HomeMy WebLinkAbout79-00602
No, 21..79, H U2
PeTITION POR PROBATE OF WILL .AND LETTERS TESTAMENTARY
In th~.~st6teQf ,JlARRY :a.. .!'INDIllNBI!l~~I!l~, a/~La. H. R. LINDEN,an~GBkeasedo
a~l:91~ .a....MptJane I DeP'1tY ". .'. '. .
T,O~~.....~Mder80n!Regl!iter of Wills for the CQl,mty of,Cumberland,
In"the Commonwealth ot PennsylV,anla, " '
'. . IS. . ' .." ' ,
Petltlaner($)qre the execut.ili...._"- named In the Lost Wlq and
Te~tament of ..;..~neu:~y ~~H~~n.dm~~~if.s~{~lll '. . d~tlld J.(27('12
D,e.edent was o citizen of the .Unlted States and a resident of .
, , Township , '.' . ...'. '
lllut Pennl'lboro ~ Cumberland CO\.lritYI Commonwealth
.
ofPennsylvdl7l 10.
D.c;.~en~ died on :e'l1i\dllY
A.to. 19 79, In the. County of
PElnnl'lylvan:Le. ,
the 17th _dQyof
cunlberland .
.
OotQblU:'
, ,",
I State of
at thfl,age of 80 yearso
!-ca. RA.~"" Nl
Decedent has. not,~een married and has not hod children born to "firm
since the exec;utlot'l of, the above described Will.,
oeced.ent was possessed of pflrsonal property to the value: of
$4!lO,OOO '_ and of real estate to the' value of
None. os rieor os e.on be. oseertalneqi sold. r~ol
"estate situated osfollo,ws
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,.
. ."apply . .'
tberefore, your petltlbner(s) respectfully. appll.es for th\3probate
oLthe s.ol.dLast Will and Test'amet'lt and for Letters Testq~entarytl1er~qro
pQt~,: Oo...or ~;r;o;;;;~~~)" ~?jJ;f~'Ji.; ,..
Mary Jane. Setzer.,
, l
2428 Linoolil Street.
j'.,
Camp .Hill, 1:>1\ 17011
C.QMM.O.~WE6LTH OF PENNSYLVA. NIA'~
'COUNTY' OF' CUMBERLAND .. '. . S5
I;"~"~ " ;,
~ary q.~e. Set.zer .
nQmed In. above application, being duly ~ .. swor.n aeeordh,g.tqlgw
say(~) that the statements set forth hf this petlt.lon are true to, the
best of. . he.r khowledge and belief,' ., ". ';',
n1~..:~:.:~:~ 'Ob",:lbO~9b,':6tO :'-?JI1I"/~~
~~g'Qist~t
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Filed; ootober 16, 1979
,,:.2/,-71 -l..> \~ '1.- III ,- .:r7t!'~1
Attorney: ,John m. Slike,
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'LAS'!' WILL. AND 'llllS'rAMI!lN'r
011' ..
,IIARRY R. LINDIllNalllRGI!lR
I i HARRY R. l"INDIllNBl1l,RGlllR of Camp Hill, Cllmper.hnd c(:)unty,
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Pennsylvania, deoUre thi's to be my Last Will find 'reshmel'lt,
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hereby revoking any will previoUSly made by me.
,
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I - I direot the payment .of a~l 11\Y just debts I exp~nRes
of my last illness ahd funeral expe~ses out of my estate by my
l1lxeO,utrioes hereinafter named as soon as is )?raotioablo after my
,death.
II - I bequeath the sum pf .~10 ,000 to my daughter,
Jean, L. Gerberioh. i3hould my sdd daughtarbe deoeased, thl'lm
'this beqUest shall be distributed too her issue per IlItirpes.
III. - I bequeath the sum of ~10 ,000 .eaoh t.o suohof my
'grandohildren, SUZanne S~tzer Wlillls, Marianne Setzer, Carolyn
Setz.er, James R.
GerpJ,riohJt~ and Soott Gerberioh, as' survive
/lvt,,'If '
me'.
"
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IV~ I bequeath all of my automobiles I jewelry, w.a~ing
appat'el, b()~ks ,piotUres, household furniture and furni'sli~nqs,
and all otlier of. myartioles of hOUsehol,d and p~rsona;L use /!Ind
'ornament,. together wi.th any insuranoe existing thereon, tel suoh
of mybe;Loved daugh't:ers, Mary Jane. Setzer and JeanL" Ge,rberidh,
" I.
as . shalt survive me. The division.Et)aU be by thaiI' mut\.tl).l agree-
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ment I 'put if there E!hould be 1'10 E!u'oh agreement, E!uoh propl1ll'ty as
to whioh'there is no agreement E!hal,~ be sold and theprooeeds
thereof added ,to my residuary estate..
v - All the rest" resid~,e and remaindel' of, ~y estate
of $V'ery natul;'eand wherever situ~te I devisl'! and bequlllath unto
my b~~6ved daughte.~s, Mar,y.:ra,ne Setzer and Jean ):.~, G$rberioh I in
'i.
~qU~l, s,IHl*es.pep . stitpe~,
~~y~;.. page 1
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ARWllLll 1/ 'SUKI,
I\tY\'lIIH."~tJ.A, i'
II. NAAil.ft rtlLll
U"......Nioilnt'4HIA If 011
o ,
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VI - All taxes that may pe all8euec.'l ill opns.!\\uenoe of
my death
shall 'be
,
of w~atev(ir nature ilhd by whatever jurisc.'liction ':I,mpofUlc.'l
, ,. j
oonaidereda part of the expenee of the administrllt~on
of my estate, and my personal representative or representatives'
shall haw>! 'the' absolutlil powe!:" in hi,s or Iur disoretio,n' to pay;the
same ,at oMe whether or not the l,aw' Ullder whioh t~ey are imposeCl
,Permits thepo~tponElment of all or part of them to a later t.ime.
VII - I' g,tye and IiJr~nt to my l!:xecut;rioea hereinafter'
\l,al'l\E\Cl and my trustee or guarClian hereinafter nameCl the, following
powE\,rs in addition, to those given by law and not in limitation
thereof to be eXeroised in their sole Clisoretionl
"
A. '1'0 sell fit publio or p.t;ivate sale i to exchange ,
,to luse, to pledge, to 1110r,t~aliJe,to tra\liilfer, tooonyert' o;r
otherwise diElPo/ile of /9:r;',gran,t op1;.ipns with ;respeot; to' any a1'ld !
al~ pl;opett;y, ,r,eal, J;Elrlilonal or mixed, ~tany timefol;'!\ling part
of my probate estate, in rauch mannElr, at such time or times, for
suoh pU.t;po/iles, for suoh prioes,or prioe and uPon suohtlilrms,
. oreditsand, 09nc:Uti:ons as shall be dee,mec.'l advisablEl orneoessary
'unc.'ler the Qiroumstanoes.
B. ,'1'0 Msent' to, join in,and vote in faVOr or any
merger, reorganization, votinq trus,t, plan, ll\lase, mortge,qe, 001)'"
BOlic.'lation, exphange orforeolosure of any oorporation or "othel:'
investment in whioh they may ho~c.'I stooks, bonds ,or inVestments.
, . . ,
, 0.
proxy, with respeot
held by them.
To vote in person or by general or limited
to any sharelil of stook or c;lthl\lr inv,estment:S
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D. To make c:iistribution in \':lash, in ..kind or '
,Partly, in both ,e'xoept tha,t suoh power shall not be exeroised in
suo,h ai manner as to oausemy estate to lose all or any part of
the tax benefi,t affprdedby fede;ral or state law.
,. , 'E,' 'llo 4istribute artiol~s to ~ l1\inO,ro,r t~his
pal;'~nt or any person takinqoare of,the minol;", to hpldfortl'le
\1Iinol:' within the lim~tE1 authorized by statute or r,ule 'of 'law.
, ,F ...vo borrow mon~y from ,any person'~~.1n~tij::ut~on
andt.Qmo;rtgage o,r Pledge any or all ,real or personal proper,j::y as
my ,fiduoiariesin their solec.'lisoretion sh~llohopse/ witho~t
regard for t.he dlsposi tive' provisions of this will., '
~. '1'0 oompromise any olaim or oontroversy.
H. '1'0 apportion between pHnoipa~ ahc.'linoom~,any
re~e;ipts and dhbursementsand to ,asoertain inoome,a\ld prinoipal
in , aooordano~ with th~ stat1,\tes and rule,S, ,of ~awo,f the ,CQl1Il1\On"
we III th of' J?ennlilylva'ilia. 'j, ' , . . .
". .... .. i
~~~"wo ,
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I. To exe~oise/ acknowledie and deliver any and
,All instruments which may be deemed advisable or neoas~ar~ to
oarr~, out any of the powarEl 'herein granted or 9iven by law.
" vnI -, I nominate and appoint as guardian of any pr~p- ,
ertywhich passes un~er this will or otherwise ,to a minor i and
with respect to which I am authorized to appoint BUg!) a9uar4\.i:an
and have not:. otherwise speoifioally done s9, ,the mother of said"
chUd/or if, she is not then livjon9 ,the' ~'ather ,of said chil~,
'~u6h guardian' shall have the ,power to use prinoipal as well as'
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income from time to time for the .minor I s. eduoation, suppo:t;t and
Welfare or to ,make Payment for those purpos,es witho,ut further,
reaponsibility to ,the minor, or to any persontak~ng oare 6.fthe
minor. '
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IX": I ndminate, ..oonstitute and appoint suoh of m~{,
daughters, Mary Jane set.zerand Jean L, Geiberich I /:a shall be
living at the time of \1IY ,death as the Coexeoutrioesor sole
Exeoutrix, as, the oase may be, 'of this, my Last Will and Testament
, ; .-...
Neither of' my Exe.outrioes nor my guardians shall be required to
furnish bond in this or any' jUr~,sdiction.
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IN WITNESS WHEREOll',I have hereunto set my hand and seal on
II
.J"'Jdf,\y 6fa.:L.d...i'. .' "', 197~~.
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Signed, sealed, p~blished and deolared by HARRY,R. LINDENBmRGI!lR, ,
'Testator. there;\.n named / ,on this and two (2) 'other Elheets of paper
as and for his Last Will and TElstamel\t in our preseni?e / who / . in
his'presenoe, at hiS request and .in the presenoe of' eaoh o.tMl:'
have hereuntosubsoribed our names as attesting witnesseS.
&~.v.. 0~.f~'.'.',..
{;/ .. . A~esll" .' I ..'.. . '. '."
this, the
(SJ!lAIl)
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'OATH OF 8UBSCFlIBINO' WITNESS
OOMMONWEAt.1'1{ ()Jr pmNNSYlN ANlI\
qOUNTY 0l1' OlJMUERI,AND
! 8S:
T'hl .... .....' l~th . I ~ October. .'. . .' A D1'9 7~
-, ,~flll'ltlllllltlt!lllllll'"il"ill""'"I'"llllllt!lllllIlHIH'''''',,,c UYO.""'II"illlli"'IiIlI!llllllllllllllll\!III1III'lIqlli'-;;"'", , 4I,'I.".tq
liarQld n. 'MoLane, Deputy. .'.
"Qf,\foremo Rillhftrd Iil, .\flllsfllen, Roglstor for tho Pl'obnto 01' Willal,md !rlollllting lotters 01' AdmlnlstrnUun
l.n\llndt'Qt. ellldqotil1t~(11' Oumhorlnlld, I.n the Oommonwo,nlt,h ul' POllnaylvnniu, por8ol\lll1y clime ""'''0'0'''0'
, !.:ql>nn.' EI'Sl~ke and Thelma S. .MQCaus~in
I" I' '1'.,'-'1111111 H 111111 I 111,n ..nf.."", ",'n', ".l'.! I.IH..... "1111' H' ,." 1'1',111... ...111...." ql"" "111' 1'11111'1111 It.; I;., ,I.,.., i II' j., III I 11111111111.1 ..111.
the SUhSOI'lblng WltnilSRO.S to tho I'ol'ogulng instl'u\l'lllnt or wl'jtlng purporting j,o bo tho IlIst Wlll .l\'nd
I'" , ,',: _- ,_' , " ,', -" -' _' '_ __ _" ,
Testl\melltQf'~'~~.I'~;(j"."~ I..: ~o~,~~,~o~~o~~~o~. ~,(,' o~('YiH:71 !tt~~, ~.: :~. ~".. I '1'-"'1 tll." II, ])Iltod .,. ~(~I ~ {~~ I'" 1. I. I. I "-""'IU" i II
,. . .'. . L nQenberger. . .,
East I?sJmsborQ Township, '. . . " . ....'
late qfll i It 1111 ~ i Hll III; II .1", I."'!"I I.... II ..., i III I I l. ""I '11 I. .111111'" "I. ',1' ,'" it,' ,." ,.,.... '11""1" I OU11lbot'1 and ,County; Pal, deoeAsed
wh()pelng~~ly ""o""""oW~rrol,1.,..""""....."o nocul:dlngto law, deposo lIlld any, that ..,o,,,~n~,f...~~P':i;l,,,.,,...,;:o
present~, and saw, and heard'tho,Je8tall~~*lr" .....,'.....'..11.'" ..~~~I~~".~.'i"I~*f.lI~~n,~~I~I~~~t,'''.jj'li''"illll'jjq.1I
<<;,
sign, sll.al, pl\b,Ush, prOnoullce and d(l(llnl'e theslIid'lnstl'umontol'wl'itlng lI~ lInd I'or b.;I..~""";;,,. Testament
. . . . . . he
and Lnst Will, and l\t the time of 8\1 dl!inK ..o,..'oi"".......""o..o"....".....",,,,..,WIlIl of sound l\nd disposing mind
" . their
memorY and undorstl\ndlng, to ,the ~e8t 01' "..o.."".."..o."o,....oo....o,,,..,,..,,.knowIElpgo, observlItlon and.qellllfo
.....,J:"..,aw.o;;on...too..""o,.."... Rtld subscribed .beforo
1 (iJ ~" .'~ ."
"o,k-L.tl.,I..HIIHII.r.;]li" '.' "t.ly~..'.,'.II;,IIH'jtljlli;-.
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. R.llll.aI4Eo ..ft~e~;~1~
. ; . I . . ~ . . i .. ,. . 1 . I, 1111111111 i j Ill! . . . , . . . ',' . I . . . , . I . '. . . I . II I . . t II t lilli, It. I ;1 '_ . i i . I
,AFFIPAVIT O~ DE~TH
, COMMONWEALTH OF PENNSYLV ANtA I, S8:
COUNTY OF CUMBERLANb I
, Mary Jane SetlZe;o . ' . , ' , '"
Itltlli'lfll'..-., 1''111'1 i.. I I,"',~ 1111 tllttll It ',! ',11 "-\"111 It" .:,"IIO.III.j.....' ,". I !II!I, 11.1." ,. ~ I......". I ',Ill 11" II Ii I i Ii I f IIH ...110.1 !II' ..,,-.... ..beinlf ttu1r
.......,..:..o~o~e~,~..........."...."".. Sl\YS that as nearly 118 olin pc Rscortl\lneq the 8l\ld decedont
a.rryR. x.!ndenbarger ~/al H. R. Linderiberget '.' '
I..; I"'"illt !tit. t,~,I'H I.! I111 i. "_.''''!'''''''' I I Ii'tf! H 1,IIt 111111..... '!.III "1'111111.. it 'I'IHI"-'" t ,., j.; 411_,,1.,11' i II....,.. II.... """ II "lIll.Htf'H ",died. 0.\
1!.i!I..i..,.lllflllllol.,
Sunday h 7th, ' '. . Ootobet '
:H~t"" ,11I1t.l1111 I f1~' Ill.ltlil, IllI. I .,., H. to I" III 11'1111" ..11.. I .:.....' III day' of;. I! I \ '111 I II ii.... \~ "0,,. i.. II;....;.; ,.,.... '''''' A.D"
79
19",,1111
9.100 ,A
a~orabout tlllltl.llI0,'"I'I!II..I1.I.H'II......III.' 0 clock, .!!.M.
t.,o..ooo"..~,\'{~Xonooo1;lil.ooo,..o....o'..'ooollnd 8ub~crlbd~ thl,8
:. .. . ...11th dl' October t
tl'I},.tItIIHllllllllttll!II!III"'ltlllltlllll.. ay 0,..........1'.....1.,...
./lCJ1./,~~/tf.l/~A) .'
..-1'../;,(.".~;I'rilr~~J~(;II.II..lltl,I,~7tr.t'illlllllll.l.j.lt...,I"',"lii \
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79'.
19{ ..0:0"', ber()r!'!
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Rluhllo.dlll,Anae1'8on, . II 8 I" -~_"..
lH'y-t1t1 18-1111
COMMONW!A~ Tt\ OP P!NNSY~V"'NIA
DBPARTMBNT OP UVBNU!
BUReAU OP PIB~O OP!.AATIONS
APPLICA TION FOR AND CONSeNT
. TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECt:DENT
'*
.-.............-....- ,~_._-.,-~ --.'~--_.- ,- _.._...,-----_._--,--~~. ,.
DA TE...,{d?JJ,fiQ.__
~ (MUST B.li FIL.eD IN 'r~IPL.ICA TE)
TO THE PENNSYLoVANIA DEPARTMENT OF ReVENUEI
Appllcotlon II hereby ma~elor tc.150II.t to tho trollsforol tho followllI\1 socl/rltles 010 POnhsylvanla
Corporation or a Notional Bonking Alloclatlon Iodated 111 POlIlIBylvlilllul
, . - . .
, '
(aL.J:5,OQO (b)' B6}.1 'l'll4P.bl:l,\1Il. COUl[,tll'l)'._.uLl'J1l)n..ylvnu1a (c)_,J!_.~~.::N~2,._~~nd
(NOTEt In deacrlblnp IOcurllln enter In (0), ab 010, olthor tho numbor 01 sharol of stock or tho Iuco o01ount 01
reglltered bondi, In (b), the nome 01 the IlIu,lng company and In (~) theclnss 0/ stocK or tho statod IntorOlt rote
and maturllydate 01 r,glltere.dbondl.) . ' ' '
ISSUED ON _~1"9/7~ , and having 0 TOTAL MARKET V A>LUE OF$_.......'i ,I96..!Jp_.,
(Pot.) .,. '
. 01 01 tho dote oldoath of thedocedent, ~"J:ty ~~-t:H1~.(ltl~~!1!..._!'.~,..-..., , 01l,,,_.'!.0/7 /79,___ '
" , ' 1\, ,t, 1\ 11 o(Nb'n\" o't'll5\ilM .~llal'" ,<Pot..f d.qth)
,who wal late 01 :w tlouitc.l 11i_;!,_!~9.~~L. C~.r:j.P._I!~!:~.L._.r=~\1I~~~~~~.t.I~~~\!'_'~c~~.!n..nIl11vanh
(Str..' and Number) (poot Offl..) (County) (S'o'.)
The securltleaare, reglstored os 10110wlI_~,_..___..~"~_II_~..,t1,:: ..T:t(\~~~\~~.~tr"r.._,~,_...,..,....__._~_
, ' (Nnmo or "arntttl In whle" cortlflCCltu nff! rttglstarod)
ADMINISTRA TOR)
EXECUTOR )
Htll')' ..Jane !l<lt:::~_~_t..i42~.. L~I.'.~9~t\._ ~E!'"L_C~h~p_lt~~.lLni....J101~~._-
(Nan,.), .,.. ' '. ,fM,1;..t/ S 11~ I'"
NAME OF APPLICANT m.._""'+ -~~~.'._~'.._-~.',_...::!_~'- ~
21..79':'l\O~ ,. ' r'lnmIl IIU1, FA
~;;;;~;;~;;;;;i:TO 'P'~"'LY."L;;~~~~~;;';~~~;';~'~;~:;;~~T~6~ -
, CONSIDERED COMPLETe-AND WILL llE RETURNED TO YOU FOR Cr~~~IOMo
u.._._~__ _":~.__ ___.-;1"" . .,___._ -___.__.~ .-, ---- ~"---- --, ,-- T_'_~'__
, COM'MONWEAL TH OF PENNSY.L VANI'A ~'D'EPAR-TMeNTOFRE\iENuE."'.~""~'~
, CONSENT TO, TRANSFER.SEC_~RITlEJ. 10,^TE 1.......~~/9 f{,
I hereby consent to thetran~ler of tho above. I.oourlllos now reglstorod In thoriomo '01 tho ~orosnld '
pecedent ond'w,Qlve tho filing 01, 0 c~.rtlflcate cortlfylng to tho pOYlllell'tof tho trollslor Inhadtnnco toxto which
the:propertyollbl~Decedent Is ma'de sublect pursuant to ,he provlslolls of tho A"t ;;1 Juno 20,1919, P.!., 521,
'u amendo.dand tho Actof,Jone 15, 19~.1'/P.L. 373, ascimendod. This Is olllo Inoccordanco with tho provlslonl
01 the Act 01 April 9, 1929, P,L, 343,
Thll ConlOnt to Tronller the horoln dOlctlbed proporty oPNotos only In roloronca t.o the ostote 01 the
aboye.named Decedent,
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Slgnod ,for tho SocrotarY 01 Revonu.e
(OJ Ii. (). (11\ ' '
l3y ~i:"LI.i.~4." 'w~""OJ'/.t.\..l..Cl~"-:--"--"~
(5hululutfl) '. U '
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~,,rrl' L'~. \.~Q.w.LL~.l> /.u.,~~",..,. j{(\lLIH,'"\<h'."._,.....-
. ,(1\1'1.),') ,(Co"n'Y
". '
fUIv-et'r 18-7ftl
COMMONweA~ TH OF FeHHSYLVANIA
DeFARTMeHT OF ReveNue
BUReAU OF Fle~D OPeRATIONS
APPLICA TION FOR AND CONSENT
TO TRANSFER SECURITIES .
REGISTERED IN THE NAMr:
OF A RESIDENT DECEDENT
'*
______ ____.~_______,..,..._...._T_'____'.=...__ ,
DATE __Ap.;U ,2&,...J:.2J:lO
~ (MUST BE flIL~I>IN TRIPL.ICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUEI , "
Application l~h,repY mado for oonsont to tho tronsfor of tho foliDwlnl1 socurltlos of n Ponnsylvnnla
Corporation or c National Banking Association located In Ponnsylv~nl(l: ' '
~~~~t~~ed l~::,c;~~l~r, ~:~!t!~:*ht:::~)~gO ~~!a~~I~~t;r~~~~~:r~j!I~:l;~:f~:t~~f'i:rc~I:~:~~(~~t:~~.~nrta i!.
and. maturlly dote of registered bonds,) ,
ISSUED OIV24(59.J. 5/1l1/fJ4, and having 0 To.TAL.MARKET V^,LUE OF L .llea..~_____.
(!lal.)
as of the dote of dooth 01 the dece~ont, .,......:..I\(I1.!}'...J1. t4,!t~~!'.pll_lj'ue~..~,___, on.____tQI:JIJ.jn-~n.,
(Ham. a' O...donll (001. .f d.olhl.
who was loto of
2 6 noun~c!.. H!ll_E!,ad.L..JJM~1'-_JtUJ,.. .,_c;lW11btJ:'bnYI.,~_.._.1?Jmn..)'..mmi4
(Slr..1 ond Humber) (110110111..) (Counly) (Iliff.)
The securltlos oreroglstered as lollowsl ~_-,-._..!lA1;'.~Y.,JiLJ,tn9.nl;lJ'J:'all'J:'m. . m___m._~"_~
. (Ham'. Dt namas l"whleh cortlflc:ntol tHO fQUl1ttlU'I-d}
.. ADMINIST.RATo.R)):...... Haty.J4~e' (lota:.t, ~.~3.~._l'.!~~~;t1,n.~-, !.qafnp~,1!fq.l-_~A,.JIOli~,_
EXECUTOR (I'!om.) . . .f't""~. 81:1.\. ~
NAME OF APPL.ICANT _~..,_.,., (1'1'1,...J~_.,,__~~.L:!.9..~
Co.UNTYFIL.E NliMBER 2H79-602AODRESS OF ^PPLICANT.~_~ca;.n}!.,.u.g.h'!'A.<,--~,---,,-
BUREAU FIL.E NUMB. E. R-.. ,~_.S.IGN.ATUREo.F.APP. L.ICA.NT ,___n"......~_\.--.-f:!~'''-.~'=-~..--'--
NOTICEI IF YOU F.AIL TO PROPIlRL Y FILL IN AMY PORTIOM OF THIS APPLI TIOMf IT WILl., MOT BE
, ,COHSI~IlRIlD COMf>LETE AND WILL BE RETURNeD TO YOU FOR C PLeTIONo ' ' '
COMMo.NWEAL. TH o.F PE'NN'SYi:. VANTA': .PEPARTME'NToFREve-NlTe'--.-----'
.' " CONSENT TO. TRANSFERSE.~,UB1TIES PA TE.~ . r80,JLq~'!:L
lhef~by co.nsent to the transfer, of the <lbol'o securltlos now roglstorod .In tho namo of tho ~;~ro&aIH
Decedent arid wafve the filing of 0 certificate cedlfylng to tho pnymont of tho tra.nsfor Inhorltol\co I(lX to whl~h
the'.prQper,ty of sold Decedent Is mado'sup!eclpursulli\t to,the provisions of tho Act ofJul1O ZO,' 1919, P,L., 5Z1i
_._....___...-.--.~_-_~. .,. _~._ ~__...,.. "T_'_ ____ ___ ~. u _'u .___..__< ......~ .~_~..,._".. .,.-.. _~_.._"...--t-'
"
as cmend,d and the Act of Ju.ne15, 1961. Poh,.'373, as amon"od', This Is also In accort\tlnCO with tho provisions
of the Act of April 9, ,1929, p"L....343. .
Ii
" Thls,Consen't to Transfer the ,horoln doscrlbedproporty oporoto:s only 1.11 roforonco to tho ostote of the
,
above.ri'amed Decodento
.~~,
~-
Signod for tho Socrotory of Ravonue
ey "".nHl~""'l.,l1,,ltL~jn..-..._-~,,--~
(" .... (510".,,"'0) a
;..!.'tll,:l,\ ~t,tl,~h",,~J loLli~Q1\ . ttLI1..Ql,I..~~4."-4~-"c--
( (Till.l' , . D.. (Gounfyl
1~"V-fl\1 tIl-1ft1
COMMOHWeA~ TH Of peHHiV~V~HI~
oep~RTMeHT OP ReVeHUe
BURe~u Of fIB~O opeRA TIOHi
APPL.ICAT10N FOR AND CONSENT
TO TRAN$FER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEOF-N'r
'*
;~._._.~..,..__....."..._----..".--.--, -" ~---
OA TE_'d""'~""-~,"~~
~ (MUST BE FIL.ED IN TRIPL.IC;:ATEl
TO THE PEN.NSYL.VANIA OEPARTMENt OF REVeNUE, ..
Applioalloh II hereby modo for o onIOn I 10 Iho transfor of tho following .SQcutltloso,f a Ponnsylvanla
Corporallon or a,Natlonal Banking Anaclallon located In Pennsylvanlal . I' ~O" ,".1
38 \0 <l ,. \l..,I.I. '
(al__ 6 (bl l'Qll~l!:t.l'VI.\!!~Lro\;t_l~.L!~_l.i,fJht (1o~ipntl1.(cl "Cc~\1ll!!fm.~_,._... ,
(NOTEI In dOlcrlblng IOcuritlOl entor In (al, ab 0/0, aithor Iho numbor of sharu of stock or tho faco amounl of
reglllerod bondi, In (bl,lhe namo 01 I~o Il&ulng oomptiny and In (cllho cluBs of stock or tho stated Inloroal rata
and maturity dolo of reg lite red bondl.)
!I.~gl.~~ ,.', .,.. . 1.,350 ,
ISSUED ON ~ - ~ , and having a TOTAL. MARKET VA'LUE OF $. u,,,5.91Q..OJL~.-',",.~-<
01.01 the date .01 d(~;:h) 01 the dOQodont, 111l:ry_~~_J~::1~~~.~~,!..~,l'.I.r._~__,~, onm.~.~t7 /79_,~~~
(Hnm. .f O..od.nl) (O.i. .1 d~~th)
,,' . I. ;
who was late 01 ~l.2...~ll.ounC;\ .!1i~.~..R~_~~L,-,Gal~Jl:l.Jf.L.
(S"..I "nd Humh..) (Poll Offl..)
. ..g~!In.~p):ll\I).L1.L. ,...J'!ffi:\1I y t vatl! Il
(CounIV) (Slot.)
The murltlOl are rogiltored as 10HowsI ~___....-!~~:l.',~~~~~\'\51~~~!::!le~"._.,..._._ ,~.._c__
, . (H~m. 9' "p.nuiil 'n which cuttlfleclflll fHo-,ngl.lofCul) .
ADMINISTRATOR)
,EXECUTOR 1
Mary Jane lio t; 1\ 01: , 2420 t1ncoln St"cnmp 11:1.11, PA 11.0U
(H.m') -,.,------n-H..-.~m-u;-~^d.,it~~';-I~-l.t \ -'---'t<-;--'~'--
NAME OF APPL.ICANT ".n_' ,_(1 .\1_ ~O""WH":'~'.!."~~~i!.__._..,,-
U..79~()02 ' Camp \l:l.l1, Ph :
COUN.TYFIL.., EN,U.M .BE R_. . ~_._.._._.~' ADD.RE. SSOF. APPL.IC.ANT-...-_~_.:...~'"'-~..-~----~.-.--.._".m...~'--~.. "~.'- -..
,BURE~U FIL.E NUMBER,____<- ' SIG~IATUREOflAPPL.ICANT__HO_.::_t.~~L.f~_.~U1;.:.. .
MOTICEI IP yOU FAIl. TO PROPERI.Y FII.I. 1M AMY PORTIOM OF THIS APPl.t A 'IOMf IT WIl.l. MOT,aE
COMS1DIlRED COMPI.ETE AMD WII.I. BE RETURMED TO yOU FOR C/~ PI.ETIOMo "
__ _ ~"""_,,,-;------,_'"__~_'"""'~-je-<-""'-"~ _ "".__'"_.__~~..__~_..... ..-<-- _"._______~_.3__~_h. c~-.----'~_
, COMMONWEAL. Tj:i"OF-PENN'S Y I,.vA'NiA:"OEP'ARTMENT'OF ,. REVF.~iUE, ........_.'H.'
:. . ,'. CONSENT TO...!.8..~~SFER ggURJI.lES DA TE,(t ....acd!1J:.!2
, I hereby conaent 10 th, transler ~f tho abovo locurllloa'noW roglstorodl11 tho nama 01 tho l~ar05ald '
'Decedent and walve.thellllng 01 a certllloatecortllylng to tho paymont of Iho traMlor Inherltanco tax to which
, ' '
the property 01 said Decedent Is ,mado,ubloct purliuant to tho provisions Qftho Act of Juno 20, 1919, ,PoLrS21,
a. amendedqn'd tho Act 01 June1S, 1961, p,L: 373, as amondodo Thl's 18,I11so In accordance wlt~ ,ho,provlslona
, '
01 the Mt 01 April '9, 1929; P,L.. 343,
This Conaent to Trani/or the' horoln doscrlbod proporty oporatos only In rolororico to tho Olitate ollhe
above.named ,O,codent.
Slgnod for Ih'o Socrolary 01 Rovonue
By ..~DI.I.LL"'lgll.,~MLL,I.'-'-"~'._-~-"'-C~
.r\ . , ,(Slgn01ufo).... \ ..... ,.
\, \ \ I) I -1)1,'" . II I ~
~. '1,4o.L~ l\.t'I,',uU'~. Ill. U.\.I~I~ ".Ullfl~\tS.dM"\~'-'-
,.. ,TIII.q ,(Co."ly) '.."
... ~.' ;
(~/'-.7(I.t'i.!J:;"
R~V"'48 INI)
'*
COMMONWEAL1'H,OF I'ENNSYLV ANIA
DEPARTMEN'I' Olf REVEWUE
J)UREAU 01" FlEW OPEHJ\'I'IONS
lX)PV OF Will MUST
R.5111.~I~T IlSCSllBln .., ACCOMPArl~7T\l~1:0~ORM. COUNTY or..,_.~_U_~~~R~_._-",.._
"IMPbRTANTi~' 1'htH r~";Jrlllln~~lh:;.UI1l11i~~,Tj;'1 'M"ii;;;~jfj~1I ~;li~;I~~;.~~lh~II'~~I1;UIW('I~~~~I~t-l~ ;t;::-K,~;llf1tlr 'l~fWllIH ur l~~:""'"
. C(JUI~I)' wh~,r~ dCHHldont fu"hlod; Hellllll tit duu, willllll nl"l' 11101111114 IlrWr UIl(C ur d(llllh, 'unioN" 111I "'''ICIHdHllltl M"lIlll'd
by lho Ho.rolufY ur Ko~onll.o (Hf,.,luu 10J Il,r Ih. luhorllulIOO IIml "'11110 'I'u. "01 Ilr IIJ6I, I
-. .--
~~.~'--'..~'--~rr-'----- -- -:'1" -r11~___' ~ ..~,
,
_~.,~ M_ "~_'~"-p;pq::'
~ ~
_"~__M
, - , .
,-' , '
IN,TItIH1ATTI!R (II' TUIl flH'I'ATIl (W 1 Ar'I'Ill"VIT OF
__ IIARR~~~. LINDENBERa_~~ 111. kl a H .!.._,~J~_ND~~Sl~~ lWxliCll'I'lIl1
(OTATP. FUI.l. NAMf. 0,," OEC:RnRNTI
. .
, 'Cumberland NPiIlIl'PmllllOl1
Lot. or __, -.---'--.-------'------------'-r'.'- C.unty .
5'~t. ,of ~_J.i!lD.ftn'llll11l_-'-----} '"
Counly of Cumberl.llIul_.____,_,_
'......v.. _~_--,----,MIlJ:Y,.J,lInll_Slltzllr'_-_-~---"------"------"':h--'
Aammn",". . of ,h. "'at. of Ih~ dhov..notl'lI,d d,oed.nl'l.flng duly .wnm, dopa... . and say S 'I
;"
Ilooodont dlod October 7 I..to_,,' 1",'fIlnv ~ Iln~ will, telpy"f which I. h~,.t~ ottached,.}
lMONTHI .
H.m. .nd .dd"",.I.".,..y,.' } ..:_,_<<_ John .~li~J__~~'_L Ar\1Pldt..;]_Ul<e & BaY~~
"~" .ut~"..IUd r.pr...ntatlv. to whom "
'.II..""pondon.. .h.uld b. m.lI.d, _.JlQ9 Market Street,...Q~.!!!I!-1!ill,-Rt\.17011 .__
ThRl III Huoh Executor _dupunonl i. fllll1l1l11r wllh Ilw IIfflllr. nl .IIld 0.11110 1I11\IIho prol'orly ounAllIlIliI\S
tE!lXl'fJUTO,HeAUMINIIllHAT0I11 f
lho "HIOIH (horoof and Iholr Inh I\lIl1kol vIIIIIO,
", ' , , ., I
, ThiH ullho IImo,"f doulh Ihoro wn. nn Hnfo dOflO.1I ho~ rcgl~lor"d In do"od,,"I'.,llIdlvluIIIIIIIII1I10, or jollllly withour
nli'u80nl or uoputy 01 '""111hor, or In dooodolll'. 'Indlvldllllll1llmo, wllh rlgh'nr nooo.. h)' IInnlhor n. 1180111 or dOpIIlY, wllhch"
oloorllllll lIf Iho f,llIowln81 - '
-
"
- .::ut.=~~==-"7;...=t"="",...,,,~~- ._- ~
--~___~.~""4o;.~~
'-"-0
NAM"; AND AOPHllBIt ql' BANK OR OlHB,A INOTITUTION
IN WHI H DE'caOflNT RE!N'tHO ^ eM'R l.'l~POB1'r flOX
an t. . .
nst 11M Markee streets ~
Cl1mp Hill, !A __~=_~-<'
, ,
"fu.'ATIONDtI1l1 Or-JOINT
HaLO~f~RTOI)~ aOHNT
-
nUb t^PE: IJ!!/lOlUT POX fH~NTIlD
IN N^Mr on NAMI!Sor
!lJad.Qnt,_e__~~~__--__ __
.------..,--
-
I . ___._~_
,.- ~-
. .L .__W#a-'~IUL:l"""
~=~
..--
~,~.....
"
Th~1 lho oonlorllN uf Hllld ~Qfo' dopu.II..hd~ ur bOlON IIro .lloml~lJd undor Soho~ulo.___of IhlN rolurn,
wllh Iho oxoopllon of Iho following, for Iho ron HnuN horolnuflor .01 furllll
Thllt. ,~o".Jul. A IIl1l1ohed horolU lIud mudo pllrl horouf .01. fel(lh 1'1111)' IInd lu dolaH olllho roolp~nl'.rty
,\n Iho CornmnnWollllh 01' 1'011nHylvunlll olwllloh c1ooodool dlud hllvlll~ itn Inloro.1 Ihorolno ' II IIlso HoUfnrllHho
mnrIB"Bo,0110Ilmbranoos (Ipm) olloh pllrool 01' rOil I 1'lIIperl)' III 1111' .dulo ul dOlllh, ~lvln2 th. OMounl atill duo al
'''onth. I\lImo of MOrlBuBoo, dllto, fi.IO of lu("ro.I, nud bOllk'lIud PIlMO of rocurd lhorouf. II allo Hol. forlh III 'ho
oolumnsprovldod IhorofCllo tho l"IHO.HO~ vnlllllllon of olloh 01 .uld Pllreol., Iho oUllml,lod murkol vllhl\' Ihorouf
1111 hf d(llo of dOlllh ul do'oodonl.
ThUl Sohade/. U allriohod horoln nod mndo 1,,"1 horuuf sol. lorlh I'ull)' IlIld lu uolull ull por.elIllIl Prul,orly
whoro',"I',or nltulllou nwnou hy Iho doeodolil III Iho limo 'of donlh! ..II nlUlloy. 101'1 b)' Iho do"ououl al (ho limo Ill'
donlll. whothor In docodunl'. Immedllllo IllltlHu..I;,no .lutldluH 10 doco\lou'o" orodil III,bauk. of d"IIO.II, .tlVlnBH
bllUk., IruHt ollmpllnlollo ClInlher lil'flilllllllnHo wholhllr ludll'lullIIII)'o Ilr III Irll.' fllr liny olhor pOrMon 'or por.on.
alvln8 IIINO sopnrMoly 'ho',nollrllod IlilOro,' (hOIOOllo If 1111)'0 doll' II ' III Iho IIINI Inlero.1 duy l,rlot hi docedohl'.
dOlllh lu Iho 0.'0 IIf, ,"vlns. hllnk~, ",,,) I" Iho dlllO "I uOoodolll" doUlh III 1111 olh~r ,,",,\,,; .11 hfJIlCl.i 111)'.1111"
HavlnaR,' Iron. lilY oortlflolll". or 110108 IIl1d o,hOr cvidollo~' Ill' IlIrlohlodll..' of (ho United SIllies. 10 Ihll de>
OOUlllll1 1I11(,hIlHlItll1n~, wllolhor hy .lulllle, IIr IIsroomolll llioy IIro uONlgIIUlod "' Ill. fro,,; III" Iho Ulllted SIIIlo..
lIl.'pny stato,' nr plllltlclIl HubdlYI.lnn Ihoroolo or of IInY I"orlllsn l'olllllry, which uro IIwnod IIllho llono of <lolIllll
11\1 wourlna II~PUlIlI, Jowolry, .lIvnrwllto, f1lo(lIro~, hook., wllrk" Ill' 1I11, IWII.,ohllld I' UIII II IIro , hllrMO., OR(rllIgOS',
autcMobllol, hOlllHo n"d nny 1IIIClilll olhor porHonlll ohnllol..,,1' whlll.oovor ,kind nr nUlllro,lofthy dooodont,'
10Bothor wllh Iho' fulrly DRthllalod murkol ,'nluo Iherllllf; 1111 hOlld. IInd rnllllaRgo. 'hold by dooodelll "ndof all
ollllm~ duo nlld ow In's dooodolll III lho 11010 or dOlllho IInd 1111 11IIIml~'"I')' 110'OS IIr olhor IIIHlrumon18 In wrlllna '
fot Iho puymolll Ill' mollOY of whloh dooodolll dlod PO",OHHOd, of WhlllHooI'or 1I11(lIro, wllh III(oroHllhoroon, If
nny, alvlns tho 1'1100 vnllle nnd o.llmnlod flllr murko( valllo Ihoroof, ","i If Hooh olllimlllo,l flllr lI1urkol vlfuo bo
10KI\ Ihnn tho flleo vllhlu, II n;"11\ fllrlh hrlofly lho rOIl.OIl. for "uoh dorroolntlon .IIS ,10' onuh Itom; 1111 mllnoy'~
'pllyablo to tho OHIIIIO froll1 ,1110 IU""IUI1I:O (lUlleloN oMrlod hy dOllOdoll'; 1111 nnulllty nlld olldowmonl OOlllrllotH
'Iho prooeodll of which WOtll. pnyuhlo IIpllll tho don(h IIf 1110 dooodolll; IIl1l1nd lho onrporlllc "Iookh IInd dl"ldondn
dllo Ihorooll Rnd uopllld nH of 1110 dlllll III c1onlh, blind. nnd IIoorlll'd III(oro.1 Ihoroon 10 'ho dnlo of docodollt'n
uoalh and lIthor InvoRlmonl loollrltl"" oWllod hy Iho d"corlo',lI 01 'ho 1100~ of dClIlh, wlthlho fonrko' 1'01110 Ihoro>
, of nl HIIOh Hmo. '
_..l..~.
nXU"llIur
~
'j;
Ii
q-,
'1 ~~;
I, ,_ _ _ , "\'l'h
1',\ tho 0000 or oO('lIrHlo. 0" ,01000 or rom\)y aOlopcruUono, tl1ovullloo roport,od ord M fOor ..
I'ooolblo o\lllaton"'oLoll l>y rllI"nolol oLoL.moIlL. or Lho oorpnrnLlolI"" Hho~,IIIK I,ho ouoto 01111 1l0hllHlo.
Llloronr ~. or'Lho dol,o hi' fIAnH,. 'rho H.oholllllo 011\0 ooLo rort.h tho InLoroHt or",loo.llonl. oL Lho Uil\o <ir
dool.h,l" IIn)' oO-POrLlIOrolllp hi I,IIH.I n"'.... on,.1 In 01l1f1,or!.' 01' t.lw ,volllO or' olll'hll\loroot Lh.I'O). .nMxo,1 to
ut,I'IIOho,III\O, rIMno!'11 HIlLomlln!,o ohowlllgthooo.ots onll Ilohllll,loo or oOld ,00-por!r"ir.l1ip nr 11IIo\no.o,
,:I .npl' nr LI"', oo,~Pllrtll0r.hh',ogrdumllnt., (Ir nrol, 0, eLIIL"''''''''l, lIot.qng ,I'orth Llw ,;ol,llrll"o,l' tho 'Igroo~"'nt)
IlIllothor with, 0 .toto'oont, .ot.llng rorl.h 1.110 ohorool.or or 1,11n 'UIISIJioo~, II. 1000Lton, ond snoh othor 10noL.
lioHolnllig ,to tho hllslnoh 110 JOoy ho port.lnonl, Lo II "otto Mill ,111.L oPI.rol801, or'''~ho rlonodonl'.lnl.oroAL
(IU\looln IIIIlAII"! .lIlmtlllocl, II "lullllil ollio AoL ('orlh In Itoml~otl 100rtll, IOflol.hor ,~IUl Iho rolr mOlokot, vAl110
I hnr\!"r', Oily ot.llor I'N.porty' own",1 or bO'lI'ool.11od '('.V,t!IO ,looo<lollt,c'1. 1',1111 t hliO or ,!Ioulh,
Tho ~c/i.dtll. C OLllloll<l,II,orol,o' ollfl 11,11,10 11111'1. h"roor "01.. ~orl,h II' t"'1I0 flll.war 1,0 oooh )nq111ry
oOIlI.olllOd I.horolll IIn,lln I,ho ,,11.001' LIOOn"rOIOH orpropor,Ly, r01l1 or pbrsono(,wtt.hln two yoor.. or Cloood.riL'.
'1l'"I,h, III "ont,omplot,lon or c\IIoo<lont.'. dCI.U" or 1I11.olul",1 1.0 I.oko Orrolll. III 1'0..0..1011 or ,o'ljQ)'mOliL' Rl'llr'
~,rlelo .1001.11" .0111 "ohodlllo ooL. rorl.h 1,11lI nllturo "n'f( volllo.'d' .yoh pI'o],orl,y, 1.0 who," I,ron.rorro<\, tho
rolotlollHh,lp or Lho I.ronol'oro.o 1,0 Lh" rlooo,lolIl, I.ho prop"Iot.IC,'\Il,t.o .hororooolvorlhy 0801\ tr.n.N>ro. Olld
oil ott.er ,fonot. 0(0 0 pert, t""'" I. nOI,lIro ,o.f1ordllll!'Ho!'" I.roll.('Or", In I,ho' 0.'0 or t.rnn.jOors llItenrlorl to
toko orr.ol. in po.soU,I/Jn CliO on,JOYfTlOIII, 01. or nrt,orflolllh, thliro!o niko ottooholllo Iho"oollllrlUlo 0 oony
0.1' thocloOII"Lrll.t, "Ilroomo,I'1. /,\" ot.llllr Inslrllmont, oroi.tlllg t,ho'I.\Ollot" TI,or', la oUo o"'f. rOrLh In ,8"ld
oohOlhllo, n liOI:or '011 proport,y, r01l1 nnd, por.oMI, wJth It,". vIII 110, whl"h IHI.008 11'1 Ilooo,lolIl's, M.Lh hy
vlrlup ,or Lho oxorotoo bydooodonl" ,.lthor Jnd.lvldllol1 y, or jolnt.1 y, wILh' ollol.hor. or o"y pow.r "r appoint.-
mont VOot.OIl Indoo.llont, olLhar Inlllv,I'h'Olly or JollIl,ly, f.y ~ho wl1J, 110011, 'or ot.hor Inotrllmoht oi' onolhor,
wllh'o oopy"o,r ,I,ho ltlol,rnmolll. or~.tln~ .I.oh powor nllM,holl 1.0 1110 .nho,llIlo.
,Th,'1 SCh~dllle D otl.oohull Ijorol~ 001\ 11\"11. porI huront' ~oto rorl.h I,.ho I1IImoo' IIn'\ oddrou". or oil
,].orooll. honorl"lally'll\torootlld I" tMIl 0.1.,,10 lit. Lho t,lmo 0" "oo.lIollt.'" IIMI,h, t.ho notllra' orthoir roo-
po"l1voh\t.Oro.Ls, Ibolr rolutloll.hll'" lr ony, 1.0 \.1'0 ,IOool\olll,l.ogot.l,or wHh Iho agoo ot thO tlmo or .
""'cullo"!",, dootl,,'ar '011 mInor", annni I,nnl.. olld h"'HorluloriHs ro,o 111'0 III1r1or Iluoedot,V. Will. ! f 01.0
00"toin8 0 .tot.olllon.t. .howing wlrtoii.or tho honorloinrl". IIIUIIOd III Ibo 11000110111.'0 Wlll, lrolly,. diod ,.rlor
to dlloodoul, ,.Iho ",ll.oo or Ihotr IIMth, tholr I.Bllo, 10\11 tho rOlllt.lo".hlp nr slIoh 180uo 10 tho ".l1o,rIolory.
Tl,ot S~he(ltlle F. IILI.ooh.'1 horoto ood 1I""lu 0 purt 110\000 r 0010 f'or.th oil propor IY' rdol and],or~
oOlll\l, ow"oll IlY tho dooedonl. .jolntly with nn"thfll' or Ol.horo, luoh\lling IlIt,OIl!!lblo. 8to"ding In tho "a","
or Lho dooodollL oncl ol.hor., pIUS tho ,dolo ond p1ll00 of' roooOlI or lllot.rllmonts orrooUnS t,ho 'o.tltnro or
rool' osl,OLO IInrl 1.110 dllt,o or 1I01Iul.Jtj,on or 1'0r.o,,01t.y, plus tho n'lmo, "drlro.s"nllll rolotionshJ\,. ,ir ally,
o r oo~nWuoro to tho .10ooII.nt,
'diot Scl1eiftlle F Ot.LllOhed 'horot.. IInd.'mollo 0 port. horoor .01.. rort.hf'tllly ,'nd In dotoil oIl. dobto
IUHI docl\lol.iciiio Q.I,(\lmod ror onll on "ohuIr orthlodooni\ont'. o.,ot,o, lnoludlnll f'tlllnr.ol nxponsONvolrll
'romlly .oxomp"'on, ~h(lro IIpplloohlol .cisl,o or odrilln18l.rot.ionol' l,hh o.Lol.el OOUl)ool roo. ondf\\dlolllry'.
oo,m"I..io"o pllld or 1.0 bo I'" lei I ooot. oxpondOlI ror burll\l \,I'uot,", 10mbBt,01l0. or Illoov.morkorB, IIn" roli-
,I ,_ ' -
gI0l1.sorv10o"lt, oon".'I\lonoo or ,\.hu d.olh o.r Lho d....Ollollt,\ 1I0htO IInll,olo.im" owIng onll ""1'011\ 01. llmo or
d"otlll tnxoR"o"or"oll ohorgooh10' 'for IInrlflil prl(lr Lo ,10uollnnL'. ,Iolllh (oxcopl, Umoo. OllowOII, ui1dor,800llon
Ml'ortho IlIhoN.talloo 1I1I<l g~t.ot!' 1'ox Ani,) 1 LOIl"t.llolo willi ,"otot.lIlOont 0(0 nollot,oro! plo\lgoC\j'\,r ol1llg~~
Il"ns, 'tr ony. It is ngroml.thlll t.l", rlet\l"lory 11'111 Pro.onIPr~or 0(0 "olet ololmlld ohllllotJon8 IIPOn ro-
IfllooL, thot. Ir tho O'"01I11t oOI,\lnl1Y l'oJcl 1n lIot.t.lomnnt,nr nny ro., oOlOml..lolI or. doht, i.~ 100. thon ~ho,
,001l11\ntoll omo\lnt ollllllllnll ,,,,,I ~ll1l~W,,(I, t.llol Ihll..(\1I11\1I wIll i,o'loOl'OI'Lod 10 tho lIoAI.tor or WUlo, ond that.
t..ho UPlount, 'or t.Jo, URftOAROd onn lip 1'UtHHtfJH,tHH\ in IUlOordnnnn 'Ulur'uwJ t.Jh
;Thnt,tho tol1ulR ur tho ",ll'l'ollt'llltn c/\j)Hlln\Mtn8ollo(\"loH ",Art, "U", "e"; "t~". Rllct"F" AS (I1root.ad th(J~etH,
hnVf11JoOlJ. ortrrhHt r'Orwll1'(1 Rlhl-proporl)'rog1Ht,('rO{\ in thn SUmntAry.
SubsQrlbe<}jaiid SWQrn to bofore mothls ,..........,......\,........,.. .. . II V--,,"
,..,,'",.....,,''' .,,/t,:,.........,.,'..\l~ .!)f ,......,...,',.~~.~~"..,..."....,.,,,.1~,~..,... .,:,2Z?~~~Jr~~:~r<".."...""""'''"',,:,,,..,!
,;.,/.., ,..:,,~l~!:~,r;,/.,.t!t....I?I,~&~{:,~.. (;~:~ ,....,.."",'.'''..,., ,."2.,~,2.~"7%~;~~~u;~;j:,,!.,,"",,.."'...'m..'''.'''..,,"',,..,
ThelmeS, MCCdUllill. Hohrv Mile' Camp H:/.ll, P(l17011
Mv. (.o",,,,lIlIln t,pl"I,J~lv 1.'\780 ,,' '.."..'(.c;t..II."';;::::..t;,.'o:;;n""';j::::..'.....skite.).'.."'......'.........."...."...',.".,
C'nlp.lIlll, rA C"",\..II,,,d C..nlv ' v., w '!u
HPTI':I 1I0"oro .Igllllt!! olo"l"ovit m,,~!' o\lrO o1l1.ln'tk "1""''''8 In tl10 o!'rlelovtt. IIlll1 .oho/lul!'. onnoxod ore
rl.ll!'<l lu WltlHlot.lllls CliO tito wor,1 'Nuuo', ou" ItLOOBO't.I,u IIOHUt.. 11101ltClo ruro 01111 \llll1"~od 8001\r.ltleA,
lIo'ollrlt.lo" or oluoo 01' rllmlly oorl'orotlono or outnt.ure"t. In IIny'oo-l'orl,"orllll1l' or bUA'n080, 'hot tho
111\ 1.11 lIuII Blo t,omoni,. O<\/lull"\l1 ".udur Iho 1'~lolll\l'I'rh IIhov,\ I'oltl.lllll!;. 1," HohtJdlll n '\1' oro 0 ttoOhoil. Al Sl, "'oko
"eorl.(tI\I~1I01 oolumn #1 In I,ho' '!lUIltIlOloy. hOA booll I'rlll'o,olr (loll1l'loloel o. Ilhllvo-eltroot.clt
.,
-,'
*
R~V:U' 11'"1'
COMMoHweAI- oftl OP peHHSY\;VANIA
TRANSPBR INHeRITAHce TA)(
SCHBDUI.Il "1\"
PIlR50~AI. PROPIlRTV
RUIPBNT peeeDeHT
INIlTIllIC'fIONSI ,Thl.Sohodulo 11\\1"1 dl"oln"o ulllun~lhlo und h\lnn~lhlo pOrRnnll1 prnpurly I1wnod Indlvldllllllyhl' Iho
" doood!!,llll ul,tho, limo nf hlN UUI\U" I'rnl'orll' nWlIOd Ill' Ihll dooolllU1I Jnlnlly wllh Ilnnlhor ur nthor" mu"1 ho IIRIOd
\Inder &(lhodult; "11,". lnliln~lhlopelKQnnl prnllllrly, 1IIIod ,In tho nlllnonf tho dooodonl, hut !,lIyuhlo III UOIIUI tn !luulhOf
lIf nthefH, lI\9hldlnUlllill\l,I.IImltod 1I,1'00.1l. Il,So SnvillSN lIuud" IllIu lonlllll\'\! IfCHIIOOllUlIlS, mll"1 ho llliloll. do"pltu
Ihorl\01lhl1l thoy IUO ,lul nr tho IIdmlllllilofOd 0"11110, .
,Tlinslhle I'Uf"(l1U11 pf(lpOflY "h(lulll he U.lod flr"1 (o.S, jewolry, wl1I\rlllS ilPPllfOl, h(lu"ehold gnml". IInd
fUflll"hhIUIi, blXlk""pulllllnu",uu\tlm(lllllo", h(llll", elo.) , ' , ," .
Intunglble petHIIIIlII PfnpOfW."unh IIH \llIndH, \fell"nfY oUftlnolltO". olll\h nn hll1H11lllcllll blink, s\llnk..
lI\nfIU"QOS, nllto".,lo~lIlhQr wllh unofuod Inlof"HllIf dlvldondH. "lllllflo" ur WII~O", '""mllnoe PIIl'lIbl? ItI,HIO O"\t\\o nl'
'r1duolllry In Hllld ollllllolty. p"flllOr"hll\ hllel'o"I",lnteIO"l'hl 111Il"IIIUIlHlrlhIlIOd OHtlllo (If (II Innnll," 110111 II11Y pftllWII)'
hold In,lruHtundol tho wlllur II1!f0omon,I (lr 1I110lhuI" OVOII tllolI~hloolllod 0111,"1\10 Ilf tho Sill Ie. III tholllll~ of dOlllh,
"1\llllld \!e"lInlud III thlH nClwdllle. ' '
'110m
Nil'
I'IllM
L1"1 !llId do"oll bo' flllly
lINIT l!S'l'IMi\Tl!ll
Vi\I_U!! MARKll'f
V /\I,U!!
n!!Pi\It'l'MHN'I'
Vi\t.1Wl'ION
(lIolIlll wfllo III
IhlN "I"HIO)
C.D. 'a in S~atll Capital SaVingll /;< Loanlo
002-20..06151
002-20-06152
OQ2-20,,07588
2,. C,D.,'8 in DauPhil'lDepoait Bank apd TruatCo.1
14..03-729535 '
14-03-729547 "
1.
15,302.98
5 , 006 . 25
5 , 006. 25
18,007.25
5,005,011
3"
c,o.'ain commonwealth National Bankl
16"1313 ' .
i 15 ,194.98
4.
!J.D. 'a in FidtFederal'SAvinl\s & Loanl
216-516855
,Savings AcooU\lt 11214-387J,.7-1
OONBBank ,Ad
o eoking acoount 11531-472-9
CiD. 1114241
C.D. 1119492
12,,283,53
15,003,13
5,005.21
15,195.44
4 . 000.00
8,000.00
22,000.00
;!
II
20,406.77
5,277.58
5.
,
6. Nat~onal Central Bank C.D. 116199322255
7,. ',: FU,rniture and ,hOusehold gpods
8. 1978 Cadil1ao, aotual sale prioe
9. serid' "t:" BondS, as per ettaohed liat
10. U.8. T1;llallury Notell, Seriea "A", 1984, 714%,
cll.!e 2/15/841
3905 $1,000
3906 '-, $l, 000
3907 .. $1,000
1l.00ina
913,70
913.70
913.10
5.00
12.
13.
14.
15.
16.
17.
COI~on atook in the fol10wins oompaniesl
200 llha. Allegheny Power syate'l' at 15.64
120sha, LuokyStorllaat(17.02j 1(,.'lt,j'76"
796 aha. Wellington Fund aJ 9,79 '
800 ahs. OlllfOilllt(33.87 J'iUiIJ'/!J~ , , .
400 ails. Atlantic Riohfield at (73.90) 'f'i: I;',,:,.';"
100 ahll. City'Ihveating at(19.27)/.j,~~7.oab~
o:'{J'I"; ,
"i1J' ,"
,,<,/ ,i "0, '
1, tN~; '.#
3,168.00
(2,042.40)
7,812.42
C,27.096"O$, '
(29,560.0
. (;1.,927.00
Ll_ ('JJ (., f ,'J.:~'"
---
10HOrlthl" 1II1111n,lpClH1t0 "l'OI"lllllll'tlIp,QrlY". Scltodlllo "11" In
Iho "A" HOI\\lrlOdll 0011111\11' 011 Ihl\ IIIRI pllKO /If Ihl" (1I111f1l, '
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"
, -~
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~
I
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'q
nl!V-1I11 (1.78)
COMMONWBAL TN O~ PINNIVLVANIA
OIPARTIlIINT O~ RIVINUI,
aURBAU O~ ~I.LO OPIRATIONI
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
ReGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
'---.----.
~ (MUST BE PILED'IN TRIPLICATE)
TO THE peNNSYLVANIA ,OEPARTMENT of REVENUE,
Application II horlby modo for CCl)Unt 10 tho,tranafor or tho followlnll socurltlos 01 oPonnlylvanla
, Corporotion or a NOllonal,Banklng Alloclotlon locotod In, Ponnsylvonla:
!~iOTE 7011'0 d'~i:r'I~~~'~ ~Gcurl~i~~l o~t:~ InC~I;T~r;,;--;j"th-;~tj;;-~~'~i~~-r~Gh~';~'s(~d(:;f~Jk'~~~j~~~7~~;~~nt' of
roglllot.,d bondi, In (~), Ih, nome of tho IlIulng comnony ond In (c) tho class 01 stock or, tho atotod IntorOlI,ralo
ond malurlly datG'o/ rogl.lorod bond~l)
, .' .
DA Tl!~:"u6/J.9/.fJ~
IS5UEOOl'l. JU~rllj '1977 , and hoVlng<< TOTAL MARKET VA!~UE OF $,ui",l~QJ.L'lt._._.___
, (D~to) , , ' .
010/ Ih, dolO of d.ath of the doc,dont, _ lIt1rry".R.! T.:ln.!1-.~~b.~~_a~!,",,,, o'L_J.Q.lU12..~~_
' (Nnmo of Dooodo;") (Dn'o 0' donth)
! - j.
2 ROI.\t:td !I:!. ~ 1 R?itd_"___."_.~.Ca11,l2.!~t...._L.n._9\1m!?r1,(\9.5L..,~!\.__
(~t,..t and Numb..) (Po.t Offl.o) (CnvnlY) (S'o")
Tho socuritloa are roglS\,re~ 01 folloW41__.___!!~.rry_!\.~T._:Lt:\~(ll.llh!l_~ill!~____..~.u~.__~______
, (Num',or nama. In whh:h Clur,Hlcttt". "'0 rQ'gl."uod)_
who was 1010 of
~~;~~~~_ ,t~r:y(:-::~e ,S~:..~8r --;-_3.~~~-_!"~n._~'~}~'''&~i;;!;';r-~nc~~I.~P...!:!~.~ll PA 17011
. " NAME OF APPLICANT _._._"J..~Jm_~L;:11:1.!S.L_J1Bqj , ,
COUNTY FIl.E NUMBER '21..79..602 AODRESS OF APPLlcANT___._gJQ.f~;'~!!t~"':~.t;..!_L.,9J1mp
,. ... '.. ,
BUREAU FILE NUMBER ~.SIGNATURE OF APPI.ICANT.._.....u.....,.._..,......__'.........
NOTIClll IF YOU FAIL TO PR,OPERLY FILL IN ANY PORTION OF THIS APPLICAT.IOt~. IT WIL.L NOT ~ll
CON~IPERED COMPLETe AND WILL BE, RETURNEP TOYOU FOR COMPLETION.
" , COMMONWEALTH OF PEN;.NS~L~N'IA'~-De:PA~~W~~~:~:6i~~~E~tE-::-~::-~,:.:;;.::::',.-
'. .',' CONSENT TO TRANSFER sgcl!JiL!.!E~ DATIL _ ..),_ c< :~'1cfb
,I, h,roby conaont 10 Iho I,ranl/orol, tho abovo ufurlt!es now roglSlOr~dll1 thono01o 01 tho orolol,d 'i
D,codonl on~ walvo Iho /lIln'g of a tortlflca.lo c,rtllyh\g to tho poymont 01 tho tmnslor Inhllrltonco lox to .which
'., . - - ,,.,
Ih. properly of laid Docodonlll ma,do lubloctp~r4uonl 10 th~' provisions of tho Act of.Jvno 2P, 1919, P.~. Sn
,- . , ,
a~ amondod'ondlho MI 01 Juno 15, i961,P.L. 373, os omendod. This 15 c1lso Inoccordanco with thoprovl'llonl
'of tho Acl of ApriL 9, 1929,P.L. 343.
This Conaont 10'Trans/or 'the heroin doscdbod proporty op6roto~only In roferonco lolho.llalG 01 th.
obovG.nomtd Decodont.
."
,- '1
",~~ "I
S\sInod fO,r the Socrotory of ~o.~o .
... ',y, '-, .1, r)!JtI,,"~',:t.,'''','<,., :'~l,"_',_,(~~'",k, ", I" <f",. ~,"'i//b11
../~;,?, t -, ~SlgnnIV~), ,.~ \ ~ .', K. f1 \
".tJ_U.J4, J:9lrl".,' ,. U)ilk?, ','" __ ,C,0\C'f'~:V(,lri.-~
". ,}\ (TI,I.) p.',' (Covnty),
'HV,'11MOI APPLICATION FOR AND CONSENT
COMMONWIALTH o~ rftNNIVLVANIA TO TRANSF"'R SECURITIES
DIPARTllIftNT or RIVINue ' ..: .
PURUU or ~leLD OPaRATIONI j ,REGISTERED INTliE NAME
. OF A RESIDENT pECEDENT
___~__-----'~,_ _.....~n~ _.~~_.....,~'_.._~. -~.~,~.__._;"-,----,---;-- ,..
~ (MUST BEPIL~D IN T~IPLICATE) ,
TO THE PENNSYLVANIA DE~ARTMeI'lT OF REVENUe,
Appllcoll~n la heroby mode lor consont to Iho Irdnslot of, tho lollowlnll socu,r1l1ob 010 Ponnlylvanla ,
Cnrporallan 'or 0 Natlonol Banking Auoclollon loaat,od In Pennsylvanl(1;
(a) ,800 (b)~oul.t Clp 9~Po~.~l::l.C]~"_._~",_,_....'_m"mm,(C)--_'nQ..Qm!!J9i'L-.-.........-.
(NOTE, In describing Ileurltl.. Inter In (0), ab OIG' olthot tho, numbot 01 .lwos of stock or tho face otno~,nl of
roglllered bonds,'ln (b), Ihe name of the ISlulng company and In (c) tho cluss 01 stock or tho atotod Intornal rolo
and malurlly date of regl,t,,.d bonds,) ,
ISSUED ON V.t'~OU8' _., and having a TOTAL MARKET vA,LuE OF L~.t,.Q2.L.._n;..~'.---,-~':'
(Dolo)
aa 01 the dale, 01 deolh of the decedent,. J!.ar~y F.,-..Jdind.Q,nb.~'I;'U!U'~.., 0IL~.u.1.0/.7-/)Jl.
(NOlO. of Do,.donl) (001.0' dO,olh)
who wca lale of~20 -,-~,!~dJ!!;~}~~!,Il~~L,~__g,!lmp .1~~~J_!,._9111nb..f1i:_1,~Il~L_..m_~_~,J~!L~."c'-
(St'lIt and Mumhor) (Po.IOffl.o) (Counly) (510\11)
*'
DA TE .._.._~~Jo.~JUL__
,
The ncurlll.. are reglstored aa folloWIl____..!~lt'~l.,.n.-L.!.~tl~.G.ll~.ll!);'~~t';, ..u""'_' _.~_,,~_.__c...
(NQm~ Dr' nnnw, In which cHutlflcntok -ara raglllClred)
H~ry Jane Setl!ler j ,.~42.~_}".!.>>'~"~l~tl'.~tr~.~_~J__,~9_1!1!l.P_~!!_ttb'JJA
(Nom.) , " (Add,n..) , ,
, NAM~ OF APPLICANT ~.._.~John~.E._.al:llte~_J!18q.+-.'
COUNTY FILl: NUMBER21.;79-602 A~DRESS OF APPLICANL~--" (l':lI'_Jl~~.;Lh~~_JIQlk
BUREAU FilE NU~BER , SI'GNATUREOF APPL,ICANT..-u ..,~~~l".j.,~._
NOTICI!I IP'YOU PAIL TO,PROPI!Rl..YPILL IN ANY PORTIOt>\OP THISAPP TION.,IT WILL NOT all
CONSIDeRI!D COMPLI!TI! AND WILL BBRI!,TURNED TO YOU POR 0 PLIlTtON.
, ' ,,,....,........'''"._,__..._.''"..''___m"._
ADMINISTRA TOR)
EXECUTOR )
. ,COMMONWEAL THoF PE'NNSYLVANiA=;OEPARTMENTOF"REii~N(ie-~H(-'--' --,' -", .-----
.CONSE,NT TO .IBA~~FERJ.R9_URJTJESDA TE .-(2~~ /ffil
I her,by conSllnt to Ih' tron~fllr of Iho a"ove securities now registered In tho name 01 ,th~~to~
. - . ,
Deeed,onl and wolve' Ihe fllln9, ofa ~etl1flcale Qortllylng lathe' payment of Ihe lrunsfor, Inhntltoncotax to which
,
Ih' ptoper'ty ollolq ,DeQedenll~ maoe, lublect'j,ursuanl to Iho provlllons ol,thoAat 01 June 20, 1719, ,P,L,521,
01 amonded ond the,Act 01 J~ne 15, 1961, P,L. ,373, as oinondod, This Is also' in accotdonco with tho,ptovl~lon.
of IheAc'~f April 9, 1929, P.L, 343.
ThIs Conlontto'Ttonaler the heroin dlllcflbed proporty oporotos only It 1 toforonco to tho oatote ollho
, "'"
above.nomed ,Decedent,
'*
Slgnod lot tho SocrOIOty, of Rovo/nue
'By~_~,,/l)~,:'(!,~L~, ..:.........",.
, /) ~~n~.,)) ~.:J ' '
~~ '(7 'ff' ~ '
. p. ,,:4 .. ,',' 'iv' t2t7Jd,.e,(L.~~~J.e.-
l oj" (COlllllY) ,
1
(
fHi".IH110.HI
COMMOHnAL TN OP P'HHIV~V/ltlIA
OIPARTMltlT O~ AIVIHUI
BURlAU o~ ~II~O OPIRATiOHI
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAMl!
OF A ReSl0ENTOl!Cl!OENT
*'
__.AU _..,~~..,".,.~. - ..-"---
D /I TE m .7I7J~9,-~-,.--
~ (MUST Be PILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMeNT OF REVENUEI '
Application II horoby made fnr connnt 10 tho Ironslor of tho followlnu socuritlos 0\ 0 PannBylv'anla
Corparollon or 0 Nallona\ Banking Auoclatlan locatod In, Pennsylvanlal
,
1.1 400' _\hl }"~i.Ri'L~C!t'1!_9.~"'1>~"L......\. 1...:'-0-""-""-,"'__:-'-
INOT~I ,. ,..,,'bl., .....11'.. ..,,, 1..1.1. .b .', .l1h.. Ih.".mb.. ., .".... .1 "ook .i 'h' ,.., .m"'''' ,.1 '
rOQlslorod bondi, In (b), ,Iho namo of'lho lsaulng company and In (c) tho clan 01 stock or tho statod IntotOlI ralo
and maturity dolo 01 roglll,rod bondl,)
ISSU~O ON---="O' 30, 19'~... h..,",. TOTAL .A~KRT VAWE OF I--"}~~~''''~-'-'-
(Dol~) , '
.. 'l}If,j.o'MI /.""\.ll.~&ds~'I"la~-,--1l0"Y · ..,~~"!.~,,~..~~, . ," _l,W))!!
" ' ' "(Ho,,,o IIloocad."I) ,. (01110 of doathl
.b. ...1.'. .1_ . '0 ~~IiU -"!,,.:!!--_".cc~,,!,.n!:1.'........,.<~~!!,-~...._.VA
(S"..t ond'Num~.')' (~o.1 OHio.) (C.aunty) (Stoto)
ThO """'1.'" ."",1"0'",.. '1.11...' _.."""1 .~.C.':i"~~"b",~,,C..-:"" ...-...----..-..--,~
(Han1" of 1"I(ln101 In whlc111 Clo,uUc:alol (Uti 'Qglltarad)
AOMl~IIT~.TO~1 "." "". .0....' 142" !.I"OO\- .It, ,o.m.> )Iit1, ~. 11011
EXECUTOR ,) ,. (Ho.,o) -------~.--..~-.-~----- --'-(^di.~~~-)_,,_._m_-'."'---
, NAME OF APP\.ICANT __..J~~!n..B.~.1.~B!.'\.".Kfl,qJ._....-.-.,,-...,..
COUHTV FILE .V..... !1.' 7; ".'M _ AD.RESI O' APPL'CAHT..... . <;~~__!I~ll'- ~~lJ.Ill1.--
.U'..U PlL. NUM~" ~\IGN.TURE OF .PPLltAHT.. . ,.,:,,__:..l~'
~OTICEtIP YOU PAIl. TO PROPERI.Y PII.I. I~ A~Y PORTIO~ OPTH1SAPpA"IO~, IT WILl. ~O,T l'IE
COI'lSIDIlREDCOMPI.ETE A~D'W'1.1. l'Il! RETUR~ED TO you POR MPLeTl0~.
, CO,MMONWEA\.TH,' OF PENNSYL, VANIA ~,Oep,ARTMl!I'I'r OF REVENUe /, I
. '.' . . C.~HS.NTJO T'~!!!EE'I.CU~J1!I'-'- OAT,.,j/d;J;..;.ifi'
Ih."h, ..".... ,. ,h.. ."..I'~ .\ tho .b... ."",11'" ". ..".""., I. ,h. "m' ., ~,1-.id
Docodont ood walvo tho 1I11nu Qf' 0 cor'1ll1calo"certlfylnQ 10 tho poymont 0,1 the tlllOs!or Inharlt(ll1Co lax' to whloh
~-------'--""---'-~-"+-~.~~-'--_."~"'-~"'.~"'-' ,*,-,.
. .____._.__.,,=-~'._~-=:.'"~___:~._._:_:::~_':::'~_:,,::~_::r.-'-'-"-
...,--__.____....~_.~.. ~_...~~ ....-_ ._n_.~__~-. ..~..,. --.,--'
, '
'h,'"'''' .1 ..id 0'"'''' I""'" ~",I'" p,""'" ,. ,h. p.."~'''' ,\ th, A.t .1 J.", I<l, )9)9, P ,L, "',
as omondod and Iho ~ct 01 June,1S, '96', Pol, 313, ol'.',amol1dod. This is also In accordanco,wlth tho,provlllons
of Iho Acl 01 April 9, 1929/ p,L. ~43,
This ConiGnllo Transf,or thu. horeln dosctlbed proporty oporotes only In rolera~colo ;ho ostate ollhe
oboYG.nomed Oococlonl.
SIUMd lot 1,1;0 Socrotary.,ol Ravonu!f
/)! 'i! '7{~ . /
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Itf\(-lI11 18-181
COMMONWBAL TN o~ PIHHIVLVAHIA
OIPARTMINT o~ RIVUHUI
aURUU o~ ~IILO OPIRATIOHI
APPLICA TION FOR AND CONSENT
. TO TRANSFER SECURITIES
REGISTERED IN THl:NAME
OF A RESIDENT DECEDENT
'*'
~ (MUST BE PILED IN TRIPLICATE)
TO tHE PENNSYLVANIA DEPARTMENT OF REVENUE,
Application II hereby mode for cOolent to the Ironsfotof tho lollowlng socurlties of a Pennsylvania
Corporotlon or a Notional Banking Allac;latlon locatod In Ponnsylvonlol
DA TE_J.l.lly_....~lll.6.L
(0) 400 (b)-At,lanllcLll1chfJ..eld.-C.Qlllpany_......_......- _.... (c) u__ ...-_.QOllill1on._._--,-.
(NOTE, In ducrlblng aocurlllOl enter In (0), ab 010, ollh,or the numbor of, sharos 0/ stock or tho foce omounl 0/
reglllered bondi, In (b), Ihe name 0/ the III,ulng com pony ond In (c) tho closs 0/ stock or tho stutod Interolt rale
and malurlly dale 01 tegl,lered bondl.)
:lnventqt'ted at 400 sharos J f1tOQ!,< split on Juno 3D,. 1980
ISSUED ON VlIt:lOUI __, and having a TOTAL MARKET VAtUE OF $._?'.2,L~~.Q...__.u_.__
, (Dol.) . , ' .
01 af Ihe dalf,pf Jerfh ~ Ihlj.t'ca~enJ .4"f'trnI~r~J_~.!.uJ'~.!I\(!~~he~!l~~_.: , oL__..'!Q/1fl9
U r.f . . n 11\11_~ (,"'. (Homo of Dooodonl) (Dolo of dooth)
who wal lole'of
20 llound Hi 1 Llio.a,sL__.Cmup.JiilL..,,__..CUUlberlllnd..u....uP4.--
(51'11' ond Humb..) (Po.t Dffleo) (County) (5101.)
The lGCurltlOl areregllleredal 101l0ws,______.l~~!Y.__t~. ..!-:l.tl(1('l)b~:t:ue:r,u'_"4"~'''_.'____
(Harne ur namol In "",ldoh cortlflcotOl aro roohtorod)
ADMINISTRATOR) .
~XECUTOR r
Mil,.)' J/lnn AAj-,"'A'I", 242Bc.l.1.naoln .St..~._...Carup....!U.ll'r-P-A...J.+011
(Horn.) . .(Add",..)
NAME OF APPLICANT._J.ohn.E...Sl:lko.,.-E8q.._..~,,-_
COUNTY PILE NUMBER 21.79~602 ADDRESS OF APPLICANT.__..... .P-.tI.~!.~-,-..!'A..U.Q.D~.:._
BUREAU FILE NUMBER SIGNATURE OF APPLICANLm. ~L1_~_.f~. ,,~,A:...
NOTlcel, IP YOll.PAIL TO PROpeRLY PILL 11'1 ANY PORTION OF THIS APPLI liON, IT WILL NOT BE
CONSIDeReD COMPLETE AND WILL BE ReTURNED TO YOU FOR M l- ETION.
..j' . :.==--_..~=-~.:...--::=:....~-.:-~:::.:-~~-~.:-~:::::::~'-~~'!:_:.: ::~-'~-:-::.:'':': ~::: .. --~:~ .:' ::'='.::::~--=.=..-=-----
COMMONWEALTH OF PENNSYLVANIA ~ DI;PARTMENTOF REVENUE ..
. CONSENT TO TRANSFER ~Ef,U_RJ.:rl!=S ... DATE\\' ^ ._.L52-L~ p(J
I hereby con~enllo Ihe Ironsfor of Ihe obove _ocurltles now toglstorod .In Ihe nomo of tlib~Old, /
Decedent ,and wolve Ihe filing 01 \l cerllllcole cettllylng 10 the poymont 01 the trons/or Inhorltunco tax to which
. ,
, , ,
Ih~ properly of sold Decedenll~ ~ade 'Iubl$cl putluonl to tho provisions a/tho Act D/ Juno 20, 1919.~ P.Lo 521,
al amended and the Act of June 15, 1961, PoL. 373, os omondod, This is also In occoidonce with tho provlllonl
of Ihe Aclof April 9, 1929, P.L. 343.
This Consont 10 Transler Ihe hlltoln deacrlbed ptoperty operates only In. tofetence to Iho eslote of the
above,nomed Decedenl.'
.
, '
Signed lor the So~totory 0/ Rov.onue .
',By~.l:YJ(.lt~"tIT--_C.,?4, ~tt.,~~ >>\
., ,) ,\ (Slg, I,ll'.) (\ .. ' \
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/Xa'l\il:-'I.;L\J,,~ .u ~. ..0....
I\.' \J~I.r)' (County), \
.' .
.J.
l'ttlY.4OD(a,,1I1
. O~~ IC' O~ THe
RlOIITIR O~'WI~LI
QIQUQTION' A~LOWIQ IN
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a~ ,COU NTV
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ANDAQINT O~ TH~ OOMMQHWIA4JN,
'STATEMENT 01=' DEaTS
AND DEDUCTIONS
TNe SUM O~
'-'
DATI A~~ROV8L1
furol.Tlth Of" WI!,.!,.', A9BNT
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OAlI', ' NO, O~ , NAMB OP PA Vel RBMARKS AMOUtlT
, VOUC HeR ,
, --
,.' ..' I,. ..!egis'ter of'Wi1~s. Short dertificates , , , 10 00
- - -
I .
,,' ' bePllrtmentofllealth Death certificates v' '. 6 00
" , , I.' ',.1,' Wil.1e .
, RegietEjr of Cert'ified copy of will 4 50
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, Register of Wille ,Reserved fo'r account ,'0 00
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urATe 01' r-
DATe iJl' I'ILING API' AAISp.MeNT
LHE 01'
DATE 01' DEATH
C,O"Mt,lQ,NWIA,I.T1101' ~,BNN5YLVAN,,'A.I 5S,
COUNrv 01' Cumberland ___'
MlIry J,lne Setl/ler , . ,,"
1,.,....;",,--, '..t:....-.~_ ,'__ HeRUv CBRTII'Y, THAT TP THIIlIST O~
MVKNqWLeDGBANll Be4IEl'i,THeI'DfUIGOING IA A,JUST ANIl TR'J./j gATKMEt!lIO~ DgllJ$, I'UNIl~Al. ,rpIjr,mAND
eXpeNsEs (lI'ADMINlslRATIONSi,JDMITHP lOTHe'eSTATe opa Y' .Ii n l:ln e, g al '!...
Q~CIlA5eD.A~ P~lluq!(qNS ",OR lNHftRITAMC~ TAX PURPOSIlS., '::...,..,,,, j,1nabnPBhllr
;-I? " ~'-"
NO 5i,JBSORltlE~PIlFORIl Mil THIS., ' ,7"" _ DAY OP 1118r
, Jun :, .', '1980 ,
". . tt<:u.4"" ,,-
T1MIm. $, MltlUslln; Noh~ Pub"l .
Mv Commllll,,, t,ph.i IIIIV'l. 1>100
C.'mn~W/' r~ I, . ,
(~.I,)
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