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HomeMy WebLinkAbout79-00527 COMMONWe;l.\. TH OP PBNNSY\.V;l.NIA DBP,ARTMBNT OF RBVBN\lB BURBAUOP cOUNTYCQ\.\.BCTIONS INHftRI,TANCB TAX DIVISION INHE:I~ITANCE TAX RETURN F'OR INSOLVENT E:STATE:S ONI..Y , OF RESIDENT DECEDENTS .., -,f"- '77 * COUNTY Op' O'umbal'land - .......~.......-..,-_.~----~~-_.._- I RCC.'O~ 1J.1S1 ~ Thll "'u,n ",uII\>u .onllll.,.~ In d,'olI .nd III.d 'ndupll..,., with IIi.R'QI.'.' .1 will. In Ih. C.unty'wh.,. ,'h. du.J~n' ,.".1..1 wllhln nln. ",unth. .ftii, d.t. ..1 .1..,1., unl... nn ,,'.nll.n I. V,.,,'.d hy,th. ho'.'.'y 01 R,vonu', ' . -, ---,- " , . Q\ll'~, ra. . I. NI" 19._ 1,9..!\r.ol.i..D9.JjJ-L~!1dllmu._____"_.."lIf _JAJ]o~1\loO~_ j)E~~YOLfI!.~o !,l;\.~~~!:"_ Hf AMtH i A fHHH': 1\ IU (Mrlo~tY G" ' 11111,," dill)' MWllrll uucurdlu" III hiI\' , d911l1MUM lIud MIII'M IhliVlw IH Ihu J!.'!1'v'ly.il)lL!,l.P_~Y}~.IL.\\g.clClI4L , - IIH><rc" AliM.. 1."oATEtr, Il'i'r:.l ul' Ihu uMIIIlu HI' .._~L.K!lnn(il;h ,~Ap,1l\~ IlIlu IIf.J,J.n\1e,X',~););ll}1,'j)P~m,Bll~P ,1'tIlV, IlUHOlJu1li oft TOWNtlllltJI duuUllHud,lInd lhllllhu wh\llu \If Ihu uMIIII\I III'MIIIII ducuduul. \1'III1'dlod'OIl Ja,nllary2~,1,979 II'All(f cUlIMIHlod \If IlIu IIMHulM IIMlud lIulllw IIl1d 111111 1111111\'111110 dohl. IIud dudll",I\lII' o","lIdod 11111 1'111, Illllrkcl Vnh'" \If III" II"oIH IIl1d -"~f ,.__H____; 1111 HUUUH)'lvlIlllu '!'rUIIHfur IlIlIoritul1<'" Tux 1.<1110, , l'II'I)UlIC , '1'1' PIMI, IlPI~1 Swo'n .ndtub,odb.d bo~o.. m. I/.\\t, nlW '; "UlIIiG IIllI\O\lO\~ ,5't 1..)( Z' ".1(, \/.iill';,';,\';;,r,lli\ 1:\1111,1:, ".919 Ih ---:'T'r{ doyof._ ,,:tt.I!.I.:~L, 19, ,,,ill_ , l'IIiI,:,ol,C, 1~, I ',J(-{-~~ , /"(t"tf~., r I.;,; _ ~'''(}ll\III~~I~)l1 ~ I. /IJ' /1/' (..Af.~-<..,..-<- (A"4....H.~ ",ii,'''" ATu" III "'sui1ir:l.vlngSpO\.\IJ~i TUi T~p!.f ~...t, .R,arllfot'l Petr' P'OI!<l,tv. J.'nl y Hll~, P,Q#l1 or TUln.f.r, ~lIns (Attach addltlahaN;;T; If nOClualY) DOlflflpllol1 (If ,A...t thtlmat.d Maiko! Votu. P.parl","nt Yii!'l9.UtlL CAUTION (DCll1til wrIt, In lhll. t. Peraonalty 1978 O~evrolet Ooupe (Monte,Oarlo) Auto- moMb. All other assets, roal, personal and mixed ,were owned by deoodent and h'ls w11'eLOaroline E. Adams, as, Tenants by the l!lntiretiea. Oaroline E. Adams survives the deoodent and makes this Return. 4500.00 ,--- ...-----.-,.-1.-,..-....-----""r--.- TOTAI.S 4500.90 aO,Dt) I\Hl'OItT OF INIIHI\lTt\NCH TAX AI'I%\ISHR I. 1110 und\\t~18nll!1 duly uppolnlu,llnllurlli\nuo 'l'IIX AllprlllHor III nn<l fllr III" ub(lvo ('(Iullll' dll rOHpuolrull1' rOllllrllhll1 I lll1vu RpPlIIIH od thu ro, al R. lid purH(lIIRI prllperlY qH rup'lrled 11111\0 rnrq 11111" .ehlldulu'~'llh., \'UIUVH.H'" rorlll 1I\11"'HlI,u IIlwll-lI,ulll III lho IUHI O(ll~~ ~'lIJOOI~ttz." '9- ,'> . / -' ".. 1 1'1'1 J ;' , \) {;; "","-- - WI. / - - -'Lu...J, ~~ - ;\ Oalodl... .' __ _J. INHU:RI"fA1i~(; rAX A~'P'ii^II..F.Rl~T~~--A-";--- ' Ham' of Pay.. , pauTS ~HP papUCTIOHS Naltir. of .C,l!1lm AmDunl Clalmod Ame'll'"t AJiJlloy,d lly R.gl.lar Mye~s and H~ll Fun$~al Home, Oamp Hill, Pat ' '8t. ,John's Oemetery Asan Gingrioh Memo~ia1~ Tristan Assooiates' Lewis Patte~~OPJ MA D. Robe~t Gilroy, M. D. Holy 8plritHospi tal So idle Memorial Hospital ,R. G. Az1tkhan, M. D.' Oaroline E. Adams F\.u1el'al Expenses Oemetot>ynot Oemotery Monumant ~~rays Dootor Bill Dootor Bill Hospital Bills Hosp1talBill ' Dootor Bill Family (Widow's) Exemption 149$.60 )0.0.00 4$.0.00 1$.7.78 122.40 87..36 161.. 0$ 22.50 22.80. 2000. Co. ~__,_,_._...~_'''''H ..~...'_.._n_.~~_ TOTAI.S 818.89 " IWI'OIn' 01' TilE I\E01STI11\ 01' WILLS ' I, Ihu uudur~IUllod duly Olu"lufll\o"l.tur IIf Will. 1lIIIIul I'm IlIu Ilblll'O ("lIl1l1ly, \111 rUHp,'ulflllll'r"IH,rlllllll 111111'11 1I11(.'\I'ud doduulllll1H 1111110 Rlllllill\IS kel fMlh 111 I lie UhllVlI HdIUIII1I" I1N <'Il1ll1l11d, oxcol,l wiler.' I 1111"" .1'1 fmlll 11 glllulur mlos'''r nll,1I11111 !tllhu IUHI clIlIIlllnlll 1"~~'""tW"I;h ";~t'lur ~t1' 10HHoL 1111'"11111 rOllrO"U~I{.!,' HIIII1 ~II !~I',O'.'I~_.U ("i<l110~'~I' , IlRtu Ill' ApprlOvlIll. . .1..'):;:4. , (- L:/ ) I ..' '. '" , V .' C' . 5~~ /J!, ,c,;-J,/.. ,';(/'-..1)..2. ,) !: /'./1;' / " _ t\(),t~1,,\ ';r,(<i\i{o,"r1.)v uj'U __<./1 / l},\{I({''-'/L-'- .",~,'f-3 - (,) , " i'. ji .' !' ,. ~ ffi , ~ w i u IU e ~ lH 'I r.... ~ ] ~ ~ 0 m ~ ~ J' ~ i:, I\, ~ l: ~ ~i 1$ 00; ,IS ~, Q) ~ 00; ~ ~ Q" r.... '1S ~ 0 :IS tc m .g B Q) p - ~, "'B ~ a 'S i III '. = t.4J 'S ~ ~.J ~ g ~ . = l:Q t,) t,) Ii f' ; ( " r · I'