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79-00572
"~ i',N~' , '. ~. 'I ':i ", " .,'/ ". I '!i' ,I', /.,., " ','1' "I .,"" " , , ,"" ',,'- -.': .. " , , ", i''', " " " " - I~,.< i" d ',' 1 ,.~ :"0 '10 ,-, ~ ' - - - -' J' , " I' , ,. .' ., '. ,,' " {', :" I, " ; ,; " " " I " I " , " " .' I' " , 'i : , , I' , ,. " ~. L 1: .~ " " 'I" , '\" ., " " ,,(' " " .' " I, 'j, I 'I. ,J. I I ,I ','-" " " .It " " , " L f . ' "..- " , , 'I, , ' ~. 'f. J, I, '-I' J , ,~ . ,It, / j, ,- " " " /." " ': ,." I, " " " " ' .- " " .. ," '" ," , " ',- j . , ~ I, NO, 21-79 PETITION FOR LETTERS OF ADMINISTRATION IN 1'11I0 IOH1'A'1'1~ (lI<' ",,,,y'~,m~,,'y',,,,,/;q~,t,9.r.,,,,,,,,,,,,,,,,,,,,,,,,,,,, IIIWJo:AHlm, ."-f" .~ ,. ill'" 'fa 1111"'" ,. ,..t}~,~,h:~ ""tit,.r~ "", IUl~ft~Mf).n"" "'l II "IJ~,~~l~" l f!. ~t ,', ,~,~~1~,n~""t II !?,e~U t y HO/lIHlo,' of WIIIH fUI' lho Cuunt~' uf' (:ul111>ul'llIlId, In 111\1 Cllnlllllln\\'lllllt h III' 1'111I1l~yl\'lInlll, 'I'hl' Pet.itlon ,uf '. II 't g '~I ~,~,~~"'~"~ '" R,~,~*, * ":"" It'" "" I.""". .,.., II II 01' ,'".."."" '" "" ,'" ,',.., '" I"'" ." ',"" "'" '" II.,. .~' .,. """"""" '''" 0.11'''' 'I"" I'." ...""",."" ,It II ,1'0"'110(1 t rtlll~' H lu)\vul.h 1..llu I ",.", oj, 1"11 H" """""'" I"" '111" I" "'" '" ,It ,."" I ...., "i"" 11 ' ^',1 , "ulI'llHhlp I I I 'U ' I' I W/lH'U I'ollldonl of ",,,<'\P,P,~,~,,,I,\'\' ~,n",,,,,,,,,,,,,,,,,,,,, , CUIlI1III' 1\111 CIIUIlI,\', .,llllu ~II UIIIlH~'. vania, and II Cltl~ell of UnltmJ 8lllloH, IIIlCI clopllrtocl IhlK 111'1' IntuKlutu In till' ('Ollllt~' 01' ,,,.Q/I,\.!.nl:l~.n.,,,,, ,',It., I'; nUll.., ;'"'''''''''1''''' "" unci Stnt 0 of "" "., ~~,~,~,~,r,~X,~ ~ ~,~ t' ,'""" I'll'" II ,,,,,,,,,.,,, It''', ""'" It'" ~'''tt ,,,,'ll'" If" "" Ill" II on "1f'"T.l'lur,ada~""..",.. tho "..""".23.X'.d~...",...:,0I'" dn~' of ""..l\J.)..v.~t;l,t''''''''~''''''H'''''''''''' A, 1>'1 In"~9,,,, lit tho IIgo 01' ""7.ho",,,,, )'onI'H, Thlli the. ,Hillel "",,,:v.~,r..\1Il,,,:v.,.,,,jj:,N,M,r.,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,, iluOIJIIHUd, lol't KUI'vlvlnl( tho roUowlrl/l n/lmed widow 01' hURbnnd, hulrH line! nOKt 1(1 kin, to \I'll: Nllme n~lnllollKhll' HOHldunco 447 Spring Street . ~M;\.,r;l,~~~,:ti,Ql:{p,.,,,p.'~l.1n h\"'.!L,:l.7.,Q5,7 9 esl;. Green Streelj , Il,\l , 1l.n;l,Q,M,\.l~g,f""P',~l.1nlR",.",:l.705 5 ,,,,Wilbl.\X',,,J,.,,,Ej;,t.~,X',,, ",Sr.",,,,,,,,, "".,."'S'QJ.1,,,,,,,,.....,,,,,..,,,,,. If ,alD.t';1.a";'J,~,, ,l?,a,l~ll,....." II "..""... "...DalJibt.et).'1"..."""." ,.... '11"""1'1""""""""'1''''''''''''''''''''''''''1".",. "'''''''''''''''''''''''''''''''''''''''''' , , , , , , , . , , . , , , t , I , , , I I . . , , . , . . , . , ~ ' . , , , , , , . . , , . " , , . . . . , , , , ,. j , , , ",,,.'''..''''''".'''...'',,,,,,,,,......,.'.......11'..'''.,, """'H"'"'''II''''''''''''''''''''''''' "Il",..,,,,,,,,,,,,.II,,,,,...i,.,,,,,.,,,,.,..,.....II,..i... "'''111...'.'''",..""....''''''1'''.....'"""..,,,,,,,,,,, ,,,,,,,.....,,,,,..,,,...,,,,,,,,,,,,,..,,,, """...",...",,,.,,,,,,,,.....u,,,....,,,,,.,,,,,.,,.,,..., ,.'''.f1''"'..'''"..'''''',..,..''....''llf''....'''..,,''',... ,..,,,,,.,,,,..,,,,,,.,,,..,.,,,....tt,..,.. """",,,,,..,,,,.,,.,,......,,..,,,,,,,,...,,.,,,,,,,,,,,,.., ..",...,.",..,....".,......",..".,,,.....,,,"."'1"""" .""'....""".."H'''''...,'''..., ,,'" """""""'''''''''''''''''''1'""""""""",,,..,.",l ..,.,,,,,,,,,,,,,,....,,,,,,,,,..,,..,.,,,,,,,,.,,.,,,,,"."". .,,,..,......,,,....,,.,,,.,,,,,,,.....,,,., ,.,.""""".""."",.,.""".""."...,.....,..,""",., "'"''''''"1111'''''''''''''(''''''11''"'''''''''"'''''.''''' """"",,,,,,,,""""""""",,,,,,,, """.""..U'"",,,,,,,.,,,..,,,,....."tt.."'"""""", Thllt lhoRO IIhove IIlImocl IlIcludu 011 or tho nOKt of kill, KU 1'111' OK knowlI, Tho Ruld e!ooOflonl \\'IIR JlOKMoHRorl 01' pOl'HOIIIII JlI'OJlUI't.~' 10 I hu uKlImot(l(1 vllloo 01" $""t9. ,I ,o.9.q", 9.P".. ,.. IInd or ROllI 1']Hlllt.o, 10llR tllcllmhl'oncu, tll thu 'IlHt.lmlllllfl 1'1l11l1l t'(' $"",l:Hm~"",,,,"'''',,.,, IlH )lOlli' oH 01111 ho IIscortlllnod, Thllt tho RIIld HOIII "MlIlo In MO I'm' ilK IH kllOWII 1M loootorl III ,,,,,:,,,,,,,mm.I;l,,...,,,,,,,,,,,,.,,,,.,,.,,..,,,,,,,,,.. ."""....."""""....""",..",,,.,,,....,,,,tt,....,,...'..'''..''II'.....,,,,,,,I" ",.....,..."....,...,,;,,I",....,,,,,,,,,,,.,.,dl,,,.,"...,.,,..''''''''''''H'''''''''' Therofl1l'o, your Jlotltlollor(R) l'oR1100\.l'lIlIy oJlJlb'(luH) I'llI' J,ultol'R of AdmlnlHlt'otton In tho ohovo nllmod OHt/ltO. Dntod :",,,,,,,,,~,,',,t;",7..,,,,,,,,:,,,, A, I)" l\l,Z~" Signature Illld Allth'uKK 'of I'Otltlolllll'(M) ..- U/'~ A !, '" ,.' /,../ ;-1/ ,,' ,-m:."" /:.0,,:f.,:,:~.~, '<"9.,,, ,C" ,f;,~f.,~,;",..,,,,,... ".. . """"",3,9" ,w'f:l,l'l:t", a & n" S:t,~~('l,t",,,... ,.. ,,,..',, "".. .~.~ ,9, r.~~ ~,~.~R.~,~~"." ,r.~~n.~.r,.~,. ,,~'l.g~,~,.,. , ...........,..",.,.".,.."..".,.,.",...,..."",.".,."",...,...".,...,.,./".". COMMONWIMJ,TJI OF I'I':NNSYJN ANIA COUNTY m' QUMRI~RLANIl } RK I ~~/j) ,.""",,,....,, ,. "",....,,,,,,, '. ,9 ,*,9.r.,~Jil.., ,y",." J?~,~.~~.".",,, ,It, ".,.,..,~..".., ,...'.., ",....."." It. " "".." ,.." ,,,..... "" ........"" nflnlorl III the ohovo IIJll'lIclltlon llOlnK dub' ",Iil,W,9.?-:',\1,,,,,,,,,,,,,,:,,,,,,,,,,,,,,,,, 11(:(:01'1111111 to IIIII', RII~' thllt tho r/lclR ROt forth In tho IIho\'o nJlJlllclIlIolI Ilru 11'110 (0 tho IlllRl 01' "",ha"Jdr" , klloll'lodllo~lIl1d holllt, / / --" Sworn I I j .'/ ? A ') (] ,. ,..,,) ( (; /.,'~, ..,,,,,..,,,,j,..T1.....,'....,,,,.,,,,,,,...,,,,,,,,..,,.1, l\1lf. HU lHCl'lhoct ""~'(' 'f.j'..'l."'~,a,.";'l."'.,, .".,,,f,.,l:,~.,,,,.,,."'..,,...."'..'" before mo, "" ,,,,"'"'' 'O'l'oi'i:tiil' "J';" 'P ii'ii1T" ",", ,,,"",' '" '" "," '''' ""~::~'il !\l~~,~, ~~':: i'~'::;"""" ';' l' Il" 1 07.:f." ," "'" ,,,'''',''','' ,""",''',,'' '''''''''''''''''''''''''' ,,,,,,,,,,,,,,,, ,,",' '" '" '"''''..''''''\.~~';]X\,llr:,(i;j,,(j'~~~'I~t'~';:''' ","" "",,,,,,,., .""",,,,,,,,,,,.,,,,,,,,,,,,,,,, "",,,,,,,,,,j,,,,,,,,,,,,,,,,, 1.'lIuII: """~,~J?~,~,!~~,~,Ii:~,,,~} f"",Jn~"""""", Al 1111'111',\ ; 11,.." /:l.p',P!il,r,t"(?,tp\.!.U',~r.,,,,,,,,,,,,,, ((lI'tll') r!l!l.Y;.;/ PENNSYT,VANIA NATION.AI. . MU'1"UAL CASUAL,.y INSURANCE C;OMPAt-ly Hartl,burv, P.nn,ylvanla . .! fI powaR OP ATTORNEY Knllw All Men llVlhtl. P,tI.nll. 1'hat j>l!lNNtWLV/\NIA NATIONAL ~tJTUAI, CASUAL1''{ INSURANOE COMPANY, II cQrporll~on of tho Commollwonlth of Ponnsylvanlu, docs ~oreby muko, constltuto and Ilppolnt Clthy L, Ucklle, Hlrrl,hurg, Pennlylvlnle lh'tl'\le I\nd Illwful Attomlly(sj,\n.Fl\ct to milko, oxeOUtO, ,seal and dollvor for and on Its boholf lIB surety, as Ituut IUld deed: ' .' , Any Ind III bondl end underteklngl ,provided the 1I1\Ount of no one bond or undertaking el<o..dl tn. lum of On. Hund~.d ThoUllnd 001111" ($100,oOq,oo)u-."....u... ". . -.. _.._~..~...._".........~..........._...~...........-....-~..-..__.........._...._.. , ' and theexlloutlonof suoh bonds In pursuanoo of thoso prosents shall be lIB binding upon sllldCompany, as fully I\ndllmply, to all Intents and purposes, liS It thoy hlld been duly exoouted Ilnd I\oknowledgell by the regularlY elootecj,ottloers of ,the COll1pany lit Its oWell In Hnrrtsbul'1l, pel\nsylvllnla, In thelr own proper pers\>ns, This appointment ,Is made by and under'the authorh:lltIoh of a resulutIon adop\;f)d by the Board of Dlreotors of tho ComplUlY on Ootober 24,1973 lit Harrisburg, Ponnsylvanlll, whloh resolution Is shown on the reverse side hereof and Is now In full foroo IUld effeot, In Wit"," Whe,ellf, PENNSYVLANIA NATIONAL MU1'UAL'CASUAL'l'Y lllj~URANCE COMPANY has Ollused these presents tq beslgned'and Its oorporate seal to be hereto affixed on December 5, 1978. PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE OOMPANY (SEAL) By W,'F, Hovetter. Jr. V I ce prllldent , ' Commonwelllt~ of Penl1sylvanla, County of Dl\uphln . ss: On pecember, 5, 1978 ,before me appeared W, F. Hovetter, Jr, to me, personally known, who belnll by me duly sworn" did say thet, he resldos In the Commonwealth of Penl1sylvlUl 11\ , thllt ho Is ' Vlce~..e.ld."t of PI!:NNSYLVANIA NATlONALMUTUAL CASUA~TY INSUMNCEOOMPAN~, that h~ lathe Individual desorlbed In IUld who executed the preoedlngl.nstrument. IUld that the s~al affixed on IlIlld ,Instrument Is the oorporate seal of sald Company,lUld that sald Instrument wlIBsIgned and sealed on behalf 'o,f aald ComplUlY by authority and dlreotlOn of sald Company, al1dthe sllld offlo&r aoknowledged said Instrument to blithe tree aot and deed of said Company, : _ ,.. ,'! " (NOTARIAL SE~L) C, Wobdr6wSlavbau~h Notary Publio of Penl\sylvanla My Commission Expires November 20, 19~O COl1)monwealth of PennsylvanIa, County of Dl\uphln. as: I, James V, Folmer, Seoretary . Surety of the PENNSvLv ANIA NATIONAL, MUTUAL 'CASI.lALTY INSURANCE COMPANY,a oorporatlon of tho Oommonwealth of Pel1nsylV",nla, do hereby oertlt}' that the above and foregolng.ts II true and oorreotoopy of a Power of Attorne>'. exec\\Iodby the slIid OohlplUlY, whloh Is still In full foroo and effeot. " hI Wit",,, Whereof, thave hereunto set my handl\nd afflxod tho sual of aald Co~plln>' on Septfilmbe ~,,2~~ },~79. ,n ~a.....-':l I/~- POAM 7a,190 IAov, 11.761 ' ,(7' ,Secrotary~'urety ~m~7 <1lr'l I (J. f -'/'I I' .* , AaV,",411 11,711 i, COMMONWEAL.TH OF PENNSYLV ANI A D1~I'ARTMJ1;N'1' OF REVENUE ntJREAU OF li'mJ,l) Opn:RI\T:ONS RllllllHT DllCIDIHT COU,NT'( Of _.JJ.1Jll!P.tg~l9.l\<i,._;_,~_ IMPORTANT, _~_ _ _ _ . _ . _. . .. ......".'"'",__.~~_ ~ _.\<'t!'t~bL_....~~~ ~ i.~ "~ __~!f'~.~. - ~. -.... Thlo lO\lun ,111101 hO 0"'111"0",,'1111'"'11111''''' rll'''' lI,tI"I>III"'"',wllh 11111111111,1"'.1, willi Iho 11"1l101l'r111 Will. III Iho C~lUllty whuru dU(l(jd~lnt HINJlltHt, Ih1111rn IN du"wtlldll nlllo IIlunlh14 Hftnf 111\1&,\ ur "'-'IUlh UIIIl.lt4H 111,1 tHI hI 11 ft lun tH, IItlUIll.Hl hy Iho HOOI"III!!' 111 1l0~01"\l', (HI,,,II"l1 711~ I1r Ih" 1111101,111"100 II'''' E.llllo"l'l\. ,~lll I1f 1'161,) ,- - r '~-'_~'H..'__~~" ,_.._~.~_ ._.'uuo ____,.._ ~~. . w ~-~ ....."'q!1l:V- , ""'" '''''' 01'.'" """""" }.,^. ,"'''''''''' '.11' __J/JJYon IlI.l~'H< 1:j,~tf ~..~... oTIl"Eiioii:N'ty-~--""'--'- I!XIU)lPl:clK~ ~.,. 0,1 __......Q1,1m1)~~:J..a l}1,L_~.. ,.~.~._...'", C.unlY ~IlMINIH'l'II^TOII Sta,a of_" pannlU':lVl\.h'lJL__~_} ." C.untv.I.,,-_Oulllber.ll.llii----- U I I ,.c.~------'lJ.oclJ:l.-.LJll.un...-:Admi nl a.ilI!.a..t.rlx~ ____,~.-.~~IJl'X n~m n 8uutflr oHh. ..late of Ille a~oY,""nm,d dlud,I'l IMino duly two,n, d'pgu and tay pOe.a.ll1 rll.d, Auguat P.;3, ,_ ' 19_791,oQtIXIJCJtov,n.'. I." wlU. c.pY.' wh';h',. h.,,,. .lI..h.d. )! IMONTHI IDAYI, i {y~I"I..t(H' alh~~:~;h, :I~:;~:a;':.:fn;;:;;;"r":h.m'}' " , Ii -, . H, ob~IlLa1lDJ.u~.1'-u~_A.t~.J-MQka tS\11.\~ BldG,' ~ .1I.."..~.nd.... .h.uld~, m.II,d. , __J:10.ab.OJ1i n Rbu~, Penna_ 17~ '-,-::...- Thai 00 Rueh Adminia'trn trix dellUnenllH I'lIml\lllr witll tho affairs '(If ,~ald estate 1111I1 tho 11IOI;crtY eo~",llotlng I P.XHCUTO """DMINI~t IlA TORI the RHleto Ihereof and thelr'folr'hwrkct voluo, ThaI a\lhe tlmo of dellth thero wns 110 slll'\\'deposii flU' roglslerod In doeodol\l'o IndividUal namo, or jointlY with, or U 'alienI Ilr doputy of another, or In'd'ooodent'o Indlvldllnl nllmO, wllh rlghl of neeess, by I\I111ihor asasenlor doplity, with Iho exooption elf tho followlns: - _. - -= =:l..=~~'-- --- -- N'M'I4E ANP ADPRti8B Of' nANK oRo'fHHA INSTITUTION INWHICti'Of{CJlOaNT fHlNTno A SAPE DEPOSIT 80~ blonl' . THIS BAFt{ t)EPO~IT BOX RENtED IN NAMit on 'NAMes OF RtU..ATIONflHIP of JOINT HOLOl::R8TO OIiClWUNT ,. Th~t 'tho eontontH of said oafe dopooll box or boxeo arc Itoml1.od lindoI' Soheuules wilh the oxcepllol\ of Ih~ follow/oil, fill the roasono horolonftel' He.1 fotlh'; , , of thlH roturn, ,Thai Schedul. A .alll\Chod herelo IIlld mlldu parllloroof Helo forllt fully 'IInd In aetall all tho renl proper'ty ,In ,Iho Commonwel\lql 01 PennHylvllnla of whleh deoodolll dlod having 1\11 Intorosdheloln, It alao seta forthtll,o mortll~aoonoumhr"nooR IIPon oacll paroel of relll~rOl\Orly.,al the dnto of death,slvlng tho arnonnt ",III duo. al doalh, name of mortgagee, dMe, role' of IlltOIOHl, Ilnd book nnd pago of record thereof, It aho Heto forth In the' oolllmns provided Ihecolure Iho asoesBod valuation or each nf oald pareela, tho osllnl1ited malkel value. thoreuf as of dalo of deRth ,of decedent, Thai Schedu/o 8 allached horoto alld mllde pari horenfsolo forth fully nlla h\ dotllll 1111 pOIRIlO~1. propolty Whel.sover Hlluatod oWlled by the dtlcedont Iltlho time of death: all money. loft bylho doeodol\! allhe time of aeath, wholhol h\ decedollt'. Immodlllto. pooOeOAIOll, 811\nd,Ing to ,Ieoedellt'o oredll In hanka of dopes It, snvlngH banko, tlUHlonmpanlos, 01 olher Inolllollnn., whllther Indlvldi,"lly, or,ln tluNI for nllY olhor pelo~n or pOrHOIlO glvl"" al80 ,separatoly 1110 aoeruod Illh,rest Ihorlloll, If Ilny, dOlVn 10 Ihe Inol Inloreot dRy prior tn dooedont'" doath'lplhe 01\00 of savloga banko, nnd I" Iho dato of deoodonl'o dOlllh III 1111 other 00000; IlIlhnnds, poslal Ra"lnss, lroasury oortlfloatos or ootoo alla lllhor evldonoe of Indobtedno08 or Ihe Ulllled StnlQo to tho do. codenl: all obIlSnti,onH,'whether hy olllluto 01 IIsroomont they, lire doolsnaloa os tllX fle\', of Iho United SlalO", . ... , . or allY "In Ie, or ,pulltlo~1 r,uhdlvlo!un Ihorcnf, or of IIny forols" country, which are o\\'nod allhe time of donlh; rill woollng aPPIlIOI, jeWlllry,.lIvllrwllro, plOlure., hook8, worko of alt, houoehnld furnllulo,'h"I&e8, ellfrlnges, ~ultlll1ob!les, ).nats,' und Ilny IInllall (lther pelOnlll\1' ohnllolo of whnloouvcr kind or Ilhluro, left by deoedent" tOQlIthul with the fnlrly elltlmatod market.vllluu thereuf: all honds lI,nd mortsnseo hold by,deoedent I\ndof all claims dlloand' owlns deoodonl lit tho lime nl' 'IOIIlh, I1nd~ILnlnml.".ot}' noteo or other 10Slrut\1enlll In writing for'lhe paymollt of money of whloh decedonl ~led, po~oesoed, of whnlooe.vor MUlro, wllh Inlorool Iheroon, If I1ny, alvlnathe faoe..vallle nllll ootlmlltvd fnl.l' markel vlllue thereof, IInd If olloh osllmatod faIr market v~llIo ,\1'0 len than the f~oo v~lue, It 80t8 fnrth bl'lufly the re'hS0l18 for o\loh doproelallol1 110 to 'eReh 110m; all moneyo raynblo \0 Ihe ontato froln IIfo InHllrnrlOe Ilollole. oarrloli by 'dooedentl all IInnlllty and ondowment onnlraota tho plocoodS llr.whleh wore pllyahle IIpnn the denlh of tho deeotWltl; ail timl Iho 'O(lIrOtato olooko and,dlvldondo due theroon lIad IInlllllef liS of Iho dale of dellth, hOlldo .aod aoolued Inlerest thereon. tll Iho date of deuodunt's deMit and 'olher 10voslmoOtsoollrltlo"' owned' hy Ihll deoedent lit tho, time of doalh, wllh tho mnrket Vallie Ihoio. uf al slloh tlmo, . . If t, lu tho l\nflU 0(' tHUlIu'lUos ur nluHo ur ('Illnll)' onrpr,ro.t,JuIIH, l.hnvnl\lort t'OJlOJ.tt.HI Rru t,1t rar Il8 ""o~Alhlll Allh.I,IIIlt.llltOlI hy f'lnll1lOlftl .',fll,III1I1111I'. Ill' Wo 'oor\".rlll,\'''"", .h"wlng I,ho 11.11"". nnll 1I1,hIIlUo. thllrllllf 00 nr 1,1,,, .1111,0 "I' 11011\.110 Th" ,lIl1h"linl" 111.11 .,,1.11 f'nrl.h '1.1", Inl."rIlHI, \\f' 110(10,10111, nl, 1,11I' I.llllo "r """l.h III Anl' """,,"rl.nor'"II,, "r 1\1,"1111111",111111 In .1I1\1",rl. "I' 1,1," vlIllI" "f' 1111,,10 Inl,or"ol, \.I.llrll I. 1I11110~01\ 1," II II h\ lI"h,,,llIlo, 'f'\ 1\1I11111111 . t,lIton\l'" I." "h"WI"~ I.hn n.." 1," 111111 IllIh III t.Ioo hf' . n' II "".llIlrI.'llIr.llll' "I' hU.IIIIlU. ^ ('ll!,}' fir till" Iln~llI\rt.tl(lI...hll' U/JiI'Oumnut., (lr OI'nl. II Ht.nl.l1l11f1Ht. tlntf,lnK ,f:ul'th t,hu' nnt.llrll nt' thu lutrnnmunt) tlJ~tl\-IIHI\ with n tHnl,OlfjOllt, HOt,lIllP; fort.h t.llU Ullf\l'll11t,,-,r nl' thu \l.\lti I i1n,u, II.Hlflont.lCH\1 Rntl H\li~h nt.hor {'not.M p(lrtfltlltlU~ l:n t.llt! \lufllno"H" UK lnl\Y tin IlortllUHH' t.n /\ 1',,1'1' nfUl ,111Ht. AI\111'ntt'ill C1" MIO dfloflllont1tt. lllt,orn"'. Iho':"III,'fI""',h"""ll1l1lt.1....l. n .hOllllllllAO .111, f'''I't.h In 11,11",17,1111 f'nrfl" t.oIl'II,hllr WII,h I,hn fnlr mllrkot. ;'111110 tlll,rfJ(I(', I\IIY othOl' llrn(lnrt.y owtl!'Hl or hnq\lllntl\(JiI h)' 1.110 lIno(HIi,lf1t. itl, thu timet nf', llnntlh tfho Sch~rltlle C ntt,nohml \1OI'nl,1I 11,,,1 1n"'!U 1I(1.I't, IWNWI' HUt." ('olll-II Ilt,rHO nIlHW"'" t.u Ol\(~h 111"1,,1(1y oOlilfltlllHl t,hllrnln nm' In l.hu ORK!) ul'u'nnAf'nr,H nf'IIJ'nllnrql, "ltld 01" Ilnrft iltlll I , wll.hln two yoar" uf doom\ontis III'"th, "" onntolll"I11.,lnn "I' ,I<'o"dnnl.'o dOllth, II.' Inl,olllhlll t.o '"ku nl'fllot hi 1'o....."lml nr onjnY11;ont III. uf 1"r~fJr ('ont,II,' H,Uttt ftohullulo HOt,H f'twt,h t.lHI ""turo 111\11 vfduo or AHnh prol'urt,y. t.n who", ~,rnn8rOrrtH\1 t,ho follll,lotIHIII" of' U," I,ron.f'nl'I)". I'll I,hll ,Ioolldonl" t.llo Ilt'ol",rt.ll>l\lIt.ll IIhllro rnnolv'"1 lIy oflllh ~fO,'t"j'or00 IIlId nIl o I,hll I' fllol," 'nf n portllloll\. noWro rn~orll'n~ Allhl I,I'lIt1f,rnr", It I U.o onAII nf' I,t'nnofol'lI Int.ollllotl to inku 111'1'001, in pOHHfUiHlu1\ or on,lnyolont. nt. fir "ft,Cll' (Iont,h, LIIOI'(1 i~ n.l~o ntl,nuhHl3 t,Cl thO Bnhod\llo "' oon)' uf' t:hcidfJUfl, tl'ust '\Aronmont, or nt,hor ,tt1fjl,I,1tmn"t'ortHlt,ln~~ UIO t,r\lHt,t 11horll 18 nlRn 80t, rort.ll 1n RRid "01111>11110" 11.1 '"I' nllproporl,y, ronl ,0"1\ pn"lIonol, wlt.h ,HI! V II I ,lIn , wht"h 1'1\1,""" III, Ilooollollt'o Iloath hy 'vlrtll/l nf' t.ho oXllrol~o by tloondOlIl" .olthbr ,ltlltlVltlUlllly,III',lolntIY wlt,h IInotho,', or. IIny p"wor of IIpl'Olllt.. IIlllnl. vo.l,ollln dno",lont., "Hhor \t\l\1vlllllnlly 01' ,Iolnt.ly,' hy tho Will, rloorl, ot, ot.hor In.,,rlln\llnt. or nnoUlor, wlt.h .' oopy of' t.I1o In.t.fumnnl, ornlltlllll Aublt I'"wor nl,l'lIoho,l!;n tho 1I"hnI\1I1n, 'Thnt'Sr/l#dv'e 0 nl;to"hod hOI'nt" ",,,111I111\0 pnrt. hornof' .01.11 forth I,h" nlllflnA ;'11I\ 0,hlro".08 01' IIn I"'r.ou" hOllof'!ol1111Y Int.orootn<l (11 thlo onl,lIto ,tt ',hnt.!mo 01' lloollllonl.' 0 ,\olll,h, tho 1\IIt.II"O nf Wnlr rM- 11"01..11'0 1I'lI'ro.I'O, I,holr rollltlonnhll>, if ony, t.o t.ho Ilooo,lonl', I'ogotl",r with t.(w ngo. nt,tho lIIIIo nf 'linoodnnl.'fI rIO/lt.h of' 011 IIIlnl,ro, IIl1l1l1ltnnt," AIllI hnn~flolnrln. "or 111'0 1I111'Or ,Ioood'''''.'o Will., H A180 ootit.'III1" II 81,IItomollt nhoWlhg ~t,I"h 01' t.ho hOlloflol11rlo. lH1mOl' III t.ho ,Ionllllonl.' A will, If AllY, IIlotlpdor t.n dooll(lont, thn, ,1111'00 of tholr IIol\th" I,hnlr IA.IIf', ,uIIUhn l'olnl,lon.hlp o.f' "Iluh I.oun t.o I,ll" hOl1ol'loll\ry. Thol, S(lItdv'e F. III,I,II,oh~II horol,o nnd fllfllln II 1I"I't. ,,"rnof .ota I'or',h 1111 .propofty, ronl 811d porJ .onlll, ownod lty I,ho <looo,IOllt ,10Int.ly wil.h III\ol,hOll or Ilt.hol'". IlIolullI"1I lnt.nlllllblo, "tnMlnll In tha 11811I0 of' thn dooodflut.. 'UHl othor8,pl\ts t,ho dut.o u11ft plana or tooorrt nf'lnRt,t'u",ont.R of'fo'l1Ung tho vORtituro of rOI<1 oal,/lto '"\11 t.ho <1",1'0 'of 110llnl"lllon of llonollo"'y, plu8 I,hn nllllln, o<lll1'OHO IInr\ rolllI.10118hl11, if IIny, or no-ownorB t.o ~ho rtooodant,. , Thill. Sc!;.rlv/e F 1I11,lIoho" hprnl,o IIn<l mnllo II 1'0,,1, horoof 81lt,A fnrU, f'ully l\IId\n dlltllil n11 <le~t~ ot"ll\nduol,lolIlI'ollll,"o11 fOl' IInll 0,1 hoh,,1I' nf' I,hl" IIno"IIonl,oA O.f.llt.O, Inolllfl~lI~ I'11110rol O~pOIl.OIl I'nI<11 t'IIII111y t1~Ollll't.IOII, whott1 1I111'11""hl~1 ooKI'O of' lIt1mlnlKtrlll,I"" nf' t,hh os 1.11""1 1\01lllAoI fons 11111\ I'1It1l,otnryt 0 011"",,1..10110 lllLld nr 1,0 ho I'oldl nn.t. <"110\111011 for lnll""I' t,tll'RI,",. tomhol,ollO. or grovomorkoro, 1111'1' rel1. ~1t,1I0 "orvle..., ,11\ 0011"0'111011110 01' I,hll Iloot.h of' tho dooorlolll:l IlnhtA 1111I10111111I8 oWl III! nnl\ 111\1'11\11 nt tllllO of dllnt.hl I,ll',," IInorllod IIhllrKollhl0 for I'nr In" pfl,nr t.n ,loeOdlll\t.' A IWrlth (o~onl't U,nfjn IIllnwod' undnr 800UOII Obi "I' t.ho ITlllor1l'1(110" 1I11d I~H~I't.oTII~ ,\01,) I tnll"t,hor wHh II o I'll tmllllll I. of ool1l1l,orlll 1'1011110,1\ ror ohllll". \.1011", If III1Y' It, I. ollrood thllt. tho fld\lolory .wlll pr080nl; pf,'Of "f .IIld 01 III 11I,,11 IIh\llllltlollO \11'011 ro- '1110"1., t.hnleJ1' thn n",o.lItt oot,Illllly "nlll III oot.I,lollltll\t. OfllllY fOo, onllllllh.llllI nr l\llht. III 10s. thllll tho 0.1,111I111,11I1 AmOlll1t ollllllllng 111111 IIpowod, I,hot t.ho ..11I0 Will hn ropMI;oll tn t.ho I\IIg181,or nf WIlls, anl\ .thRt t.lta IiOl('ulllt, uf' t,l\lC UflHOKflfH\ orm ho l'Oflfli10Htlncl in iwonrtlunoo t,horowlth. , I Thllt. tho 101,0\1\ of th" "1'I'rol,,'\III,o 001\111I"0 III Soholl\lloo 'A', '1I', '0', ,g., 01111 'I" 00 Itltoot.",1 1,\loroln, hflV!1 hofm IH\f'rloft, f'urwnrd I\nd 11r:nt1or1y "OJ(tRt,ornd hi t.ho Hllm"lI~i;y. Subscribed and swom to bofQre me this ,,,...,,,,,,,,,,,,,,,,,,,,,,,,,,. (/~ ') , "";,,,,,,,,,,,t:,:I::~, '" ,.... day ot "<!:,(~er?(I~:"",, 1\l,,,.7.Q.. ' <J,~i!:cit~""~~i,;~;2;~). "{~lt.~""",,. ,. 'iJ' ~I ,] , / """",,,,,/;(,ic:~:;,,.:,,,,..~)"';;/!"!..'(' .\ilm,'ti.~~(:.;{ ~,till\N,..Ni\'l'liiiY"i'YI'\lln . 39. ,W", (~e;:'~u~~;;;J' ",,,:,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,.,,.., .)(0(:,'.""/, _J!..,,,fI'{,.~ Mll;III11~II;ijHlIlln IIOlllllllil1 ( 'I\OMiIlIIlMIIlI:Il\lIiIY J1Q,chl~n1,gJI.1),1J,~a.l,."P,~".",:"J.,1,Q.s,;?"",,,,,,,,,,,,,,,, IMG()!l\l,II:iUIIHI ,:(I'iIIU, U(l" 1!1, lUll! ' (Cltv or To\tl!l and St4t!l) ,N01'1':1 I\III'or" "I~nlnll nf'f'll\ovtI, III"k" "nr" 1\11 hltltlk "IHIlIII" In I,ll" I\Cf\lll\vll I\nil ""hnlllllo~ onllo~oll nro "11\1,,1 In w\t.1t liol,IIlh nr t.lto,wo"11 'NI'"U', 'u1111111 U""II' \.Ilu 1\""01,. 11,,:lndn rllrO 1111,111111 IAt.011 .o"urlt.loo, "",0111'01.10. of''''''"O or fllmlly onrl'orllUonA or 1111 IIlt."rll"t. 111 OilY f!"-11f1rl.twr"hI1' \,r huolno.., I,hnt.' UI. Ilntfl owl ft',"t,flm(!nti~ roqu1ro{\ nl\clor t.11O 1"\1'OI\I'nph nllHvn 'rt!llltlng tn Holllnl,,1n "II", hrlt, nt.t.nohof" Alan mnku on..t,II,I It thld,'cwlUnlU #t t n t.IlO itHunl'flnr)ift hUM honfl 111'(1)Orly (l(Hllplotoll aft n1JOvo-1lt .'00 (,t1d. , "C C.U if-") COMMl>>IWIAL.TH 01' I'IHNIVI.VAHlA DIPAIlTMIHT 01' RIVDHUI ' IUR'''U DI' COUNT'( COL.L.dCTIOH' TRAH'I'IR IHHIRIT"NCI T")( AIIIDINT Dle.DINT . , SCHeDULe'HAH ReAL PROPERTY . R.al prOperly In Ponnlylvanla, with Italomentol morlgago oncumbrancOlupon oach parcol at doath 01 deco; " d.nl, Proper'y h.l~ by ,ho decodon' al tonant In common with anothor or othor, should ho Idonllliod nl 'a quontum'al Intorest and Iho OIllmatod valuo Ihould bolhal 01 Iho doco,dont's Inloroal only, (Proporty hold as lolllt tonantl wl,th right of .u~vlorshlp or tonancy by onUrotlos should ho roportod on Schodulq IIE,H) -- , -- Th.II.I/' rop.UY lo..t.d .In 110. Commonw.alth of ".nn'tlyanlo .hould b. d,,"lho by 1., und bl..k numbll, .tr.., and .,r..t num or, tao.thor will, ....".1 d...rlptlan of the P'.Pllty; wlfh . IIIII.IIU to th.,.oard of tho ..nYey.n,. by whl.h tho d...dent,t.ok Iltl./1f alarm .,a', nu.,b.. 01 a. ..../ .1.. .t.t.m.nt .1 mortg.g. onlumbran... up.n .a.h p.,..1 ot do.th , of d.,.d'nt.!; T~uc", a.....m.n'., GClcruod In'.'..t on mortgag.., Ilc.,c". to b.lI.t.d.n Soh.dul. "I''' .nd ",Ult n.t b. d.d..t.d fr.., thl. ..h.d"I., None (1) (2) (~l OQPAMTMONT AUOlleO VA~UO VA~UATION POR YUAR OP elTtMATeo CAUTION oeceoeNT's MARKeT VALue (00 .ot w,t . DUTil I. ,hi. .po..) None Nb1u.J Inlorlll111 lotal opposite "rool proporty", Schodulo "A" In tho X X XX X "AI Roportod" colullln'on Iho lost pogo of Ihls 'OlUIII, Nolia ~WJ ~~1t , I. "CC'4a ''''111 COhlhlONWlA~TH OP PINN$VWVAN'A OIPARThllNT OP RIVINUB Ar)'~ i HJI!O B"I~K NO, J..I- '1 ~'O!J-u...J "~,."n'j'J r. ;i ,." -' _, (/ tt '",'j /" .'.,'.~" HOTICE OF DECEDEI'lT ACCOUHT STATUS O"'T~ ~,~~o ~"':1I J( RETURN COMPL ETED FORMS TO LOCAL COUHTY IHHERITANCE TAX OFFIce s o B 0$\ OR .. .10' -)'./"",:,c J ....0. 1'1"''''. ./ I { L,Ui,.",,./., ice /2(/ ;) )/.~ti,((. '!.I.e:) !t.Ii:'} i /'/ P"'NKIINlTITUTIDN "'OO"ln The FIrSt 88 k' , r.tBOH~NjOIlZu and'Trust Co IlG. /'~ .. ." I "'rOSl .'"~ , ''\" INPORMATIOH "I~"'TIPNSHIP '1'0 D1!CI!iDINTI II,!!. /.,.j_-' ,n'" ,.', J. f' , " .' ( /. .,--,.,,; SHTUS P~ "'CCOUNT N?I ~Pllnl,TRU8T1 OR INVUTMINT '" 'I."J RIIT"IU.1DNIUJ VAl" '( . // /, . '/,' N"MHI ON A.CCOUN't' '. I.." 'iI'" i) ,I t,f,:J ' " . '. J (" ,__ I( .. I_.ft.._ ), I '(1,1.~ '( / ! , !.' (, 0.'1l,\.,) ,'(.I,./) , , " , , o H"'M. ,/ / "cuRfUI .1"\ 1'.... ,,' ,',) .I . ,v (I :'.i ,I' {Ii" .,tt'l(~ CITV li-,>? I( (II. A ,(f. BALANCQOP ACCOUNT AT DO " lNTa:APST ^CCMUUD ANO COL.L.a:C'l'I~L.1! AT POD TOTAL. 'DCI"'~ neuRITV NUM8~"tll t' /"~' .-' ( I p 8'.;( 31 ., ;if";' (( /z/ ,/, (. I I' v ~ " fit {/t-t L/, ,/:' ~ P C 0 /, ,-'- !,1, . , , , . . , \ ( ,:'( 'I' BANK AUTHORIZATION I HURB8Y' CHRTIF'l' 'THATTHtt lNttoRMATION qONTA1NBD HIJRElN "'" CORRHCT REPRf;:OUNTATION ofl"IMfl'OAMATIOM IN OURI'ILa8IN ACCORD WITH 'HCTION 74ap 1,& ~ TA~ /leT P~ 1061. SID. ~'~:~~~~~'''~~.'C.!/~~ ~V~S,TI9)-TOR _>~/-7 .1' f .~....0-/f."'-~~- ":- .(",I/r,;J ,:;J" (J ~cC.',if\ d',:"'1 :1~ < iI. ' lif\~~~I:l5,.\." _ .'if1,I!G. . - , ',' [:lIMMONWI';,\I:I'1I 01" 1'1,;NN~YI.v,\N I A 'I'IIANHI"I';II I Nlll'lI\l '1',\lH~1': 'I'AX ~H:lil';Il\lI,I'i ,,' 1\" 1'1';I\I;lIN,\I, I'lllIl'l'ill'l'V , , ;- , ,------- - ------- lN~~'I\\I(:'I'lUNHl '1'111" H"I\l"IIII" IIII1M\, 111"01<>"\' lill 1.111111""" 1111" 111\.1111111111" 1\l"'M""111 ""III"'I'IY ."""", 1,"l1vl,IIIIIIIY , ,. ---- ,,' ". "",'''''''" C. ", ",,, ,. "" ",. "',, ,',,,"',, ",'"'''' " '., ,," .", '" '"'' ,'" '''''''"''" ",," "," ,,"" ,,,,,. ,," ,,""' '" ",II" I, 1111 II 111,,,1 11",10" HIII"\l\1I1" 'I':'" 11.\,'\IIKI "'" 1'''1'"''"''' ,,1'''1"'''\.)'' 1,1\1,"1 III ,1.11" '11",,11 III' (,\", ,1"""111111,,,."111 1,IIYllh\O Ill, ,\",,1,11 I," 111111\,1"'1' nl' n\.lInl'lI, 11I[l\II,)III~ 11111, IInl. "".1\,'"\ l.il 1',11,11, II, H, HtlVIIIKIIlI","I. ""11 \'1111111" pvl, \"'11111,11.,0"'1111.11. "'\llIli h" 1111\,"'\' ,lnlll,I\," \.11" 1'1101, I""" I.II"Y III'" 11111, "I' t.h" ,,,111.11,\111,111,,,,1 ,",1,111..'. '1'11\11\1\11" ,"'r """ II I ,II'''I'",'j,Y 11,1"'111'\ Ill' 1111\,...11'11'111, (""I' .I"wlIll'Y, w""I'III~ "l'I"'f"l, ""'\11"1,,,111 110m,S, 1111'\ j'lI I'll 1111\1111\11 , """KII, '1'"111\.1\11\11. IIl1t(llHnhllll", 1I01llll, OI,tI,) , , p.I"lltlllll\i' \,oraOllIl1\'.""l'Ofl,Y, .",,11 11M h(JltI\H,' l,fll""I"'Y ""1'1,11'10,11,11., ollflll "!I "'"'11"11I<1 III tlflllK, 8\.ooM. ",01'1'11"1\"11, ,nll\."., \.111101.1101' w\toll "0111'1\'1<\\,,\,,"'''"1, "" ,II v 1,ltI",III, "1I111I'1"" IIf W 111\"11 , 1'\I.llfllllll" l'!'~. ",... "'" .. "",.. '''','' "" ,. ",'" .."",,"', ,..""""'",,, ,,,,,,,,,,", '",""" ,,, "", ii,"!' ",' """ii ,0R\'lItu "f' hI' 'blO"'IIO' l'I'''ni ''''~ I'r"I"'fl,Y 11111'\ III ',filII I, 1I11t1or 1,11f' WI II IIf 1I~I'"""'"11I, of' 1I11l1lllllr, oVllll 1,lIoll~h 111",,1,0(\ o\l~.lllo of' I,lto lIl,lIl", 11\, I,h" limo 01' 1\11111,11, IIhlllll<lIIII Ilnl,II,1 111 till. 1I1111I1'h,ln. 1\111HlI11':Ntl' Illl~r.\I:'lll:N'r ; 1 tOlll NO' !'rBM 1,101, 111111 .10MOdho I\,ll ~ \IN l'r VAI,U\il I\H1'llwrlm MAI\KI,)r V AUn;! \lIWAlmn~N'r V Aj,lIA'rlON (uo n"l, wrHo In l,hlH 81",00) (1) Savings AOOO\l.nt No. 50B..7~7.2 with The FS,t'st BanK and Tt'ust Oompany 01' ~\eohanioB 'ours, P!J.. Bl\1anoe 9.13 or !\1i/3ust 2:3, 1979 ill 18,6:36.11, , -- I IInll" t I,ll I. 10.1,liI "1'1'011 11,0 '1',11'110",1\ I'f"l'"f \'~'. lIoho,ltll II 'II' III t.lln 'M l\nl'nrl.",t' ",,1\111'" "" ',\11' 111"1, 1"'11;1' (\1' tlllH "lIl,III'I1' x x Ip 18,6,&.1+ I V; 6, $~. Ij-.f .~f(ft l~~ , a J ' Jl' 16 ..~Il - Ru"I\'WllurIY PurKOlllI1 PrOporly 'I'rIlIlKrur" ' ,:[91"1;>''1 ()IJPflr1 --... Oru"" 'l'IIXllhiu 11"1"10_ Ol 1 ~;;~~~ . J L.. 19,1119.Q) , (Z) , lAx' l)ulutmlllu~) : : )~tj",ij! . . J.~pl.~.s" . $ $ '.L~ 111'1. 'J,~ I il 5 ! i>< c:i 'tl ~ 15 n ,~ ~ oJ ~ ~ Il. ..~ ~. ~.~ <Il '~I ~ .~ .~ ! ~ ,l!l. "IS ~ ' ~ t) .~~ Q , .... &: ., e oS ,fu 1 'C ll/ :i J::' ! u ~ , ~ i: 't, '., ',I ..l l .r, a la ..r, j>< ~ . .m ~ I tI. Q ~ ~ ~ Q ~ ~ ~ ~ i ~ ~ IS ~ ~ ~ r;l. '15 . r--::.. ~.' jl' B ~ l ~ '15 IJ ~j '15 1>. ~ ~ " .111 ] 0 ! '* u u i .' j ;" " . ,'1" II1lV.4B1\B.1BI BuRI~~J~P NsT~8'hPI~f~I/fN8 ~,O, BOX 2870 , HARRISBURG,rUNNA, 17\0B bOMM. ONWEAL TH 0 P' .Pl3NNSVLVAN,Al. OATS , ReSIDENT INHERITANCIl TAX OOUN'!V , ' APPRAISEMENT ',', mu NQ -- Ii h auhe....H"H! CUlllblI'.t\.ln~ 0" .~ 2' ..'7\)..05.7.2_. Wh~rol\n, Ver-pll V I I1t~llr- __.. Into of , .ql?oe;' A~lor\ Tl:m.L_..:.. In the County of cUPlbor1an~ COI\1monwoillth of POl1l1l1ylvanlo, hilvlllO dih,! ,., the '9..23M7~ cloY of Aunull'l: __ 191.!L.,uolzodondpoauonnodofliI\LI,'" ", " " < aubjeot to Inherltanoo 'rax undor the lawn of the Commonwolllth of l'ollnllylvnnln; Thorefore,l, Gloria J " 'Riohllrd ,1I1l1lpprnlRorduly appointed afJfJOnlir'iJ I" 1,,". 'havln9 been denlgnato~ to m.ako l\ fair autl oonaolol1oblo opprnlllomonl of tho Hillel oRtnlo, nnd 10 olL~oaa,and' fi;: lito value of all ann\tltloa and 1tf~ ~nlatofl gl'owln\1 Ollt of Mid Olllnto, horoby file tho fl\lJowlng nppralaomont; In (hQol/ont thfltftllY !llture InlPHIU III 11Ih n'IAt() I' ltillHlnrrculln Jl{j~HI~'lnll or IiliII'YIl!~llll(j r;ull;ltc;qlllloht I,ll Ihel thltllthuH lli!ilf' {l,l;j \">' nif ,of .nv e".le for IIfo or forYOaf.. IIIC! CClfTll1\lm....UJI1I\11 1\(IfObv /lkpHl"ly tOHIIVII~ Hili rl1jlll 10 nlIPlilllill ;lIU! ;lUIIU triltlHnr In!lllrlllll1C!1 tAkfa ,II 1111' Lwlll!I''''I!' . (.10011 IInv lueh fu,urb Itll4HOUj , .'''''''~'_H''' - - V'A'I'.lJr.f; ~~'\;';"I'i:'\f nlmCfllPT!ClN 01' Mi!H:l M{l!k Ii" II' T;";'.' ',,, . --",,,,,,,,<<," . RAil , r.1ll1<A~A _.None . . Per-Ional hoperty 18 ,6 3(\ , Tr'Anl!l:flAl"~ --- -- - ___.Nona fI...ftA.l' . . . ., . .,.. -ll.~ . " To,tal U.9...lJHL ..---~ . ,_._~.,,,~..., . . ..'~,.. , .. , .. . - . .__0- .. . , , . .. . . '. , '.' T'e . , , "'-~""" ,. . . " , , -,,~, . -W. . --.....,.. . , . - . , I , .. . ~~~ , , , I . . , ---.'.- .. , , _."""",r,o"_ , ..~u_. , , . ....._~.,'''~ , . , , '__"",,,~_H"'. , . -- _U'_" ._-" , _"T,'~ ..-u_", ~ ! , "'\"<.-0'--" -I~~ i -1~'~ . . ILL 'f r-- J.=' -1-- '.C':=:' i --' 1-+..-.-0, I I , 'r-' ; , Hav.e beon duly llWorn aocordlng to law, I do horoby certify thal tho abovo o1ppro1lsomantls mado tn conform!I'! with tholaw'on this ~"'h -_ dayoL,... OAnArnhRl:'I - .....\') '7~'" lfr 'f~l' ) . "U~.. , .~'" L .~..o.._ " AI'I'rilh'l (NUlllbtH flnt;1 fitrMI) (PoUOtfh;n) , -,PIlIllll. Hh~. ., -, ~I I I I I . I " l' ,11 0- .... I I i I ~ cH' I i LIJ 0 ~ ! 10 , '~ 1 ;:) i i.i~ I ~ ,I 'I I .~ ml ~I ('041 9 (ll .... I :1:': t I'll roo ~ '1 a: I .... &l '~ ~ 'a fol ~. ~ 'Cf u. 1 1 l 'a I ~ , 0 I 1 ,X~lO ~ J!l,~ ~ ::;; ~ ift !Z '~ . ~I 'lXl ... ~ ~ lit I N'~ :j .g ~ ~ ,. 'I"l JI B '" 'F< Ci M " i .] 1 I ~' I lij, ... i>-. (ll off ... .~ ! I S'tS/~ ! III roo 'a I 11 1 ] ~ .~ 10 ~ ] ! .~ I 1 m I ('04 .a @ 0 III I """ 'a I I I ..., 1 It I I, 11 ~ i ~ ~ 1 ~ rfl Q <" ~ I i1l ... 1fl i ~ ~ a: , , , , BUl'l'LlmllNTAL RI' V~olF\l1 18-161 Co,;';'; Number ood Nom'. ,21 - Oumbllrl.ll11d , ~ 110 Number 21.-711-0572 \lata 01 Dooth 08/23/79 ".totl: Ho'ma ETTllR,'., ,Verna ,,' "--".-......-.-....,.-,;~~_... IL~&T N~M~I If,oBr N~M"I SUMMARY V. (IN\lI~LI COMMC\tlWS"L. TH Of fetltl$Y~VANI" 'TR"NSPSR INHSRIT"tlCO HX Rl!SlDoNT DeceDSNT tIlPORTOf INH~RIT ANCII TAX APPRAISBR " I, thu undOrllgned duly owolol.d I,nherllonco Tax Appralur In ood for Ih. County 01, Cumber1.and ' P "tl,,"ylvonlo, do ,alp.ctlully report thot I hove oppr.lud tho 1001 and p."onal property "I repo,t.d Inlh. foregoing IOtur~ 01 Ih,. Nluoo .at la,th oppullI' .ach lIem In Ih, lul Golumn'to tho rlghlln hh.dulOl "A' , "6", "C", and ','B". Do ",.11 ,_ February ,28,~O .-t;JJAlj,i/~..~(/pI.~~~.".1 ) INHutUTAHCU 'fAX A~f'I~^I&eR REPORT aPTHB RBGIS'1'I!R Of WII.I.~ I, tho uoderllgned duly el.ot,d Reglller of Willi' In ond far Caunly" Ponn.ylvanla, dor"peot. fully \Oport that I hova ,ollowed deduotlon. In Ih. 01'10untl alulmed by ~'Iloo.nl, .xa.pl 01 to thou lIeml wher' a gr,alOlor 10"".' umount II lot lorth In Ih~ lut oolumn to the light In Sah,dule IIp'', which ureolor or leuer omount rep"lenlt Ih. lum ull",",,\ u& . doduollon, . REaI8T~h of' ,WII.\.9 OilH1C!l .~.- _._~ VA~UB AS APPRAIOSD NOll 60 0 NOll NOlle DOB IHfll'dIS\m'lrJlsDN~ VI RBMAINDI!R APPRIIIBBMSNT 0000 INveNTORV Rlml t'rflltnrtv tSohndulO A) p.""l'nll'rlJporlV I~.h.dul' al JuloHlnld f'rO\lOrtv',(Sohodulo Bl Troo"o" (Sohoolllo 01 1'OT^~ OROSS ASBBTe Lo" (JfllJlt and Dod~urtlo", ISCtIf,oUI.ePI ClMH vAwe Of eSTATe + 101 201 301 - S3. 40. - PRIl<lOIl"1-1! t: , ....'. E VALoUtl c Vail/olio" of IIfo altat.., or :4-- (J"hllHloft"",..".....t..t.".,~ $ I!S'[ATE TAX ASS,BUMeNTS - 5 l!.9.FJ..1!!1W. 01' REClISTIlR ONI-V " To)! an $ Tenc ~Il ~ -~..,. TO)l,cJIl $ ., Tal< ml $ _ Tn)!: tH1 $ ---" EX(I'lnptlnl1a Tuhl! Uilt<ltQ OOPIl COMPUTATION 01" TAX 2% '8% 16% $ $ $ 5 $ (') '"~ ."I~"o'~ by ChorltCibl. e..mptlo. C.rtllloot." I..u.d by tho s.o"tory ~f Ro".nu', ~,,~~_.......... to'_ "MClUJlr OF EStATE TAX ASSBSSEO "Ih'fl,h' tUII puld BAI-ANCB DUE AdJ InlIHfHII.,t ral(l Q>f 6% ham '0 $ S . 5 , e $ r- $ 1= ! 5 - , $ .. TOTAL TAX 8"L"NCE $ ,P"ID $ tOTA~ :rAX l.~.a UUf previously paid \ . 8ALANCE L." (,%,ollu. II pold'wllhlo . 3 tn(lfIlhH ntloraouth \ $' 5 , S BALlIHCt: op INHERITANCU TAX DUE Adll inl(!foat t1t roto 0(6% IfQ'" SlIl'p'"m.",,,1 Cddo'I (fOR use. IN HARRIS6URQONI. VI 4l\--',dlu.'mlnt 4') I Acll".lmant ~(,"'\l1nu"Y_ 6O_l.lfo Ihlale 92+Rtmo!~d" Approllol 93-Remcilodel Pedootlon 9 3C-Chor1lY . 94_Remalnder Ruldue 96-Suc.e" I ve I.!le BII.t. ,I Ii: US~_ OF REGIS'TI!R ONI.Y APJUSTMBNTS Im1 L:l Whoro lub.el\uenl adlu.l[T\tnl' 0" mad. 10 Iheabave computation 01 tu by the Reglllor 01 Will., lor prop'er "..an, ..me Ihould be noted below, with Iharl eMplonotl~n. " " F ;if .. Ii Ii ~ J " I ~ ~ gs, 'm ~. " ~ ~, ~" ,~ iG ~ '~ 1 1 gs ! ~. r;l. '! oS i - ~J 15 IL 15 i i :4 .:l ~ u " ' i! " d IHW:461 (1I-11) OEPARTMBNT OP REveNUE aUR~AU OF Fle~o OPSIIATIONn P.o. aox 2970 HARRISllunCl, PUNNA, 17,100 SUPPLEMENTAL CO~MONWEAL TH OF PENNRV\..VANIA l'IeSIDENT INflEAITANOE Tf,X APPRAISEMENT 'OATr. February 28, COUNTY Oumber111nd "I~f. NO, 21-79-0572 1980 - Whoroon, Vl1rnll V. lltter loto of Uppor Allen Townahill In the CO\lnty of Curnberlalld Commonwoalth of Ponnsylvanln, hovlng dlod on tho 23rd day of AlIOUBt 19..2i., lIol~od nnd posllosBod of on Ollloto slIbJoot to Inhorltanoo '1'a~ und9r tho 10wII of the CommnnVloalthof Ponnsylvanla: Thorofol'Oi;I, 010ria J. Richard ,an apPl'oi'nOI' duly appolnlOd acoordlng to loW, hovh19 boon donlgnoted to mnko a fait' anr! oonsclonablo apPl'oilloll1ont of tho aald oatolo, lInd to aSHEIRS ond fix tho oash value of 011 annultlos and'lIfe estatos91'owlrlg Ollt of Hold eHlato, hOleby file tho following oppralsoment: III ttllt Ilyant t!1Il11HI'{ fulllro lI11urcnt IILlhl~ o\lillul. lrltmfllrrOllln lloWlnllJ1l flI IHl!IlYIll(lrtllo ~ull"t(lrolll1UH' (It tllO duqlUlItil ~lhHllu) mqurntl(ll\ uf /lny QUalO for lIfu 'lWfofVltlH., tho COII'HIIUIIWtl.11111IHIIUllY ol<,llronlV rO$Ur"lI~ 1110 rhlll! 10 "llIIrill\l1l1lHI dUllU lfilll,lur InhotllalltiJ II1KO$ illllUllftwtui cn[I~lnl.ll rdto Un ftllV ,Ucllluturo "Hartt,t , , OUiGltlf'T10N or Nail':'1 ' ,WtJJt Ii .!'nllf~Wlfllanl VIIL (;6, MM~ IlflllhurlMllul fiX I1lHPU\U' , Real Prollertv , , None , Pereona1 property , , , 1,600 00 Joint-Held Property , " None - Transfers None , TOTAL ASSETS , 1,600 00 , ", - , - , " " , , ' , , " , , , , , " , , , , ' , , , , - , , , , , , ,. , , , - -- " : . , , , Ha,' vo boon dllly llWorn2!UlClordlng to low II do heroby oartlfy thot (ho abovo alJPf;nlRomont Is mado In oon Brm'ty with tho law on thjs ,:Htll ' tinY of " ,,1'(\ r4ary, ,9 -. ') 7 , t IHlrRI~fH (NillllhOI n!HI fHrool) Harrisburn IPnU Dillen} , Ponno. COMMONWeALTH OP peNNSVLVANIA DEPARTMENT OP REVENUe BUREAU OP BXAMINATION OPPIOIAL NOTice OP INHERITANCE TAX 0.:- "ASSESSMENT ......>v()r) ,: (r)i.Afi II J_ '* " I -7,'/' i,-'.., 2- COUNTY PILS NO: _v, ,> ..' /, OATS (11"1:J (r,/ 1'78 (i / ~~;: i, N>'I \/, j;.~ jJ~: I ( Y ) - 79 " 1/'7-'L TO: G'- -.) "!-o(<' Ii ,J, 1"(<1 ul)., ' ~,,0 .r: /(o'hl' T _)/'IIUI-/.tl< ;n(q(~I~e.1 .5Q '-'III' t. L:>;' j)(, I ~ ESTATe E':'. (~, PILS NO, / ".;}-i ~l""-~~" COUNTY , DATE OF DEATH_l5 .. ;;. :> . ..- ( V{\1 f~, /0-:/(; /t A ,;1 /l-l.t:'i"~1"l 'V,{: .S?jv,< c;. Appraleed Vollla QI Eltine: R~~f'f:}~",+',vrl1l- Peraonal Property 79' , . t /6 f'.'rY (I C) Jolnt!y Held PropertylTranelerl .L '.. ('J - TOlel Gro.. Sltete . / ~,' ()O, () 0 TOlel Approvad Deduction. c') - Clur Value 01 Eltete . 1(,,0(/,00 Le..: Approved Cherl,lebl$ EMemptlonl .--. 0 - , Cl'ftr Velue of Eltete SubJoOt \0 TeM $ 1(;.,(.10 UO Amount Taxable QlI 6% Rate Amount Tmbl. <ll> 1 S% Rate L- !c,(}C) , (J~.J teM dua . :r6 ,(lCJ taM duo TOTAL PENNSYLVANIA INHERITANCE TAX,oU& ,$ 76,()() will be tit.*_.. A five percent dllcount totaling $ granted If tho Inherltanco TOM 'I paid by AMOUNT PAID DISCOUNT INTEREST TAX CREDIT $ t $ . $ . $ ~_. t . Le.. Cradltl: DATE OP PAYMENT' t . Interelt on the to dete eooruel at the rate of 11M 161 percent por ~nnJl.rn I-J' unpeld balance of Inhorltenoe TOM from ~jl1 () ".1 , of payment, Intor'a! duo $' o 76,(.JO HUI!'~11 H l \1 'ijl( I