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HomeMy WebLinkAbout79-00575 COMMQNWIA~TH (:II' ".NNlnYANIA \,;OUNTY OPCUMIIRLAND \ J', m ,C'eH"_"""''''L:"~,Pa).\l..,,li,.Allen-,~ ,H'" onL",,~_,_,_._____--:_.,--._..,...--.-~.'m__.'~_-'" beln\ld,uly J'd.mn;-~. "".....-_ accordln\! to law, dopclel and I8Ylthat he.,ia~.,..----~._, '-'~--c- e"_'HflXac..u.tOX'n__un.,C!'_ ,_"..... 01 the Eltete 01 I'lazel~. A+J.'en,_ letool.",.,Oiok1naon 'l'owna~ip UHL~~_--" Oumbetllncl County, PI;, deoeued and thlt the within hln Invehtory mado by.pa.uLrJ.,^lJ.ell:'.:..~nc., ."__,_~,___,' the .aldc..axecutoI! 01 the ,entire 8Itete olllld decodent,r.onihtln9 01111 tho perlonal prop'~rty aild real 8Ihte, eKcepl reol utate ouhldo the, CO!11monwealth 01 Pennlylvaola, and that the IIguru oppo.tte each Item 01 the Inventory reprol8nt It'llalr value a. 01 the'dl" 01, decedont'l death, ' . , ' ' l,'/'- 1919 o<3.;~....., \ ~4,-"-"t!.~ S~!":'~ ---~ _, J\L..PJ.-ILL_BoJ~_lli~,~-- 8WQI'n __ end sublcrlbed ,boforeme, , noml II. .,'m,':, ,,' ir:jLU,C C~RlISLl \I 1101>, Clll.illf.IlI/\11tJ COIINlV lIIV COMMISl1l0N lXI'IIII:I; 001. 3, IO~O .~QI:l.I'l;!.J?le-\.J_A 17013 Add,... ' Dlte of Duth '.'HH'_ 4.l;h__- .._'._H_____'.-__.__...f<1a.y"L'~H-~. D.y Month '-U.1.9....-.------ Vu, INSTRUCTIONS I, An Invontory mu.t be flied within throe monthl after appointment of perlonel roprelOntetlve, 2, A lupplement Inventory mU,lt be flied within thIrty daYI of dllcovMy of additional all8l1, 3, ,Addltlona,l,heeh may be atta,chod as t~ pmonaltyor. realty 4. SeeArtl~leIV, Flduclarle' Act. ,of 1949, :8 1 ~ ~ ~ III ~ (to ~ ~ 0 j l" LlJ ~ Iii E-1 " I ~ c:r- I 'I' ~ iE C>. ..J g oJ ..... u. . ~p 0 ~ .... I ! ~ ' , - ~, I):; 0 % 'rl .... H r.:1 ." .tt.1 c: l>'l "0 IV ;\j l ~ ~ ... (3 J " " ''I/.o/1? , ,- . "CC-1I14.1I1 COMMONWCt\L TII or PHNNS\'t. v ANIt\ " DBPARTMENT or REVENUE OUIUlt\U OF COUNT\' COLI.aCTIONS *' RISlDBHT DBClIDIHT .COUNTY ;OF..oIIMBr'~IH'~Nn --... It.\PORTllt,lT, Thl.'IIIU,,, mUll bl 100nplolod,lo dllnll Rllll rilod hI diii~lolll., wllhnll nllllohed, wllh Iho ROllllo, 01.1'11111 or,lhe ()ouoly whore d.~odonl ',olldodl 1\011111I11 dilo wllhllllllno IOlInlho lIf10r dlle III dOll1l1' uulo.. I,n olloo.llIn II ,r.nlOd , by Iho 800l01.,y 01 Rn,on"o. (800110n 70a "I tho IlIhbrlllHlOO nnd Illlllio TkM Aot III 19~\ol ' . ~ ~ O..odonl dlod l.ot. of ~OUMBERrJlIND 5tot. of JENNSYIIVlIlUA } , I.. County .f QUtIII?ERL~ND .. ~. PlIUL L. ALLEN _ ___~_ _Uk,utahl of th. 'Qbav,.nomtd du.dtnt b.lng duly ,wo'n, 'depot. ,and IG~, I May ~. 1".J.9-:{''''.'' 1lO,lno. I.., will., ..py 01 whl.h I' h""oo""h'd',) IMONTHI {DAYI (YIURI Int..tat. 'j H.m' ond odd"" .lotto,n,v or } !rwin. Irwin & Irwin 01111' a"thorl",d ft'P''', e!\fatlv. 10' whom .11. ..""p.ndon'. ,hould b, m.ll,d, ~~ South Hanover street., Carli!?] e, l'lI. . l70~ 'I , ,},' Al'l'l\IAVI1' 01' ~_. ,HXBCII1'(]R C , 1U>Ml1IUll1'lIM1011 aun y , IN TIlR MATTIlR Of! TIlIlI1Rl'A1'll\lF ..HAZEL 13{\tA~~~~!. N~M'O~ DiCiP~Ntl IlMUOO'O' ~MrtoPUltlt4i -- ThRI RM 800h , mX01o,Ilt.(II' ....,.,."."d.punolllldnnll1ll1r wllh tho RffnlrH uf 8Rld URIIllo Iltllllho prl>porty oun"'ItIl'III~ , ' I.H.CUTOR.~"A\tlUll Ih. 'OHHUIR IhoroofRnd Iholr fnlr IORrko, vlllllo, Thnl.Rllho tlmo of dORththoro 'WRR IIURnfe doro.11 hUH ro~IRtorod III duood~nl'M hldlvldulll ORmo, nt jointly with, Ilr nR ~~olll ~r do~uty of Rnolhor, or In dooadolll'. Inlllvldlllllllllmo, with rtQhl uf RoaO.R hy RllOl\lor RR RQ~nl uf dapulY, wl,lhtho oHoaptlun of tllo fullowln~l - ' ". -- - THUaA.FE'[)8POSIT aox;'RICNTllD IN NAMi! OR AMIU oft hl!l.A,TIONIHilP 0" JOINT Hal-tlKRI TO D&:CQ:O'll'NT t'{^M~ ^t-!o ADORUS all' ;8"NK oR OTHKR INBTHUTION IN'WHICHDRCI:OI!NT RUNTEl:D 4 ".-rre: DEPOSIT BOX Thllttho !lootollll of uld .nfa dopo.1t hOH or boxnR Rra Itomlzod undor So\lndlllo. wi th Iho oxoepllon'of tho followln~, for 1\10 reRROnl horolllRftor 10l,forthl . 1'\lRI Soh.Ju/.A RtlRohod, horolll nnd jl1l1M p,Rrthe,roof .etR forth flllly Rnd III dntBII 81\ Iho, ,r081 proporly , In Iho Commonw08\1h o[ PannlylvRnl8 or whloh dooodolll dl~d hnvlllS 80.lnloroHllh~relo, IIlIllo leU forlh t~o mortSRSo onollmb,ranao. IIPOn oRoh pRrool of ronl' proporlY HI thll d8tn of doalh, slvlns tho Rmollllt Itlll dllo' RI d081h, n8mo of morlS8Soo, dMo, rnlo of InloroRI, alld blluk ond pRSO IIf rooord Ihereof. It 81.0 lol~ forth Intho \lol,lImnaprovldod ,\horeforo tho R&soued vallllltlon of ulloh of Raid PRroel., the ..limaled ,markot,vatlle thofoof 8so1 dnto of donth of dooodonl. of thll totllrn, That, Sch_~u/. B IlIlaohod horOlo nnd mRdo pnrthoroof SOIH f(lrth folly and In dnlall al.l pononol PrOPOflY whllr"Rovor altuRtod own,ed by tho dooodont nUho 11010 of dbRlhl nil moouy. (oft by tho deoodoOlal,lhe tlmo or do nth, wllolhotln deoodont'R Immodhlto rououlon, olnndlllS tll dO,aodool'1 oradll 10 bnnkaof,doflollt, savlnsa hnokR" trllat oompalll.R, or olhor 11\11111111008, whOlhor IndlvldUlIlly, or 10 Irllltfor nny olh.r porRon qr 'poraO~li I ' ' ' slvln" also Rop~rat.ly Iho noor~od l~toruRt thprnon, II nny, dllwo 10 tho 1011 IUloroMlday prior to deaedant'. donth, In Iho, oalo ofaRvlllSR bankl, and 10 tho dOlO, of ,d.~od.ot' a d~ath In nllnlher OaR 01 I n1\ honda, poRtal anyl~SB, Iro~,lury oarllrlu~tos 'or, onloa aodnthor ovldello. of IlId.blodneRl oflho \Jnllod StalOR 10 Iho do- a.dont; allobllaalloIlR,'whot1lor by ala,lut. ,or a~ronmCIII Ihoy lira dOMI~IIRIod' R8 IIIX froo, of Iho \Jollod Stato., or noy 8Int., or pollUoal au~~lvlaloll thorobf, or of a~y forolao oOlllllry, whluh nro owned at tho 11"'0 of dUnlh; all W08rl~~ oppnrol, jow.lry,sllvurwnre, ploluro., bouks, worko of art,hou..hold furnllur., h~raoB, aurlna'", ~Illomohllos, boal., tllld, any Rnd all olhot poraonlll uhaltolRnf whnlkoovor, kind or ORloro, loft by deoodolll, ,tosulhor \Vl,lh Jho ,falrly"ol,tlmalud mU,rkot value thoreof; RII bundB nnd monaaoOR held, by dooodont alld of all ulalmH duo alld owlna, douudolll 81 Iho 11010 of d.oth, Rod nil plomlalory notoR or otheiln~trumBnt. III willlnS fllr Iho paymonl ofmonuy of whloh duuodolll dlod p0880110d, 'of whalloBvor naluro, wlth'lnter~Bt Ihoroon/df ' any, ~Ivlns th. fRuu vnh!o and .UlmolOd folr,mnrkol valuo thoroof, nlld If IlIoh olUmalod falr,markolyahlc'ho la81 Ihan tho faao Valuo,ltlq'ta fOrlhhrloflY tho rllRRUllB for ,Huuh doproolRtloo, aRlo,lIaoh 110m; allmo"oy~ pnYRblo to Iho ollnlo from IIfo IlIluro"oo ~u\lalaH onrrllld hydooodllnll nil annully nnd ondowm~nt oonttaotl the prau.odl of which \Ver.'I'llyoblo uron tho doRlh of Iho douodon" nl\ nnd Iho eorpnrRte alouka and dlvldendR duo Ihoroon and unpaid oa of lho dnlo ur <loolh, hUllda, nlld n,ooruodlnloroSllhoronn 10 Iho dalo of dacodo"t'a donthand othor Invoalmoul IUllllr\lluH "wnud hy Iho daoudonl nl Iho limo of dcalll, II'llh 1IlO',markcI vnluc,thoro- of a I 811nh limo, 10 - ?,t, ? .~- t, , ;",1 . " ' 1n u'HI ~\n'HI nt1twnHrJt,Inrt uti ulntH,ut' flfllnll)' lIul'llClrHI,I<i11"i (,l1ti vntUI'" l'UIHlrt,IHI,,"r(l "" 11nr, UK l\~~Kl\1I1' "111101111111,,\.,,\ \'l' 1',1111111111111 MIIt,,,"l1l1tK 01' 1.110 O"I'I""'III,l,IIIHI HhoWllI!!. \.1111 1",01,H 111111 H,,"I1\l,jo, thllt1twl' 1111I H(' Iho clC1t,lIlnl' tlont,h. Illhll 'ullullhlln "lHII HflUI l'III.th nl,lI IIlI.Nlf,IHt.' 1111 IlnC1fIl)unl, Ill, "'In (drllt; ut' ,\Ulltht\\ Im~' tHI~1H'I'UtUNlhlp Hll h\ll"llIUf(H, /"\11 III tH11111f111" uf' tllll viill1ll ull "tHlh'lttl.U1'(tH(,"'l.hIIJlfl 1.."llIlIIlll(thl tll H nllt HI'hIHIlI \ "",,"IIIIIIIU 1 R t ,K t,n t,I1Ill11U( H MlllIVd,~I'~ !.IUI HtHW tH ,,,"'1 1 11th t 11 r h'ij, 1111 ",It tit IHI"'Pli..lq,1l01'\it" '11 till ;litlHHliJltHt ^ IIUl't liP t1u' CHl-llIwt,IIIH'Hht)l 1l1\lllltllt\lIl1t, (I (' 111'111,11 HlntfllllClU,1 tu',t UIII~ "liltUI UIn IlHt,lIrfl nf', tHu 11~I'O(lIflUIIO t,nu,llilil'I' willi n HI,ulUlllt't1I, "utlll1l(/'OI'I,1I 1I111 ulll~tl'Hltnl\ 111'1,1111 tJUH I Ill,'" Hi ItH'lel(!l\l,llIIlt IIllll .,,'Inll nUtlll; f'nll!.H 11l'I'tlll,nl'qf,ln tJltl hllHlllnHH flH IIln~' ht! 1'Iil1(,IIlIlII(, 'tu II I'nlll 111\11 ,IIIHt. 1I(1)11'I\IHlll 111'11111 lllluullfJIlt.IH 11I1,U,'UHI, t!lllljnt!1 !.lItH!. 1111 Hubrnttt,I'll. It. HlullIttl utMO HUt, I'llt'lh 111 1t.lImltllll f'OI'II1, 1,(In~!thltl' ",I lit I f;!lO f'nt11 Iltnl'kh'( \'n 1 \III t1UH'I'hf', J'/ltly' 0111111' 'It'IIIIf1I'q' IIWtllll1 nr,ll~(lllnilthlid h~' tlUI dll(\wlo'I'lt II L t.llt! Ulnn nl' dnut.llt 1'11Il 'Sc/lrrilJlp C AI,I,Hflt\llcl 1I01'0!.0 IIlId ltIltlf(l 1'"l't, liul'nClf' H(lL~ f'lIl'!'h ,n "t'tll~ HIIHW(II' to lInoh 11111I1t1'~' nOI1II1,lt'lo" lllin'ulHIIW' 1I\,llIn IHIHo~ll"l.l'nluil'III'HUI'IIf'fllllll'l.~', I'u/II 01' pUI"HllI/ll, within l,wn yh"rR ot' IlmH,(((lnt.'~ 11(!nth" III iHtlll1l1nplhU\ltI nt'lIniIlHlllllt.'Mtlnnl.h, 1111 Inl.t1wll111 't.o ,I,'lkn nl'f'llot 111 pnRf\nHHI~HUI; (}(\.loYllIunt,'nl, nt' nf"i,lfl' dtHILlII Hhld Rollo(l\llo l'Iul,a f'(II1(,1I UIlI nntul'tl 1,11111 "niHil of' H\luli lil;oPIII't.Yt t.o wit om 1.1'lthHt1ol'rfut" (,110, liol n t: IUlI!;11 1,1' n f' Uw l.rf\lIH {'nruo,", 'to tllIl ,looOlllln I., t.lltl 111'IIIHlt'l.I (IU'\ t,n ..Imru "(10(1 t vUlI llY (111011 t',I'IUIH flnr(IU 01111 fill nt.hul' ('Iwt.fl or II Ilotq,ItHHlV 1111t,1O'(I ro~"rlll"ll, ",ntll t,l'1U1R('nt1fl, III t.!ln Hn."lo uf' t111111ftf'tlt:H IHI,o'I~111111' t,11 ~,Rkn 111'('0111, 'In rlC)ftHnHH10I1 nr,'ul1,lnymnnt .1'1. IIr f1f'(,lIf f1ulIl,h, t.Ilo11u JH IltHn'llttnllhliil lill t.llu Hohluhtlt, n tHlIl)' 'of' t,IIt,' ~\iJtHl, truHI, "gro('lTlon't or uthor 'inHt,rUtn(1f11, IIrunHhf,\ UIO 'tl'IIHt. '1')lIlrn 18 111"(1 Rot, f'nrt,1I '" fWlll aohod\tlu II llHt, of' 1111 P11nIHtrt.)'1 ronlIUHI'IHJI'HUnU'f wlt.h jt,H VI11IIOI Wllluh PM:"W~' nt, Ill'I(Hllloflt,l" Ihllll,I', ,h)' y1rt,uu '!,f' UlO oXlll'o'IHU hy,dooo\lollt,~, ,Illthol' 11llUVtitllllll)', Clt'.Iltlllt.1~',wlt,h ll!lflt.!IO'I', nl' l\IlY 'llUWur hf fll'llnlllt;;, mUllt, V(IM(,uci htdf!no(\ol1l" olt,hor lllltivl(hlully ClI' ,lolnt.1YI h~' t.llfl wltll Iloorl, nl' IIt.1lul' It'flt,rlllllOfll, of' ImnUllJl't W 1 ti,h it' (H!l~Y (1 t' tho Ilia ~rllll1nnti' oroutJ ng auoh l1nwor /I (,t.nuhoel t,n t,lIo H(lhull,uln, Thnt Schtdul, 0 nt,t,lIohml hot'oto ntHl fUudo 'Purl, Iwronf' HI,I:" "91'(.11 l.hn IInlntHi ,Ullfl IHtrlrOMitOA nri\11 )larRf,J,fIfl hnno('icitnl1y int,oroflLf'l(l ItI' thta OAtH!.O ,I,ll, t.lln t.t!lIQ nf' clOIHI111}'Ut,1 R '1IOI1i.h,' t.lHI l1ul.ill"o of' Ulolr l'OM- pOtlt.tVtt Iht.OIIO~t8t t,holr ~olllt1onahtp, if uny, t,n t.llo floonclont", t"f~Ot,l101' with t.t1O n!VlM nt, f,tto t,hllO ill' 'tleoo(tont,'a (lahUl .o'{',lt11' mittOrR, Rl1nuH.l\l1tH 8m' 'UHlflf'lo1llrtoH f'ul' ll.f'O, 1111"OT' dnoodnnLlfl Will. It, 1I1~n 1'I0"t.u1.na i1, atfttnmont, Rhowlnp.;whioll of (,ho honalliotnllln'H numot! hI Ulo'elno(l(lollt,j'H wtlli 'If tlnYf tllulll1rlor t,o floQl!{lont~, tlto"rlf\t,oH or Mlnlr dUo(,tlt th,oir IH~\I0t 111\11 t.hn l'nlllt.hJtlHhlp flf' Htl~lh IMHtln to t.ltt) hnllttf"o1nry. , Thnt, Slfh"dul" f'l\tt.noho(1 horntn I"HI I1l1uln n '1111"1, hnT'oof' Hnt,M, f'ort.h nil' pl'oporLy, ,'onl 11mI' pOl''' fJonnl, ownlHl 'lY thn '{)000(10.,1. ,folnt,ly wlth unot,hor or (It.hf:JI'RI 1110lttflhlA 111t.nnJl;Ult(tIRt.f\Ii(Utl~ in UlO,1I1\1110 'of' tho'donorlol1L nnrl ot.horR, p1\I" thetl"t.o nnd'plno(l of' rO(llll'f' nf' hud.r\1I11ollt.a nf'f'ootiIH~ t.lw \'nMt,1 t\H't) of' ronl 'u'Rtnt,o 01111 (,110 dnt;o 'or nO~lItRtt.lop of 11ot'Honnlt,y, pltlFl tho HlI!nn, fll'll1lnRfI IPHI ro11~t,lonRhll',' ii' ~\1l~'1 or OO-tlWhl1rR t~1) tho dooo(ltm I., ThfLt Scn,edl11e F' nt.t,nohorl horot.o nnr' Tnl~do n')lnrt 1101'00'1' Hoth t'r1l't.h f'ully unclt" Ilot,I\11 IlH elnhtR and dotlont.tonR o)l\illloC\ flllr nll,l on hollnlf' of' this donodoHt.tR Oftl./I!,o, 11lcl\1lllllg t'wlllr"l OXJHHlsl1a pHilll f'llml),y'o~o'lllJ1tio'l, ,whoro Ul1pl1onhlolooHli" ,of' llfltlllnhtirtlt.1,oll or' tlliH oHt,nt,ll,l, Ilnllw",ol, ('fiOK Ht\l' Alllt,O'-':',I'yl,H oommlfj~tonf:i TUl.td or ,1,0 ho ll"l'dJ OORL UXpollctOlt 'I'Ol' lHulinl ,t,l'HKt.l'I, t,nlllhHt.nnoH or P;l'll\,IlMlnl'knt'81 ll'Il' ,rtll t.. gioHB"aorvJoo,At, 'in,OOtlHO(lIlOnOo of' UIO dOllt,h of t.ho Itoooflnnt,rcloht,R tlluloln1mH owing IInll11111H\1I1 nt tllt\o,n(' dont-hl , 't.~,X(]'M ,f\O~t'Hnrl ohnrROt1hl t1 (101' 1lorior' pri or, t,!) IIO'QOllon t.' R, ftUIt tll (O)(,cwpt, t.ll~,An IIllowofl,lIIH!olt HI\(' t.1nl\ Oil.! of' tJ~o Inhoritunoo nl1{lr~H.tnt.o 'rnx Ant.) I t.ngoUlol' wit.h It Rt.I\t.OITlOllt 0'1' ctnltnt.nr,nl 1110l1Ao,l ,for ll'h11~'I\" 'ti()~8, if 'uny. It ia, "Aroon tlfnt tho f'tdllolr\11Y will ptIOK(1T~t~'pl'rlof qt'Ru1(t ol/l;tllltHl ohll/~ut.lol1s upon 1'n" llUo8t, UH\t' Ui tho nl1lC>tlnt IIot.l1/llly 111'11\ in, Hott,lnmont. 0(" nny ,i'no, OOl1llllt'HRlun ur<loht" ts"IORA tjllll,)l t,ho (Jsttlnn'tott:ltlllntlnt olltlmlng "net f\llnwocl, t.liut tho FJRmO will hn rr'Jpnrt,oil t.n"t.ho lln/.l;tRtuT' nj' WOIH, lIlI(I "hnt. I' ' thn "mount or t.ux IISfl08H(lfl onn lJ(1 rCl!tH"OHHotl 111 ,Hoont'fl/1I10C1 U\orowl t.th TtHtt ,tHfi' tot,nlM', hf"thn npl1ropriflt,n null1mnH In Soholhl1oa "Aft, "Illfc "UIl, "t~"t Itllt1 ~Ji'" nf.l f\!rt1ut.O(t t,horohlt hnvo 'Honlinn"I" fir' forwnrrl nl~d prol1ot'1 Y llOJ(t M tn rml ill' 1,110 fhUlllTH\ ry. SubuQrl~dlltid ,~ivorn tohofol'O mo, this"".".."""", ( ., i:>.. i ~ "F;'C' .Q_Qi, ' ....""':.."..,,,;:1....:,:. ""., ,dRY Of'~~4., ,"" 10,,,,79, ,-"dX;i;';;;;i';;;;:id;;;:i;;l~t;1r''''''''''h''''''''''''''''"'' "'"",;".."'C""" .. .S~~~4:..... " R,D.l17,.,B,Q,X,,,,,36l,,,,,,:..,,:,,,,,,..:....,,,,,,,,,,,,,,,,..,....,,,,,..............' " (Stroet Number) , 1H,I(rJ; ,1:,0:',,"", : C 11 1 PA 1701 ~ ' <.>\11\1:'1,1 ''''':'I\!!;lI. ,: !'.','LI:li,UI' "",Iii/Ii Jlr".....!;\...",€'"I"".......""....."""". ..."."."..!,,,,"',,,,,:.'.........,....,,,,,,,,,,,,,,,,,,,..... 'I'rClji.\l.lp.II'ii f),I'I(IL, I)li(,J. !DU'J (Cfty O!' rown and St4te) .,NOT1~J" llnf'or,ll H11J,1~1n~ nfftl(llwlt, mllkn M\ltln lrll hlllnk MIllliH1tJ III ..lid nl'C"II/lvtt.n'f1{t f-lOh~llilloR nllt\Oxoft urn f'l11ol' it! with'ehHl11hl n.r (,lID, WHI'" IlNnnu'll, 1~111' 111 OItHfl t,l1o llHHnUi \110111110 t'/lro nllft lUll'iKt.ocl Roourlt,:luM, I'inol1rit.'lnR nt' (11ml~ nrf'flmll,~' ,IHll;J10rlltlnIIA 01' nil 't,tltnrnH,I,. 1n HTI~jf!tt...pnl't.Il,llt'Rh111 01' h'UI~ttJf"'IH",,',hnt tho dntl} lIll'l' 8t,nt.iitntII1U, rC''1U'lrol\ \1111101' t.ho 1'ltl'lIp;I'lIph Iltlovn I'nlnt.llll\ l,n)iuIIHillllo "U" tlrfl Ilt,t.ooltocl, '\'IHI1 innk(l onrUll1I Ulnt, 00111111ull1 Iii t.110 hHIII"lIl1t'~'" ,II/1ft hO{'l1l prollll1'I~' l\lIl11plnt.orl IIH Ilhtwo..d1l'(!(lt,!Hli " llOC~:~I\ \ , )'1, 'L~~~' 'lC:i1JIf~' nOM~mNWli:,'lJFII 011' PI':NNSYINANIA ' '1'I\ANF.lli'I~1\ INIIIWl'I'ANOI'I"l'AX HOIII':I)l'IIII: IIUll I\Il:H 11l1!~N'J' Ilt'WI':\lI':Wl' l'EI\HON A" l'fl()l'l':lITY IN81'IlUOi!~lONHI" jllll1'" HuhotlHlu mUfft, llhwluao ull t.llllalhlu Hill' IUtlillgihlu PUI'HlIIll1l 111jUfltlI1t,}' OWIIIIII illdlvldUlIll\" , _ r h t.IIU(tUO(llhilll, nl. 1.1U 1,tlr.ll utI hlH ({tlut.11t I'I'tlllUl'fS oWlIlHI h~' tho 'IIH1\lltflll1. ,Iulut,]y w'lt.l\ ulud.hfll' hi' ut.hllrH llltul;t, hUlhH,lll lIIithili Hu!iOfI\llfJ l'l~". 11l1,nI1A'h~(Jll(lrHnl1nl I'I'O\Wlq'YI t.:tt,]ud 111 t.l1O I1IUll\! (It' UlfI,c1(HlUttOl\t, IHH. I)u:,'nhlo U\. ,l,'out,h liU' , lU1ut,htlr ut' nt,horf4, tlwlwllup; ;h\lt,nnL thlll.(;'l t.o J'l,O.IJ, Il" H, til\\'tllKH IInilllK IIlul t.UlIt,".. t.tvq tl'uiit,.,uUtHitmI.R, 1I111R\. hO"lIRt.ull, cloH11U,tl Lhfl l'iWt. t,llllt tl\ny 1\1'(1 Il<d, uf' (;1111 Il,hnllltl'lLOI'orl OIHntf!t ,iungllll 'lvorHonul "llrull,ul't:y, Hhuu!" hu,ltHt,l,lcl l"it''''t (Of/:;' ,luwnlt1)', wourlng ul'pnrol, h(l\lH(lh(Jl~' i R,oo(h", uuf! fll1'1I1~hlogtil hnukh, J1'd~nt,hiIV'l;, ttul,ol1lohtluH, hunt.s; "0(.0,) lUt,IUIKihl') "lIUt'fHuUtl lJ1'ol'o"I,,)" ,~lInh h" lHIIl(I~f tl'{JHfI\lI'{ m'l't.lrtot\'t.IIH, unHII ull Itntul awl'llllHUtkt fH,nokR1 Ill(H't,g/lI~nH~ noloRI LOl(O,I,hl'tr wl,t,h H~IH'\Hlll'tllt.UI'OHl 01' fllVtllolll'HJ Hnllu'luH 0" wnKoM, ltumrl1tHlO P'~Y" 11\110,,1.0 (.1100#11.'\1,0 01' f'\(IIIOI\II'Y \11 .,,\,\ ""JI""l\,y, l'"rLIIOI'Hhll" IIIt.oro"la, IIILor"H\. III ""YIIII,IIHL1'lh\lt:orl O~"{',t(J 'nl' 01' JIIO(~lnU t'l'nmnll)' 11I'(lpIHtt,yhold, Iii ,t.1'IIHI, \IIttlOI~ t,11O wUl or fl~I'nonIOIlI. of' unot,hurl 0l{011 thntll(h loofll,lHI Il\lLutllo ('II' t.llo H\.lllu, nt, t.lw 1,11110 of' (\lUlU" RhlJ\lItl, hlJ lhH,ftit'lfl (.11:1" Holintltllo. 11.0"1 NO, I'\'I~M ,1.IH~ nnll tln"nrlho f'\llly tJNIT ,VALl/Ie UIQ'AHTlfllNT VAT.lJA'rtoN (Uo nnLwrlt.o In till HH1HIOO) lCH'j'rMM'lm M,\ItK\~r VAlotIg Oumberland Valley Savings and Loan Assooiation, Six lTtonth. o!,!vtifioate //6700221 $).0; 04 7,19 " il It18(1jtt. ;t,hltv'to t,nl OrJloa! to "Pot:.tonul llrill10lj tylt ,8011011111' n "It" 111 tho;;n^~' 1\C11IOrt,Qcl" tlOlUI1\il un l,ho iliA (: pUJ.\H .fil' t,hl~ l'ottlru. /, . x X $10,047.19 Iq ()~/7i/ ~ I . ".,' ROO-)6 COMMONWb:AI.1'1I 01" PP~NNA\'INANI ^ 1'IIANAlllm INlIl~IH'I'^N(11~ "I'A>: AOlmnlJl,l': "(1" 'j'lhIN!'WI':IlH '. I\li:H IlmN1" Ilg0glll~N;1' (1) lllll dOclo\lont:1 ,Wllhl1l IWO YOllr~ OI'IIOIIUI. "IlIkO"III1Y LI'1Il1~ror ""'/II1Y mOlorlOl, pllrt ill: ht. oototo. withollt rooolVllI1l 0 vII11I0hlo III\Clndo'qlluLO "ollolllorot.lon t!lorolbr? (Anlwor yoa or no)....riQ.._ . (U,) IlId dooodollt, ,wi thill, LWu' yonro, "f' Ilooth, I.rollofor Jlroport). I'rom hlmlloll' 10 hlmanl I' and anothor or qthoro (tllolurllng II OI"'\IIU) In Julllt uWllorllhtp? (Allllwor yoo or 110) Np " ,(U) It' tho nllQwor I.,,,, (1) or \U) nhoyo 1ft III tho IIt'rlrPlott,Yo ot,"!O' , (0) Ago or dooo,\ollt ot LImo "I' trllllnrur........l)j ^ ' , (b) fltato or dooodont'l hOlllth ot LImo Ill' milking tho tranaror, (Noto I), (0) COllot! of' dooodollt' a dOllth, (Noto 1), (4) Pld.dooodont, (n 1,1ft lIrol.lmo, llIako onYlr,all.ror of\'l,roporty withollt rooelvlng,a valllahln or adeqllate oon,a1dorlllloll Ihor, ~roN.Qwhloh wnl to tllko or,'clOl In p,,"o$OllolI or onJol'1llo,"t ot, or IIrtor hU dOllth? (Anlwor yo. or no) ~ ' .' (0) WiI. thoro .ny \loulhUtty Lhal tho proporty trol1.rorrod mlllht rotllrll 10 Irll1lrOrOr 00 hl1 o.t.at.o 00 ho 8l1b,ll1ot to Ill. IlOwor <II' (Ii.poolllon? (Annor yoa or no) N ^ (h) What.. Will tllo troh.rerool. oge at time or deoodont" <lonth? N A' , ' (8) Old dooodont In hll Iirol.11nO II10ko any tron.ror"wl thol\t rooolvlnM 0 voll\ohlo ~n<l ado(llloto oonl/doratlon 'thororor l\I1<1or whloh traMroror oxpro88ly <lr Impllodly roservo, r"r hla uro or any porlo<l Wltloh 1\0" not, In raot nnll "ororo hlo lIoMhl (0) 1'ho poo.o~olon or ollJol'lllont ~r or. tho rlllht to Inoomo rrom tilt' prllllarty Iran.rorrOd? .(An.wor Y"M or no) NO ' , (\,) Tho right to rlosllnRto tho I,orsono Wltll oh01l 11O..0eeor 'on,loy tho I'roporty tran.rorret! or , Inoomo thoro from? (Answor yos "r no) NO , (0) II' tho on.wer tll (8)' ,") nhove h In tho arrlrmot.tvo, ototo whothor I,ho right wo. ro.orvod In deoodent alone or othors N ^, ," (7) Old '(laGollent III hlH 1 trotl"", mako a trnneror, 'tlteool18tderatlon rur whloh wa' transreree'. Jlroldli. to I,ay Inoomo tll or 1\11' tho hOMrll III' 0111'11 or trnnaroror? (Answot' yoo or no) NO , (8)' IUd dooedont, I(t nl')' LIIII(', l.rllllsrOr 1"'oJlort)', 1.1'0 l,onorlo.lnl'onjllYlllollt or wltloll wIIssllh,joot.. to ol\ango, 1>.0111\,10 or II, rOeOryorl powor 1,0 nlLor, nlllOIl(I, IIr royoko, or whloh oollld ",'vort to Iloooolollt IInllor torm. or tron.rer or by lI\1orntlon of' Inw? (,IIIower yoo ur no) NO (0) 'II' tho nnowor tu (8) nhovo I. In tho orl'lrmntlvo, WII. tho puwor tu oller, omolld, or rovu~etllo Intor~ oat or, thO, bonoflolllr~; rooor\lo<l III tho (Iooollont nl,ono or tho dooodont 011,1 othcl,rO? ' ' . (An.wor ye.orno) .I:!^' ',,' . ,,' NOTI! 11 Tho nnalloro to thooo '1"00 tlOI\O ohol\l,1 ho Oll,'por toll hy arrlolav I t by Lllo a ttOl\IU nl Ilhye lolon lIS wol1 au ,a oopy,pr tl!o <loHth oOM.t rloDLo, '. NOTIl QI lr olloworl,o IIny or tho <<I>OYO qlloBI.lolIB 18 yoo, 801. forth holqw olloeerllltion or tho proporty tranUorrorl, Il' 8 rolr markot vl'll\o al <loto or Ilooth, doto. or trollofor. anll to wlt?m tron.rorroll, wllh rolatlonahl\l or trOll.rerOM to dooorlont, tr any, RllhlllH GOl'Y or ony, trllst <1001' or lnatrumont, tr trano- rore aro ollllmo,1 to bo lIOn-tnxnblo, nloo ollhmll c1otllUOlI ol.IItonlont or footo Oil whloh' 811101 olnl.m h 1II'80d. NOTE 31 LINt ol'plloRhlo )lr0J10rty 1I010w In monnor In whloh J1rovldocl,ln Rohollulo. A, II, or ll. ..<b.. I TEl! llAllKET V A:r.lJ1! (Eo Limo ttict) 1l11l'1', VAt.uATION , (00 t. Only) IlIl8CII1I'T ION NONE .. In.ort,;th," I,ol.i,l "f11l,,"ltn ']'I,,,,,""orR', Rohorlulll '0' In t.ho 'AI 1I~\lurtoll' (1111"',,., IIn 1.1," l11R'. 11/11\" III' t.hto rOI.urll' II (I)"/ I. I 1\ "1" · "IV."lUI ("11) cmIltONWI!^I"Tll 01' I'I!NNSYI,V^N1^ TR^NRI'I!.IIINIIIIRIT^NCI! T^l( IU!llIPI~NT Il\WIUII!NT * SCIWllllLl! "D" III !NI\FI[ '1II1l II!S - , ---=- ~------- .-. - .. _,..,I_.*,...:7r:;;:=:~:L.._:r.=:=~==.:..~_= ._...........-~.. -.. ~. I , IlI!NllI11C1^R\IlH ^NU ^UIlRI1SHflll 1IIIL^'I'I(INSIIIJl (SlaIn [ull nil".' nnd udd,n..n. o[ nil who (U 'Iep-dlllllron "' SUllVIVlm Il^TE , INTHltHSTOF hllVn an hll.I..I, vo.'od, conllnuonlll' alh.r- IlIouillnnllo ohlhl,on IJI!CIlIJI!NT OF IIENHJ'l(:ltlR\' ~l'o, In o'lnlo) nro hwulvlltl, "4." HT^TI!. YI!Il IlIRTIJ IN 1!S'IWrH , fll,lh Ihl. [1101,1 011 Nfl , - -- , PAUL L, ALLEN Husband YI!;S -1illC.le______.-:..._ R.D.1I7 Box 361 , ~ ----- .--.......--.-- _.._.-~- .....--.----- '1'1"..., ~ a 1 '" D^' 1<1n,':l ----- . , --.----:-- - - , - , " -- , , - , :.. -- ----- - , ~ --- , ,- .- - ',' , - . -- - -- " , -- , - - .. - .. ~-- .-:----- --- , - - --. , , , , " - - - -- - .-- . - , , - .. -- - , .. .. - , , ' , , - , , , - , . -- - '. , ----- - - " .. , . , - " ,I, - --- - .- --- -.~--..;..." .. - , ..--.-...- . - :--==::;.::".==:::.r - --- -- - - - D.pon.nt fuHh.r .ay. that all tho abov.-nam.d bonoflc!!!!~~~g at thl. tlmo o~aept belnWI I -- --- --= NAME DA1'E OP DIlATH RESIDENCE ---.---- J '" : ~ , - ~ ...- Ir a :h,.,',, '~f '8, ' Jll Ru n II'tolwrly l'uIMllIlnIJ'tnJ\urly l'rulufun " SUMMM Y ,(Stih. 'W') (Suh. ,"II") (Suh, "C") '(1) (1\, RUllorh\d) : j~'l. rfJ $. ..0_ . · - ~m~--- ,;l,O,v,ll..() , ,,(Z) (i\H Dotorm,nud) , -~ . .' . . . .--:.. . II '...' OrllOH Tliknblo Il,lnlu ~ j -g ! ~. II :El ~ i::\ Q III ~ ~ >d 'I ~ ~ ~ II. ,~ ~~~ ~ II. ~ i' <( oll . g 'i' -i. ,.a tI. 'S,m ;~ ~ ,0 ~ ~ .'~ lI. Q . "S lie ~' .!<i p::: u t.) oS ~ 'M 1 .; ~ I=i ... DC' i! 0 iii 1:'1 'S '1:' F.l iiJ " ~ j H '* ~' " J; .. 'II'" I . RC~.U l6$ COMMONWHi\I.Tlfl\F I'I\NNHVI.VANIA 'I'ltNNHllll.lt INlIIlItn'^NCIi TAlI ImHIIIl\NT IliiGHllHN'I' SCIIB\lllhl'. "B" JOINTL" OWNI'.lll'llOl'l!ltTV INH'1'I\lIC'I'lUNHI,l'lIl~ ""hll,II,lo .,i'\llll, dlll"\III1" 1111 \11'111' " r 1.1', 1'''111' ii'hll"'I'III;II"I, \'"11"11 lIy 1.11" .iI.."lll\l1ll1. "I"I""ly wIIII,"I1I1II1"I' III' "th" I'll , 1"011,,1\"11 1,,1.11111111"0", 111,1111111111\ III \.11,1 11111\\0 1'1' tho ,III ,,",hlll I, ","l 01,\101'11' 1,11.1, N",l :,'"1.11'0' I'II'HI , II" ol,clroUolI, "I' ,\(,1111, l,o",,"tH, ~IVIII~ IIrl""II"",,rli",\III1, "" 1III\lIl""";!' 11111"'" 'AIIIIIll,'",III' "A", 1'("" thu ,llIln """1'11",","'''1'''""1'11 "" ',,,"tl'II,,,o\l\. of'I,.."I,I"11 VUII,\,It.lI1'O, loll. 1111 1\11\, 11,\0'111I111 "1\1.11'111,1"" 111'1111'\ 111',,1.111" 1"",1 1111(.111.11 VIII 1111. ", ,,"1.111.0 VIIIIIUI'('I!' nu I II",,,, \'''I'lIn,,1I1 1\l'np"I"'Y IIh'"11,1 \Ill ,,"\.u<I II~ In llnhullIllIl "U", '1'11\11 ,111111 nl' 1I"'ll\llIlIlnl\, 111\,1 \.11" \'''11111, 1111111'01111 11",1 rnl'tl.IIII\Rltlp' (II' OilY) Ill' o(,-n\\""r. W. "no clunulhmt., nO~I',rlt'U'lII (11'1'1'111'" ,">', 11111.11 III' ^oqillllll,I"", K"III" \lull, ^,I"rOR~ 'lIlllI 1l1l11l1,lnl\ \111' Ill' ell.(lwIUll'", lIu,l 1'1/111/1 Vllluo 0' nO(1U~(\ 'nil ltfHt \tlII01lt. wlioro Hunt gHt.nl,u+ porooul,1I1l0 1~1I1,IIt.n' Hlu.l'o V 11111111, Iuu llI'a,^,\TW~H'I' Vo\Ui^TIOH (10\\lTll1H-II" O'll, WI'I'.o lu T\l11I H /IOU, - VlIlIlu "r ,VIlIun IIf' l'-nUrll lluIlo,I"ul,l" PI''' "'I' Ii ,tuto,'uRI, " NONE il I luRorl till" 1.111,111 1'1'1111,\ 1.11 ",Ju'ut1l' llWUlIlt \'I'''I'OHY', Kolo"o1l1lo 'g" lnt,llo "Afi ndpnrl,tJ " on\tlll~' {In tlln 'luHt tHtP;U 01' t,hln lQtt,III'f1, " . 'IH:C.Jn (11,"'1) County, Numb.r and,Nam.~J..ttLS.um!;.!r-fud Fila Numb.r.___~____g,1i7.\l~75 _ Pat. of Doath J1ll.y-1L",J"9JL.._n_~n~'~"u,,,___~,c ~ ~.._--- , ' l! Itale Name ..cJ\lllm..,_c~..,_,.._"..,+.J~,lO.o.l_--_.. ,---E..'-. (l.^f\,' tH."'''' lfillh'll tlAMI:) (lNn!"l.) SUMMARV, COMMONWeALTH 01' I'BNNSY~Vl\NIA ,TRANSFeR INtIPRI"ANCU TAX HPSIPP-NT PeCPPPN)' .... --' , Rl!PORT OF INHERll AHClllAX APPRAI&IlR I, thoundmlonod duly appalntedlnha,ltanca Ta~ Appral..rln and far the County of Oumb()rlulJd ,'- , Penn,lylvanlaida r..p.ctfully I.pa,t that I havo al,pral..d tho raal and p.llonal prop arty al rapartod III tho forouolno ,oturn at tho valu.. ..t forth arpollto aach Itom Inthu 10 It aal,umn to tho rloht InSchodul.1 "A'.. "B", ','C", and "E". ' -,' .~ Potadl 5 J)e oemb8l' ). 97 \I I, //-/11\ dJl.iA. \.';,tdbYl' I ,/ . INHf!JtlfANClt 'rix M1PfO'llllIHl i' - REPORT OF THE RIlGISTER OF WII.I.S I, tho undenlonad duly ~I.ctad Roollt.r of Willi In and far " County, Pannlylvanla, do re.r.ct- lully roport that l'ha,Vo ,ullawo~ dodu.tlon. In tho amaun" alalmod byd.ran,nt, except al to tha.. !t.ml wh.r. 0 oroat.r or louor amount II lot forth In tho lalt aalumn to tho Iloht III Sch.dula "P " which oraat.r or 1...01 amount ropr....nh tho lum allawad 01 a doduatlon. .,' ' Datadl I1p.OlnTUH 0" WILLS - o I' C OPB IHA'WdM''tM'iflJBB ONLYI 00+ 10+ ao+ 30+ RBMAINoBRAPrRAIDEMeNT oope INVeNTORY ~..I Prarortv lo.h.dlll, AI Pmi,",1 rraporlY IS.llodll'. al Jalnl,H.ld rraportY 1~.h"llIl. al ,troll"." (eah..lul. 01 . TOTA~ GROSS ASUlS Lost Dllb1' and Dodunt!Qn, ' (DCHEPU~1i FI OLBAR VALUE or EUTATa VA~ua AD APFRAIBBD + - .. 40. 93- ',1 , Valuatlon 'of IIfo ~.tatOf at % anrlu,ltlel.., f",t' ~'. t, I"" ':"'== ,$ """"~ I!AQ.I2J3 VAL..UIl: r'" eS.TATBTAX ASSeSSMBNTS _ $, E= TOTA~ TAX OOP!!;. 2% $ 0% $ 10% $ $ --- $ $ $ I:: $ $ OOMPUTATION OF TAX FOR UBI! OF RI!tGIBTER ON!::;! T~. on $ T~. all $ To. ,on $ To. all $ Tal\: on $ E.omptlan' Total Bot~to (') A. o.ld.II,ad by ,Cb.rltobl. e.ompllall C.rtllla.,.. I..".d by th. SOCltufary of ft~Vttl1u" L.eu taK p,ovlou,'ly ,'did ,: llALANCE Lo.. 5% 01 to. II paid wUhln 3 muntho aft., d.atb BIILANCB OF INHeRITANCE TAXPUE Add Inttrost al rata of 6% from to IIMOUNT OP ESTATE'TAX,I\SSESSEO $ E.tato to. pold $ BA~ANCO DUE Add Intorai' (It rata of 6% from to $ $ $ TOT A~ TAX BALANCe $ PAID $ Sllppl.m.ntal CadOll (POR USIlIN HARRISBURG Otoll. Y,l l= $ -"'~"7""' 4B-Adl~.tmont 49.~/"dl~.tmont 56-Annuity 60... hila B.tato 92i.Romalndor Aprrall.1 93-R.ma Indol Do~uctlon 93C-Charlty 94-R.malnd.r R..ldu. 96-Suooo..l.o 1.1f. eltat. FOR use OP REGISTER ONI.Y ADJUSTMENTS HOTBI Wh". .ubull"ent adlul'!".nh art mad. to the above c~rnpulatron of ta~by the R.~I.t.r a/ Willi, lor proper "alan, .am. .hauld, b. nat.d b.law, with .hart .~plonatlan, , : u "~I b !'J ;, . I J ~, '5 la ~ Q " f ,,., ,tl ~, III III '~ ea ,15 ~ 'Ii! ~ ,~ f~ 0 .e ~ ~ &'1 ,'tj I ~ ,~ ~ ~ 1:1 @ ~ 011 0 rl 15 . III 1-< f ~ ~' <Il ~ ,I .~ '15 Ii! '. (J ~ ~ ,,., t) ~ A 's ~ . 's l ~. f' ~ .!i f .:s u ~ " ,I '" HKV.4B1IB,101 BuR'~~J~Pttl8foP'X~W!N8 P,O, BOX 2870 HARRISBURG, PENNA, 17100 OOMMONWEALTH (11' l>1~NNSVI;V^NIA ReSIDENT INHF.RITANCI! T^,( APpnAISEMENT DATU n fl. ';no>l'''XL,l 0.7,9. COUNT" . c um.t!.~r.!/I!1 cl mn NO. ..lc.7J!~..Q.ft1JL -"..,. ....__.._-~~---- ~ ___H,'.~'_ WherooB, lIa'j'll R, Allen ____._..Intour Diokln.J!.~1.1 Twp,. In tho County of Cumhllrlllnd C'Cllllnlnll\'/uolth (If I'onnflylvnnln; h,wl,,'I d, the 4tn ~ eln\lof_ MIlY'--____ 1'J:!.2..,1I01l,odllhdpoiIn01lIlOdnf",. oubject to Inherltanoo 'rilx' undo\' the lawn of tho COmill0I1Y10illlh of l'ollri'lylvillllil; , , , Thoreforo, I, ,Bllnclra Stone ,nil npPl'illsl1r duly appolntocl ftot'n,.dili,/" I,';' havlnQ been deelQnatod to make 0 fall' oncl ronBolonahlo IlpprnlSol110111 of tho 1l11lcl (Jlllalo, nndto ns.~OBn and fir. Ii'<. ,': "I, value of aU annultloA nnd life eetntoB,groYllng out or nnld olllnt.o, horoby file t.ho following IIPlll'olHomont; - -.- - ~ ._-~ , -........-~,. l.ll:'SCRII'TlON OF 1\'1cH"1 ill !.1;uipl , " , , -- .....,.....##t'." $ N. RlIJIlll F.Rts,te . D.M_ftM.' I>"'"...."h' ^, 0., tfl~11Hl.p;t'!' --~.- - ,...,N JoJn1:1v Owned . -.N , "''''+-, --- .U.O., , '-- -"_.~ , --- , _H_->-' .. , --- .-'-... - -- -.- - , ----.. ,- , , -,..- ., ' , , -... -- - - ---.. , -. --- -- , " , - - I , ,. , -- I -.- - , , hod"" ;' , ~...~ ....... - , ---.. ..-.. - ~ ~., -.-!- ...._~... ~ -.. -- , , -...-. III tllIl t1\1enl tl1ftt flrlY futuro Hl\oroU III 11111 ilstntCllf trlll"lorllHllo pUUIH11f111 {If l,n/t"YIlIUIl\ III ~(jIl,II'I'", IWln flf 111(1 cjl)CllcHHll MIIH tli,' ',. I'"~ '\ I,:,. . of '"V In.'a tor Ilfft or for YO""', tho coml1lpllYIfHllth IUHfltlv IU(jHIJnly rMllIVll\ 11111 rllll"l;) nllrH1JlSe, IInd,lUlj'U lft'tmhH InlHHilllnc(j hila' 111 'lor' I ,V.'I I 101 " Ld ratCl on IIn~ luch fulUra lol.r.tt. ' "",d," U,I;!I, i'..r;' ";j-,i!"' - 'it ")(,1 ' I Q.nll!.,._ 1 .0 li.7'j'J. 01'\_ ....-, J;lne. .._ 047,19... I I ~~~I . __~L_ -'--" .~-'. I I I / r'..'-~ I , ,Have beol1 duly nworn aooordlng to Inwll do horob w,lth the law on this '5 'l;,h (toy of . ...--...-- , flppr,ll\q ---~"'lInrlntr6otl -..--..-- -W.Jl.p;. IPHlI ()fflttll . ,1\'1\111. .. , H'i '; . I, " J E I I ..... " I'l I ,~ 'W I III rot , ffi I t;J' I ~ , I vi ~ I ,'fj ~ cJ ! 0:. "" ..r , ..; l!l M 'to i :i!; rf LI. I I ~ ~ III ~ ts: ~ .. 'I 0 l II , .. VI I I III ~ I t:: Itl , cu" i, I i a "1:l Q;' ~ I .. ~ I g ~ ''1:1 <li I ~ ra .. J ,1 1 'fj a ;, 1 [ 11 ~ ... ] 'fj ,!:l g Q J J!l il :!I ~ I ~ 0 I e j ~ I, ~ I ... I " a: d ~ ~ ~ d:l . ,-O'~b~~~~J~TO~'~~~st~VW~JI~;,,";,:.. .': n PINN"VLVANIAINHSAITANQllANO BITATI, . ,~",;,,,,,,,,-, ,," :~,',';'_:,~,_,.'_ ' ",'_,:,".",~,'_ ;,;.,;2/i:',,':::~:,~i~L,,;._L~~/ 1 RECEIVED ---------....------l1WQ WMDUI:l 8&V1MlJ1..Y-I'OOl\ " gs.AOO' .' II, tapralonll"9 Pa-n"niyrvanla Inheritance or From, Irwin, IrWin, Irwin,-,At.tyL_"" Ellalo To. dua Irol1' Ihe following ellala. .Ilolllolll A ' 'r... 44 '11. Hanoyg It:r.u 2'~ To. on $ Qulb1e. ia.- 170U.-~._-- 6 fX, ~CII( on S FII. No, ~]-7Q...R7Il Dol. of 0.alh15-4-1979 15eit, l(1K on $ $_ ~ "'--- $ $ Dol. of PaVm.nl "."11.51.. ~t,l"bf 't. To. on $ Eilelo 10', Ad 01 Mav 7, 1927 $ P.c:tlllb4Pr 11, ln~-~--,- Nom. 01 Oee.d.nl $ Covnlv O\I\l\b4tX'l'l:I~ ,"PAID ON AQCOUNT" TOTAL TAX CREDIT Lo.. f1v. percontum 01 lax 1/ paid wl,lhl~ Ih,.. monlh. aflar dale of doolh Plul Inleroll 01 Iha role 0/ ~'iI>/rom 10. $ 214.85 Remork.. $ :1 $ liOO ~ [? [l,~@& lf~ SeA L ICTAL AMOUNT PAID $ a!~ NOTe I Till' T,lpllo.\. Rtoolnl \. bt 't1.ln~ 10' .uolt pa,po..,. , ' Recel\l.dbv NOtEi In accepting thl ttGhtl., Il'lh,rllanc.' Jail on fulur. tlloiti, prlOt 10 Ih. deoltJ of 'hi Illi 1'1'10111 br I,,,of't! for v,au, at Ivldtnudby lhlt "C;llpl, It II ur'!der.tood 11101 the Commonwealth ttl~1l 001 b. pr.dud.d or prev.lII.d from h.flol'.r 0,,"'1"0' addlllonnl Inh.rltonce lu~,o' I~. d.uth 0/ thl III. tlnan' ot I"'tonl, lor, Ylar. whln.v,r II ~pp.nr. Iha' .veh oddltl~nat,'o. moy b, I.gally due Qmj clJlllCllbl, fot'C1ny ,IOIOh whClltolv.,. ' ,~JM\~I +~ Iglllllur lia~ol ,II, cLa...., J),pu~y 1l.\Jht~1 l, Wil l. ,,' ' , It e' ," "