HomeMy WebLinkAbout79-00501
"
.,.
"
'"
'L.
"
, '
., ,.
';,'
."
'"
f
/
"
1;-'
, ~
'"
"
"
H
",.
~'j J"
, ~
i
,
,
i
,'"
, 'I
"
I
"
'/.,
"
'"
, ~ ;
'"
,
'"
..
; .
..
.
.
I ,
I'
I I'
, ,; ,
. "
,"
,
,
, ' ,
..
, ~ '8
0-'
~ "
, I
-
M: ;,
i ,!
.,
'1.
,I
I
"
'j
'"
I,
I,
"
I'
~ '
"
II'IRS'l' AND VINAL ACCOUN'l' 01" ROm:n I;. J,HlViN AND lIAHO[,D S. IIMIN, ,JR..
I~XIWUTbHS, 0)1' '.rnI<: I<:S'l'A'l'\!: ,lll>' AI,Tel>: M. SIlAMBAUOlI, LA'PI'; Oli' '1'1IH: 130HOUOH
O~ CARLISLE~ CUMBI<:HLAND OOUNTY, rgNNSYLVANIA, DEOI<:ASffiD.
PA1'.ffi 9fi' D8ATH I JUly 25. 19'79
pA~~::' 9.,E IS/3UANCG Oli' t,r,'l"l'lm[l ~l';S~1'AM10f1:[1HY_:
'I'heOUmbol'lgnd-1!!l.':LJolil'na;l,: August; 30. [\optombol'.'f undlll, 1979
'l'ho n:\(enlne; Sbnt:l.nol1 AUgUE!I; 2'(. iJeptombor' 3. and 10., 1979
D n: B I '1' B.
;-.......-----<.--
PHI tl.OI P A 1~)ll~.'.!.mSOJ!1lli.J~~J'J~^,l'li:
'J'110 Accountants Ollar'[~8 thoTnsolvelJ wlth Hemeol' pl'l,nclpal
or Personal c;stuto recelvcd by them as rollowSI'
8~6-'79 ca~llelc BulldUlg & Loan ABsn.-RoISBue or check ,
of' 11-20-76-~"----------------~---_._-~~-~--~---$
B-25-79 cumberland Valley S J L ABon.~----------------~
8-25-79 Kurt E. sutor - Loan rnymont----------w--------
8-25-'79 Elwood LanIous-Loun Puymontw-------------------
8-25-79 13en,j. IUttof'- Loan PllyTnent------------~---'-:..--,
8- 30-79 Sarah A. ~'odd Mell\ol'lal lIolOo-Hofund-------------
9-13-,('9 ~:lwood 1,anloLlfJ - [,oan paylllont---------------:..-w
9-2q-79 Belvedero Mod, centor' - Hofund------~~--------~
9-25-'(9 13",n,1., Hhtol' - Loun pflYlOont -------------------
10-11-79 Dauphln DoP, - dlvldond----------~--------~---
10-16-'(9 -13en,1, H:\ ttOI' - [,oan pnymcnt-------------------
12-q-79 Kurt E. Sutor' - Loan PHymcnt--------~---------
12-11-'(9 r~lwooc1 LOllloUIJ - Loan pilyment;-----------------'
12..11-79 Bon;). Rlttcl' - t,oHn paymont-------------------
1- 8- 80 DaUph In \)Op. - ell vlde'llcl-------.----------------
1-18-80 Cumbo Valley S & L - Oort. H6701q50----~~-----
1-18-80 Oarl1010 Bldg. & Loall Aoon, - Dlnao ucct.
H038-1-01-11-602297---------------------------
narr:\ Q iJavln[!;fJ & L,oun - Inl,oJ:'olJ'~----.,---------
FIrst ~oclorBl S & L Assn. - lntoroot ---------
Cumb, Valley S & L .. lntoI'Gut---........-----......---...
Stato Oap:ltal i,\ & L - CloBO AGol;. lI001-89lT29__
Ben;l. Rl t ti'f' - t,oal1 pflyrnen t---------- ----..----
l3en;\ 0 RH\;el' - t,oan payment;-------------------
Oumb. Vnlloy S & 1., _Copt. /16'(01';;113-----------
Duuphln Dop. .. cllvlclond---------------------w-
(Jumberlanc1 Valley Sllv.lnglJ & t,oml '
Sllvlng Acct. Hl5337q--~--~---T-------~--
SavlnRB Cort. H66935B7..-------~---------
1-18-80
1-18-80
1-18-80
1-18-80
1-18-80
1-18-80
1-18-80
/1-3-80
/1-1'(- 80
~l'u~ t, G I'J~~lG:~
2'77.51
1195,119
360.00
202.78
200.00
210.00
10);, 39
211,00
105.00
132.60
95.00
8.300.00
11,0011.00
100.00
132.60
20.89'7.53
5'73.f2
3112.96
312.011
1,991.86
Q18.19
100.00
290..0'(
10,1161. 23
132.60
15.250.611'
51.1'(5.99
II:!\) II i\HOLD :3. IHWIH, ,J H,
:;ll'A'l'ji;MI':WI' 01" 1'1101'081<;0 ,PW'lIIULHJI1'10N Oli' A:l:JI':'l'!.; 11, IIMmrJ 01,1 BOCllm B. IIlW.Il,,;
1!;XI';CU']'OI1;l(W /l'lll!; W3'1'Nn; e)ji' ALlCl': M. ::JIIAMBAUUII, INl'" (lIi' 'J'lm IlOBOUClII Olr CABL.:I,SL.l';,
, CJur'lBElU,AND OOlJN'I'Y. pn:NNSYLVANJA. D!WEASIW,
BALANCE rORD1STRIQUTION ~___~~__~_______~_________~~~_~_____~_$18q~063.67
l\; is ptloposed 1;0 distrIbute the abovo bU1c'tnoo. as' j'011pws I
Lauru S. Hershoy
R.D.I/2
York Spr>ings. PA
1'7372
Para,
IIA
110
IIC
r~arr>:10 :3. SpaIn' IIA
613 S, Yo!'k st. IIG
MeohnnlosburR. PA qc
17055
Jane S. Punk qA
535 Weavo!' Ave, q6
ehambor'Bbu!'g. PA lie
17201
Jaok Shrunbnugll 1111
1236 MoCo!'mlok Rd. qe
Moohuhlosburg. PA qc
17055
Lutheran Sooial Servo qA'
Contral Ponna. RB~lon
2331 Mnl'\wt st,
Camp Hlll, PA 17011
Delmar Sours qR(l)
29211 Dulw 81;.
Paxtang. I'A 17111 110
llar'old 1\. Soura IIF\(;n
llB3'{ \~lIplos M:ll1 Rd.
Oal<tol1, VA, 2212/1 IIG
Eln\(> M, Sours' 11/3(3)
1107 W. Osborn Rd.
Apt. 102 lIe
I'hoonlx ^Z B~i013 '
B~quest lindoI'
W:l.:l,l
*3. '(50. 00
3,000,00
511 !i. II~)
Res'lcluo
j, "
1/4 of' 1/26- $990,99 '
1/26 - 3.963.99"
~'o t U 1
U2,250.113
3,750,00 1/11 or 1/26- '990.99
3,000,00 1/26 - 3 , 963.9.9
5115,115 l2 '>I'D 113
. .. ~~, J I
,
3.750.00 1/11 of' 11<'6- 990.99
3.000,00 :\./26 - 3,963.99
"III' III- 12,250.113
::> ::>, ::>
3.750,00 1/11 of' 1/26- 990.99
3,000,00 1/26 - 3.963.99
I~ q ,- II ,- 12.250,113
::> ::>, ::>
15,000,00
1/26 - 3.963.99
1B.g6:h99
1.000.00 1/26 - 3.963.99
181. 8? 5,1115. B1
1,000.00. ,1/26 - 3.963.99
:I.Bl.B2 I- lll'~ 8 'I
.)).. ? I ..
1.000,00 1/26 - 3,963,,99 '
],B1. 82 I' 'lljl' BI
:;> ),';' .> I
1/26 -
3.963.99
l':ntlwl' Y, Ilandshow
1110 N, l':!lflt 1:1\;.
ClIr:llulo, PA 17013
II!l(li) 1.000.00
IIC 18]" 82
I' '111- <>'1
:>)'1. ), o.
blol;~
t:,,"-'
vb tlt..,lt
J06
!loq llOB L undor'
1'111'11, \11:1 :I HE.'o:tduo 'l'ot',lll
Wilblll" IIandflhew 1113(5) 1,000.00 1/;' 6 - 3,963.9~
129 N. East; St. 11r; 181.82
Cf;lf'lJs ll:l J PA. 5, 1115 . B 1
Mil r'y lIandsl1ew Im(5a) 1,000.00 1/26 - 3,963.99
1121 N, Ilanovol" S\;. 110 181./32
CapLin1e, l'A 5,J.l15.81
Al:loo IT. lIandflhew 413(6) 500,00 'L/2 of' 1/26 - 1,981.99
1850 I';cigewood Rd, ,I), W. 110 90.91
Cedar' llaplds, I A 2,572.90
~i2 4 Oll
l3eptl1a M" Voitch 413(6) 500.00 1/2 of' 1/26' .. 1,981.99
1850 Edgewood Rd. S, W. llC 90.91
Cedal' Rapids, 1A 2,5'12.90
5211011
Mupy II, Crapy 11)3 ( 8 ) 250,00 J./ 11 oj' 1/26 - 990.99
H. D. #9 110 115. ll6
CUI'l:ls 1e, PA 17013 1,286,115
GeoPBo lIandshew, Jr. 'IB ( 8) 2:.i0.,00 1/4 o,j' 1/26 990.99
H. D.//II llO 1/5.116
Curl1slo, PA 1'7013 1.286./15
lIapolcl lIundshew 1113(8) 250,00 1'11/ of' 1126 - 990.99
P1a:lnf':leld,PA 17081' l~ 0 115,116 l,286,Ij5
Kennoth lIandshew IIB(8 ) 250.00 1/11 01' 1/26 - 990.99
H. D.//lO llO 115.lj 6
Ca1'l:l810, PA 17013 1.286./15
Puu1 Hundshew /IB(9) 1,000.00 1/26 - 3,963.99
318 Bolton Ave. 40
CU1'l:l111e, l'A 1"(013 un.82 I" 111'" 8]
~ ~ . :.> t ..
Marot;ha II, 131'ess1el' 413(1,1) ],,00.0.00 1/26- 3,963.99
/121 N. !lanoVe1' S\;.
Car'llslo, PA 17013 40 181.82 5,1Ii~i.Bl
~)1.. Stophen Ltlthal'ft,1l ,
Churoh of New 401
1<1nl';I1(.()wn, PA . 409
H.I1,/11
Machb/j., I'A 17055
2,000.00
3,000.00
1/26 ..,
3,963.99
8.963.99
LoLorL UnIted Math,
Cllul'ol1 H.D.//2
OUl'lt010, PA 17013
IID3
d
~,OOO.OO
1/26 -
3,963.99
5,963.99
bl'lik
\..";.'.
".it) tllilt
~I07
.... ~!-
l3oq,u()fJ L und(!!'
Par'a. \'it .11 HoslclUl) '1'otal
,
I '1'!'1n1 L,y Un:lt(~d Moth. lID 2 2.000.00 1/26 3.Q63.99
I -
I ChuPoh 5.963.99
I 37 Valley V.tew Rd.
I Meohun1osburg. I'A
~
OudiBle Spr1ngs 1105' 2.000.00' l,/26 - 3.963.99
I Un, Churoh of Ohrlali 5.96'3.99
I 12/10 3pr.tne; Rd.
I CaroUa1e. f'A 1'7013
I Salom Stono Ohu,rch 406 2'.000.00 1/26 - 3.963.99
I R.1),1/3 ,5.963.99
j Mo01upos Gap Rd.
I Oal'1lB1e, PA 17013
I
I U I'll 0 e 13npt:Lst C11l1!'oh IID7 3.000.00 '1/26 3.963'9)1
'(7'( W. North St, 6.963.99
Carlisle. PA 17013
I
GurUsl(; Sp.ro 1 rip; f\ 4011 2 . 000 \ 00 1/26 3.963.99
I -
Lutheroun GhU!'oh 5.963.99
Sprlng Ht!,
Carllale. PA 17013
Odd li'ellows Ilome 4D8 5.000.00 1/26 - 3.963.99
}i'Ol' the Aged ',8.963.99
Middletown. PA 17057
,
Longsdor'ff Gometery II n: 1.000.0f) 1/26 - 3.963.98
Assoo:Lat:lon 11.963.98
Now Kingstown, PA
17072 ..
Cal'l1s1o Spr1ngs Hf~2 1.000.00 1/26 - .. 3,963.9'8
Lutheran Comet; ery 11.963.98
Assn,
Sp1'lng Road
Oa1'11sl(; . I'A 17013
'l'O'l'ALI
""""'-...---~..- ,
$10'1.003.6'(
'1'hls d:tstrlbutlon la, pJ:10POSE:Jd us bohlB 1n aoo()rdanoo wi'th tho Last
WLll and Testament of Alio~' M. Shambaugh.
'"
"'Y ',..-L;~
(',l.~,'3, c.. ~lG,-
- Ht)P;er BJ'li,win---
--
bll~~ b'o 1",,[ 308
- j- ,
II "'h'
,MONwrAL TH or f'EN~l\Yl VANIA
DEPARTMENT or REVfNur
'EAU or COUNTY COILE(,TION\
! 11<\ i :l
\
~" ',\;~
Ir, ,,: "~"
,. ,,11',. "';'-..1
i.'.'. '[__1 .~;>J
Al'I'1 i( i\ I 'f\l)
ru (P/d') ,i
RFi,I': 1:1
or /, 1'1 id!) ii i
"11 (
I ," t ,I
'I IPI III
u^ rE {If'" I I
1 1'.Ji';)
PPLICATION (MUST BE FILED IN T1~If"LlC^1 Ii
o THE PENNSYLVANIA DEPARTMENT Of REVEHIII
Application Is 1I0rl1by ,""do 10' O(l!!,o,,1 I""'" 11"""101..111,,
Hpolotlon or 0 Nollonlll Bonking A,socil1llonl""olod '" P""n"yjy'"1!";
/oll(lwillf! r,fll:l/tlIIQ~, 01 u P.l'flli~ylv(llliCl
L__,'L~I,p .__.(b) .IJiltll'h \ 1) DI'I" ':: \ I., '1'1'11;; L '('() . , (<:) i' "1i!1I1"f1 ":ll,J,l.a.l
IOTE, In dOHtlhlng SOCUllllos onlo, in (ul, ub ""', <'1111,,, ,1,[, """'\"'1 nf ,lIuH" ul ,lock ot 1110 fuco olllounl 01
glstored honds, In (hl, tbo nOll1o of II", i",,,illil """1\""'" """ In (cl 11,1' (Ii"" of <.Iod or 11,0 sli,I,," iillor051 rllto
,d molarily doto of regislored bonds,)
iSUED ON~'D"(f,'( - ~i/:1/'(~,
(011111)
sol the dote 01 dOllth ollho docodon\" All",..
,l1l1d 1111 V 111\1 "TOTld./lilRKEl VI"UFOI'I G.'lll!I,',1l
l'iL ;;lilII1l11!IH/;:11
(HIl"q. I fl';"'II,,/,I\
I (ill
.11 il:1 ;' ~), 'j) 'f ~J
(D'lh' td ill"llh)
ho was loto o/'!O, [1!O-'!I'O 1/11 HI AVI'IIIll'
(StrCtflt nnd Numh!',) ,
(:n 1';\ \ :\l'i'
UlIIIII 'I "lid
1'1\
(,'",.. (lji;lili
(L!;I'llly)
( ~, II) Il' )
he socurilies ore reglsterod ns lolldws: ~1T'n. All ",. it, ( :\11111111>1\111,",11
(N'Iw"" fl\lll\l'\ 1.\ ,10;, i. tl',li!!,',\I," 11(11 ,i'ql~I')H"li
DMINISTRATOR) Ilal'o tel
,XECUTOR r--'-- ... .
.::~. J l '\IJ j II., lJ l' I, .~
(Hilmi")
i,~;el' B 1
11'1'1,1,11 - '1111 i'\, lIulI"V',:!'
(!,<l,lff"" !
1{I'I':<:I' 13. 11'\'1111
IIL"I C:,l.f'.Ll ;.; I... 1
1"/\ \'((11)
NAME 'or ,\PI'IICWl
:OUNTYFILENUMBER~),-'I~H)\llIl, ^DDf~E5snr MJI'L1CMnljll i\,.llll'll!;fiI:I,', '",'11::1". I'll
UREAU FILE NUMBER. SIGN^TURE OF ~PPLICMn )JlfA4M~ ~~'\
~OTICEl IF YOU FAil TO PROPERLY FILL IN ANY I'OR1'IOtj 01 TliI~ArPI.I~~~ WIL',. NOT liE
CONSIDERED COMPLETE AND WILL !If REfIlRtHfJ TO YOl! rOil COMPLI:TIOI~,
.... ..
COMMONWEAL HI OF PENN~,YlVt\foll" . DEPARTMENT 01' REVENUE
CONSENT '10 TRI1I~SFEr~ SECUllITI!:S . ~ ')1 r"I1J
. 'DA iE .1..' "'\ , 1 "{ 6'v
I hereby c~nso"t to tho Irons!.e, nl tho "hflv,' ',ollllllio" now '"'il',Iotnd in Ih" n(lInO nl 11,0 nl ,snld
lecodonl lInd wnlvo Iho liliny 01 (I c:nllilir,lif' ">"Iily,,,': III 11,[' pny,,,,'nl "I II", I,,,ndr.r IlIhrrllon,o In~ 10 which
, . i
lie proporty of snld Docedont is l1H1d" ",blOd 1"""0111'" Ii,(, provi'",nli" ,,111,0 /lei "I JII": 20, 1'11'1, r,t, 521,
IS onlended ond the AoI of Jun" lS, 1%1, r,L. Ji'l, <!" """'1"\011. Tlw, " "I"" ill ,,<.rol<looc:" with Ih" provisions
f tllo Acl 0/ Aptil 9, 1929, P.L. 3,13,
This COlIsonII0-1'1[1I1s1,., Ii.., h'\I"ill (lI',.lillll'd
'cq!r 1",',,'11 !.~ ('Illy 'in'rtdt"nlll:t:' h; 't!tp ('~d(]lC'- o{lho
thov o.nomed Docoden I,
t.Jl\. t
Il~:":~;~'
~~~~~~~~ '
(~~~~~&'-'1L0JL~...,,~~~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU DF EXAMINATION
OFFICIAL rWTICE OF
INHERITANCE TAX
ASSESSMENT
COUNTY r NO:
TO: f\J(, .
-fJ"
'. ..Ji::
I') (
. ''f
:5 {} /
DATE
~; C07-V'l".r(I.
ESTATE
FILE NO,
COUNTY
DATE OF DEATH
Approlsed Volue of Estoto:
Rool Esto,o
.
---
+ ,Q1 0 (f" / (f () 0:5;
Pe,sonol Proporty
-...-...,
Jointly Hold ProportylTransfors
+
Totol Or086 Estoto
.;;, oft' 16"0. q.r,
DI y' ,.,/
~ c99.'~~7'
. I J> '7 ,$,,),1 '1-1
-.; ~wlj,J4 - I () ill. 3~1f. /,).,0
. Y(L, q 0' :>. ..;.:1
Totol Approvod Doductlons
CI.or Volue 01 Estote
Le.s: App~ove~ Gharltobla Exemptions'
K ~/;u~rJJJJ-.
Cloo, Velue of Estete Subject to Tox
Amount Taxable @ 6% Rato
.
tox duo
Amount Toxoble @ 1 &% Rote
()If: 'j'q '3 / #. (
tox due
'*
,"\ .' " ,
~,. rlli'\.."'')
/' ~/1....." , ' ")~.
0, A 'r~d Yh--JA: 0'Y"~~ r\
d.1 '~I (, , ,t:;
CA-Iv
,
.
/.;J, ,'7 if.? q f'
· I d.. f)'I-K" q Fr
TOTAL PENNSYLVANIA INHERrrANCE TAX DUE
will bo
......* A five poroent discount totaling
grontod If tho Inhorltonco Tox Is pold by
AMOUNT PAID ..Q!SCOUNT INTEREST
e Ip!. t}l/-R. C ro, + e - L_ .
. ..1)"
+ a
,
Lo.. Credits:
DATE OF PAYMENT
I/-~ '). ;~I)
TAX CREDIT
e Iq?, '?lff. if r
,
+
.
Intorost oocruol It tho Isto of six 161 poroont por onnum,
on tho unplld bsl.nco of Inholltonoo Tax from '.
to dlt. of plyment, Intorblt duo If pold bY~__,.'__m__'____' Is
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
. G':~ ~\ \]JJ1
~ - ,,"
'f ~ 'i'q .e/I J'
No, ,I' J .. ~), f
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of
^ 1,11'1'; r~. :\IIAf~I~^_t~C111_,.___,,__o_,_,,__.'___"o__, deceased,
To Richard E, Anderson, Register of Wills for the County of Cumberland,
in the Commonwealth of Pennsylvania,
x~'{
Petltloner(s) are the executQ}'n,.,___ named in the Last Will and
Testament of __1l.Ll.GJLl1._.llli1II1J3f1liQlL,-_ _______uouo__._ dated J212~~1l Py 2, 19G?
Decedent was a citizen of the United States and a resident of
:Wo.w~II~fp:x
Cap1:1slo Borough, Cumberland County, Commonwealth
of Pennsylvania,
Decedent died on Wodnosday ._ the ;?'jth
A. D. 19~., In the County of ___<2umbor1nnd
day of ,Iuly
.----.----,
State of
PonnBylyan:1 fI at the age of 92 years.
Xllo'SX x~t:J~x her
Decedent has not been married and has not had children born to hlnrx
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
unosl;lmatecl and of real estate to the value of
none
as near as can be ascertained; said real
estate situated as follows -"
apply
Therefore, your petltloner(s) respectfullyXt'l~ptiXl~ for the probate
of the sold Last Will and Testament and for L ters Testamentary thereon,
Dated August ''; 1979
Name and address
of Petltloner(s)
IInnover Stroet
Cnrl:Lsln, PA 17013
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
llAIlOr.D n. Pl\oJIN, ,Ill, nn<l HOOl~~_Jml~l'l ,
named In above application, being duly ~~)!~!.-_--"'".~ according to law
say(s) that the statements set forth In this petition are true to the
best of tho I r'
u knowledge and belief.
__~I-'212!..__ and subscribed before
me,.- ^ lI'~ln~: __n.-' '~__. .., 19'1-'.J...
- ----._-- . _...'._..~..._~-_._--~....------
, ()"llJ Richard E, Anderson, Register
Aug. 16, 1979
If ~'~y'
Attorney: :1 Hl'llll,I H\oJTIJ 9, THloJTN
,"
.
'.
,
-,
,
,
lLast _ill nub tlCestnment
I, AJ"ICE M. SHAMBAUGH, of th0 V:lllage of New Kingstown, SUver
Spr1,ng 'rownship, Cumbel~lnlltl Oot\nty, PennsylvanIa, do make and pub-
l:lsh th1,[! as and for my last will und testamont, hel'eby revolclng
Hny and all wills herotofore made by me.
1. I cu'roet my oxeoutor, to pay ul1 of my debts, funeral und
udministrutive oxpenses as soon as convoniont atter my deceaae.
2. I authorize and empower my ex,eeutor to sell any l'ealty
owned by me at my death, at either public or prIvate sale, and to
give good and sufficient deeds therefor', in ree s:l.mple, as I could
do if' 1:l.ving. I direct my exeoutol' .to pay any Pennsylvanla and/or
United states inherit~nce,or estate taxes from the residue or my
estate.
3. All the rest, residue und remainder of my property, real
and personal, I give, devise and bequeath to my husband, John H.
Shambaugh.
11. It John H. Shambaugh should not survive me, I give, devise
and bequeath my property, ronl and personal, as follows I
A. To Clarence L. Shambaugl1 - $15,000.001
To The Lutheran Servioe Society
of Great.er Harrisburg, Pa. - $15,000.00.
Should my estate be insufficient, after payment of debts,
taxes, etc., to pay the above legacies in full, they shall abate
proportionately but al'O to be preferred :l.n f'ull to any legacies
hereinafter given.
Should Clarence L. Shambaugh dlo bofore this gift becomes
effective, leaving issue who survive me, said lasue shall take, per
stlrpea, his gift.
B. I give the SUlll or One 'l'housand Dollars ($1,000.00) to
eaah of the following pex'sona I
(1) Delmar Sours
(2) Hnrold Sours
(3) Elsie Sours
(4) Est,hor Young Hllnclshew
(5) Wilbul' Handahow
, (5a) Mary Ilandahew
,.
,0;
"
.
.,. '.
i
I
I
\
I
I
I
I
i
,
i
I
I
i
I
i
I
i
I
,
I
(6) Lee llandahow
(7) Roy Handshew
(8) George Handshew
(9) Paul Handshew. '
(10) Helen Jones
(11) Martha H. Bressler
El ('a) I give the sum of' Two Thousand Dollars ($2,000.00)
1;0 Blanohe C. Stotz.
C. I give and bequeath the sum of' 'fhree Thousand Dollars
($3,000.00) to each of' the f'ollowing persons I
( 1) Laura Hershey
(2) Margie Spahr
(3) Jane Shuler
(11 ) Jacl< Shambaugh
Should my estate be insufficient, after payment of d6bts, taxes
etc., and the legacies in Item A above, to pay the legacies in Items
B, B(a) and C in full, they shall abate proportionately but are to
be preferred in full to any legacies horeinafter given.
Should any of the le~atees in Item B, n(a) and C die before
their gifts become effective, leaving iSBue who survive me, said
issue shall take, per stirpes, the gUt their anoestor would have
taken, if living. If any such legatee dies before their gifts be-
come effective, leavin[~ no issue who survive me, h1s or her gift
shall go to and be divided among the legatees in each of suid Items
who do survive my death or who, if dead, are survived by issue, in
proportion to their' own legacies.
D. 1. To the st. Stephen's Lutheran Church, New Kings-
town, Pennsylvania, $2,000.00;
2. To the Now lCingstown Evangelical E.U.B. Churoh,
$2,000.00;
3. To the Letort EvangAlical E.U.E. Ohurch, $2,000.00;
4. To the Cnrllo1o Springs I.,utheran Ohurch, $2,000.00;
5. To the Oorl101o Sp!'inf~a Ohuroh of Ohriet,$2,OOO.OO;
6. To the Lower Fran\<l'ord Reformed and Lutheran Ohuroh
(Stono Church), $2,000.00;
7. To Oraoe Baptist Ohuroh of' Ourllale, ponnBylvania,
$3,000.00;
B. Odd Follows Homo for tho Agod, Middletown, PsnnByl-
....
,',
:-.
"
vania, $5,000.00)
9. To the St. Stephenls :\;uthel1an Chut'oh, New Kingstown,
Pennsylvania 1n trust to invest tho pt'incipal with t'ight of use of
inoomo only, $3,000.00.
If any of the above OhUl'cl10S have pet'mitted uny fot'm of dancing
in the ohurch buUding or on church propet'ty, its legacy shall be
null and void and be shut'ed equally by the romaining ohut'ch legatees.
Should my estate be insuf'f'icd,ent, af'terpayment of debts, taxes,
etc., and the legaoies hot'otof'ot'e given by this will, to pay the
legacies in Item D in full, they shall abate propot'tionately but at'e
to be pt'ef'ort'ed in full to any legacies hOl'einnftet' given.
E. 1. To the Longsdorf' Cemetery Association, New Kingstown
Pennsylvania B~ndowment F'und, $1,000.00;
2. To the Carlisle Springs, Pennsylvnnj,a Lutheran Ceme-
,
tory ASsociation Endowment Pund, $1,000.00.
1'\
'.
Any residue remaining shall go to the legatees mentioned
above, shat'e and share alilce, regat'dless of the amount of' his, her
ot' its legacy.
G. No legacy or any part thel'eof shall be paid by my execu-
tot's until the monument in the oemetery marklng my gt'ave il;1 appt'o-
priately engraved.
5. I nominate and appOint John H. Shambaugh to be the exeoutor
of this my last will and testament w1thout the fUing of' any bond.
Should he die before my doath, renounco or ref'use to serve for any
reason, or die leaving any of' my ostate unadministored, I nominate
and appc)int HEtI'oJd S. It'win, Harold S. Irwin, Jr'l and Roger B. Irwin
as subatitute executors w1th tho sallie powers as Ett'e given here1n to
my oxoc:utor, and also witholtt the fUing of' any bond.
Wi tness my hand and seal this v? 1"( day of January, 1962.
~/ . " ! ' " ,
( (( I (~',~ ) / t.. ,1: . , I "i i ' .
Allee M. Shambnugh
Signed, sealed, published and deolared by tho wlthin named toa-
tatrlx, Alice M. Shambaugh, as and for her last w11l and testament,
in our prosenoe, who, at her request, and in hOl' preoenoe and in the
presence of each other, have hel'eunto set our name ao subscribing
witnesses.
,,' ,.-\,
,
(SEAL)
.
'Y"'-
--
, ..;;' , "
..;:((~?,,;;\ c.{ "" ~~
I,
.
OA TH OF SUBSCRIBING WITNESS
COMMONWI~AIJI'H Ol~ pgNNSYLVANIA
i SA:
COUNTY OJ<' ClJMI31DHLAND
This." ,.., ",......."., "..,'~,~.~~, "."", ,.., ,.", ".".". ,."."" doy of ,...,..,."....,~.Y:fS,\l,~~..".. ""..".,..,'....""""", A.D" i 9,7.~.,.,
bol'oro mo Hlchol'd g, Andl'l'~on, Iwgistl'l' 1'01' thl' Problltl' of Wills llnd grllnting ll'ttl'rs of Admlnlstrlltion
in IInd 1'01' said County of Cumbol'lund, In thl' Comml'nwolllth of Ponnsylvanill, pol'sonllllyc.ame .........,....
ROOER n. IRWIN, one of
...,....,.....,..........,.,...."....,.,.."....,....,....,.,.,..."..,,,,.......,,,.,.....,...,,,,......,....,..,,............".,.....".........,...............,.....,.".,
tho subscl'iblng wltnos8o~ to tho forogolng Instrumont of writing purporting to be tho last Will and
Testament of .... .^J{~R);~.. .f1,1...R,I.~~.r1.~~U.9J!. ....".... to "" .........", "........".. .tI....... Outed ~~J.~".?..J....~.~I?....."I......
I to I' the Borough of Carlisle (' lId C t P d d
n 0 ,..t,.".....,.........".,.....................,.."",......,.......,...".....,...,......."............. Jllll1 lor un Joun y n.l. ecooeo
who being duly .....""..~W.9.:r.r.".".."......".,,' according to law, deposo nnrl suy, that J),~...Wl~Hl....""..""..."I"".
present, und ~uw llnd hOlll'd the tostu.t.r.J.l\................,,,...,
",^l,/,t Q n:.. .M".., t?,I;\~r1J?~ J.},Q.1i......,...., t,....,.,.......,...
~ign, seul, publish, pronounce and dl'claro thl' sllld instrument of writing 1If111nd for h..\ir........... 1'ostamont
IInd Lust Will, llnd lit tho Umo of so doing ........~.!1~..,...........,...................,W!\S of sound llnd disposing mind
ml'mol'Y und undol'stllnding, to tho best of .......~,~'.~...............................,Imowledgl', obsol'vllt,ion llnd bl'lief.
.........................,...9,'<<R,I,','.:....... and ubscribod bol'ore
. /'-:.::n '. /I -I), ,
( 1/'(11-<-- ') CA:.UI-,- '
'....,'" .~;O 0ll:R.J B~'" .t'R~'t't~"'"'''''''''''''' to II....".."..,,'.
. .. . , . I , . ~ I . , . . . . . .. . .. .. .. . , . , , . . , . , .. , . , , " , . . , .. . "II .. , . . .t .. , , . , .. .. .. , . , . . , .
..,.,....,',...,.............,.....,..,....,..........."........'1...............
r;
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENN8YLV ANI A
! ss:'
COUN'fY OF CUMBEHI"AND
.,......."."..,...... ,~~,9,~~,..~,',." ~~~,!,~,..,.....,.".,..,.......,""",..,"",.."."..,..,..,"" ..,'",,,,.,,,.,..,.. .:", ..,........,." "being duly
, ,
...".."....,."............~w.9.r:n..."... suys that ItS nearly as con be l\acortulnod tho said docedent ....."1.........."......
.,."......"."..,..,." ,~,~: .~.?,~~",~:.., ,?~:~,~~~ .~~ !!......,."..."......,...,..,.,.,..,........". i.." ..;",.""",..""....,...,:,.,..",...... ,dlod on
......,~~~.~~,~,9:~X........"..,........ tho "i,....,~.?~!:...........,'.,dlly of ...""~.';\~~......,...,.......,....i....,:,...... A,D.. 19,..T,~,
t b t 3: 00 'I k P, M
n or it ou .............,.......~j........."........ n C oc ,..., .
... ..,.......... ,.,...,.~.\;/.'2r.n.,.,..," I....."nnd 8uhsCl'fbl,d tht."
fo) .
.......,.........,.,...,.....,..",.....,.....,.
dny of .~.~.~~,~.~.....,....
'-Jrl ~...
(. //-..' . . t"S c ."
,i......(,,,I,,..~.....~"H"'..,,,....,..,......'''''....,.,,.i..........
MG(R)l3. rHWIN '
, ,
Ill, ,:1.:t.., hllful'(!
"'"''''''''
Hichlll'd
OATH OF PERSONAL REPRESENTATIVE
i
COMMONWgAL'('H ()j<' PI!iNNRYLVANIA }
HH'
COUN'l'Y 01<' CllMBlmLAND ,.,
Befol'o ml', Uw Hogi~t.el' fill' tho I'l'ohllto of' WillH IInd grunting of' Lottol'S of AdminlHtl'lItlon In Ilnd for
th C ' I' C b 'I d ' II' HAROLD S, IRWIN I JR, Ilnd ROGER B. IRWIN
o oun...y () urn 01 un I pOt Bonn y tn,nu "..."..-...........,,,.,,.,,................,,..................................,.........."".....
I sworn' d d d 'h Executors '
W 10, lloing duly.".............'''."......, ,. () .."."", OpOHO Hll finy" at us.""............."""...."."............,...................
of tho last Will a'nd Testnffiont. of' ..."...~!~.~.~~~..,~,~.,'~~~,~.~:~,0.~~~.J:l..."tj""".........,,,..........,,.....,.......,,,...decouHod
....,......~,~~N..,... wlll wel1l1nd truly administer tho goods IInd chlltUllH, rights IInd crl'ditH of said decolIsod
llccol'dlng to law, And also will diligently comply with tho Pl'ovisil'rts of tho law rclllting to '1'l'ansfer
Inherltllncos. .......~,I1.?r.,\l,......... IInd subscrlbod
before mo.
................ .n
...........,......"11
";' . .~;1)...~.t....t~W ',"::1'1i..............'..'''..'..........
. :...~t.~.:Q..~.:::3.".~~~,l;m-.,"',..,"',.,.,""",.".,
tlvOElYJ:\) IRWIN
Richard E. Anderson,
'] , ",I
1
.~ tr:1 r-il z
H
0 ~I ::<:
~ ~I r>:
~'1
...J ~ ""lIl
~I 'I ~
...J 11 , ~I ~Q)
I . i t:t:i ~ ~e
- (fJ .
"... i ~ '~ I ir.O
. Hi-'
I ,S ~I +>
I ~ <
0--.: ILl I :;?:
. f:11 \01 61, t;'!
~I O' 1'-1 ~!
Z ~l n::
J ~I I H
f'" : l ~
~ 1
,
DECREE
Be it ~emembered that on the fIIl....~~.~,n.t..... day of .It,,.....o...^.\l.I?1H,~.~...,......,..I....., AIDlt 19~,~""" there
was probated and recorded the last Wi\1l1nd Tostament of ....Mi,I9.~...tIJ.\,..m!.M1M\10.1,L......,..,.................,
late of ............Q.~r.J.~Jll9....~,~r.,9.\Arr..l~......... ..."..,......,..." Cumborland County, Pennsylvania, Deceasod. Letters
,..........,... ;r.9.~ .1i.~.Q}~.t;\k fl,r.y............. wcro w'nntod to .I;I.~.~ 0.\": r.".f!'. .f... ITI~I N.t.,. ~~~.:". :;.~~.. ,~~ ,~.l.~~.. ,~~....... ~~.:~. ~~.
Witnofls my hllnd and official sl'lIl tho day nnd yonI' nfol'oflllid,
Hiehlll'd ~;. Andol'~nn, Ik'gi~u'r,
Inventory of the roal and perianal ..tale ~f
__1lLl,Q]~,-Jr.lL[HIi\i'1I)j\l}C!ll-. .. ______.,_decftOled.
_....._~._.__~."".._u_......_ _~___.~~_..~___~...___~~~__.___. -- ---~._,,~_.-
,__,,__'_._n~_______.__M_'__~---~_._--~---~ ~_....-.----' -""'--
5 ,1172 04
4,145 411
50,266 09
20,U78 90
10,017 7LI
10, /183 67
495 Jj9
Farmers 'l'rust Company ~ oheOking account 114-361/1-3
Cumberland VS,lley SaviniSfl and L.oan Assooiation
Savings aocountr #153374-~-~--------~~--------------~~--~-----
Savings Cert. #6693587~------------------------------------
SaV~lgs Cert. #6701450--------~~-~---------------------~-----
Savings Cert. #6701543------~----------------~-------~-------
Savings eert. #6698883---------------------------------------
Cash - Earnings to 7/19/79 - closed out cert. #6~98B35-------
Carlisle Building and Loan Association. Savings cert. #CB-11-00-
2297-~- 15,078 32
Wm. H. Hooke, Jr., Karol L. Hooke, Kurt E. Suter, Joyce V. suter
DBA Meadow Creek Farms - $8,000.00----------------------------- 8,0~7 4~
demand note dated Jan 6, 1970 balance 7/25/79
Elwood Lanious and Mary LanLous - $5,000.00 ,
demand note dated Dee, 28, 1974 balance 7/25/79----------------
Benjamin Kitter and Betty Ritter - $7,100.00
demand note ba1anoe 7/25/79------------------------------------
4,15t! 69
773 13
h
4,880 00
30 50
30 50
549 00
30 50
1188 00
30 50
45'7 50
2,318 00
30 50
91 50
2,196 00
Daupnin Deposit Trust Co. common stook-registered Alloe M. Shambau
Cert #51399 dated Apr:l:l 18, 1975 - 16 shares at 30.50--------
Cert #54153 dated May 9, 1975 - 1 share at 30,50-------------
Cert #44458 dated 10/20/72 - 1 share at 30.50.---------------
Cert #41908 dated 9/18/72 - 18 shares at 30.50----------.----
Oert #34631 dated 7/22/79 - 1 share at 30.50--~--------------
Cert #32922 dated 7/16/70 - 16 shares at 30.50---------------
Cert #28380 dated 2/10/69 - 1 share at 30.50--------------~--
Cert #27162 dated 2/7/69 - 15 shares at 30.50---------------
Oert #24371 dated 6/15/67 76 shares. at 30.50---------------.-
Oe~t #18626 dated 2/16/66 1 share at 30.50-------------------
Cert #16807 dated 12/20/65 3 shares at 30.50----.------------
Oert #1~5.41 dated 5/10/6~ 72 shares at 30.50---.------------
The Harris Building & L.oan Assn. registered Alioe M. Shambaugh
Acoount #FPS 1606
Cert. #8147 dated 11/2/51 20 shares $4,000.00
Cert. #8628 dated 1/12/52 3 shares 600.00
Cert. 1110/130 dated 1/5/53 2 1/2 shares' 500.00
Cert. #10828 dated 5/5/53 1 share 200.00
Cart. #11289 dated 11/4/53 2 1/2 shares 500.00
Cert. #14315 dated 4/9/67 25 shares 5,000.00
Cert. #15414 dated 5/7/58 7 shares 1,400.00
TOTAL 61 shares---.------- 12,244 20
state Capital Savings & L.oan Assn. regi8t~red John H. Shambaugh
and wife, A1ioe M. Shambaugh aocount #001-00-07429
Cert. 111817211 dated 10/3/51 30 shares 3,000.00
Oert. 1/161255 dated 1/30/48 20 shares 2,000.00
Cert .' 11155649 dated 6/23/117 10 shares 1,000.00
Cert. 1/154588 dated 1/17.47 5 shares 500.00
Cert. 1/1525113 da t (~d 11/2/46 10 shares 1,000.00
Cert. 1/151336 dated 9/6/46 10 shares 1,000.0.0
Cert. 11149258 ,dated 7/1/46 10 shares 1,000.00
Cert. 11115080 dated 1/14/36 5 shares 500,00
Cart. 11109833 dated 4/1/35 10 shares 1,000.00
Cert. 11103100 dated 1/2/34 10 shares 1,000.00
Cert. 11104978 dated 11/6/34 7 shares 700.00
Cert. 1198618 dated 4/1/33 3 shares 300.00
Cert. 1166431 dated 412/28 8 shares BOO.OO
Cart. 1/78410 dilt,ed 11/11/29 12 sha,J;'es 1,200.00
TOTAL 150 shares 15,055 10
,. '" ..
COMMONWIALTH Of PINNSYLVANIA
COUNTY 011 CUMIIRLAND
"'
t'._~""~'~~""~' ..-",,"-O-.--....._~-----.____'"__.._.__._.__._..._~__................_
bolng duly < " oocordlng 10 'ow, do po... .od uYI Ihet ho _'_'_,."<_.____,.~____,-
01 tho Elhlo 01 _________~____~'
I.t. of ".'-1 CumborleoJ Counly, Pe"deoo..ed end th.t the
within II .n Invenlory medo by. , ..' _ _,__ _H_ _h_.._,~_".__<, the' uld
01 tho .nllr. .II.t. .f 1.ld de..denl. oonlllllng ololllho p.rlon.1 -prop..rly.j,d rool ..hIe, .~o.flt r,.1 OIhl. ouhlde
Ihe Commonw..llh of Ponnlylvonl., .nd Ihol Iho IIgurOl oppolllo uoh Item 01 the InvenloryttprOlent II'1 hlr volue
DI 01 tho dolo 01 doood.nl'l doolll. '
.__.ond lublorlbod boloro 1'110,
_.-~
.............,l~.-....:'<F'<-'-----'~ 19 ~'"""~'~...,_____
'0......- -....... .......tt~~-~--.,.._--'-.....-.-.~
bu.lo. . Admlnlll,olor
",.~_~.~_...,u~_..._...,.,......-----.___..-+__.
, . . .
'--'---'--'-~----'--ill;;~. .
Dale 01 De.th _<<._,,~
PIV
.. hm'tio-nl~~---'------'--'-'
Yur
INSTRUCTIONS
I. An Invontory mUll be IlIod wllhln Ihln monlhl .ltor oppolnlm nt 01 peflonol ttprOlenhllve,
2. A lupplomenl Invenlory mUlt be /lied wllhln thlrly daYI 0.1 dllo very 01 oddlllon.1 ouoh.'
], Addltlonol, Ihe~" maybe allaohed 01 10 portonolly or roolly'
4" See Arllole IV, Flduolftrl.. AoI of I Q49.
~ ~ ~ 1
~ 8: W J 1 I
r ,J
~n~ lL.
!
.~
]
'S
3 j ~ J
r.. .
COMMONWIALTH Oil PINNIYLVANIA
COUNTY Oil CUM..IILAND
III
11111'01 tl ::, .ll'wln J "l', 111l~ Ii 0 I!: 0 I' 13, Il'.win ~._ .""_.m'_u_____'____._'_______ ,u___",,,_,m_,,,
1>01"9 duly IIW(JI'11 aOllordino tu law, doposos and saYI thott heY___ll.r.eJha....____,__um., '_u__
\!XOOIlt.ul'lI of tho Elloto of Aliaa M.._llllambAu.a:h------;,_
I.t. 01 '.m1.llW1JlLLu ,Jj(Jl'.lJUN;b-_,,_j..___...:~...:._u___, Cumborlond County, Po" deceued end thd the
wlthlll Is MI Invenlory fIIaUII by If tll'l.lltl fJ, I;rwin, J,;r. &-..Rogel',a'-~~t~e:l.~old_,~lte,O':..Ij;.QrJL,,_
of the olltlre nlt~h of laid denoden!, oonllsllnq of 011 the personol ptop'~rty nd reo I esto e, oxcept real eslote outside
the Commonwealth 01 Poel1syl~al1la, end thot the IIquros opposite each e of the lev represent !t'S folr volue
01 of tho dat. or deudonl's doath. '
._JLW.\.u1L~____,_. ...,.__ '" end subsorlbod bofore mo"
...".-., .\\.(JUi.'.YJ.ili~:(.....__~~;\~u_, 19 ..Z~-
--_..__..-6~1._{tt:~.~;I~~!~~ J'
MV f~)MMI~lllIlN I ~"'lIr:; IlIIi. IU, Ivao '
M.lnh't,l"!'''''llv..,I!1 ^~\oulnllnn 01 Nul"lo~
_y '.LEh.JiI:1,!19.'{.~J;'_ S t!'~_~L-___,
.....Qj:\!' 1. i B]'lh..l'iLill13~___._______.._
, Addr.."
DAte of Duth .
25th
D.y
,....,_J,uly_~,..___.._
Month
1~1.'L9__
Vu,
INSTRUCTIONS
I. "'n Invontety mull b. flied within throe, months ofter appointment of pOIIonol reptOlonhtlve,
2, ... lupplement Inventory mUlt be lIIed within thirty days of discovery of oddltlonolaneh,
~, Additional ,huh moy b.Atlachad 01 t. porsonalty orr.alty
4, SOl "'rllol. IV, FlduolfttlOl Act of 1949,
~ ~' ::1 1 .~
I 0
ffi ,., II ~
0 ~ "
~,g; f!l '2' jl
~ ~ 1IJ i. ...
~ ..l r-I
,<:I' III ,$
I ~ 'r!
Q r-I
~ ~ <II-
t) 1
,,'Ii 10 g
"C
r-I Jj ~ ...
ell: ~ d J
I
.
.
ncc...." 1<4.11)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
nUlmi\U OF COUNTY COLLECTIONS
*'
...(1-11-'>1' I
RESIDENT DECI!DENT
COUNTY OF _.C.UMtiElll.lUiLL----
--
IMPORTANT I
--~ ., ~.~ _..~-- -..--.." . .~--- -
Till" raturn nlU,lbU cOll1ple'"d In d~tlllll\lHI riled In tlllplklltl', with 1\11 uttndlClI, with Ihe Ill1Hla1C!r of WillA or Ihl.'l
Cou"ty whore dClcedClnt roslded; Return Iii du\' within "11\(' month" afh\r "hHe of <lellth. lInlt!tlH nn cXlul\Hlon h. Bfllll1.,d
hy lhe HeCrOtlH)' or RCl\lOI1UC. (S.,ctlun 71):i nf thulnhllrlllll\l'(l Rnd EllllllU Tax Aut of 1961,)
.-.-.--.
-
-_..- ~._-.-
.- .~...,.._~.
.... --
-
..
I\L:U:U~;
IN 'I'l\IlMATTI!R OF TIlE ESTA'I'I\ OF }
M. SllAM13AUClII ---,--,-----'--.--
IST,HE f"U!,..L NAMf. OF DEcEnllNTI
C umlw1'.lau_cl_,..____,..,_____ .~_ County
!\I'I'II)!\VI'I' 01'
EXEl'lITOR
!\\lMINIS'\'lI!\TOII
Lole of
Stot.ol pennnyljLauJJl.____._____'_'}
.11
Coun'y ol.l21!mlJer] and , ,--'
, jif1l'ol r1 ~. TY'will,..JJ:!~~&"dRogeI!.-lJ~,-l1'wl.n
A;4O{I:nbloo\'(C)( elf the ..tat. of the ahoy.onam.d daced,nl being duly tWOln, dtlpo.. and tay
nUClldl.\l\t died .T 111 ~ ?::;. I 19:.t.!J..--{lOltQt. l.avlng a la.' willI uopy of whlllh I, h.,.to {lthUlhed, }
IMONTtil InAV' I y F:ARl ","~QitK
tlom. ond odd.... of ollo,n.v 0' } Ipwl n. IrwilL.&-~r'_\'I.in
oth., oUlhorllfld "pr...nlatlvl to whom
oll,o"..pond.n,o.houldbomnll.d, _.1111 S. IllllJover Stw~l'l,'LfJlu. P^
H~cou'or
------
17013
Thnt IIH Hlleh eXeCUtQ.r,iL._dep<lllelll iH flll11ilhlr with Ihe nfflllrH <If Hllld e.lllle IIl1d Ihe properly eOIlMlIIUlln~
(EXECUTO noAlJMlNIST R ^ TO Rl
the ussets thoreof and their fair nlurkol vl\luc,
Thnt UI the tlmo uf denth there WRR no snfe durotdt box I'cyilihHcd,ln dccu(h.'l\t's IndivlllulIl 1\UnlC, or jointly wlth, (II'
as Ill:ll~nt UI' deJluty of unother, Of i1\ dccl.ldontl Ii Indlvldui\IIH\I11C1 wilh I'i"ht of l\CCCliH hy nnnthcf t\H "gent or d"flutYt with the
exception of the following: -
...-.-.
.--===
-.,::..~==",,",'--
HilS BAttI~ OEiPOBIT aox FH;:NTE[)
IN N"MIl' 011 NAMl!SOF
" ~mlJ!lur:h &.
,ngpl'1 H. Tpw.ln
RF.l.ATIONfil.np 01' JOINT
HOL-nEAR TO OECEOENT
NAME AND ArJOR~S9 OF BANK OR o TtH::R INSTITUTION
IN WHICI1 DECEDENT RENn:D A 9~FH OEft091T BOX
Earrnpy."--1 'l1'Yll1U1" (;ntnpAny,\ (~!,11'l1.1 <:1.1 a,.
)
, ',ll-.-=-1n-f'f1r.t
-
Thai tho cooloolo of ollid RlIfe dopooH box or hoxoo IHO Itel11lzod undor Seheduleo B
wllh Iho exoeptlon,of the followlllg, for Ihe roa.ono horelllaflor Hcl forth:
of Ihl. roturn,
Thill Schedule A Ruaehed horclo 1I11d made pllrl hcrenf HOtH forth fulll' Rnd In delall all the reRI properly
In the CommollweaHh of "ennRylvllola nf which dcecdent died hRVIIl~ IIn IlIlore,1 therein, It al.n ".tH ferlh the
ltlorlgllge ollc,umbraneeR upon elleh pRrcol of rcnl properly 1I1 Ihe dRle "I' dURlh, giving Iho al11"unl RIIIl duo RI
dOllth, nRmO of morlgagee, dale, I'ale of Inlere,l, and h"ok Rnd "a~c nf record Ihereof. It al.o 'OIR forlh In the
(lolumn. provldod thorefore the aHHuSHed vlllulIlllIn III' elleh of .nld poreel., Iho eRlimllled l11arkel value thoreof
ilR of date of death of dee.denl,
ThRI Schedule B nUllehed h.,relo lInd IIli1de pnrl horuof HulH forth fulty illld In dolnll all peroonal properly
whure.uver Hllualed owned hI' the de oed. III III Iho 111110 or dOllth: 111111101101'" left hy the deeedunlllt tho lime of
dellth, whether In decedent's immcdlnte 1l0IUiCtHdnt1, slllnding In decedent's credit in bunks of dcpusit, lIovlng8
hnnkR, trust companies, or other InHtltutlnns, whether indi\'ldunlly, fit' In trust for any other penWI1 or pCrHOIHI
giving nltw Heparntely the accrued InteroMt Ihereon, if "ny, down to the InRt intereHt dRY prior to decedent's
denth tn the CRHe of savings hankfl, and tu the date of d~cedcnt's denth in 1111 other caRON: nil honds, postal
HIIVln~", Ireasury eurlifleatoH or nolc' .nd nlher evillenee of IndehledneNll of the 1I11lted Stnl.s 10 the de.
ccdcntj nil obligatluns, whether hy Htnlutc or nnrccmnnt they !He designnted I\K tux frec, of the United StRtes,
IIr any HtlttC, or political liluhdivlHion thereof, or of nny foreign country, which arc owned al the time of death:
nil weRrlng Il"purel, jewelry, sllvcrwluo, t,lelmeR, hookH, wnrkH of nrl, hUUHChllld furnilurc, hClrses, carriages,
nutClmnbltcN, hontN, and any nnd all other tlerMonnl chuttclH of whntslIcvcr, kind or nature, left hy decedent,
wselher wllh Ihe fIIlrly eHllm.led mnrkol vllloo Ihereof; nil hOlldH nnd mnrlgnge. held by deeedclIt IIl1d of nil
clnlmH due nnd owing decedent at the time of dculh, llnd nit I'wmlHsnry nutcH or other hutrumontR In writing
for the Ilayment nf money of which decedent died IHHiseHI;cd, of Whl\ttillCVcr nature, with intercNt thcreon, if
nny, giving the ra(.~c vntuc and cMtlmllted fair markllt vnlue Iherenf, IInd if such cHtinllllcd fair market vnl\lc he
Ie.. tlu.n Ihe fllee \'lIll1e, It HCIH forth hrldly Ihe rellOllllH fllr ,,,"h deproejlllle.n II. III each Ilel11; 1111 n,nney.
pllynhle In the eolllle I' Will life III.mlll,ee pllllcie' ellrril'd hy deeodelll; .11 1I11111111y ftnd endnw",onl ,,,,,,lrllelN
Ihe proelledH "I' which were IlIlYllhle "1'"11 Ihu dualh III' Ihe deeudenl; 1111 IIl1d Ihc enqlllrftlo Hloek. Rlld dividend.
d"e theronn .nd unpllld IIH nf Ihc dllte lIr dClllh, hl1l1ds IIl1d nl:eruod Inlereol Iherenn In Ihe dftlo nf deeodelll"
death nnd uther InvcHtml'nt tlcclUilh~s o\\II\!d hr the decodent nl tho time of death, with the mnrkct value there.
of ill Hllch time,
.
<<
,.
III 1110 nlHW (it' Hfl(ltlt\ltloH or oloHfl or "llIl111r (l(Q'flllrlll,toll!i, tho vnlllflH t'o)lnrt,orl Rt'O lU'I f'nr 11M
JloKHlhlo IillhHtl\l1t.lntoll h~' f'JIIIlIlf1lnl Rtnt.lll1ltJl1t.H llr tho llUI'IHII'III.IIlIIH, t4l1uwlll.o; tho n6Hlll.H tlml ltnlJlllt.ioH
thPI'vol' IlH lIl' f.lie lInlu(lf' c1fJ'ht.hl 'I'ho '6l1hoclllln IIIHO !WIN ('lIl'lh UIO IlIl.nt'llllt. of' f!nnut!nlll. Ill, I.hn tll1if~ of'
11I'lIth '" llll~' r~lI"pl~rlnflr.'lhll' lit' hllHlllt1HHt /llId III HIlIIIHlI.t of' till! \'11111" 'flf' ~lIol1 tnt.llrnHt U,nt'n Iii 1I111111XtHI 10
"'/llll H<'Ill'tlllluJ l'llllllllllnl Ht,lItnlllHllll'l Hlln\'(ll1l~ IIH'HH~wl-l'l 111111 Jlllhltl!.IIIH of' HIIIlI r'O..p'II'tllfll'Hhlp n" lHltillll!."IHI
,\ Pllfl,\; (II' Ull' PII-1'1\11tlllll'H'lllp nl~I'Ili\mllllt., (I f' 01'(\1, II Sllll,omflllt Hilt tlllA 1'01'111 tllB IIIlllIl'fl of' III" Ilgl'llllllllllll,)
Ill!'Vlhpl' wiLli II I',tl\t.nIlIlHlt HlllllllJ-!, "ol't.h UII! llhlll'nC!lnr of' Ulo IHtHltll'HS, II,Hlof'HIII1l1, 111111 HIWh oth'l1' I'llntH
P'\f'lil,III'if'. 10 Illn httHlnoHH HR ll\ll~' hI! Jlllt'UI1f!1I1 In II filII' Hili! ,jllUt npPI'nlHHI 111'1110 ("lflll/lolll'H Illlnl'Il~I,
1111'1'1'11111'11';1 bl'!';1I1Imltltlll, It Hhnllld 111fHl Hill, f'nrth tll Ilnrnli'.'llll'ol'lIl, I,OHl1tllfH' \'o'tth ..till I'ntl' mlll'knl \'/1111"
Iltol"'III" !Ill,\' olllfll' prn[lnt'I~' oWllllfl 01' hoqllnnlh(lll hy 11ll' Ilftllfldlll\l Ill. !.hl! t Imll II" dPlttll,
I
1
,
~
'Clift ,Srh('riulp (' 1lt.1,lIetll'd hnl'ol,1I Hull nllulll JIlll'j, hlll'IlOf' HI'I.H 1'01'1.11 II 11'110 II!lHWIlI' to (11IBIt 11I!jIlII',\'
flllll!lllllf''lllhl'I'llllllllllllnf-llH IHlRllol'tJ'lllllolf'nt'Nol'pl'lllltll'l.y, "11111 Ill' 1't'I'SOlll1l, wllldll !WIl ~'(I/1I'H 0(' dfl{l(lllflllt'H
flflllllh III '~olllflmJlllll.i(JtI nf' tlfltHHlllnl.'H III,'/lt.h, III' IlIlflllllod 1.0 !Idw nf'f'llOt. III I'OS"f!HHlfllI III' nn.luynlllllt. lit Ill'
nf't,nl' dlllttll, Hltlfl Hl11111d1tln Hfll.H f'ort,h tllH t1Ht.IlI'1l Hnl! Vllll1l1 (If' Htlllh jll'lIJlfll'I~'1 III wllom I.I'HIlHt'I'I'rUII, t.hu
l'(l)Ill.IOIl"iltlp nl' Uln I.l'liluif'HI'noN to t!to (Illtlnflnnt, Iho 111'OIHlT'I.IIIIlHt.1' Nllllrll "("lIlIVflll hr nnoh I.rHIIHf'nl'fHI 1111I1
u]) nUll'" f'1I1~t,U of' It porl.llulnt IInl,III'" 1'''JJ;l\rdIIlA Huld 1,I'HIlHI'IlI'H, In tho l'IHW fll' tl'uIlsl'HI'H IllUlIlrlf'll In
tl\kll nt'font In pO!iHflHHlntl lIl' OIl.l(J~'11101l1, nl. 01' 111''-''1' dflHt.II, l.hlll'{! IH nltill 1l1,11lf'lllHl III t.1I1\ HnlUlllul11 11 uUIlY
of' t.ho tlpml, t.l'tlHt. IlAI'oomoflt. or ot.llo)' Illfll,I'llItlllllt. ClrnllUllg !.lIlt f.rll";f" 1'Iu'I'n Is niHil Hilt. forth If! HIIIII
HellfHIlli.. II llHt. 01' Ill] propfll'l.~', ).nnl 111111 PI'l'Hollnl, wlt.tl II.H \,111110, whtllh pm..sl's 1IIIIfl()f'dtllltIH dHHUI hy
vJrtuu !It' t11fl l)XBI'oIHO hy donnlhmt, (llthol' Indlvlllu/lllr, ilt',loi11l.ly wll,h 1I1101,lIn)'1 Ill' /lilY )lOWlll' 01' 1I1'1'011lt-
lIIonl \'ust.tltIIHdnnedollt, nlt-Ill'r IIlllivichl1t11y Ot. .I11IIlt.I~'t l)~'l.Ill' wlllt dfllHI, 1)1' llUUll' IllAl.)'\II'lllnl 01' Illtnt!lflJ',
"N j t.1I II. nul'Y n I' thn I UH t.)'IIllIl!Tl t f! rHnl. i 1lP; filll1h pownr 1\ t t.HolIl'd t,o l.IlII SOII(lII1l1 tl.
'I'hul. Scl1edult' {J ntt.llohftll hOI'oto /11111 mucin pnrl. hlll'onf' "IflI.H 1'0J'1,1I tho lIHltlnH 1I1II1 IlIlrh'fJHHflR 01' 1111
pOl'fWIlR hl'llI'l'loluUy iltt.u)'oHtnfl III tlllH nsl.l\t.n nl. tlln Urnn 01' r1t'{H1dl'JlI's Ilout.h, tho IIlttllt'fl nf' t.llf~II' I'IIH-
pO<1I.I,," ill\.I!!'llHtH, t1101t' l'nlllt.ioI1HlIlp, 1 f' /lilY, 10 t.hn {I"ftndolt!., 1.{j1~lllhnl' wi III 1-hn "I~OH nt, tllf' tllllO 01'
{tllf'11I1fltll.'s Ilonth of' 1111 minorA, 11IlfHLtt.nnt.R utili tllllll'I'lollll'lnH 1'01' 111'1'0 IIl1dlll' dOlHlllllnl.'A WI'II, II.IIIHO
cnnt.lllnH n Ht.Ilf,Ol1lnnt. showiTlR whioh of' I.lIn IltlIlOI'lollil'It1H IIlllllHd III t.ll'\ dll{'c,Ilflllt,'B will, If' lillY, Iltfllt prillI'
t.o f1fH:I!lhJlII., t.lto ItOt.ON 01' t.llt)ir doltt.lI, t.hllll' IHRUOI Illld thn l'nllll,tollHhlp of HHell IHHtlll t.o I,hn hflltl!f'II1IItI'Y'
Tltnt. S...~h('dulp E n!.f,nol!oll horol.n /luff mllcln H 11/11'1. hlll'(!IlI' HtltH f'lll'tll III J l"'nl'nt.t.~', I'old /t1l11 1101'-
Honnl, oWlIorl hy tilt! Ilooorlollt ,Ioint.ly wIth nnntllfll' nt' ol.hnrs, Illellldlng Illlltnp,tldo, HI.llnllil1J!; 'In I,hll IIllmn
of tho dnC'1f'Hloftt IHHI nl.hHrH, plUH tltH f1ut,(l nne! plnoo of' t'f'IlOt'c1 nf' t11Hll'1l11l01lU,i l'f'f't'lltln,u: tho \11Ht.tt.lII'H flf'
ron1 "Atllt,C' 1\1111 1.Iw dfll.fl of' /lClIlllHlt.loll of IHll'ROllllll,y, pluH t.hn IIll1nn, nlltl1'flHH I\ncl )'nllltlOIlHlllp, If'llIlY,
() r Oo"'ownOl'fl to l,hn I!lH10t!OIl t..
'rhnt. SC'hedulp F nt.tnohod hnrot.n 1lI\f1 ltlnrlo II purt IHll'flnl' HnlH ('01't.1I flllly Itllll tll doWl1 HII dnllts
amt Ilf.llluol,jollR c1111mllfl for 111111 Oil huhnl f' of' tills IIfHHldollt,'H oHt./tI.nt 111l~llldlflg 1'tlllllt'll1 llxllfJII~nH pHill;
fllml1y OXt'111plinfl, whol'n IIppl1"nhl(\1 l!oAtH of IldmllllHll'nt.loll Ill' HIls I~HI.III,j\1 nlll1J1~nl I','OS /llltl f'tIIIII'IIlI'.\"~,
eummiHHtollH plltlt or t.o ho pnlcll rust. nX1Hlllllnll 1'01' hlll'ln1 1"IIHtH, I.OlllllHt,oIlOS or J,t1'1I\'llnlltrkt1J'HI /I1lt1 rnlt..
Riolls fUJrvlcoFl, J11 OlH1Ro'lllolwn of' ttln t1l!/lI,h ot' t,hn dnCtldflllt.; dnht.R /tllfl elulrnH owlllg 1I1l11111lJ111111 nf, I.tml) Ilf'
rlollt.lq f,UllOH f\oorllo<! Chul'p;onhln f'nr )lIlT'loll pl'llll' 1.0 l!fllH!lll1nt.1 H dontli (oxnnpt. I.hOHtl ullnwoll llIl1I11I' HneUIIH
(lnl or tho [lIhorit.nnnn /Iud J.:litllt.n Tux 1\1'1)1 t.flRllthlll' wtt.h Il Ht.llt.omollt.o" lJollu!.tII'1I1 plf'lIp;f'1I rill' IIhltgll-
f.IonH, ir IIUY. It. 1H /l~I'f)nll tllnt. t.hn f'lilll,qlll'~' wtll fll'nHf'Ill.11rllllf' of' !'wlll l'l/tll1lflllll!Jll'~lttll)l1li 1l1'IlTl I'fl-'
IlllIIHf., I.llnt. It' tho nmtlll1ll. nol.lllltl~' pHlllln Hlll.tlnmnnl, flf' /tHY f'pf', fllllnmlHHtnll or lIolll. iN tOAR tlinll I.lln
o~jt.lmut.(!cl 11I1IOIIllt- olnll11lnp; HIllI nllnwl1d, I,hut. "!In HlIlTlf' will hll ,'nIHIl't.'HI t,ll t.1lt! !lngIHI,!!I' Ill' Wills, IIntl t.hlll
t.ho Itmnll11t 01' t!lX I\RHIlMHOII 111111 hn l'IlIlHHH!iHlld lit /lf111IJT'dltlll'l' t.!till'owl t.Ih
Thnl. t.Iw t.nl.IIIH of' thfl /lpPI'Opl'IIlt.(l f~OII"l\H~ 1n HI'lIndlll(lH "A", "II", "f'", "E", nn" "F" /lR ,11rnntIHI flinl'nln,
hnvo hourI [1Rn I 0(1 rnl'wnrlr /lllll 11I'npn I' I~' I'''~ I H 1.t!I'f1It 111 t.llfl HllfI\/lIH I'~',
Subscribed nnd sworn to before me this ,.., .."....,
".....,.",.,,5~... .. dllY of .Q~~~~~}IL ... """." 1u,:7.9
( , tlllll ^, I-:O!:n1,:nll, Nnll\AV I'!JULIO
\1 t . C\ \ '\ 4\KI.~,\\ Jlfi'I',\v~lIlali 1:!MH1 CO!JNTY
"..' .../'t:.; :C~ . ..~. ... ~4l~~J~l,hMn,,' ~hll;, O.I';"H~,,,lfl~n
M, 1I1il!:r,l'l'nn'~'il\ Ild,I;, i.eLIlir,!I(,II'hlH 1(,.','
I
~
"l',.'''''''''",,,,,, ...""...""...."... ""'....."..,......."........",....",,,,,...,,...,,,,,,
(~::c ('lIt r.~llmkmmllJJl:)
q I~ S., HggY~!:$~~
(Street Number)
CarliB,lE! ,)'[\ ,.1701,,3,
(City or Town and State)
NOTEI III1f'orll HIJ.('dIlA flf'f'111/1\-'11 mllkn HIII'I' Itll Idllnk Hpl\t'll~ III Ill{! nl'f'ltlllvll /11111 ~(1It(Hlllln", IlltllnXllIl nt'l!
f'tllnll 111 wlI.h Ilot./II1H or f.1I1' WIlI'il "Nllt1l1"1 HIllI III O/l~" lilt! 1l",,,,"tH 1Ill!II1dl' I'urn HI1llU1I1IRtfltl Hfl(1I1rltlfl~l,
HocllrltlnH of' nlOHfI ur f'/lmlly !'IlI'Il/II'nUoll"! Ill' /111 1111111'PHI III HIl,\' ,('O-JlItI'lllI'I'HldJl fll' Itll"dllf1HH. t.hllt till!
11111,/1 III11l Hlllt.fllnflllUi l'I'qlltNlfllllldfJl' t.ho 1"II'/Igl'IIJ1i1 Illto\''' 1'''1111111)', 10 !'1dll.dlllll "U" Ill'f! IlIIlHlhnll. \ISll mn!\,'
IQ!!'lr.11I !.h/II ""1110111 '11 lit 1.1,,, "HlIlllnlll'Y" hllH IltHlIt pl'IlJllll'l~' fllll11l"nl"d ItH IlllllVI1-olIT'fll'lfld.
1l1t:S r Illl;:., J IHI~CI':llIt:N'I'
HCIWIlIII,F "H"
I'WISnN A I, i'1\/J1'I':I\'l'Y
'*
Rec -~II
r'llMMONW1;::\IiI'1I OF PI':NNSYINANT A
'1'1\,\Nf,Jo'EI\ INlmllT'I'ANrm 'I'AX
INH'l'llIIC'fIIINIiI ThlH Huhuduln I1lIlHt. IllH"loHo nIl t.HlIglhJUlllHt I tltllllglhl (I IIUl'fWllll1 J1r(lIlOI't.~' flWli011 11lIli\'llltlI\11,\'
!!_L...!:!~~_~~l, UIU t,tmo of' hi H clnut)h PI'ClIH!I' t,~' nWfllllt hy UIO clunOllllllL ,tulllt.ly With 1~1l(lI.tllll' 01' lIt.horH
I1IU!iI. ht! 1114t,0I1 U1lltor f)nh'IHhtlu "1<:". Intul1l(thlo pui-Hullnl Pl'OlllH't.y, t.t Unll III UIO 1I1\Il\U of' t.1l11 Ilnnodf!llt, hilt.
J111~'Hh]H 1\1. Ilout,h to IlllOt.llOl' ur ol,llurR, IIWludlllJ( hut, lint ,Ilml{,oll 1,(1 II,O.U. (It H. I'IHvlll~H nUl\ll., Illlll Utnt.n-
t.I\'1l {.I'\lH(. uoouuntH, mtlftt, hu llsl,mlt dnsl'tt.n tho 1'111'(. t.llllt t.hoy nrn 110f, II" tllf' lulmtllIHt,IlI'(ut I'HUtl.Il,
1'Huv.thln 1",rHCHwJ Pl'111HlI't,y Hhlllllrl lin l1Ht,HII fll'HI, (O.J1;1 ,tnwnll'Y, W41UrtIlA uPlliLrll), IH1I180h,,111
'-~lInrh1t HIIlI f'lI1'nIHhlnp;H, honkfl, putnttnp;H, H\lt,olllohllpfI, llfJ/tt,H, otUt)
IIlt,nllp;lhln porlHJtll11 pruprH't.Yt Rltoh us hOIHtf:l, t.roHRlIl'Y nnl't,lf'toflt,uH, onMII Oil htUlf1 null Itl hnl1k,
til,nnkH, I1lOrl,gul~oH, not,ORt t,np;ot,llur wit.h /\ol1l'\lod tutol'OAt. or' fllvtclundR, HlllllrloH nt' wnp;oH, lJlR\lt'utlO('l pny-
ullll) to t,1I1l llftt,(\l,o or flrhlotllry'n HuHI (H\)IlW1t,y, }llll'tllorr-:ltlp InlnrllHtn, tllll'rftHt. tIlIlIlYllllrlIHt"'lhttt.Ufl
HHt,ltl,1l of' (II' Illllnllln ('I'oUl IUIY pt'opttrt.~' Ilnlt! 111 !1'UHf, Illldnr t,!w will OT' nnl'UllOlllllt, of' tlllol.hnr, nVUlI t.h(lll~h
lonllt.tllt o\lI,Hlrl<t 01' t,ho Ht,nt.uf ul, t.ho t.lmn cd' flunt.h, fillonJr' hfl lltlt.orl ill t.hlH E1uhiJrluln,
1 tom
No.
l'I'i':l\
List, find dONurlho l'\tll y
tiN I'r 1':H'rU,^,l'I~1J
VAWg MAIlKNr VAWI~
llI~l'AIITl\I~NT V AI.tJATION
(tin 1101, writo 111
1'1'\" "1'000)
l"armers 'l'rust CO, checlq,ng Aoct. Illl-361ll-
Cumberland Valley Suvings & Loan ,Assoc.
savings uccount #15337~
savings oert. #6693587
savings cert. 116701~50
savings cert. #67015~3
savings cert. #6698883
Cash-Earnings to 7/19/79
closed out cert. #6698835
Carlisle duilding & Loan Assoc.
Savings Cert. #CD-ll-00-2297
lj ,1172. Oll
~ . 111 5 . Illl
50,266.09
20,078.90'
10.017.7~
10,~B3.67
. '
l195. ~9 .
15.078.32
Wm Hooke, Jr. Karol Hooke, Kurt E. Suter,
Joyce V. Suter' DBA Meadow Creek jlarma,
$8,000.00 demand note dated June 6.
1970 - Balance 7/25/79
8,037.~3
Elwood Lanioua and Mary Lanious- "
$5,000.00 demand note dated Dec. 28,
1974 - Balance 7/25/79
Benjamine Ritter and Betty Ritter-
$7,100.00 demand note d~ted-
Balance 7/25/79
Dauphin Deposit Trust Co. common atock
Cert. #51399 dated ~/18/75
16 shares at 30.50
Cert. #5~153 dated 5/9/75
1 share at 30,50
I
11.,152.69
773.13
'cf.8S0 .00_) I( 3 ~, (J (I
30.50
Dauphin Deposit Trust Co. common. regis-
tered Mrs. Aline M. Shambaugh
cert. ~~~58 dated 10/20/12
1 share at 30,50
cart. #~1903 dated 9/18/72 18 shares
at 30.50
cert. #3~631 dated 7/22/70 1 shnre
at 30.50
cert, 32922 dnted 7/15/70 16 shareR
at 30.50
cert. 28380 dnted 2/10/69 1 ahare
at 30.50
cert. 27162 dated 2/7.69 15 shares
at 30.50
cert. 24371 dated 6/15/67 76 shares
at 30,50
30.50
5lI9.00
30.130
~88.00
30.50
, I
~57. 50!
2,318;00
IIlHtW t, I,hl H t.o t.n 1 uPIIOK t 1,0 "l'nrHUUI\ 1 Prnllor t,ytt I HohUfltll (1 flU" hi X X
"tlu "AN Hn)1flrtnlt" 11111\111111 nn tho lu"t, 1l1\~1l nl' (,hiM rOt.\Ir1h
pre ~~A
1I1':Sllli';;,1 1l1,;n:IlI':N'I'
SCIII':IlIJf,I'; "H"
l'\i:IlSIINAf, 1'1l1l1'1m'l'Y
.
CllllMIINWI';"I/1'11 11[0' PI':NNSYIN"N I"
'l'Il,INHFlm INlIfo:l\l'l'''Nl:g TAX
PMlE 2
INH'l'lll1C:'1'111l'.Hl 'rllJfoi HlllHlchlln mllHt cltaolnYII ull tllllgthtn HIIlI Illtfll1glhl~J Jlllt'HOIlfll PI'UIlllI'ty OWIIllll IlllltvlflUldl,V
!:L.!:!~~~!.~~~II.t nl, t.lIU l.llllu Itl' hiM llunt.h. J11'llllfll.t.~' llwnod 11)' tllu (\ooudllnt. .Iulut.ly wlt.h Ullfll.llllr Ill' 111,111;-;:;'
lIllii'll. lltl 11ttl.lId lIIUItII' HCl)J(Hlulu "I':". tnt.nnglhln l'orH(l11l11 III'opU'''.)', t.fUnd III t.ho UIlI1\Il of' Lilli f!1l01111111l1, lillt
Pl\,\'/llllll hi. 11111,1.11 t.n nllnt.lllJr {II' nt,)jul'H, tnol\HIIf1~ hill. lint. Illlltt.{lfl 1,(J 1'1011). III HI Hnvlnp;H llo1\lh. /11111 10111.11-
1.1\'41 t J'UHI, uonollnl.H, IIIUMt 1>0 118t.nll, dOHplt,f} thn {'IHlt. 1,lInt t.ho)' /ll'n 1101, nl' t.ho lulmlnlHt..nl'fHI IIHlnt.1l1
'l'uIII(11IIn 1"'rROIlul 1l1'OJl"I't,y Mholl'" hll IlHt.Or! t'tl'Ht, (nlJ;t ,lnwn'I'Y, wO/1rlnlJ; nJlllflrul, hOllHflllllllt
HIHllt'-l 111111 f'1I1'IIIHhll1~Rt llllllkftl I'nlll(,tll~HI Ulll,OI11l1hllf-H, hnnt.H, nt.f).)
11It,""~ihlll )turMoll/t! prnl'urt.y, H!lull uu hOllllH, tl"H'H\I1'Y (,ol't.iI'ltwt.OH, naRh Oil hnud nnd tf! hfink,
HI.rlnkHI I1I(}rtgll~llH, not.oH, tn~othur wlt.h fHH1ruud ,tntol'oRt. or tltvlr'(ttUIA, MI~I/\rloH or wnp;oK, tmnll'UIIOO Jlny-
IIllll' 10 1,110 nHt,nto or rtrhwluI'l In H/lllt nnpnntl,y, lI/l1't.llorfolhlp IlIt.nroHt,fl, tntorOHt. in un,y\1tl1ItHl.rlhutod
OK In I,(t II f' 0 I' IIHlnmu f'I'om HlIY pl'opllr ty Iud cl III t.I'lIH t, IlHrlnr 1,110 W t 11 or Ilgl'nol1lon t, 0 r ann U\OI', "von t.htJ\lgh
IUlllltlHl nutHld... of' t,1I(1 Htnt-fl, lit. t.hll t,(I1IIJ rd' rhll\t,h, Mllolllr' lIn llRtrlf1 III t.htH Rnhoclllltll
-
1 tOIn
Nu.
I mil
tjtHt nnll ,loHnl'lho f'\lll~'
tiN IT g~TlllA'n:ll
VAI,ln~ lIAIlKI~r VAWg
1l1~IAIl'rllEN'r VAI,UATION
(Jlo nol .rHo In
\,11 I H Hpnoo)
oel't. 1118626 dated 2/16/66
1 shal'e at 30.50
OOl't. 1116807 dated 12/20/65
3 shares at 30,50
oert. Ul!j5!jl dated 5/10/65
72 shares at 30.50
30.50
91. 50
2,196.00
IIlhe llarl'is Building & Loan Assooiation
l'egistel'ed Alice M. Shambaugh
Account UFDS 1606
oel't. 81!j7 dated 11/2/51 20 shal'es
oert. 8628 dated 1/12/52 3 sha~cis
ce~ti 10!j30 dated 1/5/53 2 1/2 shares
oert. 10828 dated 5/5/53 1 shal'c
cert. 11289 dated 1l/!j/53 2 1/2 shal'es
cel't. 1!j315 dated !j19/57 25 shal'es
COl't, 15414 dated 5/7/58 7 shal'es
To'rAII 61 shal'es
..)rriT,jI "b
State Capital Savings & Loun Assn.
l'egistel'ed John H. Shambaugh and wife,
Alioe M. Shambaugh Acct. 11001-00-07429
oel't. 18172!j dated 10/3/51 30 shares
oert. 161255 duted 1/30/!j8 20 shares
cert. 155649 dated 6/23/117 10 shares
oel't. 15!j583 dated 1/17,!j7 5 ShUl'eA
cert, 1525!j3 dated 11/2/46 10 shares
oert. 151336 dated 9/6/!j6 10 shares
OOl't. 1149258 dated 7/1/116 10 shal'es
cel't. 115080 dated 1/111/36 5 shares
oert. 109833 dated 11/1/35 10 shal'es
oel't. 103100 dated 1/2/311 10 shal'es
oert. 10!j978 dated 4/6/34 1 shares
oert. 98618 dated 4/1/33 .3@) shal'es
cel't. 66431 dated 4/2/28 8 shal'es
cert. 781110 dated 11111/29 12 shal'es
TO'l'AL 150 shares
.J),rtl'll v (..
4,000,00
600.00
500.00
200.00
500.00
51-Q,~ O~...
~500.ogJJ
,
11~'f(!(J,(J()
/f'!; ~ 0
3,000.00
2,000,00
1,000.00
500.00
1,000.00
1,000.00
1,000.00
500.00
1,000.00
1,000.00
1.9.9_~OO i.
~Q1~ J
800.00
1,200.00
..!J()o.OO
.s-s; to
Obligations of U,S. Government:
U.S. Sel'ias H Bonds registel'ed Mrs.
Alice M. Shambaugh
1M pal' M4010117191l dated 6/5!J
1M pal' M40104720H dated 6/58
1M par M!jOl047211l dated 6/58
1M par M!jOl04722H dated 6/58
1M par M!jOl04723H dated 6/58
1M par M40104'7211ll dated 11/58
1M pur M!jOl047251l dated 11/58
1M par M!jOl04726H dated 11/58
___JM par M40104lli" dated 11/58
1 "'WI' t. I-h' H to 1.1\1 nl'IHlR 1 t.o "llurHnllf\l l'r(lpOr l.y" t Hohorlulo "U" In
t.h,1 "AH lloI'Clrt.ncl" nnlurnll OIl t.lto lnHL I'n~fI lI" t,l1JH rot,t1rlh
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
x x
RCC-1'b' ,
rOMMONWl':~1:1'1I 1)10' I'I!NNRYINANI ~
l'l\ANRFI-:H INlllm['1'~NrF TAX
HCIlEIlIJJ.1': "e"
'I'II,\N HI"':IIH
liES IIJI~Nl' IlI\CICIlEN'1'
'*
(1) 01e\ rlooodont., within two yearH OI'I'Ollt,h, mnkn nny lrnnufnr of ony mnto1'lf\1 part. of htfll ostute, without
roootving n VI\lul\hlo flnd adequato uonHlftorntlon thorofor? (Answor Y08 or no) l;Jn
(2) 11Id dooodont, within Lwn yoar. of ,loaLh, Lral\8for proport,y from himaelf Lo him.elf 01111 onother nr
uthors (1nollUUuK n SpOURO) In Joint ownorship? (Answor Y08 or no) No
(II) If tho an.wer 1,0 (1) or (2) IIhovo iK In tho al'flrmllLivo KtllLel
(0) Ago or dooodonL ilL 1,1010 lor L"III1Kfor NA
(b) BLato 0" dooollonL' 0 hOIl\ th ilL Limo nf' mllklllg tho trlln.for, (NoLo 1).
(0) enURO nf tloondont.' H donUIt (Nolo 1).
(4) Did dooodont, In hi. 11 fotImo, mllko IIny trons"or nf proporty wltholl!, roooivlng a valllahlo or adoquato
aonalltorution t.hornfor whioh waR to tnko of'{'ool in }I0SsoRs!.on or onjoyment nt or aftor hie death?
(An.wor yo. or 1I0)..JiQ_
(a) \I'M thoro IIny I'o..thlllty thllL tho proporty tranaforrod might rotllrn 1,0 tran.foror or hlo
oBtato or ho HUh,1oot to hts pO\'ior of fl1sposltlon? (AnBworyaB or no) No
(h) Whut was tho t.rnnsf(lrue'ft ago nt. timo of dtl(l(Htont's ,loath? NA
(0) IUd ctooettont in lIiH lU'otimu mnko llny trnnHf'or without roooiving n vnlunblo llnd nctollunto oonsideration
therefor ull(tnr whtflh t.rnnsforor oxprn88l~' or impllodly resorvos for hiH ltfn or any vertod wt)ioh dOOR
not in f'not. onll hororu his dOllUlI
(n) 'rho llU88oKBion or onjoymont. of or tho right. t.o InuolTlo frotn tht' vruporty transferrod?
(Answor ynK 01' nu) Nn
(1)) Tho right to ctoHignnt,n tho porRnnH who shnll pOSSOH8 or on.1oy tho }Ifoperty transferred or
lnonmo thornf'rnm? (Answor Y08 or no)~_
(0) If tho nl\UWOf tu (n) (h) nhovo 1s 1n tho nff'iflllutivo, 8tntu whuthor t.ho right WAS rOBorvect In (leooc1ont
nlono Of othorN
(7) l>1n rlooorlent, tnll-'H- It futimn ml\ko n trnnHfnf, tho oonsidoratlon for whioh WIllI tranBforoo' fII prOlniso to
pny inoomo to CiI- 1'01' tho honorit ot' onro 0(' trnnaforor" (Answol' yos Of no) No
(9) Ulet etooorlont,llt 1~1I)' t Inutt trllnAt'or }lI'opart)', Uw honof'101n1 on,1nYlnont of wh10h waR 811h,1oot to ohangot
hooauso of Il rosorvefl powor t,{) HI tur, IlTllOl1fl, or rovol{o, Of whtoh oould rllvort. t,o fteooltont Hnrler terms
of trannfor or hy npornlton nf' l/\w? (AnHwor YOA or no) No
(0) I r tho anBWOr to (R) nhuvo J. N 111 tho n rfi rmfl t i YO, Wf\S tho powor tn nl tor, (U\Oll<t, or rovoko tho into r-
Ofit of tho honof'iotnry I'n~urvllft In tho clncodollt ulono 01" tho thH,orlont nrut nthnrA?
(AnRwor YOK or 110) __...aO
NOTl<: 11 Tho IlT\HWOrR to thORn II1lOHt.lnnN Hho1l1cl ho HU11portoll by nrf'illnvtt hy tho ntteluling phYRloinn aR
well us f\ oO)lY of t,ho ctent.h oUJ-t.i f'lontn,
NO'rE 01 If IU1RWOr to llny of tho nhovo II\lost.tOIlH is yos, Rot f'orl,h holow II dOROl'iptton or tho proporty
transforrod, it' 8 f'nir mnrknt vu\"" nt "nto nr dnuth, clntos or trlHIRf'orR Ul1lt t(l whom t.rnnsforroct, with
rolutlonshlp of t.rlll1sf'nrooR t.o tlooorlollt, if nllY. Htlhm1t, oopy of Ilny t."\IRt dnoel or .instrumont., if trtln8-
fors nre olnimod to ho non...tnxnblot nlRo Ktlhllllt. rtet,llilfHt Ht.nt.omont, of' f'llotH on whioh Buiet clalm iA h"Aorl.
NOTI~ HI l,iRt Rppllonhlo prnpart,y ho]uw tn ,"I\unor In which provltlorl tn RohoouloR A, U, or 11:.
-
ITElI
\)gHCI\II"rION
NONE
In"urt t.lIh t.ot.n) opnoRttn "1\rIlIlRfnrM", Mollnelllln "e" In t,ho
"^H llopnrt.od" (11)111nll on tho In,,1. 111\I~l' of' thtH rnt,urn.
=
lI~I\KllT V AI,lm
(It. tlma toll)
llItl'T. V~IoUATlON
(lJollt. On] y)
N-Iq'-U,,__,I
N-, nLj
~1.f}d'-'
Ie.... V:4~~ (1.761
cmlll0NWFAL'I'1I 01' I'FNNSYI.VANIA
TIIANSFFII INIIFIIlTAN('F TAX
11I'SIIII':N'\ 11IoTl',I\IiNT
SCIIElJlILI: "D"
lll(NII,I i1ClAIHI':S
D
2
_._-~-~~.."-"._...~.~-------------- -- .'--;--:,,",,'"7""'"------- -----_......_._-~_.~ _.___~~.._........_.~_.....~~v____
IlFNI\IIICIAIIIHS ANIl AIIllIU!SSE!1 1lP.I,ATlONSIlIl'
(S(lIltJ flllllllll1UlH llull uddrOHHl"lH uf nil whu or .,ap-.hllll,on lOt SURVIVI(\) IlA'PI! INTBIWST 0\1
hllvc 1\11 In\UUlltt, \'lIHtcd. cOll\lllaonl ofothtlr- IIh'plllnUllo .IIII<I,nn IlI!CI!IlHNT 0\1 IlHNIiI'ICIAIIY
WIHO, In tlH""O) IIro iuvulved, Act STATI! YI'_~ lIlRTIl IN HSl',\Tli
rn,'I< ,1<" CnOl,) 011 NO
-- ,- " --
lurel1Ge L. Shambaullli I'other-tn-lclW ' 1110 -- ' ~l'\ 1'_..120_0".0.0__ ,_,
1_S-.,_.YQ.rk .str'ee!; ----- -_.__._~.---....-.-------- ----'-.------ ---- ...---..--.--
eo unicsbJ.lI'J4. PA 1701';1';
.
-~-...__.--- ___T_......... ._-~-_. ___~..._.........o._...._
urlL;?",...UQr1;lhey "Al1~hter Qf' - vaa 3,75(].(]D-a,l1d-;WD
. D. #2 . Clarence L. and 1/4 01' 1/20
- - residue and 1/2
:k.-1l.\.U'.iu" 0 PA I.lhumba~~~ece) rC-lA 1 d Uft-____.,
-----------
. ,
,
- ....--_. -
l!~te e.~_2~tlhr dg1!J!;btor of V{:'lR. -. -" .J,.,.:(JiQ..~iLa.mL.3..n
.u..l3 . York Street Clurence L. and 11 01' 1/21;
<:inartlbaugl'r idue and l/2o-
2.Q,haJ1J&8 Qur!;. PA .-li055 .J.n'l P"P.)._, l'.Qa1.u!La._,____--,__
.
. - --- ...--..-------.--.--.-.- -, ...--
ane S. Funl, ( former1~1ul~_ C.I Daughter<, "t. Yes, 3.'(5.0.00 unCllko
t35_1tili1.Y~ r Ave. , Clarenoe I" . ~~~" y~-- 0{~T2b-
~~:~IE~~ugh a..ano.-lf.2.6.-
hsmb~J::1?.Qur!; ..J:1L ) residue
_..-- ..- I--- -
flcl{ Shamhflllgh Son "t:_,~lli ~.L~s l..l2iLJl.Q_J.llliLJ,.o.O_
nB.QCormick Hoad L :Ol""mDfl/I ,,'li . and, l/L, of 1/26
echMioFlhllrQ', Ph 1711<;;'i (Nephew) . -t'eS1C1ue iTI'iQ'T176-
'" aaidUA -
_..~-,.._----_.... -- ----: - --- -,
utheDill.Jiooial Servic~_ __.n.......-....:.... Vnn , r:: nnf\ .O!l..:-'i 1
entral Penn Heg1,on ih '
jJl 1\liIrKet-S~: !JOX 'd<}T -- ~::l:illl<.
.a:Cp.JlilL.-_EJi---1-7. n ~ 5 " '
- . - ..-------.
.
-_.-
_e lmat' Sours Nenhew Ye'" - 1, 0 OO...J!.QJ,illLlU:
,
924 puke Street ., - und 1/26 .!:~8tdu()
llxts.!:li5..t.. PA -- - --~---"--_.
..-.---.--..-.._--___0 -- --, --- n___._._
-
-- .. -- - -- ..--
......n. . .. -.--
----~---.--...~~~.__.~~_._--~............--~_._.--....--,....--_._~--
..._~--~--------------------',._---_.
L.Jllli'l
H
'{.or.
D...(ll).
~--
M
6
r1
\J.D..flu
res-
J
5.
9.9.!.Q. U
C
J
1
tIUl9l
0.0....0 0
L
C
2
C
llJi....____ d_
4'--__
a...O.O..
l'
D.pon.nt fu,ther lay. thotall the aboyo.namod hennflclorle. o,olly!ng'aUhl. limo excopt boloWl
=:==---=.:;:::"'"-----=-~-==....-.- ----.=-~~ -------=-------'
~.~--=-.:::-.::-...=:::-.:~.:':;':..~.";:~
HAME
DATE OF DEATH
RESIDENCE
-....-.--"'...._,..~-
------
----------------~--..----
----...---
---'---
...-,_.
_--:
'""""'--.
, ,
~.:! ....
gl Ii:
Ji J
tr~
j w "
B <1\ 1;;'
. e ~
~ ~
RoolProporty
PorNonul l'roporlY
TnlnsforH
SUMMAR Y I
(Suh. "A")
(Soh. "n")'
(Suh, "C")
(l)
(A H Rupot led) ,
. _0_
. " '1 1 1772. IIi)
. -0-
o
.
. '
..211,772,IIS
(2)
(AM Determined)
(lrONN TOHUblo BHlIl(u
.
.
.
.
.
.
"
, I ,
EI ;;'
I 1
B "
><
~ ~ .~
I ~ v,
~ ~~, 'I ~ iU'
.'1:1 I'l
'@ Po '"'
.. ~ ~
~ ~. 0
d r-i f.>
~ ~ffi '"' ! ~ ~ f.>
z: R Ql ~ ~
,..
! I:) '~ 'Ci ~ H
':;l ~ to) il fu
~
~ c ~
'Ci ~ 01
:!l ....
0 ! j
s~ .
~< ~
,
HFV'433 (ft.'111)
,('mfllONWI':AI.TII OF PENNSYI.VANIA
TI<ANSFFI( INIII!lUTAN(,F TAX
IlI'S\IlFNT 1lI':('H1l1\NT
SCIIEDlILE "I>"
III iNIiFI( '11\1{ II is
M
.~--~-<_._- '-- - - .. ---....- ... -- "::'~-::-:.~~.:;:':"'--:::==;::::;.:::t.~:::::"7:=.-"==::-:::'-=.:"::
---~.~-_._-_..._-- -'T-'-
IIFNIiFll'lAl<lIiS AND AlIllIUIllSES 1\l!l,ATIONSIIIP ,
(Stille rUlllll\mON Ilnd nddrOHHfJR of nil who (If ...p-dIUdt." '" SUI< VI\' 1m IMTE INTEllHST OF
hllVll llll Inll\UlHt, \lllfttcd, cOllllnUl,1f11 or other- 111081111111110 .hlld'.11 IlECBllI\N'I' OF IlHNEI'W1AI<Y
wlKe, III oHlnlo) tHe invlIlvlld. twl S'I'^,I'H YIlS 1IIltTII IN ESTATE
f"'th Ihl. 11101,) Oil NO ,
-- . ,-, I---~
Hoy Hand::;hew "aphB\~ ---- _-"~O-_ , IInil,110 ~
- -
_es~_8ran~hL-Iowa .--.----.- -...---~_. ------~-.. -
--- - ---
GeOrge Handohew .fulJlJ1mL___ ~CL__ 1 /1('\Q.UO --
Carlisle. fA
---
_arY IJ, Urary daUghter nf VAFt , ;:>1';0.00 + 2'1. OO.Hnr]
1lLlh..J!.2_ - .ga.llonr1ch w.. . 1/ ~ of 1/26 residue
Carlilit~~A 1701, -- ---- ,-
--
Gr-orge_l1an~w. ,111 . "~u. nr fle=gA VAS :>1=;0,00 + 25 ..Q.u.,.aud_
Ii, D. II~ -._--< H"ndFlhpw --- ..- 1 / ~ or ..J.L2.UJlllJ.c1w:L
Qar1 j 81 e, .l:)\ ]7013 - --,
--
iJl.rold Handshew !inn or {,sorga Ve" ::>';0,00 ""r1 :>1=;.00 -
I;.lainfiel~A Handshew ""d l~ of '1/26
-- - res j d\lSl___ ---
Keuue-tn HlilnQ"'1'i'1" 80n of Geo!'R'e VA" 2~0 .00 And_25...olLand
~
R. D. 1/10 . Handshew l/~ nr l~Q 1"eaidU\L
:aJ:'l:),sle . PA 17011-
_._-
Paul Hand::;new "" VA" . 1rlnO,OO and 100.00...
,
:li~__~91ton live. --..--..... an.sLU?b r:ea igue__
C.1U~H"1" PA 1'101':1 - ..
- ----------...--
~elen Jones Niece M~ ,l,OOO.OO
. ._.~~-~.~<
Carll.sle .__I'A ---... --.-.--------...
--...--......-- ~ - ,- -- -.--
1~~' uressS~r' ~H""" Va" 1',000.00 Ft n (LlULL-Q,O.
L . anover '. and 1/26 l'esidue
AY'l~!=l.lPL-r>~. 17~- ..- -,- .. -- -- - --
-. - -- ..- .-.....
w
t
(;
r.
D"-.!~~~~~~h.,I~!1 that ~~ the ?~.!~?m.d b.noflclallos ala IIv~g at thl~tlmo .,we.pl bolowl
-- ~-::=-..=..'.~~
NAME
DATE OF DEATH
RESIDENCE
-,--
_.__.--._n__.....
_-...:_,~._.,-l___.______....
~.':! ..,
g~ =
'S!l 11
~.!:l !
'1 ~;8
""'0
S W l
B '"
" e
~ ~
RuolPrnpurty
PurNllnll1 ProporlY
TrollNfurN
SUMMAR Y
_ (Suh.,"N') $
, (auh. "U") $
(Suh,'\q"l $.
$
$
$
<l'1l"N Tnxnblu Entalu
,
,
~ I 1
"
....
~ i~
~ ~ ~.~
.~ ,~
~ ~
~ i>
,Sl ~ ~~ ! ~
! 0 '1S Iii
'.:l ~. o/l ~
s 1
... lld
III ..
~J ili "a l:> j
". ~
~
(0 (~
(AN Ruportud) (AN !lulurmlnud)
$
.
- .
.
$
.
IHe V;4M ('''781
,l'D~I\IIlNWEALTII DF PENNSYLVANIA
TltANSI'Elt INIIEltlTAN(,E TAX
ItFSIIlENT DFl'IiIlENT
SCIIEllllI,E "()"
IIFNm"(CIAHII':S
-,. ------ -------...- ---~------, .----r-~---~._- --'!'"'""'""'-...~~._..~-.....-___._~_.._.___...~~
IIENIWlClAllIllS 'ANIl AlllJllI!HSllS IUlI.ATIIINSIIIP .
(Stllto fulllllllllOS I\lId nddro8HOH uf 1111 who (If ",o,,'clIIl<kon u, SUIlVIVllIl IlATE INTEIWST DI'
IUlV6 nn InltJruHt, VllNtod. C(lIltillgunt or other.. III.uhll"U'o ohlhlrolO 11IlCEllllN'I' 01' IIENIWIC1AIt\'
W(SO.llll\NtlIIU) IHO In\'lIlvt\d, fi(lt STAT!! YI!S IllIlTII IN ES'I'ATB
rUrlh 1101. r".,,) OItNO
- . -
St. ,Stephens Lutllerl'ln CJh",.."F - Yes 2 , 0 0 0 ...oLand
.-- - -
Q,Ll'!.'i!:!.JUng,1;! town .JL D. 111 3,000 in t l' us t and
,n --------~ -.- 1/2b of' residue -
II'leehanie8 burp;, PA 1705:>
- .
-
.._u_____ - .-----------
Lf!tnpt lIn1tf!(j M",t,hMl'n" "1", ,h VQU 2,000.00 I'l p.r.L_.__
(I<'ormer1v Letort E"AnO'G 1 1 en', 1/26 residue
Ii:..U B) R. D. II'? -
- -
Carlisle, PA 17013 -
-'- - -...
IU11lllY Unj tea Metl1Oc'l1Rt .Gh - "0," ~ oon on nl~n' -
(Formerly New lCingetown Evan i?~lioal 1J>:Jr:. PlUlidllA
---. -- - - ~
F~~~~b.~.roh ) .
- -.--------------
137 Valley View Road - ---
MechanicsbupQ' PA , '7("'" .
- -, -
. , -
C{arlis1e Sprinl~s United VOo ') oon on 0_'"
Churoh of Christ lL?6 l'e~~,
32~0 Spring Road I; - - - --_..~
Carlisle, PA 170p - -- .-
,
, ,. -
_.....
Salem ::>tone U.C.O IVQO I", 1\,,,, "" 0"""
.
( Formerly Lower l~rnnkforn - 11/:;F, resiQ.lJ..l;! -
Reformed & Lutheran Churoh- ..
---- - - -
Stone Churoh) .
R,D.113 .
. .
McClures Gap Rd. ,
- ,,-
CarUs l~J:.~_.illl ~ - ..
---..--
.
. -- - ---
- .'
- . .
,
,- - - - , -- --
- - - --
--~---~--_..._----~-~~~.
-......-.-~-_.-----.-.-._~~.._~---------_.__._.._-----,._--~._.,..-
Doponont furthor lays that all tho abayo.namod bonofle'I"I.1 arollYlng at thll timo o.copt bolaWI
.---..------. - . ----.....-
HAMil
'---
DATE OF DEATH
RE$IDEHCE ,
---..--.----
.'
~ VI .,
"'< ...
gl ..
,~~ II
,l!l,!l II
.f3 i8
1 .
~ r..
g..... u
i ~ l
~ 10:
Rupl Prnpurty
pur~nnpl PrnporlY
1'rpl1oforo '
SUMMARY ; ,
(soh. "A") $
(Soh. till") $
(Soh, "C") '$
$
$
$
Orn~o Taxablo IlslPlo
I I 1
n
;...
~ ..~
I:lll ' .!l S
~,~
~ 110
~ ~ ~~ ~ ' ~
. ~
Q ! ~
z .S ''6 ~
!l ~ "IS I;
';:I ~ ~. ~
~
"IS . llll
_:~ ~ "IS ! Q
!
"
t::"CI .~
IS<
(I)
(Ao Ropnr1~d)
, '
(2)
(1\0 Dotormlnod)
$
$
$
$
$
$
.
HfV."!\..11~1fll
CO~1I10NWEALTII OF PENNSYI.VANIA
TIlANSFEII INIIElUTANCE TAX
1l"~IIlFNT IlFCEIlENT
*
seJlEI>LJLE "1>"
III ~NEFICIAllIl ~s
:j,
o
_._._-~-- - ,. _... - --- --- - -. -, ~--~-
.._,-_.~..- - - ,-. ,-, -- -------
IIFNEFII'IAIUIlS ANll AllIlRIISSI!S Iml.A1'lONSlllP
(StUltl fUJlIIUITIUY und luhlrl.lHHCH of 1111 whn (If 'loP'l'lllh~on 'If SUKVIVEIl 1lA'1'l! INTI!lmS'I' Oil
Ilu Vl! un InINe",. YllHted. cuuth,,,untor oillor. 11IDuttlmll h1chUdfllll IlI!CHIlHNT Oil IJl!NHIIICIAIl\'
WIHO, III OHIII(O) urll Invol\'ud. Y~ll STATB VIiS IIJKT" IN HSTATE
l<>rlh Ihl, [1101,) OK NO .
-.--- ., -,-
v"" .
'Iaro1g-1\. SQurs --. ..liWlIDL__ , -- 1,00U.PJLand 111 0 ~Oll..
lll.:i'LIWllell. Mil] Road - 1/20 1""''' 1 rlII e._______
. al<ton , V~inia 22124
--------- ----., ~_._-----
~J s i~_ M. Sours Nieoe --.X-eJL 1,Ono.oo And lOO.OO
-lil.1.W ORhor>n Rd Ant' lO? I 0" rl l' / 'Ui....uesidUQ..__
)hoenix AT'izonA Ak01~ -- .---
..
--~--- ~
~sther Younp.: Hand~hew 1,1'1..,,,, Vt>a 1 , 0 00 .1l1l..B-'1 d 1 n 0 -0.0._
-
40 N. East Str>eet 1/26 residue ,-
- -.
Ju'lJJue.,,-1' (\ ~lJU3_ -
-- ----------
Uber Handshew N~w vo~ 11 ono,oo AI1n 100,on
2 N. East Street 1/26 resiqyL-___
uarJJ..LU e . PA ] 701 ~ ,
.
ax.Y. Handshew N" AnA V..", -- ,11 ,Qilil.JHl. And 100..J)1L
-
21 N. Hanover St. ,~ 1/26 residue -,,-~-
I
llr'l;!Jl1e . PA 17011
,
--- - -
ee lIandshew t.I.lWh.e.\.'L. ~1" 1 non on '
edaL-Rapids, Iol'ilL ,
-
- ,. ...-----. .--..-..
lice J. Handshew . Dauu:hter of 500.00 + 50.00 and
~ ,
850 Edgewood Rd. S. W. Lee Handshew 1/2 of 1/26 residue
--
edar Rapids, Iowa 52404
. --.....----..-.
,
------ .__._--~~
ertha M. Veitch Da uu:ll!: er._ of' Y~ JiQQ.OO + '10.00
---
850 Edgewood Rd. S. W. Lee Ilal)dfJll~L ---..... and 1/2 of !L~___
edar> RaQidsJoW~...22404 ' --.-----------.,. res id,ue ,- .._._----.---~
E
1
J
l.!!J2..
c
\tLl
~
C
JI1
4
c
L
C
A
1
C
B
1
C
_~o~ono~~_fu~~~~!~ that all t~bovo.na~~d bonollclarlo. ar.II\lln~ at thl~ tlmo oxcopt btlaw:____
--:_--.....:.;::::;:..--::!
NAME
DATE OF DEATH
RESIDENCE
---......~._~_._-
~.:! '"l
g, S
'a II g
!U_
- B
, ~ =
.9 ~"'i
Bill
u e
ill ~
-
-
SUMMARY
(SIlII. "A") $
,(Sull, "II") $
(/lilli, "e") $
.
$
$
Runl ProperlY
PerMolIll1 ProperlY
TrlllurerM
-
(~OHH T\\xnble Jblnle
I I 1
l;J
"
;...
l=l ~
~. !$ 'I E
~ ~'~
},
~ .S ~ ~ $ ~
Il.
!l Q 'Cl Iii
';:1 ell: TJ ~
m ~ 'H
.... t lIrl
'"
;:l :~ 'Cl e. j
~ J
...I"'='
iii: <
"
(1)
(AM Repurted)
- $
.
.
.
.
.
'\
, (2)
(AH Determined)
--
;
r~ C C. Jr '
, '
'*
('OMMONWEA!.TII 01' I'ENNSYI.Vi\NI,\
T1lANSliEllINllliIlITANCE T/\X
SCIIEIltIl,E "E"
,IOINT!." OWNED 1'I1OI'EIlTY
RESIDENT DI':l'EIlENT
INSTlH'('TIONSI TiltH' I'Whl1llulll I1II1HI, IltHClltulfl nIl 11l'(ll11II'I.~'" ruut '/\1\11 PfJI'HlllHllt ..!.!.wllf'fl hy ."hl' Itl!l'l'dl!llt. .Ill1tltl~'
\IIIIl 1lIllllhuf Ill' lll.lI{II'Ht Illol1l1l111~ Int.nlll-tllJlIlH, H1-HIl<lIIl~ III I.hu flH1111l HI' Uw ItOlll!dHIlI. null nt.hlll'H. "tul-
)'Pl\l II~itHtll I'tl'1'tt, IIH olll,lrl't.loH, or .Iotnt, ttJllfllltHI Alvltl~ hl'lld' (\nHnrlptll~f1, ItH IIIIlIolltlltt IIlldflt' 1illl11111ulll
"A", I,IIIH l!ln 11/11-11 IIllel plllllll lit' "II11fll'll lit' 11\111.1'1111111111- n"I'fJ<lI.IIIH VUKttt.lll'fJ, hill. Ihl fln!. tllll1luln f1l1tlrfll.11l1i
or IIlIt Ill' ~lllttl 1'11111 nflt,lIt.u vnlltl1 11\ nf;tnl,l' vnJulIl-t1l1l (10)11",11, JllII'Hflllllt Jlrllpflrt,~' ~h(l\lllt hu IIHtnl1 HH hi
Hl'hPlhtln '"II", plllHlIlLt.tl nf' IltlqlltHIl.lIIIl, HIIII t.llfl 1l"Il\O, luhl1'f1Hfl ullIt rolnt.lnI1Hh,11' (If' /IllY) of' t'u..nWllorH In
tho Ihl(lIHlt1lltl
1)()H{ll'tpt 11I1l uf' PI'nl'(Jrt,~'t l1l\t,H nf' AOIIU1HII,tClllt Nttlllll
",IIII'PHI.. HJltl 1\01n t.1 HnRl! 111 nf' Co..OW"ul'ftt IIIH' 1'1 (\(1U
of' Ilt1nnr I nt' I nf\t.rttnlulI I, wllnrt\ Hurtt 1':Ht.nt,o,
11,,11,
Vul\w
Jln ruulll. /1~~O
HII/lrn
I~H (,/1 t.n
Yn11l1\t.IIHl
1Jl,~IAIITMl,NT
1:A1ITrON-!Io
(" Till.
Ynlun or
Wlt.lro
pl'lr1flrty
^
NON!!:
'I
Illlinrt t.I\tH t.utill fll'lmHtt.fJ it1Inlllt.l)' (IWIIOt' 1'1'nlllll'ty"~ Nullitllulll 111'1"
III 1.11" "M. I\nlIfHq,fJ!I" IitllwlIil CHI t.Im l/lHt IIH~n nf' UII" 1'llI,lIl'lh
VAWA'I'ION
not. Wrtt.o
H II\(W,
Vnhltl lit'
tl(l(1(1I\t!Ut1 H
111t.ltl'ust.
N"'l<'-"'
Nl'l'lu
..,'JId~
H( , .4Q (tI-,'Il,
,
County. Number und Numo :~ 1
FlIt) Number. ;~1.../9...05(Jl
I)oto 01 000110. July;2 ~.
Ebtllla Namo J;httlrllJnur.:;h,
II. ^''-l 'lllMl )
- Cumboi'll\nd
SUMMARY
_~. ..__<~_~_..._~__u,._,,_~~_
--<~_._._,-"~_._"-_._~>-"---
ln~
Allce M,
(.f~'i-li-!,-:'i'.,.;A;.l~).'''-'----~'..' -li,~,,^-i:i
COMMOHWnAI. HI OF pl:HHSYI.VAHIA
TllAHSFEH IHHEllITAHCf. TAX
Hr:SIPEHT Or:Cf.Pf.tH
REPO!LOF INHERI'f ANCg, TAX APPRAISER
I, Iho und."lgnod duly appolntod Inh.rltonco Tax Appral..r In and f.r th. County.f Cumbo!'l and ,
P.nn.ylvnnln, do ,..poct/ully r.port thnt I hove opprol..d 1100 roal and potlonal prop.rly o. r.portnd In tho forogolng ruturn ut
th. vnluao sol forth oppo.ito oach It.m In Iho la.t column to tho right In Sch.dulu "A", "B", "C", and "E",
---.,.-----
Datod:
JonLlf;ry 3. 19(\0
()'j) I
...1 f' '.-,,1
INH E III T AN C I:
I ,"-~II)A"'iill
.r^X ^flf1H^I!'.I~rt
----,-.--
REPORT OF THE REGISTER OF WILLS
I, 1100 undorslgnod duly oloctod Rogl.t.r of Will. In and for County, Ponn.ylvanlo, do rClpoct.
ft,lIy roport Ihat I hov\l allowod doductian. In tho arnounh clalmod by deponont, oxcopt a. 10 tholll it.m. whore a gr.ator or
I...or amount i. ..t forlh In tho loot column 10 tho right InSch.dul. "F", which gr.at.r or I....r amount r.pr...nlo tho .um
allowod a. a doductlon,
Dotodl
'U:(lI!..lEU QI' WIl.LS
INVENTOHY
v ALUE AS AI'PRAISW
$
ADJUSTMENTS
ODE {HARRISBURG USE ONLYI
REMAINDER APPRAISEMENT coon
Rotll PrOllorty (Sohodlllo Al
POflll)nnl Prollorty (Schodulo 0)
J(llllt.Huld Proporty (SClh(ldulo r:)
TrnnlfnralSr.huclulo C.
TOTAL 011OS5 AHSElS
tns'! Ouhtll nnd Onduotlons
ISCHEDULE 1'1
r:U,AR VALUE or' ESTATE
00+
10+
20'
30+
ilOilo.
~()~ 1BO 95
!lone
110110
~'09 1BO 5
9 +
2
I"
40.
93,
onlHllllol;, f'..... If.. I" Ill" f
$
E
'~t
VAL-UEl
=f=:
Vnluntloll of IIfll OllntDII or
::!i-..~.
I-lRINCIPI.E
--
ESTATE TAX ASSESSMEHTS
--'- $
FOR US!! OF REGISTER ONL-V
T(I)( on $ ...__>___
TUI( 011 $
TolC 011 $
'rox on $
1'UI( on $
ElCcmpllonl
Tol<11 Etltotn
~
COMPUTATION OF TAX
_ 2~:'
0%
16%
$
$
$
$
$
TOTAL TAX
$
(.) A. ovldttf1cud by Churlloble
Eumptlon CClrtlflclJtDs IU'JrtJ
by thl!l Socretar)' of Royonue,
--~~.
$
1=
Lou IOk prC\vhHl..ly pcdd
UALAHCE
Lftu 5% of teu: If paid w!thln
;1 monthl of"" doalh
$
$
BALANCE OF IHH~RITANCE TAX OUE
Add lrdofolt ot !uta of 6% from
__trJ
AMOUHT Of EHATfi TAX ASSnSEO
ElIlnlo t(lk paid
$
$,
1=
. r-
$
$ t=
$
$
$
BALAHCE DUE
Adll 1I1111r(l51 tll rnto of 6% frOI1l
'"
TOT AL T AX BALANCE
P~ID_
Suppl.m.ntal Codo'l (FOR USE IN HAR~ISBURG ONI. Yl
48-Adl u .tm.nt
49,I.dlu.tmnnt
56-Annu I Iy
6O-LII. E.tat.
92+RoOlalnd.r Approl.al
93_R.malnd.r D.ductlon
93C-Chnrlty
94-Remalnder R..ldu.
96-Svcunlvo
Life E'l"te
FOR USE OF REGISTER ONLY ADJUSTMENTS
l'lOTE: Wh.r. .ub..quent adlu.tment. or. mad. to the above computation 01 taM by the Re;l.t.. of Will., for prop.. reo.an
.ame .hould b. no'ed b.l.w, with .h.rt explonotlon, '
.
,', .-
.
, II
;! .,
~ i J ~
/a l
"
;... ~
III
I to , ,~', I>,
<ll
lJ., ;:J 'a ~ e
~ ~ ~ 0 to
~ ' ~ .. 0
-
0 i ""'
~., ro rQ 1-0' ~
0 ~ ~ m .~ ~. oll
Z .<ll
lJ. r-I c.. ~
c .(:1 III 'IS ~.
~ CI) '~l ~
!:II: ~ l
.~ ~ . ,. H
~ ~
t,) 'IS .
'" ~ <ll i ~
'S , t) 'IS ..,
~J 1M ,!.j I ~
:;;j .:J ~
f.;l
, .
~IEV.o1ln (11,7(1)
DEPARTMENT 01' IlF.VENllP.
nUlle,All 01' riB D OPEllA' ICJN~
1',0, nox ~070
IIA1HIIRRllRG, PENNA, 1110U
COMMONWEALTH OF PFf\INSYLVANIA
m,SIDI'NT INHHIITANCE T/\X
AI'I'HAI:;EMFIIIT
OATH .1,'"110," l'>:"_:!J,. ~,~H\()
nourJr'l _!:.:~~~'li;n(1
HI r. NO, _~' 1 .. ~/~1.~.~~~~~.1 ,
--..-- ........-_..__..._.--..__.__..~. ~..
WhOl'oas, Alice, 11. ~h(tmb"ugh ____,____. lat" ,d' ._llon'"lgh_~'.E!i:;.I,~),_
In tho County of ClIlIlborl HIltI ____, CUlnml.lnwcidth or PonnHylvanlo, h"'lhli! ,
tho ~'5th day of _ Ju.l:t 19 JJL, sol~od aod possoas"d 1,1"
uubject to Inhorltanoe Tax under the laws of tho COTnmonwoallh or I'onnaylvilnla:
Thoro foro I 1, Clot'ill ,T. l\1cl1/1nl ' ,11l1 ap\,l'alnor duly appointed accord ,"<) ,
having boen desIgnated to mako a fall' and conscionable ilp\,raisomont of tho Hald oatato, ilnd to ilMess and fix Ii", ""
valuo of all annuities and life estatos growing out of naid cHlnto, hor(,by rilo tho following appraiaomcnt:
III 1110 ovonl thnt!lllY lultlnllllturo~lln Ihh nUnto l~ Ifi\mforrlHl1l1 P()\'i{]'i\lllll IH ('I1I"VlllHllt In c:oll"II'I,11 tllnn of IIlU Ilncn(\ulIl "'1'" ""' '.' \l
tll nll'1 ustllto lor 11'0 or 1m YUiH\,lhl.l CnlllIllOl'Y/ltilttll hOfU!iY l1~lln'~~lv ,OSllll/m 111" rlqll! III H!llIfl,I\\1 itlld ;'~';(I~~ l!llmflJlltll1oril.lI\1:1J taKOS III \1\;\ I,WII; I, ,!, !
~lfl on .1ny slIch luturo llitoroll,
- - ~___.,-t.-'._.
--- --- VAL\Tf:S "~"->-'\i
lJr!iCIIIJlTIOfl 0' ,\ ~ i Ii II til,,'i" "
1,,-
- _..........0;.."..
ROlll Propcl'ty i II
- ---
l'ot.HonL~l l't'ollot'tv ,:O.~J
Jo1nt-lIo1d l'ropot't y II
-_.~_.........-._-_..--_.......-.~..-._-- ~..-_..,
Trnnuf:ot'B N
--
- --~ ' I
I l'C)'['AL AS ST::l'S 209
- !
--'--"-- ,-.--..' -.--
- ---- ~.
- ...,--- ---.
..
-----. .
. -
- -'~'
..- _0 - e------
--- -
,
- _._~
._~_.----_.~ .--..--
-- -,- -~
- ... - ...--.."'''.
..
- ..-.--,
.--- .~...--
~-_....~
.
- -- - ,.-.-.-,
.....------.-- ......-_.. ..
-, - - -
--.... ...~.
--~-
- ,-..
l;.~\'
" "!; r jl..IH ('
"
ono\
I
18P' !IS
,",n _I ,---
.C,!rlC?
DUCI
I
\.
,
1180 'S
l
!
,
i
___0\
-<>- I
I
.'1
Havo boen duly nworn aQoordlnQ to lawll tlo,lwrohv oortify thilt tho abovo apprillBolnont In made In ou.nI11l1.'"'
wilh tho lnw on thin Jrl tiny of. ___--'--'- JlIllUllrv 10 .00,
, If" ' II" J, J.. I
______ . Ifl'flJ if 1,' .:J.I! :'.~..__.__ ,,--...
. ,11'1',11;"
_.....~-_.~_._---- ~~.__..._--.....--
!NIII1lt1OlI ,1I,d 1',lInoll
_________ _,,, u.,_._. __,__,!12I!"l.JlUI'1\
(1''''01 .of'iu'!
"((-ll'-I,'I!
ArrLICA'rl()~ rOil CIIARITAIILE F.XI'Mf'TIO~
FrlOM I'F~~SYLVA~IA TlIAHSFEfll~HEIIITA~CE TAX
(Atl nl M{IY 28, \'156, P,t. Il~J, tlllt! Ar.1 of JIIIII' 15, 196i,
P,L. 313, u, tlltlelHledl
*'
COMMONWf~AL Ttl or rF.tmSYLVAN1A
OEPARTMENT or REVENUE
BUREAU OF COUNTY COLLECTIONS
_#
Application I. h.roby fll.d for tho approvol
of an exemption from Po",uylvClnla TrClllldor
loh.rltanc. To. an lho tran,for of Iho prol'orty
do..:rlb.d h.low:
1. Bureau Pile /I
;' 1-'('1-',0\
2, Data of Death ,111'\ Y ;"" 11)'(<)
3, Dato of Approval (ANI. 'L. {(r.r;t~
, ,\\
4, Nal~~,A,.Docodont AL\si.Q.J'!L.."i,llfUJI\JallL'.lL
I '
5, Th. Commanw.allh'. appral..d valu. of Ih. prop.rty fnr which an ..omptlon I. clalm.d I. $ ',1,..1 [)[)[), OO_:!:.. ;;'h~ 1'()c11:I\lf'
(1'401., Wh.r. the prop.rly I. oth.r than 0 'poclfl.d amount of ca.h, thn ...mptlon cannol b. approv.d unlll the valu. 01
the prop.rly ha. bun .,Iabll.h.d by appral.ol by Ih. Commanw.alth, exc.pt In Iho.. co.., wh.". Ih. amount 01 Ih. gift
or b.qu..t r.pr...nh 0 .Iat.d Iractlonal or porc.ntago porllan af tho enllr. ..101. or tho .nllr. r..ldu., In Iho.. 00'"
.nl.r .uch Iraotlonol or p.ro.nlog. amounl abov.),
6, Ch.ok the mann.r In whloh Ih. tran.l.r wa. off.ot.d and .ubmlt a oopy 01 tho daoum.nt oUlhorlllng Ih. Iran.l.r, unl...
.uoh mOl.rlol ha. bun pr.vlou.ly fll.d,
WILL 11;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If olh.r, ..ploln).,.,___.,_
.__._--~-~_..._.'"..._---_..__._._----_.__._----
7, Corr.ol Bu.ln... Nom. and Addr... of Charltabl. Organllallon r.o.lvlng prop.rly'
NAME ,_J,I,-~I10ran i}D.c LaL.t~.\.'J.'.Yj.D"!J:::.G(~n.~l'riJ.J'g.mLB!:.UT, \ on
ADDRESS 2331 MllTl<e\;_~~~,=_,~1.':'..l<.._~_97,_Cnn~p 11\11, P^ 1701]
8, I oertlfy Ihal Ih. Inlormallon oantaln.d h.r.ln I., to tho b..I 01 my knowl.dg. and b.lI.f, true and correct,
51...""" ,,,,,,,",-/jg~~,,,,.._.~.~,
')"\ - (I
~ C::",.t(_
Addr... 01 ApplloanLI2~'- S()\l~_!:1._!!!.~~~9v':E'.St pCC! t J__ Clll'l J rll (), I'A ] '10] 3
Olllclal Tltl. ~xcc.!lt.()2.'-E1....uu,,,___'.u_,
uDal.~L/vl. ..:2( / 'l,J?d
Thl' form mUll b. completed In' trlpllcato and all th,no coplOl dolly.red to the Retgll'er of Will. for the County In which the d.ud,n'
,nlded, or In which lntter. wore I..uod for a non.rOlldont decedent'. e.,ato, If the det:odent wa. a non-tnldent of Pennlylvanla and
lette,. wore not l..ued bV a Ponnsylvanla R(lgl.ter of WIll., dollvor nil thru coplOl to 'h('l Director, Bur.au of County ColI.cllons,
Penna. Oeportment of Rovftnue, 26 S. 4th Stroot, Harrl,burg. Po,
Do not writ. b!!~_w Ihl. !IM' Fo! Olllolal U.. Onl
_ ':'i(:: ~ .;:~::., i.',,::"'''
.A (i( ~},~~I'''.fU~~ ..I'R.~~.t.t;,"'i~I\1 i.)
l,'..Iv"~d U l1,v'4
(co~ty) "
, ) ~( I 'I X}
(DuI. 01 Ap~r val)
R.I.rr.d to Bur.nu H.adquarl.rs
Approv.d 0
For Soor.lary 01 R.v.nu.
D.nl.d' 0
(Initial. of R.gl.t.r 01 Will.)
(Aulhorlud Slgnalur.)
__. ____._____~~~.___.~..h.. _..
(Coualy)
(Tltl.)
- --------
(Dol. of R.f.rrol)
I '
(Dot. of Aotlon)
5.. rtv.r.. .Id. lor r.aton.
MUSlIlE FILED IN TRIPLICATE
COMMON';'F^LTlI or Pf.NNSYLVAtIIA
llH'AR1M~Nr Of' nr:VENIJE
tHJREAll of COUNTY COtLECTlONS
APPLICATION !'Oll CIIARITAIH.E EXEMPTIDI~
FIWM PENNSYLVANIA TRANSFER INIIERITANCE TAX
(Art (,I Muy 2!1, 19!i(', P.L. "'51, ulld Act of JUlin 15, 19f,!,
f'. L, 37 J, (II umtlndl'l{l)
-+-
r~1~
Ii" 1'1. L'"
Appllcatioo I. horoby fllod fo, tho "pprovol
of un exomptioll from Ponn5ylvtlnla Trorufor
Inhoritance Tax on the hUlufDr of tho propurty
d..crlb.d b.low:
1. [lurouu Fllo "
;'1-'('1-',11'1
2,OatoolOooth. JU1,V ;"), 19'(9
(\ II . / I (, JI!
3, Ooto of Approvo1 u L \('\ t, ,- I .--
,,~:_J:l.!'.'!!o of..Oo~odoot^ 'LL~~(2:-""Mc. _ ~ll]L\ml~LlLi!2:,
5, Tho Commonwoullh'. opprol.od vnluo 01 tho proporty for which an oxomption I. c1almod I. $5~J.O O_....9J~ 1/2 .0...T.8 f1:1 d IW
(Nato: Whoro tho proporty I. othor than 0 .p.clfl.d amount of co.h, tho ...mption cannot be opprov.d untllth~ valu. 01
tho property hOI bo.n ..tobll.hod by opprollol hy tho Commonwoollh, oxcept In tho.o co,.. whore tho omount'ol the gift
or bequeltt roprosentl a itelted fractlo",,1 or pCHcontago portion of .tho entire Citato or tho ontlro residue, In tho.. ca...
enter such frac:tlonal or porc.ntage amount Clbovo).
6, Chock tho manner In which tho tron.lor was offoctod and .ubmlt a copy of the documont outhorlllng the "onll.r, unl...
.uch moterlol hot b.on provloully fll.d,
WILL 'It;
DEED ii;
TRUST INDENTURE fl;
SURVIVORSHIP 0;
OTHER 01
(If othor, .xplol"L___~.__~
--"._~~._~---~...._._-_..._....'.. ._._-------_.._---_._~--
7. Corr.ct Buslno.. Namo ond Addro.. 01 Chari lobi. Organization rocolvlng proporty'
NAME _ .. ~O~!~1...!~r'}}"'2\'L~_flolll(>._li'oE:;_~g..I\.e:0d
AODR ESS _~~t!~~l_e \; C:!lL'~~_h'__ ,.._______...__________________m__' ,_____
· I ""'" '"':,:::::::':':::,,~.::"~'"_'~':'~'~ .1., k::':d~;;~;':~'dk
Addr." 01 Applicant
II II 8. ,_t[g.n~Y_('L[2.t;r:.c_(~C_fl.r1L,1.~tlL l'^ 17013
Official Tltl._~':~_r:~u_~,~)~:."_ u___"u_"'hn.._~,.._____Dot._'nS)/ 1'V. ,~~ / '7 fe-l
Thll form mUI' he completod In tr1llllcula and ollthron caplDl clollvored to tho Rogh'er of Will, for Ihe County In which the decedent
rOlldod, I,)r In which lotter. WOIlI 1"~lod fM a non.fuldonl docedan", utnta, If tho chu:"dClnt WOI lJ non.ruldont of Pennsylvania and
Iflller. wero not I..ued by a Ponn.ylvnnlu RU(Jls'"r of Will., dnllvor alllhroCl cople! to tho Director, Bureau of County Collection"
Penna, Department of Rovenuo. 26 S, 4th Strootl Hortl.hur9, Pa,
00 not wrllo bolow thll Ilno ' For Offlclnl U.. Onl
----------- -_.._~---_.~.~.._._--- -
Approv.d: For Iho Socr.tory 01 Rovonuo
_._m~_1h~MJ~~~1R-,_u..
(K~ut\\~1911i1tUi.~f R091';Or ~I W~IIT
_ (,\ A,.Jk.h~~ __
(C.ounty)
1. ' () ('(:
------ -(D~;~-of A~~~I)~...~~---
Roforrod to Buroou H.odquort."
ApJ"av.d 0
For Socr.tory of Revenue
D.nlod' /J
(Initial. of R.gl.tor 01 Will.)
(Authorlnd Slgnotur.)
(Counly)
(Till.)
(Doto 01 Rolorro!)
(Dote 01 Action)
- Seo reVO'.8 aide for r.OIOnl
MUST BE FILED IN TRIPLICATE
II'i 1'1",'"
AJ'J'L1CA [lOll ""i CIIAIlITAIH,E EXEMPTION
fHOM J'[NI~SYLVAIIIA TltANSf'l:H INIII'HITANCE TAX
(At:! nl Muy In, 19!J6, fJ,1. r/lj/, IIlld At:1 of Jlmfl lr., 19l,1,
p, I., 373, III lllnendtHI)
.*-
r~~r~
C:OMMnNWf^I.TIIOf I'I:tmSVI.VAtIlA
OEI'AHIMUH or l~flVf.NlJt
l\LJIH:All OF (OlItHV cOL.I.f:ClIOHS
--,-- .- - .,.
~.
.n. .'.,__~.. ________._._._~._"_. ~___...," _~~ -.~
.-
Apl'lIc(ltion i. horoby filod lor tho (lPI"ov(l1
of an o)(omptlon frClnl P(!lIniyl....onla Tran"for
lnhorltancr Tu)( on tho tran5for 0' tho proplHly
d.Hrlhod h.low:
1. Bu,o(lu Filo I,
:'I_'{')_'j()]
2, Duto of Duuth
,July ?~)t
19'{9
3. Dato of Appr.val C~ c. 'I (ilL V ____m
~-':l,~u~~...E.f D.c.d.~!^ 1:.-1 n t-=c~;:,_.r.,I~'llDI)H Ilf:;h,_u_____,
r. TI C II" I I h f 1 I I I I "I $3000 DO + 1/?('rerddu"
:>, 10 ommonweo t 1 I appraluu va uo 0 I 0 proporly or W lie 1 on oxompt on 5 c: almttu I J____. L_:..__......__._____'
(N.t.: Where tho properly II othor thon a Ipaclfl.d amount of co.h, tho o.omptlon connot ho approvod unlll Ih. valuo of
tho proporty ho. h.on ..tahll.hod hy approl.ol by tho Cammollwoalth, ..copt III tho.. coso. whorl Ih. amaut,t of Ih. gilt
or b.qu..t ropro.ont. a IIot.d frocllonal or porcontaQo portion of tho .ntlr. ..tnta or Ih. .ntlro residue, In Iho.. ca...
enl"r such fractional or percentag4 amount abovo),
6, Check the mannor In which tho Iran.fer wa. offoct.d and lubl11lt a copy of tho docum.nt authorlllng Ihe Iranlfer, unl...
.uch mat.rlnl has b..n p..vlaully filed,
WILL ,?:';
DeeD [/;
TRUST INDeNTURe I};
SURVIVORSHIP 0;
OTHER 01
(II other, o.l'loln)__,___~__.,._
__,_,____"______..",_. ..~.,,_,.., _ _______,____.,__._ ....w_~____
7, Correct BUllne.. Nnme and Add.... of Charitable Organllatlon rocolvlng prop.rty'
NAMF..__ ()r.r.1.CJ,,,,~~(~~;II,t ChUl'ch__
ADDR F.SS _ 7 C{ !___~.__N Ol'~~_~_~r._e~u~;'.__S n~']_Ls~~()-,___!:,^.m:J,~ ~?__________,_
B, I certify that tho Information conlalnei;;r:ln ,I~,;o~~~d: kn.wlodgeQ)~;lIef' tru~~nd;;:~
Slgnaluro af Applicanl _!~lf!!!tj-=-,~_ _.-~--{t=
Addre.. of Appllcanl ~~:~Jia r1.?".er'_~t, t'~~~S_!:lEL~!'~~!':_L.!'.~_ 17013
ExecutoPH ) ~/ /tu
Official Tille _____ _, u.,__ _..-__ .~..____u__,_.,'_ .,_'__.,_______Date_,_,~.i/'t 11/ , . " '. '---
This form mvst bo complotad In trlpllcatfj nnd nil throo coplos dollvorlld to tho Reglstor of Wills for the County In which tho docoden'
tulded, or In whlt.h Ifttton wore luvod far a non_rosldont docodont's Ulalfl, If tho docodont wal a nan.relldent of Pennsylvania and
lotters were not luuud by 0 Pennsylvania Roylstor of Will., deliver all IhtOP copies to tho Dlroclor, Bureau of County Collection.,
Ponna, Doportment of Rovonuo, 26 S. 4th Stroot. Hattl,buru, Po,
_um____ ,___po_,!a_t wr!~e_bel.._\VJ.~n_._: For Offl~laIIJIOOn,ly.__,
Approved, For the Secretary 01 Rovenuo Relerred la Bur.au Headquart.rs Approved 0
-~:$il~-4--:;"'''4f-f~- __u____ ______~_,_,_____ _______ D.nled' /7 For Secretary af Rev.nu.
_~1{~~tgn_.lurc::~~~__
(Counl~
________ ____,_1~,1_~r..-1!t. f~.
(Oat. of A.p~[~vnl)
(lnlllolo of Register of Willi)
(Authorlnd Signature)
(County)
(Tltl.)
____.w._____.~____' __,_._~_._u____
(Doto of Rolorrol)
(Date of Acllon)
, Se. rev.". Ilde for realonl
MUIT liE FII.ED IN TRIPLICATE
!((l , \1",''1
AI'I'L1CA liON "(HI CllARll AlliE F.XE'MI'TION
FIWM I'Et~NSnVAtIlA TRMISf'l'H INIII'Hll ANCl TAX
(Act nl MllY 1", l?~jb, P.L I/!i", (HId ^r! 01 JUIlrl Ei, l'1lol,
P. t, 37 J, 01 UHlCHHlflll)
COMMONWr^l.IH OF PHHHYLVA.,lI"
OEPA.H1MHH Or: '~[Vf:NllE
AUREAlJ 01' COUllTY COLLECTIONS
~-M~'
Apl,llc"tlon I, horoby Illod lor thu "pprov,,1
of an oxomptlon from Pennsylvania Trnn!ofof
Inhorltanco TOl( 011 tho transfor of tho propmty
do.crlbocl bulow:
1. BllrfJuu Flip II
;11_'(<J_',(l]
,I III Y ? ~ I 'I~) '(~)
C'v~~I/" 1(/1 f/
-L!'!!'!~,,-oL!>.co.!!.~'l!.,-,^)~~_' n:~:-,,:~IJI~lIIb~11,!\ll. c------ ___ ___n___,
TI C II' d I I I I I I I d $') non DO +:1/2(, PC)f1\t1l1n
5. ,. ommonwoa t1. apprallo va uo 0 tt. proporty I'H WIlcl an exomptlon I. c almo II G_J-.__._.....f_.._...._M____._.__.,
(Noto: Wboro tho proporty I. othor tho" " .poclflod omount 01 cOlh, tho o.omptlon cannot Lo approvod until tho valuo of
tho proporty hal 10.0" o.tabll.had by appral.al by tho Commonwoalth, ..copt In tho,o ca... whoro tho amount 01 tho gift
or boqu..t roprol.nll a .t"tocl Iroctinnal or porcontaoo I'orllon 01 tho onllro o.toto or tho onllro r..lduo, In thou co...
"ntor luch fractional or perc.ntage amount ubovv).
7, O"to of Oooth
3, Do tu 01 Appravo I
6, Chock tho mann.r In which tho tron.lor wo. off.ct.d and .ubmlt n copy 01 tho docu,"ont aUlharlllng tho tron.lor, unl...
.uch motorial ha. bo.a provlau.ly fll.d,
WILL JiI;
DEED /7;
TRUST INDENTURE //;
SURVIVORSHIP /7;
OTHER 0;
(If alh.r, ..plaln)___, ,___'
7, Corracl Bu,'no.. Nama anI! Addro.. 01 Charlt"bl. Orgaallallon rocolvlng proporty.
NAME ___
Carllnle Spplngn LuthePRn Chllvch
ADDR ess ,..._.8?_I'J ne;_Ii.qgdL .Qi~~:);l~~l<:'! __l'.^ _:l}())},,__________,
8, I c.rllfy thot tho Inlormatlon .antalnod h.r.ln I., to tho bOlt of my knawlodg. and boll.l, true ond corroct.
Slgnaturo of Applicant )/:/.
Addr... 01 Applicant ~_--''?.LJJtm9'yQPjjJCI'C~''1.,-_r,_Rl',L\111e. P^ 1 '1.013
Official Tltlo_ E:J::_~gy~?I'~9_____,n_____._____~_Date____J..)~" ,.11_~ /9 ?t:1
,/ ,
This lo,rn mUlt bo complotod In trlpllculo and all t"roCl coplol dollvorod to thfl Roglster of Willi "}r tho County In which tho decedent
resided, 0' In which lotton werCl luuncl for (l non.rollt!lInt decodont', OIlntll. If tho docodont was a non.,..ldenl of Pennlylvanla and
lotton woro not I..ued by (I Penn.ylvanla RO\jlltCIT of Will., dollvOI' all 'hrno COrlO1 to the- Dlraetcu. Ouroau of County ColI.ctlons,
Penna, Dopar'men' of Ruvenuo, 26 S. 4th Strnnt, Hntrl1huro. Po.
___.P-~ n",I\yrlt.._~'!!!!,v.: .~h-'-~.!'-"'!.:n_"~'_Qf.f1c1a.1J!.""_ On I,y'
Appravod. For tho S.crotary 0' Rovonoe
__,~f:j,i&.~.,l4_Lj:us..LGl~~..
~~ l\\)~MiU'.(:X:L.C~t__
-----------( DO;: Ca~~~f~~.tl-1tl~--
R.f.rr.d to Buroau Heodquorte..
Approved L7
For Secrotary 01 Rovonue
Donlod' 0
___..__..__ _____.___~_,'_"M"..........._ ..._..______~
(lnltlol. 01 Ragl.tor of Will.)
(Authorlnd Slgnoturo)
(County)
(Tltlo)
(Date 01 Rolorral)
(Dolo of Action)
, Se. revI'" lid. for ,001Dnl
MUST Be FILED IN TIIIPLICA TE
!'" I II.'I!
APPLICATION ron CHAflll,\IlLI' EXEMPTION
PIWM I'HIN,YLYMIIA TllAt~\P[R INIIPlmAN(:e TAX
(Act uf Ml1Y ]11, 19~jlt, " l.. 1'1~,'1, (lilt! Ar.t of JUlin 15, 1961,
P. L. H 3, u, I1IllClllUIHn
-~-
~itfl!'
COMMONW(:Al.lIl or rU-WSYl.VMIIA
orl'AfHMI;Nl OF IH:VF.tHlf:
IlUnr:All or COUNTY COLLECTIONS
Appllcallon I. horoby fllod lor tho upprovul
of an oxolllptlon from f1nnnllylvunl(1 Trunsfvr
Inhurltanco Tox on 11'0 tllln.for of tb. prallorty
dO'H:rihnd holow:
1. D",.o. Fllo II
;, I-'(IJ-',O'I
,Till Y :", I 19'(9
2, Ooto of P.utb
3. Ooto of AI'pravol G~f"h. '(" I{ ,\'1
,_U -"."l'!_!'J OOE.!~!!L/\ ll,Q '!,111 !,;J1)~~~!1)/~IJ E!l
5, The Commonwealth'. appraised vol"e of the prap.rty for whleb on .xompllan I. clalmad I. $l.>-lHJO-,-,Q9._.+ 1/2G .!'oBlduc
(Nato, Whore the property I. other than 0 .peclfled amount 0' co.h, tho oxamptlon cannot be approved until tho value of
tho p,oporty hat b..n ..tobll.hed by appral.al by the Commonwoalth, "XC 01'1 In tho.. cn.o. who.. tho amount 0' tho gift
or bequ..t repro..nll 0 .tat.d froctlonal or p.rcontaga portion of the ontlre o.tate or tho ."tiro r..ldu., In tho'. co..,
ontor luch frac:tlonal Dr porcentage amount abovo),
6, Check tho mann.r 'n which tho tra",fer was off.ctod and .abmlt a copy of Iho documont authorlzlnO the tron.f", unl...
.uch mat.rlal ha. bo.n I'rovlou.ly fll.d.
WILL X/I
DEED {I;
TRUST INDENTURE 1/;
SURVIVORSHIP 1.7;
OTHER 01
(If othel, exploln)_,__,. mu',
7, Corroct Bu.lne.. Nom. and Addr... of Charitable Organization rocalvlno pr.p.rty,
NAME mL''2rl';Drl~,.!:I~m~~_()lfln\:,,:!'x_^r;n()n l'lt:J(~n..
...>_...._~~._.____..._,u .._._._~~______..
ADDR F. SS ,~:[~_.r~1:')!~0T.~1_ ,l\!ll1':Tt:,bn II r:h ,~(,w,...1\ .1.l~rcE:~_nw I~) .. T ^, ____,._____,__.
8, I c.rtlfy that tho Information contaln.d ~:!~:~'~Jo~:;~knawl.doe an,: h~~5~:u. =-.o~~ct' ckt,
Slgnatur. of Applicant m l~u.. .rdJ.:~':\7'::-::IA - ..L' ---F) -
Addr... of Applicant ~./~--,~r~I~5:V('t', ~1t;_1:"'~~'~;!.~,rtt'.:t.l.l?.:!:~2._!:L_~7.:n 3
Official TIII.'m_I~,)(()()':l.t,or',H .__.___"..m__ _ __ __,,__,oat.__....y~.,,2.-: 19 tf d
Thl' foun mult ho complolad In triplicate und ullll1,oo COI)lu dollvortld 10 tho Rngl'lor of Will, for tho County In which th.doced,nt
r....ldad, ot In which In'ton Wfl{O luued for u non_rolldont docedont', ululo. If tho docndonl wru n non.rollldent of Pllon.ylvonlo dnd
lotten wore not l..uod by tI Pttnn.ylvnnln Rogl.tnr QI Wills, dolly", 011 throe ':ophu to tho Olrl'lclor, Buteau of County Collecllon.,
Pennol Doportment of Rovonun, 26 S, 4111 Stroot, Hnnl,bIJrgr ra.
_,,__,,__.___,....__.,_~o,. ~..t"',rl!!,~..,a_w--'-"l!,1!.n.!-=-_r:...!.9i!!,~!.n~Q.nlY.
Approved, For the S.cretary of R.vnnu.
__._~_J~Ll.kt~\r}-J,\"+----
';\\Il ,~,lonatttr....1 R.gl.t., 1.' WII~.)
_____Yl._l C i-N ll~J!&t.\"{t,
(County)
..._,._(D~-;~-~f~t:t~~L JfjJi~ --.-
R.f."ad to Bur.au H.adquart...
Apprav.d /J
For S.cr.tary 01 R.v.n.e
D.nl.d' L7
(Initial. of R.gl.t.r of Will.)
(Author I zud Slgnatur.)
_H.<'....__.~~__.... ..____.T_~_ _.. L."."_...., ..,.____.._
(County)
(Tltl.)
----~-_._- -~-_..~_.,~----_.-~~-'"~-
(Ont. 0' R.fe"n!)
(Dot. 01 Action)
j See rev.r.. Ilde for realnnl
MUST BE FII.EO Il~ TRIPLICATe
I" I .'\1""11
APPLICATION 1'011 CIIAIlITAIILE f'XI,MPTlON
fl/OM I'~NN~YLVANIA TIlAN~ff'IlIl<H[HITANC~ TAX
(Art (If Muy 711, 11I.'it), P.1.. 1757, lIIul Acl (., JUHfI 15, If/61,
P.L. 373, III Clll1fl'ldf'ldl
*'
COMMONWE^l.ltt {"If PFNNSVl.VAtll^
(lEP^WIMU~T 01' fHVfNUE
IHJRJ:AII Of' tOU~n y COI.I.f:rTloN~
. ..~ .
Applicutlon I, hor.by Illod lur tho opprovol
of on uxurnptlon hom Ponn&ylvclnla TfC1nlifcr
Inhorltnnco TClI( on tho trun~fC'r of tho I>rOlHrrty
d.,crlbo.! b.low,
1. Bu,oou FII. II
?'1-'('l-'jO 1
,'1I'-'.v ;"), 1979
('101" 'I lll'_tou_ '_.,,___'_...'
^11~e M, 8h8mhuu~h
4, __~ o'!!E~.u?ocodon t--,~;:.:::.:.._.., ____'-'=="-.-..-.'...-,
5, Th. Commonw."lth'. appral..d valoo of tho proporty for which on o'.m"Ilon I. c1nlm.d I. $l,....QQQ_,ilO_,+ 1126 l'o~~lclllf!
(Not.: Wh.ro II.. property I. oth.r thon 0 .poclllod omount 01 ca.h, tho o,omptlon cnnnol b. approv.d un Iii II.. volu. of
Ihe property 1.0. bo.n o.Iabll.h.d by appral.nl by tho Commonw.olth, o.copt In tho.. cale' wh.r. tho amount of II.. gift
or b.qu"I r.pr...nto a .Ioted fractional or porc.ntago portion of Ih. untlr. o.tot. or th. .ntlro r..ldu., In 11.01. CO""
.nl.r luch fracllonal Dr p.rc.nlag. nmount nbovo),
2. Dat. 01 Dooth
J, Dnlo 01 Approvol
6, Ch.ck tho mannor In which 11.0 Iranll.r wa. offoctod and lubmll a copy 01 tho documont authorizing II.. Iran.f.r,unl...
.uch mal.rlal ha. b..n provlou.ly fII.d,
WILL ,wi
DEED ll;
TRUST INDENTURE 1/;
SURVIVORSHIP 0;
OTHER 0;
(If oth.r, ..ploln).,___., m_ , ,_,
...-- -.-. '"-_. ...-----...".-------
7, Co".cl Bo.ln... Nom. and Addr... 01 Charltablo Organization rocolvlng prop.rlYI
NAME ___.QIlPL1s1e .0lJLLlJr;s, J'lltll!:l'J~_I'!.,g.Qm,et,el'y~_^ s?9(!." __.__
ADDR ESS .._~~ l' inr: ,~'-()ac!-'-_,?!-p!:.:1.~,l e..'.,):~ ,lJO..l}_.,_.,...__._ ._____,
8. I c.rtlfy thnl Ih. Informallon contolnod hor.ln I., to 11.0 1.0.1 of my knowl.dge ond b.llef, Iru. and corr.cl,
"'00"" ,I '''''''"'_~~______!~ .-, d"~
Addr... of Appllcan,-~~,_,~__~{,:~lO\'2!,_St2:'.:'~:,t '_Jl..~rll~1e ,_ P^-2..I013_
--
Official Tltle_,L,-xgoU~c>!'r]'_.__~._____,___.__~.,_.__.Dot._,.-~n;..Jt./. ,~~ /'7 J' d
Thl. form muat be Compl'fed I,.. trlpllcntl1 and olllhrl'to coplol dollvo,.d 10 tho Rogl.ftH of Will" fur tho County In which the docoden'
relldod, or In which l"tfo,. woro IlIuod for lJ non.fuldunt decodontl, utato, If tho dOI;Ddonl Wtu a non.relldenl of Ponnlvlvanla and
I."." w... n.' '..u.d hv 0 Ponn'Vlvonlo Rugl"...f Will., d.llv., oil II.... '.plo. t. tho Ol,.,t.., Su,..u .f County C.II..IIonl,
Pelina, Dopartment of Revenue, 26 S. 4th Stroot. Horrllburg, Pu.
Approv.d, Far II.. S.cr.tary of R.vonu.
- ,.__Q.~nol !!!J1.!.!'.!!~~.!~~!!!'."..:~gJ!l5J~JJ:!_~o Onl
--~~~kbr~J~..
"'~~""-c;:::r;D!':~
( ~unty) :S
' ", ,'/ (2j~____
provnl)
R.Iorrod la Bur.au H.adquarl...
Approv.d 0
For Secrelary 01 R.v.nu.
D.nl.d' 0
(Initial. of Rogl.t.r of Will.)
(Authorized Slgnatur.)
.-"""-~___n.__.._~_.
(County)
(Tltl.)
(Dolo 01 Refnrrnl)
(Dol. of Action)
, Se. rev.,.. sid. for ,.a.onl
MUST D~ fILf.O IN TRIPLICATE
COMMot~WEAL Ttl or rriNNSYl.VMIIA
OI:PARTMF.NT or Rr:VFHur
[lUf~E^tJ 01: CI'lINTY COl.LECTIONS
APPI.ICATlON rOf: CHAIlITABLE EXEMPTION
f'IIOM I'I'NNSYI VANIA TIlANSHIlINHERITANCE TAX
(Act !If Mill 21\, llHlf, r.l.. 1757, und At:I of JUlin 15, 1961,
P,L, 373, UIi UlllfllHlrd)
.d6i
. . . "
Jii. . ,"
II( c- I I" '/I
Appllcotlon I. horeby fllo~ for tbo "pprov"1
of an oxomptlon from PonnlylvC111lu TransfN
Inhorltanco Tax on tho hanlfor 01 tho propnrty
~o.crlllOcl bolow:
1. B",oou Fila II
;'1-'( <1-',01
2. Dulo of Dooth
,Tuly ?5 t
11)'( 'J
3, Data of Approval..,. [\~~,"" I U'Af'________'__________
_~~~rno 0/ Doco~ont !\J).c,;"C~;;:=!2J1l11111)J~~ig;)1, ___
rooD 00 +126 ld
5, no Commonwoolth'. appral..~ valuo 0/ tho property for which oa oxornptlon I. clalmod 10 $'~_-'-. ) re::::, ue
(Nota: Whoro tho property II ather than a .poclflod amount of caoh, tho axomption cannot bo opprovod until thl voluo of
tho proporty loa. boen ..tabll.hod by apprallal by tho Cammanwoalth, oxcopt In tho.. ealol whoro tho amount of tho gift
or haque.t roprellJnh a .tatod fractional or porcontoflu "ortlon of tho ontlro oltato or the ontlro ro,lduo, In thou cas..
enter such fractional or pore-entuge amount above),
6. Chock tho mannor In which tho traa%r wa. offoetod and lubmlt a copy of tho documont authorlllng tho traal/or, unll"
luch motorial 1001 boon pr.vlou.ly fll.d,
WIl.L IX;
DEED il;
TRUST INDENTURE~~
OTHER 0;
(If oth.r, .xploln)...________.._...
SURVIVORSHIP 17;
7, Cornet Bu.ln... No,"o and Add.... of Charltablo Organllolfon rocolvlng praportYl
NAM E ....0(;'_ S t el?!29r!~._~,lJ"~_Q(J!,rlll.._~:.tl\!!:O.l}m_u..
ADDR ESS _ Ne_~_!,l.t1f, f),~ OWl]L_~~ ~___,_______~__ _________.___
, 1 ""'" "":,:::::::'.~'~::,,::::'~"l""'" ,.. ........ '..w,.d,. "d/;~; ~.~
Addr... 0/ Appllcant_
II1I SO\,~l;J.1....lI!,1!lgve!~_st1'0El..tJ. Cad:! sle, P^ 17013
I ) ,1/, ,;2(.. / ? ff v
,/
This 'orm mUlt bo completed I" trlf)lIcotu and nil "l1ro(l coploJ dollvorod to the Roglltor 0' Will. for the County In which tho decedent
'GIlded, or In which IMtor. wore I..uod fOf n nOll.rultlon' dueodo"". uInta, If tho docodont wall a non.tuldont of Pennl)oIvanla ttnd
lotton woro not '..ued hy 0 Ponnlloylvonln Rogl.llIr (If Will., deliver allthru copltu to tho Olroctor, Bureau of County Collections,
Penna, Doportment of ROl'onuo, 26 S, 4th Shnft', Harrisburg. Pat
Official Tltl. 2~~~~'~.!'5'1~!l
u "h,.. ____~______...___..___._ Dot.
__.ll2.~t~!! t.o.J>_o!o w -'--h!!.Jln.!..:f2.~.Qf/ 'E!~L!,I,~!_On I
Apprav.d: For tho S.cr.tary of R.vonu.
,.N I. A A .t- > '-\1\., ( /
_,_~f'~__ :.:_-_tJ+--4+.td.~.___
;\~(lI~)V (SI'__~. Rlgllttr 0/ 1"111\
, ~LIL,.",\1lJJ-....,J."c-
.lCaunty)
----~~~L..L!I-,L~,~----_
(Dot. \i Approval)
R.f.rrod to Bur.ou Hoadquartorl
Apf',ov.d 17
For 51. rotary of R.vlnu.
Dlnlod' /7
Onltloll of R.gllt.r of Willi) (Authorllld Slgnaturo)
(County) (Tltll)
(Dot. 0/ Roforral) (Dat. of Action)
. See revaru lid. for ,eatona
MUST BE FILEO IN TRIPLICAl E
flIT' ,I (1-(")1
APPLICATION FOil CI1ARlTAIILE EXEMPTION
FROM PENNSYLVANIA TRANSFI'R INIIERITANCE TAX
(Act of Mny 2t1, 19!J6, P.L. 1757, flnd Act of JUlin 15,1961,
r.L. 373, UI umlllllJtul)
~*
~~-m
COMMONWEAL TIt Of; PfNNSYLVMIIA
OEf'ARTMENT OF REVENUE
aUlltAU OF COllNTY COLL~CTlONS
Application I. horeby fllod fa, 1100 opp,oval
of an oxornptlon from Ponn5ylvanla Transfor
Inhorltanco To. on th. I,an.lo, 0' 1100 p,apu,Iy
do,c'lbod bolowl
1. Bu,ooll Fllo II
21-79-'501
2. Dol. of 000110
,July 2'i. 19"19
-, ,
()),~h, '(_ H' ,(10_ 'n
^-l:~J eM, Shambaugh
.. .~.-.- .~--~..._-..._-..-
3, Doto of Approval
4. N.mo 0/ Docod.n I '_"u___ "u _"___"_,_"",,,
5. Tho C.mmanweolth'. applol..d volue 0/ the prop..~-;:~:-Ich on o.omptlon I. clolmod~: $?_LO_OQ~Qg+l/26 :'Ol!lduc
(Nota. Where the prop..ty I. othor than 0 .poclllad amounl of co.h, tho e.omptlon cannol be approved until the voluo 0/
the property loa. b.on .'Iabli.hod by appral..1 by tho Commonw..llh, O.c.pt In tho.o co... whoto tho amount of tho gift
or boqu..t ropl...nh 0 .tatod fr.ctlonal or porcont.go portlan ./ tho anllr. ..tata or Ihe .ntllo ro.lduo, In tho.. c....
.nter .uch fractional or porc.nlago amaunl obov.),
6, Chock tho mann.. In which 1100 tran./or wa. off.ct.d and .ubmlt 0 copy of tho docum.nt autholl,'ng tho tran.f.r, unlo..
.uch materl.l loa. be.n provlou.ly fll.d,
WILL ~;
DEED 0;
TRUST INDENTURE /7;
SURVIVORSHIP /_7;
OTHER OJ
(If othor, e.ploln)__....____.__
,_..~_..~_.- ._-. .......--- -.--.. '-~'_._~-'---"---
7. Correct Bu,'n... Nome and Add.... of Ch.Htoble Organization ..colvlng proporty.
NAME __,___Qlt:r> 1j S],-~':JJ)rLQfil2I~~',t<:~Li)hl~J'..Ql~_OX_ChrJ s ~.._,,______
AODR ESL3!~~:?pr.~~f': H~?:~__Ca~'~! s:~o .P~17 ~:~___.___,__
8. I cortlfy that tho Information contained horeln I., to the bOlt of my knawl.dye and bollof, true and corroct,
"'"......I'..II....~~__.:~~ '>. diu...
Add,... of Applicant ~~~~'2-()u.!:,!l..J,U~_rlCl1/,Cl.1.'.i1(;I:Cl~__CJ..arll sle. P^ 17013
Official Tltlo -- E~!:_Cl~~I'.t1... u ..-.. -------------_____.Doto._..j2~~/" ./ '?L&L..__
Thl. form mUI' he complaInt! In trlpllcato and 011 throo coplu dollvClrocl to the ReglltC'lr of Will, for Iho County 111 which the decodent
rulded, or In which lutten wore luued 'or Cl IIon.ruldont docLldon,'1 ulnto, If the docCtdont was 0 non.,..ldon, 0' Ponn.ylvanla and
I."." wo,o n.'llluod by. Punn.yl.O"I" Rogl.,.,., Will., dollv.,.1I ,h,.. co"I.. '0 ,ho Ol,oc'." Su,... of Counly ColI.cllon.,
Pennn, Dopartmental Revenuo, 26 S. 4th Stroot, Hnrrlsburg, PQ,
00 not wr"e bolow thl. Ilno. For Official U.. Onl
Approvod, For tho S.cre~~;:~ '~~~:~~-~--r-'~~';~~~~-to Bur~odquortell
~wU;:l~J\!J~,~-u,
S19~1 ROgh.tor1")
, iliyJL~ ____
(County)
\ 1- i' ~:~___
Approvod 0
For Socrotory of Revonue
Oenlod' l7
(Initial. of Rogl.t.. 0/ Will.)
(Authorlud Slgnaturo)
.._-_.<.-----._._~~_.._._~--..-..._--
(County)
(Title)
--_.__._-..._---~..-----
(Data 0/ Ref.rrol)
(Date of Action)
" S.o reve,.e lid. for r.olonl
MUST BE FILEO IN TRIPLICATE
'if ,. 1'1.(,'11
ArrLICA TION '011 CIIA~IT AlIL E EXEMPTION
FIHlM PENN5Y\. VANIA rRAN5rF.~ INIIERITANCE TAX
(Acl of MlIY iHI 19~"" f' l.. 1757, ulld An of JUllt' 15, 1961,
P.l. 373, (II urnerHledl
COM",WtIWI:Al..llj or F'f:NNHI.VAIII^
IlEPAIHMEHT Of RfV(:NLJE
UURf:AU of COU/'HY COLLtCT\oNS
_. ..........".~".. ....u
---
.~- -- -.
Application Is horaby fllod far tho app,aval
of an oxornptlon from Ponn&ylvanla Tr(lf1!tfot
Inhorltoneo Tax on tho transfar 01 tho p'.porty
described bclaw:
1. Buraau Fllo II
:>1-: '( ')-',0 I
Jul.v :'~j. 19'(~)
3, Dato of Approval Q~h~ 'CI,\\V ~... ~ ~
4. Namo of Doeodont^}~(~" M". ~\II!ln~l)nlll':h
, __'__'u_____'._'._~.",._~_ ~ 000 00 1/;>6 1'0BldllQ
5, Tho Commonwoalth . appral.od vola. 01 tho praporty lor which on .xomptlon I. clalmad I. $ ~:.L,._',__:l:._._.__,_._,
(Note, Wh.r. tho prap.rty I. athor than a .p.clfl.d amount of ca,h, tho oxomptlan cannot b. approv.duntil tho valuo 01
tho prop.rty ha& boon ..tabll.hod by appral.al by tho Cammanwaolth, axe.pt In tho.. en... whoro tho amount 0' tho gift
or bequor.t roprosontl 0 .tatod fra~tlonal or porcontog(t portion of tho ontlrtt o.toto or tho ontlro rosldu., In thol' ca...
ontor .uch Iractlonal or porc.ntago amount abav.),
2. Doto of Doath
6, Ch.ck tho mannar In which tho tran.lar wa. offoctod and .ubmlt 0 copy of tho documont authorizing tho tran.lor, unlo..
luch mat.rlol ha. beon provlaully Illod,
WILL 0;
DEED (I;
TRUST INDENTURE 17;
SURVIVORSHIP 0;
OTHER 01
(1/ athor, oxplaln) _,_,_._~_u
7, Carroct Bu.lno" Nom. and Addr... of Charltablo Organization rocolvlng proportYI
NAME _ 8fl},,~n,.0,j~(~IJ,~_.U.!!~~,9~1 C.h,I:I,r'ul.1..,.~ f."C:in.lI1t_____,.,
ADDR ESS .~~~_,113. .., M~~~~"!'.c_~_(l.~~_I~(~'_.n c nr'l:'.I:.,~?,,'.. l:.~ .,::.'L?~1}___,__..
8, I cortlfy that tho Inlarmatlan contalnod h.roln I.. to tho bo.t of my knawlodg. and bollol, truo and corroct,
""'"'' ,f ,..,,""'~_. -,,)'Lff ..,. ~
Addr... of Applicant _!I~lu_~(),I:~.!~.Jlllno~.?EJ1!~r_'_E'.c:.t:.._~ar11 fl~.::..!..._Pfl~ 170] 3
O//Iclal Tltlo _.~X.0(l-"'~;OI~I) .._.~. ..... __________,,_.__ Dato___.L.)~~!,-L.2.J~tL___.
.-
Thll fOfm !null bo cC)mplotnd In trlpllcotD llIHI oil ,Iue(! capilli lIollv01011 to the noglltof of Will, for the County In which the decedent
,"sldnd, or In which IAtton worn IlIuod fur n non'folddont docodentl. uloto. If the detedn"t was n non.r..ldont of Pennsylvania and
I.,Hon worn not '"ued by tI Ponn"ylvClIllu Rogllto, 01 Wlll'l dollvor all throe coplOJ to tho Phutlor, Bureau of County Collectlon'j
Ponnn, Doportment of Ravonuo, 26 S, 4th SlfUftt, Harrllburg, Po,
____u_._______,_____._,,,Qa_n_c~t \Yr!t!~...I..\YJJ1,I.!~!in".:. For Off I c.I..L!:!.!.!_~!
Approvod, Far tho Socrotary of Rovonuo
R.forrod to Buroau H.adquatt...
Approvod 0
For Socr.tary 01 R.v.nu.
<:~ A, 'Lo\., ~
'.- - . '~ili /~.\.Q.
--._~(;;VJ. y~ L "
~~[\~~gnatu~t:v::~,\:.t~~~,~.,_
(County)
_.~ ..". . -'--(Datf~\~~~ro ::o.N,.J~~,-. .. u_
Oonlod' 0
(Initial. 01 R.glltor of Willi)
(Authorl..d Slgnaturo)
(County)
(Titl.)
(Dato 01 R.forral)
(Dot. of Action)
~. S.e rover.. lido for rlalon"
MUST De FILEO IN TRIPllCA Ie
11<1 1 I""
APPLICATION rOil CIIARllA(lL~ EX~Mf'T10N
rllOM PENNIYI,VMIIA TIlANII'ER INIIERITANCE TAX
(Ad of MIIY 211,195(0, l',l., 1J!i/, lllld Ad td JUlin 15, 1961,
P,L. 373, III otllerllJtltl)
.~
~~~
COMMON'Or,\llIt or. f'FNNSYLI/AIIlA
rH'I'AHTMENI OF HfVI'NIJC
(HJf~f;^lJ or COllNl y cOL l (!CTlONS
.........-.......................-
Application" ho,oby Illod Inr tho opprovol
of nn oxomption from PonnlylvC1nla Trtll1'!for
Inhorltanco Tax 011 the tran,for of tho IltOporty
do,erlbod holow:
1. Burocw Fllo II
;'1 - '( I)_',(lj
,lul.Y ;"i. I I) '(I)
G~'J'( ((IS"
:: ::::~Oo:fA:::::::,t M (C~!~, -:~il~lnl~IlUE:h n_ ...,
-'~________..n____._...._o_.._._~_::-.~ l/?() 1'ef~-1 rllle
5, Th. Commonwoulth', appral,od valuo of tho prop.rty for which nn o,omptionl, c1olmod I, $'c.t.(}_()Q,.JJ(J~_._____n_'"
(Natol Wh.ro tho prop.rty I, oth.r than a 'poclflod amount of eaoh, tho oxomption cannot bo opprovod until tho valu. 01
th. praporty ha, boon a.tabli.had by appral.., by tho Commonwoalth, .,copt In tho.o en... whoro tho amount 01 the gift
or boqu..t r.pro.onts 0 ,totod fractional or porcontauo portion of tho ontiro o.tato or tho ontlro ru.ldu., In tho.. co...
ent.r luch fractional or porcentage anlount abovo).
2, Dato 0' Doath
6, Chock Iho mannor In which Iho I,on,for wo, olfoclod and .ubmlt a copy 01 tho dacumonl autharl,lng th. tranofor, unlo..
ouch ",at.rlal has b.o" provlauoly fllod,
WILL lV;
DEED//;
TRUST IHDEtHURE /,';
SURVIVORSHIP 17;
OTHER 0;
(II othor, oxplaln),~_._.~u_. ~ .
7, Corroct Bu.ln... Namo and Add,... af Charltobl. Organl'.lIon roc.lvlng prop.rty'
NAM E ___l,et; 1)!'LlJn' ~ ,,~clfv1_cj~h()cIL fll; ~_(:I].uE9..I)d
ADDR ESS M_..2~.,-E_'--!~~L_!!f~:Jl.~~!(~~__~^_l?~ ]'1____~____,_, ,__ ___ ________,
e, I corllfy that tho Informallon contoln.d horoln I., to tho b..1 of my knowlodg. ond b.lI.f, truo and corr.ct,
(1~. '"?J C-j}f/,
0"- .~_. -..----...~-~~~--r:::-.~./ ----~-~
(
Addr... 01 Appllcont ~~()'.:t:I~~.'I!ln()V_~,:~__~t;_~~yt; '__, r.f1l'11 ,,1 (' 2~~, '1 O~___
Slgnaturo of AppllcanL,
Official TItI"-__);;0!CC1I~Orfl .~__~________,_,___._._.llot. (/).. '{.-4-13J.,1
This form mus' hlt r.OIllI>lotod In trlpllcntl'l tlnd ulllhroo capln dellI/Meld to 'tin Regllter 0' Will. fo', the County In which the deced.nt
,uldodl or In which l"tt(In worp I..uod for Cl non.rtuldtmt dDcodontl, Plfntcl. If tho dtlc:l'tclont WUI Q IIDO.'lIldont of Penn.ylvanln and
lollor. Wilt" not hlued hy n Ponn.ylvunlu Rtlglllor of Willi, doll....." all throe toplu '0 tho Dlrecto', Dur.nu of County Collection I,
Pen no. Oopartm.mt of Rnvenutl. 26 S, 4th Struot, HnrrllhurOI Po.
___.~_____ D~ll~1 ~!lto_b!!o-"'u!."!!_!!."-!..:.J'.!!~jl!E~L~~ Only_
Appr~vodl For tho Socr.tary of Rov.nu. R.fo"od to Buroau Hoodquart." Approvod 0
For S.crotary of Rovonu.
-"-d,LJi ~g~~~IId!(__. ___
.x.()~~4,~is~~~.1 ~ogl.tor of. Wlllo)
----- --- --_Cu_\,~~{I_,_
(Counlv) .~
(D~o~:~{~:~;;nIHD_~
Donl.d' /]
(Inltlol. 01 R.gllt., of Willa)
(Authorlnd Slgnoturo)
(Countv)
(Tltlo)
(Dot. of Rolerrol)
(Doto of Action)
. S.e rev.". lid. for r.a'onl
MUST [Ie FILED IN TIlIPLICA TE
'" ( I I'.'"
APPLlCHION rOil CIIARI'! AliiI' r:XEMI'T10N
r1WM I'ENN\YLVANIA TllAN\I'EIlINIII'RITANCE TAX
(Atl uf MIIY 7H, W!dl, fl,!., 1/'1/, utili A.:I of Jutln l!i, l,}(d,
P.I.. 373, (Iii IHlIetHJnd)
.
rOMMONwrAL11I or PENNSYLVAtIlA
D[PMHMHH Of' RI:VENUl;
UURf:AU or. COUNTY COLLECTIONS
Appllc"tlon I_ horuby fll"d I", tho opprov,,1
of on o)(ornptlon from Pennl!ylvanlo TrJllf.for
Inhorltanl'O Tux 011 tho transfer of tho proporty
dOliCrllwd below:
1. Buro"u Fllo "
,'I -'1')-')01
2, Doto 01 Dooth
Iltt"\ ,v ;11))
\'1'1'1
3. Dato 01 Approv,,' ' C~\V "li
'N f 0 d t A.l1 "" r~, ~:JlIllll\Jnu!'.11
'to arne 0 oeD on .. . . _....- ..- -
---'--------.----'-'--' ,. ______m_ - 1/;'(,
5, The Commonwoal,h'. oppral..d value 01 Ihe properly lor which an oxomptlon I> c1olmod I. $?L(),0.~),:l).()__-t-.__,_.J:i'1~J.c1\1"
(No'o, Whore ,he prop"ty I. o'her 'han a .poclflod amaunt 01 co.h, ,ho n.amptlon canna' ba approved until tho value of
Ihe proparly ha. baan ..tabll.had by appral.al by tha Commanwaolth, a.capt In thosa ca.a. where the amaunl 01 'he gift
or bequ.,t repro!ienh Q stated fractional or porcontogf' floftlon of tho ontlre ostato or tho entlro r..lduo, In tho,. ca.o,
enter .och Iractlonal a, pa,co,,'age amou"t obovol.
'{. I(.t\(b
6, Check the mannor In which tho I,on.l.r \Va. affoctad and .ubmit a copy .1 tha document au,horlling Ihe tran.ler, unle..
.uch material ha. b..n pravlou.ly Illed,
WILL &;
DEED 1/;
TllUST INDENTURE //;
SURVIVORSHIP /7;
OTHER 0;
(II oth.r, e.plaln)_..,_.."..,
--_.._----,_..~-----..."--------
7, Corract Bu.lne.. Name and Addre.. 01, Charltabl. Organization recelvll1g proparty,
NAME __._n" 'l'r:,!~~U'L_~ll::1.\;~,(!__My ~ ho.cII,ll\;., l!!lUl'oll_.". .__,____,..
AODR E 5S ._~:~,_,~~~:~ll.'~ L () Wl~ '- 1'.0..._____ __.__ _ ______,_____________,_-'--_____ri_.___
8, I certlly ,hal Ihe Inlormatlon con!Dlned h.reln I., to tha best of my knowladge and belief, Irue and co"..I,
ll. J ofl~ ",/-:r ,-{J
Signature of AppllcanltY::il.<].-L~:'V--.'it--\:------I--r'--~ /0, ( .CL,-
Addre.. of Applltanl ~11..:;_O~~~11Inr~o.~er._f''_'~r:.::.r:',\:_'._~~r~~_:1~0~,?13
_________n Dale ___juJ..l-.~.!,L1}j' (I ___,__-
v
Till, form mUlt be complotod In ttlpllcCllc and 1111 III roo coplo. dellve,,,,! to tho Roglslor (\1 Will. for tho County In which th. dee.dent
resldod, or In which InUo,. woro 'uuo(l for a non'fuhlcl"t dDclHlcn". 0,111111, If tho duc€ldont was a non.,..ldent of Pennlylyanla and
I"norl woro not 'uuod by a Pann.yll/onlo "oglllot of Willi, dftlll,lor all throo coplu to tho Ultoctar, Bur.au of County Collectlon1t
Pp,,"u, Depo,'ment of RovenuD. 26 S, 41h Slroal, Hcurl,hurO. Pal
t EXOn\ILoP~J
Official TI la ~_,__..,...__u
.. __,_"m~,o_n~t _\Vrlte,~el!,_w -',~I~J~~.!,:J'!,-Q!'!!'Jol U.. Onl
Approved, For the Secrotary 01 Ravonu.
Rel.rred to Bureau Headquarte" App,oved 0
Por s.cretary 01 Revenue
~cjJ~.ti~:L~'-'\'ly~,d,r.,4c--,-,-.-
';(~Q,,-.~~191o_1.,~,...1 Regl\,er o) Will.)
.._u____l^.A.:.,.~(J.l....l--
{~(~~:Iy) ..
m(D:~;;~va,[Hd- ~.:-------
Denied' 0
._.u...c_~_..__....______...._.____+~....._._________. ... ---.------
(lnlila" 01 Rogl.ter of Will.) (Authorized Signature)
_.......;,._..._.. ___._ _____~_ m__~___'_.'
(County) (Tltlo)
.....,._-~_......_--~~-~---_.~._..--.-..~-- -
(Data 01 Rolerral) (Dale 01 Action)
I 500 revorut .Id. for ,.alOn_
MUST liE FILED IN TRIPLICATE