HomeMy WebLinkAbout79-00539
No, 21~79 : 53~)
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of HC<'<'7 A, _-"Srke,L.-,~~ , deceased,
To Rlohard E,Anderson, Register 9f Wills for the C;ounty ofCumberlond,
In the Commonwealth of Pennsylvania,
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Petltlbner(s) are the executf'~...--~ named In the Last Will and
Testament of ,.~\::\~~_Ic~~ ,...___... dqted ~W
Decedent W05 0 cltlz;en of the United States and a resldent,of
l}.)(,\V'lM \~rylou,~ ' ~d~= Cumberland County, Commonwealth
of Pennsylvonla, .
Decedent.'dledon ---L\"~1;9'.io/ the IS-tk
,A, D. 19'/ll, 'I~ the County of-DC\'-lpkili
'.{)l.'.lAIAS1\YCkllll ,~ at the age of ~:l.. ye<:lrS,
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Decedent has not been marrl,ed and has not had children born to him
since the execution ,of the above described Will.
Decedent Wt;lS possessed ,of personal property to the val~e of ~. 56 I 67JD
...:- and of reol estate to the volue of
day of A \A.:iV.lt-
, Stote of
W c> y,e:
estate situated os follows
os near as con be ascertained; said real
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Therefore, your petltloner<s) resp~ctfully applies for the probate
of the said Lost Will and Testament ,and for Letters Testamentary thereon,
Doted' Se~~elMb'c!r b\. \ C{J.:t '
Name and address
of Petltloner(s)
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-'x (>~<V~~j ,$, ,~'::/i~Jk~
lOt) Or,,~wc>.~,l,V-lt\'lJe
Wo,,,,,, \~7!; Iour~ \ Vel
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C,9MM, ONWEA~TH, OF PEN," NSYLVANIA ,l S5
COUNTY OF CUMBERLAND ~
,CIa \ ~e.., \J, $7\f'r..l
named In above application, being duly ,c',,-s:C_tL.--,-_ accordlng,'to law
say(s),thdt the ,statements set forth In this petition are true to the
bestof___kl'r .. knowledge and belief, ,
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Sw'>.,,^ and subscribed before
:e,~9~~ =
Rlohard E',' Anderson, Register
,J ,..-~,
2_j..d..-I'~/M>
.-<:P, ('~~:j[~.
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Filed; Septembel:' 12, 1979
or/- 79,: 5..3 r 1,/), ~)r:,..!:f.y
Attorney:
It'e C. SW(\.r\'Z._...~J
\::>'0 \') I' e C ' riJ,jf~'
'. p~:",\)l'\ ( v..
\-\tq'\\..\.b'<C:J! p"" \ 110&--
I,
disburse from the p:dncipBl (Jf lJut1h UUpLlrato' trui:lt tp
,or f'or the banerit of ita t'IlUpO(:ti.ve b!ll1l1fici!lry aD much
of' th~ 'p!.'incipfll tharaof au tha THU5H:E, may dU\JIm advistlblB
tp adequately prpvidll for th. cumfortublu eupport, mainp
tenanou 01' aduDation of', ite roaptlc tiVtl ,beneficiary, The
TRUSTEE mey make Dueh pD~muntu diractly to tho beneficiary
of such truat or may apply tham for tho banllfit of' and an
b~half' uf IHICh beneficiary. Th~ ,judgmllnt of' the THUliHC
as to the amourit Qf ouch payments and tho advisubility
the roof shall be concluuivu upon all parDons intureuted
in euch flapar.eta truet, The THU5TEE eholl not be raguired
t6 saa to tho ues of ~ny paymant made pureuant harato
end' upon making any such puyment. tho TfW5TEI:: ehall' be
~ie~hatgad from all furthar li.~ility or ~~~Dunt~bility
therefor.
6. If ,any of the bonafidiuiae for ,whom El 6Bparats
irust hee boen cr~ut~d ehull die prior to ~ttuining ~he
age of thirty-five YeDre and ,ehall loave iB8~e him eurviving,
the eapBret. truat provided for such bBneficiB~y ahall then'
tEirm'il1ete end all Llndiatr:j.butad ClaSfJte thereof shell be
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distributed ~reB of tmwot and per atirpee to the ieBue of
euch bsheficiury. If' thera b~ no iBuua G( Bueh bBnefici~ry
surviving him, aue,tl undiatdbuted aaaete of ths' \)B'porah
truet aforementioned ahall be diatr~buted froe of trust
to the then living laBue par utirpCle, of my Bon, LEHOY,
prDvirled, howaver, that all eumu,diatributable to e pereen
,forwhoSQ benefit ~ upparotB truot is oatabliahed hereunder
ifl than bain\l udmi"lal;ornd, uhull be rJiatdbut(ld to the
Ilflperute trUllt I.1nd otHlll bo ,held subj',~ct to the terms of
e~eh' seperete trMst.
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I). Fol' the fJlJrpo~aa .of thl,s Ylill any udoptpd pfH'son,
whathlH l.lQoptud bofcll'O Ol' I;\ftol' ~he dute of thia wilt, ahal,j.
bs tl'Qoted on though hU,or uha WCll'e the nutural ohild .of hia
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~r hel' odoptin~ Farahto, dpd ul~ rUfBl'BnCaU tu i8RUB ahal1
ino,Lude Buch adoptfl'd pe1'llonu und tha iuuul!;i of, auchadopt,sd
ppreone,
E. Tha ",ala pt'lJnUUn UtHld hCJ1'I'l1n ah;!ll be cona~ruf,ld to
if1clude l'afUl'enCB to f.,lIIulo pl1rUunu w!lenDvlH requirlld by thl;)
context.
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F. I\l!" astuta, inhorituncu Ot' dthor'dauth texaa
impoEll!ld or payable' by rClllflon of my death upon <all property
forming a part of my aetate fol' tho purpo~u df calculating
such taxas ahall be paid from the residue of my satate.
S\Jch taxea ahail not be ,apportioned among the pBl'sone
rec.ivirig .Uoh taxubla fJ~operty, wh~ch taxae ahall be peid
by my EXECUTOft, wi thout' raiil1buraemant from Buch beneficisl'iall,
at auch time or times aa my EXECUTOR ahall ~e.m adviaable.
G . If atliny HollO tha HlU5TEl hareun~er is slao'the
TRUSTEE of other truats created by me or by eumlll other
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person, whethar 'or not, by flOHlB separate and independaht
inetrl,lment, of which the ballafidariseand the te:rme of
trust ars identica~ to the bonaficiarioe arid terms of
truet aa he ra in p rev ided, end if the Tf1US HE ehdl f i"d
~hst the sllparet~ ~rU8t8 cen ba'more affactivsly adminiateiad
if thay Olra combinad, 1 haraby authol'ile the TIW5TI::E, in
hie ao18 and absolute diacretionj to 60mbine any truat
hetein aetabliHllfJd 'with auch other'tfuet ae may be idantical,
ae efor~8eid, end to ~clminiatar th~ SHms as one truet.
!!:.ID!.lU.!il. A. I appoint. my wifu, I;L/\IIH:: P. SYKES, as t'hB
f.XECUTOR ..of thia will.' f(n' convllniancll herein 1 have
employed t~li' tll,t'm E'XECUTOH llnd aleo tha, ~erm Tf1USTU~. All
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r.llfBr.enCelll her.elin mf.ldetothtl EXECl)TOH oJnu to thl! THUSTCE
shall ba deomt1d .torefor.tQ the peraOI1 'pd\li'M,lly uppointed
,
to thoee offices al1d to 011 uuccoso6re In juch officaa. In
thaavBnt that my wifa, CLAIRE D. $YKES, ahouid fail ~o
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qualify or. if a vacanc* ~hould occur. in the offica ~f
l::XECUTOH during tha<ldminiatr.uHon, of lilY BBtiltu, I llppbint
my aon, LER~Y,~e 5U~CESSOR l::X~CUTOH haro~ndllr.,
a, I appoint lilY 8011, LEORY, ua THl)STEEof dl truutll
ae,tablished helrtHlnder.' 111 tha uvant '~htlt my eon, l,EIWY,
Ilh,ould fail,to t14aHfy 0.' ahl;luld 'El vecuncY,occur in thr.J
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office of THU5TEE du,riny the administrwtion of tho t~'unta
herein cr.eated I I appC1i~t my nephew, r~AflVIN 5. HAUER, <HI
SUCCESSOR TRUSTEE hereunder.
i
C. I direct thut my EXECUTOR and my TRusteE und thait
rBspecUVll SUcceSsors, ahall. not bl'l' ruquH'ad trJ fih r;ny 9unl;l
or othsr B!llCl,Ir1t,y for the faithful performoncs of tho:!r
raepelcUve dutille in..any dudsdic.tion in whicn they Inlly br;
callad upon to act.
'[H'THI InaddiHon to 'the powera )Jrovid(ld by luw, 1
~uthgrils'/IIY EXECUTOR iM thel'edminiutrat:!on of~'y aut.ta
.,and my,rRU5,T1U: in. ,thi; udministration of the trqat ostutell to
eXelrcise the following powars \'lith respect to my rHltatl' or
the trust aatah,a reepec tively without the r1elceaaity:of
qbtaining thel c(~nsant or approval of uny cO~lrtl
A. To ratain any propsrty received hereunder ~nd to
invBst'sn~ reinvaat in uny propHr~y thuy mDY dlloln odv:!aable,
whather or not IHlch pJ;opelrty be llf .thaclHlrtlctaF THl.f/i!Jutilibllo
fOr in~aetmBnts by fiduc,iuries under uppll~~b1a proviuiyna
af law, that is,' \'i1thout l'l!lutr..i.c'tiun (,ll fw....r:ullud "11111".1
inveleltml'lnta ,II and with~ut"'the ubl i\jutillll to divurl'lify
.inVelstmente,
Such invautmelnts mfty lnc.1ud., inter ulia,
)l:;;~anta
i/l i'nvuutment trlJlltQ "'Hi OI"III1IUI1 ttl,lfIt funda,
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!. outhod~C1 o!lic.l TIlU!ln:~. w.Lt11out U.ubiJity to oUOIlllinylo
thll ouaete of uny aefHlt'tltU truut 'with theCloilotil of other
,
,trusta ha l1Iuy be adminiotL\rin<;J ,for the purpoal3ofthL~
opllodiVU invuatoHlnt or theU13I'H1 to uf uuch' (lfilP,l1'Ute trullta
and in do in\) aD tu form Joint vrJlltursl.l I.lt' invaLltmllht !-,urt-
nllrshipa amdnlJ tha vuriOUB aUpluoto truatu lJlil he may deem
apprtlpdata, flro~idadl l\owlJveJ:, thut' tho mU:ilEE ah.d.l lJt
olltimaa l1Iuilltuin rucordu which will ahow the ~ropurtionatb
'interaot o( ouch flurticiputin\) truut ill Buch colleotive
investmento, joint vuntureo or inveotmentpartnerohipa
end thut hu uh'lll, duly !lecount to eoch 6epUrt.ltll tt'uet tharefor.
a, To keep roaoonuble umounto of cash un hand or in II
aavin\JEl occount In u cunllnarcJ.ol l>onk if IllY Ex~cuTOR or
TRUSTE~ c.leume euch uctiun adviuul>lu,
C, To sell, convey I or t1tharwiue dieppae of OJ: grant
options for the P4rohuaa from.auid lXECUTOH,or TRUSTEE uf
any ,..nd till proparty 'at nny tirne fOI'llling a part of IllY ElstlH{j
or tho \;ruat eetatsB in BLICh m"innor, at ~uch pricea, upon
j,
callh or credit; end upon ijuch other tsIms alil rny EXECUTOR
or my1RU5TEE moy d~em advisable,
0, To repllir, alt!'lr, improvo, (lr ll'uaa Co'r'any period
of time, inbluding a per+od ixtanding beyond the contemplated
termination of tho t,ruuta herElin crElat,ad, any,raal or peraq,nal
,prope~ty, ~nd to give o0tiunEl for ,leus,..
IL To b'urrow mOlley for any purpose whunevar in thair
Judgment advisable und 6soacurity ther6f~r to mortg~ge or
pledge any relJl or parabnol pruperty forming a part of my
estate or the truataatatoa upon 6uch tarmo as thay may desm
odvioubla.
F. To vatu in poreon or by proxy aocurltioll' held b~
tham and in euch connuc\;io~ to dol~gutB their ~i6cretionery
conaent tb,tha reorgonization, con~ulidution,
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mf;lf,gar, uiesolution or li,quitlutiun df uny corp()t'utiun .tI1U
to tuka'uny stupe which they may duum apprupri~tu in
bonne~t{on therewith.
G. To reyieter usouritiee in the name ufe nomine~,
Ii, To compromisll, f.IrbitrOl,tfl, raleusCJ lir mudify thlll
,tarms of any bluinHJ of my ea,tuts or the Lrllut lIututua
s9uinst otHers or of othsr8,8gui~et mydstutu ur thl
trust ~ptutos on Buch terms us thay ~DY dhum adviaublu,
1. To e)(l'lrCiUfl such elsotions with rnspuo,t t,(J lJny twl<
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returns to tie filed by my sstute ur tHe truule c~outld by
thie will ue 'may be psrmittedundsr the to)( luws uf the
Unitud State a or of u~y of the 8tu~uU in ouch mannar ns my
EXECUTOR 01' TRUSTlE, in their di6crotion, 1I1UY dllum l'IdvieUlulu.
J. To inv!,!st. in uny b(lllinl;(lI;l vsntut'tl' unu, to conduct
uny bU6ineas ae they may daem ~dviuubls furaugh ~~~ioU ~f
tims as they m<!y deem [It'opar, end tu pEJrt'urm IJU IH,ta
l1ecElS81U'y to COlluUC t Eluid bu,uinmaa, wi thaut .l:LubJ.1i ty for
el1Y lnee occurrin\J by l'l3ueon of tho, opal-uCion of auid
,
bl.jsin13!lel to lanu money to such iJuuinesu upun lJut;h ta1-'ma
aa theY,may,~bem advisable. Thie pOWar shall include
the authority to incorporat~, l~capiluli~at reoryaniz6 or
diseolvs &uch bueinesu.
K. To dietributo tha uEluate of illY, Hocutt! (1I; of the'
\ ..,.. ...,a.. .. k"O. .~, to ..,.. "I .h..' .. .. ..md...'
of ceeh, prOplHty o,runrJividl1d friJe;tiunol ahureu in
P,roparty ,diffftl'~,6t in kil1d frcim tiny athu1' ahur!!,
L, To a~(lcuta <.Ind dulivar any inlitr'ullIUr\t .In wl'itin~
w1lich th\lY may (lfJf)IO IHlr;oar,/HY t(l CQrt'Y (Jul "ny uf tha
fureyoing powlJrElI [1(1 plJl'ty' to uny Illll:h inul,l'umtlnt. il1
writinlJ shall bUbuuno to aHD tlJ thfl uppl,tcutipf1 by, my
EXECUrOR'uTRUSTEE of any mQ(\IlY or ottH'lr rJrOplll:ty delil/lll:11d
~q, my EXECUTOR or T~uSn:E pUtllfajl1~ tp ,t,tfll ti$vtna qf IlUQh
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instrums'rlt. ;
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OATHOP l'lotHUeSCRle,l'lO WITl'leSS
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COMMONWIAI.TH 01' I'INNIYI.VANIA
COUNTY O' CUM"R\.AND
s.~\f^ lot!'
511
This, the. (" +l.. day of
A, D. 1 97~, before me, Richard E, Anderson, Register for
the Probate of Wills and Granting Letters of Ad mlnllltrotlon In and for the county of cumIJer-
land, In the CommOnwealth of Pehnsylvanla, personally cameJ~AUH\ t;. J "Rv.~~
. r>f1 ~ . L&k T' ~\!JU.--'-- '
who being duly
S:t...\.I\.U\
the h,andwrltln9 of '
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according to low deposed and soy that ,they are well acquainted with
1-\ Cl\1'1' 7 A. S~ \-re.s
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to on ,Instrument of writing
whoso nome Is attached os
pUrPorted to, be.
,.-"~_...c......1\,<J r' '!'
the Lost Will and 'festament of
,~ ~l,..e.
A C' ~
-. _ ...y @r
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late of
LJt\\~W\.\~1..b~r~
"I deceased
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and that the sold signature Is true and genUine, ol,d II ,et tMe Sell;:!
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TI6 RaW e1eeeEl8~e1 Ir ill1~ir:lt
Bwot'n nnd subscribed before me,
this
6th
day of
.
.."'\
+{~rd>:IH(,~~9:;,~~'~''''
~;;4,OZ#~
j
Septe11lbet'
A, D,1 97.3...-
per
eglster
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--
Deputy Register
,OATH OF PERSONAL REPRESENTATIVE
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OOMMOl'!WIUA,' I,ml OF P, InNNSYIN ANIA }
COUNTY 01<' CUMBERLAND ' SSI
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Befol'O, mo, ,tho Rogl9tol' for thoPI'obllto of WII1Hl\l'd !l1'lInttn!l of I40Hol'H or AdmlnlHtrutlon In'lIna for
thll C~lmty of Cu~borlllnd, poraonally oumo '!'''I,C,lk\,\y';~"""1J,\"SI'1J~,~',)"""""",,,,,,,,:,,,::""""""""",,,,,,;,
who, being dilly ".$\tjll,\"~""""",,,'do fI,~",,, dOpOBlllllid allY ~hllt IIs,,,,,,~~~,~l.h~'t.),)(,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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of the last W\lIl1nd 1'estll~ont or """"",\~','i'li.,~,jt:'.".fn\'I"".S:r;'\'(IU""";""",:,,,,"""''''''''''''''""""",dooellsed
""""sk~."",. will well and truly udmlnllltor tho !(llOdH n~d chnttels, rl!lhts an\lcrodlts or suld,decellsed
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according to law, And 1I1so wlll diligently oomply wl~h tho. \I1'ovlHlons of tho luw l'ollltlng to Trllnsfer
Inheritances, ""fji,'yf,U,'l1"",,,.,,,, und subscribed
before me,
~""ac-('4&,f.1;-;;""'i.?I"s:4i.1i-:rf,,,"" """""1\",,,
IOl,ltt1li'" ,11,11 _ .
Rlohard ,AnderB<1I\, Roglster
.,"jj""'ttHIII...OlH1H""'....II.,llt.II.'HI.j'.lllliil..."lfltl"t1",,",i
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DECREE
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Be It rememlWred thllt ,on'the ".""J&~n",,,, day of""",,,,,~,~p.:x~m~~~,,,.,,,:,,,,,,,,.,~, D., 19 ..1.~"" there
was,probated and recorded tho Inst W\l1 \lnd Testumont of ""I;i",r.r,1{",~,'",~y,~"R"""""""""".,,"",,.,,''''''''t
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law of """"Mf?,r.w;t.\l,~",'n!r.~".~.9.r.mrlgj}""""",..,, ",.." Oumbl1rland County, Pennsylvania, Deceased. Letters
,
','''' ..""" ,,,;,, ,'j:',f!.~; ~~m,~!t.~,IH~N"",... wore fP'al\ted 'to "j9,t.,~J, r.~" ,?,,~., ,~r.,~~~",:",,,:,.......,,,..., ,,,,,,;,, . i.""''''".......
Witness my hllndand official Reul t~o day und YOl,1r I,1fol'osl,1ld,
"11,,'''1''0 I IHHHllil ,..HIHI..
Rluhnrd E), Anderson, Roglstor,
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"~ 'T_' .~_., ~C" <,_c
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_.~.._ _.... __'.~_""'__~" __....._.._ ~ ~U~ ...... _T..,.~n~' ,_-ri" -.----
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i REceiVED
I.__','-:-c-,__",_,-,Tc-:--,-<_-.,-.;,:,',:--,--'---:,..,,,:_:..:,_:.~lII,~:IIJIJIt---;-
'. 'OMMONW'BA"TH 'OP P,NN8YLVANIA ,::
, " . " 'DJ\PAftTMINT OP A8VIlNUll '
, BIRT, PENNSVLVANIA INttBRITANoe 'AND esTATE TAX, . ,.
,-,~"U-_';_: ,,' _;-,}.-,,;-;I,--,. '. ,:,:._:;:;,::;__~-,,).':,-_-;,;i'.:<':'-__:,:' .; ,.' u .--, l : J' -:<,- --'-:..-.~"~-;'!- -- - ." -- - . - ,'.-j:",
.....,. .-' -,._--."..,~,;.;.;.~_..,,-:.,
dollo"
'_~l'~MfY_rl'II'~-DO~as--.------------_.----
, "roprDl9nllng ponn.ylvonla Inherllon" or
T...._C~ R~'lI'i!...__~-_:.....--- __._~~Iax due Irom Iho following ..,0101
(Oldr:. D. 8yk..) "
'.0. .... IUl9 ._,wn_'.' 2'A la, on $ $
Dolo 01 Pdymonl--M8t}e.waX' ",.. 1-$!7-9~-'
Nomo 01 Oocedonl: ,,"'U'Y ".' .vv'll
---'
~<k IllX on $ $
15'/, lox 011 $_ $_
, '1< la, on S $
1 E.lol. la" Ad 01
Moy 7, 1927 $
101 AL lAX CREOII $ a.'n.1S
Lon flvo portonlum of 10,11
paid within ,hroo mon'h. altar
dolo 01 doal~ $ UL!loB
Plu. Inlor8l1 01 Iho, ralo 01
__... 'A, from
10 $
Fllo No,
HU.~.),w,I9, Pll. 111.08-----
21..19..11I.1001001 Ooolh.~_~k'l,j_Ii-
Counly
0."",-",,'1:' .ft~
P'mork"
II PAUl ON AClQOUM'r II
],OO~~I1~@~lf[~
SEA L
101AL AMOUN1 PAID
$
~Jk ~ . . 4
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", ,vi " ~t~lut;m ~rt\,.l(,<
i~t'Ol ." La -, D.~
, .9ht.~liI~. WUb
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NOTel T~i' Trlpli.^t. A..olpl \Q "" ..tilnod,lo, I.d" p.'PI,...,
, ! Rocolvod by
NotEI In (J(upllng lhe,l/an,fe, lnherllClnu 'fc..~ onfulllll 1I'\nl.., pllor It> 11"1 dtol_h QI th, hi.
tlna'" or ,.",onl for y,oH, a, -Ivld.",.d by Ihlt ,"'If'I, II Ii I,lndanlood thol Iha CommonWiQlIh ,hall
"01 btpr.clud.d or 'f1r1V1nltd !rumhtftalll( 'att.ttlf\~ udrllllonnl Inh,'llfinC\1 tnl '01 Iho dOQlh of lh,
Ill. '.nohl or 'tnonl lOf Ylort whlnev,lf II appeor. tho!'HiCh'oddllloMIIClI may.belegully dUI ond
(oll,cUbl. I(lt arty t.t1\Qn whQltOhlr,
~~, ~-_.. .-.~' "....-. ,......... ..~,- --~~. . --- -
.m_H__ ..__ ,,__, ._.n- ...-" >--_0 nT__
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COMMONWe^I,HI Ill' Pr.~INSYI;VIolH^
ol'PMIT.\I"N TOP Rr.VIHl\In
. OllfH^lI nr- cOLl~ny CQ\.I.I!C nOli;
AI'PLlCA Tlml r'OR MID CO~lst:!tn
TO TRMISr:r.'R SECURITlf,S
1~r:()ISTFmE(lI~1 T1H1 tlA/.IE
or' A RESIl)I~NT Dr:CEDEIH .
i
I
,'..'
.. ,,".,~,~_.~n_'_.' T" 'T.... '_~..~_'H"'~"ri~,-<_" ....___ . __T "'~"--"'__" ".-. -.., -- -~. --" ,~-,
Af.f.!JCATIO~ (MUST BE riLED IN TRIPLlCATIi!)
TO TIlE PENNSYl.VANIA PEI'ARTMENT OF I~EVE:NLJEl
AppllQctlon Is horoby mado lor c OI'IGcnt to tho !rnn~ror ur thc following .ocurltlos 010 Psnnsylvonlo
Corporation Qr a N4flonol.l3anklng Auoclollon locutod In Pcnnsylvonl(11
o ^ T e .".Al.l?L~Q....._._.__
(a)_iQ..... " (bL..I.:l.li..m.r;1lil.J;lb.il',l,.lll,l~QtJ:.iA."Q,QJ1lpany~,..-c........_-" (c) _J.>J:a.f.ca r.rud.,' ( 7....a.aoA.)_
(NOTE, In 'dcscr1blng .~ocurltlos ontor In (0), oh 010, olthcr Ihenumbcr 01 sharos 01 stock or the face omount 01
roglstefed bonds, In (b), tho name 01 tho Isnulng company and In (c) tho closs of stock or tho statcd Interest, rate
and motvrlty dote, cf reglstsred bonds,) , .
ISSUED OtLJ.(!L~,__~_, and having a TOTAL. MARKET VALUE OF S_~lB7~O.....:....-.-,_._~
, (Oat.)
as olthc date aldeath '61 tha dllcedont,....1ia.t'~..._6.ykfl,a
(Nnm. al O,e.d."t)
_.___, on_..a.Ll5..L8n
(On,..f d.a'hl ,.
who .waslate '01 100 O.akw.QQlLDJ;'_,_.~WQrmley.l3bul:Jil._c.umb.ar,land...C6unty.........E.~
(St.... and Numb.,) (POll OJ/loo) (Caun'Y) (Sta")'
The securities ar,e rsg\st,ored as 10Ilow$l_._~.~;'~...€l.Y~~!L,_,_____...__....~
(UnnlO ,of OQm.. In whl<h 4orl!flcclu (1,.,eglil.,.d)
A~C \)~1~ ix,:e Di...Jl...Y.~.~~1.J.90.. O~J5,~.9.Cl.g..Af..\.I.-, WQJlll.l.ElY!'IPl,tt9.I" Penn BY 1 va n ii\..,
EXE UrOR . (Nam.) , (Add..u)
NAME OF APPLICANT .J.:.'~~f9_.L.a~~~f..~ESqU~re, ..,
, , ' "Hep or , ",J,mmerman & Swartz
COUNTY rll.E NUMBeR___~-__ ADDRESS OF APPL.ICANT __?.J.O.. "~'Q.x B89 ,
. 'Ha urgr;;:.a. (i ?l08
~~~~~~ Fi~;~Y~~I~RTO~pl,;o7p~~~~,;ILC\~~NTyU,~;R~io~~~L.~~I~N^~PLICA ION; IT WILL~tE~( /
, ' , CONSIOIlREOCOMPLflTE AND WILL SE RflTURNIlD TOYOU FOR COMPLETION, ,', .
--,-----...----.- ...-,........-.-....-- "
- -.,. - _.....--...._--_......._--~~.....,~_.._...........-..-_._-~.._.._..__...
COMMONWEAL.TH OF PENNSYL.VANIA - DEPARTMENT OF REVENUE
, " CONS~.NT TO TRANSF~R SECU~ITI~~ ' DArE GOL IQ..(rwJ
I heroby conSllnt to the transl,er 01 tho abcvo so~vrlfles,now rcgl~lllrsd In th, noma 01 th~~sol~ '
Oscedent ana Y!(llvo th, (1lIng 01 (I.cortiflcato co~tlly'lng to tho poymcnt 01 the ,ransler Inheritance tax to which
, ,
tho prollerty 01 said ,Oecsdcintls made s~bloct pursuant 10 the provisions oflhe Act ol.June 20,1919, P,L. 521,
as amonded onr! the"Act 01 JU'"11~, 1961/ P,L., 373, as 0I1\ond09' This Is olao In aecordcnce wl.ththe provlslQns
of tho A~tol April 9/ 1929/ P,L, 343.
This Consontto Tronslor thehMoln dn~crlbod ptllporty opoiotcs only In lo(OtonCe 10,tho estate ollhe
, ,
abcve.nomod Ouccdant.
\'..
~4t. rl'lfoj~
.I ,"/i>;l(
/" ':I~\,"Vt,
'i,r,,;..~t:iJ'I~,. .,
, SIQOOdJ,o,r the s,ecreIO~}fROVen,ne e , '"
B~,a;.Jl,~-uh?~~~
'tJ'~ (SI~:I"') ,,~ I (I l I
( l;~, ". ~Nt,~,' 'iJ'-'~, "tJL~J;I".!...:\\:~~J\lo..'\f
( .) (Ca.nly)' ~
. '
,
COMIA<':lIlf,AI,n,op PUtilUYl,YAIHA
Pt:I'AII'I"If.HT OP IlnYCIHlIi
U\JI:~,\U (II, COli" ry COll.rC'I(~~I.',
M'I'L1C^ 1'1011 rem MH1 COII~EIIT
TO l'I~^"lsr:r:r~ SP.CIJRITIES
HI:nl5Trrlt:n IH TIlE t~M\E !
or. ^ IH:smf.ln DI:CEDEr/T
AeeL.~ (MUST at: rll.E!D IN TRIPI.leAn!)
TO THE PENNSYL,VANIA DFrflAIHMEtH or REVENUI::
Appllcatloo I~ ilcrcby O1/Hlo 10rcCt1soll' to tho trans lor of tilc /ollcwlng $ocurllio$ 010 Pcoolylvonlo
Corporation or 0 Notional Dnnklng Auoclallon localcd In Ponnsylvlllllo:
. (Ponnsylvania Enterprises~ .
(a L_li,..___..__~(b) _Jll:lnn/il~:Lv.ll.nil'laa CL.&,Wa tQ r_.c~.~/".,,,,..__,...,,._, (c) ..,-.c.QmmQJL..._.__~___
(t-/OTE, In dascriblnl' locurltles on tor In (0), ob ~o, ol,thor tile oumbor 01 shoros 0/ stock or the loco amount of
roglstered bonds, In (b , thu noms 01 tho lRSuloQ company ond In (c) ,lhc c1au 01 stock or the Ifatcd Intoreat roto
and moturlty dato .01 ruglslorad bonds,)
..,. .D^'Tl:",_~Z!.6.7a'C;,=.~~,,~'.
ISSUED ON.J:L7/64_6i....UqLl2j,ond hovlng 0 TOTAl. MARKET VALUE OF L....U~.QQ._--.-:
(Dot.)
al of tho dote of deoth Qf the docedent,__!m,rr~_.lb__.S..:tls..f!,.!I___.__~, or,_eLl.5/79
(Hum a .f O.o.dunl) (Do'. of d.olh)
who WOI loto of_JJLQ..9.M.w9.QJ:l,.J2l:'LI,_W,Q.tml~y.l'lbJ.U:.'iI"._aUrnbeJ:.1.a.nd..c.o~.,....p.e.nns.y.lv"l:l i a
($".., ond Numb..) . ("0" Offl.., (Counly) ($'01.)
Tho ae~vrltle.s are reglltorcd os followRI__,__lnll:;l;'Y_,.A..,_S.YkEl.B,_,_._~___.___,,_ ,~_____
, (Hnmo nt "(1m" I" which c."/flcet,, oro retghli,.d)
~Lo laA!:~.p-.!JlYls~_~,,!..._.lOb_Q.~tJlQQ.r;LP-.hl_N9,,;r.m.tl!.:li.QjU:g,,-~nn~~
EXECUTOR ,) . . (Horn.) (Add,...),
NAME OF APPLICANT ._..~~,..Q.L,$~\:IJU;..t.g-l--El.!!quire
Hepford, Zimmerman & Swartz
COUNTY PII.E, N, UMBER. ADORE,SS OF APPLICAHT _2.....0, ._..BO,lc.s.S9_ ~._ ..:
.. Har . r9, tf!&. l08~
BUREAU FII.!: NUMBER-Ll;;::.7.~-53~_,SIGNATURe OF APPLICANT _: .-".,'!a.... ~ .
NOTICEI IFYOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APf'LICA ION, IT WILL Nor BE, .
CONSIDERED COMPLETE AND WILL BE RIlTURNED TO YOU FOR COMPLETlO!:l, '".
--4-.-......----__._.__.____._._._...__.L.~_._.____._
-. ----.-.--.....--..---..-....-..........-...-....-.-..----------
COMMONWEALTH OF PENNSYLVANIA., DEPARTMENT OF REVENue
, " - CONS~.Ifl'..1Q. TR~NSI:.~R SECURITIES.' ,,' DATe~)~
I horoby ~onaeot to .he Ironsfor.ol tho cibovo so~urltl~s now rogis'ored In the nome of th~old
Decedont and wolvo .hs IiIlng of a certl/l~ator.o,tIfYlng ,10 tho payment 0/ tho trons/or loherlton~e tox.o which
tho property of sold .Detodant Is made subloct pursuontlo tho provisions of the Act 'of Juno 20,1919, P.L, 521,
os ol11ondod ond tho Act of Jutlo15,,19(Jl, P.L. 373, a~ amondcd. This Is olscln accordonco with the provisions
of tho A~t 01 April 9, In?, P.L, 343,
This Ccnsont to Tronslor the hnroln Iluscr,lbod property operalos only In roforonce to tho' ostole of the
allovo.rlOO1od Docodont.
K\ ~~~ ~
\~~ ,~~
~, ,fl"}' ;t.
r, .:0- ,j,' ~. ~~
~tZ(.,J';;i'
.SlgJlcd,ln the, Sfcrolory of Rovenuo
\..WJJ.r.' A t -l~ "",^-"../J.. . ,
l3y.__.1.:.:CV-4v. ,~~_.q~......._
. .11. ~ . (519,'.' ,.1 I A^ 0"'~ A
~A:'?, '~R(l ,).<.W,lllX\2..~,,..,~}-~, ~,..~
~ (./ '(C.vnly) ,
, .
COMMONIIUALTlI or 1'~tlNSYI.VMII^
PC'~,\?TMCNT or IIAVENUC
'6l1Ht!^U 01' CNI'ITV r:OLI.UCTIOII~
I .'...____b~.._.._'." "'''''''''--''-''~---''''~
I '
~ (MUST ae flILI:l.lIN TRIPLICATE)
TO THE peNNSYL VANIA DEPARTMENT OF r~EVaNUr:1
~ Appll~atlon Is horohYllloda (or conunt to thc trolls(or o( tho followllIU socvrltlcs of oPon~sylvcnla
Corporall,on or o,.Notlonal13ctnklnQ AU(i~lullon loeatad In P,Ollnsylvonlol
~~)Oi~l~ Lln~~as~;I~~~~jj~~~~ft-i~~h~:~~';~~1~~~;':~~i~~~~h;;-~~t~t~T~-r;;~'s(~(s~o~r;~-J'e lace amovnt 01.
reglstorod bonds, In (b), tho lIamo 01 tho Issulllg company clIlllln (c) ,tho class 01 stock or tlie slalod Intornt rata
and malurllydatocifroglslorod bonds.) ,
M'Pl.ICATION 1"(lR MID CONSF.IlT
TO TRANsr:lm ~,F.CURITIF.S
IHWISTr:.rHiIJ If! THE ~ltd.\r:
Or ARE:$1i)F.wr Dl:CIWEIH
I~~'
- ~ -~,.< .,-.'.',"~-, "'_~__u~ '__n_............._._..._u~... ,_ ..._
PATL...1Ll:.~80 .__
IssueD ON-UI,.2S/75 __.____, and hovlng a,TOTAL MARKeT VA,loUE OF$._.2.d.A.J....li'--o__
(Do'.)'
, as 01 the dOlO 01 doathCIl tho docedent,.:.Jlarry A '~f1ses
(Nom. .f D...J.nt),
____..._, e;>n_..M~. 15.1 1979
(Do'. .f,~,.'hl
who was lato ol.,..l.O.O....C.a'k.wQQtl..Dr_..,.-WO,l;'ml.eY-M.~t's.~U.lI\.M_Q,Ql.\ntlU--'-p~.nnay 1 van ~IL-
($Ir.., and Numb.,) (Po'l Dill.,), IC,.un'" (510\1)
:The aeQurltlel are roglstercd ns 10110wsl__..J.j~U:-_I;:y.J.!.t__J1Y}(.JiL~,.;__~.__.._~;__.._~."..~_~
' j (Hamel (If "nmu In,~hlch utf_lfl~o'.. Ufa regll,."d) ,
~C'U ~)-9.1a i:r~nP...--.J!Xl<_~~,!.._,,~gR~ oakJ!.c::l.e.~._P.;:-!..L\~Orm.!!'l_:{~bur~!...l'~.
I!X.. TOR) (Nom.) , (AJd"") .
" NAMa OF ,APPLICANT __IJ.a~-I-._~~.!!lrtz~!I9.\l~re
(', , Hepfort'l, Zimmerman & swartz
COlJNTYFILEl NUMBER, .._ ADDRESS OF APPLICANT, __.P.~_o~....... .. x..JlJlh-.
. , .". ",H<\r \~r9<cf.~tt-t.~t~
BUREAU FILE,NUMBER.,.2.1".2.9dli__SIGNATUREOF APPLICANr --,.. __...___
HOTICEI ' IP YOU MIl. TO, PROPERI.Y m,l.lHMlY flORtloN OF THIS APPI.IC TIOH, IT WILL HOTSE
COHSIDI!RI!P COMPI.ET& AHD WILl. BIl RETURNED TO YOU FOR COMPI.ETlON,
_..._-_.__.-...__._.._~...........
COMMONWEAL rTtoP-PENNs"vL'Y-At,ij'A-- QEPARlfMEN-;; OF REveNue
. " . , ~ONSENT TO TRANS.f_i;.RSE,CURITlES Q. II] ('11fo
I , "DATE ~4.. ___
I hereby conaent te;> the transler 01111~ ,above socurl,t1cs now ro~lslerod In the name cf the dl~esald:
OOcl!denl ond'walve tha filing 01, (1 certlllcate certifying to the poymentof Ihotronsler I~h~rltanct tax to which
the property 01 a'ald D~cedcrll Is made sublect pur~Sant to the prQvl~lo~,1 01 the Act 01 Jvn,e 20, 1919, P,L. 521,
asamond~dandlhoAct,of Juno 15, 1961l r,L. 373, as arnendcd. This Is also 111. accordance with t,he provisions
,-- I"
of tho Act 01 April 9, 1929, P.L. 343,
This Callsent tll Translor tho haraln doscrlbo~ propcrty operq!es only In rclarencc to the ostat~'of the
above-named Dacedont,
\"1.
'~1~\~
'\I),I<<;;l _It..
.'" l\:t~ IN,_ .,
"~~I~ l;'.1'\''-
, 1'.,.,< ~I,J." ""I"
Signed 0, tho Swotary of Revonue
By':J~~xY(~~~
~e~41)~t~i&)J4c~-ni~)~~-~
. ~~J
't, ", Ace-,':' 14-ral
,
5"~ I 'f- If;
cmlMONWIiALTII OF PI!NNS\'L VANIA
I)JlP MTMENT OF IUlVI!NlJE
IltJlWi\U OF COUNT\' COLI,I!CTIONS
tit
r.:- ,
...< I" 71:' Q \1(1
RB$lDBtl'r DBCBDBtlT
COUNTY OF CUMBl!lRLAND_-:...
IMPORT ANT,
ThlH'tuu'l!I iii'" I lw e<Hnphll~d In d~\llil. 1111.1 fil~d hl"npllel~\U, wllh 1I11I"llIelll'd/wlth Ihe 1\<'~I"t~r IIf \VII" nf Iho
Cn\HIIY wholo d~e~donl 10"ldodi 1\~lnrn i" d\l~ wllhlnllil'~ "'''llIh" IIrl~1 dnl. IIf ,I,Olllh, \IIII~"" nil ~HI~n"llIlIl" UIIIIII~d
by Iho Hqllllllllry IIf 1l0~Ollll~, (H~eilnll 10~ nf Ih~ h,horlllllleo IIl1d H'1I110 TIIH /lei "f lll~l.l
-~~
.-
. - ~
~_.
-
~~
IN 'I'IIB MII'I"\'HIl 01' 'l'llll IIH'I'II'I'1( ()I' } IIl'l'llJIIVI'I' Oi'
m.'____._ HAllRY A. SYKrnS_._ ,- ...-- H)\I\('I1'1'OI\
(B'tATli' rru\..L. NAM~EcutH~NTI
'," ~\
Lal. of CumbSl;lan(j __ _~._ County
510",' af.--lZ, :.fIDnfi1'lM, j,A.._---'-'}' ."
County of " Dauph~n" '
,. C 1 a i tsLD...-/l.Y.ke.1iI 110 e uUinl" i X
AdmlnllH'Rlur of th. ..tot. of \h. above.nonlod d.ud.nt b'l,ngd'lly Iwot", d.pou cmd tuy
nooodolll dlod A Uc:lus.t 15. 1979 , 1 <1--,--/ ""~t"'.YI.golo" will, .opv ,f whl.h i.'h.IOIo oll,.h.d, ,}
i, (MONTHl . (0"'(1 ,(rEARl \s00l0)Cl)t , i, '
Hom.o.d odd,,,,' .foll".'Y " } chd ato he rC iccon i a~l.\ke
oth.t authorlJ.,d r.p"..ntallye to whom, '--ge' or Ie m " a
.11 .o.."p,.d.... .h~Uld b. moll.d," P. B. BOX BS9.l.. 'Hb. pa. 7108
'I'hllt IIH .ueh 1J1"""1Il!',.,i " depouonl I" fnmllllll wllh lho IIffnlr" nf "uld ~"lllle lllullhe p~npeflY VOIlSIIIUlli,~
(E)(HC!JT_O~.^PMINI8T RATa R)
lhe lIs"ul" lheronf IIlldlholr flllr mllrkol vllluo. "
'l'hlll'lIllho limo ufidulllh there ,11'11. 110 .lIfo duposlt ,bno re~l"lUlud In dCeedellt'" IndlvldulI! Illln'e, ('r jolully Wllh, nr
liS IIl1onl'Of. dOI\lItY'o(lIn'nthur, orlt",looodclll'" Indlvldulll 1\Omu, wlllt rl~ht of IIvoeHO hy IIl1nlhorn' lIaonl <If dOpoly, wllh thu
uHeoplloll of Iho I'nllllwlnal ~ '
NAMf!AN,O ADPAKU,OF'ftANK OR OTlHt~ INSTITUTION
!, IN WHICHDIlCEDH T AI1NTI!P A 8,~"f\ DEPOSIT BOX
N
o
N
l!l
THIS SAFE DEP08'T aox Al!NTllD
IN NAME! OllNAMIU of
fUH.ATIONSHIP or JOINT
HOl.OI!~S TO DECBOENT
, That tho oontcnts Ilf Hcld "lIfo depn.ll box or hOHOS IIre,llumlzcd IInder Suhedlllos
wllh the eoeop,llon'nf thc flllldWIIl~, for Ihe roa'ollO horelnllfler scl forlll1
" ThaI ,Soh.dvl. 'A allaOlled hcrolnllnd mndu pllrl heroot ,"OIH forth flllly und In dotal I 11 tho rU1I1 pruperlY
h\ the Cdmmollwcllllh of Ponnsylvllnla of whleh doeodent dlod 'havlna an Inlore"lhorelll, I 111"0 stltk forlhlhe
",ortallse onotllnbrllnOe" upnn oauh pllreol of lelll propufly nl the,dllte 01' dOlltll,alvlns tho IImotllll HIIII dlle,lIt
dC"lh. namc 01' mortsnsoo, dille, lal,e of Inlorc'l, IIlld book IIlld 1'lIao 01' tocord Iholoof, 11111"0 "01. forth III 11\0:
c"llImns provldod Ihercl'oro IheIlR.eHROd vlllulIlloll ol',olloh'OI' Rllld plltqols, tho eR1lmlltod mnrkut VIIIIIO 1I1ereol'
liS of dllto (ll'delllh Ofdoeodonl.
of Ihls rotllrn,
,. Thnt Soh,Je/. B,lIllllohod'herolo lI11dll,"do pnrt hero of "et" I'mlh I'III1Y'lllld In dotllllul(pefkonlllpropOrlY
whurcsover .Ituatcd olvncd,hy Iho dOeodenl,'lIlthu lline 01' dOUlhl'IIII monel'S' luft hy tho dooodonl ulthe ,limo 01'
dUlllh, wliulllor In dceodonl' R' 11I1modlllto ,POR "O~'H!On, ~llIndhlalo 'dooodonl' H credit In bnnkH ol'dopo"l1, Ruvlns"
bnnkli,"If\ISI eOl11pnnloR, orothor IllstllnUons, whethur Indlvldunlll', or,.ln lrnsl fnl, IIny olhel \lor"Un nl pqr.ons
alvlng 111$0 Repcrlltoly the neqruod In\oreAI Ihoreon, If uny,' dnwn 10 tlto Insl Intoru"t,dllY prior tn,dooudent'H!
dOllth'ln lhedase 01' ""vlnSH blink", lI11d 10 Iho Il~to 01' doeedonl'A \lolI\h In 1111 (llhor CUNOHI 1111 bondR, pOHIIII
8I1vlnss" tlenRllty cerllfloato" nl IIIlloRllnd, olhor ovldonoe 01' Itl\lohlOdness of lho Unlld\1 SllIlus III tho de-
oodcnll 1\11 obll/!lIl1nn'l whclhor by Hlntlllo or 118roomonl Iho>" nro dOHlsllulud liS lllK frdu, nf tho Ihlltud SllIloA,
'or nny Alulc, or pnllllecl HllbdlvlHlon thereof, or nf IIny fnrulsn o""nlry, which nro ownod at lho Ihnu of donth;
1I11wonr,Ina uppnlq,l, Juwolry, .lIvorwllro, plelule", book", work" of IIfl, huusohold fnfllltllro, hor"uH, OlllilllgoS,
lIutol119~lIcH, llollls,cnd nny MIL 1111 othot ,Pofflonnl ultnllul" of wllntHrovor, kind or nlllnro, loti hy douodo1\I,.
toscthct with Ihc fn'trly oHllmlllcd IIlllrkct vllltlO thorool';1I11 hlllld"'lIn,1 morlSIISo' IIOld' by deoudent Ilnd of 1111
ol~lmH doo nnd'qwlnS d,ecodont ul the Umo Ilf dUllth, ,nnll 1111 Ilftlinl.Hnrr nolos 01 olhoflnRtrnrnontk ,Ill Inllln8
fOI tho \lIlYlllunl of'mnnoy of Which deuedonl dlud pO'80s"od, nl' Whlll'flo\'or nnloro, wllh Intorootlholoon, If'
lIny, Slvlllstlui I'lIeu ,vlllno IInd oHUmllwd flllr murkot' vnlllo, lhoreof, ntllllf Huoh c",imIlIOd fnlr'mllrkot ,vulue hO
. ., .. .. .., j.
'Iou 'Ihunlho, I'Mo vnlno, II Rol. I'orth brlofly lho reIlHI"'" fur Hlloh doproelnUon UN 10 olwh 11011I; nil mOnoYA
PnYllble 10 lho CHluto I'r 0 III , IIfo In.urnnee pullelos enrfl,ud by deeedonli nil Urnllli)i und crdowment ollnllllol.
lhc prooccdR 01' whleh woro pllYllblo IIpon Ihc dOlllh of hc doeodonli nil lind, Iho cOllinrnle AtnekH ulld dlvldendH
<lno Ihcruon'lInd Ullpnldlls of lhodlllo of dOllth, Imnd "i,d noornod'ltlture"' thoroon 10 Iho,d~IO 01' douodunl'A'
dOlllh IInd olhcr'lnvo"tmunl Heellrllles owned by the de odonl III lho Ihno of denlll, wllh lite RlIlrkul,vlllllolhere.
of ," sneh limo,
'. f *
l. .
.J
\
'111 (,11fl 11IlHH 1~lt' tl\,l\lIrlt,J,'u," fll' ul,iI'w tll' hUnlt~. UIII'lltl~HI,loI1H, L1Ul \lnlllUH l.t'1H1I't,ncl "I'ft ilK IIUtl UN
I'ftM'Mthl(l M\~hHJUl1tlntlll' h)' 1'11111111\1'" HI.IlI,tlmllllt,lI nf' !,tIll (HlI'IU1 l'/l I. I pllftl Hhnw~nl~ tho UK"flt" 111\1' lluhlltt,loH
I IH'l'IHl I' Itft uf' thii (tutn nf' Illll\t,h. 1'hu ttulltHllIl1I /lIMU fotutH ('nl.t.h I,hu tlll.UI'f1H1, fll' IlnUUlhlfll, n'( t.hll UIlIO nt'
ttOI\U, 111' lill~" f111"liurUlIlt.ttlllll (II' hl,IHIIH~HHi 4\1\11.111 !t;1I1'1'1l"I, nf' !.lIt! vnlutt ul' fil'llll 'lflt,tlIIIIHt. tllUI'1I Iii HIIIl\J~(Ij\ to
""lel Huhllltlllu, ,'1111111(111\1 HUltllmllHtH HlwwlnK UIfIl\HfWt,H unIt 1I,nh.\1It,lll" C1f'''PHtlrI (!O"l'fl!'t:'IIIrHhlll fil' htlHIIHltiH,
A t,'np)' III' tllll tHI-III1I'tt\IH14hlll- IIAl'1I11n1llllt'J (I f' nt"th II fttnt.nll1nllt "'nU.tll~, fortll tho IlUtlll'f1 nl' t.hn II~I'llflll\(II~t.)
tUK,IUllll1 wlt'h Il titnt.flIl1l1llt ftllll,lllJ( I\nl't.ll tlllt nlllll','Iot.or nf' 1,110 IIII"t1ll1""'; If.1i In(\lltlnTl,' '11\11 K\ltIl1 uMlur 1"Il,t,!t
l'i,rl:'IllltllJ( to 1,1111 hlUllllllH'H nH mil)' 11(1 11lI,I'IIIlUIlI, tu 'n f'ntr 'lIfIlI .I lift I, Hl'lIrnlHnl n'f' t.Iln ,!iIUtltlnntl H lll(,(11',I,..t,
UWl'nl1l mlliH liB HllhtnI1,1,11l1. It Hhllllld nl14l\ Hot "nl'th In ILoml7.nd "1!l'ln, tnW1tllfll' willi tllll I'nll' ,1J\1l1'knt, "litHO'
t,llOrtlll", flllY oUU'!1' l'rUIIM'li nWllml Itr hU1lllont,hod lIy t.l1n llonollnnl 1\1-. UiI' tllllu 01' ((tlllt.l1t
Thu Sr:l1pdll/{) C Iltt,n;t1hIHlllfll'otn find IIUllln IIIII't. hnl'ool' Hnt.H rUl'ttl 1\ t.lllIO IHIHWLll' I,u II/WII Ifll)ull'Y
onut" 11UlI1 l.horn In ftl\ll, t n t.1ln ~lnfHI n l'f.l'nllH ('fll'8 II f'J11'ollor t~'; I'un 1 or POI'HII11III, w,lth111 twn ~'n'\I'H; nrcllll1ullull (,t H
I~UAUlt In nrmt,flmI111\t.lnll nf' IIOfHlllunl,l R elt:lI\t.h, 01' IlIt,l11\ellll' to t"lm nff'oot 111 IlllHflnHHlon nt'un,IIIYfllflllt"ut, ur
R rl,nr (lon tht Hn I (I "ohml,,1 n Rn f,pt f'or t.11 tlHl tlll t.urn HIlII VI\ 1110 n r H IInll__ jltinP01',I.Yt t.fl wllnm t, l'lm" f'orrllll, t.l1U
rUlnttntlflldp (if Uw trlHlHrornoR t.n tho ,touurlO1\1.1 UIO propnrt.tnnnt.n H,lmro 1"noo'\'oll h~ oHnh t.t'IUlHt'orou Illld
n11 nt,hor rROt.H otl n port.lllol\t, IInt:til'(1 "I'Rlll'flttl~ Hull' t.rnuRf'flrH. III Lhn OUR(l nf' 1.I'iUlHI'01'R IlIt,011l1od t.o
inko ol'fo(]t. 'In 1\08808HI01\ o~ fJn,1n~'Il\ont, nt,OI\ lIf't.or lln'-It.,ll, t.hllrn IH (\tAn "t,"unllllll to th~l "011011\110 I~ oon)'
or 1,110 IInoe\, il'''"t, ABrnollll'1l1t, or nt-hof' tnHl.rumont oroutlng t,hcl t,rllf-lt.. '1'1101"11 tH nlftn Hot, ('01"UI In Slllcl
Hohodtno n,liHt, flrnl1 )Ir(lpol'l~J, rOI'l nl111 porllClnnl, wlt.h It,y \,11'1110, ,^'htuh PUf,IH1H nl, ,tnnmlont,'H (lunUI hy
'vlrtuo nr thb OXOI'ol"" hy <lCIIIO<lOllt" IIHhor hllllvllhllllly, or,loll1l,]y wHh OI1f1I.1II1I', fll' OilY I'flwor 01' IIppoll1t.-
nlOl1t, v""t,ocllllclnOOllOl1t,, oHII"r 11l(llvlc1l1l1l1y or ,101Ilt,ly,'llyw4 wll1, ,Ionrl, Ill' 01.1101' I 1111 1.r'1I1111l11 I, of' nllllt.hbl',
wlth'lI oOllY of' \.110 Inlltr,lIn1ont. orllllUnl\ ""oh powoI' IIt.t.lloho(1 t.o, t.ho 11,,1101111]'"
Thnt, $chedult' 0 nHllolwl1 hOI'nt.o find much' pnl't, horoCltl ~Hlt,H f'nr(.ll ('lIn numoK hurt nrlrlrflfuwH nt"1I11
IJONIOn" honor.totnlly tnt/oroAtOft In t.hls oflt,nt,o nt, UIO (.1mo of' Ilooncllll1l,l H ,tot, t.I1 I UIO IIItl,llrU Clf' Ulfltr ros.
pnotivo llltorost., I.holr rolol,lol1t1hlp, ir lillY, In \.110 (Iooollont., 1.1I/1"t.l,lIr wHh 1.110 "11". lit, I.h" qmo ot'
d""o<lonl'. (Iontll of nil nllnore, Olllllilt,IIl1t,H illlll hlll1"flotllr\08 '1'0" Ilf'lI 1l1ll\lIr 1100'\(I,,"t.l" Will. II. o 1ft 0
ootlt.llillR l\.Htut.omnnL Ht\Clwtng whioh or t,lIo honnflo'lllrlofl 111\"10,1 '11 tllli IlnoCHIClut.'A will, tf"/H1Y, diad I.r.hu'
,to ('oo~dont, UlO dnt.fJ8 or thofr donttt, t~hnlr htBtlO, luul tho l'olut.1nl\Rlltll nf' Ruoh IflHtlo t,u' tho honof'I(llut"y.
Tllnt. S.,,~f!(}d/ll(J E nt,t,nahO(t hornt,o n1lflll1(tlhl n pnrl. horoot' RotA 1'01"thll11 11rolHH'tJ~'1 l'o,~l lItl"llor...
80MI, oWII"'\ by t.hll (Ie 00111111 I. ,I"ln'.]y wlt.h onot,h"r or o\.llorll, Infl1pclltl/l'IIII.III1I\IhI0, "l,nllll1l1l\ III tlill ,;I\mll
or tho doonctont nncl' oLhorAt p1\18 tho ,1l1t.o nn~1 pl rH~o (If' rnoorcl orlflRt.rtllllonf,Rflf;f'oot.lllg t.ho \-'o~,t.l t,uro nf'
runl 08tl\t.O unci the rlntn'nf ltOr(i11Aitlul1 ur poraonnlt,y, plU" tho nnmo""lrlrnf\A 1\1111 ,'olI11,tnnYhlllt,_irt\l\YJ
,. f oo..ownor.. t.o thn c\ooodol1t"
Thll'. Sc~.rlul. FnHlloh.nl IIfIro,.o ond nlllllo II port, horonr IIOt." rOl'l.h rnlll' ,t'nd III ""\.nlf 1.11 (Ioht./I
111111 (l.dllflUOII" fllnlnloll f'IIr 1111'\ Oil bo""lf of' ',hi" Ilooollollt.'/I O/lt.Ilt.O, 1110'1"'11111\ I~II"'rlll OXI'OIl"O" 1'111111
rll!TIlly oXOnlptloll,..W'loro III'Pllooh\1I1 1I0"t.1I or IIrlnllnlst,rllHfln 01' \.hl" 01lt.1lt.01 0111111"01 f'II"" on,1 f\HlIolllt'y',"
oornmt,RK1onn puitt or f,o ho IHlldl ,'oqHI, nXl1ondorl -for hurtal trustn, t,fJll\hat,onOR rn' Aruvomnrkol'H, 1111<1'\01 t-
g,tO\l& florvlooR, In 00n8011\101100 or t.llfl (\on('h ur tho doOOilollt,1 110\11.6 nlHI III nlll1~ f1Wtll~ Itflll lIIlIHdf1 nt t.1mo: of'
<Ioathl t,t\X08 ,a'oorllor\ oh~\rROnhlnf'ol" 11OrtOr\ prior t,n Ilooof\or,tt H ChH\f,h (Ole0011t, thClRO nJ lown{1 ",,(lor Soot.lnn
M\ of tho tllllorHonoo IInd 1~"t.Ilt.oTIIX Aot,) I [.II/10UI01' wHh 0 "',III.onlOIlt. or 0011111,01'111 pI ,,,1110,1 for 01\1 11l1I-
t,IQn/l,If'lIny. It. I'. IIllrooll thll', I.hn l'lrh,olo,ry wIll proll'm!. prllol' nl' "nllI1111\11II",1 IIhlll\/It.111nll IIponro-
qtwat)j t.hut,tf tho 1l,\001l1l[. nOI,llflUy pnHI _In Hot,t,lnm,lmt. nr -nny f'(JoJ onllil1llHRlolI t1T (\nllf, I" IO~Hj lhO,,' I,ho
(lHt.'-Illll\lu'(l;l\fTUHlnt uln1nllng.UIU' nlloWodt thnt, t,(\ll "nmo_wlll 110 I'ol!()rt.ocl t.o I,hoHngtHtllr (If'WI\lfI, nlld thllt,
thd' Alnnu"t. or ,t.lt~ UflHO'SR{Ht onn 110 ronHR'riHfHHl tllnocOlll'unno t.horowt Llh'
'Thl\1. U10 tot,nlR ur tho 'l\llprnprtnt,o 0oll1tntlH InHnl!OftuloH "A", ",n", no", ng"t mlft ~Ir" hFl clIl'nni.tlll UlOrnlni
l\nvo 110011 onrrl~,1 r""wnril nil" \,ro\,orly rOllllltMO(1 In I,h? Rtll11l11nry.
?:/)j,
Subsorlbod and sworn to before me thlB .., I.. ..... ...:::;::';" j /,
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:.:\ltl, , " ....... ,,!II II (RIAN, N'i"'" ,'U,U" ,. (Strost,Nllmbll1')
", ".,',,1">' -U'. .IIY ,lOmnl""0n (MlilI.$ AIIN, 6, IUIII ,Wormlo,ysb\1rg.......P,a,."...1.7,04,3. '" ",'"'",,,........'''
" ':,'i,'" r' '~ " Harri~I""i, PA IJdlll,hl" COllnlv (Ctty or TowlI end Sl4te)
\-'"",',,',,, <,.', ,.'
NOTI!I,"'H~f'H-rO Hlf(ntnp. nfnilllvlt. nll1kl1 RUN' nil hll\flk ,1.q1/HlnH III t,!in nf'f'IllllVll nl1fl HoII011ul01'\ 11Illloxorl ur~,
f''110111n'wlth dutrlllli or 1,lIn Wnl',l "NUllfl", nlHt tll-u'lHo,Llij, nHf;{ItH IllfJlwtol'lIrO IUlll 1l1l1tflt.ocl fwollr11,IOMt
t1onllrlUofi nt' nloAu ,(}t\ f'llflltly oHrpornLlullH,ur nil Int,of'oHt. 111 fillY IIU"PUf"IWf'HldJl or hu~lltnHK, UHd, t1Hl,
fin tll ,IInll R tf\ t.omont,A rn f1tl I rOll limit", U\n Jln-r"l~rnpll lllJovo rrd i\ t, I UP. t.n Hc'hlHIllln "U" lIl',I' fl t, t,nnhocll 1\ I HU nlBkfl
OOI't,/ltll th"t OI,lunllT 111 1,1_1 t.ho "HII",onl'Y" IinH hl'OIl l'rn'lo;rl~' '(\l1mplnl.lHIIlR' f\IH1VU..rlll'lJiltml.
"
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rOMMllNlI't,M.TII Qt' l1l>:NN~\"'''ANIA
'l'IIANSI"I(lI INlllml',rANCI( 'fAX
I\t1smt:N1' tJt1\:lml':N'I'
SC:1I11~l'JULE HI)"
1I\,:Nl::FIC:I AI\II':S
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" ," ' _~__C,___...,_" "'."."__'''--j;(-''-- u_..u~_,.._.._. ,-.-.,.-.-,,-_..~ --,.---..,..--..,--
" n1~NIWICIAl\lI':ll ^Nll ,Af)ll1\N~St'~ \lltI~l;,~',~~\ald~).~~I'OI. SU,H\;IV!':I!, \J,\'I'I>: IN'I\Jt11\I~S'l' ()(~
8111t,0 1111111"",0" IIIHI IlIldl "1\"('" or III 1 wllo IluHHIIlI"IO"ltlltl1"'" 1,!1/,1:.f,l1"1',1. ll!<' Ilt:NIWICIAI\Y
IIYO, IIn Inlo!'{\"l., yon!.od, U'i11I, 111110111, <II' 011101' 111'11 1111'011'1" , lwl H 111\ hN~}',H 1111\'1'11 i ' IN NS1'A'I'g
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Clain P.....s-y~8i . _wif.e~ ....--....,.. _.yglL----. a"~':'J.\li:.ifL ...I.I1Q.QmeJnl.'i prinoipal
10n n.. ," I"\~~..a ...1m.~Jl'.~ s t in Tt'uElt
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Wot'mlevBput'a, PA 17043 --.-.-- .......---..____~_..._r ----,-+<
--- .. -, -...-......_-<~ _._-..~.._..-- ..-...---....-...............-- r-------.-~
LeRov I. .-ftYAI;1 S , D,O.j_, Rnn - _..,'Las..- ,aui:ulUUa. l;!<'$iduarJ( Interest. '.
gOO N6;th Lo~j.llow Ave. ~_______ri_'~ -_.~._..----_.._- ~_T"__'_"~_'" ~~ ";.us!: ,
Iia~d$~.-M 17:\.12 [, '; ,
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SUM MAllY
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(MI)(otlJl'Illhll'ci)
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OIOUCTIONI A'~~OWlO IN
THI IUM OP . . W,l <.:.) ~ II
tlA Tn APPRO VIP \ ;,j..LU~tL
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.
STATEMENT OF DEBTS
AND DEDUCTIONS
O'PP ICI OP TH"
,
RIOllTlR OP W,MI
Of .".c.l,lmbe r ~a nd COil NTY
I.Nn AOIH1' Of THE COMMONweALTH
'J
..;-
J
t.' ,
~..._--.........,..---
CI
_.___-..-:w---
laTA TIl Of
HarrY A. Sykes
LATa Of ...uQrouah of wQrmtevsl2.l,1l:g"
, DATa or' PILIHG APPRAIUMINT (,'tlA . Q I ri' \'i) DATe Of DeATH
Auaust:. 15.
l~~~__':"'__~,-
....-__ I
AMOUNT
OATe
NO,OP
VOUCHRft
ReMARKS
_'-"'--h___~.""'r---"- :......_~
-,
_____ ___-R!5l1'1J;.e..r OfWillll."___,,~._.._b,,r9bate EI$.2!WS!.L__,. _.:.._~,.S5 00
,
., .' '
, _ _.__ .R!il~llW of Wills, CeJj:._~:j,g.Dj;,~S -'-__'-~n......u....2.0-
~__'.,,_~ _____ Rllisj;,~ofW ills ", . _~l)_'!~Ei9.EL1<...P~!?J:S &"'pedue.t",,,___i. ,.9.Q-
___.___.__ patl;:iQ1;Jl~..c:__..:.__ LeaA1.A~,!;tis~ll9. ~_____..116 tlS
__ CUmPerland Law Journal._ Legal ~dvert:i.Bing ,,~ 00
,
. D4......al'.lLiL..wReese ___ Funeral Expense ..;;..... 12.Br;~ no-
. ,,;--__~l:.1ou,n!.:..Moriah Cemetery" Budal Lot, ,575 00
__._____._ Br~_ghe.!l92Ef MemorialL aranite Burial.Jll.t2n!. ._.~176t...Q.!L
___ ,I Rapbi charles Mir\.1a...c__ "'..no....] Rer..ti..mL. __'_' _..J&lL nrl
___ Ohev shalom Sisterhood _ Funeral Servio~___ ..-.J:OO 00
AssOQ,
_. ~diovalloular & Thorao1o Medioal Expense ._ 340 00
~ii~~Q!nr~OO~u~Des
cqMMONWDAL TH Op PENNSYLVANIA! SS,
COUNTY op......Dll..UR.IUN _ I
I, .~_"".__~..iBlL.P-'-nKES ",._.~_-". _ HEREllYCeRTlPY, THAT to THe BUT OF
MY KNOY/\.Eooe AND IIBLIEF, THE FOREOOIN(IIS'A JUST AND TRUE STATEMENT OP DBBTS, PUNERilLOXPEHSU AHD
ExpeNses OP ADMINISlRATION sUDMlneC1 TO tliE esTATE Of _ HARRY A.....' SYKES
oEceASllO. AS OE,OIlC'.TIONS POR INHflRITANCE TAX puRPGUS. '
~' ~ ' " .
THIS '., 0.', ",,\,;,\D~v"'Q",'\;
Ii 19' '::'~>;;', ,"
, I, iJ l \ .
NAMe OP PA YU
...~t___
,~_.-."...'---
Medioal Expense '
tax '
Tax Coll. West Shore perllonal prop.1
, Je~ome van Nest,
-,.,..-- . ~~
, Il'\ternal Revenue Servioe 1979 InOome Tax
-~_......-t--......---_... --'".----- ' -
Department pf Revenue, PA 1979 Inoom~ Tax
~_..,
pa. pepartment of Transpotcation ~ Transfer of a~to,
---.-- , est;ate tax return- ,
Hepford, zimmerman & Swartz preparllUon .of feqer.al I"
.-......- .......--.--- --,;..-._-_._,.--.--,-.~-"",._~-_.........-.......---.__... . -
Hep~ord, ,z in\merman & "Swartz A t't,orneys' fee
__...._........... ___~ .; H~..__._, o~.___...____......._'_T.......-----.
__~,...-'_... ___._...... _~2:~_i!~~<s.xj(.es , Family Exemption
" '
~._~__ _._._.._ .RSl'p"or~tLJ;l.~~e:l.gart Travel.Jllls~e, ---
_,_.".___I_,~__,_._J:l~fl?rd, Zimmerman & swartlz. photooopying & pOstage "
,
.' -. "
" Betty D. oHan ' ,Notary Fee
~t~-_.....~O'......-~-....... _.....__.__n"'" ~-,...,._-----_: \ '
,
='~'===".6,...,,.~,~,~~ ,tl~!P_;'.c!L,,".M.\n.!11er~a!'l.& Swart
,
L~!li Dis~~e Te.lebhone
:/ i
IC' ~(re ~: 'SykeS
P
'I
I
l,';r;
--j'/;
/
'.
,
>,'
E OllAN, ~clal'/ Pulllla
My CO!'1!'1IUIDn E.pl,.. AUR, 6, iIla2
"""II""R. PA Dauphin County
~--
2SB 00
9 BO
1,344 50
" 233 50
9 00
-
900 00
:3 , 7'00 00
2,000 00
15 12
30 00
.
10 00
-.
13 14
(cc.ntinuedl
(I.,S,)
PAal!l 1
PAGE .2
.
. "'Y-UB,('-"')
,-
orr ICI or THI
RIGISTU or WILLI
or Cumberland COUNTY
ANo AGINT or THI COMMONWeALTH
STATE:MENT OF DEBTS
AND OE:DUCTIONS
THI IUM, or
OA TI AP~ROVID
t "'yY)~ t. :'.
'~ NI/"~'IN :r WI~~I, ~
---.
UTATI OF HARRY ^. SYKES
LA TE OF
Borough 0& Worm1eYElpurg
DATI OF FILINO APPRAI5BMIHT
DATBOPDIATH AJ,iaust 15.1979,
~
oATI NO,OP NAMe or PAVia ReMARKS AMOUNT
VOUCHeR ", ,"
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~'--- of Wi1h ReE!erve for aocouht -- 41 00
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---.;~.- ~ , T 0 T A L $,,~4, 165 04
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COMMOHWEAL TH or pENNSYLVANIA
COUNTY, or_..........,~IN.-,-._
.,I,~____.sg~ire D. S~kes _ ' HIRe'BY CERTIFY, THATtoTHE8~$TOF
MV KHOWLBPOll AND BELlar, ,nil! rOREOOING IS A JUSTANDTRUB STATeMeNT DP DeBTS, PUHeRAI. eXPENSes AHD
" IlXPBNSBS OF ADMINlSTRATIOtJ SUBMITTSb TO,THB BSTATEOP.' Harry A. Svkes~--',-' '
paCBA'SED, AS De'buCTIOHS POR INHeR'ITANOE TAX PURPOSES, ,J ,"< I'/;\ ,_;,,-;,;~, _' ,,>;,",)
, ((H~ire D. -SYK,liIl!l - / ~'. ~ '(L;S;)
5S,
--"-
limy P,OlMN, NollfY /'ubI',
My COnlflll~'io" (,pl'~l AUR, 5 I~H~
""';"',IUfir, 1'1\ [Jiil//1/jlfl iJOt;nlV .
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, PAGE 2
i,'l
Inv,ntoryof, tij, rI<l1 and p,rlonal ..101' of
~RRY ~~Y1<IllS ,______._d,o.u~d,
=--
.,<-~
, ' Amedoan 'l'eleph\ilne & 'l'l'llssraph Oompany, ,1063 sharEls of OOmm9~
8t,00k, hsued on various dateS, at ~56,125/shl!lre
, '
Amerioan 'l'elephone &'l'ele9raph cOmpany, 41 shares of ~referr~d
- StO\';lki iSIilUed Jl.\ly 12, 1971" at ,~60,875/share
'" ,
. 'Ame,rioan 'l'dephone & 'l'elsCj1raph" Company, 1:l (8 ~/4, 30 year)
Debenture Bonds, Oertifioate No. 8204..8505, i'ssued November 25,
1977, a~ $95.50/~hare
westin9house mleotrio corporation, 100~hl!lres of Common stook
~, issu~4 on vadousdates, at,~2}.4375!share
'U'.8. P1ywood:"Champion Papers , Ino., 24 sha!;'es Commol\S1;.ook,
M hsuE!Cl ,on various datu, at $26.25!share
U.8. P1yw, oOd-Cha,mPion ~aper"'s,, rno,." ,30 ~Qares preferred, Stock,
~ issued Maroh 10, 1967, Oertifioate NO. ~ 940, at 26.125/share
PennSYlvania aas & Water Co., 12 shares Common StoOk, ,issued
.. 'on Jl1nuary 7, 19~4 and ,MaY 6, 1969 ,at $16.!'l0!share
san Oie99 J;nlpe l:'ia 1 Corporation, One (1) share Common stook,
t ,iuUfild Deoember 20, 1963, CertifioateNo. C0106962 at $28.25/sh.
6l,786
2,495 7
1,050
2,143,
630 0
7e~ G
198 0
28 5
I, __ ._ _ . _ F ,
premier ,Corporation o.fAmerioa, 10 Shares Comm9n stook,
+;,hsuect,' Nqvember 22, 1961, Certifioate NO. C07768 at $33. 625/share336
,>I
,
Ordon Carbide 09t'porat'1on, 41 shares Oommon stook ~ issued on,'
Janul1t'y 24, 1978, Certifioate No. tJK556074, at, $42.624/shara
Pemples Bank of Nantiooke, 40 shares Common stook,issued on
Maroll 17, 1960, certifiQ~teNo. 668, at ~40/share
.. Lexaoil oorporation"lOO share,S Common stook, isllUed on
November '23,1951, Certifioate No. 4736
Phila'de,lPhia'E1eotr~0 00'., 10shares/~r~~rret'l Stack, iuuet'l on
May 8, ~972,Certifioate, No. NJ03i7, at $76. 75/share,
.
197501d,smobile Sedan; 'l'itle NO. A2706~807
,Commonwealth National Bank, savin9s Aooount #Yl-0010222-t?
Value Date of Death
Aoorued,In1;.erest
'l'O'l'A~
1,747 '
1, ~OO
NO VA
7.87 0
1,800
$ 7~, 9~5 '18
/,"
QOMMONWI\ALTH OF ..INNSYLVANIA
QO\lNTY OF CUM.IRL.AND
'"
.~, C.J.AXI4U~. films" .,__~+....m_.
, .
bolnllduly .. ..+SWORN" according lolaw"dcpolol ond Iaylthal"o ,is ..t:ha,lllxeol.ltrix
,.., ,..",,'.. of Iho ,Ellalo 01 .~._.l:lbBRX,1\'me1~~L,.~."",-",,,,,, ....
lato ol~~bl.lr.q Bor.ol.lgh ____-'-~....._, Cumbcrlond County, Po" dCQUlDrl and that tho
,-
Vl1Irln h'lnlnvcntorV made by, .C:t.AlaI!l.D.S~S ". . ""'.', ....._, thc'1I1d..._l!lxeQutr~x.._"':.
of tho ontlrc 011110 01 uld doccdonl, cO~lhtlng 01 0,11 Ih'o potlonal prol!~rly"ond rOIl clhiQ, oKooptrul utotaouhlde
tho ,Co,", monwolllh 01 Ponnlylv~nla, and ,that thc (Igurol oppol1l0 uoh Itom,ol tho lnvontory I$prolcnt,lt'I lair value
1101 tho dolo 01 doocdont', doalh, , ' ,
~~- and lublCrlbod boloro mc, X.C:4:~.t~60;,g~
I
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i',AI-!-<'fdt.::,;,.
,c'itwM.....,\7t--__ ;I., A_~c-_.",: 19)1.'.._
~~', ~-1,&.~!-.1lJ-l?it!:~~;!:':+(1J
J.bqll./y~A,7o;,enloyll, Nolery Public '
ffl'''!~urg, Pluphln COlin Iv '
Mi My Canlnl~$lcn Explros Jail. 29, 1983
moor, Ponnlylvanla Allccl,IlIon oJ Not'"'I
C laA~ Q! . ~:lJ5.~,~ L!lJ~!i2\li;.%:,_ i~,_._.._. ....
J
100 ()~~"?<?o.C1BE.~_Y!,!....w_~;:m,l!J.~e~~;:it .
A~d,." PI'. 17043
Pote 01 Peath
~ U.9\l'1l.~.1,5,1 'nQ
D.v '
---- -- ,.-,.-..,,-
Month
Valr
I"!STRUCTIONS
I, An lnvcntory mUlt be ,fllod within Ihroo month. ~Hor oppolntmont 01 porlonol ropraJonlollvc.
2. A .uppl,cmonl lnvantory mUltbo fllnd wlthlllthlrly d~y" of dl.coviJry of ~ddltlonol onoh.
3~ ~ddltlonol l~oOtl ,!,~y be ott~'chod ~. 10 porlonolly or realty
4, Sec Artlblo IV, Flduolorlol Acl of ,1949,
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