HomeMy WebLinkAbout79-00578
No, 21..79
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.J '0
PETITION FOR PROBATE OF WILL AND LETTERS TUTAMENTARY
,
In the Estate of John fu Blesllina
,____, deceased,
,
Harold .D. MoLane, Deputy
To ~e~1 Roglster of Wills for the County of Cumb~r1and,
In the Commorlwealth of' Pennsylvania,
-Ii.. < ' ,
Petltloner(s) ore the, execuLOt's__.___ named in the Last Will and
destament of John A.Bless~na, ' '_, .,dated ~/23/72
,~re8, t Cpd~cil d~tted 9.120(,77, andsactond Codicil datedt 10./11/77
ec, denT WQs a cl'l~en of t e unlted:l' ates ana 0 reSltlen, ol
.:r.owRil:llp. ,
Borough, Cumberland County,i Commonwealth
Camp H~ll
of Pennsylvania,
Decedent died on Saturday the 15th
, 'A~ D. 1979 , In the Co.ul'lty of Dauphin
Pennsylvania at-the 8Q~ of ,80
, .l:Iai. I -A8S-
DecedenLhas not been' married and has not hod children born to him
,since the execution of the above described Will.
Decedent W<;lS possessed of personal property to the value of
'uneatimated .~ and of real estate to the value of
day of September
I State of
years.
,1..__ ..
-~..
none os near os con be ascertdlnedi sald,real
estate sltl.lotedas follows not applicable
. apply" , , " '
Thereforel your petltloner(s) respectfully-a"'I9~les-for the. probate ,
'of the said Last Will and,Testament,arid for Letters Testamentary thereon.,
Dated September.2 ~) . 1979
, ,
Name and address
of Petltloner(s)
II " r; - >'. >'-. ' . '
/ .~ v . I ) '/~?
"',>/..'Flt '-/" '\~ ,LL"IV
Lut ert<. Dieni
~ '!. S: '.'I (/"Sl. )nLll'~IY' I-?t I7.J</l
osit Bank &,Trllst CO!1lpany
, . .;;t"..<+-P' "
"1':<1'':'-'- . t'r .....
COMMONWEAL, TH OF PENNSYLVANIA l
COUNTY OF 'CUMBI:RLAND . ~ ss
Luther 1<. Diehl
..
named In above application, bell1g dUly _ sworn
say(s) that' the statements set forth In this petition
best of \Jheir knowledge and belief,
accClrdlng to law
ore true to the
;::~I,~'~, (} ,; '1 ';7~~
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, " ~'/
, r" ..'/,'l),,:,'
" It/fL.'.! /(. ,Cc{, {
.' Luther K. Diehl,
Ootobei' 2,
L979'
~ ~1 ~.,
19('", _~ "'
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~~~swr ''/'<'''~cl'~A.'''''-'
P 0 B6 K~~~~;l':'~-~- ~~~~t: ~~t'~:~mat' f![",;;-yjl
Ilarrhburg, t'A 17105HOl:msl1, BOBwel.l & Tintner
,"i
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.,
LAST WILL AND TESTAMENT
OF
JOHN A. BLESSING
I, JOHN A.BLESSING, of the Borough of Camp Hill, County
of Cumberland and State of Pennsylvania, being of sound mind, mem-
ory and understanding, do hereby make, pUblish and ~eolare' this to
be my Last Will and Testament, revoking hereby all Nills and Codi-
oils ,h~retofore by ~e made.
FIRST 1 I direot that the expenses of my last illness
and funeral shall be paid by ~y Executors as soon after my decease
as may be oonve~ient.
SECOND I I give and bequeath my automobiles, household
~oods, personal effeots and other tangible personalty of like na-
ture (not including oash or seourities), together with any existing
insuranoe thereon, to my wife, SARAH D. BLESSING.
THI RD 1 I give ang bequeath to the ST1\'rm STR1l:ET 'UNITED
,MIiiTHODIST CHURCH of Harrisburg, Pennsylvania, the sum of ten
thousand dollars ($10,000). '
FOURTH I I give and bequeath 'the sum of one hundred thou-
Iiland dollal','s ($100,000) to the HARRISBURG POLYCLINIC HOSI?ITALof
Harrisburg, pennsylvani~, IN TRUST, to be known as the JOHN A. BLESS-
ING TRUST FUND, to hold, manage, invest ,and reinvel'lt the principal
and to oolleot the inoome therefrom on the fo1J.owing termal
a. To expend the net inoome thereof. from time to time
for the benefit of said HARRISBURG POLYCLINIC HOSPITAL in such man-
ner as the Board of Direotor.s of said Hospital shall from time to
time in its disoretion determine to be in the best, intereat of t.he
said Hospital.
b'.' The pl;'incipal of said trust shall be held in trust
in perpetuity.
FIFTH I I give and bequeath to my nephews and nieces ei's
follows I
a. 'rhe sum of one hundred thousand dollars' ('$.100,000)
to my nephew, WILLIAM G. 'BLESSING.
b.
to'my hereinafter
the benefit of my
vest the same / to
and other charges
and to dhtribute
The sum of one hundred thousand dollars ($100,000)
appointed TRUSTEES, IN TRURT, NEVf.RTHELESS, for
niece, SHEILA E. YOUNG, to hold, invest; and rein-
oolleot the income therefrom, to pay all taxelil
that may be made properly against the trust estate
,the inoome and principal as follows j To pay the
. ,
" entire net income to SHEILA E, ,{DUNG 'luarterannulllly and in, addi-
tion to pay to \ler out ,of prinoipal on each annj,veraary of. my death
until the, trust fund be exhausted, the sum of ten thousand dollars
($10,000) .
0, The sum of one hundred thou~and d01lar~($10~1000)
to my l1erainafter appointeq'TRUflTEES, IN TRUST, NEvrnRTHELJr.SS, for
the b,enefit of my 'nieoe, SlIRAJ .WILlmr,M, to hold, invest and rein"
vest the same, to oollect the income therefrom, to pay all taxes
and o,ther charges that ma;i be m!,lde properly agait:\st the trust eS-
tate and todis,tribute the income and principal as follows I To pay
the antire net income to SARA J. WILUELI>l quarterannua.lly and 'in ad-
,dition to pay .to her out ,of pr!ncipC\l on each anniversary' of ,my
death until the trust fund be eXhausted, the sum of ten thousand
qollars ($10,000).
d. The sum of one hundred thousand dollars ($100,000)
to my n~phewl ROBERT 1I.ULESSING.
e,t The ,sum of one hundred thousand dollars ($lOO,OOP)
to my nephew, DAVID D. ,BRENNEMAN.
f.' The sum of one hundred thousand dolll'lrll (,$100,000)
to nephew, DONlIJ:,D A. BRENNEM1\.N. .-
my
, In, the eve'nt that. any 01: said nephews or nieces shl:\l1
not be living at the time tha,t suoh nephew or niece, would take either
principal or income under the provisions of t,his my ,Will, then tl;le '
bequest j:.hat would l1ave been distr,ibutedto such nephew cr niece
shall be distributed in accordance with the terms of Artiole,Seventh
of this my Will. '
, SIXTHI .If my wife, SARAH D.BLESSING, shall survive me,
I give, devise and bequeath all the r~st, residue and ~emainder. of
my estate, real, personal and m.i.xed, of whatsoever natura and where-
soever si tUllte, unto. my Truste,es hereinafter named to hold, mana.ge I
; invest and reinvest the pdnci.pal, tc collect the inqome therefrom
and to distribute the .i.noomeand prinoipal thereof as follo~SI '
"
<I. The net income, shall be pa.i.d, in quarterannual ill-
.stallments, ,to my wife, SARAH D. BJ:,ESSING, oommencing from the date
of my death i during her 'lifetime. '
b. To pay to my said wi f"e, aMAH D, BLESSING, during
her lifetime suoh amounts, not,to ~xceed twent,-five thousand dol-
lara ($25,000) per :annum out of the' pr.i.ncipal of the trust, as she
may .in writin9 request/said prindipal \\'ithdra\'lals to be non~
cUmulative. In aoting under this 'olause I,all years shall date from
the, t,ime of li1y death.
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, .
"1
0,
said widl~ .out of
may ba neoessary
whiqn may affeo.t
the re/ilouroes oll
In.ac'ldition, the Trustees shall pay over to my
the prinoipal of this trust estate / suoh Bums as
to proviqe against acoident, illness or emer,qenoy
her., if in the sole disoretion of the Trustees
my said wif~ are not suffioient for suoh purposes.
'd, Shol,lld the t.otal, of the anove sums faii to pro~
vide, fOil' my wi fe's I\ul.intenanoe and support / aooording to her
apoustomed standard of living, at the time of my death, the .Trustees
in thei!:' sola disoretion / shall pay over, out of the p:t;'inoil?al of
th,!'l trust estate, suoh sums as may be MoesE/ary to provide fot' my
wife her aOQustomedstandard of Hving.
..
,
e. In the event that the principal of this tllust pro~
dudes no inoome or an inoome sUbstantially less than the ourrent
rate of ,return on trust investments, then my said wife shall have
the right to oompel the TrUElteelil to oonvert; the prinoipal into in-'
oome ,produoing prop!'ll:'ty.
f. U1'9n the death of my said wife / SAR!\H D ,BLESSING,
my Tru!jtees shl\ll pay over and, distdbute the prirloipal of .said
tl:'Ul3t, liS .then constituted / to such person, or persons ,(incll,1ding
her own'el3tate and oreqitors of her estate) in such amounts and
u,pon sl,ldh estates as my said ,wife by speoifio l:'eferenoe to this power
in her Last Will and Testament shall have appoint~d. , Ipdefault
of sU'oh appointment or to ,the extent not so appointli1d / my Trustees
shall pay over and distr~bute the pdnoipal of ,suoh trust, as then
oonstituted, in equal shares among my foll.owing nal11ed nephew~ and
nieoeSI
..
~ILI,IAM G. BLESSING
ROBERT A. BLESSING
SIiEILAE. YOU!'iG
SARA J, WILHELM
DAVID D. BRENNEMAN
DONALDA. BRENNEMAN
Provided / l1owever, that thebequeste maCle for the benefit of my
!laid nieces sha;Upf,J added to and made a part of their respeotive
trusts oreated ,unCler.ArtioleFifth o~ this my Will,
g. Notwithstanding anything t6 th~/ oontra,ry eontairled
in any statute/ if my wife and I die in a oommon .disaste; or,ol:l1er-
wise and "there is notsuff ioient evidenoe as to whioh of us died
firl3t or that we have died otherwise th~n simult~neo~sly, all my
property passing ,unc;'ler this\'1i11 shall bli1 dispo~ed of as if my wife
had survivec:l me.
,
"
, , h. In the event that, my wife, SARAH D. BLESSINP, shall
predecea!!e mq, I direet that the residue ef my estate shaU be dh-
tributed, free of trust/ among the same person!! and in the same
-3~
4fil9
.. ptopor~ions as hereinber'ora designatl'ldto shnro 'in the reaiouary
tr,,\s~ estatq upon the death of liw wife,
S!J)VEN~'lll
a. In the ev~nt that any of ~aid nephews or nieces
shall not pe living l'\t the time that such nephew or nieoe would
take e,ither l)rinoipal or inoomo, f.Iuoh prinoipl.'\l and inoome shall
pepnid to, the ],iving issue of suoh nephew or nieoe in equal shar.,~s,'
plW sUrpes, as follows I,
, 1. The ~hare of eaohissu~ shall b~ held in a'
separate tr.ust: and t:he net inoome of the t:rust: shall be pald to
suqh !ssue until the final termination of tho t:rust: by the diBt:ri" '
butionthereof,
"
2. The principal of thet:rust shall be paid /if.!
follows lOne-third, (1/3) when suoh benefioiary shall arrive at the
age of' twenty-five (25) yeal'S "and the balanoe when suoh benefioiary
shall arrivest the age of thirty (30) years, '
3. Should any suoh,iss~e,die befote arriving at
,the ,age of thirty (30) years, ~he share of Buoh issue shall be added
to the trUSt: estates for hiB,or' hor brothers and flisterlil and, if
any trust est:ate,had terminat:edprior to suoh time, dist:ributiQn
shall be made as t:hbu~h suoh t:r~st:,estate was then being distrib~tedi
provided, however, that the distrtbl,1tee he then living. ,,'
"
~ ;i
,
b, In'the event that any of said nephewS Or nieoes
shall not pe livirig nt the time that: suoh nephew,ornieoe would ,
take either prinoipal or inoome and such nephew or niecB'shall not
have living hsue, or all ,suoh isSUe dying' before ,the time th/:\t
s/:\id nephews 'or nieoes would taka either prinoipal qr inoome~ then
the prinoipal and inoome nhall be added in eq\lal parts to the other
shareS of my eS\::a'ce ,oteated in, Art:icle Fifth and, Artiole ,f3ixt:h' of
this my WiB.
1. If any suoh part had terminated prior thereto,
C;!istribut;Ol) shall be made as thoughsuoh part was then being dis"
tributed, prqvided; however, that t:he dist'ributee be then living"
2, In the event there I;lhall be a total failUre
, of the designated benefioiaries as to any part o~eated in Article
Fifth or ,in, Art!ollil sixt:h f, suoh total part shall be ,added equally'
to the other total parts bf whioh there Was no tot/:\l failure of the'
dellignated benefioiaries,
IllIOIlTlJ..," Until the final termination of the several trusts
by the distribution t:hereof, the Trtlstees in their, sble disoretion
shal~ use so much of t,he principal of eaoh t:rust: as may in their jUdg-
ment be necessary fot the maintenanoe, oomfort,general welfar.1
'..4-,
"
BUppqt't, emet'9, ency need or
trust, eduoation to me~n a
of, higher education or all
edu'oation of the beneficiary of suoh
college~ prcfessional or cthet' ~ohool
of them.
..t'
a.The Trq!3tees may accelerat,e distdbution of the,
principal o,fan~ trust, ,in whole or in part, and from time to time,
if in the soJ:e aisorotion of the Trust\iles s.uch advanoe payment would
prqmotl;T the bellt interests of the l;espeot:!ve benefioiaries I as for,
eX~mple, where it. might, be de,sirable for the benefioiary to tC\ke '
advantMe of a business opportunity or purohase a'housa or fU1;'nish-
in911, these being i,lluliltrations only and not in limi!tation of the
broo,dellt disoretion on the part of the, Trustees,
b. No benefioiary or any other person, however, has
the right tq demand such adva,nce jilaym\'lnt or use Of the prindipal,
and,.all deoisions of the said Trustees shall bu binding and oono1u-
sive upon all interested parties.
NINTHl Plenary power is granted to my fiduoiaries not:
on:!.y to relieve them ,from seeking judioia1 instruotion, but to the
Elxt,entthat they deem it to ,be prudent I to enoourage determinatic)l\S
freely to be ,made in favor of the inoome benefiqiary. In each in-
stanoethe rights of all subs\ilquent beneficiaries are subordinate,
but no fid1."loiary shall bo answerable to any subsequent berillfiQiary
fOr anything done or Omitted in faVOl; of the ourrent inoome bene-
ficiary, and no OUrrent inoomo benefioiary may oompe:!. any suqh favor-
able treatment. SpecifiQally, but without reduqing the.soope ,of
this deolaration Of intent, it inoludes investmentpolioy, exeroise
of dhoret:!onary power to pay or apply prino'ipal and determination
ofpdnoipal and inoome questions, provided', however , that suet de,"
,termination of pdnoipal and income questions shall oomply 'with
well-settled rules.' ,
, ,
'Ji
, TE,NTHI The intereflts ofthEl benefio.tarieshereunder shall
not be subject to ant;:l:cipation or to v01untary o~ involunt;,ary aH'en-
ation. ' ,
ELEVENTH I In the event that any inoome or prinoipal
shall be payable to !\,beneficiary who, in the opinion of my fiduci-
aries, ill unable to handle his or her affairs because of advanoed
age I .illness or other oondition, my fiduoiaries I in thai,r sole and
abspl\lte di~oret:ion, mllypay, use or expend allot' s9 much of suoh,
prino'ipa1 ~nd inoome as may in their jUdgment, be neoessary for th.a
maintenanoe, eduoatio(l, welfare, oomfort. or el11ergenoy need of suoh
bene fi 0 !ar:r;". The r'eoeipt of ahy person seleoted by mYfiduoi,ariee
to disj:)urse suoh prinoipal and inoome shall beasufficient: aoquit-
ta,noe therefor. My' fiduciaries 'may, n6tw~ thstanding, suoh provisio,ns
,for ~Ustribution,. hold ~nd aooumulate principal and inoome,' durin\!
s\loh inoapacity and ahall pay over tosuoh benefioiary upon attain-
ihg oompetElJ"IoY (or ,to his or, her personal 'representative at his or
her death) any such pr.inoipal and inoome.
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491,
" . TWELFTH. I direot that all estate, inheritanoe and suo-
oession ta~es that may be assessed in oonsequenoe of my death, of
whatever nature and by whatever jurisdiotionimposed, shall be pa~d
out of my residuary estate to the ,saine effect as if said taxes were
e~penses, of administration I a,hd all property/ ino1udib1e in my tax-
able esta~e, whether or not passin\J under th18 my 1'/i+.1 ,shall be .
free and olear thereof, In the absolute disoretion of my Exeoutors,
they may pay suoh, taxes immediately, or may postpone the payment
'pf t~xes on future, or remainder interests until the time possession
the):'eofaocrues to the benefioiaries. I hereby grant unto'my Ijlxe-.
outor" all right, power and authority without oourt approval to ,oom-
promise a1,l issues ,in any and. fill death tax prooeedings whethe):'
before or after aqtiol'\ brouqht. ' ., "
THIRTEENTH. Whenever
mY Last Will, it shall be taken
by adoption as well as by blood
son, it shall include same even
after my death.
the term "issue" is used in this
to mean and inolude descendants
. ' ,
and in the Case of art adopted per-
though the per sop shall be adopted
..
. FOURTEENTH. I appoint DAUPHIN DEPOSIT TRUST COMPANY Of
HarriSburg, Pennsylvania, its suooessorsor assigns, c;ua):'dian of .
any property whic,h passes to ,a minor and wi th respeot to whioh I
am authorized to.appoint a Guardian and have not otherwise speci-
fically done so. such. Guardian shall have the power to use
prinqipal 'as well as inoome, fro", time to time for the minor I $' edu-
cation, support and welfare without regard to his or her .parent'~
ability to provide for suoh eduoation, support or welfare, or to
make, paY!11ent for ,these p\-\rposes, without further responsibiU ty,
to the minor or to, the minor I s parent or to any, person taj{ing care
of the minor. The ~.'ecElipt of any person seledted by my Guardian .
to disburse suo~ ,principal and inoome shall be a .suffioient aoquit-
, tance ,therefor.
.' i
FIFTEENTH I My personal representativ.es,' my Tes~l\mentary
GU,l\rdianancl my Trust,ees t eaoh in their respective oapaoities t, shall
have, the j;ollqWing pOWe):'S ,in addition to those vested in them by ,
l,aw and by ,other provisions of my Will, applicab;Le to .al,1 property, ,
whetheJ;' prinoJpal or income, and effeotive ,until actual distributic:m
of all property.
, .
,
. . a. To retain, in. their <\bsolute discretion and for
"such periOd Or. periods as shall seem advisable to them, all Or any
part of thEl property owned by' me at the time of my de~bh, ,the prop-,
erty %;'ecl;lived at the commencement of any trust, inoluding the capi,tal
stook of my oorporate fiduciary t, and the, property reoeiv.ed in sub-
stitution therefor.
b,. To invest and reinvest' the funds of my, estate or
of any trust in propel;'t;y 0'1; any kind, real" pe.t'sonal, mixed or dhoses
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492
"
"
in, aotion, in01Udingtheoap~t, al stook of my oorporate fiduoiary,
irrespect1veof any ~tatute, case/ rule or oustom limiting the 19-
vestment of estate or trust fund~.
c. To s,e11 at publiq or private aalo, ..,)(011I1n913 f mort..
gage, lease for any period of time (although the tot'm of the lellMEl
may extenq pE\lyong the term of any trust or buyond t:he ,Period of any
,statuto~y l:I.mitation), arid otbetj'1ise manage and d~nl wlt:h perllenal
proper.ty and real estate and rights below and abova its surfnoe,
d. To exeroise all riqhts aa thlll OWtlllt' 0 f obr.l)orat/il
"',eo. uri,ties, includi,ng a",ong others the r.ic;rht to vot:a,' by tJI70KY, par-
t~oipate in reor,';Tanhations' and voting tr.usts. Ilnd holel st:OI:lk 1n
their' own names, jo,i.ntly or several.J.y, or in the name of II nOm1,nee,
with or without disolosing the fiduciary r.al'nt:ionllhl.J;l.
, e, To porrow mo~ay (incluelitl9 tho 1'1/)htto bor.row
from 'my corporate fiduciary) and mortgage or p1.ed<ttl thCil. pr.operty
of my estate or any trust as seourity therefor and to daliver' any
aOQompatlying bonds oontaining power of attorney to,confteBB judg-
ment I and to advano,e money ,for the protection of my estnt:a or any
trust, and s~cure such !\dvano~s by a lien on tha propet."l:.y of my es-
tate or any trust.
f'. To make allotments and dht:r.:Lbut.ion j.n kinCl.
g. . To oompromise and arbit:r.ate olaima in favor. of
or against my estate or any trust.
h. Tosa11 ,prop,erty to or lJUraha,FHl, property / at pub-
lic or private sale / from anytruElt oreated hareunder or any other
trUst created by my wife or me during our .lifetimos with the pro-
<;leed/! or funds from anysuoh other t:r,Uat: fOl' a. condderationeql,l,al
to the 'then fair market value of ~he property, notwithstanc;Unqthat
'they or either of them may 'be the 'f.i.duciaries or r..inuoinry of. both
the selli\1g an~ !?urohaaingtrust.
i. To exeouteand deliver any wJ;'Ht,on instr.um"l'lts'
which they may deem advisable to oarry out any pOWar;' dUty or dis-
oration gx:anted to them, 'and .all personFJ shAtl".ho tU1,l.y 1)1:'oteotsd.;
in, relying. upqn th, eir powar to, exeoute, ovary sUClI' ,ins,trumt.mt and
no one shall be Obligated to see to tha appHoa\:ion by them of ,any
money or property ra,oeiv:ed by them pur.suan\; to tha axmoutiol'l and
deXivery of any suoh instrument,.
I
, ' . ~. To join with my wifa ill HU.nt;! any i,Moma tax u-
turn for any year ,i.n whioh Buch joinderia PGt.'mi,tt:od by law and to
pay all. or, such ratable share of any \:II/<GIl t:her.aon l\sthlllY shAll
deem proper, and to consant to any gifts made by my wife during my
','
t, ~,1,...
.,
lifetime as having been made one-half by me for the purppse of any
gift tax law, and the exeroise,of suoh author.ity shall be final and
oonolusive and not subjeot to question by any person.
,k. 'X'o employ, attorneys, . aooountants, enginel!rs ahd
suoh other persons, professional or otherwil3e, ,as may be necesl3ary
for the pr~per administration of my'estate and to, pay their compen-
sation. ','
1. To borrow from, lend to, sell to, buy from or
o'therwise deal with Ojny fiduoiary.
m. Whenever they shall have the right to eleot whether'
any item of eXPense conneoted with the administration of my estate
or of any trust shall be olaimed as a deduotion for income tax pl.lr-
pOSIjlS o.r olaimed ;l.nstead as a deduction for estateltax purposes, to
exeroise suohr;l.ght ofeleotion.
n. Whenever required to make a distribution or trans-
f,er Of, aU or a part of the assets' of my e,state ,or of any trust,
,to retain therefrom aSl3ets sufficient in t.heir jUdgment to oover
any liability whioh may then or later be imposed upon them, .inolud-
ing but,not;Limited to their liability, for estate, inheritanoe,
inoome or other taxes until suoh liability shall have been finally
determinsd. '
o. The oorp'orate Exeoutor and TrUst.ee shall have sole
oustody of all'seourities, p/lpers, personal property and oash oom..
prising my probate or ,trust estate. and may solely perform all
ministerial duties. No individual Exeoutor or Trustee shall be
obli\1Ojted, but may if he wishes, signor countersign cheoKS fot
the disbursement of estate or trust funds.
,
p. Any Exeoutor or Trustee may with the oonsent ,of
the other delegate any or all of his or; ,its powers, duties, and dis-
Qretions to any other ExeqMtor or Trustee by an instrument in writing
and may revoke 'such delegat'ion at will in the same manner_ , '
q. All powers, duties and disoretionary authority
granted' to the Executors and TrUl3tees may be exeroised by them with..
out ,posting any bond , without ob;taining any order from or theap", '
proval of any oourt and without any notioe to or'oonsent of anyone.
The,Exeoutors and Trustees are not to be answerable for any loss
tha,t dOllS not ooour through their own default or negligence, A
succe13S0r Exeoutor or a sucoessor Trustee shall' succeed to all the
powers, duties and d;isoretinary author-ity of the 'original Executors,
1:\11d 'X'ruste,es.
r. Any power, duty or disoretionary authority g~anted
to the Exeoutors and Trustees shall be void to the extent that its
iI'
-8-
..
SECOND CODICIL
I, JOHN ^.DLESSIN~. of the aorough of ,Camp Hill,
CClunty of Cumb~rland and Commonwealth of Pennsylvania,beitlg of
sound" mind, me, moty and under,s tanding I do hereby mak,e ,I?ublish .
and deolare this to be mySeoond Codioil to my Last, Wil1'and
Tes,l:amentdated the 23rdday of 1\ugust, 1972. "
Testament
dated"the
,
WHlllRlllM, I des,ire to make certa~h changes to my Will.'
I now direct that subparagraph 'h' and c of 1\rticleFifth
be deleted and in l.i,eu thereof ,thef0110w.i,ng subsU.t\lted.
b. The sum of One' hundred thousand dollars ($100 ,000)'
to myherdnafter appointed TRUSTEES, I~ TRUST, NEVERTHE~
LESS, fpr ,the benefit of, my n.i,ece 1 SHEIL1\ E; 'tOtING, to
hold, invest and r01nvest the same, to oOllec,t the inoome
therefrom, t9 pay all taxes and other oha~ges that,may
be maCle properly aga,inst the trust estate and to distribute
the inoome and prin'cipa1 as follows I Tb pay the entire
net income to ,SIiEILAE. YOUNG quarterann ually and in
addition to pay to her out of prinoipal on eaoh 'anni-
versary of my d.;lath unt,il the trust fund be e)C.hausted,
the S\lrn of twentY,thousand1il1ol1ars ($20,000). The dis-
oretion oonferred upon my Trustees in 1\rtiole Eighth of
this Will shall apply to this Trust.
, o. The sum of one hundred thoURanq .dollars
($100,000) to my hereinafter appointed TRUSTEES, IN
TRUST, ,l'IEVER'1'HELESS, fot'. the benl1lfi t, of mynieoe, SARAJ,
WILHELM, ,to hold, invest find reinvest the sarne, to
oolleot the inoome there from, to pay all t;axes and
other oh,arg.;ls thatrnay bernade proper1Y against the
trust el;ltate and to dist,ribute ,the income /lnd principal
, ael, fpllows I '1'0 pay the entire net incom.;l to SARA ,J.
WJlLHELM ,q1.1arterannua11y and ,in addition to pay to her
out 'of prinoipal on eaoh anniversary Of my death until
the trust fund be exhausted, :tl1e sum of twenty thousand
dollars(~;ZO,OOO). The disoretion oonferred upon my
Tr.usteefl, in Article Eighth of this Will sha'llappl.y to
this' 'rt'ust.
:In all other respeots I oonfirm my said Last Will and
d~ted, the 23rd day of 1\ug,ust, 1972 and my First COdicil
20th day of Septejnber, 1977.
IN WiTNESS WHE~Ql!', I have hereunto e,ej; my hand and '
seal this nth day of Qeterer, . 19 77 .
'~ ''4
....
v",,
. ,
",'I
OATH OF SUBSCRIBING WITNESS
COMMONW/Mri/'/IC))o' jJI';NNRYINANIA
CO~JN'I'Y Ol~ ClJMfI/mLANIl
I HH:'
,"' ']'hIH,;,,,, I.. "11 "~.7,~h""",, "'" '''''I..,., ,. II" """""," '" ." dn~~ of! ",t.,~.lll,P. .~.q,Q)k,9.r., II" """,,,;, ,',.. ,.,., ,."""., If~ A.1.l" I O,~t~"'"
, , Harold n, MOI,IInc:'tDeputy , " , ' '
1111fOl'o II)Ll Itkl,'.."lll, .\I.dlll'~C1n, Ilt'if'"11',' nil' thll PI'ohnt.o uf WIIIM /llId nl'/lI1t.tnlllul,t.III'H of Admll1lHtl'ut.lul1
In und fill' HlllcI Cuunty of UUlllh(lI'llllul, in t.hll()ullllllllnwuult.h of 1'011 IlHyl VII 11 It" PUI'HllIullly UllIllU ..,....,......
, .
, '
,^,];,~h};1,;'" ,,~.~;r.m~.~/I' ,,<?n~ ",9. h,t ',. ,.""" It.;.... I..'''.....".,. ..,...", ",;, " " .",,,,,,,,,, . "".....'" '" +" I'll j, ""1........ H III' It...: I;" lit....
'tha IlUhll(ll'IblnH wlt.nU8ROH t.o thu fUl'Oltolnj.( InHtl'lnnunt. of wrltlnj.( J1\1I'(Mlrllnl! t.u bo t.ho InHt Will nnd
Tost I ont. of 'H:1.,~hJ)".~,\..."~,~~~,1;\8.... ...""'..'......A"....1'IHI.........'..:/..w....,..,,!.lIMlld .~.\\811,~.I;,..t~A,..t.?J.?.....
'" ~\riI\lt~a. . ept:emoer'"v,; ',"""t'T--ana'''oeOO\'\II- COC1:le:l:l-ua tell -va tooer
--', , " (1a 1.14 1 1 '
) , Ji-r....."...'.o.t1't1'...rnp.1I,..'1';'/r,t.I............"..",...Iltltl,,,,,,,II ..........,.."..."".'1',....., Ounlhol'lnnd County ,)Ju.. dOr.OUHOd
who l~uing dl,l~ 1'''''''IWR}i'~''''"''''''''tllt.""" nc(:ol'clinu to low, dopmiO unci uny, LhntD'.IIIW,~t~'~'H"'''''''''''lI'''t..
pl'(!ijent, (\nd Raw unci honrd the tOsln.'hRX,,,,,,,..........,,,,.,,., ..I',,,,,,,~.~n.I;'\..~IT,,.~JJHUi'.hng..,,,'..IlIlHtI..,..ltl..II"1
,sign, 80111, publish, )ll'onounoo nnd deolnl'e t.hu Hnid i~Rt.l'lllnunt ufwl'lling us IInd for h,~R...."..,.. 'roatflment
..1m" ~'lI. .and Se~el'\d-€Jc'l!1.ei:h , e '
and I.IIst Will/and at tho lime ()fsu doing ............,,,,..,..h,,.....................,..wnsofsllund nnd diR(lllKlnl! mind
, . . ,
, memory nnd understanding, to t.he, bUilt of .....M!!.....,....,.......:,..,.......:...,knnwlodge, ollRol'vntlon nnd bolioI',
") ,,-)
'.' ,., ,t(,:t,t., ,il\l,./,:;.?I.~I;;{Ii..~,\""~..:"..,,..,"
Art~&~l Derman .,'
.~~~n"tll~~tl.I" """"...,., '''''"1,.and. Hubscribod borore
........"''''........0..,....."..........''..,..............111...!."..........
.,.....,.."""..."'..11............'..11..............11..........Itfl...,..IH
eputy Register
AFFIDAVIT OF DEATH
I,
OOM MONWEAI.TIi 9I~.l)ENNSYI.VANIA!
BH:
OOPN'!'Y OF CUMBERI.AND
, /. ~ J d')' '
,"- .. , ",): : .? (<> /, .
t~tMJ\\f.n""", ""I"(.'i. /,,("..i...'IO'...fl"..........,. ..1..'.".01..(")............,,,...,,......,,.,..........'......111Ilt.belng duly
"~lwRI",nl.."til".".,~~'''I..I''.'',.''....t auys that us 1\(lfl1'ly 'os cnn bo llRcOI'tulned tha a'nld duoodent IIt1Hftlq"'''''''~''Il't
, , ,
t~f?}:\'" ..fl.. io j ,nl.fil.ft lI,tUS, '"'''1111'1''''''''' "..., till"'''''' ",....",..,..,. "'" .oj,,, 'j, II""" .1"", ,',', ,.." j' IllI" '1""" 'llI'"'"''' 11....,dIOtl on
R,~IJ;~.r;H#JY.llljllj..I...'....HIII..II.j the ,..,J.~.~J')...,.,....j',."...dny. or ""~,~,~~I~,w!?c;tIf:.....llj,.."....;..I:.H'I. A.D., 19?,~""
at or ubout """""~'!.?~'''''''''''I''';j",,'' o'(~lock, J:..,..M,
Sworn to ' 1 b 'II d'"
""H""I'''''''IOj"''"'''''''"llll'''HI''''llunc au BOt )6 ,,118
//", I, 1./ ',,)' Ie) , , '
111"/,\, J '.,. . (tit
'I"'"(.'-''~f'{.'''''~''''(''''''''' (,,It......,,. '.....lI..I..ilf....'..........
""14,,, /1,/--10>4'/
,;..,jll..II;".lI~I~.nll,""'I..",....,,' dny of j.,,~j';l,~~,~,~R~,71
19, ,'?,L" hofoJ'o
,,'~(iV1\.o~,~,~J~{ .~, ' 'h'
. I \), _,~'\,_
,
, ,
OATH OF PERSONAL REPRESENTATIve
00, MM.oNWIMI:I'lJ,l.W,PICNNSYINANIA l .
COUN'I',Y (W OllMumJU.ANn f f:lF.l:
llofura mo, tho HoutaLal' Ibl' tho ';mhuto or Wlll~ 1I1le! 1l1'lIllthlH IIf' l.o11:0I'R of' Adl11llllntl'IlUon In IInd fhr
. I ~
tho COUllly ~f dUlI1hol'l.llIlll.l. pOI'Honlllly cnll10 ,J,.M,~.h,C;1,r... )$,]" ,R,t~hJ..,II>>'~, ..m;1,lIl1,+,~ ~,..V.flhl,~, 1;".., ,ir.f:~,~,~......
Officor of Dauphin uapoait l\ank and Trust vompany ,
who, bohlll duly"..,"W,9,f,n,i........,,,,, do "..:",,, e!upOlln nne! 1111)' thnL UH..,..",Ii\~I}Ir,\lJ;f?,r.Il."';"'''''''''"...."....".,,..,
. ,.' ,
or tho InRI WlIInl1d 'l'oHLllmonL Ill' ......y,\:}h.t;\..h,t,..ln,~flll,~ng,.........."..,"'''''"...",....;'''''".."..,,'''',,,,,..,e!f)COIl80d
" J;11.~,y,,,.,,,,,..,,..,, will wollnnd truly ndmtnlllLol' Lho HuuclH nnd chnLLols, )'IHhtH IInd cl'odltH of Illlld dOCOIlHOd
accordlnll to law, And nlHo 'will dlllllontly comply with Lho )ll'nvlslnna of Lho IU\V rolnthlH 10 'I','ni,afor
, .. .. .
Inhfll'JtuncIIIl. ,..~~linif:l,..~p'"".., uIld suhscrlbod
beforo mo,
ty II.eliJiat:el,"
J
)1((1(( ,'1/ (:..c/!..) , " '
1'.""""'111'1\."" . I "'\YIIlI~.!ttll\"'i'"I~iltltllllt"'111"lf"llH'
l.IU' ar 1\, U:La h
~"'~ ,/ - ~
" ,.',' ,~. " /, " "
~_ -4 'r;J...~~.,
""'1"111111' ').'h' , ""~,~,z."",,,~,,,z~./'"''''''
, v arrEis raust 1:-<-~'77"'~
t~t'JU;tqmlu",'?tltt.?t;lftftl'''''H:t!''tt''II' AI Dt, 19Z~'''IIl'1
c.. ,-I . .
I "I(::l:)L~;~'!t""III'''II''''
I'
]
0\1
rcn
,..~
co
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u ~
f.l
,8
~ ..... tl
co 01
~ ~'I
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1 E fi:,
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~
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...... ~
....
N, ~,
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.
ell
~
...,
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" ,
DECREE!
\
j'. Be it romo1l1hnrod thnt'~n tho .".".o,..~.~~.."q, ctqy of' j""~~~I~~~"~""'''''''''.'''';III''''''1 A. })" lU7,~.....t thoro
Wll8 probatod llnd recordcd tho laRL WllIlllid 'J'(lstnmnnL of..JR,l:m..AI",~lll,~.I,l,~p'g""'''''''''''''''''''''''''';i..,:"
lat.o{)f.",..Q,~!JlP'....I;l~lL:",,,.,.,,,..,..,..,,.,,,,....,..,....,,,""'1 Cumhpl'lul1d COUllt,y, I'Ol1l1fl~lvnlllnl ))OCOIlRC'<I, J.Mtors
'~~I'Ir.~m~n~t~f.XI'II!I'lfftlllt"II'111 "" wortt JJrnntud tu .'I1t.~~l"~'~IJ$':I"P',~~hl 'j~~'~" ~.~.~p.~.~nlll~~J?,9j~I~'~I'I~~~k
'and Tt'I,1t:lt Company ", ' , ,.'
, ,
WltnHHB ttlyhllnclllntt'll!ncllll ~t)/ll tho dllY nlld YUill' nlhl'(IHlIlcl.
i
,
;... .,
.. -,......,---- --- --.. _.~- ~,- -.. --.- ......'"
,---- f
~---. ~, ~
'~O~~M~ND~~~~JI~T~.:.~~N~~VL~AN'~','.;., ", ,'.~:":'
" O_,;,IIII~T_:'~'~N~V~V~INIAINHlI,.,",ITANdUND 18'J'ATITM.C,'
-.. - - - ....;''''..,.~ ~.- -. -- -"..j..~",'..,-,~.-.,,-
i RECEIVED....~................tftN1l!1'y Jl'IVI 'J)Il:OttSANI) ..-OO1100---.....~..:...-....-- ". .......,. "-
If' roprOlonllng P,onnlylvanln Inherltanco or
From, Ap+'hll~ ~P-i\. 'Illaq. ,__~..~~..~. Eltnlo la, duo from Iho f~lloV/lng 01101"
dollall
A~ eat P. O. Box n6.,.
2('" Tox" on S--.
$
I
H"I'UIilIU'''. P". ...~.~~".____
6 % la, on $
-$
15'I<I,,,on $
$
% To, on $,
eslal. la" Acl 0'
May 7, 1927
$
$
--
~
Counly O'llIlbtrl&nd. 100AL TAXCREDI1 , $ 100,000.00
-
Romar~l' ' LOldlv. pOle.nlum 01 10, If
pnld wllhln ,throo monlhs aflor
dnlo of donlh $ ,,000,(10
"PAID ON ACCOUN'r" plu. 'nlor..' 01 Iho r~lo of
_%from
10 ,$
'D'OO ~ ~~~@ffi li'lg 5 E A L T.01A~ AMOUNT PAID $ PIJ. ^"^ fV'I
NOTe! T~ls Tt',PIIo." A'OOIpIIO be ro'"'nod for IUd~ PUlPO"" , ,', t, ~" 4' 'r', J
' ' Rocolyod by rl F ,'t ' ~ '-', ~ " )
NOTE, In .".pllng Ihl IIanll.. Inh"II.n" I.. an IUlU;..,I.loo, p"o, la Ih. d.o'h olth. 111..1 ,\., If " 51 ' 0 ut. Y), c v,...." ,_
lonanl,a, lonanl '0' Y'.", .. "Idon"d by th,. ""11,1, II " undm'ood Ih., II" Common,:,.a'"' ,holl aro14 B 0 ~O ., ,Dep\.tty
not bt pr'~,I\Jd'd;or r.,.nn'4d,"om h."al'.. o","'no odrl,lIonolInh'r".n..10< .tlh. d..thollh. R'S1It,. O~ ,~111' .. "
Ill. 'tnohl or I.nonl or v.un when."., II appear, Ihol hlch oddltlonqllQll may h. legqlly duo ~H\d . .' - 11Ie
callifcllbl"or on naton 't"hQI'C1h.r, '
o-_,~. '.'_" _ _._ .
,
"
r,c c. 11-1.-1.11
APP~ICATION POR CHI\RITABI.E eXBMPTION
FROM PHNN5Y~VANIA TRANSPBR INHERITANce TAX
(A,I.f May 28, 1956, P.L" 1757, an<l A.t af Jv". 15, 1961,
P,~, ~7~. ilO 11111."d.<I)
-+.
~A'
cOMMOHWRA~ T1i or FRNNSHVAIIIA
PRPARTMRNT 0;' RBVBNU8
DURBAU OF COUNT V COL~BCTIO~S
Application I. horoby Illod 101 tho oPllloval
01 nn oxo",ptlon I,om PonneylvMlo Tron.lor
Inherltanco Tax on tho lianilor 01 tho propulty ,
d.ecrlbod bolowl
1. Buronu Plio 11,_._...._....:.... ?2~!?2..uu....+"._
2. O"to "I Oo"th ".',.".' r:~c1"-'7!L.;,.JL."':./.(~j't7L..n..._
. ;-".~{/ /)., ',-1-'-"1
3, O".to of Approval .".tli..:(Y..~v.V"I..L.jJ:~,:........u_._.......;......._...__..
4, N"",o 01 Oocodonl ~ -:~II.1{~:.......
5. Th. Commonwoolth'e ap~lol.od voluo,.1 Iho propolly '",which nn oumptlon t. clnlrl10d I. $ 10,000.00
(Notol Whore tho plQPorly Ie oth.r Ihon n .poolllod amo'un"o,1 "a.h, th""KOmpllan canoot ho "pprov"d until tho valuo 01
Ih. property ha. boon .,I"bll.hod by opprol.ol by Ih,o Commanwo.lth, oxcopt iiI th... c..o. .who,. tho amount of th. gift
or boquOlI roprolOnh Ii elat,d /roo lion. I a, porconlogo porllon,o! tho onllr. ~.talo or tho .ntlro r.,'duo. In tho.. .0...
.nler ,uch Iracllonal or percontago nm.unl,abnvo). '
6, Cheok tho manoor In whl.h'th. Iran.l.r wa" offutod ond .libmlt u cPpy "I the,docum.nl "ulhorlllng.lh. ,ronller, unl...
.uch m"lorlol hoe b..n provlouely 111.d, '
WII.LlI;
DIlEO 01
TRUST INDENTURE 01
SURVIVORSttlP 0,
OTHER 0;
(If other, oxp.lol")
. 8,
7. Cor!o.1 Buelno.. Nom. and Addro.. 01 Charltablo Organll.tlon rOcelvlng properlYl
NAME. State Street United Methodist, ch~rch
I
ADDRESS 123 North 18th Streot, lIat:.risburll, Pennsylvania 1710~
o So. listing on revorso side lor, additional charltablo organl~atlons ~overod,
'bA"6~A'rNhBktJlJ'sWorll'~~n&cl\j1k'll~r ~&\.1P'h ,1~riaO c~t~~rm* ~n&1~I~r~ ond bollo!, Iruo and correcl,
ElIccutorY of theE:lltato of John .:;B~lldn~, 4.' '/7 ,', '/' /,1, '/ " ,;Jr,
Signature 01' Appllcnnl B I .._.~~.,-~.~.f7:' .:~.{"'.bi.1.'''''-~_ By I ./ rt5//Li" i /1 Q,( //(l::
( " '-,... ,
213 Market Street
lIarr~sburg, pa:--l7IOl. ~
Olllclal Till_ heat. Viee Preaidont & Trust Officer
69 South 4'th Street
.-
Addr... 01 Appllcanl
0010._"
Mt. Wolf, Va. 17347
.57'10/1,9.((.) .
,
,Thl. 10',,,, "'v" bo .o"'ptatod In Illpllcola und.11 th,.. c"pla.doliv.,.d I" Ih. RaOI"a,.f Will. f~, Ih.cou~,y In which tho do.edlnl
ruldod,Of In which lo"o,.'wofo luuod fOf Q non.ro,lldont dCICJodont'. Pltato. If tho doaoeJonf WUI a 'non.rOlldClnt of P,,,n,ylvC1t1la cmd
l.ftotl wore notluuodby a PC!nnlylvQnli1 AOQI.tot ofWHI., dollvfH cdl throo copln 10 the Dlroettll, Buroau of County ColI.clla;,,;
Penna, Dopar'""ent of ReVOnl,lD, 26 S. 4th Stroet, H(mllbu'~1 PCIt
00 nOlwr"" bolow thl, Iln.. Por Offlclnl ~nl
APPROVEDI Por ,Iho Socrolnry al Rovenuo R EFBRRED to Bur.nu Hoodq,uort.n
?J;z., A . )', ," ~~..t~)
. ((5Ig alu,. oIR'gl.to, of Wille)
(!!c4/ni/rc-clJ'f{ '1tJ:!. ........'
i1,J . (County)
';;/J1L~'. i;'~pr::v~tcJ
Approvod 0
For Socrotory 01 Rovenuo
Donlod'll
(lIIllInl. of Reul.tur 0./ Will.)
(Authorlud Slgnatura)
(COVilty)
(Tltl.)
(Date 01 Refetrnl)
.(Oato .1 Action)
-l Soo,rnvor,u~ ,Ido for rO(liOnl
MUST BIl PI~ftllIN TRIPLICATe
Il(-('.II.\.!11
APP~tCATION POR CHARITABLe exeMPTION
PROM peNN6Vl.VANIA TRANSFeR INH'ERITANCE lAX
(Aclnf Mn, 28, 1966, P,~, ,1757, n"d Aclnf Jlln. 15, 1'/61,
p,l., ~73, a. n",."d.d)
*'
COMMONWf,.. TH OF I'P.NNIYLVMIIA
!Jf,I'ARTMP.NT OF Rr.VSNUE
IUkBAU OF COUNTY COL~PCTIDN,I
Application I. h",by f1lad .far Iha approval
of en .~.mpllan Iram P.nnaylvanla tran.lar
Inh.rllanco Tax on Iho Iran a far altha praparty
d..crlbad balawl
1, Buranu Fllall,.~.mg '=077('- S,?,' u._,.
2, Data 01 booth _'''''If~<-H.4~ /.(> If ':"It 1 _._m.
~:J;I t '" .<),:j ,I ";'0 .)
3. Data of Approva I ..., /.! (!''d",-^;f-/../I' ,Je..........L.,. ,..~..._-
, .(11
, 4, Noma 01 Dacadonl ~Y::r:::: .ki.L~';J -
5, Th. Cammonw.alth'a opprallOd volua 01 tha'prap"l~ 'or which cn exomptlan la clalmod II $ ~g3~~~.9.gb j,n 1'rufl~,
(1'10101 Whore th. praporly II alhor than a apaclflod oni~unl 01 ca.h, Iho oxamptlan cunnat bo appr~vod untlllh. voluti of
th. praporlyhol bo.n ..tabllahod by approllol by tha Commanwoolth, "XC apt Inthoaa cO lOa wh.ro tho omaunl of tho gilt
or b.qu..1 'lOplOlOn" 0 alolod froctlanol or porcontoga portion of tho antlra OIlnta or tho ontlra roalduo, In thou co..a
.nler I"ah 'lraq,tla,nol or parconlag. amount obavo),' '
6, Chock Iho mOnnor In whlah Ih.lron~I'r waa o!foctad and .ubmlt 0 copy of Iha documanl outhorl,lng tho Ironll,r, ,unlo..
luch molorlol hal boon provloully 1II0d.
WILL .at;
DI!BP 0;
TRUST INOSNTURfl 0;
SURVIVORSHIP 0,
OTHER [lJ
(If alhor, 'oxploln)
_._._~__..---..-----.__._.~.___________.u___._.~.______...._._______.
7, C~'roal BUllno.. Namo anel AddlO.. af Charitable Organl.otlon racalvlrlg propartYI
NAMB _ Harr~rgPo1yc1inic l\aspiEal:.....__~.__..___...___~_
, ADDRESS---,-,- 2601 North 3rd 'Streot. l~arrisburg. P<;!nnsylvania 17110
CJ See 1I.llIng orl reverse II de lor,addlllonal c\wllable organizations covored,
B, bxmItHh~E~~J~~r~M1Kn tO~WIIlf~ ~"O~lfA~v 1,0 ~~o t~'~\~~rm~~nitil:~r. nndbollol, trua and ao"ocl,
!ixecutor,s of the ES,tl\to of ,John 1nB:"".A';' ~' , ,V?/J' "",~ . ,/;
, Slgnoluto 01 Appllaonl 1 .(.~.., ::"'1<,,(..t:'--?'. ~.t-,:i".tk.,{,~/r i ).l. \)
Thli f.r.. Mu.t bo aa..pl.,I.dln "Ipllcata nnd .lIlh,.. toplo. dally.,.d to tho R.gl.,o, at \VIII. far Ih. County In whlch,tho dotodonlf
,utd.di orin which I.tt."wara 100v.d fo, a non"o.ldol1t d...danl'...'nla, II 110. dac.d.nl wo. . non.r..lda"l af P.nn.ylv.nla ,and
10tt~tI war. not 100v.d by aPann.vlYanla R.gllt.r.f Willa, dally.r .lllhrn.capl., 10 Ih. Dlr.c'o" Bvronv,al Covnly Collactlon',
Penna. t>.p,~utttlClMt Qf R.'IOnU8, ~,6 5. 4ttl Stroet, Harrl,b!-,rg, Pat '
,Add".. ,.1 Appllcnnl_ 213 Herket Street
Harrisburg, Pn" 17101
Olflalal TIII.~' Vico Pr~ent &. Trul\t o.cUcer
69 South 4th',Str.eet
Ht. Wolf, 1'11. 17347
D~t._4f//?I'~
AF PROV E.l).1
2 J
_~/ ",__' I /' f. f
,. 1(,!14"t 'I f' . #.1)
, (Slg afuro olR gl,tar of \'Illla)
/Ii /(/I){ j-{::'/~1-.,L
(Caunly)
.'t.{.. "I)" ,,' fo
( at. 01 Approvol)
Po n~t wrllo bolow Ihll Ilna, For Offlclol Un Onl
Por Ih. SoarolalY 01 Rovonue R EFERREDlo Buroau Hoadq"nr\en
Approvod 0
, For Sacr.tory 01 Revonu.
Oonlad' 0
(lnlllollof R.gIII.r of 1'11110)
(A\Jthorlaed Slgnnlu,.)
(COllnly)
(Tltlo) ,
---------
(Onlo 01 Rol."o!)
(Odto of Acllon)
· Soa ,averu Ilda for r.ala"a
MUST BIlFll.liD IN TRIPLicATE
,
REV.401 11,101
OOMMONWBAL TH or rRNN8V~V^NIA
DUPARTMBNl' O~ RBVENUE
TRANsreRINHERITANOR TAX
RB8IDRNTDeOED8NT
SCHEDUI.E "B"
POASONA~I'AOpnRTV
*\
(Im/motlolll all Ravor6fJ SleJal
E8t~tO of John A I BlollP1nll
ITOM ESTIMATeD DEPARTMENT
DESCRIPTION UNIT MARKeT VAI.UATION
NP, VALUE VALUe ,(OPP/CIAL USE ONL YI
"
58" $25,000. Br:l:stol Township School
Distriot Authority 4,70r.
, School Revenue Bomls Series
'1971 due 6/1/81 $ 24.372,75 ,
59" Accruod interaat " 339.45
60" 25,000. ' Bucks Oounty'Water & Sewer
, Authority 4.90% Revenue ,
BondS Series 1968 due
2/1/85 24,327.25
61':' Accrued intsresc 1/,9.72
62" ~O,OOO. Camp Hill Borough' Authority
6r. Sohool Revenue Bonds
Series 1975 due a/l/86 20.069,00
63" , Accrued interest , 46.67
64- 25.000. Central Iluok~, Joint School
Building Au thori ty . 5. 60r. d
School Revenlje Bonds duo
12/1/87 24,979.75 ,
65- , Accrued interellt 404.45
, 66- 25.000. Chamberaburg Area School
Authority 4. 3Q% School
Revenue Bonda Serios1971
due 1/15/80 24.835.00
67- Accrued interest 179.17 ,
68- 20.000. Cumberland Valley Joint
, School Authority 4.1%
Bonds due 2/15/82 19.200.60
69., Aocrued interest 68.33
70" 25,000. Downingtown Area Sohool
District 51li% General
Obligation Bonda Series
of 1976 due 11/1/88 24,14ti.75
71- Accrusd interest 521,.11
72- 20.000. East Pennsboro' Township
, Authority 6.40% Gunro\lteod
Sewor Revenue Bonds Serios ,
1975 due 3/1/87 20,145.80
73- Aocrued intorest 49.78
74- 25',000. Eastsrn Lobllnon County
Sohool,Authority 5.25%
School Rovenue Bonds Serins
'1911 duo 10/1/89 24.387.75
75- Acoruod interest 597.92
TOTAl. THIS PAGE
-
R~V,4".1 l'l,aol
, COMMONWBAL TH OP PBNN8VLVANIA
OHPARTMBNT PP "BVBNU8
TRI\NaFUn INHeRITANoe TAX
RESloeNT D80EDeNT
SCHeDULE "B"
~enSONA~ ~Ao~eRTV
-,
l
(lmtfllot/Olll 01/ Roverao Sldol
Estate of .Jnhn ^. nl eBBinll
,
,
-
ITeM eSTIMATeo DePARTMENT
DESORIPTION UNIT MARKET VALUATION
NO, VAWE VALUE (OffIO/AL USE ONL YI
--
94" $25,000. Commonwealth of Penna.
.' General'Stllte Authority
, 4.60% Serial Bonds 28th
Seriee due 7/15/91 $ 20,709.75
95" Accrued intereet .
191. 67
96" 25,000. Oommonwealth of'Penna.
6,50% Oeneral Obligation
, Bonda Second Series T-1975
due 2/15/87 25,307.75
97- Accrued interest 135,42
98- 20,000. Commonwealth of Penna.
State III ghway & Bri,lge
Authority 4.5% Bonds due 18,230,20
12/15/85
99- Acorued interest, 225.00
100- 20,000. Commonwea1th'of Penna.
5.75% Gonera1 Obligation
, Highway Bonds Serins 'r
"duo .11/15/92 , 18,349.60
101- Accrued interest 383.33
102" 25,000. PJ:ymouth Township 5%
Improvement Bonds Series .
1971 due 5/1/88 22,978.25
103- Accrued inter.est 465.28
104- 25,000. Radnor Township School
Authority 4.85% School
, Revenue Refunding Bonds
, Seriei 1971 due 11/1/87 23,909~00
105- Accrued interest ' 451. 32
106" 25,000. Shippensburg Borough
Authority 5.5% Guaranteed ,
Water Ravenue Bonde Series ,
1977 due 1/1/88 23,377.75
107- , Accruod interest 282.64
108- 25,000. Springettsbury Township
Sewer Authority 5.60%
Sewer Revenue Bonds Serios
, 1971 due 6/1/87 23,848.75 ,
109- ,Accrued interest 404.45
110- 20,000. Upper. Darby Township
'Sohoo1 District 3.65%
. General Obligation ),onn
No, 27 due 9/1/81 18,975.60
111" ' Aoorued intereet 28.39 "
TOTAL THIS PAGE
REV.4Dl (1,801
!:OMMONW&AL TH OP P&NN8V~VANIA
DUPARTMUNT OP n8VUNue
TRAN8PBR INHBRITANO& TAX
RESID&NT D8CEDUNT
SCHEDULE "13"
PERSONAL PROPSflTV
~\
(Inslruotlom 011 flovorso Sldol
'Elt8te of ~ohn A, ~.wainll
ITeM UNIT ESTIMATEO DEPARTMENT i
DESCRIPTION 'MARKET VALUATION
NQ, VAI,UE VALUE (OFl'/CIAL USE ONL Yi 1
,112';' $20,000. Upper Moreland Illltbol'o Joint I
Sewer Authority 6:'( Sewer
Revenue Bonds SerieH 1975 I
due 10/1/84 $ 20,076.80
113" Accrued in tores t 546.67
114.. 20,000. West Shore 80hool Distriot
6.4dr. General Obligation
Bonda Series AA-1975 due
. 6/1/87 20j725.60
115" Accrued 'interest 369.78
116" 25,000. West Shore School District
6.45% Oenera1 Obligation
Bonda Series AAA of 1976
'117- due 8/1/89 26,657.50
Accrued interost 197.08
INCOME I
118- ~l . --!l..Jli~ ~33,242.64 'lEE)'.! '1-; I 0 1-
MIsceLLANEOUS I
119- Varioua col.ns & currency " Appraiaed value 39.00
120" 1978 Cadi11ec .. Appraieed'value 7,200.00
,
TOTAL THIS PAGE
~:~, ~~"'ll~~\(40t~f!',,,,,.'tf:(;t1l'J;&!"..lfj~o;mw4ltaItW\r'> ~'\!~',,',:;;.'tt-fjj"'!',.,;t
jiIlo _ 'f" l' , ,
,t
T.J\ST \'lILL 1\ND TESTAMENT
OF
JOHN A. PLESSING
I, JOHN A, BLESSING, of the Borough of Camp Hill/county
of Cumberland andStafe of' Pennsylvania / beinq of sound mind / mem~
ory and understanding; do hereby make, pUblish and deolare this to
be my Last will and Testament / revoking hereby all Wills andCodi~
oils heretofore by me made. '
FIRSTa I direot that the expenses of my last illnesS
and funeral shall be paid by my E><ecutors as soon afteJ:' my decease
as may be convenient.
, SECOND a I, give and bequeath my automobiles, household
goods / personal' effects and other tangible personalty of like na~
" ture(not ino~uding dash or securities) / together ,with any. existing
insurance thereon, ,to, my wife, SARAH D. BLESS:I:NG.
THIRD I
METHODIST' CHURCli
,thousand dollars
, ,
I give and bequeath to 't:he STATE STRF.ET UNITED
of Harrisburg, pennsylvania, the sum of ten'
($10,000) .
FOURTHa I ,give and bequeath the sum of one hundJ:'edthou~
sand dollars ($100,000) to the HARRISBURG POLYCLINIC HOSPITAL of
Harrisburg, pennsy~vania, IN TRU,ST ,to be known as the JOHN 1\. BLESS~
ING TRUST FUND, to hold, manage, invest and reinvest the principal
and to dolleo1: the income therefrom on the following terms I
a. To expe'nd the ne,tino~me tl1!3reof from time to Ume
for the benefit of said HARRISBURG POLYCLINIC HOSpIT1ILin such man-
ner as the 130a'rd of Directors bf s~id Hospital shall from time to
time in its discretion determine to be in the' best interest of the
said Hosp!taJ., ..
b.
in perpetuity.
FIFTH,
"
The prinoipal of sald trust' shall be held in trust
I give and bequeath to my nephews and nieces as
follo\~s,a
;; I
a. The sum Of onehuhdred thousand dollars ($100,000)
to ,my nephew, Wn.LI~ CL ~LESSING.
b.The sumofone hundred thousand dollars ($100,000)
to ,my hereinafter appointed TRUSTEInS, IN TRU8T / NEVERTHE~ESS, for
the benefit of my nieoe, SHEILA E. YOUNG, to hold, invest and rein~
veetthe same, to collept the income ,therefrom, to pay all tax6e
and other charges that may be made properly against the trus':: estate
and to t'listr!bute the' inoome and principal as follows, To pay the
"
i
t(.,n~~
.'
~,
j
~~
'i
"
.~,/"
fl ii....\II'IUf~.........!~o ~,Al., ""'-' ~"....l,''''l_;'~
entire net indome to 8"E~LA B. YOUNt ~uarterann"nllY and in addi-
tion to pay t.o har out of prinoipal on each anniverllary o~ my death
until th,e trust, fund be exhaustod, tho ~um 0 I! ton thousand dollars
($10,000).
0, The sum of one hundred th6usand dollars ($100,000)
to my hel;'einafterappo.i,nted TRuaTmms, IN TRUS'I', Nrnvml'I'Ilr.LmSS, for
the bonef;\, t of, my nieoe, SARA J, WILHJ1:J,M, to hol,d, il1VC1st and 1:'oin-
vest the same, to ooll.Got tho' income there~rom, to pay ,all taxes
and other oharqes that may be made properly against the trust es-
tate and to di!3trib\1te the income andprinoipa~ all follo\~s I To pay
the entire net income to SllRA ;J. WU,IlELM quartor.annually and in ad-
dition to pay to her out of prinoipal on each anniversary ()f my
death unt1'1 the trust fund be exhausted, the' Hum of ten thousand
dollara (110,OOO)!
d. The sum of one hundred thoUlland dO,l,l<lrs ($100,000)
to my nephew, ROBERT A. BLESSING.
e. The ,sum of onG hundred thousand dollar.s ($100,000)
to my nephew, DAVID D. BRrnNNJ!lM]\N,
f . The sum of one hundred thollS and' doUars . ($100..:000)
to my nephew, , DONAL::l 11. BRENNEMAN.
In ~he event that any bf said naphowll or nieoes shall
not be living at the timE! that suoh nephew or, nioco WOl\J,d tak~ either
principal or income undel' theprovhions of this my ~1ill, then ,the
bequerat that would have been dhtributed to suoh nephew or nieoe
shall be distributed in aocordance with the terms of 1Irticle Seventh
,of this my Will.
SIXTHI If my wife, SARAH D. BLESSING, shall survive me,
I g,ive, devise and bequeath all the rest , residue and remainder of
,my estate, real, pe~sonal and mixed, of whatsoever natl\re and where-
soever situate, unto my Trustees hereinafter named to hold, manage,
invest and reinvest the prinoipal, to oolleot the inqome therefrom
and to diStribute j:.he inqomo and principal ,thereof as folloW,S I
a. The net income Shall be paid, ip quarteran'nual, ip"
stallments, to my wife, SARAH D. BLESSING, commenoJ.ng from the date
of my death, during her lifetime,
b. 'l'o pay to my sa.i.d wife, Sl\R1\H D. nr,ESS~NG, during
her lifetima such amounts, not to axoe,ed twenty-five thousand dol-
lars ($25,000) pernnnum out of thG prinoipal of the trust, as she
may in wri tin'g rGquGst, said prinoiplIl withdrawals to be non-
oumulative. In acting under this clause I all years shall date, from,
the time of my, death. '
-2-
. .
,
o.
said wif~ out of
may b~ neoe~sa~y
whioh may affeot
the resourdes of
In addition, the Trustees shall pay over to mY
the prinoipal of this trust al;ltate, Buoh sums all
to provido again'st aooiden t, innoss or emergenoy
her. if in the sole ctiscro~ion of the Trustees
my slid wife are .notauffioient for such purposes.
"
d. Should the total of the 'above sums fail to pro~
vioe for my,w~fe 'smdint'ilnanoe a,nd support, aocording to h~r
nOQustomed standard of living, at the time of my death, the Trustees
in their sole dil;loration, shall pay over, out of the principal of
the trust estate, such sums as may be necessary to provide for my
wif~ her aQoustomsQ standard of livin~.
e. In the evant that the principal of, this 'trust pro-
duoes noinoome b1:' an income sups'l:antially less than the ourrant
rate of' return on trust investments, t,hen my said ,wife' shall hl\VB
'the right to oompel the Trustees ,to. oonvflrt the principal into in-,
oome produoing property.
f. Upon,the death of my said wife,S1\RAH P. I3LESSINCl,
my'l'rustees shall pay dver and distributa the prinoipa'l, of said
trust, as then oonstituted, to s,uch parso'n or, persons ,( i.noluding
\ler own estate and oreditors ,of her estate) , 'in such ,amounts and
upon suoh ,'ilstates as my said wife by specific referenoeto this power
in hlilr ,Last will and Testament, shall have appointed. In default
p~ such appointmel\t or" to the extent ,not so appointed r my 'l'rustees
shall pay over and distribute the prinoipa~of such trust, as than
Qonstituted, in equal shares among my foHowing named nephews and
nie~esl .
WILLIAM G. BLESSING
nOBER'l' A. BLESSING
SHEILA E. YOUNG
SARA J. WILHELM
DAVID D. BRENNEMAN
DONALD A'. 13RElNNEMI\N
Provided, however,' ,that the,bequestll made for the benefit of my
said nieoeB shall be ad4ed to ,and made a part of their respective
trusts oreated under Article Fifth of thi~ my win.
g. Notwithstanding anything to theoontrary contained
in any statute, if my wife and I dia in a common disaster or other-
wiSlil and there is not sufficient evidenoe as to which of us died
first or that we have died otherwise than simultaneously" all my
pl'operty passing under this Will shall be disposlild of as if my wife
had survived me.
h. In the eVent that my wife, SARAH D. BLESSING, shall
(:>rQdeoease me, :t direct that the, residue of my estate shall be diB-
trib\lted, f/:,ee of trust, amol1g the same persons and il) the same
-3-
~.;.~..::,\IO_,'1l-'.
proportions as hereinbefore designated to share in the reaic'luary
,trust estnte upon the death of. 111y wHe,
S Ii:VEN'l'1l1
a. In the, event that any or. Bl\ld nlllphawfl or niecas
shall not be living at tho time that such nephow or niece would
.. take either prinoipal or inoome, suoh principal. and inoome ahall.
be paid to the livina isaue of such nephew Or nieoe in equal shares,
per stirpes, as, follows I
1. The share 'of eaeh issue shall be held in a
, separate trust and the ,net income of the tJ:ust 13hall. bo paid to
suoh issue until the final termination of the trust by the difltri-
bution thereof.
2. The prinoipal ef the trust shall be paid aG
follows I one-third (1/3) when, such benefioiary Ghall arrive at the
ac;l~ of twenty-five (25) yoars and the balance when such benefioiary
shall arrive at the age of thirty (30) years. '
3. ~heuld any sudh issue die before arriving at
the a9' of thirty (30) years, the share of suoh issue shall be added
to the trust est'tl.tea for his or hor brothers and l3isters and I i'f
any t~ust estate had terminatod prior to suoh time, distribution
shall be made as though such trust estate was thon boing distribute,d I
provided, however, thl\t the distributee be then living.
b. In the event that any of s~id nephews or nieoes
shall not be living at the time that such nephew or nieoo would
take either prinoipal or ineome andsuoh nephew or niece ehall not
have living issuEl, or all suoh issue dying before the time that
'said nephews 61' nieces would take either princi.pal or inoome, then
the prinoipal and income shall be added in equal parts to the other
shares of my estate oreated in Artiole Fifth and Article Sixth'of
this my Will.
, '
, 1. , If any suoh part had terminated priot thereto,
dhtribution shall be madcl as though such part waa then being dis..
tributed, provided, howevor I that the distributee ,be then living.
2. In the event there shall be a total failure
of ~he designated beneficiaries as to any part oreated in Article
~ifth or in Artiole sixth f~ such total part shall be added equally
to the other total parts of which there was no total failure of the
designated ,benefioiaries.
EIGHTH I Until the final te+'l11ination of the e,everal trusts
by the distribution thereof, the Trustees in their sole disoretion
shall use so muoh of the princip,al of each trl,1,st as may in their judg-
ment be neoessary ror the maintenanoe, oomfort, general welfare,
-4-
support, emergency need or eduoation of, th~ benofioinryof such,
trust, education to moan a oollege, professional or other school
of higher education or 1.111 of thom.
a. The Trustees may accelorate distribution of the
prinoipC\l of, any trust, in whole or in part, and from' time to Hmo,
if in the sole discret.ion of the Trua tees such advl1nco p/lyment would
promote the best'intorests of the respe~tive benefioiaries, as for
example, where it might be desirable 'for the beneficiary to take
,advantage of a business, oppor.tunHy or pur<;lhaae a house orf:urnish-
ings, these being illustrations only and not in limitation of the
broadest disoretion on the part cf the, Trustees.
, b, No beneficiary or any other person, hpwever, has
the right to demC\nd suoh advance payment or uso of the principal
and all decisions of the said Trustel"1s ah,'all be' bindlng and conolu-
sive upon all lnt~,rested parties,'
NINTH 1 Plenary power is gral1ted to my fiduciaries not
only to relieve tl1em from seeking jUdicial inst,ruction, but to the
extent that they deem it to b13 prudent, to enOOUI:age determinations
,freely to be made in favor of the income benefioiary. In eitch in-
s'tanoe the rights ,of all subsequ€)nt beneficiarles are subordinatel
put no fiduciary. shall be answerable to anysubse(luent ,banef iciary
for, anythj,ng done or omitted j,n favor of the current J.ncome bene-
ficiary, and no current income beneficiary may compel any such favor-
abl~ treatment. Specifically, but without reduci11g the BCO!,e .of
this deolaration of intent, it includes investment policy, exercise
of disoretionary power to pay 01: apply principal and determinatJ.on
of principal ,andinoome questiona I prQvided, however, that such de-
termination of principal' and incomo qlle!ltions ahall oomply wHh
well-settled rules.
"TENTH I The interests of the beneficiades horeunder shall
not be subject toanticlpation or to voluntary or involuntary ilien-
ation. .
ELEVENTH'1 In the event that any incon\e or pdnoipal
shall be payable to a benefioiary who, in the 'opinion of my fiduoi-
aries, iaunable"to handle his or her affa~rs beoal1~eof advanced
age, illness or qther condi tlon, my f iducif\rios, in their sol\l and
absolute discretion, may pay, use Or expen~ all or so much ,of such
principal and income as may in their judgment. be necessary for the
maintenanoe, eduol\tion, welfare, comfort or emergency need of such
beneficiary, The rea,eipt of any person seleCted by my fiduoi.aries
to disburse suoh prinoipe.! and income shall be' a sufficient /lcquit-
tance therefor .My fiduciaries may, notwithatanding sl1ch proviBiqns
for distribution, hotd and aocumulateprincipal and lncome dur~ng
such inoap,l\city and ahall pay over to such beneUciary upon attain-
ing oompetency (or to his or her personal representative at his or
hel;' death) al)y such principal and income,'
-5-
:" ~~~:I~.
",,'_'~_"'''''''''-.' - .'''z ,.",___0*
TWELFTHl' I direct that all estate, inheritance and suc-
oosllion taxes that may be assessed in consoquence of. my dellth, of
whatever nature '~nd by whatever juriSdiction imposed,' shall be paid
out df my relliduary estate 1:0 tha same affeot as if. said tAxes were
axpen~es of administration, and,all property, includible in my tax-
able estate, whether or not pauing under this my 'NUl, shall be
free and olear thereof. ' In the absolute disoretion qf my Executors,
they may pay suoh taxes immediately, or may postpone the payment,
of taxes on future or remainder interosts until the time possession
thC:lre~~ aocrues to the benefioiaries. I hereby ~rant unto my Exe-
outors all,ri'ilht, power and authority without .court approval to com'"
promise all issues in any and all death tax proceedings whether
before or after aotion brought.
THIRTEENTH I whenever the term II issue II is used in this
my I,ast Will, it shall be taken to meM and include descendants
by adoption as well aaby blood and in the case of an adopted per-
son, it! shall include same even though the person shal~ be adopted
after my death.
, FOURTEENTt/l, I appoint DAUPHIN DEPOSIT TRUST COMPANY of
Harrisburg, Pennsylvania, its successors or assigns, Guardian of
any property whioh passes to a minor and, with resp'eot 'to which I
am authorized to appoint a Guardian and have not otherwise speoi-
fically done so. Such Guardian shall have the power to use
principal as well, as income from time to time for the minor's edu-
oation, support and welfare withodt regard to his or hor parent's
ability to provide fOll suoh education, support or welfare, or to
make paym~nt for these purposes, without further responsibility,
~o the, minor or to the minor's parent or to any person taking oare
of the minor. The reoeipt of any person seleoted by my Guardian
to disburse suoh prinoipal and income shall bd a sufficient aoquit-
tanoe therefor.
FIFTEENTH 1 My personal representatives, IJ1Y Testamentary
GUardian and my Trustees, each in their respectivlil o/lpaoities, shall
have the following powers in addition to those vested in them by
law and by other provisions of my'Will, applicable to all property,
Whether prinoipal or income, and effeotive until actual distribution
of all property 1 ' I
a. To rej:a1n, in their absolute discretion and for
suoh period or periods as shall seem advianbla to them, all or any
part of the property owned by me at the time of my death, the prop-
erty received at the oOlJ1mencement of any trust, inoluding the oapital
stock of my oorporatefiduoiary, and the property, reoeived in sub- '
stitution therefor.
b. To :l..west and reinvest the funds of my estate or
of any trust in property of any kind;'rehl, personal, mixed or ohoses
..6-
~1\.V""U,Wth',ti""';I""'''i.I.;Fr;'''''''''''{;'-'';~
, in &otion, including tho oapit"l at60k of my corporate fiduoiary,
irrespective of any statutei qaso, rulo or custom l~niting the ih~
vestment of estate ot' trust' funds,
c. '1'0 sell at publio or pdva to salo, oxohan{Je, mort-
g&g6, lease for an'y period of time (Q1l:hot\CJh the ter.m of the le/\se
may extend Pl'lyong the term of anytrllst or ,beyond the period of any
statutory limitation), and other.wise manage and deal with personal
, property' and ,rl;lal estate and rights belo,w ahd above its surf<loe.
d. ,To exeroise all rights as the owner. of oorporate'
securities, inclUding among othorsthe right to vote by,proxy, par-
tioipate in reorganization!! and voUng trusts,and hold stook in
their own name,s, jointly or 's,ever.,.allY,. or in the ntl,me of a nominee,
with or without dj.solosing the fiduoiary relation~hip, "
e. To borrow money (inoluding the righ; to borrow
~rom my corporate' ,f.iduoiary) and mortgage or pledge the property
of my esttl,te or any trustasaecurity therof.or and to deliver any
, accompllnying bonds containin<;r, pOW('lr of attorney to confess judg-
ment/ and to advtl,ncemoney for the proteotion of my estate or any
trust and secure such advances by a lien on t:.he, property of my, es-
tate or any trust.
f: To make 1'\1J.otments and distribution in kind.
g. To compromise and arbitrate claims i~ flavor of
or against my estate or any trust.
h. To sell property to or purchase property, at p~b-
lic or pr,ivate salel f.rom any truat oreated hereunder Or any other
trust created by my wife orlne during our lifetimea with the pro,.
oeeds or funds from any 'such other trust for a,oonsideration equal
to the 'then fair market value of the propetty, notwithstanding ,that
they or either of them may be ,the fiduciaries or fiduc~ary of both
the selling and purchas ing tr~st. ,
i. To execute. and deliver any wdtten instruments
whioh they may deem advisable to carry out any power, dMty 9r die-
c.retion granted totham" and all 'persons shall be fu1;Ly protect.ed
in relying upon their power to execute every suoh instrument and
no one shall be obligated to see to the applioation by them of any
money or property reoeived,bY them pursuant to the t;lxecution and
delivery of any such instrument. '
j, To join with my wife in filing ahyinooma t.ax re-
turn for any year in which suoh joinder is permitt('ld by law and to
pay all or such ratable share of any taxes thereon as they sha11
deem prorJer, and to consent to any gifts made by my wife during my
-7-
iifElt~me as hl\v~ng been made one-half by me for thepurpoBe ,of 'l\ny
l1ift; tax law, and' tho exeroise of (luoh al1thodty shall be final and
oonolusive Md, not subjaot'to quest,ion by any parson.
, , k. To employ attorneys, aooountants, engineers and
suoh other parsons, prOfessional or otherwise, as may be neoessa~y
for the' proper administration of my, estate and to Pllytheir oompen-
sation.
";
1. To borrow from, lend to , sell to, buy from or
otherwise cled \~ith any fic'luoiary.
m. Whenever 'I:.hey shall have the right to elect whether
any ,item of expense o,onneotecl with t.h~ administratj,on of my estate
or of any trust sha,ll be cl,aimed as a deduction for inoome tax pur-
poses or olaimedinstead as II deduotion for e'statettllX purposes, t:Q
exeroise such right ofeleotion. " "
!,.
j'
n,\, Whenever required t.o make a distribution or trans-
fer of a1'l or II part of the assets of my estate or of any trust,
,tQ'retain therefrom assets Sllfficient in their judt;lment to oover
any lj,ability whiphmay then or lat.er be imposed upon them, includ_
ing but not: limited to,t.heir liability for estate I inheritallOe I
inoome or other taxes until sl\oh liability shall, have been finally
determined. ,," , , '
'0. , The oorporate Execut.or and Trustee sh'ail have sole
oustOdy of a+1 seourities ,p~pers, personal property and oash oom-
prising my probate or truet estate and may solely perform all
ministerial duties. ' NOinclividual Executor or ~rUstee Shall be ,
obligated' but may ;i.f he wishes, sign or COl\ntel'sign ohecks for'
the diSbursement of estate O/:, trust funds.
p, Anr Exeo\.1tior Ot; T~uste~ may with the, consent of
the othe:l," delegata any or ,all of, his or its powet;s , Ciuties , and die"
oretions ,to any other Exeoutor, or, Trustee by an instrument in writing-
and may :t;evo~e such delegation at will in the same manner,.
"
, Cj!, All power's, duties and, discret1onary,autnori ty
granted t~ the Exeoutors and Trustees may be ex~roised by them wit.h-
out 'posting any bond, without,obtaining ~ny orCler from or the ap-
'provl1lil of, any oourt and without, any notice toOl' oonsent,of anyone.
Th{~ Executors andTr\.1steesar~ riot t.o be ansWerable for any loss
that ,does not OOcur through thaiI' own default or neg1igenoe. A
S\Uocessor Exeout.or or a suooessor Trustee shall ,suooeed to all the
powers, Qutiesand d!soretinary author! ty of the original,Exooutors
and Trustees.
, r, Any power, duty orciisoretionary' aut.hor'itygranted
to the Exeoutors and Trusteee shall be void to' the extent that its
; , '
"B-
,
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;'
SECOND cOin C!T4
.'-,-
I, JOliN 11. OLESSING.of the 13,orough of Camp lIill,
Cbunty of Cumberland nnd CornrnonwfllIl1:h o'f Pennsylvania, beint;l of
~ound mind, memory and underEftanding ,do hereby mnke, pubU.sh
and deolare this to be my Seoond Cpdioi,l to my Last Will and
Testament dated the 23rd day of August, 1972.
WHERIlJ1\S', I desire to make oerta!n ohllnges tOI)W Will,
"
, I, now 'direot that subl,'ara<;lraph ,b and 0 of Artiole Fffth
be deleted and in lie,U thereof, the following aubstit\1ted.
!' . .' .
/,
b. The Ef,um of one, hundred thousand dollarEf ($100,000)
to my hereinafter appointed TRUSTEIlJS, IN 'TR~ST, NIDVIlJRTH~~
LESS, for thl;l bl;lnefit O.f my nieoe, SHEILA E. YOUNG, to
hold, invest and l'einveEft the same, to ,oollect the inoome
therefrom, to pay all, taxes IInCl other charges that mllY
be mllde properly IIgainst the trust estate and to ,distribute
the inoome an<l prinoipal liS, followSl '1'0 pay ,the entire
net inoome to SHEILA E. YOUNO quarteranoually and in
addition to pay tQ her out of p#ooipal on eaoh anni-
versary of my death,until the truEftfund be exhausteCl,
the sum of twenty thousanc;l ~,ClbllarB ($20,000). The die-"
oretion oonferred upon my Trustee$ in lItHoJ.e 'Eigh th of
this .Will shall 'apply tQ this 'rruEft,
,c. The sum of one hundreClthousan'd dollars
($100,000) GO my ,hereinafter appointed TRUSTEES, IN
TRUST,NEWRTHELESS, for the benefit oJ; mynieoe, SAM J.
WILHELM, to hold, invest and, reinvest the same, to
oolleot the inoome tllerefl;'om, to pay' ~ll. taxes anc;l
o,thet oharges tha~ may be made properly Ilgail')st the
trust e,sta~e and to distribute tl'le inooms and prinoipal
as follows I To pay the entire net..inoome to SAM J.'
WILHELM quarterannuaUy and in addftion to pay tohe,r
t:lut of I.' #l'IOi I,'a 1 ,on eaoh I\nniversary oJ; my deatl'l until
the trust eund, be exhausted, the sum 'oft:wenty thO,usand
doll~l;'s '($20,000), The disoreHon oonferred upon my
Trustees, in ArtioleFJighth of this Will. Ilhall apply to
this Trust. '
/
In all other r.espeotl3 3: oonfirm my said Last will and
TlilBtal11ent datr;ld the 23rd qay of August, 1972' an<.'l my First dodioil
dated the 20th day ,of September, 1977.
IN WITNESS WHEREOF, I have hereuntQ ,set my hand and
seal this flth da1 tif oatober] 1977.
" .
"~V..I'3 11,801
COMMONWE^~ TH or rONNSVLVANIA
DCMRTMHNT or REveNUe
TnANsPER INHERITANCE TAX
RESIDHNT DEOH()ENT "
Estate of John A.lllasBing.
SCHEDULE "0"
BENEFIClAnl68,
(Ills/mot/om 011 RnvOfRO SIr/ol
- ~UHVIVED OATS OF
, DSNErlCIARIESANP ADDReSsES RELATIONSHIP DEcaOENT llll'1TH INT~R6ST 01' BENEPICIARY
. --
Sarnh O. BlaBBing WHe Yus.. , Automol>11ea
-- - , -
323 North 27th Street Life 1'enant of 'Xrust
-ili!JD" \111' Pennn. 170.11 ReBidue
~ .
,
Stato Street United Hethodiat , , Beouest of $10. OOO~ QQ..
Churoh.
123 North 18th Streot
lIarrisburll. Penna, 17103 . ,
, "
lIarriaburll Polyclinic Hospital Boouest of
2601 t/or~h 3rd Stroot ,'. , ~10o. 000.00 l.n Trust
, ,-
HnrrisburSI Penna. 17110. , ,
...------......- ...---....---.--.....---- ---. - -'" -
" , ' I
, - -
-.!:ill: 11 am G. Blessinll Nephew Yos , _~st of
16227 Pri ve " $100,000.00
Redington
-~
Redington' Beech, norida 3370.8 Remainderl11an in 'frust
,-
, of Rosiduo
- __~a_~_.~__ --.-..... ..~-+-._-,-- .-...~................
,
.~~-~........................_.- ----------.-..--~~-- -....---.--.----. -----_..~.._-~ ......-......._..,-.....~----------
Sheila E'i Young , , Niooo Yea Bequest of
, I' $100.,,0.0.0.00, in ,Trust
now by mar daRe
Sheila lIrowning , , " Remainderman in Trust
. -
.. 4905 SoutherhParkway - _of Residuu
.. -
Louisville, Kontuoky 40214
,
, ,
i .. ..
'. ____----.,;....L..,;.....:...-.- ....
, , ..... ,-
- . --..-...---- .--
, ,
---
,
-- - -~_.- -. - .. - . -.
rhs lIbovlj bonoflolerlosom living at this tlmo oxoopt for tho following:
NAME
DA,rE Or DEATH
""V..\D3 (I,aOI
COMMON\V2A~ TH Of fBNNSnVANIA
DCPAATM2NT Of A HVBN\.IE '
TnANSfHA INHBAITANC2 TAX
AESIDENT DeCEDBNT
"SCHI:DULE "D"
BENEFICIARIES
(lnstmctlnn, on Rovolso SIc/oJ
Estuto of John A. BlesRing
-
,
BENEFICIAnIES AND ADDReSSES RELATIONSHIP SURVIVED DATE OF INTBRIlST or BENBFICIARY
OpCepGNT BIRTH'
--
Sara J. Wilhoim Niece 'los, lIuquost of
-
400 IInlo Stroet $1.00,000.00 in Trust
lIarrisbl\rll. Penna. 17104 Rema~.ndermon in Trust
" " , R~sidue
, , of
,
Remainderman in
Mllry F. ~8sing Trust
,
, Rober t A. Blossi.np, Nephew Yes lIequest' 0 f
" -
202 Ilea tllllood Place $100,000.00
Ileathwood , Remllinderman
Subdivision , in Trust
Easley. South Carol! no 29640 of Rosidue
. ------
" Remainderman in
-....------.-. _._------ --.-. -
Mary F. B1eaain'g Trust
- -c
, ,
'David D. IIrennoman Nophew Yoa , Bequest o~
191H;orch Sl:roet ---------
$100,000.00
-
York. Penna, 1.7405 R~inde!'.!1lan in Trust
.....---.-- ---.--
.+--.- ---"-- of Residue
--~------------ ._-~_._--_... --~~--~---~ .....---...--.------..--..
.
,
Done1d A. Brenneman , Nephew Yes Beq\les t of
. --
48 Nor th 1,th Street $100,006.00
,
Ht, Wolf, Penna. 17347 Remeinderman in Trust
-- -
, , of Residue
, -
,
, Hary FranceR nossing Sister-in-I.aw 'lee Bequest of
.. - --- -
412 South 30th'Str~et,Apt. 112 130,000.00 in Truat
-- --.-.-.-..--....- ~----
Hnrriebyrg, Penna. 17103 ,
--
'. ,
-- --~. ,
--~- - - ,- ......--- - .. ..__.n. ,. - -
The nbovo bunoflolnrlos om IIvlnu at this tlmo oxcopt for tho following:
NAME
DATE OF DEATH
'. INHERITANCE: TAX SUMMARY SHEET
'R~v,m U)(' (3,801 (~]JREl.~QJ.!S~ ONLY)
PIl. Number, .tl-7_?=.9H!L__.._,-~_~
e.tllte Nllme _..____._.!!~!~~_ING, ..!.~~!!.,.~!._- --.-.---.-~--
Dllte of Deoth 09/15/79" '
. ,____...,..~~.__<.............._.___.._.___'__.~"_+_'_~.~i-.~-~v..-.......---4-
Sl\cllll Security Number _~e:.~~~.~?~.~..,., ......,..,.-. -.----
RepORTOP INHERITANCe 'tAX APPRAiseR
. I, th.~nd'rflgn.d d~ly a~~olnt.d Inh.rltanae TaK Appralltr ill anCl far th. County of, Cumberland
Penn,ylvanla, do ",p.atfvlly report that I haY' appralud th. real and p.raonal properly 0,1 r~ort.d In ,the 'oregoln~
return at th' valutl Itt forthopp"It. eaah Ilem Inth.lalt ool~mn to the right In hhedul., "A", 11&11, "0"; and' II"
Dat.dl _October 30, ~980 lli'k.di{ ) 'iI'((IJj 4" l) "
. , INHftAIT~NCItTAK i\f'f"RA1IHR
INVEMTORY
VA~UIl AS APPRAIUD
ADJUITMIHT5
CODa (HARR1S8URO usa ONl.V)
R8MAIND8R APPRAIUM'HT CODe
-
R,aIPlap'''V (Sah.dul. A)
P."anal Propor'v (hh.dul.e)
Jaln,.H,ld Plap.,'V (Saholdul. II)
T,an.r... (hh.dul. C)
TOTAL ORO$! ASSaT'
'I.... D.b'l and D.du.'ta".
(5CHeOUloa P)
CLEAR VA~UE OP ESTATe
00+
2762 346 50 to+
None lilt
None 10+
, 2,762.34650
~~_+._~__-;,,~..._",r_'_n' _~_~ __....___ uo.~._u_._
.
'M>>-
n.
-
V,aluallan .IWe _".'" .'
annu1tI... , .t-. . I -f '. II t ,tt
Wi
PACTOR
PRINCIPl.ll
VA'l.UIl
'COD8
-
,
l!.Wi..lL$a 11M REGISTER ON~ V
To. an $
To. an $
To. an $
Ta. an 5
To. an $,
E.omp'la".
Totatll.taf. '
\;.Q,Qj!
611
COMPU.1ATIOH Of TAX
$
$
5
$-
$
Uf.
TQ,T~ TAX
INTBRIlST PROM .:.....
OAI.AHCIl
TO
$
$
$
I.... C,irdlt.
OATB Of PAVMIlNT
AMOUNT PAlo Dt5COUNT IHlllR8st
S + $ $ ~
t
+ .
BAl.AHCB $
INT8RBST PROM --:--~ TO ,
8A\.ANCIl DUll $ ,
OJ
; ~,~
~ ~ I tJ) M
~, 1fl ~ ~
0 ~ .
'" ~ l 1 \Q
,"^ ~
. i
' I a <
G' ~
'C:-- Z ~ ,..
::\ \0
f ~ U N ,00
-
~ ~ 0
..., I.Lo
, 0 I l~
~ i 0
z
j ~ '0 (j ~
z 8 ' :J
" ,
f\ \lf~o 11,001 '
;, ~,_OMMONWUA~ Tti or peNN9Vl,VANIA '
, DEPARTMeNT or ReVaNue
TRANspeR INH8RITANOG TAll
, RMIDBNT DeOSDeNT
/
Il
~ , -
/('.c"
SCHeDULE "F"
STATr:MONT OF DEllTS
AND DEOUCTIONS
/JJ' '
... ,/ / (/r;i!'- ~
.---.- _~~Uln.~4l"_~~~~__'_,"","__.;\l"""'"",",""~' . ..., -..
Estate of ,John A. Blessing Dalo af Delllh Sel)tflmber 15, 19'/9
WHEN CLAIMIN\3 THE FAMILY EXEMPTION, COMPLEte THE FOLI.OWING:
Claimant
Rollltlon9hlp to. Deoodent
Claimant's Address
,'-, /~i),_;/(
'.',!!,M - - .- ~_.~ -
NO. OATS NAMB or PAvaa RBMARKS AMOUNT
1- ..l0/2/79 Cumberland Count~ Registor of , $ 157.00
Letters Testamentary ,
Wills- 12 Short Certificatee 12,00 S 169.00
2- 10/9179 Cumberland,J,aw 'Journ'al - Cost of Advertidnn [, Proof of ,
,
Publica tion , 18.,00
3- 'nl?4i79 L R, niahl 1l'lIne,.n1 \1nma _ ~'Il"""Rl ,aa 1\_I\~n "n
4- 'nl?4/79 Pnol 1.nve & ,
AA' It:eA ,
Tn'~ . - P~nf"uAinnAl , "" nn
5- LO/24/79 Pn1 "0' i.n;o MedioAl Q.lm.!;.er _ 'l'h"ee oinl.a nf h1nn.' ~ 'R ,
Botvice 115.00
6- 0/24/7q H01 v Fl"irin Hoen; fA' _ X-Ray Intetlltetatfon" 148 00
0/24179 ' , 1 372.16
7- Anne F. Keller. 1'ax Collecto'r - 1979 SohaalRoal llstate Taxes
0/24/79 ,
8- Anne F. Koller 1'ax Colleotot - Pel' Capfto Tax rot Sarah p, Blessfnll , 15.00
9- 0/24/79 Cumberland CountvRenfater of ,
-
~llS' - 27 Short Car t i Hca tal!. , 27.00
,
0/24/79 , ,
10- SarahD, B1essinll - Reimbursemen t for Sontember
,
, install.men t to. Penna~lvnnia,
Deoettment of Revenue , 500,00
11- 0/2417q n. n1 ;0 _ .t for Relit. .'
, , , ,1 ,
, , , , inu"n11man" nn ," '
,
SOl'vice 8, 2qO, 00
12- I nl?t. 110' h nl, '" - l1nionh, .t "-"- sing, .!lar, tor [,
, , , utility bills naid from personal~
., , funds ,
, 1 1\59.54
...-.......
, TOTAL THIS pAGE I ' S 18 929,'
"
.- -. ---- ..
.....~....~~I~~r~ 1 v"l,.~~,,~~',<_.filI'
- ~- ,-_._.~,-
~~.~~
~\
RCIi"~bD \1.80)
,,~MMONWE^~ Tll op peNN8Y~VANIA
- oEFAlln>1ENT OF IlEVfiNUE
TRANspeR INflEAIT/lNC8 TAX
RESIDENT DBOEOENT
SCHEDULE "F"
STATl1Ml1NT OF DallTS
AND DEDUCTIONS
Estato oi John A. Blosail\8 _Doto of Dueth SoPtember 15, 1979
WHEN CLAIMING THE FAMII.Y EXEMPTION,COMPLETE THE FOLLOWING:
,..;....., File No,
Claimant
Clplmant's Addruss
_ Rolatlonshlp to,Deoedent
I~~~ -. ,
DATE NAM8 OF PAvea RBMARKS AMOUNT
-
13- 10/31/79. _Anna F. Kellar - 'l'a1\ Collee tor Peraona1 '1'U1\ Is, 95.00
1t.- 111O/7Cl Ila,.rtino IIA"~ell &' !tebor - Profae.a.:Lc.n~1 ,,__..,"_d _ n.A..'A"
nn"o"l'n.i n" on 0/7/70' n" 1101,,01 ""i~
, 110 apital 56.00
15- 11/2/79 Patriot-Newa Company - Coat of Advertiaing & 'Proof of
, " Publication , 59.04
rJQt.A ry lrsAR , , ?O nn
, " ,
,
, RESERVE TO PAY 'I'm: FOLLOWlNGI
, ',in 'i- nn"'" to. T~"a' ,
, , 74 605
, Comnanv': Co-Executor's Fee , I 00
- -- ,
Luthur K. Piehl - - Co-Executo1."'S F~e 63 250.00
nna,,'e1.1 ~ Tintnor - A'...,rnI'V' e Foe 71."'05 00
Sa'rah P. Bloaoinn - To'bmilu , ,rion ' onnn.oo
Resorve to File Account - , 500.00
, '
, , "
" ,
, ,
,
,
, ,
.
, ,
, ,
.. . , .
- , ..
I' '.
'. --. TOTAL THIS PAGE I
9215.242.04
I, heroby cerllfy that to tho bost of nlY I\IHlwlodgo and bollof the forogolng ISO Just and truo statemqnt of dobts, funoral
expenses and oxpenses of a~lmlnlstrallol1 submlttod to tho ostate as deductions for Inheritance Tax purposes,
DAUPIIIN DEPOSIT BANK & TRUl:! ' OO~^NY,lliWP LU'l'll ;;.., II; Exeutor,B of the Estaraof
John A, B1eapl.ng .!!l.l ..~. ~'lJ)",..!iX.. II . , (, .
" u ar "Dlela ~ "TUR. or M' 'ORNr,y PIOUOI R r, a e
OF lDIAL USE ONLY
DallTS ANI) DEDUCTIONS ARE ALLOWED IN THE SUM OF $ Jy.31/. 1'9 J a./f AT /., t)" '\I. Is,; Q) PEr1CI1,NT,
,~ I / '9. 7//
t,'",IJ,,"~ 4
WIL. ' . 1,.
. .
,'\\;, ' ,',\'7
~19!j/
',' ! I"
APPLICA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*'
C.oMM.oNW~A~ TH .oP rIlNN$Y~VAHIA
.DEPARTMEHT .oP REVENUE
IlURt:AU .of COUNTY C.o~~ECTIOH$
'___.-....._______.___,-.- .-~-...-_.._~.....,-..~. .u."..--.-...--.-~-...OATe....-io/22i.79.-..--..---.,.
~ (MUST Be FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE,
Appll~atlon 1,_ horoby mado for' oonlOnt to lho tranllor .of tho followlnglOcurlllol of a Ponnlylvanla
Corparotlon or a Natlanal Banking Auoclollon locatod 11' Ponnlylvanhll " '
(a) _1 ~)OO fll~(b) ,11. J ~J!l:!~ljL~':!..L_._,~.___.__.______...n._.n.-..--' (0 )..n..__...Co~m.o1l .----
(NOTE, In dOlcrlbln,p loourltloa ontor In (a), ab OIo,olthor tha numbor of Ihoros, .of stack a,rtlio faoo omaunt .of
reglslorod bonds, In (b), tho name af tho luulng campanyand In (c) tho CIDII of stook .or tho stolod IntorOlt rata
and malurltydoto of rogl'torod band&.)
H/n/?S '
ISSUED ON ' \lnd having a TOTAl.. MARKET VAWE OF f~.l.:~~
(Pata)
as of tho dato of doolh of the docodent, .1.ohn ^. 1I1oaai.tHl , .on___.._..ill.?lZ2.--~
, (Hama ar paaadanl) (D.t. af d..th)
wha wa. late .of 373 No. 2711L.!ltrooL-.....__C1n11\U:Q.l
(5"'" and Humhor) <P,a.t afflO.\
_--S.l!ml?a r l.m1'i..'::...J'.onl'.!!xJ V'.l!l!!L,...-
(C.unty) (St.t.)
The _oourltlOl ate regl&terod CI& followal
John ^. BiassIng
...---.......----..- .------..-------...-.-...,.-.---
,
, --,-
(Ham. .1 nam.. In whl.h .atllll.a'.. are ..glllor.d)
i\~U~) pl\upll!.n llap,oaH Bl\nl~ & 'l'~'uat Co.
no_EXECUTOR,) (t~.m.)
r.o. B02 2961 . t1aniabur~-, }'enhsylVl\nl.u
. , <,Add....).
NAME OF APPLICANT Ol\lI\,hin Dop.os,i,t Bunk & Trust CompanY
, -,r,<r;-!lox"2ffi - I
COU~TV pIC' NU'.ER;IL' Of. <"?r ADDRESS DP APPLICANT 11""'';'"'' p" 171) -" , .I, I
BUREAU FIL.E NUMBeRi---~-_SIGNATURE OF APPL.ICANT ~_ J .. ~);.,-"fIo..):e I
NOTIC!!I ' IP yOU PAl,!. TO PROPIlRl.Y PIl.l. llot AlotY PORTIOlot OP THIS APPI.ICATIOlot, IT WII.I.~T'IUln (vI IliI',; ,
COMSIDIlRIlD COMPl.~TIl AMp WIl.l. B!! RllTURM!!D TO yoU FOR COMPl.IlTION, l\ssl~tI\nl T1w,it Offleol'
.-...-..- ... ._______ ._...~_.___.________ ...0.-.----
--- ...-.--.-.......--.-. ~---.-----..,,-_.....-........~-~--'~~~_.~.__........ ..-.~..
COMMONWEAl.. TH OF PENNSYLVANIA - DEPARTMENT,OFREVENUe
, CONSENT TO TRANSFER SECURITIES' '-;"',1' ,.11:1 l\ (>
DATE-tJ (f\J _, U ,'f
I hero by consent to the transler 01 tho abovo secur1l10& now rogl&lered In the name 01 the afore'&ald
Decedent, and Yialve the IIllngof a certllloate cortlfylng to tho paymont olthe transler Inheritance tax to which
the,property of &ald Docodontl& made &ubloct purauanl 10 the provisions 'of the Aot of Juno 20, 1919, p.'L. 521,
as amended and the Act .of June 15, 1961, P,L.;.373, as amendod, Thl& Is also In ao~ordance wllh Ihe,provlslon&
of the Act of April 9, 1929, ,P,L. 343,
Thl& Consant to Transfer the hotoln doscribod praporty aperate& only In re'forence to tho O&lote of the
ab,ove..namsd Decedent.
'.' , SI~n"od_tlhr is~~:.~ary .of ~:v o,nuo
, By 1- (.V\'\l.U_+...:~(\..}tJ.,,~1. ,
(5Igna'uro) r , '~' ~
o&Q"-J.~'Vy~.~,J. ~J.LW.J1..,-.,~, I
tS'""""l' m~ D. (County) ,"
, .,
COMMONW11Al:Tll OP PENN5YLVANIA
DC~'" rM8NT OP REVENUE
BUR8AU OP COUNTV COU8CTION5
APPLICA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
.__._.....~_~_....~T.__._.__...., ~._.__~___ __.__.........__._....c_____ ,.. '____'__._.___.__..a"r__'" ~'n-'.'_"'~"_"_", ...---__ .._" ~ ,,_ _,_ u '_'. _.___~.__.__._.
, DATE' 10/22/79
Aff.b.lWJ.Q.l:l (MUST BE FILED IN TRIPLICATE) -'-""-' ,
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE,
Application I. heroby modo for conlOnt to tho tran.for of tho following ucurltl.. 0(0 Ponn.ylvanla
Corporation or a ,National Bonking A'loclallun locole~ l,nPonn.ylvanlal
(u) 2000 Shudb)_ WOl!.tln!lh~~!Llnu.~ric-9_~~.!~.___..__.___.__. (c).(Jo~l!lon_'."H_'__"__
(NOTEt In d..crlblng ucu,llI" enter,ln (0)/ ab (l(e, olthor the numbor of .harn of atock or the fdCO amount of
reolalOred bOnd., In (b), the 'naino of the I..ulno company and In (c) the 01011 of atock or tho .tatedlnteroat rate
and maturity dato of reglatered bond.,) .
IssWd2o'~9,1l29/7~~~9W3,3/~/:n5d'havlng a TOTAL MARKET VAWE OF S y~ .<~,;J.,f/d
(00'0)
a. oflhe dale of death of the decodont, John ^. _Bleusing / on_ 9/15/79
(Nomo 0' Do.odo"') (Do'o of d.o'h)
*'
(5tr.., ond Numbo/)
Camp Hill
(po.t Offl.o)
Cumberland Pennsylvania
,who waa lole of
323 No, 27th Street
- -
(Coun'y)
(5'ott)
The IIcurl tlu are roglatered ~. followlI
.Iohn ^. BloBsinL-
(Nomo or "om.. tn whl.h .0,tlll.o'.. 0,. roolllorod)'
'~lPmmm~l DaUllhin DeJ!!l..sl.t Bank & Trust Co. ,P.O. Box ,296l. Harrisbur8,' Pa.
oo-EXECUTOR (Nomo)' (Add,o..)
NAME OF APPLICANT Dauphin Depps:li: Bank & Truat COJ11p.any
P.o. DoX2961. ' '
COUNTY FILE NUMBER :J./. ?9.'f'tL ADDRESS OF APPLICANT Harrisburg, PII.l. nos , ' ,
BUREAU FILE NUMBER , ' SIGNATURE OF APPLICANT ' &ddn- 7'JLILie
NOTICEI IP YOU PAIL T,O PROPERLY, PILL IN ANY PORTION OF THIS APPLICATION,IT WILL HOl"IiB.I1, h~ 11;'\<0'
CONSIDBRED COMPLETl! AND WILL BE RETURNED TO YOU POR COMPLETION, ^,,:,I',j,1I11 llll',\ '.lfiOl'
COMMONWEACTH OFPENNSYLVANIA - OE.PARTMEj:n oj:: REVENUE .
. ' ',CONSENT TO TRANSFER SECURITIES ' '., 'DATE (t) VV (~, /1.17
I hereby oonllnt 10 the ,Irana'or of the above "Qurlll,a now reglatered In th, name of the aforuald
Decedenl. and wolve ,the filing of 0 certlflcato certifying 10 the paymont of the Irana'er Inheritance taM to which
the property 0' aald Decedenl I. modo .ubloct purauant to the provlalons of Ihe Acl of June 20, 1919, P.L, 521,
as amended and Ihp Act 0' June IS, 1961, P.L. ~73, aa amended. This la alao In accordance with the provlalons
of the Act of April 9, 1929/ P.L, 343,
Thla Conaont to Tronafer the horeln d..crlbed'proporty operatu only In referonce to the utate of the
obove.namod Decedent.
*'
, SI~ne~.t:: a~~t~r! of R:v,nuo
By' ]jJ~.~~-
i, ,(5IO"0'ur) I ~ (\ ^
~Q. ....J'_..I.~A ._3::\Q!i~:L;L\L~tL~.u...\.:..~ 'NJ~~ 1,
~~t1.) 0 ' (f)>un'y),\
, I' ~,
COMMONWBH lit OF PBHH5nVANIA
P""~~TM8NT OP RBV8NUE
IlUR~ "U OF COUNTY CO~~IlCTIOHS
APPLICA TION FOR AND CONSENT
TO TRANSFER SECURITIES
. REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*'
_~~_~"~~'.""""ru_-....__<._.._...,-.>......................"~,, _~"n'cu.__..__.,_..~._,,"_.-'--"-"~.~__ __~..u_'c'" __,_,_'"'_~.'U"'
.-...__......__,...,.._,.,.,...:._ n.'...__._ ______..~~~_l___r"'~
~ (MUST BE! FILED IN TRIPLICATI!)' DATe~!?./22129~__
TO THE PENNSYLVANIA DePARTMENT OF REVENUE, '" '
, Application II horeby mado for conlont to tho tlnnlfor of tho following locurlllOl 0/ a Po~nlylYanla
Corporatlan or a National Banklno Alloclatlon locatod In PonnlylyanlQt
(aL.-.-3.~oo Hhs I(b) At.~~tl'o.."1\ (}o...1~. Co., ,_,_..._~~_,_____._-'_ (c)",-~?~2:.
(NOTE, In dOlcrlblnp 10curltlO, I ontor In (a), ob 010, llllhor tho numbor of ,horOl of slack or tho foco amount, of
roglltorod bondi, In (b), tho namo of Iho IlBulngcompany and In, (c) tho clan of stock or Iho Itatod Intornt rale
and maturity data of roglltorod bondl,)
2/17/77,2/24/77,12/13/77,3/23/78
ISSUED ON----312/tl78 , ond haYing a TOTAL MARKET VAWE O~$..)',/..) )~O C-
(Pu,.) ,
al of the dall, of doothof the docodent, John A. Blo.lls!l1g ~ , on 9/35/79
(Nart1, af D..,d,"1) (Dut. .f d.atll)
who wal late of
32'3 No. 27t:h Stroel:
------,.
(5tr..t .nd Nurt1b.,)
Camp Hill.
(P..t OH,..)
Cuinho.r1.lll1d Pel1nsYl~ul1ill
(CaunlY) (St.,.)
The IOcurltlOl are reglstorodos followl' John A, nl.o.!l.!lJ..lllL___c___
(Nurt1' a,r nOrt101 In whl.h .."11,1'.1.. .r. '.ol.tlr,d)
lMaM1:l!I1$<m~ Dauphin Depo.sit Bunk I> Trust Co. I P.O. Bo.x 2961 11ll1(risburgl PonnsYlvllni,1I
0" E!XECUTOR ) '(H.';;;;) ~ (Add,...) I ~-
NAME OF APPLICANT Duuphin Depo.Bit Blink I> ~'rUBt Ca.
, . ' l'~oi(196t -..,...-
COUNTY FILE NUMBE!R.2/..7, 'I. $'7 r ADDRESS OF APPL1CAN, T HarriSburg, 1'4. 17~105 , ~ II
BUREAU FILE NUMBE!R___-~___SIGNATURE OF APPLICANT .",' ~ :4u't4'
NOTICEI IF,YOU FiliI.. TO PROP~,RLY PII..L IN IINY PORTION OP nus IIPPLIC~TION, IT WII..L.N '.1'fP>E':m M, 'IaKIl
CONSIDERED COMPLETE IIND WILL. BE RETURNED TO YOU POR COMPLETION. l\o"I~lllnl "flll,,',,\ Iff/nOI
~ ' ,~
~,;,.. -.... .
COMMONWEALTH, OF PENNSYL VAl'll A- OEP ARTMENT OF REVENU E
CONSENT TO TRANSFER SECURITIES "P'ATE.JJ!JV (I Li!2fi
I heroby conlOnt to Ihe transf,r of tho obovo seourltles now 'reglsterea In the namo o/.the aforesaid
Decedent an(wolye tho flling'of a oertlflcato certifying 10 the payment of the transfer InherltMoe tax to which
th.proporty o,f lold'Oocedent Is made subject pursuant to the provlslo"s of tho Act o/June 20,1,919, P.L. 52,1,
os amended andlho Act of Juno 15,1961, P.L. 373, 01 omended. This Is olso In occordonce with th'e provisIons
of,th. ,Act of April 9, 1929, P,l.. 343.
This CO"lOnt 1,0 Tronlfer the horeln dOlorlbed property operates only In reference 10 Ihoutote I)f tho
above.namod Doce~ent,
!'
.. " , ',' S,~~2e.'~ fa the So c~~t,ary" of ,Re,~onue
,', By" .cv ,..~ ';oJ, 0".,. I
, '~(5Ien.lu'.) I'
.~.,' ~ ' ,
,. Q . ...,,'fl, - "
, oJ. (;z" !:!\'~dLW., ,'^ I ,_~__
!, \\,'" (1(!y1.) 1 - ~.unty)
.
L
COMMONWIMl. TH OF peNN5V~VANIA
Or.rARTMEHT OP REVENUE
aURtAU OP COUNTY CO~LECTlOfa
APPLICA TION FOR AND CONSENI
TO TRANSFER SECURITIES
,REGISTERED IN THI; NAME
OF A RESIDeNT DEceDENT
'*
'---'--'.~--'~'--"~T____'_~_"_~'''.~,-'-+-~7~"U"-''''''''--'' o--.--~.'"_'--;-".. _ ~____~_'~_.'"'__..___
~ (MUST~~ FILI!~ IN TRIPLICATE!) , D~Te.JQJ.~,2jJL_~
TO THe PENNSYLVANIA DEPARTMENT OF REVENUEI .
Apllllcotlon "I horeby modo for c OI\lOl1t to tho tl<<nslor. 01 tho following socurltlol of.~ Ponnlylvonlo
" Corporation or,a Notional BonklngAliaol,allonlocatorl,ln Ponnsylvanlal
(0) 1000', ,aha" (b)-1'.!1illtdelp,t1.!JLNIIEi0!1!.\L9()!'hu'_m,'u.,u.....u, (cL9,pummon...,c__,__~,~_,,_
(NOTE I In'doacilblng ncurlUtI onior In (0), ab 0/0, olthor tho rlu/IIhor of shorlls ,of stock ,\H tho faco amount of
reglltered bondi, In (il), the nom. of tho ,lu\llng qO/llponyond In (e) tho CIOSB of Ilac,k or tho slntod Intorut rote
and ma\~rlty do to of rogllt.r.d bonds.) " '
ISSUED ON 8/6/74 , and haVing a TOTAL MARK ET VArLUE 01*$ _~~,_Y-.3u7_.j:::~.~
(D.,.) . . ,
olOf the dot. 'of death of the decedent, John A..' B1_ClsB.!!lS_'u._.u._....,.__.__., oL_~L15/79 ______'-
(H.m. D( D...da",) , (D.,. .r d".lh)
who wOllate 01- 323 No. 27th She!!.E,....,_._.9!!!)l.RJIHL__
(5',.., ."d Numb,,! (Po.t Off/c.)
The securltl.. are regIStered 01 fo"owsl.2~~~Ao..~~.]~~~~.!J_~m.. HH""h..~._~,.._~,~~__.
(Ntll;tll Ot namO'. 'n whlcll,c~ftlflcnlcl' tuo roglttu,.d)
-.--,., .()~l1fullt:~l!g~,._"_._r.!lrtn.!Y1Yania .
(Caunty) ,,(S'.'.)
, MltIi~Rl,DaUPh:Ln ~epos~~~ 8. Tr~,'!.~_})O-'-~~~~~~()lI.J?,~~_~.I~rri!bll~ll..'....P~~n'::. '
,Co-eX~c(ifo~----' , ' (N.mo) '. , ' (Addr...) ,
" " NAMEOt= APPLICANT~~g~J.t~~lt~~~~~_~~Jlan~._~!~us!"Co. T-
CO' UNTY FILE N'U E ., ..." j';?l. D 'E'SS' 'L .Harrisburs. Pa, 17105 "
, ' MB R,~" I " A, DR, OF APP ICANT..___...m...'......'".~~__I2_." ,. ,Ii
BUREAU FILE NUMBER._ ' -_SIGNATURE OF APPLltANT~__~_.__~d.rA."..7k:... ~~
HOTICE, If YOU FAIL TO PROPERLY FILL 1,1'1 ANY PORTION OF THIS APpLICATION, IT WI~L NOTllll(l/1 M" "'ilkl)
CONSIPSRI!D C;PMPLIlT& AHD WIl.l. BE RETURNEDTP YOU FOR COMPl.ETION.^~.h,I"f11 :rnM ,)'~'icor
COMMONWEALTH OFPe-",'NSYL.-VANlf:-OEPAR'TME'NT"'OF REVtlN-UE
, , , ' , ,CONSENT T9_.TR~tI.~~.RJ.ECUlJl!.~S, DATe~i..1 9') ,
Iherfl~yconsent'to tho Ironder of thq above seaurltlfls ~ow raglstored In tho namo 'If theaforosold ?
D~ced~nt and Wolve tho filing ola ~erlllicate cort!lYlng I~tho paymont of 'iho trqnsfor Inherllanco taK'to which
t,he property 'of sold Decodent II modolu~loct purluantto tho provisions of tho Act of June 20,:1919, P;L. 521, .
III am.nded and the AClo(Juno 15, 1961, P.L, 373, OS nmonllod, ThiS,ll also in acoordnnoe with the provisions
of the Act 'of April 9, 1929, P.L, 343.
, This ,Conlentto'Tran.sfor,theheroln doscr.lbod proporly operolo$ only III roloronco to the o,tate of tho
above~ndmed Decedent.
-------------.------....... ..-:-.~'~~-.~-~~._u.._~..._~-'-'---r-__.."~n...__ ._
.
SlgnOt.,!" :d,thoo9,r,o ,fil,' ry of Rovo,n, u~ " :
l___ '-'. _. ' :J . ',- __ ..
By 'L..t1..' , l~I?JY?~:'6/.j.A.,"" Q .'.., '
"", ",\' "~ ..)510, n(lf"tO), "Jl" (" J~
( "'LV?' ., ".:""" ). :>' ~.~^'v
t ~" ~J\lJI'I'\Akll,~JL '__~'_"_ '", . ~^( I
, lo\i" tj QUnly) ,.\
~, -. ,
' ,
flC(>ll i,.t>lll
COMMO.IWCA~ nt OF FEHHSHVAHIA
DF,PMTMEHT OF ACVEHUE
UURE/,U OF COUNTY CO~~~CTIONS
APPLICA TION FOr~ AND CONSE~IT
TO TR^NSFEr~ SECUr~ITIES
REGISTERED IN TilE NAME
OF A RESIDENT DECEDENT
~,
~ (MUST BE FII-I!D,IN TRIPI-ICATE) "
TO THE PENNSYLVANIA DEPARTMENT OPREVENUE, : '
, Application II horobymada fOrCtllS0nllo tho trnns/or oltho followlno socurlllos olll POl1nlylYtlnlo
Corporation Clt a National Banking Auoclotlon lacatod In Ponnsylyoillol
(a) 3166 Shll. "Jb) Dallphin yafllllit a~.1:!~~':~t::~:~_~....".,_..,._.+__._. (p)_ o~~".\~~____.___.c~_
(NOTE, ' In doscrlblng socurltlos ontor In (0), ah 010, olthor thopumbor 01 shoros 01 stQck 01 tho loco amount iiI
IlIglltorod bondi, In (b), Iho name 01 tho luulng company and In (c) tho clnn 01 Klacl, Qr tho stotod Interosl rota
and moturlly dato 01 reglslered bonas.) ,
ISSUED ON ~otl1Br J!11l.fL-._, and haYing o TOT AL MARKET V AWE OF $ ,lP1-CJi: JI1___~-,_.__
(D.t.) , . ~
aa 01 tho date 01 death 0.1 thp docedont, John A. Dlo.~~.~l1[L,-,._.u..____...___' on_.1l1.?j7~___~~.
, , (N.mo .ID..oel"nt) , (Obla of d.alh)
DA TE -J O~.W]2H_"_'_
who was late 01 323 No." 27th Street
(Stro.' .nd Humbor)
Camp Jl;I;l!~_,__._.... _m.q~I.In.I:.~E.!n.n5L._..~~onn!!~!Y..l!~1 ia
(P~II Offl.o) (Counly) (S,.t.)
Tho securities are rOlllstored as 101l0wSI_,rQ.ll1LIb...J!1&~~:~llg,,,_,,.....__...~~_.,_.__~.,
(Name or "<lmoa In which cortlflcnfoa uro fU(Jhtorod)
~~lImI. D/luphin neposit,.~~ (, 'i'rust ~~__ P.0:.2(l:<_29~L_H/lrr~ab~.t.r~!h pennl\."L-.___
CO EXECUTOR. )., (H.m.) , .' . (^dd,.lIr ' " , . "
", , , ' NAMe OF APPLICANT~!\~PJ1Jn.J?~p'!,.!!.;lj;:...!!.I!M (, Trust com..lll\llY..
, ",u, !,lox .96.1. ~. /k ~
COUNTY FILE NUMBER J/- 7'1. j"2L_ ADDRESS OF APPLICANT.lIl\!r.!~!>1l!.BLPadl105. i,'..-t;,.... J
,- I"'frn ,"II ' .---, ct..~ '
BUREAU FILE NUMBER 'SIGNATURE OP, APPLICANT ________ Ar.'I!;;"",' 1",1;;'/ ~;;~I:r.
HOTICEI IF YOU PAIL TO P~OPERLY FILL IN ANY PORTION.OF THIS ApPLICATION, IT WILL NOT BE, '
CONSIDERED COMPLETe AND WILL BE RETURNED TO YOU FOR COMPLETION.
.. _.---".~._u.__.T""
, COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
," CO~SENT TO TRANSF~lLSE~..uR.rTIES, DATE C\4(;'IJ l_. (1~r
I hoteby consent to. the tronslor of tho abovo socurltlos now roglstotod In tho nomo 0.1 th~i'd" ,
Decedent ~nd',walye the IllIng ~Ia .cortlflcoto cortllylng to the paymontollhatronslor inherltanco ta~ 1'0 whlah
the proporty of sold Decedent III made sublogtpur,suant to tho provisions 01 tho Act 01 Juno 20, 1919, P.L. 521,
01 amended and the Act 01 June 15" 1961, P.L. 373,0& omondod. This Is also In accordo~co with tho provisions
01 tho Actol April 9, 1929, P,L. 343.
This' COnsont to Trans/er Ihe hllleln doscrlbod proporlyoporplos on'ly In re/oronce to the oslato Q/ Iho
,. . , j, "
above.nomed Decodont,
I
s~gno~~. r IhOtSecr~taryol R...e"Y oruo'
"~, ., . , f't,_ ~ D Vv)('.:l.Afo.' '
~m... ..BY. . .- .ULl:ll. .uJ';;~.I'~0aib-u..".,
, "', )'.\\ ..-1 ", ....lsl~n.uro,)Ji.. {'~' .g'
c\\J )L\\Jv' , f "" --. ':1
. ~.~..I. .d5/!. 41,~JJ+-t1Lu ......___,..... .0: .
\\ I [tl~a) ~ (County) .,
21
13
1
t980
4
April 11
April 11
April 11
, April 23
May 6
William J. Daylor, Appra1sal of Real Estate
Pa. Department of Revenue, 1979 State Fiduciar'y~ncomeTa~
Internal Revenue Serv1ce, 1979 Federal F1duciary Income Tax
Cumberland County Reg1ster,of Wills, Fil1ng Inventory and
Appraisment, Debi ts and Deudctions and I nheri tance Tax '
Notary Fees, FH1ng Inventory, Statement of Debts and
Deduct10ns and Inheritance Tax
Internal Re,venue Serv1.ce, Federal Estate Tax
C4mberland County Regis tel" of W11ls, Ba lance Pennsyl vania
Inher1tance Tax
Reserved'forPavment of the Fol1..lOO.D.Q,1
Reserve for F111ng Account,Notaries, etc.
, ,., I','
Dauph1n Deposit Bank and Trust Company, Co-Executor's Fee
~uther K. D1ehl, Co-Executor1s Fee
Berman, Boswell and Tintner, Attorney's Fee
, '
Sarah D. Blessing, Fam1ly Exemption
TOTAL PRINCIPA~ DISBURSEMENTS
~IPAL DIS~IONS TO BE~E~ICt~
Sarah O. Bless1ng, 1978 Cadll'lac as per Item'Second
of the W111 ,
David D. Brenneman, Bequest under Item Fifth of the Win
Donald A. Brenneman, Bequest under Item Fifth of the wm
Ro~ert A. Bless1ng, Bequest under)tem Fifth of the W111
Wl111amG. Blessing, Bequest unde,r Item F1fth of the ,W111
'Dauph1n Deposit Bank .and Trust Company and ~uther K., D,1ehl
Trustees, for the Benef1 t of ~hel1a E.Young, Bequest under
. Item Fi fth of the W111
. ,.', '
I 'u' i'. I',.::': ~)~J'l,
. \ol;,i..i\ "",..lot ,..0"
$ 126,00
60B,00
10,060.00
16,00
2,00,
362,664,00
10,830,49
600.00
74.606.00
63,260.00
74,606,00
2,000.00
} 80B ...dJ.B, 66
$ 1,200.00
100,000.00
100,000;00
100,000.00
100,000.00
100,0.00.00
j'
D~uphl n Oepos,f t Bank and Trust COJ11pany Md Luthe,rK. Diehl,
.TrUstees for the'Beneflt of Sara J. Wilhelm, Bequest under
Item Fifth of the Will .
Oallph1n OepQsit Bank and, Trust Company and Luth, er k.Diehl.
Trus tees for the Benefi t of Ma ry F. Bl ess i ng ,Beques t under
~i 1" t Codi 011 to the wm . .
6
6,
,
State Street Un1.ted Methodist Churoh, Bequest undjlr Item
Third of. the Will ,. '
Harris~urg Polyclinic Hospital. Bequest in Trust under Item
'Fourth of the W1ll
TOTAL ADVANCE DISTRIBUTIONS
22
28.
1979
Oct. 10 Dividend
10 DiVidend
19 DiVidend
19 'Dividend
23 Interest
23 Interest
,
,23 'lnterest
,
1 Dividend
2 Interest
2 Interest
2 Interest
~'
Square D. Company, Common
Dauphin Deposit corporation, Common
H. J. Heinz CQmpany,Common
Ph1l1 pMorr1 s, I nc, Common
Eas tern Lebanon. County School Author1 ty. 6.26%
Scho'ol Revenue Bonds, ~er1 as 1971, due 10..1-B9'
Northeastern York County School Building Authority
6,6% School, Revenue Bonds , Ser1 es 1976, ,due 4.1-86
, Upper Moreland-Hat~oro'~o1 nt Sewer Author1 ty6%
Sewer Revenue Bonds,. Series 1975, due IO-~-84
General Electric Company, Common
, ". '."" '..'
Radnor Township School Authority 4.85% School Revenue
Refund1 ng Bonds, Serfes 1971, due 11-1-87, .
Plymouth Townsh1 P 6% l!nprovelllent BOnds Seri es 1971
due6-1-BB .
,
Oownington Area School,.Dhtl'\1ct 6.6% General
'Obligation Bonds Series 1976, due 11-1-~B
L\"..i\
. ~~ u I"vt 29tJ
-7-
$ 100,000.00
30.000.00
10,000.00
1QO.099.0Q
.$ 747.200,09.
$ 760.00
1.899.60
660,00
500.00
6B.33
72,22
63.33
1 ;060.00
164.93
169.72
17B.B9
2 Interest
2 Earn1 ngs
13 01 v1 dend .
.13 01 v1 dend
13 01 v1 dend
16 D1v1dend
16 P1 v1 dend '
16 D1v1dend
21 '01v1dllnd
. 23 Interest
23 Interest
29 . D1v1dend
29 . 01 v1dend,
3 .Earn1ngs
4 Q1 v1dend'
4 D1v1dend
5 Interest
5 Interest
6 Interest
5 Intllrest
1 01 vi'dend
,
Bethlehem C1ty 6.6% General Obllgatlon Bonds,
Ser1es 1975, due 5.1~94
u,s. Treasury Dally Rl/Purchase Agreement to
10-31~79 '
C1t1corp,Cap1tal '
L1ncoln Natlonal CorP. Insurance Company, Capltal
RlteAld Corpo\"atlon, C01l1ll0n
Amerlcan Express Company, C01l1ll0n
Br1stol Myers Corporatlon, ,common
Colgate P~lmol1ve Company, C01l1ll0n
Procto\" and G~mble Company, Common
Pennsylvania CO!M1onwealth 6.10% G,eneral Obllgat1on
Bonds, F1rst ,Serles S1976, due 11~15.86' ,
Pennsylvan1a Commonwealth 5.76% General Obllgatlon
Hlghway Bonds, Ser1es T, due 11~15~92 '
Caterp1llar ,Tractor Company, COlrrnon
Scher1ng Plough Corporat1on" C01l1ll0n
U.S'; Treasury Dany Repurchase Agreement to
11~30. 79 . "
Armstrong Cork Company, Common
Amer1can Home Products Corporation, Common I
,
Br1stol Townsh1p School D1strlct Author1ty 4.70%
schoo 1 Revenue Bonds, Se,r1 es 197,l,due 6. 1 ~81
,.' !.I'
Centra 1 Bucks Jo1 nt schooi Bulld1 ng Authorlty 6.50%
School Revenue Bonds, Ser1 es 1971, due 12.1-87
Sprlngettsbur.llrownshlP Sewer Authorlty 5.6% Sewer
Revenue Refundlng Bonds, Serles 1971, due 6-1-87
West Shore School 01str1ct 6.4% ,General Ob11gat1on'
Bonds, Serles AA.1975, due 6-1.87 .
Westlnghouse Electr1c corporat1on, Common
~),Ol
Lh".ti ..,.'CJ f'IJE ,..., ')
$ 168.67
, 509.34
650.00
700.00
325.00
540.00
576.00
540,00
610.00 '
, Z03.33
.191.67
630.00
360.00
1,408.26
550.00
600.00
, 248.06
295.66
296.66
270.22
,. 486.00 '
, 1
11
11
11
11
12
13
, 13
18
18
20
20
3
3
4
4
4
4 '
4
4
Dividend
01 v1.dend
Dividend
Dividend
Dividend
Interest
01'.'1 dend '
Dividend
Div1dend '
Dividend
Interest
Interest
Dl'.'1dend
D1v1'dend
Dividend "
~arh1 ngs
Dividend
Dividend
Dl'.'1dend
, 01 vi dedll
Dividend
,
Dividend
'01 vi dend
,
" Weyerhauser Company, Cotrrnon
011n Corporation. C0ll1110n'
, ,
Kraft Inc. COlTll1on
Standard,011 Company of California
Emerson Electric Company. GOlTll1on
, ,
Penn Hills School Authority 3.9% School BU1lding
~evenue Bonds, due 12-1.06 '
, Mon'anto Company. C0lTll19n
Minnesota Min1ng And 'Manufacturing Company, Common
Genera,' Motllrs, Corporation, COl111lOn
Standard Oil Company of Indiana, Capital
PennsylVAnia Commonwealth State, Highway and Bridge
Author1 ty 4.6% Bonds, due 12-16.86 "
PennsYlvania ,Commonwealth State Highway and Br1dge
Authority 3.10% Serial Bonds" Series 1963, due 12-1~-8~
Lone Star Industries, Common
K1 ngs Department stores ,''Inc: COlTll1on
Pepsico, Inc .Capi ta,
'u.s, . Treasury DailY RepUrchaS\l Agreement to 12.30-79
Amer1can Telephone an~ Telegraph Company,ColTll1on
Eas tman Kodak Company, C0lTll10n '
InternatiOnal Tel,ephone and Telegraph Company, COlTll1on
Philadelphia Natlona,l Corporation, COll111on
Xerox Corporation, Co~on
Square D company, Common
Dauphin Deposit corporation, COll111on
l' \ ~'U' I',',,:" !H,J;.I.
i,l..1 .... ...\0 ~ ,...
.9.
$ 466.00
600.00
800.00
1,200.00
480.00
206.83
8~0.00
600.00
1,600,00
760.00
226.00
226.00
700.00
662.60
670.00
,1,129.39
1,760.00
77,0.00
600.00
660.00
360.00
000.00 '
1,899.60
.-'-,
2 . Interest
2 I nteres t
2 Interest
2 Interest
2 Earnlngs
16 I nteres t
16 Interest
3 Interest
3, Interest
3 I Ilteres t
3 Interest
3 Interest
3 ElIrnl ngs
17 Interest
1'7, Interest
1 Earnlngs
2 Dlvldend
2' Interest
,
Bethlehsm CHy 6,6% General Obllgatlon Bonds',
Serles 1975, du~ 5-1-94
Oownlngton Area S9hool Dlstrlct 5.6% General
Obllgatlon Bonds, Serles 1976, due 11-1-88
RadnQr Townshlp School Authorlty 4,85% School
Revenue Refundlng Bonds, Serles 1971, due 11-1-B7
Plymouth Townshlp 5% Improvement Bonds, Serles
1971, que 5-1-88'
U. S. Treasury Dally Repur9hase Agreement to 4-30-80
Pennsylvania Commonwealth 6.10% General Obllgatlon
Bonds ,Flrs t Serl es S~ 1975. due 11-15-86
'Pennsylvanla Commonwealth 6.76% General Obllgatlon
HlghwarBonds, Serles T, due 11-16-92
Br,1stolTownshlp (pa) Schoo,l O'fstrlct Authol'1ty 4.7%,'
Bonds" serl es 1971, due ,6-1..81 Schoo 1 Revenue
Central Bucks, (pal Jolnt Sehoul' BUi1dlng Authorlty
, 6.6% School Revenue BondS, SerlesI971, due 12-1-87'
,
PlInn Hl11s School Authority 3.9% School Bulldlng
Revenue Bonds due 12-1-86
sprlngettsbury Townshlp Sewer ~uthorlty 6,6% Sewer
Revenue Refundlng Bonds, Ser,les 1971, due 6-1-87 .
Wes,t ~hore School D1strlc;t 6.4% General Obl1gatlon
Bonds, Serles A~~197?, dUe 6-1-87
U.S, Treas\lry Dally Repurchase Agreement to 6~28-80 .
Erl e (Pa lIlTlpl'ovement 'Bonds 1\.6% due 6-16-8,6
Pennsylvanll1 Commonwelllth 'State Hlghway and 8rldge
Authorl ty 4.6% Bonds due 12-16-86
Dauphln Deposlt Master Savlngs A9count
Dauphlh Deposlt Corporatlon, Common
Lower Makefleld Townshlp 6.1()% General Obllgatlon "
Bonds, Serles 1975, due 7-1-86 ' ,
Lt.... 'L IJ I..JE 29::),
-12-
$ 660.00
7pO.00
606.26
625.00
22,008.89
610.00
675.00
687.60
700.00
487.50
700.00
640.00
,13,'458.78
460.00
450.00
199.81
699.60
762.60
;1;
1 Earni ngS
2 Interest
2, Interest
, ~ Interest
2 Earnings
3 Earni ngs
6 Iilteres t
6 IntereBt
6 Interest
6 Interest
16 Interest
! ~6 Interest
U.S. TrellSury DallYRepurchase Agreell1entto, 9-30-80
Ell$tttrn te~anon County (Pa) Authority 6.26% School
Revenue ~onds, Series 1971, dUfll0-1-89
,
Northeutern York County I School Bufl di ng ~uthori ty
6.6% School ReVenue Pond., Series 1975, dUll, 4-1-86
I UPPer Moreland-Hatboro Joint Sewer Authorl ty $%
Sewer Revenue Bonds, ,Serles 1976, d~e 10-1-84
Dauphln ,Deposlt Master Savlngs Account
U.S. .Treasury Oally Repurchase Agreement
Bethlehem, Pa6.6% General Obligatlon ,Bonds due 6-1-94
DOl'lningtown Area (Pa) SohoolDhtl'ict 6.6% General'
Obligatton Bonds due 11-1-88
Plymouth Township 6% Improvement Bonds,. Sel'ies J971,
dUeS-l-SS'
Radnor Township schqol AuthorltY'4.86% School Revenue
Refundi n9Bon~s. Serles 1971, due 11-1l"B7, '
PennsYlvania Co~onweal th 6.10%, Genel'al ,Obl igation
BondS, First SeriE1s 5-1976, due 11-16-S6
,
PennsYlvaniaCo~onwelllth 6.76% Genel'lll Obligation,
Highway Bonds; Series" T, ~l-le 1,1-16-92 '
TOTAL INCOME RECEIPTS
,
~
"
18
OauPhln Deposh Bank end TrustColl1pany, ,Income
COllllll IS ,1.9" at 6% ,
i 1980
-.,
j,
Dauphln Deposit Bank and Trust 'Company, Income
COllllllssion at 5% ' , I,
, DallPhin Deposit ,Bank and Trust Company, Income
COlllllission at 6~
18
17
Li.." I i..i:J /'ii~t 291 '
-14-
$ 9,207.96
666;25
812.50
600.00
76.30
11 ,146.07
660.00
700.00'
626.00
606.25 I
610.00
61.5.00
Ll9~.51.9.26
$
132.48
1,686.36
2,866.22
".
, ;'
24 Relmb. Sarah aless1ng for payments to Mary F, Bless1ng, '2 ;2~0 .00
from 9~ 79 to 5~80 $
17 Da~ph1n Deposl't Bank and Tr~st Company, Income
C0l1111hs10n at. 6% ' 2,673.10
29 Dauphln Deposit' Bank arid Trust Company; Tall Prep~rat10n Fee 20.00
17 Da\lph1n Depos1t Bank and Trust Company, Income
COI11lli 55 1 on at '5% 1,673.68 ,
31 ' $arah Blesslng, Distrlbution on Acoount of I ncoma 93,000.00
11 Sarah B1e5511\g, phtrlbutiondh Account of Income 28.09Q.oO
TOTAL INCOME DISBURSEMENTS ~ 132.299.84
SUM M A'R V
TOTAL PRINCIPAL RECEIPTS
TOTAL PRINCIPAL DIS8URSEMENTS
TOTAL AOVANCE DISTRIBUTIONS TO
'BENEFICIARIES
TOTAL INCOM RECEIPTS
TOTAL INCOM DISBURSEMENTS
$2,826.306.68
$ 808.41B.66
747 .200.00
$ 195.519.25
132 .299.84
1.556.618.66
$1,270.688.02
63.~19.41
1.1,333.907.43 '
J!ALA,NCE CONslsrS OF.1J:lliQl:bOWING
'PRINCIPAL
Cash!
-
',,:
$ 646.Q42,.87*
,
$ 20,.000.00
Securi tin:
Bethlehem (Pal 6.6% General Obl1gation Bon~s. 'Ser1es 1976
due 5~1~94
Downlngton Are,a (Pal SOhO,01 District 6.6$ Genera10bllgat10n
Bonds. Serles 1916, due 11~1~8B
.'
21,117.40
24.146.76
"
L:,;"H '-~ u l'l~t 2~)"
.15~
$ 26,000.00 Lowf,ll" Makef1eld TQWnship (pa) "e.lO%General Ob1'1gatfan Bands,
" $er11,1$1976, due 7~I~e6 ," .
PennsYlvania Cbfm10nWealth 6.10% Genllral Obl1.gat1an Bands,
P1rlt,$el"iea S..1976. 'due IH6~86 , .
Pehns,ylvania,conrna"wealt,h 'a. 76%, General Obligatian Highway
,Bands. Series T, due 11-16-92 . .
"
Penn~.Ylvanfa Canrnonwealth 6.6% General Obl1gatiCln Bands,
Secand Series r"1976, dUe N6~87
Upper' Daup, hin Tawnship (pa,), $chaal District 3.65% Geno,ral
ObligatiDn Laan NO'. 27,d\le 9-1-81, '
we"st, Sh,a',re '(Pa> $Ch, a, 0'1 Phtrict6.4% General,Obligatian
BDn~s, Series AA"I~75, due 6..1"07 .
$ 25,000.00 .:,wes,tSha,re {Pa> , 6,.4G~ ~eneral ObligatiDn BDnds', Series
' AM"1976, due 8..1..89 .
$ 25,000.00 Bristol Tawnship' (pa) Schaal Dhtrfat'Autharity, 4.70%
S,chaolDfstrict Bands, Series 1971; ,due 6..1-81 .
,
BUcks County (PaLWater and Sewer Autharity ,4.9% Revenue.
Bonds, ,Series 1968, due 2..1-Q6. , ' ,
$ 25,000.00. Central,'B,u,CkS (pa),JDin,t SChOO,'" 8\1ildlng,Authority 6.6%
Schaal Revenue Bonds, Series 1,971, due 1~-1..87 .
' , i'
$ 20.000.00 ' Cumberland Va"ley {Pal JQint SchaD1.Authar1ty 4.1% Bands
~\le 2,,16~82 ' .
$ 25.000.00 'Eastern Leban~h Ca\lnty (Pa)A\lthDrity 5.26% schoO' I AuthDrity
, Schaol Revenue Bonds, Series 1971. due 1O~ 1-,87
I. ,
',Erie (pa) ImproY$!1lent BDnds 4.6% due 6..15"'86
. ,
Hatbaro..Harsham (Pa) 5. n~oi,n,t'SphoD'1 Author1 t,y Revenue
Bonds. Series 1971. ,due 3~1..86 .' ,
Montgom.I",yCollnty Area Vocationa 1 1ecH"i ca I School AuthDrity
6.25%Scha01RevenUeBonds, Series 1975. dUe2~1-90
Muhfenb,ergfJownship ,SChDD,lDistl"iet AuthDrity 4.4% SChoQI
'ReVenue Bonds. Seri eS19rl, .,due 8"16-82 .
' , , "
Norr1stownArea SChool Authority 4.10% SChool Revenue
Bonds, Second Series '1967 . ,due 7~15"~5 .
$ 20,000.00
$ 20,000.00
$ 25.000.00
$20,000.00
$ 20,000.00
$25.000.00
$ 20.000.00'
$ 25.000.00
$ 25,006.00
i"
,,, ;
, '
-16.
': .'" I,,'u'" 1)(,I!1.I.
k~i'~11 _ \J 40 "'fJv.:J.
f
19,m.aQ
1a,3~9.eo
25,307,.76 .
18,975.60
"
20,725.60
26,657.50
'24,37,2..75
'24 ~327 .26
24,979.76
,.
19.200.60
2~,387.75
17,861.00
2~,292.00
, '
26,007.75
18,~78.80
21,929.60
$ 20,006.00
$ 26,000.OQ
$ 25,000.00
$ 25,000.00
$ 26,000.00
$ 20,000.00
$ 25,000.00
$ 20,000.00
$ 25,000.00
$ 26,000.00
$ 20,000.00
$ 26,000.00
$25,000.00
$ 25,000.00
$ 26,000.00
$ 20,000.00
$ 26,000.00
Wes't Sh(lr,e (pa) Scl1(101 ,Distrlct 6.~%General Obllgatlon
Bonds, Serles AA~1976, due 6~1~87
q. - " - ,. , .,
West Shore (pa) 6.46% General Obl1gatlon Bonds, Serles
AAA~1976, due B~1-89 '
Bristol Townshlp(Pa) Schoo~ Oistrlct AuthoritY 4.70%
School Distrlct 'Bonds, Serles 1971, due 6-1~81
(., . . ,
Bucks County (pa) Water and Sewer Authorlty 4.9% Revenue
Bonds, Serles 1968, due 2-1-86 .' '
Central Bucks (pa) Jolnt ~chool Bulldlng'Authorlty 6.6%
School Revenue Bonds, Ser1es 1971., due 12-1-87
Cumberland Valley (pa) J01nt School Authorlty 4.1% Bonds
due 2-16-82 ' ,
"
Easter,n t..ebllnon County (pa) Authorl ty 5.25% School Authorl ty
School Revenue Bonds. Serles 1971, dUe 10-1-87
Erie (Pa.) Improvement Bonds 4.5% due 6-16-86
HlltbQro-Horsham (PII) 5.3% Jolnt School' Authorlty Revenue
..Bonds, Serles 1971, due 3-1-86 '
Montgomery County Ar'ea Vocatlonal Technlcal School Author1ty
6.26% School ReVenue Bonds, Serles 1976, due 2-1-90
Muhlenberg ToWnshlp ,School Distrlct Author1ty 4.4% School
'Revenue Bonds, Serl es 1971, due 8-15-82
'Norl'istowrl Area Schoo 1 Authorl ty , 4 .10% Sch(lo 1 Revenue
BondS, Second Serles 1967, due 7~16-85 '
Northeastern YOrk County SthQol BU11dlng Authorlty 6.6%
School Revenue Bonds, Serles 1976, due 4-1-86
Penn Hll1sSchool Author1ty' 3.9% School Bulld1ngRevenue
Bonds due 12~ 1~86 " ,
Pennsylvanla COlTl11ohwealth State Authorlty 4.6% Serial
Bonds, ,28th Serles, due 7"'15..91
Pennsylvan1aCormlonwealth Stllte Hl ghwayand Srl dge
, Author1 ty Bonds due 12-1,11-85
Plymouth Townsh1p 6% Improvement Bonds, Ser1es1971,
due 6-1-88 '
LIe.,1 ~01 "ut: 30:.5
$ 20,726,60
26,667.60
24,372.76
24,327.26
24,979.75
19,200~60 '
24,387.76
17,861.00
23,292.00
26,007.75
18,978.80
21,929.60
26,416.00
2l,528.60
20,709.76
18,230.20
"22,978.25
Iny.ntory ,0/ the real ond perlOnol IItote 0/
_.....2.~hn A. Dleslli!,~~_,,~~__,~_ _......__..__.....:..., deceoud.
,
, ..._===::0=-
"
----....... .=~___:-::::.;:....-:.~:::_4....~.=.:.::;-......r.-:::.:;=--::r.~~.:;::;;;;::;.-=-..:::7.::::1..:;:::;.;;:'.~:.";:.~.:..-:::=~~~-=.:.:-'..:.=.'---.:..,:..--=:::=
~25 ,000. Lower, Makefillld ~'O\o1nship 6,10% General Obligation
, . Bonde ~eries1975 due 7/1/86
Accrued interest
25,000" Montgomery County Arlla Va-Tech School Authority
6.25% School Revenue Bonds Series 1975 due 2/1/90
, Accnled interest . ,
I . '
,20,000. Muhlenbsrg Township School Diatrict Authority 4,40%
School Revanue Bonds Series 1971 duo 8/15/82
Accrued interest
25,000. Nordstown Area School Authority 4.10% School Revenue
Donds Second Ssries 1967 due 7/15/65
Aocrusdinterest
25,000. Northeastern York County School Duildil1g Authority
6.5% School Revenue Donds Sedee 1975 duo 4/1/85
Accrued interest '
25,000. ,Penn lIille School Authority 3.90% School Buildl.ng
Revenue Bonds due 12/1/85
Accrued intereet
20,000. Conunonwee1th of Penne, 6.10% General obligntion
Bonds First, S,eries S-1975 due 11/15/86
Acarued intereet
25,000. Cotmnonwea:t:th of Penna, General State Authority
4.60% Serial Bonde 28th Seriee due '7/15/91
Aocrued in tereet '
25,000. C9mmonwea1th of Penna. 6,50% Genernl Obligntion
Bonds Second Seriee T-1975 due 2/15/87 '
Accrued intereet
,20,000.' c.onunonwaalth of Penna. State Uighway & Bridge
Authority 4.'% Bonds due ,12/15/85
Accrued intereet
20,000. Cbmmonwaa1th of Penns. 5.75% General Obligation
Highway Bonds ,Series T due 11/1~/92
, Accrued interest'
25,000. Plymouth Township 5% Improvcment Bonde Series
1971 du~ 5/1/88 '
Accrusd in teres't
, 25,000. Rednor Township School Authority 4'.85% School
Revenue \l,efunding Bonde Seriee 1971 due H/l/87
Accrued j,ntereet
25,000. Ship\lensburg Borough Authority 5.5% ,Guaranteed
Water Revenue Donde Series 1977 due 1/1/88
Accrued interest
25,000. SpringettebufY Township Sewer Authority 5.60%
Sewer Ravenue Bonds Series 1971 due 6/1/87
Accrued interest
20,000. Upper Darby Township School District 3.65%
Genersl Obligation Loan No. 27 due 9/1/81
, Accrued interest
20,,000. Upper Moreland lIatboro Joint Sewer Authority
6% Sawer Revenue Donds Seriell 1975 due 10/1/84
Acorued interest
$ 25,18Q.OO
313.47'
26,007,75
190.97
18,978,80 "
73.33 .
21,929.'50 -
170,83-
25,415.00.
740.,28 .
21,528.50
281.67 .
19,734.80 -
406.67 .
20,709.75 .
191.67 . "
25,307.75
135.42.
18,230.20 .
225.00'
18,349.60
383.33 -
22,978.25
465.28
23,909.00
~51.32
,
23,377.75-
282.64
23,848.75 .
404.45-
18,975.60 .
28.39 .
20,076.80
, 546.67
COMMONWIALTH OP PI!NNIYLVANIA I.
COUNTY OP QUMBlRLAND ' J
11\
,
,
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Montb
V..r
, IN$TRUCTIONS
I. An'lnventory mUlt bo IlIod within throo mont~1 altor appolntmont of porlon~1 roprolonhHYo.
2. A lupplomont Inventory '1lUlt be fllod within thirty d.yl of dll.ovory,ol additional OIloh.
" 3. Addltlon,~1 ,shooh ma,ybe ~ttachod as to potlonalty or ro.llly
4. Seo Article tV, FleW.larl" Act of 1949.
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Asso6Smont Control No,
2,.18
-
101.
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RECliNED fROM:
'. r .J).&~nJ)..J.~lW\k'
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118TATI!INfORMATION:
-
fl~a NUMlll!"- ' 2l~"9~6'18
NAME Of OI!CI!DENT "- ..1.dlll ,yn .:IoJD1 A
lAST ' fIRST MI
DATI! OPPA'/M~NT "'", Y , 2, ' , QA\\
P08TMAR~ DATE
COUNT'I
DATE Of OEA TI'I
-'
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~-
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2.B8
GT~TA~ AMOUNT PAIl)_
REMAR~S
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1/2/afi - 4/11/95 Interest $1,180.52
(OR I~~U 0' DIATH AmR 12/a 1 "1 CHICK HIRI
INHBRITANCB TAX RETURN 'o~m :A~DI If CLAIMID 0
RBSIDBNT DBCBDBNT PILI NUM.IR
(TO BB PIUD IN DUPLICATB
WITH REGISTBR OP WILI.S)
I
A.
168-24-4713
AM fUl """WlNO fOlJ
COUN
21-79-578
001 YIAR
1899
M
323 North 27th
Camp Hill, PA
Co... Cu e
Street
17011
IX) 3, Remqlnder Relurn
(for dol'" of death prlar t6 12. U,821
o 4, hderall,lale To. Relvrn R'qulred
_ 8 , Total Numb.. of Safe D'pa,1t h.",
o 1,' Original Relur. 0 2, Supplem,nlal R,tur"
o A, Llmllld I,tall 0 Aa, ~utu" InllrTIt Cornproml\, I
or dalll a d,alh ait" 2.12.82
o 6. Dmdent DI'd,T~'I~II 0 7, ..ed,nt Mal"lal",d a Living Tru,l
(A!tach copy 0 W III Anach (apy a Trultl '
C RRllPONDINCe AND CONPIDINTtAI; :nO :,' 0 ~ ' I' IR
John CS\lIpbell Dauph n Deposit Bank
213 Market Street
P.O. BOlC 2961
I
1. Reallltate (1lhedule AI
2, Slack, 'and Bond, IS,h,dulo 81
3, Claltly Held StacklPartno"hlp Inlm,l (S,hedulo CI
A, M6rtgagll and Nail' Rmlvable IS(h,dulo 01
4, Ca,hl 8ank Depa,lI, a, MI,,,lIanoov, Por,onal Property
(S(nodule BI '
6, Jolnlly Owned Property (S(hodule P)
7, Tra",f." (S,h,dule 01 (S,hedulo LI
g, TOlal Ora.. A..el' 110101 L1nll, 1.7)
9, pu""al Iop'"It', Adml"hlrallYl Call', MI,(ellaneou,
B.pe"'" IICh,dulo H)'
10, Oebl', Martgage Lfablllll"" Lien, (S'h.dule II
11, Talal D,duellon, (lata I Lln'" 9 & 101
12, Net Valuoof Ellall (L1n, 8 mlnu, Line 111
13. 'Charitable and OOYlrnm'nllil 8oqv",', IS(h,dul, JI
lA. Not Valv, Sub eel IOTa. L1no 2 mlnu, L1"0 13
14, 'pou,ol T'a",fe" (far dOl', af doolh ait" 6.30.9AI
SO, I",truellon, for Appll,ablo'er""lage a" Roy."o
Sid', (In(lud, .alulI fram S,hedul' K or Schodvle M.I
16, Amaunt af Lln' lAla.qbl. al 6% rate
(1",lude valv", from S,hedule ,K or Sch.dule M,)
17. Amau"t 01 Line IA la.abl, at 18% ,ale
(Ih,lud, valuo, fram S,hodulo K or Schodufe M,I
18, Prln,lpal ta. dve (Add ta. from LI"'" II, 16 and 17,)
19, Crtdll" Spou,al POYlrty Crodlt Prior Paymo.t,
I
a
( ht.,,> If ynll till' ,,'qu.'\
111- '~O
( 2) lei 1:1')
.1 0\ " m
( 31 1)1 t,; ,.
, , (;
I A I ..~.. "
'p
( 41 " .;. J
,.~
161 ,,"
(71 22.235.00 .....J
Ld "
:u :(81 'il ' 22. 2~A:, 00
(91 ~'~-l UI
110)
Dh,ount
(111
(12)
(131
,IA
)(..-:.....
M ,06 .
M ,18 .
(181
I"to,,"
(191
. 1~01
(21)
(21AI '
(2181
1.334.10
1.1RO,52
2.514,62
22.235.00
22.235.00
(141
(1~1 22.235.00
(17)_
1.3'4.10'
1.334.10
-
rustea u/Will of
P.O. BOlC 2961
HAt't'iA.hlt"gr PA
RIY,IIOO IX; 1M., .
CO~~~:"~~T~1 VS'lrJj~'U~ANI'
ARRI.llIlh. ~121
1/2/88 N 4/11/95
INHeRITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE PILED IN DUPLICATE
WITH REGISTlR OP WILLS)
al!
II
,.J
I
John A.
168-24-4713 9-15-79
~ AH1.1U , IllllVIVIN POll "1 N.4M'I~Il, II.U AUD MIO illNl tAll
o " Original Rolurn
o A. LlmUed IIlall
Interoet
$940.(,5
r~n~bu.<<itDIATHA".RI"31191 CHICKHIRI
aVIRYY CRIDIT .1 CLAIMID 0
PILI HUM"R
21-79-576
, COUNTY CODI VIA
o 2. 'Supplomonlal Rolurn
o Aa. rutur, Inlor'll Compramlle
Ifo, datil 0 ~oath okor 2.12.82)
o 6, poqodont OlodfT.ell~lo 0 7, Poqoden' Main/alnodla LI.lng TrUll
, IAlloqh qapy 0 W III IAlla~h ~apy 0 Tru,1
01111""0 DINCI AND ,CONPIDINnA ' II 0 I ID
John Campbell Oau~h n,Oeposit Ilartk and
213 MarkotStreot
P.O. Box 2961 C')
2
I
1. Roall,ta'" 18qhedulo A)
2. S!o~k, and 8.n,dl ISqhedulo ~)
3. Clallly Hold 8toqk/Partnenhlp Inll,'" (8~hodul. CI
A. Martuagll and NOli' Roqel.ablo ISchedulo 01 "
a. Calh, 8ank Dopo,itl " Mllq.llaneou, Por,anal Property
(8~nedulo I)
6, Jololly Owned Praporty (Sqhedulo P)
7. Tranlfon (Sqhodule 01 (Sqhodulo LI
I. TatalOrall AlloII (total Llnll 1.7)
9. Pun"all,pon,." Admlnlllrotl.. Co,", Mh",lIonooUl
bP'hllI Sqhodulo HI
10. Oebll. Mortgage Llablitllll, Llenl (8qhodule I)
11. To'ol Oodudlohl Ilalal Llnll 9 " 101
12; Nel Val.. af I".'" ILlne 8 mlnul Line 111
13, Charit.ble and Oovernmenlal hqulIII I'~h.dulo JI '
lA. Nit Valuo Sub Oqt I. Tax Llno 12 mlnul Llno 13
la. SpaUlol Tran,fen ('or da"'l of dealh aker 6.30.9AI
St, Inltru(tlon, 'or Appllqable POrCO,"la80 on Rove,.e
Side. ( Mludo volUII from Sqhodu 0 K or SChedulo Mil
16. Amount of Llno tA laJlqblo 916% ra'"
(Inqludo valuo, ffam Sqhedule K or Sqhodulo M,I
17, Amaunl of Lint lA ta.ablo al15% ralo
(Inqludo valuo. 'rom Sqhodulo K 0' S~hodulo M.)
18, Prln~Ipal tax duolAdd to. 'rom Llnll 15, 16 and 17.1
19. Cfldltl Spau,al Poverty Credit Prior Paymonll
+'-
I
a
111
12)_
(3 )
( 41
(a I
161
17) 22.568.50
(91
(101
(15)
(16) 22,568.50
1171
DI.counl
-
St'roet
17011
1XJ3. Romqlndor Relurn ,,'
Ifor dalll 0' doath p',lor to 12.13.82)
o a. 'odoral Bltate Tax Roly," Roqulred
_ 8. Talal Numbor a' SQ'O Oopolll Box..
"'0...
J:. ;~l
( 81
(111
(121
1131
1~
M,'___-
Ie .06.
Ie ,18.
(181.
Inle""
(191
(201
(21)
(21A)
(m)
Trustee u/w1il of
P.O. Box 2961
\Ii
OJ
()
n
~1.
'YJ
ITJ
-"
.-.
d
ld
,-.;.1
<II ~~,
, .
."
Ul
22.568.50
22,568.50
22.568.50
1,354.11
1,354.11 '
1,354.11
940.65
2.294.76
,
AlVoISOO I).;. .,.q",
I
II!
II
.;
L/2/89 _ 4/11/95 lntareat $796.9\
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO ~E PILED IN DUPLICATE
WITH REGISTER Of WILLS)
John A.
A
168"24-4713 9"15"79
p; A'",ICtA'~ I ''''.'tIIlING l,eM'" NAM \v.u, III" ANO II\IOOU INltlAll
o 1, Original R~lurn
o 4, Umlt.d e'lale
I
" R.al e,lat. 18~hed,l. A)
2. S1a\k, and aandi IS~hed,le 8)
3, CI...ly Held 8tack/Partn.uhlp Inllrllt 16~h.dule C)
4, Martgagll and NOli' Re~.I'able (8~h.dul. D)
5, Ca,h. aank D.po.lh & Mllullan.au, huonal P,aperty
(Sched,le a) ,
6, ,Jalnlly Owned P,ap.rty IScb.dule f)
7, Trontler' (S.h.d,le ~) (S.hedul. L)
8, 191al Oron Anel, (tolal Un., 1.7) ,
9, funeral E,p.nll'! Adtnlnlllrall'. CO'", Mllcellaneoul
bpen,.' S~h.dul. H)
10, D.bll. M'ortgag. llabllllle,. U.n, (S~hedule I)
11. ratal D.du.llon, (10101 llnu 9 & 10)
12. N.I ValulOf altai. (Line a rlIlnu, Un. I 1)
13, Charllabl. and Oo~.rnm.nlala.quIIII (8.hedul. J)
14, Net Val.. Subl.ct 10 Taxlllne 12 mlnul Line '131
16,Spau,al Tran,'erl (far dal', 0' dealh ah.r 640.94) ,
St. Inltructlan",pr Appll~able P.,..nlage an Re..rll
Side, (Include valuII 'rom 8~h.dule K or Schedule M,I
16. Amount of Lin. I 4 tax~bl. 01 6~ rale
(In~lude valu., 'rom S~hedute K or Schedul. M,)
17. Amaunt af Lln.,14 taxabl. 01 15~ rate
(Inctud. ,aluII from Sch.dul. K or S~hedult M,)
18. Ptln~lpallax du. (Add lax fra~ line, 15. 16 and 1'7,)
19, ,C,.dlll Spou.al Pa"MY Ct.dll Prior Paym.nll
I
a
rOllDATi\J O' OIATH A"IR '2f3' 19' CHICK H.".
:!v::~ mo , ,. C\.AI 10 0
flU HUM.." -
2L-79-578
COUNTY CODe VIAR
NUMseR
323 North 27th 8treet
Camp Hill, PA 17011
ton Cu ber a
!Xl 3, R'I\Ia.lnder blurn
(far dal" of d.alh pIlar 10 12.13.82)
d 5, ped..at 811al. Tax R.lurn Requl..d
_ S, Talal Number 0' Sofe D~pa,1I Sax..
Dauphin Deposit Dank 'and Trust Company
213'Market Street
P.O. Box 2961
(11)
, (12) 22,723.25
(13)
(14) 22.723..7~
(15) )(._-
(16) 22.723.25 M,.06. 1.363.~O
(17) M ,15 .
(18) 1.363.40
OIl~oUnt Inl"",t
(19)
120) -'--
(21)---.. 1.363.40
121,1.) 796,.9\
(218) 2.160.31
y, Trustse u/Will of
P.o. DOM 2961
5
f-/c II
"IY-IIOO IX> 1M"
II!
II
I;
.j
log
1/2/90 ~ 4/11/95.
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILlD IN DUPLICATE
WITH REGISTER OF WILLS)
Intereet
$651.29
.
CO~~~~ ~T~lillr.f.W~"~I"
itA I l~ ~" ~12I.Q601
i
John A.
168~24~4713 9~15-79
\If A'PUCA"'I'U.~I~IN9 ,;au..'. NAM' lloAU. 11111 ANO '~IOIIU INltlAll
o.
rrUPlMlit DlAlH AnlR 12/31 "1 CHICK HIRI
POVI C I C ID 0
PILI NUMIIR
Street
17011
o 1. Orlalnal Rotu," 0, 3. Iuppltmenlal Rolurn
o ~, L1mi'eol Ilta'o 0 Aa. rf~t~~al~:o~TI~~'~~It"o';'I,\. 13.13)
06, ll,mdhtnt,llledfTWellR)IO 0 7, lle~odhont Maln/alnod 0 Llylna Trul'
I/."a~ ~apy a ,II IAlta~ ~o y Q TrUll
'; ORRIIPQNDINCI ANDCONPID NTtAI,; . 0 0, 0
John Campbell aup n Deposit Bonk and
, 213 Market Street
P.O. BOll 2961
2
IXI 3, RomCllndor RoMn
Ifar datil of dooth prior 10' 13,13,13)
o 8. hdoroll,tatl To. Roturn Rlqullld
_ I. Talol Numbor of Safe llopollt 10.11
.., <.cl '11((1
Ul ~;,; ('J
," k'
'-t.,. ,
~1
. I
-'
-.
';] ,
Ld
22.870.00 :;~ \;~ " /1 0
...,
r- ,., \11 22 .870,.00
I e )
I
1. Rla.1 hlato 11~~edulo Al ( I)
3, Itackl and ~a,ndl Ilch,dull II ' ( 3 I
3, Clo"Iy H,Idlto~k/Partnorlhlp Inltllll (S~h,dulo CI (31 _
A, Mortaaall and Naltc Rt~elYable Ilch,dult 01 ( A I
8, C,lh\ eank D.POlItI ~ MII~ellan,pul Porlonal Prnporty ( 8 I
Icnedult II .. , '
6. Jalnlly Owned 'P'operty (Ichedule fl ( 6 )
7. Tronl'e.. Ilchedul, 01 (S~hedul, L) 17)
8. rOlol 0'011 1.110" (total Llnll 1.7)
9. funo,ol 8~penlll, Admlnlllrol/y. COlli, Mllltllcintauc ( 9)
8openllc\Schtdul. HI
10, Doblt' Mortaoal Llobllllle,. Lien. (S~hodule II (101
11. Total Dedu~lonl (101,11 L1no. 9& 101
13. Nil Val~e of hlall (LI.. 8 mlnUl LI.. 111
13. Charllable and Ooytrnmontol ~equ""IS~htdult J)
lA. Nil Volul lub Icf 10 To. Line 13 mlnul Lln. 13
18, Ipoulol Trani"" I!.' dat~. 0' de,oth ahtr 6.30.941
So, In,trucflanl 'or Appll~abloPtru~108e on ReYI..e (1~1
SIde, ( n~lu,d, Yqlu.. 'ro!ll l~hod~l. K or Ichtd~le M.)
16. Amount olllne 1A loxoblul6\f! rOll (16122,870.00
(In~ludo yalu.1 from ,S~hedule k a' Schedult M.) ,
17. Aaloun, a' Line 1A taxable at 15% ,all 117) _
(In~lude yplulI f,am Schodult k or S~htduloM,1
lB, Prln~lpal to. duo (Add tax 'ram Lln.. 1&.16 and 17.)
19. Credltl Ipou.nl POYe/fy Credit Prlot Poymo." Dllcaun',
I
a
(11)
(13) 22.870.00
(13)_ I
1A 22870.00
1.372.20
1.372.20
1.372.20
"651.29
2.02~.i&Q
ustse ulWUl of
p,.a. BOlC 2961
. 1,,;/10
1,1 I
AIY,ll00 IX+ 1709'1 *
COM~~~.n ~'Hfil'lW~U~~Nt~
AAII It ~~ 't9h;.Q601
-
III
II
I
a
.J
1/2/91 - 4/11/95
INHERITANCE TAX RETURN
RRSIDENT DECEDENT
(TO BE PILED IN DUPLICATE
WITH REGISTER OP WILLS)
I
Bhasin
John A.
168-24~4713 9-15-79
P' "" IUllUIVIVINQ 'POuU" NAM' (\A.U, 'IUl ANa MIOOU IHIfIAII
o " Original ~Aturn
o A, Limited IlIale
o 6, Peudlnl Olld,h'IRII
IAttach copy a Will
ORRIIPONDINCI
John Oampbell
I
1, Rlol hlate (Schedull A)
2, Stackl and Bondi (Bchedule,B)
3, Clol,ly Held StocklPartnl"hlp Inll"'" (Schedull C)
, A, Mortgagll a.d Notll Rlcllvable (Schedule D)
a, Cq,h, hnk O.palltl & Mllullaneaul Pe"onal Praplrty
IScnldule I)
6, Jalnlly Ow.ed Praplrty (Schldule f)
7, Tr,anlfm(Schldull 0) (Schedull L)
B, Total Orall ,1.1111' (Iatal Lln.. 1.7)
9,Pu"",011~Plnlll, Admlnlstratlvl Caltl; MIs"lIanloul ' , (9)
Exp,nlll ISchedule H)
10, Dlbll, Mortga;e Llabllltlll, Llenl(Bchedull I) (101
11. Tolal Deductlonl (tolal Un.. 9 & 10)
12, Net Value 01 ElIatl (Llnl 8 mlnUI Line 1\)
13, Charitable and Oomnmlnlal hqUlIl1 (Schedull J)
lA, Nel Volul Sub Ict to Tax Unl 12 mlnUI Line 13
la, Spoulal Transle" (for dall' ar dealh ahlr 6.3Q.9A)
SI, Inltructlonllpr Appllcabll pe[".,a;e o. Reve"l
Side, (Include valulllrom &chedu e K or Schedull M,)
16, Ampunt 0' Line lA laxabll at 6~ 'all
(lncludl value, from Schldull K or Schldull M,)
1", Amounl of Unl 14 taxabll 01 U~ rat,
(Include valulllrom Schldull K or Schedull M,)
18. Principal tax due (Add laxlrom Llna, lB, 16 and 17,)
19. C",dlfl' Spoulal Poverty C",dlt Prior Paymlntl
+
lntorose
$~()J.~H
(1)_
( 2)
( 31
(A I
(I)
(6)
( 71
23.009.00
(II) .
(16)
(17)
23.009.00
Dilcounl
u/Will of
rfn~1MI~t a....'um. I ~1311" CHICK HI.I
OVI.rY C'IDIT II ClAlMID [J _
PILI HUM."
21-79-578
A
323 North 27th Street
Camp Hill, PA 17011
Con C
!XI 3, Romalndll R,turn
(for datil 01 death prior 1012.13.821
o S, f,dllallllotl Tax Rllurn Rlqulred
_ I, 'otal Numb.. 01 Sa'1 Depallt Box..
Trust Oompany,
r"')O \CJ 'rJ::r.l
c; 1',
.' lit ' (I'
t~, i (,
:r',
'-:1
-- ;.'~.1
-~
,oJ ~ ' I
I ,I',
'0'(11 . 23~'IOt}9. 00
:':';';"1 L~
(111
'(121
(13)
(IAI
)C,_.
H ,06.
M ,18 .
(IB)
Inllllll
(191
(201
(21)
(21~)
(21&1
23,009.00
23.009.00
1 a1RO. EiLL
1. 380.54
1.380454
. 503.58
1.884.12
P.O. BOlC 2961
UY,IlOQ IX. II,Y'I
il!
II
110
1/2/92 - 4/11/95 InCuruBt $154.06
INHBRITANCB TAX RETURN
RBSIDENT DBCEDBNT
(TO BII'ILlP IN DUPLICATE
WITH RIOISTBR 01' WILLS)
I
A.
168-24-4713 9-1'~79
P' ."UCAIIII,UlVI'YIHO POtJu'. NAM'~. ,III I ANO MoOU INIII.1I
323 North 27th Street
Camp II ill , PA 17011
.. Cu r
1X13. ~.m~lnd" Roturn
or dut.. 0' d.oth prior 10 12.13.82)
o a. .d.rollllot. Tax R.lurA R.qul..d
_ 8. Tolol Numb.r of So" O,polllloxlI
'0 1. Qrl;lnol Rflurn 0 2, Suppl.m.nlal R.IU,n
0,4, Llmlt.d &Ita" lJ Aa, ~utu" In""'dt C~fI\P~ml,. 1 ")
ar dattl of .olh all" 2. 2.1.
o O. ,cldenl Olld t"I~le 0 ,7, 'Cldeot Mnlnjalnld a LIVln; Tru"
A"ach ,copy of W II) Altach copy a Trull
OIlIl.SPONDI CI A D CO PIDNTIAI;:
John Campbell
2
I
,1, Rlall.tatl IScbedule A)
2. Slack. and Bondi (Schedull B)'
3. Clo"ly Held 1I0ck/partne..hlp Inllrtlt (Schedule C)
4,' Morlga;.. and Nate. R.cefvable\Sch.dul. P)
a. Cqlh( lank Oepolll, & Mhcollan,ouI P...anal Praporty
IScnldule B) ,
6. Jolnlly Own,d Property (Schldule, PI
7. Trantf." (Schedul~ (;I) (Schldule LI
I: Tatal Ora,'I Alii" (Iatal L1n.. 1.71
9, .utl..al bpln"l, Admlnlllratlvl COI", MIII.llaneoul
bpen", (Schtdule H) , '
10. Clb", Mortgage Llabllltl.., L1ln' IScbedule I)
11, Talal Clductlonlltotal LltI.. 9 & 101
12, 1'/.1 Value of BlIal, (L1nl 8 mlnu, IIn. 111
13. Charltabl. and oov..nmental "qu'II' (Sch.dull Ji
14. Nfl Valu. Subl.ct 10 Tax ILln. 12 mlnu, Line 13)
la. spou,ql T, rantf,'" (far datl,a' dealh ah" 6.30094)
SI, In!truCllonl far APpllca,b Ie p.lclntagl on Rovlr.. (la)
, Sid., (Includl valu.. 'rom Schldule K or Sch.dule M,I
16. Amaunla' L1n. 14la~qble ot6~rall (16)
(Includl valu.. from Schldull K or Schedule M,)
17. AmoUM'of L1n. 14,taxabll at 15% rbl' (17)
(Includ~ value, fram Sch.dule K or Ichedule M,l
18. Pllo'clpa1.tax 4u.IAdd tax from Line. 15, 16 and 17,)
19, C..dlt, Spaulal Pov'rlY c..dll Prior Parmonlt
I
a
(II QQ I._c.~ ::0
If' ;Tltl)
( 2) " \II
!l! ..;,
( 31 .. .,
:"..,
141 ;g
16) ..~
(61 :J
17) 21,11In.?~ I..., (f",
"(Je" '. 23.1)40.25
;", ,c~ 8) 11.1
\....,
(9)
110)
(11)
(121
1'3).
(141
23,140.25
23.140.2'
M._-
23.140.25
11388142
l( .06 "
l( ,16 " '
1.388.42
Dlllount Inl.""
(181
(19)
(20)
(21) 1.388.42
~1~ 354.06
~1~ 1.742.48'
-'.
of
P.O. Box 2961
A,y""A1X+ II.", '.
COMMONW, IA\t*, ',PlNNIVIVANIA
INHUlt "NCI TAX ~ITU~N
mlDINT DICID NT
INHIRITANCI TAX
SCHIDULI ilL"
RIMAINDIR PREPAYMINT OR INVASION
01' TRUST PR NCIPAL
PIU NUMUR'
,
~lM79M~78'_
I,
B1 ssin John A.
LOlt No... ('1", No...' (Middle Inlllall
T~l, "hadulalt appraprlat. only lor..tat.. 01 daeadent, dVlng on,or bale". O.cambar 12. "U.
, Thlt IChadulal. to ba v..d for 011 r.malnd.r rttvr',' whan on alactlon to prtpPy ha. bt, tn mad undtr Ihe p'r.,Y, I. Ion.
o'''.tlon 1'''., ,ht 'nhllltan" IInde.tat. TOll Act.1 '''' arto "port lhalnya.lon of trv.t prlnclpoh
Remainder Prepavmentl
A. Ilactlon '0 p"poy iliad with tha ReGI.'t,r 0' Will. on IDa'",
(ollach COpy at alectlon) .
8. Nama(.) of Lila TanQnt(.) Dala 01 81rth A.IIa on dala Term 01 ytatllncoma .
or Annultant(.) oralectlon or annvlly I. payablt '
I. ;
II.,
"
III.
C. Alltlll Compltte Schadult L.l
1. Rtal I.ta'a
2. Stock. and 8and.
3. ClolOly Held Stack/Partntr'hlp
4, MortGagOl and Not"
5. Ca.h/Mill, penonal Property
6. T~lal'ram Schedule L.l
.' ,
D. Crtd,lhl, Camplett Schedule L.2
1. Unpaid Llabllltl,.
2. U,npold 8equOl"
3. Volue 0' Unlndudoblt Aile'.
"
4. '.Totol.from Schedule .L.2
'I, Tala I yalue af Iru,.talleh (Line C.6 mlnu. Lint 0.4)
P. Remolnder,loctar (.ee Tobia I ,?r Tobit II In In,lrucllan 80aklet)
0: TaMoble R.malnder val,u, (Line I M Llna P)
Alia .nter,on L1na 7 Reea lIulollan
InvOIlon, IIf Corpull
A. Inyo,lan of carpu.
$
$
$
$
$
$
$
$
$
$
$
$
2/~U:j3
(Month, Doy, Year)
8. Nama(.) 0' Life Tenanl('1 Date of 81rlh
,or Annultant(.) , '
8arah D.B1usinll
7/24/1897
96
hrm a' yeotllncome
or annuity I. payable
" Life
Age on dote
corpu. con.umad
,C. Corpu. con.umad
D. R.molndo~ 'actor (IOe Tabla I or Tobia iii" In.tructlan 8C1okltt)
e. TaMabl. yalut a' corpu. con.vmed (LlneC; II Line D)
AI.o enter on Line 7, Reco Ilulallonl
$ 25.000.00
,'93960 , -
$ 23.490.00
, ,
,
~11147 IX AFP 02.94)*
CDHHONHE AlTII OF PENNIYlVANIA " ,
DEPARTNENT OF REVENUE
BUREAU OF INDIVIDUAL lAKEI
DIPT, 210601
IIARRIIBURO, PI l7\U.0601
/()- .:< (, 1'~ R
NOTICfi DF INHBRITANCE TAM
ApPRAIIBHENT, ALLOWANCE OR DIIALLOWANcE
DF DEDUcTIONI AND AI'EIIHENT OF TAX
ACN 102
~ATI 04"17"95
DATI OF DIATH 09" 18"79 ~~bftT~O. CUMBIlR~'AND
NOTE I TO INIURE PROPfiR CREDIT TO YOUR ACCOUNT, IUIHIT THE UPPER PORTION OP THII PORHWITH VOUR TAX
PAYMENT TO THI REOnTeR OF WILLI, HAKfi CHECK PAYAaLfi TO "REonnR OF WILLI, AOENT"
RIMX~ PAVMINT TOl
JOHN CAMPBIl~L
DAUPHIN DIlPST BK a TR C
PO BOX 2961 ' '
HBG PA 17109
REGISTER ~F WI~~S
CUMBER~AND CO COURT HOUSE
CAR~ISLE, PA 1701$
t,
Alllo~nt Rllllt Hid
,
CUT A~CNO THIS ~INI ~ RITA IN ~OWIR PORTION FOR, YoUR RIOORDS ~
TtW; l&W" ilC"AFli'"r \'l :O~ j""il~Yio""ojl" WiliR"if ~l(ci"i'i, AX" Ajijl~Aiiil1iilr;" ALt'ow~l(ci "b1f""""" "...."".".""
DISA~LOWANOI OP DIDUOTIONS AND AssaSSMENT OF ,TAX '
APPROVID DIDIJOrlONS AND IXIHPTIONSI
9. Funlrll fiNPlnlll/Adlll, COltI/HIIO. BHplnl.1 Ilohldul. H) (9)
10, Dlbts/Hort.I.1 LllblltUI./Ltlnl (Sohldul. II UOI .00
11, Totll Dlduotlonl 111)
12, Nit VIlul ,o~ T,IN R,lturn UIl
11, chlrttlbll/Oovlrnllllntll SIQUlltl ,Isohldull J) \111
14, Nit Vlllil 01 Bdlh subjlot to T,>< U41 1 ,048,712,98
NOTII ~,f, ' .n ......m.nt w.. 1..u.d pr.ViO,u.1Y, lin.' 14, 111 .nd/or 16, 17 .nd 11 will
r.fl.ot figur.' th.tinolu~' the tot.l of 6kk r.~urn' .......d tod.t..
ASSISSHINT OF TAXI
11, AllIount of Linl 14 It Ipouul r,ltl UB)
16, AMount of Llnl 14 tlNlbll It Llnlll/C1III A rltl 1161
17, AMount of Ltnl 14 tlNlbl1 It Dol1Itlrll/C111,a r~tl '(17)
11, prtnCltpI', TIN DUI
TAX ORIDITSI
, pAYHBNT
DATI
ISTATlOI' B~ESSING ,JOHN A FI~I NO.21 79"0978
TAM RETURN WAIl I X) "ACDBPTED AS FILED
RISIRVATION OONCIRNINO PUTURI INtlRIST . SII RIVIRSI
APPRAISID VA~UI,OP RITURN SA81D ONI REMAINDER
1, Rill Eltltl Ilohldul1 A)
2, Itookl Ind sondl '(Sohldull al ,
I, Clollly HIld Itook/PlrtnlrlhlP Intlrllt (Sohldull C)
4. Hort.I,"/Notl. RIOlIl/lbll, IRohldullD)
S. cllh/Slnk Dlpo.H./HI.., Plr..nll,proplrty Isoh,dull E I
6, J.intlV DWnld Pr.plrt~ ISohldU11'FI,
7. Trlnlflrl (Iohldull 0)
I. Totll Alllto
ACN
( ) DHANOfiD
102
iw'oo ~
1,064 J~20. 91
~.' .00 ~
I '.00 ::
1 ,~4~,67 ~.J
;._, 1-,00
Ul
121
ISl
(4)
1&) ,
16)
171
',.
i '00 L:.~
;' ...-.
~!; (81~
18,057,QO
;OOX'OO.
,00 M ,06.
1 ,048,712,58 M .18.
C181
RECIXPT
NUHSER
DISCOUNT It I ,
INTeREsT 1-)
,00
AHDUHT PAID
TOTA~ TAX DRIDIT
aALANOI OF TAX DUI
tNTIRIST
TOT.A~ DUa
DATIl 04"11"95
:1l ffi'
(l)(l
\L-L c:
l (
.j! ;
"
n,ji;! ,
Iii' ~
1.066",769,58
iR.n!;, nn
1.0(,8 , 712,58
,00
,00
,00
197,306,89
157,306.89
157,306,89
,00
,00
,00
. IF PAID AFTfiR DATE INDIDATED, lEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUB II LEII THAN .1, NO PAYHENT II REOUIRED,
IF TOTAL DUE II REFLECTED A& A "CREDIT" (CRl, YOU HAV BE DUE
A REFUND, SBE REVBRIE IIDE OF THI& FORH FOR IN&TRUCTIDNS,)
)1
RkV-1847 IX APP (11-94)*
r.OHMOHWKAlTII OF PlHHlVlVANIA
PEPARTHI!NT OF RtiVENUI
llURtiAU OF INDIVIDUAL TAMI
PEPT, 110601
IIARRIIIIJRO, PA 17111-06"
Ie> ,.~ (, 7. 1
NOTlcl O~ INHI"ITANCI TAX
APPRAIIE"INT, A~LQWANCI 0" DIIALLOWANCI
OF DIDUCTI0N8 AND AIIII8HINT OF TAX
AON ifIll'
DATI 06"06"9&
DATI 01" DIlATH 09-.18-79 ~~bftT~O. CUMB RLAND
~ ,', ,_
HOTEl TO IN8URI pROPIR CREDIT TO YOU" AccOUNT, aUIHIT THE Up~IR PORTION OP THII rORH WITH YOUR TAX
pAYHINT TO THI "18IITI" O~ WILLI, HAKI CHECK PAYAILI TO "RIOIITI" OP WILLI, A81HT" '
RaM%T PAVMINT TOI
r, AllOunt R..H~I~ ','
CUT ALONOTHXIL.INI .... RITA!N ~OllIR PORTION 1I0R YOUR RIOORDI .... .
TtW; 1Ilj"f-''lC-AW-n'l:O~1--A~Yi'al"-ojl-lNil'lfffAllcl-Y~~.'Aji', jl~Aiiilli-,mALt'ciQ~llcl-'liIf-----""_. - - - ---
, '. " ' DXIAj;~OllANCIQP DIDUOTXoNs AND A88I88~INT' OP TAl( " ,
ISTATI 01" BLESSING JOHN A FX~I NO. 21 79-0978 'AON 10$ DATI 06-06"99
TAX RETURN WAI' (X) ACCBpTlD AI nUD I 1 CHANGED
RlSIRVATXON CONOIAH!NO pui'uRk XNTIRI8T - I" hlVIlRII
AFPRAXSIl!,VAL.u1 011 RITURN .~8IlD ONI REMAINDER RETURN
1. Rill Iltltl (lohldul1 Al
a. Itookl IITd'lon~1 (lonldul1 I)
I. Cl0111y Held Itook/PI~tnerlnlp Intlr,lt (Iohedull C) ,
4. Ho~t'''II/Notl''RlOllvlbl1 (l,hldul1 01
,I, c.1h/11lIlk DepoIHI/Hho. p,rlon.l ~ropl~t~ 1l,n.dull B)
6.~olntl~ O""ld Property (lohldul1 F)
'7. T~enlflrl (lohlduleOl
I, Totll Allltl
JOHN CAMPBEU
DAUPHIN DEPOSIT BK a TR
PO BOX 2961
HBG PA 1710S
REGISTER OF ~I~LS
CUMBERLAND CO COURT HDU&1l
CARLIS~E, PA 17015
(1)
12l
(I)
(41
Ul
(61
m
~
.00
.00
'00
.00
,OQ
2~L B92. 78
el)
2~,892, 79
,APPROVIIlDIDUCTXONS ANIl IXlHPTXONSI
9. Purilrll aHlenle./A", COltl/Hllo. BNplnll1 (Iohlduil H) ('I
10. DI~te/Hort.,OI Ll",ll1tlll/l.llnl llohldull II 1101 .00
'11. T~tll DlQuotlonl (11) nn .
12, Nit Vllue of TINRltUMl (12) ,231992,79
15. Che~ltiabll/Gove~nllllnt'l leOUlltt' elohldul1 ,Jl (15) i,OO
14. NltV.llll 01 ..tltl SubjlOt to taN (14) 23,592.79
NOTII Xf ~n ........nt w.. i..Uld prlvioU*ly, lin,. 14r 18 .nd/or 16, 17 .nd 11 will
r.f~.ot figur.' thlt inolud. the totll of ~ r.~urn' .......d ta d.t..
ASSISSH.NT 01" TAXI '
11., AMount 01 Line 1<\ et IpoUlll retl ' 1151, ,00 X' OO~ · 00
16. A_tof Linl 14 tlNlbll it Ll"".l/ClIU Ante (161 25,892,78 X ,06. 1,415.57
17. A_t of Linl 1<\ tlNlblllt Coll.tlrlllC11.. I r,tl C17)' ,00 X, U. .00
11. "~lnoIPI1TIlC DUe Ill) 1,418,87
TAX CRIDXTSl
PAYHENT
DATE
.00
RICBIPT
NUHIIR
DIICDUNT 1+)
IN,TIR~IT C.)
AHOUNT PAID
'INTEREST IS CHARGED FROM 04-12-95 TO 06-14-9&
AT THE RATES APP~ICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX ORIDXT
.A~ANCI OP TAX DUI
XNTlRIST
TOTA~ DUI
1,418 .,22
.38
.01
.56
N If PAID AFTER DATE INDICATED, lEE REVERII
FOR CALCULATION OF ADDITIONAL INTBRBIT,
( Ir TOTAL DUE II LEII THAN U, NO PAYHENT II RBIlUIRSD.
IF TOTAL DUB II RBFLECTED AI A "CREDIT" ICR), YOU HAY IE DUE
A REFUND. SEE REVERSE SIDE Of THIS FORM FOR IHSTRUCTIONS,I
Id.)JtJ7'" y
R~V-1147 IX APP (12-94)*
c~A'TH OF PENHlY'VAHI~ '
Ill!PARTHENT OF flIV1!HIJ!
IlmAU OF IIIUIVIIlUA< TWI
Ill!PT, 110601
IlAARIIIURQ. PA 171'-1-0601 ", '
HOncl 0' INHIRXTAHCE TAM
AP'ftAIII"INT, ALLOWAHOI OR DIIAL~OWANCI
OF 'DBDUCTIONS AND AIIEIININT OF TAX
ACN It'J~l~
DATI 06-06-911
DATI OF DIATH 09-19-79 ' , S~b~T~O. CUMBHR~AHD
NOTfil TO INSURE PROPBR ORIDIT TO YOUKACCOUNT, luaHIT THo UPpER PORTION 0' THII FORH NITH YOUR TAM
PAYHINT TO THB RIGlsTER 0' WILLI. HAKE CHBCK pAYABLE TO "REGISTER 0' MILLI/ AIBNT"
, , RlMXT PAVMeNT TO I
JOHN CAMPB~~L
DAUPHIN D~POSIT BK a TR
PO BOX 2961
HBG 'PA 17106
REGISTER OF WILLS
CUMBER~AND CO COURT HOUS~
CAR~IS~E. PA 1701S
AlIDunt RI"11tld
\ '
CUT A~ONa THXIl ~XNI ~RITAIN ~DWIR PORTION F(lR YOUR RBCORD8 ~ ' ,
Ril1= 1.;."'.i'lC'-A"li'-f1'l:f~1"-iloYiiil'-cijl-WAIRifA'f(ci"y,\~ll'Ajijl~'A, -iii'Hiilr;-ALt'ow~'lfci-b1f-_m_-_.. -..- -.-
, DXSA~~OWANCI OF DIDUCTxoNI AND AISIIsHINT OP TAX
AON
104
DATI 06..06"U
ISTATI 01', B~~SSING JOHN A PX~I NO. 21 ,79- OS78
TAM ,RBTIIRN WAil (X I ACCIPTID Aa FILED () CHANGED
~ISIRVATXON CONOIRNXHO PUTURI XN1'IRdT -III RIVIRII '
APPRAXIID VA~UI OF RITURN BASlDONI REMAINPER RIUURN
1. R...l Bltltl (lolI.dUll Al '(1) ,
I. Itook. ~ londl (lohidUl1 I) el)
I. CloI11V HIldstook/Plrtnlrlhlp Intlrl.t Ilol\IdUll Cl (I)
4. Hod,_I/Nct.1 RlOlhlbll (loh.dul1 D) (4)
I. C'1II/11nk DlpOlltI/Ht.o. Plrlonel Proplrty (Iohldull Bl II)
6, Jolntlv Owned proplrtv (Iohldul. F) 161
7, Trenl~lrl (lolI'dU11 G) (7)
I, 'Tot.~ AI.ltl
APPROVID DIDUOTXONS AND IXIHPTXON81
9.irUMrll BNPenl.I/AdIII, co.te/Hi.o. BHPInIIl (Iohldull Hl (9)
10, Dlbte/Hort.... LllblUtil./Lilnl ISohldull,Xl (101 .00
11, Totll D_dUotionl 1111 . no
12, Nlfvllul 01 TIN"Rlturn" (12) 2$/490 .00
11. Chlrltlble/GOVlrn.'nt..l Bequeltl lsohodul. Jl (11) ,00
14, NIt V.lul 01aitlt. lubjlot to TIN (14) 2$,490,.00
NOTlI i ,Xf .n......lIi.nt'W.. i..u.d prldaUlly, Un.. 14, 11 end/or 16, ,17 ,.nd 111 W,i:u.
r.fl.ot figur.. thet inolud. the tat'l of 6kk r.~urn. .......d to det..
AS.ISSMINT OP, TAXI
11, A_tof' ~illl 1'\ It'ilpOUlll rltl (111 .00 K' 00.
16. A_t of Lin. 14tIHlb11 It Llnl.l/ch.. A rltl (16) 2S , 490, 00 X, 06.
17, A_taf Lin.",14 hNlblllt Co11ltlrll/Clell B r.tl (17) ,00 K ,1S.
11. prlnolPI~ ,Tile Due In)
TAX CRIDXTSI
PAYHINT
DATE
.00
.00
,oq
.00
.00
...u.
23.490.00
(I)
2$.490.do
,00
.00
,1.409,40
.00
1.409.40
RECIIPT
NUIlIER
DIICOUNT II)
INTeREIT (')
AHOUNT PAID
INTEREST IS CHARGeD FROM 04-12-95 TO 06-14-95
AT THE RATES APP~ICABLE AS 'OUTLINED ON,THE
REVERSE SIDE OF THIS FORM
TOTA~ TAX ORIDXT
BA~ANOI op TAX DUB
XNTlRIIT
TOTA~ DUI
1,409,12
.28
.00
.28
II XF PAID AFTER,DATB INDICATED. SEE REVERIE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTALOUE IS LBSS THAN tI. NO PAYHENT IS RBQUIRBD.
IF TOTAL DUD II REFLECTED AI A "CREDIT" ICRl. you. HAV IE DUE
A RBFUND. SEB REVERIE IIDB OF THII FORH FOR INITRUCTIDNS,1
10 <U/l .II
RIV-1147 IX APP 111-94)*
C_Al III llI' ~"",YlVAHIA
Ul!PAIHII!"T Ilf' R\!VI!~
lUREAU llI' INOIVIDUAl TAKEI
DElT, 110601 '
ItARllIIIURO. PI mE.-om
NOT~CI GF INHIRITANOI TAM AON _1'.
AP~RAl8JHaNT.ALLOWAHcI O~ OIIALLOWANOI
Of DEOUCUOHI ANll AlnUllINT Of TAX PAT! 06.06-9&
DATI! 01' PlATH 09-18-79 G~bftT~O' CUMBERLAND
NOTE I TO INIU~I PROPI~ CRIDIT TO YOU~ ACCOUNT. SUBHIT THI UPPE~ PORTION Of THU fO,," WITH YOU~ TAX
PAY"INT TO THI ~IIIITlR Of WILLI. HAKI, CHaCK PAYASLaTO "REIUTER Of WILLI, ,AIINT"
, RBMXT PAVMINT TOI
JOHN CAMPBELL
DAUPHIN DEPOSIT BK a TR
PO BOX 2961
HBG PA 171011
REGISTER OF WIL~s
CUMBER~ANO CO COURT HOUSE
CARLIsLE, PA 17013
I
AlIOun~ R...!.H.d
J
CUT A~ONG THXI LXNI ~ RITAXN~OIlIR PORTION POR ,YOUR RIO!lR!lJ ~
lW :U'W-i'l(-AfilI"n'l:O~"l--il~Yfol"-6~- WAlllff~ilci-YAX-A"li~~iiiil'Mlf, A'''-AL 'L'lSw~l(cl-b1f.~..__m._"" --..
DX8A~~0IlANcl OP ~'DUCTxoNs AND A8alsSHI~T OP TAX ' ,
ISTATI op, BLE8SING JOHN A PX~I NO. 21 79-01l7l1
,TAX RITURN WAI. I. X) AC91PT1D AS FILED,
RI81RVATXON OONCIRN%NO PUTURI XNTIRlST - SII RaVIRSI
APPRAXSI~ VA~UI OP RITURN IASID ONI REMAINDER RETURN
1. R..l a.tat. llohldul. A) (1)
I., Itooke Indlonda (Iohldul. 'I) (2)
.. clo..~v H.ld Itook/P.rtn.r.hlp Xnt.r..t (lo~l' C) (II
'I. I1ort...../Not.. RlOo1Ylbl. (I,hldul. ,D) (41
I. c.lhllenk DI~'lt'/Hl.a, p.rlonll, prop.rt~ (Io~l. E) (II
6. JOlnt1~ awn.d Prop'rt~ II0h.dull,'Fl " (6)
7" Trenlf.r. 18ol1Ml\ll. l!) , (7)
I. 'Tot.l Au.te
APPROVID >>IDUCTXONS AND, IXIHPTXON81
9. Funlrl~' ENPlnI../AdIi, co.t./Hilo. BHpenlu llohldull H) (9)
1O,'Dlbh/Hort...,. Lleblutt.../Llen. (Ioh.dul. X) UOl :00
l~i Tot.l'QIduOtlon. (11)
12. Net V.lllt of T'N R.turn (11)
11. Ch.rltlbl./GoV.rn"'"t.~ IIQ\II.h ,(Iohldul. J) (18)
14. tilt V.lul1 of 8.tat. IUbjlOt to T'N '(14) 2$,264 .00
NOTII Xf." ......m.nt W" h.u.d pr.vioully, U""" 14, 11 lind/or 16, 17 .,nd 18 will
rl'fll.ot,Ugur.. th.t inolud. the total of aI&Io. rnurnl .......d to ,d.t..
AS8ISSM.NT ,!lP TAXI
11. A~t of Ltne 14 It lpou..l r.t. ,(1&1
16. A..unt of Lln. l'1,t'Nlbl..t Lln..l/cl.11 A r.t. ( 61
17. AIoun~ ~1 Lln' l' t.Nlbl. .t coll.t.r.l/Cl... 8,r.t. (71
, 1&. prlnollial TIN Duo.
TAX CRIDXT81
PAYHENT
IlATI
ACN lOB
DATI 06-06-9B
( ) CHAH4lEO
.00
.00
.00
.00
.00
,'DO
23 i 264 .00,
'Ill
25,264,00
,00
nn
25,264,00
.00
.00 X .00.
2$,264,00)( ,06.
,00x,18.,
ell)
.00
1,$95.81\
,00
1,398.84
,
REcnPT
, NUHIER
DXSCDUHT l+)
INTBR81T (")
AHOUNT pAID
INTEREST IS CHARGED FROM 04-12-98 TIl 06-14-98
AT THE RATES APP~ICABLE AS 'OUTLINED ON THE
REVERSE SIDE OF THXS FORM,
TOTA~ TAX CRIDXT
IA~ANCI OF TAX DUI
XNTIRI8T
TOTA~ DUI
1.398.87'
.27
.00
.27
. IF PAXD AFTER DATI INDXCATED, lEE REVIRSE
FOR CALCULATION OF ADDITIONAL INTBREIT.
( If TOTAL DUE II LEII THAN '1, NO PAYHENT II RlQUIREb.
IF TOTAL DUB II REFLECT8D AI A "CREDIT" lCRI, YOU HAY BE DUE
A REFUND. SII RBV8RSE 1101 OF THII FORM FOR INSTRUCTIONS,)
go I..r\ '1J
~ (ri :'nh\
:, <II ';,. ,
, ,
r,
~..
~
UJ
en
--,.Ii "
')."___1 .~
C.J'
, '
III_ATlQM. 1.1.1" of dooHMl11 dvl'" on Ot bofor. llH_r II, 1911 .. If OIlV futuro Int.r"t In thl ..tot. I. Iron.forrld
In,""'I..lon or ..jo_t to CII.. I (ooll.tor.1l bonOlI.llrl.. of IhI dooHMlt ./lor thl ..plr.tlon .f ..y .'llt. for
IIf. or for V.I", IhI C_lllh h.rollv .HPr...1v r..or... lho rlllTt to 1flfI,,1I. ond ...... tronlfor l""'rll_1 IIN..
.t thl I../ul CI,," I I.olllt.r. I r.tl on MV luoh futuro,lnt.",t.
PUIlPOII Of'
NOUClI
OIJllCTlIIIlI.
'T' fulfill tho r"""lr_to of lootlon 1140 of tho Inherit.... ond Ilt.t. T.. Aot, Aol II of 1"1, rz P,I.
looUon *140. ,
OIlooh thl lop porUon of thll Notlo. ond .....It .m your p.voont to tho R"I'I.r of NIII. prlnlad on tho "..". .hlo.
"1lolC. ohooK o,r """'V order p.vobl. to, RlIlI8m,DF MULl, ADIlIT '
All p._t. ".oIVod ~II lI"t bo "",,1I1d to onv Inl.r.11 lIhloh ..v bo duI 01\11 onv r_Indor IflfIIlOd to tho tIN,
A rafund of I' IIN orOdIl, lIhloh ".. nol r."u..IOd on lho ToN R.turn, ..v bo r."u..lad bv .oopl.lI", on "Appll..tlon
fnr R.fund of P....vlv..l. Inherll_. ond I.t.t. I.." (RaY'ISISI. APRlloltlon. Ir. .v.llobl. It tho O'fl..
0', thl Rllhtor, of Millo, MV of lho II R.v,""" Dlllrlol Offlo." or bv ,o.lIlnl IhI .....1.1 f4'hOUr
on~rl", ..rul.. nuobIrl for for.1 .rdlrl"" In P....vl..,I. 1-100'161'1010, oul.lde P....v vonl. ond
olthln 1..11 tterrlobur. .roo 11171117'1094, TOOl 11111 nl'lul lNolrl.. 1,,"I"d Onlvl.
any plrlY In Inl.r..t not 1I11.flll.I\I1 lho """r.l,.,..t, .11...... .r dl..II...... .f doduotlonl' or ...I.....t
.f tlK (Inoludlnl dltDount .r Inl.r"11 .. .~ .. Ihl. Hotl.. IU.I .bj..1 .llhln .IHtv (601 dOVI of rlOllpt of
Ihh HotlO' bVI
".rlll.. prol..t 10 tho, P6 OInorl_t of R......, ".rd .f ApploIl, Dopt. 111011, Mirrlobure, P. 11111-\011, 0"
...Iootl.. t. hIv' tho .llIor dOtlr.'"" .t .....It .f IhI _t .f the po"...1 ropr".,I.tlv., OR
--_I to' tho 0""","1' Courl, '
ADfUM "
IITRAlIVI
c~CTIOHII .001Ul1 .rror. dltD.v.rll .. Ihl. I........t lhould bo ..-r."1d In .rltl", to, P6 Dop.r'...t 0' R.v,"""
, Iura... of Incllvldull ToN"" ATTHI P..t ......_t R.vl.. unit, OInt. 110601, Itorrllbure, PA 11111-0601
_ 11171 ,.,.nOI, I.. PlIO I 01 IhI _I.t "In.truoU... for I""'rlt_. TOM Rltur. for . R..ld..t
DlGHMlI" (IIIV-IIOII for., ..pl...llon .f "'lnl.t~ltl'IIV .orrootobl. .rror..
DlatIurr. If ..v t.H IIUI I. p.ld .Ilhlnth,oo III .11....r ...Ihl ."., lho dMHMlt'l dOlth, . II.. po,o..1 U~I dl.oaunl of
\hi IIN plld I. .1IDNOd,
INT1!RIITI Inlor..1 II .ho'lId '....1""1.. .lth lI"t d.v of cltll_v, or nino 191 ....Ih. .... on. III ,d.v frll lho lilt. .f
dellh, 10 tho d.t. .f Plvoont, T.... lIhlDh ...._ cltll_1 bo'ore J.....rv I, 1981 bo.r Inlor.At .1 tho rot. .f
.1. e6~1 por...t po, onnuo ..loul.11I .t . ..llv ,.1. of .000164, All I.... NhIDh beG... d.llnquonl on ,and .fl.r
J....'v I, 1911 .111 bo.r Inlor..t .t . rot. lIhl.h .111 v.rv frIO 0.1.....' vOIr to ..I....' VOl' .lth thot '.11
_ad bv lho PA Dop.rl_t .f R........ Tho IflfIlloobl. Int"..t ret.. for 1111 Ih'.... 1"1 .r.,
PAVltIlIT'
RIl'\JND(CflII
'tW Intlr..' Rate P,Slv Jnter..t Peotor xer Jnhr..t Rlt' pil1v Int,r.,' Ftotor
1911 lOX ,0001141 1911 9~ ,000141
1911 16_ ,000411 I9M"I"1 11- .000101
19114 m ,000101 1"1 n .000141
1911 UX ,000116 1"1-1.... 1X .000191
19M 10_ ,000114 1"1 9X ,000147
--In'.rllt II calcullted II follON"
INTERBBT . IALANOI OP TAM UNPAID X NUKIBR OF DAYS DBLIHqUBHT X OAILY INTBRBBT PAOTOR
.'AnV Hollo. I..... .ftl' tho \~ bel.... dell......I,.111 r.fl..1 .. Inlo,..1 ..IOUlltl.. to fill... I1I1 dIV.
bo~"" lho dOl. 0' tho ....._1. If p._t I. _ .It" IhI Inlor..t ......I.Uon delo _ ,on lho
Hotl.., oddlll...1 Int.,..t ...1 bo ..1,Ulolod,
I(). ,,)cR} J
RmV-1147 IX A'P Ill, -94*)
C~A(lll Of PlHKIY(V,"IA
P<<PARl"HT Of _HIll
IIUllIlAU Of IHIlIVIDUA( lAlU!l
IlIPT, uotn
IWlRllIlJIG, PA 17111'0601
NOTlCI OF INItERITAHCe TAM
APpIIAlleHeNT, ALLOWANCI GR DISA~~OWANCe
OP DEOUCTlOHl AND AllallHeNT Uf TAX
AON .,
DATI 06-06-9&
DATI OP DIATH 09-111-79 ~~bftJO' CUMBERLAND
NOTII TO INSURI PRepell cReDIT TO YOUII AccOUllT, 8IIIHIT THI up~ell pOllTIOH OF THII fO,," IIITH YOUR TAlI
PAYHINT TO THE IIIIIITIR OF WILLI, NAME CHECK pAVAlLE TO "RIIIITIII af'WXLLI, AGINT"
. RIMXT PAVMINT TO I
-
JOHN CAMPBEL~
DAUPHIN DEPOSIT BK a TR
PO BOX 2961 "
HBG PA 11105
REeISTER OF wt~~s
CUMBERLAND CO COURT HOUSE
CAR~IS~E, PA .1701$
A~t 1I1II1UiHI
CUT A~ONII THI8 IXNI ... ,RITAXN LllWIR PORTXONPOR YOUR RIOORDi ~ '
.'ftW ;1.ii'f-I'l(-A~'Jl'''rl1r:O~T-R~Yf6i,--d''-WAll(itlWI-YA~.Aji~~Al'ii1fi~t"- - ALt'd'w~Wi-'lfIi-----___..__m..
, , DxsA~~OWANOI OP' DlliUCTIONs AND A"IS8HI~T OP ,TAlC
IIITATI OP BLESSING JOHN' A PXLI NO. 21 .79,-0578 ACN 106 DAti 06-06-95
TAX RETU,,"WASI I X) AcCIPTftDAI ,FILED: ( I CfWfDED
RI81RVATXON CONOIRNING PUTURI XNl'IRS8T - SlI RIVIR81
'APPRAXSID VA~UI OP RltURN 1ASaD ONI REMAINDER RETURN
1. R..l ,E.t.t., (IDhlitlll. A)
a, ItOok. ~ Bond. eloh.dlil.'ll
I, Clo..1V H.ld ItOok/P.rtn.rlhlp Int.r..t llohldul. el
~, Hart...../Not.. RIO.1Ylbla (Iohldule 01
,I. ClIehllenk OIpo.lt./Ht.o, P.r.on.l property llohldlil. E)
6, Jointly DlmlId property (lohldul.F)
7. Tron.f.r. llo~,dul' G)
I. Tot.l A...t.
C1l
(21
III
(41
(I)
(61
(71
.'00
.,00
.00
.00
.00
.00
2~L 140.29
, II'
25,140.25
APPROVID DIDUOTXONS AND IXIHPTXONSI
, 9. funerel BMPDn'I./A~. Co.t./Ht.o, EKPIn'" (Sohldul. H) (9)
,10. Dlbh/Hart.... ~IIbUlt1I'/l.lll1' (IDh~l' I) (101 ' .00
11, ~ot.l Deduction. Ill)
11. Kit Valu. 01 T'M lIeturn (12)
II, ch.rltlbl./lovlrnDlntel Itqu..t. (10he641. J) (111
14. N.t v,lue D~ I,.t_t. Sub,llllt to T_M (141 25,1,90.25
NOTII 11 en 1","lIIel1t WII illUed previOUI1Y, Une., 14, lBlnd/dr 16, 17 Ind 18" IIUl
rlfllot f:l,gur.. thet in01ude t,l1' totll of 6kk rl~Urnl.I"I...d t!l det.. '
A88I88HINt OF TAXI
18. AlICIUI\t of Line 14 .t IlIou..l rete ' (111 100 K .00. ,00
16. AIIO..,tof Line 1~ taMlbl. .t Lln..l/Ch.. A r.t. ' (16) 23,140,28 X, 0,6. 1, !I18, 42
17,AlICIUI\t of Line l~ teN..,l. .tCoUet_rel/Cl... I ,rete (17) ,00 X ,is.. ,00
11, prlnolPll Till( L'UI UI) 1.588,42
TAX ORIDn81
PAVHENT
DATI
.00
,,' n~
25,140',25'
.00
RICUpT
NUlIIU
DIICOUNT 1+)
INTERB8T (.)
AHDUNT pAID
INTERES1IS CHARGED FROM 04-12-95 TO 06-14-95
AT THE RATES APPLICAILl;; AS OUTLINED ON THE
REVERSE SXDE OF THIS FORM
TO:rA~ TAX CRIDIT
.A~ANOI OP TAX DUI
XNTIRIST
TOTA~ DUI
l,1I88.07
.SS
,01
,56
M IF PAID AFTER DATE INDICATBD, saa RBVERIB
FDN CALCULATlcN OF ADDITIONAL INTERIIT,
( IF TOTAL DUE IS ~B81 tHAN .1, NO PAYHEKT II REQUIRED,
IF TOTAL DUE II REFLECTED AI A "CREDIT" ICRl, YOU HAY IE DUE
A REFUND. SIB REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
~ n ~d f1i'
0;; :0
1_ ~ f i 1\1 (
,
~J
-.
\..oJ
',.-,'
'\) , "
;L~ :~_I ,~
C~l
~~.TIGH' elt.t.l.f o.-~I. dVI.. on .. blfo.. ~tobI. II, I'll .. If ""V futu.. lnt....t In 1~,..III"11 t'IIlI'f"'~
In po.....lon .. ""l._t t. 011.. .(..11.1...11 bIotfl'I..I.. .f thl o.-,....t 1ft.. 11\41 'NPI..t1on .f IIlIV ..t.l. ,..
Ilf. ., f.. vee'" tho O........lth h.robv ..p....lv '1""" IhI .Ight t. opp..I.. ond "'""" t,""'f" 1~'lt.... T...I
.t tho I~ful 01.... ...11.1.,.11 ..tl .n IIlIV IUOh,futu.. Intlrl.t, '
l!IlRPOIll 01'
HOTICe, T. fulfill tho .aqul.....t. .f I..tlon II~O .f tho Inht.II...1 Ihd elt.t. T,.A.t, A.t II .f 1"1, 71 P,I,
IIotlon II~n. '
PAYMlIfT, p.t.... tho top po.Uon .f thll HoU.. ond .....It Hlth vOll. p._t ,t. thl Rllht.. .f Nllh p.lrlh..... the ..v.... .1,....
"HolI, 'hook .. ....v ...... p.vobl. tOl REGIITBR Of "UUI j AlIIlIT "
~U .._tl,....lved .hllI fl,"t bloppll... t. IIlV lotl...t ,\'hl!'l1'''V bI ..." With ..v ....II1cIt. ....11" t. ,tho tON'
R8l'\INll, IC,lI A ..f\lnd .f . t'H .."11, IOI1I.h w.. not rlql,..t.,. on tho ToM R'tu.~, "V bI .1qIIo.tld.V ....i.tino on "AlIPII..U..,
f,,'Rlfund.f PonnlvlVonl. IMho'lt.... ond ..t.t. TI." lRaV'lltll. Appll.lllon. ... .v.lloI...1 lho 0,,1..
.f tho RIII.I.. .f NIIII, IIlIV ., thlU R.v..... olltrl.t Offl..., .. bv ..Illno lhO ....1.11~.hOU.
on_.ino "'VI.. ...... f.. f.... ..d,.I.., ,In P......vIVlni. 1'600-161"101', ""III'" Ponn'vIV""11 ond
within 10011 IIO..I~.. .... 17171717'10+4, TOOl (7171 771'1~1 IHI..I.. loptl.ed ~Ivl.
OIJlCTIONI, Anvp.rtv In Int.,..t not ..II,,11d With tho Oop..I,,,,"t, 111.......r ..'..llow.....f dIduotlon./ ., I........t
.f 1... (lrHI1UCflno "I..ounl 0' Inl.r..1l .. _ on tnl. Holl.. ....t obl..t wllhln .IMtv 1601 dlv. .f ....I.I.f
\hlIHotl.. .V, '
AGHIli
IIT'AT1Vll , "
CORR8CTI~"f..tu.l.r"r, ..1...v.'Id,onlhll,.........t I~I" bI 'Odd"I.ed In w.lIlno t'l PA'pep.rt...t.f R.v.....,
.u..... .'lnOllvl.....1 ,...... AT11l' P",t A........t R.vl~ ~lt. Ool>t. 110601, 1I..,hbu'I, PI 17111-0601
-.. 17171 Yl7.6'01.1.. p"," I Of ,till bool<l.t "In.t'UCIl1onl f.. 1.....It.... IlK R.turn for . R..I....t
Daoldtnt" (REY'11011 f" on '"pl...tlon of Odolnl.I,ltlv.lv ..rr..tobl. ""'"
If'..v t........ hplI.. within Ih.,,'U; .1I""""....th. .ft" ,tho ....._t......th. . ,flVl ",rolllt (Ill' dl..ouni I.,
thOt.. p.I"11 '1IoMId. '
" '
Int.,..t II .ho..... bOtlonino Hlth fl,.t ".v ., dlllnquenov, .. 01.. (" ....Ih. ond ... ell dtv f,lItho dot. .f
dIIth, t., thldlt. of p'_I, TOH"",,IGh boo... ",llnquont blf... Janu"vl, I'll boo. Int.rl.t.t tho ..t..f
.IH 16Xl PO"ontp.. onnuo ..Ioul.tld,.t . dellvr.tl.f :,'00164. All t....OhI.h boo... ...Ilnquont on .... .,t.,
J""""~ " "II wUI bI"l~t..ut.t . ..t. OhIGh, Hill VII'V f... ..Iondo' vllr, I' 111_. V"", .Ith thlt ..t.
___Id .v I~ PI Ool>..t...t 'f R.y...... ,TIll oppll...I. lol","t ..t.. for I'll Ihr...... 1"1 .."
...,Itt.. p..t..tt. Ih' PA o...,t...t.f "VIOUt, '..rd of Appool., popt, 1110II.,II.,rl',"'I, PA 17111-1011,
...I..tlon, t. hlv, lho ..ttl. lIIt".I"....t IUdIt of tho ......,t .f IhI .......1 .ep.....tltlVO' OR '
........1 '0. thf! orptlan'.' Court,
0"
OIlCQlJHT I
IHTPlIIIT'
~ ,ntlr..t Rlt, Dll1v'lntlrl.t Faotor
1911 lOX ,000I~'
1911 16_ ,060~H
1'14 IIX ,000101
1"1 11_ .000116
1'16 10_ ,00017~
.-lnll"lt '" cI,oul.ted .. follOW"
lKtBRIIT . IAL4N~ 0' TAX UNpAID X NVKIBR OP OAYI DBLIHqutNT X pAILY INTERElT 'ACTOR
..Anv Hotl.. I...... .ft., tho 'IN ....... ~llnquonlHIII r.fl..t on Int.,..t ..Ioul.tlon 10 flft"", <Ill dlVo
Wvond tho d.to .f thI....._t, I, p'voont I. ..... 1ft.. thI Int....t _t.tlon ...to ...... on tho
Ho',I.., Oddltl!lflO1 Int..u' ....t bI ..Iout.ted, ' ,
rnhrut AI't
Dlllv tnt.r..t Faotor
xu.!'
1917
191101"1
1991
1"1-19~
1"1
'X
llX
OX
7lC
.-
.00Ot~7
,000101
,600"7
,0001'1
.ooom
/tJ ),(p)-,,5'
RUV-11147 III AI"P 01.94*)
COMMONWlA~lH Of PEHHlY~YANIA
Dl1'AlllHENT Of .w1Ml
IUII!AU Of INDIVIDUAL lWlI
IlI!Pl, 110'01
1lARRIIIURD,'PA \7111-060\
,
NOTICI D~ lNHIRXTAHR' TAX
APP~mIHINT, ,AHQlfANCI D~ DIIALLoWANCI
or DlOUCTXOHI AHa AIII"NINT or TA"
AON IlItz'
DATI 06~06-9B
,PZ~I NO. -
DATI OP DIATH 09-15-79 COU~TV C MISRL~ND
MOTEl TO XNlU~' P~OPI~ C~ID1T TO YOUR ACCOUNT, ,UBHIT THI U~~IR pD~TXDN or THXI ~ORH WITH YOU~ T~
'AY"INT ,TO THI R18I1T1R Dr WXLLI. I1AKI QHICK ~AYII'LI TG "~I'I1T1~ O~ WILLI, AUNT"
, " 'RIMXT PAVMINT TO I
JOHN CAHPIEU ,
DAUPHIN DEPOSIT BK ITR
PO lOll 2961 '
HBG PA i710B
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CAR~IS~E, PA 17015 '
AIIOUnt R..1H.d
, "
OUT A~ONa THXS ~XNI ~ RITAJrf ~OIlIR PORTXON POR YOUR RIOORDS ~
"'Jill: lIW.llf-A~li'-r 1'l:'~i" -il~Yia"-6'- IN'Hij(ff,~, Jl'd'i-Y,{'R-'A'\S~, ~A,,{ii'H'iIW--Att'cl'w~Wi-'lf!i-m.._.._. - - - - --
DXIA~~OIlANCI OP DIUUOTxoNI ANDAIIISIHINT OP TA~"
ISTATI 01' I~ESSINB JOHN A PX~I NO. 2~ 19-0578 ACN 101 DATI 06-06-96
,
, TAM RETU~N WAIl (X) ACCIPTlD As FILED (I CHANGED
IlI81ROATXON OONCIR'NXNG P~TURI INTlRIST - SII RIVIRSI
APPRAXIID VA~UI 01' RITURN IAOID ONI REHAINDSRRETURN
1. R.al Elt.t. llohldul. A) , ,
e,lto~k',end lond. llohldul' 8) "
I. clo.al>> Held Itook/P.~tn.r.hlp Int.r..t llohldul. C)
4, Hort...../Not~. Reo.tvlbl. eloh.dul. Dl
I. Call\lSenk Dlpo.lh/Hho,'P'r.on.l proplrh llahlldUlI El
6. JDlntl~'Ownld proPlrt>> (Ioh.dul. F)
7. Trlll.f.r. (Ioh.dul. 0)
I. ' Tot.l A...t.
, I
111_
III
CSl
(41
(S)
C6l
171
.00
.00
.00
.00
100
.00
23,009.00
III
23,009.00
APPROVID D,DUCTIONI AND IllIHPTXONI, i
9. ~UMr.lINPII\..e/A., Co.t./Hho. bplll... llohldul, H) 191 .00
10. llIbh/tlclr*...., LllbllHll./L1'n' lloh.dull Xl (101 ,00
,11. Tot.l D.ctuotlon. (111 ,.00
1.8. Nit V.l~. of' T.H R.turn C121 23 , 0 0,9 , 00
11. Ch.rltlbl./Oov'rnMent.l eaqu..t. (Io~l.' J) 1111 ,00
14. NIt Vllue of E.t.t. IUbjlOtto TIN " 1(4) 23.009,00
NOTlI xf.n ,'.'..lIlellt WII :I.lIuld pr.v:l.oU.1Y, une.14J 111 .nd/or 16, 17 .nd laWU1
r.~l.ot figure. th.t inolud. the tot.! of ~ ,re~urn' .......d to ,d.te.
ASIIISMINT OP TAXI
11. AliIount of Line 14 .t 8pou..lr.t. 111) ,00 'M ,00.
16. A_t Df Line 14 hNlbllltLtn.,l/QlIu A r.t. C161 23 , 009,00 M' 06,
17. I\IIOUnt of Line lq hNlbl..t CoUatlrll/Cll11 I rat. (17) ',00 M.lS.
11. Prinolp.l T'N Due (11)
TA~ OR.Dnl.
pAYHENT
DATI
.00
1,380,54
,00
1,380,94
RficUPT
NUltIER
DXSCOUNT (+)
INTUI'T (-)
A~ PAID
INTEREST IS'CHAkGED PROM 04-12.95 TO 06-14-95
AT THE RATES APPLICA8~E AS OUT~INED ON THE
REVERSE 'BIDE OF THIS FORH
TOTA~ TAXORIDIT
'A~ANOI O~ TAX DUI
XNTlRIST
TOTA~ DUI
1,380,12
,42
,01
,4$
. IF PAID AFTIR DATE INDICATED. slE REYERII
FOR CALCULATION OF ADDITIONAL INTERE'T,
I IF TOTAL DU* II Lasl THANU, NO,pAY"ENT II REquIRED,
II TOTAL DUE XI REFLECTIO AI A "CReDIT" ICRl, You HAY IE DUB
A REFUND. lEI REVIRIE IIDE OF THIS FORM FOR INITRUCTIOHl.1
~D \(~ "I', :n
'. r Iii .. m
", , I
,
f'
~.
.
...
l....
.../ m
)iJ ( ......
",d t-,-.'I
RI"AVATlOlh 11111.. of dIG"'''' dyl", on or, be,... DIo_r II, I'" .. If onl fuluro Int"..1 In lho 1.1111 II Ir..,.f.,,1d
In ........Ion .r "'1"11II1 I. CI... I ea.II.I.roll bontll.llrl.. ., lho ,,,"_I. .11.. tho uplrollon .f ..,~ 111.1. f.r
Uf. qr f.r va.ro, lho C_lIn horoll~ ..p....1I r....v.. lho rllM 10 """r.ll. on<l I..... Iron. for InhlrU.... 1..1. '
.1 IhI 1...",1' CI... I (o.lIlt...11 rll. 'on ..,~ .uoIl lulu.. Inlerl.l,
PtJI\I!OIllIlfl
HOllet. I. lulflll lho roqulrooonl..1 ...llon 1100 .1 Ih. Inh.rll.... end ,.1.11 T.. Aol, A.t 11," 1"1,,71 P,'i
...lIon tloa.
PAYllIlITI 1lI1"" lho lop ""rllon 0' Ihll Nollol ond .ubeUwltn ,our p._1 I. lho Rllllllr .1 HIIII prlnl" on \hi r.v.r.. .Ido,
..""". ...,.... .~ .....1 ordor p.~I' 10' RBGIITIR QP MILLI, AGlNT , '
All p'~IIII\I. r..elvld .holl 11..1 be ...UId 10 ..,~ Inloro.1 ""loll ..~ be duO wUh ..,~ r_Indlr ...UId I. \hi I.... ,
_ (till! A r.fund of . to. orldli, ""Ich w.. nol r.......lld on lho Tu R.\Urn, "" be r......lld b~ ._1111'" .., "AfIf'Uo.llon
I.r R.fund .1 P.....~lv..,l. Innorlllne. end ,.111. I'." IRIV'UUI. AppUoollon. er. .v.llo11l. II lho 011100
of IhI R..III.r .f Will., ..,~ of IhI II R..onij, CI.lrl.1 Off I..., or bw .alll", lho .pool.. 10-hour ,
on....rl'" ..rvlo. nuelloro f.r f.ra.ordorlnll In P.....'I...,I. 1-100-162-1010, ouloldo P.....~I...,I. end
wUhln 10011 tilrrllllurl "'" (7171 717-1091, ,TOD' (7171 771-UIt (""rllll 1IPllrld Onlll, '
O"'CTlCllII. An~ p.rt~ In Inler..1 net '"Ulllld wltll lho """rill_I, .Ihw.... .r dll.II....... .1 d_lIon., .r '''1._1
.f IIN llnellldl", dlHounl .r Inter,..1l .. __ on Ihl. NoUo. IU.I DbJ...t wUhln .IHIV 1001 do~. of r...lpt of
, till. NoU.. b~1
_owrltt.., prol..1 I. IhI PA Oap.rllonl .f R..anuo, ...rd ., Appe.I., DePt. 111011, H.rrllbur., PA 17111-1011.
--.I"Uon I. hlvl IhI lilt.. dol,,"lned .1 auclU of \hi "'_1 01 Ihlparoonal rapr....,I.llve, OR
.......1 t. tho or""..,.' court.
OR
AIlHIH '
, lilRATlYl!
CORRICTIONII ...Iu.l .rrorl dll..v.rld on thll 11,...oont .hoUld bo oddr'"1Id In wrltl", I., PA DIIlrt...t 01 Rlv.....
lur..u 01 Indlvldull T'K'" ATTWI POll A.....oont R..I... unIt, Dlllt, 110601, H"rllbUrg, P6 mU-06al
_ (7171 71706101. 1..._ I 0' ,\hi _I.t "In.lruaUonl for Inherlt...1 IIKA.lurn lor. ...Idonl
DHoclInt-(AIV-IIOII for on '1ClI1....llon .f IdIIlnlltro\I..1v '..rr"loIIl' arroro. '
, ,
II In~ I.. duo II Plld within thr.. III ..\onder ....Ihl .11.. Tho_odInt'. do.th, . II.. Plroonl (IX) dl_t of
Tho 11M p.ld II 111_, " '
Inlerall II ohllllocl baGlnnl", wUh IIrll dI~ of d.II_~. .r nl", (t) _tn. and OM III do~ Ir.. Ih. dot. oi
....1", 10 IhI dll. .f 01_1 i I.... ""Ich _ dolin_I boloro Jonu.r, I, 1911 bnr Inl"I.1 II tho rll. of
.IK (IX) Plr.ont Plr onnua ..Ioul.tld .t I d.11I ..I. of ,000160, All t.... ""I.h ....- doll",,","t on and .11..
Jonuar~ I. I.., will bllr Interllt It . rot. 11I11"" will ver~ Ir.. ..I_r 'nr t. o.londor ,.er wUh Ihlt rol.
onnounold b~ IhI PA DII"toon,1 '.' ..v...., Tho ....11....1. Intlr..1 rot.. lor IIU throuth 1"1 Irll '
DIICCMIHT I
11lTIAll1T1
Y.ur Inter..' AI" Dwllv tn'tr'lt Paotor tw Intlr..' A.t. Dtlaw Intere.t FlOtor
I'U lax 'loaHI 1917 .. ,aOOIl?
.... UX . 0"" ""01"1 m ,000101
.... \IX ,000101 1"1 .. .000l1?
I'" IIX ,aDOIII 1m-I"" ?X .000lU
.... lax ,000170 1"1 IX ,000107
ulnler..1 I. ooloulllld '" foil....
INTRAIIT ~ IA~DI OF TAX UNPAID X HUKill OF DAYI OILINqUINT X aAILY INTERIIT FAOTDR
o~An~ Nollo. I..... Ifl.r tho t.. boo.... delinquent will r.'l..t en Int.r..t e.loulltlon t. flltoon(111 dl,.
bI~Ohd tho 'dal' ." \hi IIHI_I. '1/ p.....t 10 _ Ifter IhI Int....t ._I.llon dal' ...... on \hi
NoU.., Idcllllonal Int....t lU.t \wi o.leul.tld, '
"
1(.1, .~ t> "?- :?
RBV-ll,47 I X APP 1,11-94*1,
COHHIHIHeAlllI Of Pl"",VlVAHIA '
Ilt!PARTHENT OF RllVl!IIIJIl
IUREAU OF INOIVIOU~~ T~I
Ilt!PT, 110601
116RRlIllIlIl, P6 11111"0601
HQTIC~ OF INHERXTANCI TAX
APPRAISEHENT, ALLOWAHCI OR DXIALLOWAHCI
OF DlbUDTIONl AND AIIIIIHINT OF TAX
ACN IU"
DATI 06-06,-9&
DATIl OP DIATH 0,9-18-79 G~b=T~O. CUHBERLAND
'NOTII' TO INIURI PRDPIR CRIDXT TO YOUR ACCOUNT, aOIHIT THE UPPIR PORTXON O~ TNI' FORH WXTH YOUR TAX
PAYHkNT TO THI REOXITER OF WXLLI. NAME CHiCK PAYABLE TO "RIIIITER OF WILLI, AOINT"
,RI"1XT PAVMINT TOI
JoHN CAMPBIlU
DAUPHIN DEPOSXT BK a TR
PO BOX 2961
HBG PA 1710B
'REGISTER OF WU~S
CUMBERLAND CO COURT HOUSE
CAR~XSLE, PA 17015
, A~unt ~1tt'd
OUT A~ONG THU LXNI ... Rli'rAXN LOIIIR PORTION POR VOURRICORD8 ~
, ,~W:II~"f-ij("~~li'-r l'l:O~Y-il~Yiei"-oli-WRil(ff~iloi-YAx-'1,'pli~'A-iiilllilr -- ALt-ow~'N'ci-'liR"----o-'-'- --- 0-
" DX8A~~OWANol 011 DIDUcnoNs ANb AliIll88Hlth OP TAX
ISTATI oj! BLESSING JOHN A "XLI NO. 21 79-0578' ACN 10S DATI 06-06-95
" TAX RETURN HAlt (Xl ACCIPTED AI FILID I) CHAHOED
RB8IRVATXO~ OONCIRNXNG PUTURI XNTBRlaT - SII RIVIRSI
APPRAXSBD VA~UI.OP RITURN BASID ONI REHAINOER RETURN
1, R..l I.tat. (80hldul. A)
I, Itook. encUond. (SolTldul. II
I., Clol.ly tllld Itook/P.rtn.r.hlp Inhr..t (80hldul. Cl
~. Hort...../Not.. R...iylbl. (Ioh,dul. Dl
I. C.Ih/Bank D'Po.lt./H1... P.r.on.l Prop.rty ISohldul. E)
6, Jotntly Own'dPr.p.rtv Iloh.dula, F)
7, Tten.f.r. (Ioh.dul. 0)
I. Tot.l A...t.
I
(1)
(2)
(II
(~J
(I)
(6)
(7)
.00
,DO
.00
.00
.00
',DO
22,870.00
,
(Ill
22.870.00
APPROVID DIDUCTXON8 AND IXIMPTXONSI ,
9, ~\inlr.l EKPen"'/A~. Co.t./H1.0. ENPen... (Sohldul. H) (9J
10, D.bte/Hort..., Lh~I11U../~l,,"' (80hldul. Xl 110J ,00
11. Total DlduoU.n. (111 0 n
12. Nat ValU' of T'N R.turn (111 22,870,00
11. Charitlbl./OoY.r~"nt.l lIOU..t. II.hldul. Jl (11) ,00
14, , Nit V.llH1 of Eiot.t. Subj..,t to TIN , (1~1 22.870.00
NOTII Xf,en .e!e..ment w.e i..u.d previou.ly, lini. 14J. 111 end/or 16, 17 end 11'will
rlfl.o~ Ti~ur.. ~het inolUd. ~hl ~O~'l of ~ re~u~n........d ~o de~..,
ASSISSHINT'OP' TAxI '
11. AlOUnt of Line 1~ .t Ipou..l rat. (11)
16, A~t .1 Lln. 1~ t'N.~l. .t Llne.l/Cl... A r.t. (16)
,17. ~~ 01 Lin. 1~ t'Nabl. .t coli.t.r.l/Cla.. I r.t. (11)
11. Prinoip.l TIN Due '
TAX CRIDXTII
pAYHENT
DAtE
.00
.00 x,OO.
22,870.00 X ,06.
.00 x .lB~
(11)
.00
1,572.20
, .00
1,372.20
RECUPT
NUHBI!R
DIICOUlfT e +l
INTEREIT 1-)
AI10IINT PAXD
- ,
j'
INTEREST IS CHARGED FROM 04-12-95 TO 06-14-95
AT THE RATES APP,~ICABLE AS OUTLINED (IN TilE
REVERSE SIDE OF THIS FORM
I
TOTA~ TAX CRIDXT
BA~ANOB 01' 'TAX DUI
XNTlRBST,
TOTA~ DUB
1,571.18
,42
.01
.,43
M IF PAID AFTER DATB'INDICATED, lEE REVBRSE
FOR CALCULATION OF ACOXTICNA~ INTEREIT.
( XF TOTAL OUI II LEIS THAN .1, ~ pAYHENT IIRBOUIRBD.
XF TOTAL DUE XI REFLECTED AI A "CREDIt" (CR), YOU HAY IE DUB
A REFUND. SEE REVERIE SIDE OF THIS FORH FOR INlTRUCTIOH8,)
0, P
~ n'
"
1.1'1
tit
" ~1'
I
.'
....
t....I
,\-1,
,I ~ "
!lllIlRVAUIlM. ..tolll .f ........,,11 dwlna ... .r blf.r. Ooo_r U, I'll .. II IIlW fulu,. Inll'II1 In IhI 1.111. II IrMII,rr.
In po.n.1I1II1 .r ...1._1 I. 01011 I (..IIII.r.il _fl.l.rh, ., IhI dIG....,,1 .'I.r hi .",1,,11"'1' MY ,,1.1. 'er '
III. .r f.r w..rl, IhI O_.lIh hlr.bw ..pr.lllw r.nrvII IhI rlllhl I. IIPr.I.. IIld IInll IrMller IMir",,"" '.K"
.1 \hi I..ful 01.~1 I (..11.1.,.1) r.I.,on onw .UGh lulUr. Inl.rl.l,
PtJRPOItl DI'
NOIICI'
T. fulfill' IhI roqulr.....1I ., 'ooU... II~O .f \hi Inhlrll.... ond hl.l. I.. All, A.I om ., '''I, II P.I,
100\1... 1I~0.
IIIloch 1111 loti porU... .f Ihh MoU.. ond NMtII Nlth wour ,._1 I. 1111 R....I.r ., Willi print.. on IhI nY,,11 .111I,
ooHttk. ohlok or _w .rd.r plwllll. 1./ RBGISTER 0' MILLI, Aam '
All p......I. rooolYId .holl IIr'l bI IIPIlId I. onw Inllrlll ""Ion IIW be IIlII ollh ..y r...llIiI, ..II. II IhI I...
PAVItEHT ,
, , . ' ,
Rt!f1JHD (CAli A r.funcl .f . I.. orldll, ""Ion 0.1 nol r""""lled ... 1111 T..RllUrn, HW bl r......led bw ....IIU'" .. "AIlIIIHll..
, ,f.r Rlfuncl .f P.""'WIV..I. Inhlrllono. ondllt.l. T..' (RlV.IIU), NotlIl..Uon.... .v.1I11111 .1 IhI 011111
.f IhI R..IoI.. .f Willi. onw.f IhI IS R.V,"III DI.lrl.1 Off I.... or bw ..1I1na IIIIIP..I.II~"hoUr ,
.....rlnt ..ivlo. nuobIr' f.r f.r.. .rd.rlnt' In Poon.wlv..l. 1.100.16,.,010, oul.11II P,""'wIY..I. ...'
olthln l""II'lIrr"llUr. .r.. (7171 7IT,I094, TDDI (TIT) Tn-UII (lII.rll1l 1....I'od Dnlw).
OIJllOUOHI. AnwPlrl1l In Inl.rl.1 nol ..U.'lld ollh 1111 _r."_I, .11...... .r dlo.II...... .f -..11...., .r ....._1
.f I.. llnoludlna d.......1 .r Inl.rllll .. ._ on Ih.. MoU.. ...1 ,oal..1 ollhln .lHly (401 don ., r_lpl .,
Ihlo N.U.. bw,
-.orlllon pr.IIIII., 1111 PA Ooolrl_1 of R.v......, ...,d ., _10, Dlpl. 111011, t1errllllUr" PA 1'/11'-1011, OR
".looU... I. h.v. lho ..II.r dol.r.,nod .1 IKldIl 01 till .......1 ., 1111 por.....' r...rllonl.1 v., OR
."""11 to tne Orphen.' Court, ' , - !
AIItIIN
UlMATJVl!
CORRIOTIDNI, FoolUlI .rr.'"dl...v.rld ... Ihl. ....i_1 Ihould bI odd'.111d Inorlll", I.' PA Dlplrloonl ., ..V.....
'...,....'., ,,,,,Ivlduol TIN.', ATTN, POll A.........I R.YI.. Unll, 0001. nOIOl, t1orrlltHlr., PA mll-OAII
Phoho (TI7) TIT-6101. ... Pili 1 .f 1111 booklll "In.I'\IIII... I., IPhlrll.... '.N .llurn I.r I ..lldlnl
DIoIdtnI" (R.V-IIOII f.r .. ...1_11.. ., Idolnl.lrlllv.IW 00"00111I11 .rr.r..
, "
DIlCllIIfT.' If onw I.. IIlII 10 Plld olthln IhrH IS) .11_' .....Ih. .".r \hi ...._t'. do.lh, . IIv.'porl..1 (II) dl_Ilf
\hi 11M Plld I. olloood.
IIflIItl!ITI Inl.r..I.. ohorlld b.II""I", ollh flr.llllw .f doll"""onoy, or nino (t) ....Ih. ond .... (\J IIIw 'r.. 1111 del, "'
doIlh, I. till d.l. .f......nl, TlHII ""Ioh _ doll"",","1 bll.r. J......rw I" IOU bur Inll,,,1 II Ihlllll.'
11. (611 por.onl po, ..... o.loulllld.l. dOllw ,.t..f .000164, AII'I.HI. Whlon bel... dlll~1 on ond .II.r
Jonuorw I, I'll 0111 bl.r Inlor..1 .1 . r.l. Which 0111 Vlrv 1,.. .olondo, WII' I. ..I....r v..r ollh Ihll rill
onnounold ~w tho PA D.Plrtoonl .f R.y...., Tho opplloobll Inll'I.1 ,.1.1 'or 1'1' IhrOUlh 1991 "1'
''tW: lntlrll' Alt, pith tnterllt FlOtor l'.!!r '""rllt RI'. Dlllw Int.,.., ,..t'r
I'll lOX ,000141 1017 9R ,IIU4'
I'll 16X .OOO~" 1'''-1991 \IX , 111111
1'14 \IX .000SOI "l 9R ......,
I'll IIX ,000'16 1991"1994 TR ,111191
10M ,lOX ,0OOIT~ 199. fl ,I'''~'
--Snt".., I' allout_'1d II foU.'1
INTlRU~ . IALANDI 01" TAX UNPAID X ",,"IU 0' OAVI O.LIMQUINT X DAILV'I"'....' 'Am.
.-AnW Noll.. 1.1UId .fllrillll IIN boG.... dollnouonl 0111 ,./1011 on Inl"I,1 '1llUllllon I. 'l'IIth'III' dow.
blworicl tho dOli .f \hi ....._1. II PI_I II _ Ifll' 1111 Inl....1 ....'"11.. ..,. "- .. ''''' '
MoU../ 1dd1ll_1 Inl.r..1 IIU.I bI o.I...llled, ,
10' ,) &,;- $'
RIV-1B47 IX APP (12.941,.., ,
C_AL III IN' Pl!HNlYLVAHIA
Ill!PARllENl IN' REVEHUl!
IUREAU IN' INolVIDUAl lAXHI
or:PT, flD6U
IIARRIIIURG, PA 17111-06nl
NOTIce OF INHBRITANCE TAX
APPRAIBEHBNT, ALLQWANCE OR DtIAL~OWANCE
OP DEDUCTIONl AHa ABBe.IHENT OF TAM
AON _tlilt'
DATI 06-06-95
PX~I flO. " -
DATI 01' DIlATH 09-18-79 COUNTY CUH8ERLAND
NOTE I TO INSURE PROPIR qREDIT TO YOUR ACCOUNT, IUBHIT THE uppeR PORTION GF THII FORH WITH YOUR TAX'
pAYHENT TO THE REGIlTER Of WILLI. HAKB CHICK PAYA'LE TO "REGIITER Of WILLI, AGfiNT"
" RBMXT PAYMBNTTOI
JOHN CAHP8IM
DAUPHIN DEPOSIT BK a TR
PO BOX 2961
HBG " PA17105
REGISTER OF 'WI~LS
'CUMBER~AND CO COURT HOUSE
CAR~ISLIl, PA ,17015
I
AllIount RIIUtld
OUT' Al.ONGTHXS loIN. .. RITAXN ~OWIR PORTION POR YOUR RIOORDS ~ " '
TlW: 11r."f.'i.A~1f.r\'l:f~1".Ro;rio"-ojl.YN'ililfif~llci.YAXIo'Ajijlftjiiiil1l,.ilr-.Attow~lloi.b1fu....-_.._-_u..
" Dxs~L~oWANCI'OP DIDUOTXONS AND, ASSIISHI~T OP TA~, ,
ISTATI 0" ,8~ESnNG JOHN A PILI NO. 21 79-0578 AON 109 DATI 06~,06-95
TA~ RITURN WAIl (X) ACCEPTED AI FILED () CHANllBD
RISIRVAT%ON OONCIRNING PUTURI XNTIRIST. III RIVIRSI
APPRAZSID VA~UI.OP RITURN _AIID ONl REMAINOER RETURN
1. RI.l E~t'~1 (Bchedull A) ,
2. .tqokl end Sandi (Iohedul. I)
I. Clol.l~ Hlld Itook/Plrth.rlhlp Intlrllt (Sohid41e C)
4. Hort.I..,/Not.. Rlollvlbl1 (Ioh.dule D)
I. C.ehlllInk DIPO.UI/Hho" Plrlon.l, Pr~Plrty ,(Bohidul. E)
6. Jointly Ownld ProPlrt~ (Iohldul. FI '
, 7. Trlnlflrl IIohedu11 G)
I. TotllA"ltl
(11
II)
'I)
(q)
(I)
(6)
(7)
.00
.00
rOO
.00
.00
.00
22.723.2B
(0)
22.723,2&
APPROVID DIDUCTXONS ANDIXIHPTXONSI
9. ,Funere1 bplnll./AdII. Coeh/Hho. bplnl.1 Ilohldul. H) (9)
10, Dlbh/~ort".1 LllblUU'I/L'lenl (Iohldul. II (101 .00
U. T.tel DIduot1onl ' (11),00
12, Nit VIlue of TIN Rlturn llal 22,723,2&
11. Cl1lrHlble/GoVernlll.nt.l ,Sequ'lte (lohldul1 JI 115)' DO
lQ. ,Net V.lu. of S.t.t.'lubj.ot to TIN (4) 22,723,78
NOTlI' X1 In ......m, .ntw.. blU.d pr.villUlll/, Un.. 14, 18 end/or 16,17 end 18wUl
r.fl.ot figur.. that inoludl the tOtel' af ~ r.~urn. .......d 'to dett.
ASSISSHINT OF TAXI '
11, AlIOunt of Llnl14 lit Ipoul.l rlt. , UI) ,,00 ",00. .00
16, Aoount of Llnl 14 t1ll1b1. et LlITI.1/Cle.. A rltl CUI 22,72l1.2II'X ,06. 1,5n,40
17. A.olint of Llnl 14 t.Nlbl. .t CoUlterlllCll.. I retl (17) .00 X, 15. , DO
11. Prlnolpe1TIll Due ' nil) 1 .363,40
TAX CRIDnSI
PAYHENT
DATE
.00
RECUPT
NUHlER
DIICOUNT (+1
INtERBBT I-I
AMOUNT PAID
INTEREST IS CHARGED FROM 04-12-98 TO 06-14-98
AT THE RATES APPLICABLE AS OUT~INED ON THE
REVERS~ SIDE OF THIS FORM
TOTA~, TAll ORIDn
8A~ANOI 0" TAX DUI
XNTIRIST
TOTA~ DUI
1,362.99
,41
.01
,42
. If PAID AFTIR DATE INDICATED, SEE RBVBRSI
FOR CALCULATION OF AODITICNA~ INTBREST,
( IF TOTAL DUE II LBI8 THAN .1, NO PAVHENT II RSQUIRBD,
IF TOTAL DUB II RIFLECTED AS A "CREDIT" ICRl. YOU HAV II DUB
A REFUND. III REVIRII IIDE OF TNII FOHN FOR INlTRUCTIQN8,)
/() ,) t. 7- S'
RBV-1147 IX APP (110941,* "
COHHQHWIAllN Of PIHHIYLVAHIA
IlEPARTII!NT 01' RIW1U!
IURtlAU Of' INDIVUllJAL TAll"
DEPT, 210601
IIARtlIIlURO, PA 171l1'06U
NOTICe OF XNHeRlTAllCfi TAX
APPRAXSIHINT, ALLOWANCI O~ DIIALLOWANCI
0' DEDUCTIDNI 'AND AIIEIIHeNT 0' TAX
AON, .,t' ,
DATI 06,06-9&
DATI OP PlATH 09-1&-79 S~bftT~O; CUM&ER~AND
HOTEl TO INIURE pNQPBR CReDXT TO YDUR ACCOUNT, 8UlHXT THE UPPER PORTION OF THII FORH WITN YOU~ TAX
PAYHINT TO THE Re.IITER OF WILLI, HAKR CHlqK PAVAILe TO "RE'IITI~ 0' WILLI, AlfiNT" ,
RIM%T PAYMENT TO.
JOHN CAMPBEL~
DAUPHIN DEPOSIT BK a TR
POBOX 2961
HBG ' PA 171 09
'REGISTER ,OF WILLS
CUMBER~AND CO COURT HOUSE
CAR~XSLE, PA 17013
AJoalMlt R..Ut.d
OUT ALONG THXS ~XNI ~ RITAXN ~OWIR PORTXONFOR YOUR RIOORDS ~
fl'W: li'i"lf.ij(.AfiIl'-n'l:f~,)"-R~'Wa, i"d'jl.WiliTt"ff~lI'cl.YAX.APjlRA"fiill'iilt""'.AL1..cw~ltci'b1f.-"'--_.-.......
DxsAL~OWANol OF DIDUOTXONS AND ASSISSMINT OF TAX
ISTATI, OF B~ESSXNG JOHN A PX~I NO. 21 7900978
TAM' RETURN WAIl I X I ACCEP1'EO AI PILED
RI8IRVATXON'00NCIRNX~G PUTURI XNTIRIST . 81aRIVIRSI
APPRAXSaD VA~UI OP RITURN IASID ONI REMAINDER RETURN
1, H..l lot.t. (Ioh.dul. A) (1)
I. Itook. end lond. (Iohedul. I) (I)
5, Clo..1y Held Itook/P.rtn.r.hlpInt.r.ot '(SohIdule 01 (I)
4. HOrt...../Not.. ~1O.tvlbl. ISohadule 01 141
.. Calhllonk OIpo.lt./HI.o. Per"on.l Prop.rt~ (Iohedul. I) (II
6. Jolnt1~ 0lmId ProportY,lloh.dule F) (6)
7. Tren.f.r. elohedul. 01 (7)
a, Tot.l A...t.
AON 110'
( ) CtIAN(lED
DATI 06-06-95
.00
.00
.00
,00
.00
"DO
22'.868,50 '
II)
22,968. &0
"
APPROyap DIlPUCTXONS, ,AND IXIMPTXONlh 0
'.. F~rel ENpen.../A~, Co.t./HI.o. ENpen... Ilohedul. H) ('I ' 0
10. Dlbtl/l1ort....LlIb111U../L11n. (Iohedule I) UO) .00
11. Tot.l D.duatlon. 111)
11. HIt V.lli1 'of TeN R.turn (12)
11. Cherltlbl./Oov.rlllllntl1 81q1l..te lSohIdul. J) ell)
lq, Net v.ll11 of ..t.t. lIub~lOt to TlllC (lql 22, 96S. 50
NOTII' 'Xf.n ......m.nt wa., i"uad previou.ly; line. 14, 18 and/or 16, 17 and 11 will
rlfl.ot figur.. t".tinoludl the tot.l of 6kk re~u~n. .......d to d.t.. '
As8I88MINTOP TAXI '
11. ~to1 l.lne lq .t'SpaU..l r,t. (111
16, AJooUflt of Line lq tlllClbl. .t Lln..l/Cl... A r.t. (16) ,
17.~t 01 Line 14tl~lbl. .It ~ol1.hr.1I01elo I r.t. (171
11. Prlnolp.l TlllC OUI
TAX CRaDXTSI
PAYHENT
DATE'
nn
22..568.90
;00
,00 X .00.
22,968,50 M .06.
';00 X .U.
US)
,00
1,354.11
,00
1,354,1'1
HICEXPT
NUlIIEH
DIICOUNT e+)
INTEREST (-I
AHOUNT pAID
INTEREST IS CHARGED FROM 04-12-95 TO 06~14-99
AT THE RATES APP~ICABLE AS OUT~INED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX ORIDXT
BA~ANOI OP TAX DUI
XNTlRIST
TOTA~ DUI
1,353.70
.41
.01
,42
II IF PAID AFTER DATB INDICATED, IBE REVERSE
FOM CALCULATION OF ADDITIONAL INTEREIT,
( IF TDTAL DUE II LEII THAN .1, NO PAVHENT IS REQUIRBD.
IF TOTAL DUE IS RBFLECTED AS A "CRBDIT" (CRI' YOU HAY IE DUE
A REFUND. lEE REVERSE sIDE CF THI8 FC~ FOR INSTRUCTIDNI,1
~~ ~ ::0 ::0
1;1' (h ~
'I' , , , ,
~ " ,
,
!' ,
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W
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IlI~ATlO'h ~at.t.. 01 ctei......ta dVl,lII on 'or bllo,. _, I,., 191'.. II ..~ fIIl\I" Int....t I~'t"" O.,.tl h t,...lo..'"
'n "...I.lon., ..~o~t to 01.11 I (ooll.t.rll) ~flo,.,l,. 0' tho ~"""t aftl' t~ ..,Ir.tlon,of ony ..toto I.r
Ufo 0, for, VOl",' t~ 0_11Il ho,oIIv '''p''''b ,..arv.. ~ rlllllt to IIQlIroloa .... ...... 1I...flr '"",rl.tlllCl. T.....,.
.t tho I...ful 01... a lOOIl.toroll rot. on Ilnv....h futu,. Inml.t. , ' , '
RIIRPOII 01'
HOTlCl, To fulfill 1I'..'.....lr_t. Of O"\lon nOO of, tho ''''''rH.... .... ht.tl T... A.t, ..t II .f 1"1., TI P,I.
I...Uon noa.
Ill,' toold~ top POrtion .1 thlo HoUoo M.l ....It Mlth Your ,"'....t t.'tho 'Ofl,.tor 01 Wlllo p,lnt... on tho rov.rll, .I~,
..ltIl(a ,.hoot< .~ ~v orolor P'VIIII. tOl RBIlXITBR OP, "1'''', A!lIllfr ' , " ,
AU PIYIOntl rll.lv... nit IIrtt bo IIQlIUed to 'onvlntor..t ""loll ..V bo M WllIlllnv r...lndor """IIOIlt. tho t....
'~ (CIl)f A rofll\d 0' . ,I... o,edH, NlTlon lIa not, ,.....t...on t~ TIN 'o\\l,n, ..~, bo r......~t... bv _1.\111I Iln ''''''lIo.U..I
for ROf\IHI of Ptm.vIVIlnI. IlII1orltlllCl' """ ht.t. T.... IRtlY'lIll)'Al>liII..tlon' .ro .v.llolll' .1 thoOIfl..
of tho, ROIlot...f Nil ,h. ..v of tho II R.,V..... oht,rl,.t Olll,...'.r bv "111"11, t~ .pool.1 IO-hour
"lOOrllll '.rvIOI, nuoDIrofor for.. or...rl.., 'In P"""YIII1M\I. 1'loa~"I'IOIO. outaloloP"",'Ylvonll ....,
NltI)Jn I_I IMrrlollutl .ro. CTl1) TIT'OO,90, TllOI l,lITl 171-1'01 llio.rllll lopol'ld Only).
O....OTlotllt MY P"~ ,In Int....t not ",thll'" WIIIl the """'.,.....t,. .11........ or dl..U........ of dod<Ic.tlonl, or ..........t
of lIH llnol~lnI dl_t or Intor"ll .. _ on thl. HoU.. QUit oIIllltwlthln IIH~ (IO)...y. of r...lpt of
,thlo HoU" b~t ' ,
""rIH~ protut to the P6 lleportlOOnt 0' R.vonut, ....d 'of ...., DlPt, 11I111, tflifrllllH!r" ,PA lTlII-lOU,'
".,ootlon to h.y. tho ..ttor d.torolnod 1\ IUdIl 0', tho 'OO....t.f tho poroonel '''''I...t.\I.o, O~
"OPPI.I 10 tho OrPhOnI' Oourt.
pAVltIlfTt
O~
AllII'N
IIT1lATIYll , " , '
OORllllCTlotll' P.."",I ortoro dl...vor'" on,thll '01"0_1 IhOUld IIIlddrouod In NrltlllQ tOl PA CIIp,r't""t "R'v_,
, ,-.ro"',ol, 1,I\dly,Id\lol T.,.,.., ATTHI POIt hili_I R..I... Unit, Cllpt. ','0601,' H..rloblfr," ,PA l7l1D'jO',1
,,' '!'lTOnO '(717) m'61", I,.. P," I 01 tho "",*I.t .,".truoU... ,lor IlII10rltlllCll Tllli R.wrn for . ~IO dont
, '~t. (RCV,.1I01l for on """1~Uon of ....lnhlroUv.lv oo"oot"'l. orr.ro. , I
~l~t 'fonv tON ",,",II p.l~ ,within thr.. IS) ..Iondor ....thl .ft.~ tho ...._t..,....th, . flv. POrlont Ilk) dllOolInt 0/
\Ill t... Plld It:III_, " "
1H\'tfUl1TI l"~.rolf h oI1Orllld ,bolllnnl", "lth f1rotolov 0' IlIl1f1Ctl101lOV'or nine It') ....th. ...,.... m cloy I'''' tho dlt. of
dlllIl, to,tho ...to of PI_t. T..... lIhloh 11oo_ 11I11_1 IIIlor. Jonutry I, 1911 'bOor Intorl.1 " tho r.t. of '
II~ (I~l Pltoollt,..r II1I1UO ..lOUIU....t I dill>> rot...f ,000160. All t'K.. ""I.h....... ...U_t on IIIwflftor
Jo/1UIrv I.' 191. Mill boor Irtorl.t ot . I'lIt. NlTl"" Mill v.rv Ir.. "'ondo, ~." to "Iondor ~.., .lth,thot rot.
1lnllOII1,1'" by tho PA Doport....t 0/ R.._. TM IIQlIll....I. Into'''lrot.. for I'll thrlHllh 19'1 orOl,
tu.t Iht.,..,"t{ _It.- PIU>> - Int,,..u ftlOtor X!!r tnt.,...t RI" DII1>> InU,...t 'uto,.
'191. IO~, ,000141 1U7 ,X
".. 16~ ,0000" """"1 IIX
"04 IIN .000101 1"1 'X
1M. I~ ,000U6 1""1994 T~
19M IO~ .000170 1"1 ,~
"Int',olt II ..Ioul.tod 01 101lowII
XNTlllIU\' · 14'oAHCIl or ~411 UNPAlCI X HlIIlIBR or DAYI c~t.rN.1IBllT K DAlLV XMmu\' PAllfOa
'-AIIy NoU," I..uod 'ft.r ~'tlNbIoo", oIoll_\ Mill "floot "" Intor..t ..'owl.Uon to 11'1.... IlIl d'~I,
IIovond ,thoClOto of till ....._t, If P'vMnt .. _ aftor tho Int.rl.t _t.tlon dlt. ....... on t~
Notl... OddIUonol In\.ron' ....t bo ..1...I.t.... .' , ,
,'DOIOr
.00010
.0001OT
, ,000191
,0001OT
j'
It-' ,J (.. 7- r
RIY-lI1t7,IX '~"" (,1".,.''',*,' "
C~ALIH Of "NHlVlVAHIA
IIJPMTttlINT 011 RlYlIU
lURIAU Of INDIVIDUAL IAKII
IIJPT. "0601
IMAAIIIUR8, PA 1'111'0101
NDT~O' 0' INH.R~TAHC' TAM
A,pRAI"HINT, ALL~ANG' OR D~'ALLOWAND'
DP D'DUCT~ON' ,AND A....IN.NT 0' TAX
~CN _'lit
D~TI 06-0'-911
Il~TlO" lATH 09-1&-79 ~AbftT~O. CUMPIlRLANll
, '
NOTI. TO XNlURI pROplR CRIDXT, TO YO~R AOCOUNT, 1U8HIT THI Upp'R PORTION OP THII FORH WITH YOUR TAM
~AVHI"TTO THfi RIGIITIR u' WILLa. 'HAKEUHICK pAYA8Lfi TO "RIGIIT.R 0' WILLI, AIINT"
RIMXT PAVMINT TOI
JOHN CAMPBIlLL
DAUPHIN DEPOSIT SK . TR
PO BOX 2961
HBG PA 17105
REGISTER OF WILLS
CUHBIlRLAND co COURt HOUSIl
CARLISLIl, PA 17015
AllOUnt R..l ~'Id
l
OUT ALONG THXS LINI ~ RITAXN ~OWIR PORTXON POR YOUR RIOORDS ~
TtW: li4"-ij{-A~li'-C\'l:.~,)"-il~Yilll--op-Wil'RYf~l(cl',i"Y~x' 'A'lS~~'AYilWNf.--Att'OW~'Ilcl-'b1f-_m___,n. - --- --
, DX8A~~OWANcIlOP'DIDUOTXoNs AND A88ISSHINTOF TAl(
18TATI 01' B~ESSXNG JOHN A PILI NO. 2179-0978
TAX RITllRN WAIl (X I ACCIPTED AI FILED
RISlRVATXON CONCIRNXNG PUTURI XNTIIRI8T - SII RIVIRSI
APPRAISID VA~UI OP RITURN IASID'ONI REMAINDER RETURN
1. R.el I.t.t. (Ioh.dul. A)
2. Itook. end Bond. eaohedul. II
I. Clo..ly,H.ld Itpok/P.rtnorlhlp Int.r..t (lohIdUl. C)
4. Hort...../Not.. R~.iylbl. (lohidUl.D)
I. C.ehll~ DlpO.itI/HiIO, P.rlonol Propert~ (lohldu1. B)
6. JointlY Own.d Prop.rt~ eSoh.du1e F)
7. Tranlf.r. (Iohldul. 0)
a. Tot.l 'A.I.t.
AON
I I CHANGED
111
DATI 06-06-911
(1)
(I)
(I)
(4) _
III
(6)
(7)
.00
.00
.00
,DO
.00
.00
22140B.7&
(I)
~2,40B.75
APPROVID DlllUOTXONS AND IXIHPTXONSI
9. Fun.r.l EkpIn.../AdM. Co.tl~HlI0. Ekpan..e (lohIdU1. H) 19)
10. Dlbh/Hort"., ~lIbUltl../Llan' Isohlclul. I) (~O) .00
11. Tot.l Deduiltlon. (11) , 00
11. Hllt V.lue of T'N R.turn (12) 22,40B.79
11. ChlrltlblI/Gov.r","ant.l 8.....t. IlohlHlul. Jl CUI . ; 0 0
1<\. N.t Value of Blt.t'. lub~lOt to T'N (4) 22, 40B, 7B
NOTII Xf ah '.....m.nt we. i..u,d,pr,v40u.1Y, ~in.. 14, 11, ',nd/or 1~, 17 .nd 11 will'
rll'f'~.ot figur.. th.t, inolud. the tlltlll D'f' AJ,J.'rnurn. .......d to d.t.. .
A8SIlSSHINT OP TAXI '
11. AlIOUIlt of Ii". 14 et Spoul.l r.U (8) .00 lC ,00. , .00
16. AlIOUIlt' of Line l~tlllClbl. .t Line.l/Cle.. A r.h (16) 22. 40B. 79 X' 06. 1.344. 3B
17. AoloUnt of ~lne l4teNlbl. et coUehr.lIC1... B r.te 1171 .00 lC ,15. .00
1.. Prlnotpel TIIlC OU. ' Ill) 1.344, $S
TAX CRIDlTSI
PAYHBNT
DATI!
.00
RECEIPT
NUHIIR
DISCOUMT It)
INTEREIT C.)
11
AHOUHT PAID
INTEREST IS CHARGED FROM 04~12-9B TO 06-14-95
AT THE RATES APPLICABLE AS OUTLINED ON THE
~llVERSE SXDEOF THIS FORM
TOTAL TAX ORIDXT
IALANCI OP TAX DUI
INTlRI8T
TOTA~ DUI
1,$44,02
.53
.01
.34
. IP PAID AFTER DATI INDICATED, SBE REVERIE
FOR CALCULATION OF ADDITIONAL INTEREIT,
( IF TOTAL DUE IS LEII THAN .1. NO PAVHSNT II REquIRED.
IF TOTAL DUE II REPLICTED AI A "CRIDIT" lOR), YOU HAY IS DUE
A REFUND. SEE REVERIE SIDI OF THII FORH FOR IH8T~TIOHS.)
~)~1 \d ." ~'O
< 1 l,li ,"J\f.
! ,(:,
, , ,
~'
,r,:"
...
W
~~-~ ,. (.'1
;'j : "
C;, ~."
IlII1RVATlO'.. lai.l.. .f olio_I. dYlnt on .. be,... 000_' Il, 1911 .. If MV Mil', Inl....1 In lho ..Iil' II I.Mlf...1d
In po.....lon .. Iflj._1 I. 01... I 10.1I.'."1l _fl.II.I.1 ., lho do.odInl 1/1.. lho .0pI..Uon .f MV 1.\11. ,..
IIfl .. f.. v...'., tho C_lIh ho.lilv lop....lv ......1. lho .lllhl I. IIP..I.. ond ...... I.on.'.. 1""".11_ T.H.I
.1 lho IIMful 01... . 1..11.11..1,1 ..I. on IflV -" flllll.. Inl....I.
_lll'
NOTlc:ll1 I. fulfill lho ....1......11 ., ".lIon 1140 ., tho 1""".11..... oncI ,E.I.I. TaM Aol, Aol II .f 1"1. 11 P.I,
I..llon '2140,
PAV14ENT1 0111011 tho lop po.Uon .flhl. ",,110. ond .ubooll wllh vou. p.~1 10 lho R..IoI.. of Willi p.lnlld on lho ..v.... .11...
"Hol!. ohooK 0' ....v ..do. p.~I. I." RBGXlm 0' MnLl, AIIINT '
All po_I. ....I.1d 11II11 11.11 be .....11141 ,. ...v Inl....1 11I11011 IIV bI ..... with onv ._lncIo' .....11141 10 tho IIIC.
_ ICIUI I ..f"" of . IIIC or.dll, ,""Ioh WI. ncll .IlIUUIH on lho l.H R'III.n, .'V bI '"U..IH bv _Iollnt on "APPlloollon
,.. ~I'\IIld of P....,.vl.onll 1"""'11..... ond E.IIII T.M" (RIV-UUI. Appllonll.nl "" Iv.llli1l. .1 lhoOffl.,
of tho R..IoI.. of HIIII, onv 0' lho IS R'YIIlIHI 0111,1.1 Offl..., 0' bv o.lllnt 'ho .....1.1 14"hov.
on.....lnt ...vlol ......... for fa'.. .'d..I"" In Pom..lyonl. 1-100-161-1010, oul.ldo PlMlvl.onlo ond
within 1..01 HI..llbu., .... 11111 111-1094, ~OO. (1111 711-1&11 lHoorlntl I..ol.od Dnlvl.
O....OTlOlllI Any P"lY In In\Orool nol ..UOIIH wllh lho .......11_1, .11_ or dllell....o .f _lIono, or ......_I
of I'H Clnolucllnt dl.....,1 a. Inl....U .. "-' on Ihl. ""1100 ....1 Dbj..1 within .IMlY 1601 dOv. of ._lpl .f
Ihlo ""Uoo bVI '
AOHI"
IITlATlIII
c_ollOlllI P"lIIol .rror. dl..oyorod on Ihlo 0...._1 Ihould be 1Idd..1.... In .rlUnt hi PI 00p1.1_1 .f Rov.....,
11I,.11/ .f I""IYldII.. TIO.., ATTltI PO'I A....._I R..l.. Unll, Oopl, .'0601, Ho..I......, PA 17111-0601
~ (7171 717'6101. I.. Pili I a' lho baoklll "Inolr"'llonl f.. Inho.llono. TIIC R.lu'n f.. I Rooldonl
0000d0n1" IREV-UOIl far... .0pllnoUon ., odolnlll..IIY.ly,......lobl. "'0'.,
--w.lll... 'p,olo.1 I. lho PA OopI,_1 .'IOY.....' lOI,d a' ~Io, 110/I1. 111011, 1I...lobu.a, PA mIl-lOll,
--11..11.. I. ho.. lho ..U.. dol...lnod .1 ....1 I of lho ..."""1 o'lho PI,"umil 'OP'''IIIIII1../ OR
-~oppo.1 I. lho o.~o' cou,l.
OR
'.
0l1COUHT 1
If "'V IIIC ... 10 p.ld wllhln Ih'.. (I) oolondo. _Ih. ./1.. lho olIoodlnl' 0 d..lh, . IIv. porollll (I~I dl_1 .f
lho IIlC p.ld 10 .u_.
Inli...1 ii ohl'locI boa'MI.. wllh 11..1 dlV of dolIn_v, .. nino \91 _Ih. ond OM (II d.. I... lho d.l. a'
dolIlh, 10 lho !lolo 'of p._I, T.... Nhloh _ doll_I be'O" Jonuo.v I, 1981 bI.. Inl....I.1 lho ..I. of
d. IOU plrollll po. ....... ooloul.'.. II . dlllv r.l. 0' ,OOOl~. All IIIC.. Nhloh boo_ dollllClllOlil on ond ,II..
Jonuo.v I', 1911 will be.. Inl....1 .1 . rot. Nhloll wIll yo.v f... 0.1_. VOir 10 o.lond.. v... .Ith lhol roll
.........od bv lhO PA 0111.1_1 a' 10V"",": Tho _lIaobl. Inl....1 rol.. fa' 1911 'h....... 1"1 ""1
,IHTIlIllITI
~ tnt,r..tAlt, ,Dlilv tn'.r..~ FlOtor
1911 IO~ ,000141
191.' 16~ ,0004"
It" II~ ,000101
Itll II~ ,000116
1.16 10~ .000174 '
..t"t.~..t 1. olloul.ttd II fOliON"
lNTRlBlr . I.LANDI 0' TAX UNPAID M H\ntIBR OPDAV. DBLINq~ M DAILV 'IHTBRBlT 'ACTO.
"AnV ""u.. 10_ .11.. tho IIIC booo... doll......1 .111 rollool 111 Inl....1 olloUI.llon 10 flllOlll (III doV.
bevand lhO dol. .f lhO ""._1, II p._1 to _ .1\.. lhO Inl....1 o_,.lIon dol. """'1" on tho
",,1100, lIddlU....1 Inl""1 11/.1 be ..Ioulllod. , '
X!!1'
Inter..' Rtlt.
DIllv Intlr..t 'IOtG~
1917
"18-1991
1"1 '
1"1"1994
1"1
.X
IU
9X
IX
9X
,000147
,000101
,000147
,000191
,000147
If)" J~ /, J)
RIV-1147 IX APP 111-941* '
C_AL TII Ill' Pl!HHlVlV~lA
IlEPARTltENT or _HUll
IUREAU Ill' IHOIVlllllAL TAI(l!I
WI, 110601
1lARR111URO, PA 11111.0601
NOTI~fi OF INHE~ITAHCI TAM
APPRAIlfiNINT. ALLQWANDE O~ DISALLOWANCI
OF DIDUQTIOMI AND AIIEIININT ~, TAX
ACN as,
DATI 0'''06-95
DATI Oil DIATH 09-1&-79 ~ibftT~' : QUMBERLA D
HOTI. TO XNSURI PROPIR CREDIT TO YOU~ ACCOUNT. IUIHIT THI UppeR PORTION 0' THII rORH WITH YOUe'TAM
PAYHINT TO THE eEG18T1R or WXL~I. HAMI CHECK PAYAIL8 TO "~EG18T1R or, WILLI, AGIHT"
R.MXT PAVMINT TCI
JOHN CAHPBEU
DAUPH~N DEPO!llT BK I TR "
PO BOX 2961
HBG PA 1710S
RIlGISTER'OF WI~~S
CUMBERLAND CO COURT HOUSE
CAR~IS~E, PA 1701$
A.ount 'e.. Hi'"
l
OUTA~ONG THII ~XN. ~'" RITAXN LOWIR PORTION 1I0R YOUR RIOORDS....
"W:I.'it".''ll'.A~'ji.n'l:O~1".AbYflll".6''.YNilllff, fAWI'Y~X.APmYii'Hiilt...ALt"cQ~l.fcii-b'lf.--"'._., ..,......
DxsAi:l;oWANOI Oil IlIDUOTlO"1 AND A88.88HI~T OP TAl( "
ISTATI OP BLIlSSING JOHN A PX~I NO. 21 79.0818 AON 112 DATI 06-06-98
TAX II11TUllH WAIl I X) ACC8PTED AI FILED I) cHANlIeD
IUIIIRVATloA 'OONCIRNXNG IIUTURI XNTI!RI8T . III RIVIlA8I"
APPRAXSID VALUI'Oll RITU~N 8ASID ONI REMAINDER RETURN
1. R..~ E.t.t. Iloh_6Ul. A)
2. Itook' end IOnd. IlohI4Ul.11
I. Clol.l~ H.ld Itook/P.rtn.~.~IP Int.r.~t IIohI4U11 CI
4. I1ort8l.../Hot,. Reoehllbl. Ilohldul. D)
S. ~1~Senk DIPO'~t./H1'0, P.rlon.1ProPerty IlohldUl' E)
6. Jol~t1~Ownecl proplrt~,llo"ldul. F)
7. Trenlf.ro Iloh.dul. G)
I. Tot_l A...t.
(1)
(2)
(II
(4)
ISI
(6)
'17)
.00
.00
.00
.00
.00
.00
22i2!S.OO
III
. 22,2118.00
APPROVID'DIDUOTXONS AND IXIMPTXONSI
9, F~r.l ENPInI../AdI, Co.h/Hho, ,EICl'IiT,... Ilohldul. H) 191
10. D.bte/l1ortlll81 LiIlbUltl../L1111l. IlohI4Ul. ,II (10) .00
11. Tot~l D.clUoUon. (U) nn
12. ,N_tV.lu.of ToN~.turn (12) 22,2118,00
18, Ch.rltllbl./Go".r",,"'tl1 leau..te 180hMNle J) , cUI .00
14. N.t Vlllue 01 lltet. .ubjeot to T'N (14) 22,211S.00
NOTII Xf ,n ......~.nt W.. i..uld prlvtou.1Y, 1in.. 14, 11 'and/or' 16, 17 tndll, wi11
rlf1.ot ~igur.. th.t in01ud. the tot.1 of ~ r.~urn. .......dto d.t.. ,
A881SSMINT OP TAXI
18. AlIOUIlt ,,1'Lln' 1,4 .t SpcKI..l r.t. (111 .00 x';OO. ,00
16. o\IIOunt of Lln.' 14 tlHllbl. .t LlIT..lIC1...' A rote' (16) 22 ,2SS . 00 X , 06. 111111~ . 10
17. AllOunt of Lln' 14 hHllble .t CoUet.r.l/C1... I r.t. n71 .00 X . lB. ,00
11. prlnolp.1TIH Du. " (111 1, 11114 .10
TAX CRIDXTSI
pAYHENT
DATB "
.00
R8CEIpT
NUHIE~
018CDUNT (+1'
INTERElT (')',
AI10UNT PAID
.
INTEREST IS CHARGED "ROM J4.12-9S TO 06-14"98
AT THE RAT!!S APPLICABLE ASDUTL~NED ON THE
REVERSE S~DE OF TH~S FORM' ,
TOTAL TAX CRIDXT
8A~ANCI OpTAX DUI
lNTlRIST
TOTA~ DUI
., 1,llllll.n
.1I1
.01
.sa
. IF PAID AFTSR OATS INDICATED, IES RSVEIIE
FOR CALCULATION OF ADDITIONAL INTSREIT,
( IF TOTAL DUB II LEII THAN n, 'NO PAYNSNT 11 UqIJIR8D.
IF TDTA~ DUE II R8FLStTlD AI A "CRBDIT" (CRI, YDU HAY SE DUE
A REFUND, lEE REVERIS IIDE OP THI1 FORH FOR IN8TRUCTIONI,1
10.rA (.. ;,. y
RIV-1147,IX APP (11-94* ,
COltltOfNUlllt 01' Pf:ItHIYLVAltIA
IlI!PAlHItQfT 01' _NUl '
IlIlIAU 01' IllPlVlOUAL TAll..
DIJIT. El060L
'~II'URG, FA Lll'I'0601
NOTICI O~ INNIRITAHCI TA"
APPRAIIIHINT, A~~OWAHCI OR orIA~~p,wAHCI
OF DlOUCTIOHI AND AI.,IIHINT OF TAX
I,
AOM '8If.
DATI 0'-06-91
DATI 01' DIATH 09-1&-79 '" ~Ab=~O. , CUMBBRLAND'
NOTI. TOI",URI pRDPIR CREDIT TO YOUR .ACCDYNT,JUIHIT THI UFFIR PORTION O~ THII FO"", WITH VOUR TAX
PAYHINT TO THa' RIIIITlR, OF WIL~', HAMI cHIC!( P~Y6ILITO "NI8IITIR O~ WrL~I" AlENT"
, RIMXT PAVMINT TOl
"'OliN C^MPBEL~
PAUPHIN, DEPOSIT BK I TR
PO SOX 2961
HBG PA 17105
REGISTER OF WIL~S
CUMBER~AND'CO COURT HOUsE
CARLISL~, PA 11018
r
AiIIOun~ RI.l.HI~
........
,I
OUT A~ONO JJ:!ts ~XNI . ..., nrAXN ~OWIR PORTION POR VCUR RIOORDS ~ '
. ~W:U'4"f-I1f.A~'ji'-n'l:nr-iloYia,i--ojl-nl'ill"fif~l(oi-Y"X~'AjI'~ftAYiil1iil, "~--A[~-6QA'Ilcl'I-b1f"---"-~-------.-
, , DX8AL~OWANOI OP DIDUOTXoNI AND ASSI8SHiNT OP TAX
18TATI OP B~ESSING JOHN APXI.I NO. 21 79-0878
, TAl( RETIIRNWAI, (X) ACCBPTED ASFILID (I CHAHOID '
~~SI~VATXON OONOIRNXNO FUTURI XNTIRIST - SII RIVIRSI
APPRAI81D VA~UI OPRITURNIASID ONI' REMAINDER RETURN
1, Rill II~etl IlohidU1I A) , (1)
_. ItoaklMd londlllohldul. I) 12)
I. Cl0111~ Held Itoak/Portnerlh1p Interelt (JohePU11Cl (I)
4. 'Hor~''''I/Not.1 Reo.lvlbll CSohldul1 DI 141
I. ,Cllhllri DePollt,I/Hho. Plrlonll ProPlrt~ ISohIdul. U (I)
6. Jointly OWned' Property CSohedull F) (6)_
7,. Trenlf.rl elohldul. 0) (71
I. Totel Allltl
APPROVliD DlDUOTXONS AND IXIMPTlONSI ..
9, FunerMl INPlnI'I/A~, COltl/Hllo. INPlnl.1 (io~ldull H) 19)
10, IlIbh/Hort'l8I LlIbIUU,I/Llenl (Sohldul.Il 110) ,DO
11. Totll llIcluoUonl , C11)
11. Het V.lul of TI~ Returll ' (121
11, Chlrltlbll/llovlr_tll llOU.lt. (lohIdUl. J) (15)
14, Nit V..lue elf Betoto 'Ub~,eot to,TIlC. (4) 22,288,00
NOTII Xf.n ........nt..w.. 't.'\lld prldau'lY, Un.. 14, 11 .nd/or 16, 17 .nd18 wiU
rlfl.~t f~g\lr', th.t inolud. the tot.l of ~ r'~urn. .......d to d.t..
A88188MINT 01' ,TAXI " ,
11. A_t of Line 14 It lpou..l rltl UBI . DO X, 00.
16; 'A_t01 Ltnl 14 tllClbl. It Llneel/Cl... A rltl '(16) 22,285.00 K ,06.
17. A_t 01 Line 14 tllNlbl. It CoUlterll/Ch.. I rltl 1171 ,00 X ,1$.'
11. Prlnolpll TIN IlIlI (11)
TAX CRIDXTSI
PAYHINT
DATE
ACN , 118
DATI 06-06-95
.,00
.00
.00
.00
.QO
JOG
22.236.00
(81
22,285,00
,00
.nn
22,U8.00
, 1.00
..DO
1,$84\10
.00
1,884.10
REDUPT
NUH.IR
DUCllUHT (+l
INURElT (-I
AHOIJHT PAID
, ~ j ,
INTEREST IS CHARGED PROM 04-12-98 TO 06-14-95
AT THE RATES APpLICAaLE AS OUT~INED ON THE
REVERSE SIDE OF THIS FORH
TOTA~ TAX ORIDx.T
SA~ANCIOP TAX DUI
INTlRI8T
TOTA~ DUI
l,3SB.62
,48
,01
.119
M IF PAID AFTER DATa IHD1CATED, lEE REVERSE
FCR CALCULATION UF ADDITIONAL INTIRIIT,
( %F TOTAL DUE %1 LIII THAN .1, NO pAYHINT IS RE~lRED.
IF TOTAL,DUS IS REFLECTED AI A "CREDIT" (CR)" you HAY II DUE
A REFYND. IS& NEVERII IIDE CF THII FORH FOR IH8TRUCTI0H8,1
1'""1
/"""'"
1983-09-21 $25 ,000 Montgomol:y County Aren
VOOlIl lonn 1- '~'eohnlclll Sohool
AllthorlCy lIond 6,25% duo
2/1/90
No t Pt'oceeds 22.192,50
Fld, Acq, Vnlue 26,007,75 0,00 3,815~25 '
1983.09.21 $20,000 Pennsylvanin
Commonwllalth Genurnl
Obligation lIond 5,75% due
11/15/92
Net ,Proceeds 15,338,00
'Fid, Acq,Vlllue 18,3119,60 0,00 3,01:1,60
1983.09-21 $20,000 Pennsylvsnia
Commonwealth General
Obllglltion 80nd 6,1% duo
11/15/86
Net Proceeds, 19,306,00 "
Fl.d, Acq, Value 19,731, , 80 0,00 1,28,80
1983-09.21 $25,000 Pennsylvllnia
Commonweal th General
Obligation Bon~ 6,5% due
2/15/87
Net Proceeds 24,325,00
Fid, Acq, Value 25,307,75 0,00 982.75
1984-04-04 2,405 units l>\ul)icipal Bond
Fund
Net procoeds 25,010,31 ,
Fid, Aoq, Value 21, , 050,00 960,31 0,00
I',
1984-10-0,3 2,988 units Fixed Inoome
Col1eotive,Investmont Fund
Net Prooeeds 26, ~Ol, , 51,
Fid, Acq, Value 26,5711.08 0,00 569,,54
1985.12.04 2,530 units Fixed Income
Colleotive Investment Fund
Not Proceeds 25,005,87
Fld, Acq, Vlllue 22,619,67 2,386,20 0,00
.11.
t""'\
~-,
1987-01.-06 10,000 unlts Municipal Bond
Fund
Net Procoeds U? , 111,8,76
Fid, Acq, Va1.ue 99,'649,1,3 12.769,33 0.00
1987-011-06 '1,680 units Munioipn1 Bond
1lut\d
Net P,rocaeds 19,010,58 '
Fid, Acq, Value 16,741.10 2,269,48 0,00
1987-10-01 370 units Municipal Bond Fund
Net Proceeds 4 .002 ,98
"Fid, Acq, Value 3,687,03 j15,95 0,00
1988.01.05 2,585 units Fixed' Income
Collective Invsstment Fund
"
Net Proceeds 25.006,03
Fid, Acq,' Vnlll'" 23,41,9,45 1.,556.58 0.00
1988.02-02 ,1,60 units Muntcipa1 Bond Fund
Net Proceeds 5,009,83
Fid, Acq, Vn1.u", 4,583.87 425,96 0,00
1989-01-04 2,333 units Municipal Bond
, Fund
Net Proceeds 25,009,38
Fid, ACqi Vnllle 23,248.21 1,761.17 0,00
1989-03-08 J9 Coins
Net Proceeds 93,00
Fid '. Acq" Value 39,00 54,00 0,00
1990-01-04 ' 2,312 units Ml\!lioipal Bond
Fund
,
Net Proceeds 25,007,85
Fid, Aqq. Vl11ue 23,038.95 1. ,968,90 0,00
-12-
,~ -,
1986.01,.01, Marka~ Squllrn Ollsh Mllnallor 1 5],"7
1986.05.05 MnrkQ~ Squaro Ollllh Manngur 1 1,'/ . 83
1986-06-03 Marko~ Sq\larn Callh MnnaUAr 1 39.60
1986.07.03 Marke~ squl'ro Cllsh Mllnnllor 1 37,31
1.986.08.05 Marko~ Squaro Oanh Mnnagor 1 311. (.3
1.986-09.03 Markll~ Squaro Oallh Manal\nr 1 311.87
1.986.1.0.03 Marke~ SrjullrA Cash Managor 1 35.37
1986-1.1.-05 Mllrket Squaro Oaeh Manngor 1 32.61
1986-12-02 ,Market Square Ollsh Mannger 1 ,33.89
1987-01-05 Market Squaro Oallh Manager 1 37,31
1987:02-02 Marke~ Squllre Oash Manauer I. 190.24
1987-03-03 Mnrket Square Onsh Mannger 1 43.56
198,7-04-03 Mllrket Square Onsh Manager 1 35.66
198'7-05.04 Market Square Oash Manager 1 35.95
1987-06.03 Market Square Oash Mnnager 1 35,04
1987-07-03 Marke t Square Oash Manager 1 38,54
1987.08-03 Market Square Oash Msnager 1 31. 09
1987.09-02 Marko t Square Oash Manager I. 40,76
198.7-10-01 Market Square Oash Manager 1 43.1.2
.1987-1.1.-02 Market Square Gash Manager 1 49.57
1987-12.02 Mllrket Square Oash Mnnnger 1 115,65
, .
1988.01.04 Mnrket Squnre Onsh Manager 1. 41,.30:
1988.02-01 Mllrket Squere Onsh Manager 1 1,2.34
1988-03-02 Mllrket Squara CIIS11 Manager 1 51. 57
1988-04.04 Market Squsro Onsh Mnnager 1 50,93
1988.05-03 Markot Square Onsh Mannger 1 . '54,02
1988.06.01 Market Squnre Oash Manager 1 511. 19
1988.07-01 Market Square Onsh Managor 1 60,00 "
-1,1.
,""",
",""''''0
t990.10.05 ' OllPU:nl llonol'vo AOOllIIU\: 1,5,117
1990.1.1..05 OatHt:a1 1\llnlll'VO AOOllU\1!: 53,35
1.9900),2.01, Onpit:/ll. RllUOl'VO AllOllU\1t I,S,39
" 1991.01,03 Oapltal RUUOl'VCl AoooU\1 t 1,7,91. , ,
1.99l.02-04 Ollpitnl Rauorvo Aoollunl; 65,l9
1991.03.04 Oapitol Rll~E1l'Vll A(loqUnl: 37.12
1,99l. 04: 02 Ollpi\:ol RElu(\l'vO Aocount 33.31,
1991.05.01 Oapitol' REI,UCll'V(\ Aooount 39,50
" Acc()unt
1991.'06.04 Oap itol 'Resol've 35,30
1991.07.01 Oapital Resel'vo Acoount 33,18
1991.08.01 ' Cap ital Roservo Account 37,42,
1991.09.03 qnpitol Rosorvll Account 31 ,49
1991.10.01, Oapitol RoservlI Account 33,99
1991.11.01 Capitol ReSlll'VEI Account 3l,,51
i991.1.2.02 Oapitol Rosel've Account 26,34
1992.(J1.02 oapital Reael've Account 29,03
1992~02,04 Oapitlll Res(\l'v(\ Acoount 46,51,
1992.03.02 Capltll1 Rasel'vo Aocount 2l,5l
1992.04.01 Oapital Raserv(\ Acoount 2l,93
1992,05.01 Oapital R(\serva AccoUnt 21.1,6
,
1992.06.01 ' Oapital Reserve Account, 16,99
1992.07.01 Capital ,Reservo ACOOU\11l 19,46
19920-08.03 Cap it III Resel'Ve Acooun t' 15,44
1992.09.01 Oapital Reserve Aoooun t ' 16,40
1992.10.01 Cllpital Reserve Actloun I:' 15,85
1992.11'02 , Oapl,ta1 R,eservll Account 12,37
1992.12.01 Ollpital Resorvo AO,count 1/1,1,6
199'3.61.04 Oapltal ReserVll Ancount 16,55
! .43.
.-,
,-
1.993-02-01 Cnp.tl:n1 Rosa rVl' Aooount 1.3,71,
1993-03-01 Cnpil:nl Rllsorvo Aooount 27 ,,119
11193.011-01. Cnpll:nl Reserve Aoccunt 2~i, 39
1993-05-03 Cnpitn1 Resorvo Accollnt 12,97
1993.06-01 Capitol Roservo Account 11 ,118
1993.07.01 CapItal. Reserve Acoount 1.4,1,?
1993-08-03 Cnpi tal Reservo Aooount 1.0,13
,
1.993.09-02, Capi tal. Resorvo Account 13,30
1993-~0-04 Capital Roservo Account 16;37
1993-11-02 Capital. Resllrvo Account 1.11,1,9
1993-12,02 Capital Roserve Account 14,87
1994-01-04 Capit.al Reserve Account 1.1,,77
1994-02-02 Capital Reserve ,Account 1.2,26
1994-03.01 Capitol Reserve 'Account' 1.1,97
1994,04-01 Capital Reserve Account 1.1 , 54
1994'-05-03 Capital Reserve Account 20,17
1994-06-01 Capit.al Reserve Aocount 17,18
199.4.07 -01 Capital. Reserve Aocount 16,16
1994-08.02 Capital Reserve Account 14,18
1994-09-01 Capital Reserve ACCOUnt I.~ ,01
1994-10-03 Capital Reeerve Account 13,69
1.994-11-01 Capital Reserve Aocount 17,82
1994-12-01 Capital Roserve Account 16,/,8
1<)95,01.63 Capital Roserve Account 25,86
1995-02-01 Capttl\1 Reserve Aooount 45,42
1995-03.01 Cnpi tal Reserve Aooount 4,115,88
1995.04.03 Capt tal Reserve Account 4,191.08
1995-05-01 Capital Reser,vo Aocount l., 773 ,1,7
-44-
.--. ,-
1981-'1l-06 Munl.ol.Il"1 1I0nd Fund 1,256,33
1981.-1.2-01, Mun l.cJ.ll11 L lIulld IIUlld 1.690,36
1981-1.2 -09 Muniuillll I. 1I0lld 1"ut1Cl 113, 6~
1\182-01..08 Munj.cilllll BOlld Fill1d 1,1159,,73
1982-02.05' 'Munl.oipll1. Ilolld Fund 1,830,1,1,
1982.03-1.0 Munioiplll lIond .,'ulld 1,910,85
1982.04-1.2 Munioiplll lIolld llund 2,0/'5,75
1982-05-07 Municl.plll Bond Fund 1.,900,27
1.982.06-04 MunicJ.plll Bond Fund 1,832,20
1982-07-01 Munioiplll. Bond 11und 1,798,89
1982'08-05 Munl.cipol. Bond llund 1.912,35
1982-09'09 Munioipal Bond Fund 2.055,110
1982-1.0-08 Municipal Bond Fund 1.,807,51
1\l82-1I.-0~ Munic'ipal Bond Fund 1.,91,8,1.5
1982.1.2-07 Municipal Bond Fund 1.,785,46
1983-01.-10 Municipal Bund Fund 1.,81,3,83
1983-02.03 Municipal Bond F4nd I. , 900, O/j
1.983-03-02 Municipal Bond Fum! 1.,783,30
1983-04.05 Municipol. Bond Fund 1.,781.45
1.983.05-04 Munic ipal Bond Fund 1.,694,58
1983.06-01 Municipal Bond Fund " 1,748,72
1983-07-06 Municipal Bond Fund 1.,687,65
1983-08-02 Munlcl.pal. Bond Fund 1.,6911,18
"
1983-09-06 Munidpal. Bond Fund' 1.,624.27
1.9B3-10-04 FiKed Income Call.ectl.vo 6,467,58
Investment Fund
1.983-1.0-011 Municl.pal. Iland Fund 1.,689,66
,
1.983-1.1.-02 FiKed Income Gal.J.ecCl.vo 9,51,1.1.8
, Investment Fund
-46-
,"""'" ~,
'1983.11.02 Muniol.pn1 80nd PUnt\ 1,66".98
,
,1983.12-05 Fixod Inoomo Cullootl.vo 9,503.12
InvosCmllnt Fund
... , 1983.12-05 Munl.oipn1 lIond Fund 1,659.()~
1981,.01-'04 F'1.xlld 1 nOOlnll Collecl:iVll 9. 51t6. 116
Investment Fund
1984.01.04 Munioipn~ lIoml llund 1,6611,7,2
1984.02.02 Fixod Inoome Colleotivo 9,547,70
Investmllnt F~",d
1984.02-02 Munioipn1 80nd Fund 1,639,78
,1984,03.02 Ilixed Inoome Colleotive 9,253,56
Investmllnt Fund
1984~03-02 Munioipal Bon,d FU\1f! 1,619,54
1984-04~03 Munioip1l1 Bond Fund 1,627,01
1984-04-04 Fixed Inoome ,Collective 8.967.45
Investment Fund
1984.05.02 Fixed' Inooma Colleotl.ve 8,962,04
Inves tme,nt Fund i'.
1984-05.02 M\.Inl.oipa1 Bond 'Fund 1,490,59
1984-06.04 Fixed I noon1e Colleotive 9,323,92
Investment Fund
1984-06-04 Munioipa1 Bond Fund 1.472.27
,
,
" ~984-07-03 Fixed inoome Colleotive 9,187,02
Invustment Fund "
'1984,07-03 Munl.cipd1 Bond Fund 1,461\.13
1984-08-02 ,Filted Inoome Colleotiva 9,338.59
Investment: Funcl
i 1984-08-02 Munioipll1 Bond l'und 1,466:47
i" 1984-09-05 Fixed Inoome Colleotive 9,379,44
Investment Fund
1981,.09,05 Munioipa1 Bond Fund 1,1.59.15
1984.10-02 Fixed Inoome Colleotivo !l.221.1.8
Investment Fund
1984'1.O-U2 Munioipal 80nd Fund ,1,500.88
-47'
"'"'"
/"""'I
19811-11.02 Fixlld t noolnu C llulI I: j,Vll 0,015,86
Invoatmont Fun
1984.11..02 Munidpal Bond Fund 1.,1195,,26
1984.12.04 ,Fixed tnooma Collllot1ve 8,799,66
1tWlIatmont Fund
19811.12.04 Muri1oipulBond Fund 1,1199.30
1985.01.02 Filtlld 1noomll C01l.eodvll 8,975,09
.1 1\VO s tmen t Fund
1985.01.02 Munioiplll Bond Fund 1,506,65
1985.oi.04 Filtlldtnoomll C01l.00tive 9. OldL 03
InvlIatmellt Fund
1985.02.04 Munioipal Bond Fund 1,51.3,611
1985.,03.04 Filtad Inoomll C01l.00 t1.ve 8,585,38
InvlIstment Furid
1985.03.04 Muriicipal BQnd F\\nd 1,496,05
1985.04.02 Filted In\lome C01l.eotivlI 8,989,98
Investment Fund
1985.04.02 ' Munioipal Bond \~und 1,503,32
1985.05.09 Munioipal BOIld Fund 1,494.14
1965.05.10 Filted InoQmll,Col1110tive 8,791,41
lnveatment Fund I'
1985.06.05 Munioipa 1 Bond Fund ,1,453,92
1985.06.10 Filted Inoome Colleo ti ve 9,1,34,79
Investment Fund
1985.07.03 Muni\lipalBond Fund 1,443,17 , ,
1985.07.05 Filted Inoomll colledtive 8,948,70
InvlIlltmllnt Fund
1985.08.05 Filtlld Inoome col1eotivu 9,369,57
Investment Fund
1985.08.65 Municipal Bond Fund 1,4211,,54
1985.09-05 f'iltl1d Incomll Collective 8. 81ill ,011
Investmllnt Fund
1965.09',05 Munioipal Bond Fund 1,460,10
-48.
,-.., 1'........
1986-09-03 l~ixo(\ lI100mo 00 1.1oc c ivo 7,901.,31
Invostml3nt Fund,
1986,-09-03 Municipal Bond I~und I. .1133,98
1986-10-02 Munioipal lIond Fund 1.,392,00
1986-Ul-06 lIiXOd Incomo oonoctivo 7,735.115
Invosr,ml3nt I~und
1986.U-04 I~ixed 1 nooma Co.l.loctive 7,716,13
~nvBstml3nt F:und
1986-11-04 Municipal 1I01ld Fund l,'IIi3,91,
1986-0}.2-03 lIil\\'ld Income Col.lectl.vo 7.876,53
InvoBcmant Fund
1986-12-03 Mu~dcipal lIond lIund 1.,362.60
1987-01-06 Fl.xed Inoome Collective 7,959.89
, Investment Fund
1987-01-06 Munidpa1. Bond Fund 1,373,115,
,
1987-02-04 \.1ixod Income Col.leotivo' 8,1104,63
lnvestment Fund
1987-02-04 Munioipal Bond Fund 751.01
1987-03-04 Municipal Bond Fund' 733.46
1987-03-06 Fixed 1noome Coneotive 8,259,02
Investment Fund
1987-04-06 Fixed1nootne Colleotivo 8,1152,84
Inves tme,nt Fund
1987-01,-06 Munioipal lIond Fund 733,23
1987-05-05 Fixod 1noom13 001.10otivo 8,323,03
Inv!1stml3nt Fl,lnd
1987-05-08 Munioipl\1. Bond Fund 650.94
;;
1981-06-03 Fixed Inoomo Col.leotivo 8,331..211
Invootmont Fund
1981:06-03 Murtl.oipa1 Bond Fund 649.78
1987-07-02 MunioipLl1 1I0nd Fund 669.15
1987-07-03 Fixed Inoomll Collectivo 8,220.1,4
InVostment Fund
" -!i0-
i.
~ ~
1987.08.04 \Iilled lnootne Oolhottve 8,356,70
Invosttnent Fund
1987.08.01, ,Mun1.oipo1 BOl1d Fund 63~i. 35
1?87.09.02 M\lnicijla1 Blmd Fund 6i11. .02
1987.09.03 Filled InllotnO Co 1100 ti. vo 8,225,18
Invosl:tnon~ f'und
1.987.10.01 Municipal ~ond I"und 632,33
1981.10.02 Filled Incotnll Ool1eotivlI 8,090,55
Il)v~s ttnlll\t, F(md
1981.11.03 f1il1l1d 1 nC\:ltne OollectivlI 8,167,82
Inveattnllnt Fund
1987.l.l.03 Municipal Bond Fund 617,63
1987.12.02 Municipal Bond Funrl 616,76
1987.12.03 \Iixed Incotne Col.lective 7,475,60
InvesttnBntFund
1988.01.05 Ftllod Incol11l1 CoUllctivlI 7,797,01
InvlIsttnent Fund
, , , 612,1,4
1988-01.05 Municipl\1 Blllld Fund
'" 1988.02.02 Fixed IncOl11e OollectiYII 7.680,77
InvlIstl11ent Fund
1988.02.02 Municipal Bond Fund' 615 , 20
1988.03.02 Filled Inool11l1 Co1111ctivG '7.141. 78
Invellttnanl:, Fund
1988.03.02 Munioipa1 Blind Fund 581. 78
1988.04.04 MI.\nioipa1 Bond Fund 582,50
1988~04.05 , Fixed Incotne Oo11ectivII '1,644,29
InvlIstl11l1n,t,: F'und
1988.05.03 MuniCipal Bond F'und 583,ll
19,88.05.16 Fixlld IncOl11e Colleotive 7,087,87
Inve~ttnent \Iund
1988.06.02 Fixed Incomo Collcctive 7,480,75
Investment Fund
1988,06,.02 Municipal Bond Fund 581. 53
.51.
'...... ,-,
1988.07.05 FlKOd loaoma Oollaotlvo '/,383,98
Invostmont (Iund
1988.07-05 Munl.cJ.plI1 Bond (,'und 588,71
1988.08-02 Pl.Kod Inoomo Oo11~otlvo '/,771..57
Invos tmllnt (Iljnd
1.988.08-02 MUnl.olplll Bond l~und 589,26
1988.09-02 Fl.Kod Inoome Golloot:l.vo '7,ld3,51
Invootmont )Iund
1988.09.02 Munloiplll Bond Fund 585,01
1988.10-04 PlKod Inoomo Colloot1.vo 7,267,113
Investment Fund
1988-10.04 Munlo1.plll Boml FLlnd 579,40
" 1988-11-02 Munl.o1.pa1 Bond Fund 579,68
'1988-11.03 FlKodlnoomo Oollectlvo 7,1~62,06
Invostmont Fund
1988.12-02 Mu~1.oipol Bond Fund 582,62
" ,
'1988-H.05 FIxed Inoome Co11eotive '/ , 316,78
Inveotmellt Fund
1989.01.04 Fixed Inoome Co11ootive 7,482,36
Investment Fund
1989-01.04 Munic;lpa1 Bond Fund 580,96
, '
1989-02.02 MunIoipa1 Bond Fund 436,40
1989 - 02 - 06 Fixed Inoome Collective 7,481.49
Investment FLlnd
1989-03-01 Municipal Bond Fund 438,57
1989-03-03 Fixed Income Collective 6,878,28
Investment Fund
1989-04-04 FiKed.lncome Co11ectlve '7,530.19
Investment Fund
1989-04.04 Munioipal Bond Fund 440.96
1989-05-02 Fixod Income Co11eotivo 7,358.24
.Investment Fund
1989-05-02 Munic,tpal Bond ~'und 432,09
1989.06~O2 Municipal Bond Fund 438,04
.52'
!~
,.....,
1989-06-06 FI.Ked Inoome CJolJ.eotf.ve 7,1.56,93
Invostment: Fund
1989.07~05 1~f.Kod, I noomo Co 1.100 t f. vo '/,532,57
I nvos tmont ~'und
1.989-07.05 MunioiplI1. 80nd Fund 1139,01.
1989.08.02 Municipll1. 80nd Fund 1135,30
1989-08.03 FI.Kod Inoome C011.ontl.vD 8,207,35
InveRtmont: Fund
1989-09-05 MuniciplIl. 80nd Fund 435,82
1989-09-06 FI.Kod Inoome Collective ,7 , 71~4, 1.2
Investmont Fund
1989.10.03 MUlll.oiplIl Bond Fund 1138,17
1989-10.04 fiKed Inoome Collective 7,451,37
Investment Fund
1989 -11,02 MunioiplIl Bond Fund 434,94
1989.11.03 FiKed Inoome Collective 8,080,45 ,
In~estment Fund
,
1989-12-04 MunioiplIl Bond Fund 435,52
1989-12.05 FiKed Inoome Colleotivo 7,811~,01
,Investment Fund
1990-01-01, MunioiplI1, Bond Fund 436,36
1990.01-05 FiKed Inoome Colleotive 7,140,73
Investment Fund
1990.02-02 Municipal Bond Fund 295,86
1990.02-05 FiKed Income Colloctive 7,591,26
Investment Fund
1990-03.02 Munl.ciplIl Bond Fund 29,5,45
HJ90.03-05 FiKed Income Collective 7,227,95
Inves,tment Fund
1990-04-03 FiKed Income Collective 7,733,38
Investment Fund
1990~04-03 -Municipal Bond Fund 297,12
1990-05-02 Municipal Bond Fund 293,02
-53-
,,,,,",, .....,
1991-.0/1-03 I"ixod Inoomo Ool1ootiVll 7,610,81
InvoHtment fund
1991:..05 -O~ fixod Inoome Coll.O~t1.Vll 7,271..0/1
Investment l"und
1991-05-02 Munioipn1 Bond Fund 155,6:\
1991.-06.04 l,'ixod Inoome, CoJ.locltive 7,92"' ,05
Invostment fund
'1991-06-0/1 Municipnl Bond Fund 15/1,85
1991-07-02 Fhod Inco'';;e Collootive 7,506,62
InveU tmenl: Fund
1991-07-02 Municipnl Bond l~und 15/1,56
1991.-08.02 fixed Inobme Oolleotive 7,682,37
Investment Fund
1991.-08-02 Municipal Bond Fund 155.67
,
1991-09-04 Fixed Inoome Colleotivo 7,633,71
Inve'stmont Fund
1991-09-04 Municipal Bond Fund 155,96
"
1991-10-03 Fixed Inoome Collective 7,1112,62
Investlnent Fund
1991-10-03 Municipal Ilbnd I~und 155,75
1991.11. Oil Municipal Bond Fund 154,70
1991.11-05 fixed Income Collective 7,588,57
Investment fund
1991-12-.04 fixed Income Co11ectivll 7,393,22
Investment Fund
1991-1.2-.04 Munioipa1 Bond Fund 153,92
1992-.01..03 Municipal 80nd Fund 154,37
I;
1992-01-.06 Fixod Income,Colloctivo ',595,22
Investmont Fund
1.992..02-.05 F1.xed Income Collootl.ve 7,629,12
Investmllnt Fund
1992-.02-.05 MunW1.pa1 Bond fund 23,52
1992-03-.04 Fixod Inoomo Collective 7,2.05,90
Investment I~und,
.55-
t""\ ~
1992-03-0/, Munic~pal 'Bond Fund' 23,33
1992,-04 -02 Fixed Incomu Ool1ocl:ivo 7,59/1,80
Investment l/und
1992-04-02 Munioipal ncnd l/und 23,12
~992-05-04 Munioipal 1I0nd Fund 23,15
1992-05-05 Fixed Income Oollective 7 , 303 , 30 '
Investment Fund
1992-06-03 Fixed Income Colleotive 7,4/,4,30
Investment Fund
1992-06-03 Municipal Bond Fund 22,68
1992-07-03 Fixed tnoome Co11~otive 7,270,48
Investment Fund
1992-07-03 Municipal 1I0nd Fund' 23,39
1992-08-04 Municipal Bond Fund 21,88
1992-08-05 Fixed Income Collective 7,387,90
Investment Fund
1992-09-03 Fixed Income Co11ect.ive 7,338,81
Investment ,Fund
1992-09-03 Municipal Bond Fund 22,27
,1992-10-02 Fixed Income collective 7,177,78
Investment Fund
1992-10-02 Munici~al 1I0nd Fund, 22,09
.' Filled income Collective
1992-11.03 7,339,29
Investment Fund
.'
,1992-11-03 Munioipal Bond Fund 21. 67
1992-12-02 Fixed Inootne Collective 7,045,2/,
Investment Fund
1992-12-02 Munioipal Bond Fund 21,81
1993-01-05, Fixed Inoome Col1eotive 7,1.72,76
Investment Fund
1993-01.-06 Municipal Bond Fund 18,23
1993-02-03 Fixed Inoomo Co11ectivo 7,180.57
Investment Fund
1993-02-03 M~nicipa1 Bond Fund 18,16
-56-
,t:"'\ -..
1990'07.27 Dnuphin D"'PQsl.~ Bnnk nnd 1'rust: 782,22
Co, . OornrniuiQn
, 1990.08. 2~ Dauphin PepQsH Bnnk and Tnlst: 808,05
Co, . comlnission
1990.09.27 Dauph.in IleposH Banl< and 'ftllst 801,79
,Co, - comm1.ssion
,1990.10.29 Dauphin Depodt Bank 'and Trust 779,77
00, - 'Oomrniss'ion
1990.ll.27 Dauphin Deposit. Bank ami Trust 803,67
Co, ,. OQmmiss1.on
'1990.12.27 Dauphin Deposit Bank and Trust 781,,15
Co. . comniissl.ol1
199h01.29 Dauphin Deposit Bank and Trust 805,45
Co, . cOmmisdon
1991-02'27 l>auph1.n DIIPosit Bank and Trust 800,12
Co, . Commission
1991.03.27 Dauphin PepQsit Bank, and Trust 726,53
00, '.. Oommission
1991.03.28 t991 Personal Property Tal<' 1.33,15
1991.04.29 Dauph1.n Depes1.t Blink and Trust, 796/21
Co, . COlnmission
1991.05.29 Dauphin Deposit Bnnk and Trust 767,2B
'Co, . Commission
1991.06.27 Dauphin Depos1.t Bank nnd Trus t 812,78
Co, . Commission
1991.07 - 29 Dauphin llapos1.t'Bnnk a~d Trust 77 6,20
Co. . Commissl.on
1991;08.'06 , Dauphin peposit Bank and Trust' 125,00
Co, . 1990 Tal< PrePl\ration Fee
1991.08.27 Di\uphin Deposit Bank nnd Trust 799,89
Co, . ,Commisdon
I
" 1991.09.27 Dnuphin Dep~sit Bank LInd Trust ,801.I,a
Co. . Oomlliission
1991.10-29 Dnuphin Deposit Bank and Trust 7B1.23
CO, . Commiseion
1991.ll.27 Dauphin Deposit Bnnk and Trust 804,71,
Co, . Oommisaion
.67-
'" ,-..,
"
1994-09"27 DR\lph'in,Paposn IIl1nk Rnd '1'1~Ugt, 605, III,
,00, - Oommisslon
,1.991'-10-27 DaupllinDapoBJ. t lIa"k 'hnd TI:UIII: 793.61,
00, . Oom<<dsllion
1991.-11-25 Dlluphin Dopodt IInnk Rnd '!'ruII(: 792,93
00, - 'Oommisdon
1994.12.27 Dnuphin llepodt,8l1nl\ Rnd '!'r.Ullt 780,52
00, . Oommission
1995-01,27 Dauphin Deposit lIank and 'rr\lllt 787,2,1
00, . Commission
1995.02.28 Da\lphin Deposit IInnk and 'rruat 806,80
Co, . OomiUiaaion
, 1995-03-28 Dauphj,n Daposit IIl1nk and Truat: 646,26
" 00, Oommission
-
1995.04.13 1995 l'eraona~ Property Tax 406,69
1995'04-27 DIlUphinDeposit: Blink and, Trl\a t: 641,86
C~, . Oommission
1995.05.30 Dauphin Deposit: Bank and 'I'ruII t If10,92
Co, . Oommiesi<;ll1
1995-06-27 DIlUphin Depoa it Bank and Truat: 761.25
001' . Oommission
" 1995.07-27 Dauphin Dapos it Bank and ,Truat 492,10
Co, . Cammill II ion
1995.08-29 Dauphin Deposit Bank and Trullt 497,93
00, . ,Oommiaslon
" 1995-,Q9-27 ,Da~phin Deposit'Bn\1k and 1'rust: 311,79
co;,. . Oommiseion
1995.10-27 Dn\\phil1 Depoeit Bank and Truet: 371,47
Co, . Oommission
1995-11-27 Dauphin Deposit lInnk and Truet: 352,94
00, . Oommill e ion
1995-12-27 DauPhin DepoaitBnnk nndTtuat 3/17,25
00. . Oommie,a ion
- 70- '
~ t"",
1985.05.02 Sa~ah D. Blossing Inoome 10,13/1.78
Distdbution
19S5.06.03 SarR~ D. Blessing lncomo 9,174.87
Diatdbution
" 1985.07-01 Sarah D. B10ssing Incoms 9,817.49
Dl.strl,butJ.on
1985.08.01 Sot'oh D. Bless J.ng lncome 9,552.62
DJ.atribution
1985.09.03 Sa~oh D. Blessing ,1 ncome 10,027.36
Distribution
19115.10.01 Sa~ah 0 '. 81essing . Income 9,289.54
Dis'hibution
1985.11.01 SarAh D. Bloss ing ; Income 9,701. 52
Distribution
1985.12.02 Surai] D. Bleaeing' .' Inoome 10,4~0.27
Distribution.
.. 1986,01.02 Sarah D. Blessing Inoome 9,645.51
Distribution
1986.02.03 Sarah D. Blessing Income 9,881.73
Distribution
198~.03.03 SarAh D. Blessing . Inoome 9,695.53
Distribution
1986.04.01, Sarah D. B1sssing . Income 9,174.83
Distribution
1986.05.01 Sarah D. Blessing Inoome 9,365.81
Distribution
1986.or;.02 Sarah D.,Blessing Income 8,,701.8:1
Distribution
1986.07.01 Sol1ah D. B1eesing Inoome 7,073.25
Dietribution
1986.08.01. Sarah D. Blessing Income 8,493.53
, Distribution
1986.09.02 SlIrah D. Blessing 'Income 8,760.42
Distribution
1.986.10.01 Sarllh D. B1eseing Income 8,601. 711
, Distribution
1986.11.03 Sarah D. B1esoing Inoome 8,414..22
Dietribution
.75.
f*\
,....,
1993.01.29 Sat"ah D. (Hossing Inoolllo 7,207.51,
Distributiclll
1993,02.26 Sarah D. 1I1easing Income 5,658.57
Distribution
1993.03.31 Sarah D. Bl.essing . Income 5,383.95
Dis'tribution
1993.03.31 SlIrah D. 81.essi'ng . Inoome 6,'8'/2.73
Distribution
1993.04.30 Sonh D. 1l1essing Incomo 6,226.59
Distribution j'i
1993.05.28 Saruh D. Blessing Income 6,650.1.11,
Distribution
1993.06.30 Sarllh n. Blessing . Inoome 6,132.02
Distribution
1993.07.30 SarahD. Blessing . Income 5,154.1,3
Distribution
1.993.09.30 Sarah D. Blessing " Income 5,268.91
Distribution
1993.10.29 Sarah D. Blessing . Inoome 6,661~.93
Distribution
1.993 .11. 30 Sarah D. Blessing . Inoome 5,843.51.
Distributi6n
1.993.12.31 Sarah D: Blessing Inoome 4,773.59
Distribution" ,
1994.01.31 Sarah D. Blessing Inoome ,'5,731.05
Distribution
1994.02.28 Sarllh D. Blessing . Inoome 6,666.26
Distribution
1994.03.31 Sarah D. Blessing Income 4,530.74
Distribution
1994.01,.29 Sarah D. Blessing Inoome 6,511.40
Distribution
1994.05.31 Sauh D. BlesSl.ng Inoome 4,820.64
Distribution
1994.06.30, Sarah D. Blessing Income 4,61.4.94
Distribution
.80.