTS STATF: Yf,S AT IlF:ATH OF OR NO nEC~;()ENT INTER~;ST OF BENEFICIAllY IN ESTATE William B. Stull Brother ':les Adult __gL?.~~l1..__ ---r---.-,---- ____.~____~_.... ______._._~.4___ _.__.._~ ___._.....___. ____.__..._ ._.____....._.___ -------,,----.. __.n..."...".. ___n_ ....-...""----l...--".....,,..--,- ""_'''____.__._..._'n .-----..--.-- ---- ._-~.._-~.._._..... -,-.--.------.-.-.--- ._..__._.----~ .-.,--............-. .. .-...--....---.- ..'....~~._...----- ''--- -..--------... ---- _..1.-, ".___.,____..._.. -,,----- -~.-.._-_._---.--- -_._~--~-.__.~. -~_..-..--....._-"--- ..._-~-----~ ~ --.-- .__.r.__'.'_'_'__~~~..' __'----""-~__.__.~__ .._"~_.~ ~----_._- .---"-_.:=~~ .~:- ~=. . ...=--=~~~.- .=-==--l=--'-:- ... -1. , , I . --......- -_. .. --- - .. -f-''''-- .T __._ __. _ ... ... _..._~_~____. - . - --. -- -..- .-.--- I , I 'SlIlf:NT [lJl;O:DENT DEBTS ANI> 1>1';lll'("1'I0NH CI.AIMJo:ll / -N '--~-L-_~i~t_'Q~;~=ti~~ ~~n~~-Jn.!t~(I'~j!~~~a~(~I~rrOV~i(to41~oJ)lH!rvf1 !,-(l~~tlOrHI ttll'l(>(lll. RIlIL Ln.t~u.~~IO!!~,. -_-_=~:=-~==---==~--= . -'- ~... Df~BT .()!(- C1,AI~1 . -. r - ... NATlJ!lE or SAMf:.... _~MPUNT ~'6\~.f.?kg~~y - ~'::":-- ~ --~.~~ - - -r!:"""'" ,"."., ,,',' . ----.- .__11-___ -I ~- .!:..::: = f'amlly.".mptlon (will not bo allow,,' unl... /}. de..d.nl died l'ORldhlK with. '1'0"'. or ohlldr.n,) Admlnl,t,.Ilon f:xpon... . Coutl8clloflB . Flduoiary c~mn,I..lon · OTHER DEBTS AN!> CLAIMS /. (') See Nol. h.low "\ "'\ 'I. ~ // Tol.1 Not., Th. ..ta'. aKI"" 10 .dvi.. the !l.KI't.r of Will, If the pmoun' ..t"plly lIPid 11\ oatll.m.nt of any (.., oomml..lon 0" d.bll. kl'.at... 01' I... th.n tho o.tlm.t.d a'nmlnt c1alm.d .nd allowed, "'~",, ,~~, ,', "',, . ,'" ,"" LIl". ,', ~ ""~'" ~ """'" 8"h",'IOOd and 'WOl'n to hrforo nlO thl. , , " " , , , , , , """,., ~~~ e. ,~., " " " " , I. '~!', d.y of ' '~"l ,cb,~....(".L\.,,, 19,1 'I 1(') , "-,, .""."";~=:~~'t~i~;i~" """"" ='""'" ,_,.~"!~Y9..tl,P~. Cu.'l>barIQ~~~~lr William B. , u V n Joint 'Ienant ,,,400, Poplar, ,ChLU:'Oh ,~d",,,,,,,,,,,,,,,, (Str,,' N"",b't) , . ,C~ ,H~l,~ ~, ,~!1"~rl ':'~~~, .~ 7pl~, , , , , , , , , (CiIV ,,' 'I',,"'n and StaIr) .7"'_..C"",'" 'do',' . .....~.,"'~_~._,,-.,,7.""-"_r."~.~..===_,",._;_._'L,~~~;_ ...,..--r.=- HavlnjC h(,(,1l duly !Ilwcnn l\CorOI'dlnK tn IllW, I "II hHI'hy lWI'U(y that , , , c1.y ,,( , '" , , ' , , , , " ," ' " " , " 0\(1 nlmvf' ll"lll-fliR~n\llnt I" mad" in ront.)l'mity wlLh law on thl. .""".""1'''",, .""",,,,,,,, """""""".". "". A'p'rt~..,.,"'" In thf' (l\'f'nt that allY tutUI'I' Intl'l'l'st III thia 1'1I'<<tt' 111 t,-aflRftq'111i! itl 1I(I.'WUHtn (II' f'nJoyml,"t to cmllalull.hell'. ot th, decedent .'tll' tht ..pll'atio" of a"y ."at. (01' 11(" 01 (01 yr.,'" Ih" Cnmmonw"hlth hrl'"hY'I"llI"..I~ ".,''' VI'. th. I'IRhllo .PI'I'al.. and ...... tr.n.f.r'lnherl' tanra tuu At thl' IAwtul NJlhHf'I'.II'Atf' on I\f\)' "urh tut\ll'~ intt'lc'lJt. -,.."".,,-..,-,.,,....,,.'_._.-.-.,=,,.,."'"......~"1'ff"'="""....- ~-"..,.....,. ."..,..~--, ------,- -..---- --- - '" _-~,,==_"'i_"... .''''''''_-~''_'''_-'-o_''''''~'_''''''~'''_' -~. In:I'ORT ()\o' Tm: Ilf:OIBTf:JI Of' WlI.I,8 I, tho und,'r.IR'lI.d duly .lrrtoclll.KI.t.. ,,( Will. In .nd (01', """"""".""", CO""ty, I'.nn.ylvanla, do 'elp.ctfully tf'IKJtt thllt J hllVIJ Rllowtld dl!hh and dtldurllona In th" ftmuufltlI ('llllmrd II)' llrJllIfll'nt. 11~(,"llt 1"1 to thoRe IlNna whotl' A groator or letler amount II art tCltth In thl' Inat rt;lumo to tho l'iM'ht In IRid _rtlflctulr Rhu,>(', whlrh KI'('Rlt'I' fir 1I'Illwr nnlUunt l'rprNU>fltft the lIum allowC!d .. a d.ductlon, j).ted l """'"",.."",."",....",.."..",. """",' 'il'"ill;i.'I:~iwil'I.'"'''''''''''''''' ~._-"-~.=~:l'-!:==.".."'-""='rr"'"~-'.~:-_;-.-- .7~~ "I ' p-" " , " " , , , , J , , tn; , , ~] ~: , , I ~: , i! ~ , , I':l ~ , , 'll , Ei , 'I , '0: 1-1 , m: , ~ ~ , ~i' Ii: , " M , . , .-I: "" , H~ 1-1' . a , ~ .-I 0 , 4-1' r fI.4 .... , ~ ~ ~ , Q: .-I !!I , Il< ~ " I "11'I tIl, ,1:1' os I ~~ , - , ~ .-I&l ~ i , 1 ~ e: , ~iai , ~ ~: , ~ os j ~df a os I ! j ~ , :if~ J f! , I, lill,"'\II'III"}lI) Cuunty, Numb., and Nnm._...._.._(.~.l) Cumhol'land .___.....,..._...". PII. Numb.,.. . ..,.-.....U,.,.7_9...11!JJl2___...,__.....__.,_ D. to of Doath. ."..lliJlL7Jl . ....", ., ._~..___ E,t.t. Nnm. _...._ OJ .:t.h.~}'~__..._.._..~a !~J.t~!l...1:..___....._.s...!.~. II.A~n t~M.n) (F1HflT t~^"'H:) flNI! IAI.I SUMMARY ._~._._-~~-~,---..~.--- -- -. -"._--...__..__.._-_._----~ COMMONWEAL rti OF PENNSYL VANIA TllANSFERINtlERITANCE TAX IIESIIlEfIT IJECErlENT REPORT OF INHERIT ANCEl TAX APf'RAISER ----.- .__..~ -- _.,_.._---~~-_....__._-~~,--... I, thn uodo"lgnod duly appolntod Inho,'tanc. To. ApprollO' In and fa, tho County 01___ CUlI\ber>] and Pon'''ylvanla, do rolpoctfully ,opo,t that I havo apprallOd tho ,.01 and p."anal p'oporty al r.partod In tho fa,ogolng '.tu'n at tho VOIUOi lot for~.lt oppollto on"h It\tm In thlt 10lt column to tho right In Schodolo5 HAil, f1B'I/ /fCII, anrJ "E", , , I I ! 1..-.- - /..- .._-. I I I I I I I: Dat.d: .~~=~ i Dntod: 21 lI~mher 1979 ); 'I .? 1/1 /1. -~-. l/jili ,') INHI-In-r^NcE lAX ^1'1'/fAI~t:H -<-+-....---..-.--.--.-.-.-... .....- ~"--" ._--~.~---~_. I, tho und."'gnod duly .I.ctod Rogllt., of Willi In nnd f., _ County, Ponnaylvanla, do "'pOCI. fully ,opa't that I havo allowod d.ducllon. In tho amount. clolm.d by d.pon.nt, o.copt n. fa tholO Itom. who,. 0 groal.r or I...., amount " lOt forth In tho 1011 column to tho 'lght In Sch.dulo "F", which g,onto, 0' 10"0' ',,"ouI1 ,op'.'onll th.. lum nllawod a. a d.dn.tlon, .REPORT OF THE RECHSTl!.!LOF Wlill - - - --. nrnl!il Ff<> 01' WILt.!'. . VALUE AS APPRAISED AOJUSTMENITS ,ODE IHAlHlISlJuRD BE ONLY) -- noal Pro,lllrtv 15ohodulu AI I'tltlunal Property (Sohodule 81 Jolnt.Huld f)ropftrtv fSohlidule El TranlfufI fSchedulo C) TOTAL. DROSS ASSETS Lon Oobll MId Dodu(':tlon. )JaRe 2 Ir '7., Q 00. 10i 20t 30t -- IIEMAINOER APPRAISEMENT CODE 9 " ISCflEOllLE PI CLIiAn VAL.lIE OP EElATE 40. 93. Vnluullon of life utate. or ~ nnmJ/tll!lI"..........",."t,,_, PRINCIPL.E ESTA1'O TAX ASSESSMENTS _$ 1= ''"d= VAL.Ua , E E.Q.B.1!ft!l; OF REGISTER ONL.Y To)t on $ ~,__ Tnl( on $ Tu)( 011 $ TnK on $ TOI( 0/1 $ F.l<nmptlol1l TOfol e.'ate -- TOTAL TAX OODa: 2% $ 0% $ 10% . $ $ $ -- $ $ t $ $ \?2.MPU1'ATION 01" TAX ....--.. ---=-- ----.- -- -- ...-.... Le.. tn)( provlnully paid BALANCE Lnu 5% or hll( If polll within :1 montlu ufter {'entil (1\'), Aft tlvldencud hV Churlfablo ExttmfltlOtl CortU/eatol l'lued by the Secretary 01 ReY'rluo, IIAI.ANCE OF INIiERITANCE TAX DUE Add InltHo" of ruin of 6% from t. AMOllNT 01' ESTATE TAX ASSESSED E.tufn lox pllhl DAI.ANCE OUE Acid 1"lurnst nt rote Qf 6% fro In ,. $~- $ $ ~ $ TOTA~ TAX DALANCE PAID $ $- $- $ Suppl.m.ntal Codoa: (FOR USE IN HARRISBURG ONL Y) 48-A,lj ultmont 491Adlultmont 56-Annuity 6O-llfo Eltota 92"R.molnd., Apprallal 93-R.malnd..r D.ductlon -- 9 :IC-CllOrlly 94-R..,nalndo, R.,lduo --....-...-- 96-Su.....I.. Llf.. E,tot. FOR USE OF REGISTER ONl Y NOTE: Wh.,. ,uba.qu.nt odlu..m.nh 0'" mod. to tho "bov. computation of tax by tho R.glal.,.f Willa, for p'op., '..a./I .am. Ih.uld b. notod b.low, with ahort "planation. , ADJUSTMENTS \' " ) ~ , ','I , , [\' /, ~ J fQ 5 ~ .... ~ l'l , , I 'Il ~., ea ES l ~ i ,. m ~' ~ i ~ i$ ~ ~ '0;; ~ ..'1$ Q " ~ ~ ~' I'l '" ~ '! ill :i '1$ ,", I II> j 'Il .!l ~, s~ .:l t,;) ifI::~ " . . . I GOMr;lOrJIfJElIUII 01: I'Ei'JIJ5YLV/\i\ll^ HESllJEI'J"f II\IIIEIU ri\i'JC\ Ti\i( ^1'1'11^1:;rMHIT 1)1'-' i --2..l_11.Q_vJ~mhe.r.....~!l.'L9. ('oUNI y ..,C,,\lnili~~l.il.n!!. ..__.____ III' ,,,' ?J,::'7'l,:,OIlR? ilL V.41J/ (I'.!lll l1tPi\I1TMENT OF RlV~Nll" IIUlltAU Of' r1HD Oi'I'I1ATlONH P,O. 110)( 297C1 1ti\III1IHIHJlHI, PENNA, 11101; .--.__.~.,...-....._-_......._.._-- Whol'oaH, Marl7.81'et fl. Gi.1l2.!l..!:!._____ lall! of t,emoyne ._..............__....,___ in tho County of r.umhe:rla.nd...________.........__ Commctf)w(J.1lth of P'_'mll:,;'l'"miilt l'd\dllq dii'd ,11\ tho Oth _ d"y of N.!!.'!!U'l~l'lr _ 19 _2!!, !Jlli;"nd 1Ind Po,."O!,,,,,d "I ,111 ""I,d" subjoct to Inhoritanco Tax undol' tho lawH of Iho COlllll\f'IlWI1111Ih of I'OllnsylVillllol; Thol'eforo, I, Sandra ~?~___.._,___.. ,,1I\ ,11',,,..118"1' ,]ul" oIppnilll"d 'H'u,rdinq In \.,\'1, having been donigllatod to mako a fail' and "on"cion"blo '\PI"ab~nhllll of Ih" >l;,id e:11i1t<',rnd In 01''''('''' ,llId I,x III(' "<1,,1, valuo of all annuitlos and life ostatos growing out of flidd ofllollO, IHlroby fllo tho followiurj aPPl'n\!WlnlJIIII In tho ovont ttlilt any fult/ro Illton\st In Ihl' ust,lto1l\ I,.lllsl"lrnd ill poUI'Hlpl\ ot lltljO\'l1llli!\ 1'1 col1.ltill,llllilll" III 111.. \In:,\flunl ."1"11110 '1xlil',lll\J1I 01 IIIlY oU/lto fur 1110 or lur YOII", tho COllllll1H1Wfli'lIIII IlOrnllY InqHfJHly r,l\t>rVl1\ Uln 11(1111 tn ilPIHlll\l1 ;11111 iUSllH Iritll\lm IlIhmltilnrn \;I-'WS ,ll Ill" l.lwful follat,II.-,1 f1l10 Oil /lilY luch ltltUfO IntoroU. -.--.-.........-..- - ,- --, ...,-;;::rrr-'--/l;"j';j\I,i(~',.,,;;'ill fJC~,Crl,p'f ION 01. 1\;,<;''- f \/I\LIJI}, /'I"'1.11,,,lnhfllll<lllll 'I,,'i<: PIll Pl'~ll~ -- T"I - -- RA~' 'r.R....JI....A -- _....~H.c.n~ -----.... Personal Property - ___NonE __n_~" Tran s fe rs -- - -' ..$,:lT.1.JI..o.- '-'1-- .Tn. ntly OWlled - ._~IU -- "'Qt, J - -- 1------ ..$.2...7..4.9.. :1-7..._ --- -.---.- ..-.--_.. --- -- . -.--- --~._- -- -_. . -_.- -.-- f--- '_m_~~ --,- -- -- - . ,- --. ----- -... - .......- --- -- --- , -.--- I - f--..' I . - .- -. .. --, . ..d._ --~.. .---- .\---.- -- .----.. - - - .--~~- --- - ---==-= Have beon duly sworn aoeording to law, I do hol'o\; eortlfy th,lttho .,bovo ap )J"aisoll1ontlA mado In cOl\f()l'I~i~y with tho law on this ~ 1 ,,1' day of . 19 -.:. _ \ ,// ' )1-..-_\'//)' _. I\pp..\I"tlt --_.__._...---~--_._,---.---"-_.-----_.- 11'I\lt\lI".,"";)"'f""j) ~. 1'('111LI. ll'''\tll!filt') OFF ICE OF THE REOISTeR OF WI~~S OP _~Ll..l1)b~rland COUN'rY 4NO 40ENT OP THE COMMONWBA~TH STATEMf:N'r OF DEBTS AND DEDUCTIONS OEOUCTIOHI 41.1.0WEO IN / C l! TIlE SUM OP ____ I.. ()I? I ,v(\JI .. J'1 10'11) . p4tJ:P~ROVEO .!:\.:L~..L --J-l-'...( iJ.lc.k i( ..,~ \~lQ ."{p,,>--o_ J,.. RftG181'I!R 01"' WILl-8, I,GENT {'-\oJ! III V"4l,ln (II.HI f ESTAH OF ... Margaret S. Gilbert I.ATE OF Borough of Wormleysburg DATE OF FII.I~IG APPRAISEMENT.1UY:....AL...L!i.1i DATE GF DEATH Novemb~ 8, 1978 - 04 u.____ ..-. -..- -...- TE NO. OF N4ME OF PAYEE REM4RKS AMOUNT VOUCHER -.-..-- 1--- .. --- Register of Wills Filing Fees 6 00 .._- ~--- --......---.--.... -- ---- ..- .-- Notary li\ee8 3 00 v ...___~_._ .---- ---,------ .- Myers , Myers, Flower & .1 nh nliOll-....__..__ hi. . '.JWL- 100 00 ..nn____ -----.. -- --- -.-.~~- --..--..-..- -~......------- .. .. - - ..- -- --.. -. .. ..---.-. .. - - 4.__ - ~_._._. - - .---- ._-..... .. ~-~- ----- .. .. - , .----- --- -~._- , u,......._ ..----- -- . - - --- -,,--- , .. - ~_._~...._- .--.--- .. -- -- - .. -.....---.. -- ... .. --.. .- .. -..- "h... --- I-. ----------c---- --. -- ---.- .. p -".. ~....... ------,. - ~- --. "U.__~' - ,--.-.----- -. n..~--...- ~P-~--......---.---- -- -.--- --,---- .,_..~ ... --"--'-- -~._----..........-_..._--_._.._-----~----- ---- .....~"'.- ----- --~ -.--._.~- --.-- .-- -- _~k' .............:= - .--- - , ---~. _.=-.!.-:~-_._:c<LO k___'"._~_._._n . .. .. = COMMONWIlAI. TH OP FENN~YLVANIA I COUNTY OF Cumberland SS, ---~ ~ I. .__.... William B.__etull..__.__..._ HEREBY CERTIFY, THAT TO THEBEST OF MY KNDWI.EOGE AND BEI.IEF. THE FOREGOING IS A JUST M~O TRUE STAlEMENT OF DEBTS. FUNER^1. EXPENSES AND EXPENSES Of' ADMINISTR^TIONSUBMITTED TO THE EUAU OF .........MA~et s. Gilbert DECEASED. AS DEDUCTIONS FOR INliERITANce TAX rURFOSES.-<8..>>:..../,~.i'_>:;;;;~ /.~, ,.~~ C'~.}~ (1..5.) SWORN AND SUBSCRIBED BEFORE ME THIS 10th .__..._J)~~:.r___~ 19'1.L ." ,I '~o;^,,~~ . ....~ Mv <;un\lQI.1I\1,I1l J.:lpltJ). Doc. 7.1, 1081 JoI"UoynUi. (\1. C\1lI1burttlll,jl':OllnI1 _ DAY OF "H"" "."1 II -J'-'J '? eSTATE of,fl8~R.t..T, ~h_6,:J:U3UT- STATE FILE # __~L_Jj_~.~'i_.8..~..nn_..nn. COUl.lTY OF (lLJ~UL.tU,ULw- _ . ..-- DOCKET # __.___L~_!1_n_-------"- DATE OF APPRAISEMEHT II /~.:1,'1...._._'n_____- ;'\. ' REAL PROPERTY PERSONAL PROPERTY TRAHSfERS JOIHTL Y OWNED PROPERTY GROSS ASSETS S __'___H_=-~.-=-- -0 - ..~_.-....-_...... --~r:J-~ r , -0 - ----..- ___,__~..!i_'L:J i ,.' l~_DO LESS DEBTS AHD DEDUCTIONS CLEAR VALUE ~~--.r::l.,-~ 40 . -, 7 -" '. '., \ ~ tAU-1.~% LESS 5% DISCOUNT ON $+_,._''''''~Hn__"._ PLUS 6% INTEREST ._.._____..3..'it,t,,'-1-L;2. , ....._.....~u.......___________ ,...wo..-,._...,___._____________ FROM: _______ n." .. TO:.u_" HET TAX DUE '~T'" .. r_'~' .m.. "n ___.__,~i9 f.L,j~.,--_.- "__.__,_...g_~L .6S____ LESS RECEIPT /I - ,_~_ _ .__,__"_., ____~.._~.i._ ,..__.._......__.~..._ . DATED: ____..._nnH""-'--" __,_..__"_u.H__~___'" REFUND DUE S __---!1~.!:1.... 93 . CALCULATE08Yl c.. ~~_..________.-OATE:~-*~.KO- - REFUHD CLAIMEDI S _ l/.;l~_~_---"'''n-.--..__.REFUND DETERMINED: S_~---