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HomeMy WebLinkAbout79-00547 .., i, '-',' " ,~ 1 ,,', '. ~ .' ' " " " ',' ,! .' " " l' , ,. . , ,. , . . " ,,' " " 'j, " " , " , . , , I, , .' , ~i " .. 'I , " It'- , " " " , . ," , " , " l' " 1 . , . ; ~ I I I " -," ../: .' ,;! 'I . " " -'I, '" " I"~, " .' , " " " .' " " " , ,," , ' .' " ~, " !.. - " I. ,-" I' ." ,','- " ;" " . . .' .1/. ., J'" "I ',.;' i , " . .. I, . " " " , " " ;, ":' ,I, " , \.' "" ", -i'- .., "~,'I, " "~I '" ;'-' " ~,t.. _ " '. 'to ,. ,.'1 ,I"~ ",' ',I ' (-- ,--- , ! No. 21-79. ,5~7 , ' PETITION FOR PROBATE OF WILL A'~D LETTERS TtSTAMENTARY in the E$tate of' "'Hd3I1!LB."S~.Q...._-',,:,_.._,,_,~o.,,_____,~~'_-'" deceosedo ' , To ,Rloh~rd E, Anderson,Roglster at' 'Wills 'for the County of Cumberland, In the Commonwealth of' Pennsylvania, IS PetltIQner(J)lWEK the execut_o:r._,u,_~_o,.. nomed I" the Last Will and Testament of ."_JJ..g,1U...1.._ShD~..~Q_._--_..._..,,--,.~... dated .J'mWlIY__ ~t f '~ 9.79. Decedent Was a citizen o,f the. United States and 0 resident of ' ,~ . _ 9a~~is1a ....;..__.;.. Boroygh, Cumberland County, Commcmwealth af Pennsylvania, ' Decedent died on ,}wlpBsday tho _-2.Q.th_~~.,day of AU~UBL, , , A. D. 19 79 I In the County of ~r-_Qymb_ttJ&ng'-'-~----_"---1 State of' Pe!:lnsvlv~nia _ at the age of 90 yearso '. ,xbtGll ' her Decedent has 'not been married ,and has not had children born to ., since the execution of the :above c;lesc;:rlbed Will. Dseedent was' possessed of persor\al property to' the, vo.lue of' unestitnated and of real estate to the value of none' ~ as near as can be asc;:ertalnedi'sald real estatesltt.lated as follows _ 'nq,~~:........_. . ~. Therefore, your petltloner(~)respectfully applies for the probate, of the sold Last Will and Testament and for Letters Testamentary thereon, Dated September 1u.. 1979 Name and address of Petltloner(s) !#P;.JJUL --.-.d~y N. S~atto' 517 WeDt Louther Street Oar1is1e~ PA 17013 COMMONWEALTH~F PENNSYLVANIA t COUNTY OF CUMBERLAND ~ ss Jay N. Shatto _.~ _~_~__~_~_w______~.._ named In above application, being duly .Jw_orTL....___.,~,_~ according to I,ow ,say(s) that the statements set forth In this petition are trt.le to the best of his Sworn' to knowledge Clnd belief, . Do,' a~d subscribed before " ~tM1~J!- 4:1Li/# a~!!.mbet' '19,}9,_ ~_, me, " , -..--..-........--.-.----..- _.~- " Richard e. Anderson, Register Septamber 14, 1979 /0 '-.fU.. I/~ ~ ~~.t~':n~~~~i1li~m' F. -:artBon ,'~ WILLIAM F. HARTSON, P.O. OATH OF peRSONAL REPRESENTATIVE ~:~:;~;~~'~~::~~DNSYLV ANIA 1 ss: Bllfbro ll1o,tho Iwglstol' for ~ho Hl'obnto (If .Wills nnd Ill'tlntlng of IAttol's of'Mmlnlstt'lItlon In nn~ fht' the County ofOumborland, J>Ottsonnlly onmo j..tI.."J!t\~Ij.tt~",~tJ1~.t;t;~"lI"'jll"'''I'III1'IIIHtljj''i''''I''1111"l:q"""~ltlt , , , . wh<>,.bolnllduIY "...,\IU'l.Ijl,~J1...,:......, do ,~,~,.... dopose'lInd BlIY' thut I!S "....."",Ill~~fl,l,\t.l?o+""""....."..""......,,,,,,, rir the 'last Will :~nd Testomunt (;f tt...J~.l,~~,~,J~.t'H~J:\~t;,f;.~~,., 1I1"":"""'''''II'';tt..""", I...,"i,'tlj ,,-;,,,.,,,.dooeasod h .... .... . . ' , , " ,,,......,......,~,,,.., wlll'wolland tt'uly I.\dministol' the goods and chl.\twls, I'luhtsand credits of said deoeased ,. . , ~cQorc\lng to .Iaw. And \\l~o wll\ dlllgontly comply with the provisions of thIJ law relating ,toTr~nsfol' Inherltanoes".$,w~o+,1i."M",..... IInd subsorlbed bolOre me; I D., 19,Z,~";",, !:'3~".Jt.l&4JJf:""":,,,,,,,,,,,,,,,:.,,, ! ~ I 1IIIIII.I0Htf ,.Ill t II. Of.III I tllltll lip "'.',1"10'11.""""'''. RldhardE: Anderson, Reglsj:er ..." II.'! II Ii th "1. i" IIHIII. tt.."""" I'" .H....q~j.!'. j. tlIlH.. t." ,..... ] ... LL co 0 Ij~ ~ ~ ...J ~ ~' ...J tIl! ~ ~I - ~ .' ill ,1:1 F '~ ~ ,I . ~ :g ~ ~, ~ N', ~ I ~ 1 DECREE en! "'" ~ 101 ,Ill tIl i ,~ 'B,elt r~",embere4 that on the ..,,,,,~4,1i.~,,,...., day of"....~!!l?,~!!mR!!,~,:~",..,.......".." A, D" 19 ;1119.",t~eril , " , . 'Y~Bprobated and recorded tho last WII\'undTestlUllont of ""'"....~*,~,~!!"'~,~...~r,.,!\~~~9,,,,,..,,..,,"'...'...j..j....., late o~..., i.., ,,,,,'..,, R.~~tj~ ~ ,~.~" ,~,? r.~,~ff,~,.."",,,,,,,,,,, '" Cumberlllnd County, Penn~yjvanlat Deoeased', Lettera' -f"UH," ,:fl~" f1i,~W!f.sa~f'l~lj It If..,' 111111 II wore - granted to, . "1'"'' ,It,. if,~,'l.,~. ~,. j~ln'~I~'~~H ':~""lf' tlH IH!'fll.,HHf I!Hj"I'~I;' .Utt.;' WltneSII.my hand and offiolal seaUlte day ~Ind yoar aforosald, . Rce,U l.~HI t . .f' , , COMMONWEALTH OF PIlNNSYLVANIA PEPAllTMENT OF IlEVENUE nUI{I~I\U OF COUNTY COLLI1CTIONS , , at 1(>/1.'1/11 RB51DBNT DeCBDBNT (21-79-547) COUNTY ,OF ..QYM~ND --...,-~ .. ..--.--- IMPORT AHT, 'I'hl' ,olllm 1II11R1 h~ cllmpl.lod h. dUlon'olld II10d 10 dlllllloolo, wllh oil o"oohod, wlth'lho Roulller III Will. 01 Iho CllurllY wlu". doeodolll ro.l<lod; Ilollltll I. dllo wlthlll nlllo 111"11111. orlol dolo 01' dool,h, 111110" \111 oKuinllolllK ,.onlod hi' II.. Soelt>tnry Ill' 11.'011110, (H~olllln 703 or tho lllho,ltolloo ondH.'olll 'foK^~1 nr 1961.) WI" ~~'r j . --........... ., ~ - , ',' "II," "'-N", III' TIll' "",-,-,,"" } "(I II Ill/WIT Ill! ,"m_"~-'-lifM~'rJh-JVf~~iiWriiNll'--~-- I!SI!CLJTOII ~~..'.f _Caliol,;!.ile..BQl;'Qllsh&JmrlmJd County ,1ttIJll~lOSl 5.010.f -,-,~.annsyl.\l~nia-""-'-'~-"J '" County .f ~b.et:land.._.o____J _~'_"__'_'_''''___''_______ , . T AY,..N..-..shat:.ta._ "il\1!IIlIIII"'''1I' of Ih. ..to.. 01 Ih, .bov..nom.d d...d,nl b,In9 duly .wo.., dopo..~' ond..y6 11I'0~11~1I111l0<l..A1.lg11B't 29, 197!2.-J 1..101', 1011Yln9 0 I..t will, oopy of whl.h I. hOl.I. .1I..h.d, ) (MONlHI '-IOAY), i'(EA.Ri l;-I"""~'" < " H.,,, .nd ........I,.t1n'n.y" } ...;...WIL:(.. T AM.JL. MA~TSON, r. C. -_J olh., ""thoflud roprollillnllv., 10 whQnI .1I.."..p.nd.n.. '1""1,1',,, "",'I,", 'l'Gn East High Street , Car1'is1l3 , PA 17013 Il~"olll(" ThulUH ,~U~IL._.,lhiQQutQt'",~_delllllloUIIH .rnmllllll wilh Iho IIflnlrH Ilr 9111d OHlolO nnd thoproporty oOIlAlllullng ; iH,X~CU-'-OH'A(lt..UNIUTR^TO~I, .. , Iho IIHHOI' Ihere"r hud ,lIl'1lr rnlr I1\lIl'kel 1'01110, Thulullh~ 1111\~ IILdolllh Iholo WII' 1111 'oTo dUllOHl1 bn~'rogl~loru<I In docodiml'.,llIdlvldlllll nalllO, or Jnlnlly wllt', or , li.'ugolltnr,dollllly nr nllrilhor, nl' lu doeo<lollt', ludlvldlluluumo. wllh rlghlof I\cceu by I\nnlhor 118'og01l1 or dopuly, wilh Iho OXOOI11I(lu III" Iho I'nl\nwl1l1l: .,. , .._-~~ -~-- J;f~~=n-=. ~~AMtl: ANOt\\jCHUHIB OF BANK OR OTHE" '''WTITUTION ItLWHICt(Of.CI1PIlNT 'U{NT~l) A 8,~Fi!'nf;PoaIT, Roi< Non'" THl. ."Plt IHl:poalf BOX RI!NTI!O IN NAMll: OR ,I\MIUIOP' Rftl.ATIONIHIP OF JOINT HOL..PtlAI TO PI!C.lIED T, -ro-- _.~ Thnl tile ennlonl. or ~nlrl Hllro dOlln.lt l;o~ 01' 1l(I~OS oro lIol1\l7.od undor Soho<1ulos - of thlH rOlurn, :whh tho ,q*OO,II~II)II;of Iho fnllnwlng, fllr Iho roo,oll' hote1nurtor Rot rmthl , 'f'hnl SClllldv/o AIIHuehod horotn 1,"rI mndo pOrlhoroof RetR rorth r1llly ,I\Od 10 dololll\lIlho rool propotly ht.,tho (;U1II11\1I11WOllilh of 1101111'1'11'1111111 or which r1ooudolll <llod hnvl1lSl\1I'IIIIoroRlthoroln, II oIR(I,R~lR forth tho 100lIIIIIgo OllOl!mbrl\lI~oH UI'OU olleh 1"lreol of 1'001 I'rol",r!y III tho dllto of donth; Slvl1\1l tho omount sllll dUO nt doolll'" 111111I001 1II0rlsugec, dlllo" 11110,01' IIIIOlOR!, ond huuk lIud pogo of rliourdlhorol'f, It olso ROtR forth 10,Iho oollllllUH I'tnl'ldod Ihor~rl'ro Ihe IIHHOHROd vnlullllull of olloh df Hold prttoolR, Iho ostlmoto<l mnrkol vnlue thoreur IIH ill' dlllo M 1I01l1l. (If dooodullI, " Tho I Schedule a 1I111l0hod horelu 1I11t! nmllo I'nrl horuof RO.tR forth fully olld In dOlnll, nil perRun'ol,prollorlY WhoreHnvor .ltunted uwnod hy 1110 dccodunl III Ihu 111110 of doothl oil mono~'~ loft by tho docodonllll'lho tllllo or Ilolllhl whollloriu dcuollolll'H In1l;IOdlnlo pUHsoHslulI, RIOlldh11l tU dooollolll's uro<lllln bllnkR of,dopoHIt, sllvlnSR hlulk., Intot conltl\\IIIIlR, lit olhol InHlllullollR, wholhol. Indll'l<lunlly, 111' In InlHI fur UIlY olhor pow," ,or porRonH ~Ivln" nl.u Ht>pnrnwiy Iho t\l'~IlIod Itlloros(lhorcull, If any, dO\l',1110 Iho 10Rt.lntoroHt dill' 1'1101 \CI dooodont'8 1I0n'ih IiI 1110 onHO ul' sIII'IlISR hllnkH, olld 10 Iho dlllo of dooodont's dOllth In oil nlhor (lIlHCH; 1111 hundRI pORlnl Rnvltt~o, Ir,on'ur~' cOllllloolo, 01 nplo' IIl1d olhuI 01'11101100 uf Indohlo<llloHs of Iho, Unltod StnlOR I.~ Iho do. ;., , . . . .1, cUd01l1i nl.lnbll~nllunH, II'holhor hI' RlnhtlU 01 nsrel"l!olll ihoy tlrO <lORIQnlllod OR 'ox froo, o['lho Ullltod SwtoR, or nilI' Hlulc, UI pnlltlonl sllhtllyl.hlnlhuroof, or uf nil)' rurolgll UUllllI1)', II'hloh nro uwnud Illlho IImll of dootll; 1!1I II'cllrll\8 111'11/11.01, .IUII'clt)",IIY~III'III'O, I'ICIUrOH, huokH"works of Rrl, houHuh/Jld rlirnllUlo, hurRoR, oOlrlogoR, l.ulomrihIIIlH.. hnlltH, II,nllotll,'llnll nil (llhor purHIlIli1l ehllllol. of whnlsocvor, kind of' lIulllro, 10ft by docodolll, \CIllolhol Wllh Iho fnlrl)', o"llmlllod nUlrkol vllhlO. Ihcr~uf: IlI1 huudH npll mOrlQngo. )lold h)' douodonllllld nrnll ullllm' duu Ilnd oll'lo~ dooedot\1 III Iho limo of dUlllh, 'nnll 1111 prumIH'or)' 1I1110H I>r olhor ItjRlrun\OnlH 111 writing fur Iho 1IIll'IilOIII III' 1l1nUo)' or whluh deu'etlclIl died IHIH.O.Hod, or wllnlA{lovol' IIlllUro, \l'llh 'hHolUHI Ihoroun, If II ill'. glvlu~lhu fllu" I'llh", 1l1l11 00111111.1011 filiI mllrkot vnlllu Iheruof, IInll Ir Huoh osllmolod folnllurkol volllo hd los.l Ih'l!n tho fllco Yllhto, II Rol, .rurllt hflorl).'lho lOIl"till' fur 8.lIoh ddproolollnll'I18 tll oRolI ltoml.~1f IlIonOrR pilYoblo ,10 Ihd OHllllo fl'OIII.llfo i11HlltllllcO ~1I\ld,". olll'llod'b)' dooodoll",1I11 ollllllll)'l\lId olldowmonl,oonlrnou Iho '~rncoodH ."1'. which WIlli' 111IYllhl~ 111'011 Iho ,duolllnf th~ d~uudoll!11I1I ,ond Iho, uOlporUlo HluukR ond dlvldondn dllo Iha!OOIl IInd linJlllld IIH "I' Iho dlllo'of dOli II<, hond, IIl1d ,ouorllud Inloro,1 thuloun .\lllho dolO tir douodullt'H <Ienlh Itnl\ nlhol III\'cHlIIl~lIl .0"'" lilt", <llI'lIod h)' ,Iho dl\cUlh'"1 III Iho limo of dOIlIlI, wllh Iho mllrkol Vlllllo lhoro. nf n( Hlleh lilllO, ' " , ' , , , ..' In ~h~. O~ftO Qr 8Pourlt.h.1\ or 01080 or rllmtly oOI'lloruLtolla, tho vu1110u r,i"nrl,oll (Iro ,\a .'/'or 8a po.ulblo8Ub8tonUot"II by flnullolRl 8t"L,OIlIllIlL. or L1\11 oorllU""Lhl1la, uhuwlnll I,ho II~RI!t,R 111111 lJn\.j\Hlo~ thoroorul,or tho d"t.o or donLh, Tho ',.oholllllo ulfto 801.a rorth tho Il1t,ol'OIlI, of' \101111110111, II!, 1,110 111110 ur deBt,h III ony oo-porl,norlhl" or bl181iloll,onll III IlIwort' or th" vlllllO or 'ollllh llillll'OHt 1.111'1'11 III Ollllfl X 11I1 Lu aold anhl'<\1l1u,rlllRnolo)ILBLomonl,a,ahoulrIK LhooBaoLI ILnflllllhll\l.lou 01' .olt\ C""IIl'l'I.lior.hll' IIr l\lIo1noUH, A oOI'Y or Lho dO-l'lLrl.nOI'.hlll OKroOI1\"nt, (lr nrol, 0 HI,otO",Olit ollttllll( f'ol'lh I"h" lI"tllrn 01' l,ho,lIl1rdoll"IlII,>' LogoLhor,wlth'o ILBLollldllt 10ttlnA I'orl.h L,ho olIUI"IOtOr or tllll 111'8 I 1I0lH, Italuolltlonl ul1<l 811011 uthI1l'(;1I0\.1 ]>ortolnlllg,Lo Lho hllBlnoll ua I1Iny 110 llort.tlwnl, \." u rulr UIIII .11181. ol'l'rutuol IIf' 1.110 111111.,,11111(.'. IIII"I'"~I: Ihorlllll ",IIBtho'lIhm.ltt,II~', It ahlllllll a1,BII 80'1, I'orth III \l.u,"I~,"1 I'II,'m, "11""111"1' wllh th.. 'f'~II' IlIark..l vnlllll I,horoor, allY oLllor pf'lIporl)' ownod or hOlllloollltld hy Lho' 1111",,,10111 ut 1,111' I In'" "f' dUIIl,lIo ' . ' , The SCh.d,dH C HI,Lnallod horolo IIl1d ""lI\O pllH hllrlln\' Onl.H,"llrl,1I II 1",1111 IIIIHWI'" 1.0 IIl111h 1t1l11l1l'Y 'oolll"\lIOI\ therolll and In 1.110 oue of' trnl,."era IIrpl'opol'ty, 1'11111 or 1'"I'Hnlllol, wllhin IWII yoora 01' 1I11l\lllhlllL' 8 donth, tl\ !oonLomplatlon nr 1100011011,1.1 a do.Lh, ,or IIILollllod 1.11 I.uko IIf'I'II01. III Pll81110HloII or 1II1.111Y"II1I1I, 01, nt' nrter dOOLh, utll lohodlllo .0/,8 rorth tho ,II"tllro 111111 V011111 nr 811011 pl'OIll1I'ly, I,n wllllm 1,1;III1Hrnrrod, I,ho runLllI1I8hl" or I,ho trnnH roroe8,to tho dooodoll I., ,Lho "1'11111\1' \.1 nllll to 81111rn 1'110111 Villi h)' lI.f1ol, I,rlllll: f'.lN'" IInd '1111 othor ruotB or n "orUnonL nnLllro rogardlnK .otd l,rUlloror,o. III lhll ollon nl' 1.1'IIII"f'nl'8 I,nl,ondol\ \.0 Lnko orroot In pOH'aeuloo or on,loymollt III. ornl'Lnr dOlll,h, Ihoro ,18 Iltoo III,I.ll\Ih""t III till', ""IHIII"ln " IIIIIlY 0'1' 1.110 ,IO.d. L'rult agroomellt or IIthor Inot,rll",o\1L "ro"I,IIIK t.t,o lorU8l" Tf,"r".' IW 111811 .nt 1'01'1,11"111 o,dl\ Boho<\1I10 0 lIBL or,1\1l l'roporty, roul alld !IOrIOlllll, wlloll IfH V 1111111, whl,,1I P".HII8, III, Ih\lll"\IIl1t' 8 11'"",11 hy vlrtuo or Lila oxotol.o.fty dooel\ont, oHhbr 1I1l\lvllh,IIllY. or,I"IIILly viHh IIl1nl.IIIII', ('r /II'Y pnwor nl' "l'pnllll,-, mo"t ve.hd tndooedont., nlLher fndlv~~IIRlly ~r J"IIIUy. hYtho "wpl, 110011, nr nt.l,ol' 11181,1'111110111, IIf' ""nthor, with 0 oOI'Y ql'th~ InBlrllmont oreotlng 8110h ]>owor ol,I./lohed loll 11111 UIIIIIII,"111. ThnL Srhtdlll. 0 ~ttuohod hOroLo nnd mollo 11111'1. horoof' 8"1,0 I'III'UI 1.110 11'''''08 /11111 o.hll'oHooo III' 1111 pOr80llH hOIlOrlololl y I~ Lorob toll III thl$ OR tu 1.0 u I. loho MillO "" 110001"111 \,'. IIIIlI I.h. I,ho 1"ll.lIrll' 0" L1w j'r roo- pootivo InLo"oBLI, th,ol.r roloLlollalllll1 If' ony, 1.0 tho 1I00nllolll" I,IIIIIII',hor wHh t.IH1 OliO. III, tho l,t"I" of' do,;o(\onL':a 1\00Lh 0'1' oil mlllor., nnnllHnntl onll hnllOrlol/lrloH 1'01' 111'0 11I"lor ,1000..111111.''' WI1\. (l. /lIon oontolnH U,Btatll",ont ohowlnll whloh or tho honorlolnrlo.8 n""101' III UIO IIOOOilolll.'/\\vI11,' HlIllY, 111011 jlrlor 1.0 dooo<\onL, UIO d"tol or I.holr 1100\.1., \.holr 18BIIO, lilli' \.ho 1'01 o I. I o 11ft 11 11' 0\' 011011 18"1'" I,ll t.tIO 1I0Illll'lolllry. ; . . . , 'l'ht\L $~l>Idlll. . o/,/,oohod horoto anll.",o.ld 0 I'art. 11nrOOr oot. !'orl,h '''II l'rol'itrl,y, 1'0/11 lIII/ll'or- aonol, ""noli bY'Lh8 dooodonL JOlllUy With ollOthor or o\.horl, IlIo111111\1g Ihl.ollglhlo, 'ill.lIril,lIl111 'III tho IIRmo or tho deoodont on,l othero, plllo Lho dRLo ond phoo or, rooord hr tllotrlllll"III,8 IIf('ootlllll \.ho vooLlLllro or 1'001 OBLIILo lInd Lho dnl,o or lIoqlllolLlon or porHonoHy, 1'111H \.ho IIumo, rilltlro"8 lilli' rol/1Lloll8htl" 'If'lIIIY, 'or oo-owne"a to tho dooodollL. Th'o~ Sclo,dul. I' nLtuqhod 1101'01.0 ond mnl\e /I )lnrt 1I0rllo/' ~ol.R fOl'U\ f~llll' lIlIlI III dOI.,,11 nll doh\.I nlld ,todlloLlOnH' ohllllol\ ror unll Oil hoholl' or Llli811000l101l1.' 8 081./'1.0, tllolll.111111 l'IIIInrll1 OX1"IIIHo, 1",1<11 romtly oxolllptlon, whore "l'pllMhlel 0081,a or odmlnlsLroLlolI ,0(' t.tIIH O"\.lItol II01l1l00t 1'11,0' /1111' f~lrlloll1ry'. oornmlRRlonspnld '01' 1:0 hO'lloldl OOlt ,oxl'onllod ror hllrlol \.rIlHI,ol 1,011111,11.1)\\08 IIr gl'/lVll11l0rkorR' "nil rail- gloUH /lorvlooB, III ,oonlellllonoo or '1,110 dOIl\,h or t1\O lI.lootlolll,1 l\olltH, alld II111I"'H IIWIIIII lIIO' IIh)l/lll\ /II, 1.1.11'0 or ,doaLhl tRXOH noorllo,10hnrgonh10 ror IIIIrlod prior \.0. dooollolll.! 0' 118111.11 ("xo,,!,I, Ut"811 II11ow"II ',IIllldl' flllotlon 001 01' Lhe llIhOrltlll\oo ond l~aLnto 'l'nx Aot) I 1,01101,1101' with I' etnl,omol1l. or nnll nl.orlll ,,1 '"'11,,'1 I'IIr ~1I1Igo- tlonB. if /lny, II. ia,,,sroot!,LhRI, tho rlt!uolnry wlll "roeonl, 1.rlJllr IIr 011111 hl,,;lo""1 oh1l/4111,11I118 "1"'" ro- quoeL' Lh~L H Lho alll.ollnL uotllolly ]laId 'In aol,Uomont. or "ny roo, oommloolllll III' duhl., 18 108R fllnll Lho 08LlmllLod nmollnL olalmlng unl\ ~llowol\, Lho\. t.1tn RllmO ,wlll ho 1'01'01'1,011 t.u t.l,o 1l0glRI.or III' WI118,,'1I1!1 LhuI. tho Omollllt"or fox IIRao~lo<\ onn fto rodilRol811d tn oooorl\unofl l,horllwlt.l.. 'l'hoL t,ho 1.01./1111 or Lito opproprloLe ooll1mllo In 80hol\\.lee 'A', "n", 'C', '~;', 111111 'I" Ill. Illro"toll \.horotn, hnvq IIPon Mrrlel\ rorword ond 'properly rell.l"t.oroll In I,ho flllmmllry, . 'Subsorlbed ahd sworn to before me this' """"""'"'''''''''''''''''' ",,,.,,,,,,,,,,.,,,,,,,;,,,,,:,~~~,..,,., day Clf.'",(f)fJ~:~~,,,,:,,,,,,,,,, l\1.l.t." , "".,"'...?h~.1....iJt" . '. 'ct,.'_. ",:J,~,~::,J!\f~l"" ,', '''''' ""'''''''' MAllY t:'~^ :; \:'1," ..J,' "'/ 1',,\,", , CurUtw."C'\lI.-Jilooi--.;!-d l:il_1 fl,#' l(~--~_ rt!I, 'J.1, Pt$lt. """,g'~Ut~k.~;;r""'''''''''':''''''''''.'''''''''.'' ,517,Wes,t.",LOl.l,th\u:'"",S,t,r.\1l.~"t,,,,,,,,,,,,,,,",,,,,,,,,0"" ( Street Numb.,.) . ",Cat',1i.sla,.",,,PA..,,,,,,1,7013,..,,.,,,,,,,,,:,.,.... ",...,.'''' , (Citll or Town' and Stille) HOTUI' Ilororo alRnlng ,nrrll\nvlt m/lko IIllrO 1111 hlll11k. ""UOO" III 1.1111 uf'rldnv,lI. 1111,1 "chorl"loH Olll,o~o'l IIru, f'I110d 111 wtl.h dotnlllllr \.ho wort! 'HOllO", nllll III ""0" tho IIlool.H 111011\110 l'lrro 1111,11I1111111.1'1\ ollllllrlt.loo' floourlt.ip" 'nf'_.;oloa'9 or rnrntly oodlOrntiOtltt or All lnt.ornHt in uuy on"pill'l.nol'f11dl', nr hufthlOHHI ,'thut t:ho datA nUl' "tnt,OlTlon,tlll rO~\l'rft,r' \UHler tho 1H\rUArnph nhoY" rfllnt.ttu.~ t,1I HI11wduln "II" 1I,'n nf,tlloIHut. Alan mnkn nnrt.ntn t.hllt CHilunih #1 1" tho "8u~rnf\ry" hRA hOnlll1rntlf1rh~ IHlIlIplntofl iHI ftlluvo..f1trnn!.fHI. Tho P,udanll.1 In.u"n.. Cnmpany nl Anml.. StntOfTlont ofld"lIlI Bonoflt (Jnlo 1.0/1.9/79 ;"""','h,.""",.II,,,.,,.,.,.H""'"'''l''''' E1.sie n. Rhntto ' IlllUHud ..",,,,,,....,,,....,,,,,,,,,.,.,,"'.'''1'''''''',.,,,,,,,,,,,''''',,,.,,"'''''''''''''''',,'',,'' JI\Y N. Rhntto, .Adminint;oator P,nyuu ""'" '''',,'' ". ,..",,,,, "" I ".,,,,,,., ,,''', ,,,,,,,.,...,,, """ II '''''' ,,' """ '" ...,'",,,, .,; Jay N., Rhatto 517 H. l,outherRt. CllrliBlo, PA , 17013 Earl Ko1111r ' nuptUGOntnllVII ,,'," ",",',' 'I" 'H' ";" ":" "",,; ",",,",'" ,i;,;",," '" ..."" i. ".iI"" '"'' fJlunllllOO pllrnllrlll1hl~J """"""'"'''''''''''''''''''''''''''''''''''''''''''''1\''''''''''''''' Inarogral'h 1 \10101'1..2 Ill,"0 0'1 ,nvn"..ldn) B,n,fllI Poduollon. I\molln, of Olvldondl AdvAnco OADI!" InlNo'l 1.lon/l.oon Int(lrnl\ n,,,mlilm. In 'nluraneo' promluml ONOVA'" nn ~Ionl arrann ,olll,ood Lenh 205 $ 176.10 $ $ $ $ 1'.89 $ $ $ $ " 'For WooklV Promlqm PollclQS lhll n,hquntlncludo. Pllld,iJp Addl,lonl, II any . t AccldanU.1 d08th bnnafl1 t t t Non,occupational vohlolo ftccldonl dn.l~ baMI11 Tal.1 Bon,lIa $177.99 Talll Dldu.llons Am.unt P,v.bl. $171.99 ($H .rhlt ,Id.) P,lnlllq In u,a,A, , , " ROO- 36 COMMONWEAlml 01" llWNNSYJ,vANl A ']'1\ANR1?lm INlml\J1'ANC~; 'J'AX HOIII':llIlloli: "0" 'l'Il\N~I"Jo:IIH '* I\EH I,m:N1' l11(cI~IllCN'r (I) li1~ ,Io,ood.nl, Wllhtn lwo youroof',loUlh, mllkll III1Y tl'lInnrlll' of' IIny m"tortol\lort'or hla Oluto, wlthollt rooolvlllg II VIIIII"hl. IIhcl IIdo'llIlIt,O Olllllllclorllt.loll thol'ol\,r? (Anlwar yu. or 1\0) VA" (0) 1l1d 'Iooollonl, 'wtthlll two yuArn IIf' ,Ioot,h, l,rlln"I'or prol,ol'l,y frnm himself to hlmlolr 'I1nd'onoU.llr or "t1iDro (Inol\1111118 n ",'OU"o) In ,\nlnt ownor.hlp'/ (An.wllr yon or no) Nt'! (U) l(' tho onuor to (I) or (U) nllOVo tn lu l,holll'('II'''lllt,tVo, IItlltol (0) Ago or doooclonl,' nt I,lmo ,If' trlln"""I' 90 (b),St"t" 01' dOllo,lont'" hDlllthlll, tlm" 11(' Inllklng th" trl!llnror. (Nol,o I), (0) Oou.o of ,I"ooclonl,". c1""I,I" (Not" t>. (4) D111,l10oedont, tn h10 IHot,lmO, 11IIIkD 1111)' tl'lInol'ol' of l,rollllrl,y wHhollt roo_lyIng" Volllahlo or..loqlloto oOll1tdorntlon thororor whloh WO,O t,o 1,lIko ol'l'ooL In pnolloulon 01' onJoymont 01, or arhr hl8 dOllth? (An.wor YOI nr no)--1I1o._ ' , (,II) WIIIl tlloro 'lilY l'oo"lhlllt)' I,hlll, 1,1\11 I'rllporty trnno~nrrod Inlght rot\lrn totron.rornr Qr hlo ootll.tO or ho nllh,loot 1,0 htopoWoI' IIfo IItoponttlon? (Al1Bwor yon or no) ~Q (Il) Whllt WIIO I,hotrll,,"f'orllol Il IIgo 1'1, tl~lo of' lIooollonl,'" dOllth? (D) Old dooodolll, In hlo llrotl"."IIIl~O IIny trllll.rOr wll,lIrl\lt rooolvllIB il VlIhlllhlnanllodoq\late oontldoratl"II, t,horofor \I'\llor whtoh I,rllnll,t'orol' oXI'rollllly or InlI'IIOllly !'DnOrVOO ror hlo lIro or IIny t'Orlo" whloh dooo not In root onll hol'oro hlK 11011\.111 ' ' (0) 1'ho pOOIlOlllllllll or I'n,1 o YOlO II I, Ilf' ~I' I,ho rtghL I,n lnoomo rroOl till' proporty tron.rorroll? (Answor, YOIl or no)' Nn '_, " .. , (II) 'rho righi, t,o ,I"o'llnllt,o thn porooll. Wi'" Ilhlilt p01l00811. or on,loy tho proporLy tronornrre'l or htoomo t.hot'III'rnlll'l (AUflwrlr, YU8 ur n(l) , " '. I (0) rr"thll enswer to (II) (h) 'I.hovl' 10 111 Lho Iirfolrmlitlvo, Stlll,n whothor Lho rIght was rosorvod In dooodont alono or othoro __. (7) Old nooollont, 111 I". III'ol.lmo OInko It Lrllllllf"r, t.ho nonol,lorlltlon ror whloh WIIO tr~n.roroo'l 1'00ln\80 to PaY In~plOoto or "01' 1,111> h"nof'''' 01' 0111'0 01' Lrllllol'ornr?' (Anowor yo.' or tlo) ~Ig -' (8) Illdllooellont, ilL ony 1.lmol trnllol'or 1'1'oport,y, 1.1\11 honol'lol,lIl on,loymont or whloh WoS 'SIIII,loot ,to oh8ngo, bOall\u,a or n 110HorVOfl 110Wllr to nl t,or, IIlnowl, nr 11ovoko, or 'wlHoh 00111(' rovert to clOooltont \md8~ term. or tr~nsror or bY oporotlon 01' lliw~ (Anllwor YOIl or no) No (0) rr thO' answor to (8) nboyo \Il III thn nrl'lo'mItLty<., WitS Lho l'owor t.o 0\ tor,lImonn, 01,' rovnk,othO Inter- ost or tho honorlolory I'o"..rvod In \.Ill' 11000,10111, IIlono, or thn "onodont 1111,1 othoro? (Anoworyos or 110) No, " . ' NOTE II 'rho onsworo ,to Lhoo" '111/Jot,lon" ohn\llll ho IlIlI'PorLO~ hy IIrrt,lnv!t by tho ~ttorllllng IlhYRlol(ln III wollos,a oopy or tho ,1011(,\1 oorl,U'I'\II~Il. .' , . ,', . , NOT1! 01 Ir anowor to (lily or tho 1I\"'VIl 'i"nat.lnno Is YOO, 001, rorLh Ioolow II dooorlptlon or tho pro"ort~ trllllsrorrod, It',o ralr Ollll'kat 'Vlllllo lit. "01,0 of' ~ooth, olliLa" or l.rI,"nroro on~ to whom trllnororrod, \'(lth roIntl'onohlp or tr(lnOroroo. (,a "ooa~~"t, If' IIIlY, SlIbmlt oopy or (lily Lrll.t ~oOfI or Inotr\lmont, Ir trllllo. rOrB IIro oldman to 100 lIOn-I,IIXllhlo, 111M ""lomll, ~nl,lllllll' IlI,IItomollt 01: rnotll 011 whloh ollld olalm 10 baull, NOTlll 01 I,iilt IIpp1l00hlO prol'ort,y,h"lllw III mllllnor In whloh I\rovldol\ In 801101hllo. A, D, or Il, - I TI!~I \l1~8CI\lI\'1' ION ~lAlUmT V AUJIl . (Ilo timn toll) 1. ALL that certain lot of ground,situli\te in the ~ourth Ward of the ~orough of Carlisl Ol.1mberland County, Pennsylvania, having thereon erected a two 'and one-half story frame dwelling house, being the western one~half of it double two and one;..ha1f story frame dwelling" known and numbered as 517, We~t Louther Street, andbein8 ' 'more particularly described in the Office of the Recorder of Deeds for Cumberland Oouqty in Deed Book "K", Volume ~8, Page 590. Said proPerty 'was conveyed by 'deed dated May 15,1979, from,mlsie B, Shatto to Jay N. Shatto, mother to son. A SEaSED VALUE I Building $3740 Land 560 , / '1'otal ~ $,4400V Market Value $18,000,00'" IhH'llrt thlo totol opp".tto.."I'I'lIl1llfoflrH', 80,"..11110 'e' III ',ha' "'Aft UOJlrir,t.od" {UJhl"ln un l,hn 11lKt, I'UHo nf' t.lltH ,'oturn. $18,000,00...... If IS; (}~,I!, ".:- Jp,dl IOloAT-Wr"OOIY ''''Id, ~IIV'I rOlin, Aol of 19Q9, W.nry Il.,. InD'1 Ind.n., Pit i,I." tlCbt~ ..// MADE'I'UIQ 1..5 :!I %ur I,art!, aitO thOl/SIUlt! 1I11ltl 1/1II/(11'I\d J)ttb, IlilV of .' JJ (/Ij/ B(lVcnty ~n(~e/(19'l9) III. the voa.r m~TlI'f\'J.;N I~I.StE: 13, SIIA'l'1'O, wldow,of the Borough of Carlia1e, . CUl11bCJt'land County, PCJn11sylvllni,B, hon:d,nuft:or Gallod Grantor, Granteo I . WI'J'NIQSSIQ7'H, that In oon-q{t!oration 01 ONE ($1,00) - ~ ~ ~ - - - - - - - - - -- - -..; - - - - - - -- ..,........ ..,...;. ....._....... _........ ~....... _._.........,,........... .'........ ,"" ........... ...._...........~... .....;..... __ "'.. ...'-Dollars, i~ Mnd paUl, the ronolpt wllorcol U1 horobv aO!>lIOlQledgod, tho said grantor does herebv gra.nt and COlwell to the said grantee , his heirs and ass igns I ' . '. Ft\1/" I 1\ ' ALL that certain lot of ground situate in the T~14;~ Ward of the Borough of Carlisle, Cumberland County, Pennsylvania, bounded a~d described as follows I , On the South by West Louthar Su'aet Ion the West bY Prop~rty .now or formerly of. Carson M. Jacoby I on the North by a twelve (12) foot a.1.1. ey. i. and ,on t. he E"all t by propere,y no. w or formElrly of. Harry S. Rul;z, ,. st. u)(. CONTAINING twenty-one (21) feet, more or less, in front on ' said Wese Louther Street, and extending, at an even width, one hundred, seven (107) feet ninc!l (9) ;\.nchns in depth to B4\id alley On the nO'l;'th" and having thereon erected a two and one-half story frame dwelling' house, being the western ana-half of a double two and one-half story frame dwelling, ' 'The' EastClrti boundary line of,.the above described promises extends, through the center of the partition wall betwaon the house arected on the abeNe-described lot and the house erected on tha' lldjoining lot , on the east, i... ... ; UEll'lGLqtNo . 1 Nellie M. Meixel, by a gertain deed dated,December30, 1933, and recorded in j:he office of tbe Recorder of Deeds ,in and for Cumberland County in Deed BOOK "K",Volume 11; Page 162, granted and conveyed unto Eber J." S,hatto and Elsie.B. Shatto ,his ~ife. The said EberJ. Shatto, ha~ing died July 7. 19S~, title was vested entirely iT! Elsie B. Shatto, grantor herein. I l3,f-r~' ';< ~,'( f!.-c:~ 5- ~ 0 .ilit II} , SUMMAIIY ,'( Sph, "A") .. ,,(Sph, "n") ,..,...."" ....(Sph, "C") , ROlll'l'rolwrty "..""",,,,;..,..,,,,.. \ll1r800111 froportr"""'"'''''''''' TrllodCors ,..",,,,,,,, ...."""" ..""""..",,,,,,, .;"...,,,,.....,,,ii"".'.'.,," .--"....",... Ora.. Tllxi\hlo lCslllto '" i' ~ ~ 1 I '" ,~ r.. .~ '0 ~, < ~ ~ l' .~ d ~' ~ ~ ~ Z ll;, ---- r.. ~ = 0 ~ ~t ~ ~ 1l , .. ~ ~. ..., ~ s ..:3 <3 u .. .' ;, , . (1) , (AaIlclI1nrh,t1) $ " . $,. ,.. ."..,.. $ $ $ $ ""T' ,,,.i.... t., 1 -.. (~) (As 1)"lc,lrlnh\l!c1) $ I\; $ $ $, $ .. , . "ceo., (00171 , ' , Cou, ntv, Humber a, nd Hama ~~~~r] llpd Plla Humb.r , , ' - - Dat' af Daath ,41'S".", ~9. 1979 Pllt Oat. R ' n.lll",tnhA"" 1Q'10 B'lllta Mama ~1-lA'I''I'(l l1'u:ll:l1' (~An NA....' (~IRU NAM.' SUMMARY 1\ (INITIAL' " COMMONweA~ TH Op petHISY~VANIA TRANSP~R,INHeRITANce TAX 'ReSIDeNT DeceDeNT REPORT OF INHeRITANCIl TAX APPRAISER ',tha und'"lvnad duly appolntad Inharltanca Tax Apprala.r In and .far thoCauntv of " Cumhlll'land, " P.nnavlvanla, ,do, rtlpaotfully, rep,ort that I hava appralaad tho foal and paraonal prop arty. .. 'Rportad In tho for"olnv raturn at the valutl ..t forth oppoaltt ..oh'lta", In tha la.t column to tho rlvht In $choduloa "A' , "B", "C", and :'E", Pat.d, , 6 Deoember 1979 ' "I\-'~ F\ All ('l J jJr~y\ t, , INHfH"llTANCR TAX APP"^18f.R , RIPORT OF THE RIlGISTER OF WILLS I, t~a under.lvnad duly.lactod Ravi,tat of Will. In and fat , ,'. County, Ponn.ylvanlo, do roapoct. /Ullv t.port that I hava al,lowad daductlon. In tha amount' clalmadby doronont, oxcopt 01 to t~o.. Itom. whore a groator or I....r amount I. ,at forth In thal..t oalumn ta tho tight In Schadulo "F " which groat.r or 10"" amount ropr..ont. thoaum allow.d.. a d.duotlon. ," , Dat.d. IlEOI8T[!A Of" WIL..LIl INVENTORY R.al P,apor,v (Soh.dul. A) P"'a".1 Propo'tv (Sch.dulo III Jolnt.H.ld Proportv (Soh.dul. e) Tranll... (Sch.dul.C)' \OTAl.lfROIS "'laTa L... Oobt. and D.ductlonl (SCHeDU~e P) CLeAR VALue OP en...n Valuatlan af IIf. ..tat.. 01 .!t...- annultl.......... .......... "'_ $ " VA~ue AS RepORTED VALue AS APPRIIISED CODe VALue 115 ReAPPRAiseD 004+ , + ~ i' .0+ CODa 00+ + 4 . PRINOIPL.II IinATlI TAX ASSBSSMENTS _ S 1: "',':t VAL.UIl I~" TOTA~ TAX OODS 2% '5 6% 5 . 5% 5 10'1 5 15% 5 5, \, t: ' s s S OOMPUTATION OF TAX ~ ..0.. us. 0"" "KaIlTI:.. ONl...Y , T.. an S Ta. an $ , Ta. an S Ta. an $ _ T.. an $ e"mptlon. Total ht.t. (') A. ovldan..d bv ,Charltabl. E.omptlon Cortl/loat.. I..uod bV tho Soo..tarv of RI.anu.. L,,"a. pro.lou.IV paid , BAv.NCe L... ,,. al t.. II pold w,lthln 3 month. aft.1 death IlALANClI OP INHERITANCe T~X Due Add Int....' at rato of 6~ ham to , AMOUNT OP eST^Ta TIIX AlSEneD ,e',OIl to. pold S S I=: 5 t= 5 $ L 5 5 5 BALANce Due 'Add I~t.,..t at ,a'. af 6~ fram to tOT .ilL TAX BII~IINCE PAID Suppl.m.ntal Cod..l (FOR USE 11'4 HARRIS~URG OM\., Y) 48-Adlultment 49tAdlultment 56-Annuity ,60-1.110 Iltala 92+R.malnder A~p;al..1 93-R.malnderDaducllon 93C...Cha,lty 94-Ro!11dlndar ROilduo 96-Sucoo..1 YO Lila Eltato ,,' FOR USE OF RBGISTERO.!:i!::! ADJUSTMENTS HOTEl Wh..e ,ubjoquent adlu'tmonh aromade to tho abavo comp4latlan of tax by' thoiRogl.,or af Will., f~t, pro~.. ..alan, Inmo .hou d be notad balow, with Iho,t explanation. , it' ;" " \ , , 1_, ',' I ,,_I 'i, II, I ..1 I i I J ~ .- ,; <t: 'iii '~ ~ m IS ! ~ J>, ~, .~ ~ J ~, ~ 'S ~ c; ~ ,~ 1 a il :15 i ~ 's ! .!I '~ j .' . HtV..,67 IA.HI uuRI~1J1d~~~TL8Poml~l~t8 P,O, nox 2970 HARRISnUnO, PENNAo 17108 . . . COMIVlONweALTH OF Pi:NNSYI,.VANIA HESIUi:I\lT II\IHEHlTJiNCE TI\X Ap'I'RA1SEMr:NT DArl! COUNTY FI!.': NO, R ~~t\~Q)hAY'l_JJ1.ua. Cumberland 21..79..0647 '.....l... ._.-.......,'~._< 0"" ~"'O-_ u ..,-',-"...... --....-.,.. Whorol1tJ. 1=!'A~IIIR,,'Rhot'to ',lnlof)r C{)t"lisle _...._____ In tho County of, 9uml?e~~"lld ___ _M COll1ll1onWoall!i uf l'ulllI'JYIVilOla"lliWIII\I dlN,l Oil tho,' ,29th ,dnY,of Aug~Jlt " 19.....2.~uui~odulldPo!mo~~0t!olilIl0!ItnI.O ,subJeot to lnherltanoo Tl\Xundor the laws of thu Comrnonwoolth llf'l'ollmlylV,111Ia: Thorefore"I, Gandt'a St9nL_ __ ,all 'lPIlI'"I"ol' duly <1ppollltod UC"0rdlrl9 1.01ilW, havln~ boen dost\JIlate~ to mllkn a fait' and oOl11lciollUblo "PPI'~Ii"0Il10Ilt of tho fl"id O~lill\\, i\lld 10,",:10,,,1 ,\Iid iI:, tho ";1,,11, valuo of all ohnultleR I\nd Ufo ostatos wowing out of oak! oHtnla, horoby fila tho followlllg npP\'U1Homollt: In tllO QYOll1 ,tllat anv luturll \l\ttIrIUI 11\ thh I1Ualo.I' h.lll.flllroti III Ih1G~I]~'1(1I1 ,It.11I1JUYI!\'lIIt 10 (Jollatul.ll hOlll.1l1 th~l .'hlriH!lm\ ,ifl<ll tlHI ml; plfilWm of Iny 0$t4lto for Ufo fir for V.,UI, tho GOlnll\onWoftlllll1oHltIy OKllftllllY rOUr','", Ulil tl(llllltl nllflffll~o and IUilln IrlHilllH Inl\uII\.llltlll,u'II't i\llh(l Llwtull,:!)lhltll,ll rito On41r\Y sunil futuro lnterost, ' ....~ -,- _i_~..,.'1NTfI --~i\JIP(ill~"lmmr lJl:sr.nU1Tlc1N 0,1'. !\','Hc" r Vl\l.lwn tvtMl1l nr InhudlllllfO ; """1( 11\IfIHlSI1S ,. - "'"1 ~ f~ ".on.&. RAil] EAtst.e - .-. P'1P8~R.l D~^'p''!'+lr . 14:.'280 59 . T""......4'''",.. ' a nnn nn , - , ....!.tt!?;l 65 aln4 ni'ly nwnAd --... T9t .1 , , J.~6.0B5 .1.!L. .-- - " ': - -- --, , , " " , , " , , , , ,- , , " ....' -- . - , , - , , , , . , , , , , . " , --..w...-.., ' - , , , -;-' , .. , , , - - , , , - , ',' - , ' , , - - " , , , - -- , - 0.........;, -- , , - - " M Have been ~uly sworn tccordln, gto law! I d, 0 horeb.voertlfv t at tho above I\Ppr~IAomonlls made In oonformlty wIth the law on this. " th,' Clay of Deoen\be 19 ...z2.., ,~:-....-j C 'J ~. \" J f\ntllft SfIr IIb!l. (NWllbllt MId f1hU(l1) (PoslOlllenl , Ponoa, " lnv.nloryof lh. r.olond pmonal ..lat~ 01 NONE NONE, $ 6,869 97 7,000 00, 86 83 " 3. Weekly Premium Industrial Policy ~ No. 405 209 205, , The PrUdential Insurance Ooml' any ,date ,of issue, December 23,'194 I Elsie B. Shatto, insured,; Estate of Elsie 13, Shatto,Be~e~ic1ary Death Benefits 176 10 Accrued Interest' l' '89 .JW3.1JL\}-.J!M.~1Q...--- "d.eta..d. , -~~_...~. ..... .. .-' ....~=='_____,:=1~.=...-;:::;:.:::n=--.....~ REALES~ATEI NONE TOTAL REAL ESTATE PERSONALTY I '1. ch~Qk~ngAocount No. ,4-5164-9, Farmers 'rruet: Company, pli\gistered in name of depedent Balance at date of death , ' 2. cer,eificat,e ,O,f'D, ,epoSit No; ,6689" ,55 7, Cumber1E\nd Valley' Savings and 'Loan Assqciation, registered in name of decedent, 7-1/2"/., 4 yel:\rs, dated, November 213, lV5, Balance at date of death Acqrued Interest 4. Belvedere Medioa1 Corporation, Account No. 00247528, in name of deoedent' Credit Balanoe at date o~ death 5" Mlildicare Refund TOTAL PERSONALTY RECAPITULATION TO'l'AL VALUE' REAL, ESTATE 1 TOTAL VALUE PERSONALTY 1 'TOTAL APPRAISED VALUE I) NONE " ' $];4,26,0,.59 $14,260,59 114 80 11 00 $14,260 59 COMMONWIALTH 01' l'INNSYLVANlA I COUNTY'OP CUMIIRLANP J III ,_ 'H' -,., " ,'~ ._.._._,.'P",~p,.H' ,JA'l.N....BUATTO, ...,.- ----. ,...... "",_.,~,_H'H ","'-' .__mn,..,~..,.,"~.H bo'n\! duly ..,iwo~n;_H"--'-"-- aooordln\ltolaw, dopolOl and uyf that he ,isH.the---...-....""'.. ,...~~'--_.~- _..,._._.-Executor...-......'.--..-.- II.! tho altate 01 _-ltl1J:l&.Jl4-,s.hat.t.o..-.,~......_~~---- late 01 ,,_.th.~c)t~6':1g\1 of Carlisle, . .,,~... ',.~,.; Oumberland Oounty, f1a" deoomd end thliUh' ,wllhln II an InVentory mado by ....;..-, "Jay .N._Shatto.,- p-'- .-..-,' tho uld__ExaC:l.1,1tllL..-- o,lth, onllro, 'Iht" of ulcj deo,denl, oonlhlln\l 01 all tho perlonal prop'~rly and r,oal ~I..te, .~oept real utate ouhlde the Oomm,onwe.lth III Pennlylvanla, and thai tho II\lurOl oppollla uoh Item of tho Inv,ntory roprOlont It', faIr value , a, 01 the date of deoodont', dulh, ~ l,92?-- .~ _.fJ-.21.ii,--fl:.' --'- ; . ~"outor ~ , .__5.1 LW~fl t_ L.o.\l..tbfl.r...,.s..tJai t ,. .. ; ....J.VfiII..~' _ a,nd Iublorlbed beforo mo, YL~'\ ~1;!f\1 F~, I~DI"rY! r~i~1l1 Cof4/1"'i ~Iqrod Co" PA My Cllmml1l1on ~I"I rob. 27, 19"" , . , '1. ":p ":i1E';;' n"r\" .~,Aat'.l,. s~". A 'd t , , - ''"' t." "\ ,'; !', '! t'I,' Oat, of Death ....-_---29.t1:l--'--....-.----..---Augus.t...-...-..--. , 'Pey . Month , . t' 'I 1 Cl79 Yeer ;' H', !'," ' \ .......--...----. ,,,,;:' tNSTRUCtIONsI'.' n, ,ill ".,' , ,'" ;' ,.' ", ' I. A," 'nvontQry mUlt be flied 'wllhln three months after app~lntment Ilf per.I9nal representatlye. a. ,.. ,u~plement,lnYen,tory, mUlt be flied w,lthln thIrty days 01 dl,ooyery 9f a,ddltlon_l.uet,.. . 3. Ad~ltlonel sheell may b. attaohed .. to 'perlonalty or rully 4. Sh Artlole IV, Flduclarte, Aot of 1949. . " ;L. ,... ~. i ~ ~ ] l;1; I. i ~ ~ l{j, l f ~ . J. ,,'- I ~r~ ~ I"l I, ' Rl j I' '~ I~ m ~ '~ \'0\ .,.. ) ~ ':0 3 ~ ... J OIPUOtlPWI A~~OWltl IW fllln, fie C.10 OI"FIOI 01' THIl RI!()lnT~" or WIl.l.I STATEMENT OF' DE~TS . AND DE,OUCTIONS .J,! 2l~7.Q~5117 'I.'!i J /1' ~ / ",//_,,(// Ilf 1-,'-' /,1-_jt J.A . ',_ ,. _..1 J , I .-f"- ,. . Tlit OUM OF ..."......,. (., 1/.''7 , t. ( pm Ar~"OVI I\~(K /(/ I q '! f' _c. ,I' JSl-.6 ,.t.J~)W If) W:'b.n. . I__~_~ ,'J' It ohle, 01 i\llI. AUHII orQ.\.u1)b e r 1 an d __ OQUHTY "Nt) AOINT OI'THICOMIAONW.A"-TH B:STA'1'E OF lt~Bl e B. Sha..tto I.Arq or.:..' nOtOUih , 1. ~ , (,J ,{ ('I " ( OAT< or P'I.INll APP"A,,~,.uNT(lO.ll,Ir, ..--'---1- PATI or o~ATU AUglls t 2Cl, -. NO. 0' VQuc"", NMU: 0' ftAYU ~IMAnK' AMoUNt 5 Brothers Funeral Home Funeral EK enses llY. N, Shat to Re ister of Wills ,-- .Cumber1and Law Journal Advertisin EKecutor~ N~ti e Short gertificate e+ l'btice \'lonore::ium, Funeral Service Accou' t Pa able ~unt Payable Letterin on l-bn\.lllmt .Rev. Meryl Dersin ~- MOM Pharmacy Presqyterian flomes, 1nc,_ Carlisle MenPrial Service 100, Register of Ace t able Fee fo Inventor A raisal, Debts and - Dedug t ions Alli.!n~Y 1 s Fee costs 100 00 -, ---.~------ ,-~ TOTAL $6,187 61 COMMqNWllA,l.TH Of' PENN8YI.V.......A } COUNTY OF .QJ.mJ.1?,erland __'___ n, 1,"_ ,_ .' ,lay..N...-S.h.at:ta. _____-.HlnIIY CIRTlftY. THAT. TO THI ntl' Of' MY KNO~I..P(U AND .EL,lt". THE,,,C;HUlUtJINQ.li ^ JUDT -'NP T"UK tl'ATI"'t::Nr ,01' DI8TOl f"UNIUt.A,1. lxrlHUI AND !l.,,.'..NIi.. 01' AOM, IHle, tHArlllN '~QMITTIP TO, TNI,......n OP 'F.la.i.e..J.L,'~'., oto~...no' A' olouer,'o NI rOR IUHIRI,T^HUi TAX PUMf'U8'AI, ~ 1~ . ~ . .n- ' . . , '1(, .... ,. -'~ --. . !ML, _._--......_~..(I..." .Wo~H ANo .Y.II"C.lllY.O ";"OA. MI tUI. ...r;/!:Jl!,::."-OAV or J y'~, SO, EXaC!U1:"O'r . ~. '"/"U-d'-~.z(;>4'=_1t 14--____ O' '. . I,'; '. "'j'", , C_:tHh',}, / \-'" \I~ OPPIOIAL Usa aNL Y I 0 - fA (t!t-I- -~ PILe NUMBeR 21.79.051,7 OOUNTY OOOS' YSAR NUMSilR o 0 u 195.16.2853 nlla RIlTURN M 81 BS "ILSP IN OUPUClAI8W1IH TH8 RBGISTeR 0,. WILLS R8V.11008~ . (6,001 Uli II ~ I OOM~i~~'~~OP P~~I1~ANIA HAR Isga~t ~1'~118'0601 L Shatto Ehie Il. OATS OP 08 TH (MM'oo'Y8ARI 08 29 1979 AEV~1600 IN~lfnlr_J&BI~~AN OATS OP BIRTH IMM-OO.Y8ARI Me 1\.(aT. FIRtH. AND MIODLa lNITIA~) 6,' 3, ""nl"ndafRalurn .frOV~. e; Feder.1 U'UIlI TalC ~.lufn R'qultlld 8. Tolll Numbet (If S.,. Oapo.1t flOlUJ\Ii 1, O,lgll;il Alitu", 21 Supplnmuntal RCU\.IFn 4, Llmllod !tlalt 4a, Fulure InteHell compromliD (date of dO'lh .Uer 12-1a.82) .. Oletclant Died t..'.lo 71 L>.c'~8nl'M.tnl,lne'd ',Llvlng THIll (AII..h ,.py ,I Willi (AU"h ..py.1 Tlu," o 8. Lllli.lI.np'....d. Reo,lvod 010, apou,,'P.,orlyO,.dll 0 11, Hleullonl. \Ok undor eo.. 9113(AI Id"..fd"'hbe'w", 11.31'illnd ld,VII AII"hH.hO ' ITI II'COMPL JbiA t.oonmo II_NOU. ON DBNTiALTAl( IN ORMATION. , COMPLHTH MAILINO AODRESS Es uit'O Es uire 2100 Longs Oap Road Carlisle, PA 17013 ,I I 1. Real eVlale (Sohedule A) 2. Slookund Bonds (SchedUleSI S. Closely Hold Co'poratlon, PeNne,shlp 0' Sole.proprletorehlp 4. Morlgagee 8. NolOe Receivable (Sch.dule D) e. Cash'Senk Deposits & Mlscollaneous Personal Properly (Schedulo E) a. Jointly Owned P,operly (Sohedulo Fl o Separale Billing Roq'uested 7, 1~ler.Vlvoe Translars & Mlscellanoous Non.probale Properly (7)' (Schedule GOt L) e. Totel Groet Aente (tolal Llnes.l. 7) , 8. Funeral expen98B & Admlnlslral!ve Cosle (Sch.dule HI (8) 10, Debts 01 Oecedonl, MortgegaLlsbllllios, & Liens (Sohedulo I) (10) 11. Tolel Oeduotlone hOlel Lln08 9 & 10) l~I' Net Velue of I.tate (Line 0 minus Line 11) lS,' Charllable and Gove,nmenlal Sequ08lvISe..8113 Ttus,le fo, whluh an oleolion 10 lax hee nol bOGn made (Sohedulo J) , 14. Nel V.lue Sub e.t to Tex Lln. 12 minus Llno 13) (1) (2) (3) None N oil'B Nono (4) (e) Nono 26,1126.29 (8) None Nono None None 8 Sell INsTRUCTIoNS pN RIVIRSI SIPEPOR APPLICABLG RATS8 lS. Af!1Ounlol Line 1410xable allhv sRnuvallax rille, Dr I,ansle,e under Seo, 8116(aX 1,2) la, Amounl 01 Line 14 laxable olllneel 'ale 26 ,426 . 29 17.Amo~hl of LIne 141axoblo alalbllng rOle lS. Amount 01 Line 14laxabl. al eollale'a.l 'alli~ 18. TiX Due 20. c I OPPIOIAL. E ON~ V f'" 'I," ., (S) 26 ,li26.?9 (11) 0.00 (12) 26 .426.29 (13) (14) 26.426.29 x .0 6 (le) 0.00 X ,0 6 (18)- 1,585.58 X ,12 (11) 0.00 X ,16 (18) 1,58~;~~' (18) Oopyrlght (0) 2000 form toll ware only The LlqknUf Oroup, Inc, Po,ml'lIV.1I00 IX IA"V, 6.001 DI Idlnt'. Complltl Addrl'" s -" CITY ZIP Tax Payment. and Crldltll I. ,Tax PUI(Page 1 Llnl 19) 2. Credll"Plymlntl A. Bpou,al PoverlY Credll B, Prior Payment, C, OIIC\lUnt . (1) J:,585.58 Tolll Crodll' ( A + II + C) (2) 0.00 . 3, Int.reallPlnallY If applloabll D. Intereal I, PlnallY Totlllnloro,tlPonolty ( D t E) (3) 4. If Llnl 21, greeter Ihln Llnl 1 + Line 3, enlor tho dlfferon,ce, ThIS I' Iho OYIRPAYMSNT. Ch.ok box on P.g. 1 Line eo 10 requII' a r.lund (4) o. 00 e. If Llnl 1 + Llno 3 I' glooter thon Line 2, onterthe dlfferonce, Thl' I. th. TAX PUB, (I) 1,585.58 A. Enlerthl Interlll on Iho tax dUI, , (IA) 0.00 . B. Enterlhl 10t.1 of Llnl 6 + SA, Thl' I'tho BALANCB DUB. (IB) 1,585.58 Mlk. Ch.ok Payable 101 REGISTE!R OF WILLS, AQE!NT 1IIIIIIIIilllillllll~i~I~!~~II~~~I!I~~II~~I~lli~I~~~~!il~!IIII~~I~~i~I~I~li:~~!:i~~~~ll:~I~IIi~~I!I!I!~I!!lill!~lil~~i~li'~~I~~~I~lllf~~II~~~I~I~~I!:lllllillll 1. Old d.cedlnt mekl a lIansfor and: Y.. No a. rl,aln the UII or Income of Ihl propelty Iransferrod, . . . , , . . , , . , . . , , . , ,.. . ~ ~ b, r.teln the,rlght to do"gnale who 'ha," ulllhe property tron,'errod 01 1t,lncome:, . , . . . , o. rllaln e rev.ralonsry Intero,t: or. . . , , , . , , . . , . . , , , , , , . . . . . , . , . . , , , d, recllve thl proml,e for IIfI 01 ,llher poyments, blnollt, or core? , , . . , . . . . , ' , . . , . . , , e. If dlalh ooourrld aller Oooomber12, 1982, did r.le~,dlnt tlen,Ier proporty wllhln one YlO' 01 dlath without reoll,'ng adlquate oon,lderallon? , " . . , , , , '.' , . , , . , , , , , . , " , , , , , , , . . 0 3, Old dlcedenl own an "In tru,t for" Dr payablo upon dlath bank account or ,ocurlly at hi. or her doath? ,.,,', , . , , . , , , , ' , , , . , ' , , .' " , , , . , , . . , : , , . . . ,'. . , , 0 4. Old docederyi own In Indlvldul' R.llrement Aooounl, annuity, Dr othor non.probato prop.~y which contolnu blnoflolary deslgnallon? . . , . . , . , , , . . , , . . . , , . . , . . . , . , . . , . 0 . IF THE! ANSWE!R TO ANY OF THE ABOVE! QUI!STlONS IS YeS, YOU MUST COMPLeTe SCHBDULe G AND FILe IT AS PART OF THe ReTURN. Under P'IlIUIl6. 01 ptrNry, I dlcl." thlt I hive IlC,mlned lhl. return, IncludlhQ Iccomplnvlll9lchedul.. end '111.menla,.nd 10 the be'l of my knowlltdOI and bellefllt II trUt, oorrtGl.od complell, Oeol.r.lIon of prepare, other thln'he pelr.onll rfP',...nll!lv, II bll.d on IlIlnform.tlon of which prepater hn .ny knowledge, SIGN I ADOPPSASONAS07r)O IOLSPO~STUAN Jay N. Shatto CL-/. r]) 11 aA.jb " .~H..~~.J...<l~~".l!J;.~.t: ~..... .'.............. ....... .' ,Co rlisle PA 17013 AsOP SP SA S T SHNTATIVS Stephen L. Bloom, Esquire . ..~~9P..~~!1.&~. 9.'!1? ~"<l~~........................... Carlisle PA 17013 I II I I I filii j, I. II I ili liliHillili!lilil:lliiillllli iild ill I liillililii!liiiji!iiliJd:i:i:il!linljl, Uil illll!!!; iil!r::lllIIli I,illili ,ili i i I For dales of dealh on or an" July 1, 1994 and bolo,o January 1, 1996, tho tax ratolmpond on the nit '81uI of tran,'orsto or lor Iho USI 01 the ,urulvlng IpOll1l 113% 172 P,S, 9118(a)(1,1)(I)I. . For d.tll of dealhon or anlr J.nuary 1, 199&, thl tax rolo Impolld on tho nol valul of itan"I" 10 or for thl u'o uf Ih. surviving 'po un Is O~. 17e P,S, 9118 (a) (1.1) (Ill), Th. ,lalUto do., not uomota Iran,'" to . lurvlvlng 'pouso from tax, and Iho slatutory roqulroments lor dlsololure ola"ol. and filing atax return are stili appllcoble oVln If thl ,urvlvlng s"ou,o I, the only bln.,lolary, For d.IIS Of death on or allor Jllly " 2000: Th.lex ratl Impo,od on thl net valul of tran"l" flom a dlOOAlld child twonly.ono yea" 01 age or youngsr at death 10 or for tho, USI of a natul.1 paronl, an adoptive parent, Dr'. 'I.pparonl ollho ohlld Ii 0% 172 P,B, 9116 (a) (1.2)1 Thltax rato Impolld on thl nil valul of t"n,'o" 10 Or for the UII ollho dooldlnt'. lineal blnoflolorloal. 4.1%, oxcept u notod In 72 P,B. 9116(1.2) (72 P.S, 9118(aXl)j. . Thet.x ratllmpolld on the nit valuo of tlan,fors to or for Iho UII of Ihl dlcldont'. sibling. I' 12% 172 P.B. 9118(eXl.3)j. A sibling I. dellnld, under Secllon 9102, as an Individual who hal at Ilut one parent In oommon with thl dlcodont, whlilhor by blood 01 adopllon, Oopyrl9hl (0)2000 form loftwa" only The L.okne, Oroup, 1M. 0.00 []] []] []] OATs ~ Porm RBY.ll00 IX (Rev. '.COI ,..plt Ill.( ICdl(dA-' BJj:CEIVf. RElJtASEA~O SATISFY AWARP WHEREAS, by Adjudication mad~ by the Court of Common Pleas of York County, Pennsylvania, Orphans' Court DIVision, On AprU3, 2002,dlstrlbutlQn at' lite, said blllllnce of the First and Final Account of AUfirst Trust Company of,Pennsylvanla, N,A" SUCC0990r by merger to Dauphin Deposit Bank & 'truSt Company, Trustee,of the Tl'llst Under Will created by Roy S, Blerbower, now deceased, which Adjudication ,has been confirmed, absolutely, certain awar.ds were made, as hereinafter ~et forth, namely: TO: ELSIE B. .SHATTJSlster As per ITEM FIVE: B,2, (8) ofWUt 10% Residue 'of Estate Cash , $26,426,29 WHEREFORE, KNOW ALL MEN BY THESE PRESENTS, that I, tho undersigned dohereby ackllowledge, that I have received this day of and from AUtlrst Trust Company of Pennsylvania, N ,A., successor by merger to Dauphin Deposit Bank & Trust Company, Trustee of the aforementioned Trust Under WlII created by Roy S. Blerbower, now deceased, the amount set opposite my name, and for and In consideration of said payment, do hereby release, remIse, qult-clalm.and.forever discharge tile said AUflrst Trust Company of Pennsylvania, N ,A., successor by merger to Dauphin Deposit Bank &. Trust Company, , Trustee, of and from al.llIabllity because of said award, and I do hereby direct the Clerk of the' Orphans' Court Division to enter satisfaction In. full for ,said award on the record at' said Court, and I do, consent to the · diSCharge of saId Trustee, IN WlTNE~S WHEREOF,l have hereuntQ set my hand and seal this J.2rtL day of .......11'(' 2002, ~ (0 ._,Ilness (0) (?)) , .~ 'l>e~se;"t)gl;qI7"l( c.(.IMG~I'\q'Jt:. couNT'< 65<<~~NO. :;l.1-7~- 5L1"; ~~ 11.-<%~ Elsie B. Shatto ~ S:r'A-r~ I 'OY :JAY ~, ~'l+A1'"f"O I e:)(Ec.ur~ " , I I I j l; ," ~ , I I ! I C ( " i , 1. 'I'he untir.. l1ell ill~omo uhull UfO IInit' uo hur nl: 101l01l qUllru"rll'l /llld 11100.1 2. All lOuoh QfU!18 prllloil'nl no IIIV do~porllulI \:!:lIstes ,nllY from uillle Ilo \lims uhillk dOu1rllbla eor har , welfllra, Dornfort or sllppor\:' shll.ll be pnid to hor. My OOrporll to trllotoo InllY lIaO prinoipal liberally fOr 11\1' wife in order tOlOd/ltllin her'in the al:allt1/lrd of liviM 1:0 whi~h eho hoe been llocuatcrn$o;! durin\1 my liflluirne, nnd 1 alll:hor.l.ze H to dis#e\1l1rd her ouhu resouroes if il: aean elt 'to do 110. II. On my wife's death, IIny \ll1iln nmntninq pdnQiplll, t!lgel;hu wHh Il~y undis\:ributed inoQme,shall be pdd to , slIah one or more penone or or911nhetions~";iIlQludin\1 her eeta\ls--on 8Uoh terms a8 8he mliy appoint: in II will opltoHiollUy r8~.rrin\1 to trie pow.ro~ appointment. C. If my wife fails 1:0 ElXl1l1ue\l her pows!;' of lIppoinl:lnBl1t IIndel: the puoedin\1 pllrll\1raph, on hElr cleohh I 1. Any inorollo,e in death tnxeu or nclminiat;rntion expenses in her Elsl:nl:o clllloed by the incllja10n of thio ., trlls1;: in ,it; for tllX p,urposee ehll.ll bs paid oUt of, the uneppo:ln ted pHnoipll~ (llI1d a written e Ull temen t by her aXElCII tor or a<ln\inistrllbo1:' o~ thEl aooO~n te thuo pnyablG may be acoeptecl, as 'bs!n~correct) I 'and, 2, ' The baLl\nce of the llnappclntad nhllllbEl uclclad to enel the1:'eaftElr treAted as II part of thEl principal slIbjeot\:o II:em ,Five IIEl1:'Elin, " If "sny propElrby not' pnsnin9 Uncler bhis 1I:em qualifieo ~__"'-<'H""'._"'. '" '_".,..:'~..;..,,_ for I:he ,In\\ritel, clod~otion or !lilY. similar benefit: allol"ablo ;.' , . ..---.....:...-;'.-.--.;.-."";'."'.....'.... '-"; \.Inder ,the fedornl ...ta\:u ~llX law in forco I<han 1 diu, 'I,ho .___---....h ' ~' ~ ~ ~ ~, l " ,f, " t LA"'" onl." Ml'lftM:OWIt1 fUQ." . QLIt'''I". ...., .,..", 1\. ~",i V~_~_.?f,~tllat property nhall <101:0,"",1n1nl1 the ni.s of I:h10 "---.. bu'tnksn Ihto oonoidorntion In I:run 1:. No prop.,., ty I no HI/H,io , '" for thEl mnrHal cluductlon or fc;>r ilny o\,"i[-'1l' l"'nofl,t ohall ....., /' ./ /6> f~1., /.~,~ ~ - 2.- BURBAU OF INDIVIDUAL TA~Ba INHERITANCP. TA~ DIVIRION DEPT,260601 HARRISnURG, PA 17126.0801 COMMONWEALTH OF PENNSVLVANIA DIiPARTMENT OF REvENue STEPHEN L BLOOM ESQ 2100 LONGS GAP RD NOTiOll OF INHllRITANOll TAX APPRAI8llMBNT, A~~OWANOl! OR PISA~~OWANOll OF DeDuoTIDNs AtlP AB8118BMllNT of TAX DATE ESTATE OF DATE OF DEATH FILENO, . COUNTY ., i ACN .() , Ii /(-1 07.18.2002 SHATTO 08.28.1878 2178.01147 Oumberland 501 ELSIE B I Amount R,mlll,d I MAKE OHECK PAVABLE ,AND REMIT PAYMENT TOI Reglller 01 Willi . oumberlend County Courthoul. cerlllll, PA 17013 "~~U~?~~(~~~'t'~W~.."""'" 'Notl~il!'b'.~A~~~I~r:l~lt~~r~~~~fJ~-l~~'NRt~rfas'W:Nct OR.............".....,.........,. ," . PI8AL~OWANC8 OF P8PUClTION8 ANP AsseS8M8NT OF TAX. . BSTATIOF SHATTO 8~SII B FI~1l NO, 2178.0547 ' AON 501 PATI 07.15.2002 TAX ETURN WASt AOOEPTED AS F LED CHANGED T 8 B R R 8 fI TO T OARLlSLE PA 17013 \\ 8 8 OF T Reel Eetale (Schedule A) Btockl and Bcnda (Sohedule B) 3, Olo,ely Hlld SlcoklPartnerlhlp In(eresl (Sohedule 0) 4, McrlgaRIs/Nolee'ReOlllvable (Schedvle D) 5, Oaeh/Blnk Deppelll/ Mlsc, Perscnal Frcperly (Sohedule'El) ~. Jointly qWned Property (Sohedvle F) 7. Tranl!..1 (Sohedule G) 8, Tolal Alle\a APPROV8D D8PUorlONB AND ElX8MPTI0~81 , 8. Funeral Expenlee/Adm, COIII/Mlso, E~penlel ,(Sohedule H) (8) 0.00 10. Debll/Mortgege Llablllllel/~lens (Sohedule I) (10) 0.00 11. Total Deduotlons (11) 'b,oO 12, Net Value 01 Te~ Return . (12) 28.428.28 13. Cherlll'bl~IGovernmental Bequests; Non.eleoted.e'113 Truate'($oheduls J) (13) 0,00 14. Net Value of Eslale Subject to Tex (14) 26,426,29 NOT81' If an aneumenl wuluuod prevloully, IIn81 14, 15 i1ndlor 18,17 and 18 will refleol f1gurn, Ihat Inolude Ihe lolal 01 ill relurne auened to date, i ' , A881188MIlNT OF TAXI 16, Amount of Line 14 ~l Spoueel rate 16, AmOUnt of Line 14 taxable et ~lneal16lall Meta 17. Amountof Line 14 tak'ableat Sibling rale 16. Amount 0' Line 14 texabla at CoilatarallClaee B rate 18. Prlnolpal Ta~ Due TAX ORllplT81 P Mil T PATB 06.07.2002 (1) (2) . (3) (4) (e) (6) ('7) 0,00 NOTBI To 'nlU,tl proper oredlllo your eooount, lubmll thu upper portion 01 thl' lorm with your . t.x p.ym.nl, 0,00 0,00 0,00 26.428,29 0.00 0,00 (8) . 28.426,29 . (15) (16) , (17) (18) 0.00.... X .00 ' , 0,00 2e.426.29 X .06 1,588,58 ,0,00 X, 12 0.00 0,00 X.15 __ 0,00 (19) 1,565,88 . Ra081PT Nil I!BR 00001267 AMOUNT PAIP 1,56a.88 ,. . U '1.10 1.\1'1'18 PATI IIlIlIOIITID, ell RlVuel 'OR CALOULATION 9' ADPITIONA~ IN'!'IRaST, TOT^~ TAX OR8PIT 1,586.58 lIA~ANOEl OF TAX PUB 0,00 INT8Reer 2,08 TOTAL DUI! 2,08 II' TOTAL PUI IS Lall '1'1 ., NO PAYIIJIIlT IS RlQUI 10, I' TOTAL pua II RI'LIOTIDAI A ORIDIT (ORl, YOU ,.....Y 81 DUI A RlFUND. III 88V1811 DIDIO' TRIO 'ORH 'OR INITRUCTIONI,) BALANCE 01' UNPAID INTEREST/PENAL TV AS OF08.08.2002 , ';i