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HomeMy WebLinkAbout79-00603 ; ! "No21..7,9. H03 PITITIONFOR PROBATIOF WILL AND LETTERS TEST",MINTARY 'I" the Estelte of . ?e}l(~ ,k' /.'-4j3-. . , qeceased, , ", ,'" ' I' '1'0' ," ' Register .of Wills for the County, of Cu'mberland, I,nthe Commonwealth of Pennsylvania,' ", " I ' " IS ' Petltloner~ 9i.e'tho execut"u.'.~--;-'- ,nomed In ,the L.ast Will and T ' ' , ' 2,..z.t?t' J/"-/ 'j!"" . /-'. J~_ ,.- '1'16'1/ estcll'nent of ~' j~~.)...L-J:i::.<*,V'._.-,--~_._'- dated _..L.<L~-2,; ". "," Decedent was 0 citizen of the Unlted"states and a reslc;lent of . /. , PI 'r.Glwnshlp', ' ' . UL1-~J ,Borough, Cumberland County, Commonwealth af'Pennsylvanla. ,t1' , " " .~ 1/1 " ,,'" J.-tf~ / .. Dec;edent died on .....lLlJJ,Jt;Jrf1J ,:"'-' the JJ_.~, daY of''/ ,;JfC.e.,,?t't A. ,D. 19 c I It1 the County of ,_.__I.&.I::l1iCtf~f,,(,:,____""":'h_---1 State of ? ,:1' "(/ , :v., ,C<, ",.ft,_ ' ot tho age of -LL_. years, '\'lQ5' , hels' her . Decedeht has not been married and hasl10t had children be>rh 'to him ,~Ince the exe,l;:utlon of the above descr,lbea Will. . Decedent was possessed of personal property to the value of "-'I ,J), N'k~'E') and of real estate to the value of ~ '/)\"'I.:.e , as nea.r~!~n_b~_ oscertalned; sold real estate situated as follQws ........---.:J..;.,....--.-..... -- " ' ' ~GPptv- Therefore, your petltlonery,6 respectfully applies for the probate of the sold Last Will and 'Testament and for Letters Testamentary thereon. Dated ~.( " {; HI r . ,,-,' Na~~ and address .____ t/('.I/?//1::;-~~(~ ~ , of Petltloner(s) ~;J il(?~I)-t "J't;..~t~r _ ,~lLii?(;K. /)dJ? /. , - " ( ~b~~~N~:~~:B~;~NNDNSYLVAN1~ l~' '. ' ,'., , ' . , ({i;; ;11, ~.f!.o . . I" " named ,In pbove oppllcatlorl, being duly ._d/~r~~ . 'occordlng 'to law SQY(s) that the statements set forth, in this petition ore true to, the . best of . ~I-<.,.; knowledge ond'bellef.." . ,Jl "ti:; ;jf;:'i!'1'J//>C ' 'r:.' . _ .4(.(.'tIl.11;' .;" and subscribed before '__ i tit., f. .. -.'..' ' ,:'~e, ~ .'., ~, ',/J-".',? lX' III ~~~l.r .~ V1b Filed: <x(' 7,r. ~ C>.!$ 1979 9: ' , /)..- " , /1 Ii",c - ," .' '"" - , ~ttorn,'Y>d''')r I,?,%.}~r() 1'. 01000.. to .the, Ameriolln annoal' lJooiaj;y, New York Oity, New York; . ':,1 .~ooo. to the Orippled Ohildren ASHoointlon, T~l Dounty, Hnrria\lurK, Pa. . , 01000. to the Heart Aasodlntior or PennsylvAniA, H!lrriahurg, Penntlylvlin!a,. 1. The ~aflidue end remAinder shnll be pnid in equal , shares, per stirpfl~, to the iSRue or the ~foresBid 14ee M. l,eib And LlI\lrn E. K,Hlf1'Jnl\n. g. h. FbUH'l'lI. In the event my estute is insuffioient to pay t'Jl~ speoifio bequests, thel) they will all be reduoed pro- portionately. . FIFTH. I nominnto, oqnstitute nnd appoint my hushand, Rny M. Leib, as my exeoutor. In the event he is unahle. to serve , , ' " then I appol11~ the Illu'I'ialJ\lrg National BElnk anq Truat Camp/my as,my exeoutor. SIXTH. I direot that George F. DnuglaB~ Jr. be retained as th'r~ attorney by my exeoutor. IN WI'.rNF,SH WHl.!lIlFJOF, I hrwe herelmto set my. hani! ftnd . T'/J. this C . dAY 01' Februnry, 1964. ' seal ~ tt!f-J ~./~ ..__.__ ( SEAl,) ~lgri~d, seAled, published and deolared:by the Testatrlx.as andfor,h$r Last Will and Testa- ment in the presenoe of Us~ ' ~;LA~;L )d~,~;:?'-:."b:c:(le.A.___.. ... ,- P. ,(J - ,--_._~ ~,{ ~if-IV r,1,'1 1iJ.., ~.~l lt~;~\~, .... .. __ .. ...... .... 5\<,~; , , , ~~JlI;~iIjf~~~ii"r~'$\~lfrjl,~ !.~ ' .." ~- j - ' " 'I; T~~ '-'-- .--.._----~.-..- I ~ 5 :!i ~ z L;..J ~. 'l!) ~q ~ :I 9 ~ [j 0 5 1:-' 0 "'m' < ~ z f? . Q ~ ~ ~, I?: r... ~ ~ ct; 0 fZl 0: e ~ ~ ~ 0: 0 W S x !!! ~ :l ~ ~ ..,. ~ [;01 (/) j .-.... --.---- ~ f ". ... .. OATH OF SUB8CRIBINGWITNI!SS ';' COMMONWl~A)jJ'H 01'\ PJCNNSYINANIA COUNTY Ol~ OUMBlCIU.AND ! HN: , ,15t)1' /OyZ~?:.~(., ' . I)' '1 7'1 Tl,is'," jlH """"""'11"""'''_'"", "'Il II ""'1'" ."""" """1',' dny or "" ", I"'"" ,J".;',." ".r~'.(,-~lj'I"'I"j' 111,...." ,'~"'II' At lJ .),(.1."" , Harold O. MCLane, Deputy . , bofol'o tnl\ Rlchllld-Ecltmtlll'Rlrn,IwgIHI.o)' fClI' LIlli Pl'Ohutu of WIIIH nnd Hl'unting lottol'a of Admlnlatl'lItion In und fur auld (JOU~I;? 0,1' ()~m, h~r,!I~nr~1 In tho com~wtll\.!~I,rt~)UI,1nHYIV mill, IlOl'HunnlIy Ulima """'''''''' -"'., ',J/I> /,) I,.tttl) J r:! ....;r.:~1" I 4' ," .....'~.(. II . . :"'''''''''',' """""".r;.'..(/,,(""f.t ~/."""",f,.""." ".\""" """""""'7""" ./0'. .... "'fl' ".. ,.r.,.",...".",.. ",..." .... ,. """,.., ,." ."",,, tho 'subscribing witno~sos to, tho forogol!Y:l Instl'umont 01' wl'lting IlUI'!XIl'tinR to. bo Llw IlIat WIlI IInd . )//, '{ I') ..-/: f- ' I:~ (J." I'I( v Toatnmont of ,; tlll""I'''' ','" rf.{~~ I'~": '" .,.'S', j I.J((f,'ff., .',~" i"", t,""""" ,..".., """"" .,.",;,.. l)n tod ......, I \~';"". ~...'" .1... ,~~.,. '.'''"' lu~or "'" ...... """" """~"", """ ,.C;~-':,1;t:~..."I;;e.:", ,. .""", .,.."",."" ...", ....,. "" .,.'., Uutnborlund Oounty Pn'f docoflaod who bq!ng duly ."""/...4(',t;i:r.I.,r~;'It......,,...... IlccUI'dlng to IIIW, dOIXIRI' IInd ~ny, thllt"''':?~.J''i{,(.;'fi,';;f.,.."".. 'prosont, nnd SRW and honrd tho te8tu.t(;"'.I.~\""'H''''''';H'''' ""II""f....:);(A.rt;tH~~",4'-:;':~~'&';:~:~1I..".".tI""" .slgn,aolll, publish, pl'onouhco nnddoclill'o tho Hllld InHtl'umont o"wl'itlnllllR IIl1d fill' h..;';:\...""". 'roatamont "ullltLast WtII', and lit thll.t1mo 01' so doing "......,,,..,f;;{.(.\'~L........,,..,,........WIlH of HOl.lnd nnd. dlSllORll\g mind memo;'; and unliol'~tundlng, to tho boat of ..".........,if;~;;~...""..,.."....."knowl~dgo, obHol'vatlon IInd bcllof.. 'X.t.t"1,\ .t;" . ...",...,r..III...'..""."....."",.I,.,,,...1 und subacl'lbod bofol'o '''.I"....~,''..,I..~'''', .,.'-~~.u.2.r~ H..~:.....'.f'.. )/ I~'" ''''< .. . ,6/ r--'~;"'(C r:r~ C";.l _ // r--f'.~~' vL,q '....: ,....,,,..,,.., ..~,(.".., .~., ..I.." 'J .,..... ~~~ '~'-m' f! . ~'C7 . t_ ........-, . ~h. ,q. " )C; ,,,,,., "," ".."".....Dep,ut ".;"~.........",,... Rlchal'd lih-Andel'tl(ln, Roglst.li ' ......'......,'....""...."'.;'....."".....,.,...,......,."'.,."""",,,,,,,, I" 'AFFIDAVITOF DEATH, , OOMMONWEALTHOF PENNSYLVANIA! as: COUNTY m' CUMBERLAND. \ ',. ""7./' " , . . ~.. !J1. '7' II ,. . (t,..-t-- ." /~el.,.r' . ,,,u It'"".." '"'1''''' ....."...""..,.....". It."". ,..., ., '"Y''' " t jl" .f",.....,., ""'" II.. j'" .....1' ,.,.,....."""." '" .,,,,,,.. ""'"'' 'Iboing duty "1..I"~,ft';-4t:fi.-r.:t1.'tlll"..........IIl1" saYA that fiS nearly 3s,cnn ,b~ llHcortnlnod tho said dooodont ..."......,."."JiI.i.". 2v;, 'c,' /'~."" ' , ,-_ 'FJ " , ,/, .' , ." , . ...J .(( .'" .(~ , . . '"fll"ll...""...'I"."".....,...."....".."..,. '1 fn'.."..,,))...~ ' ..f..... ..." ".'.,'......,....,....,.."" ...".j,."....,lIi..i.,.li,.....,.....diod on 71 I . .. 771 ./""'(;; , , . (,(.-'l,..JrLt~1 ...' , ' ,..,/~ X.4" /T" ' , , .- .; "1""""11"'" . """'I""'I~""I""" tho .....'..,',....-;;..~~....,,,....d(\y of H....,.Iill',',rfl,....,If" .,.;'l,....,...........u. A.D., 19"l~, Li; I ' ' ., . 2~,' , I at or about ''''''''11'''''.111' ."..,,,..,,,,,,,,,,,, nclock, 'j,..M, , ..IIIHt..d;~r~~iJ~:H"'.I;t::.-."."...I...",and subscrlbod this '-7'1 -y,-:z." .-"".'I.;;.'...'....I'".I"'~'I..;..II'.."I.'..' doy or fc;'.(;'..r:(~.~,.". . ( /~'" /1/ tK.,'X~ . ",......I..'..'..-~,..,..........I....'................lll..If...I.."...... '. '7'1 . 19, ...""",, befol'o ~ J! "-'m.' ~ . ~ p- . _~,:_c. 'D,....' . ....,. ..1&1., ,,.. ".....:.... p' w.'.~..".."..."." Hlej\lIrl'l ErAndereon, ogl 0' " OATH OF PER$ONAL REPRESENTATIVE OOMMONWElA.I:,1'H Ol~ PWNN8YIN ANJA } COUNTY m~ QUMBlmLAND . " HS: Before we, tho HOlllstol: fOI' thO.PI'I.bllto of Wills IInd 1l1'lInt~~ of' l..ottol's~,~ Admlnlstrl\tlon in (lnd lor the Oounty of Cllmb~Jrla~d, rur~onl\l,IY clime ,,,,,,,,,,,,,,,,,,,,,,,i/K.L~~,,,!..7.)0f~,,,,:.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, " ~./ " who,_b~ln8' duly 1I,:,,~,;t;:,l'?'f1..t""" do.11Tf."t1t1 dOpOHO und HUY U~ut nSt",','i(id.t~:~l:..1:..,{~;.t""tll~;"'~'III"jltlll.lt'" h 'I' "WIII d' 'T ' . f "2~ "Ie' {!t:." I. ,/ ,{ (J.-' d . d oft a _~st an _ estament 0 ,,'I.t"'""'II'" "tirll,."...,'...f.),lt'tr:.f?...."."...Ol".."....,IU..".""t"",...III.111I1 ooaRse ",,,,,,.4:,,,,,,,,,,,, will weUand truly admlnllltol' tho goods and chatt.els,I'lghts and credits (If said d~coa8od , l\Ccordlng to law. And also will dlllgontly comply with the provisions of the law relating to 'rral\sfor ./ 1;- , Inhoritances"~J;tJ;i,7;;',,,,t.,,,,, and subscribed before me, , '. O'~ 4" 71 ,.tI""'lI' "'ljlltt.~t.'."'''llr{I'''lltl''.''''11 A. Dt, 19,1,1.""111 ~.,." ,,~~\Jt.32.~~ :J.Qy,~"".",,,,,.... ,HI.hard E. ..mi,6l'SOIl, io~JWr..<,J . '''7), ' t./C!'dJ/ X:..i~(~~ ...,I.."fl..."'..t1llillll"...'"'.,I.."..I"'tl.....I'~HII..t1t"'""".tlO.II ",tt.lt"",...H,.""illll"""I,,,,",,""'"'I,,"I,.,ttllH"tt"'''I'fllI ] .' 'IJ.. M 0') 0 rtl it: H &1 ...J e:l ~ ..J ~l .~ , ~ - ~. ~. ~, ,. ~I ,E1 "e-- ~ 1 I.ll .~ Ir, I In - !, it: N I I , I 1 ~ I DECREE I ,~l Ol ~ t 8 " I 11' reo Be It rememberod thnt,QTl tho "Il,,,,,~I~H!t,,,..doy of ""'H.,.S~~:t7t'R~~,~""""""""""" A, D., 19?,~",..t,thoro . ,. , . WIlS ~roblltedllnd recorded thelnst Wlll and '{'ostuntent of "'llI'l.+.Ufjl...I~.....J.iIi',~R"..".."",....",,,,,,,,.,,,,,,,,,,,,,,,, '. ", late of .'"''II''''';'II~~,~*,~,~,~~f:?'''''.''II'''''j''' ....'.;.,...... ""H"I CumhorlnHd County, PonhRylvnn~at noc(JR~od, LottOrs " .' ' . "Tsstamcr,tarv., tit' Rav M. Laib . , ""'1"""'''''''.''''''1'1'''''''''''''' ........rIl. W010 "Illll ,OC U .,,,,,..' '" ,',t,. ,.."....,...""..,......"....,.................",,,.,.....,,,..""". , I ' Wltrtoss my hand and olnellll Honl tho rlllY IIncl YUill' IIlhl':'~d: ~ k .'''' . ~:, (A/l~Ad 1-.,.,) 7';; """'''~'~'1ifl! i ,,~:.j~n_.u,1 tty , ;dei'MW;' t~t.er, ~,.' !tee.H {!,J.nll~ APPL.ICATION FOR AND CONSENT TO TRAN~F ER SECURITIES REGISTEReD IN THE I-rAME ' OF A RESIDENT DECEDEt-lT '*' COMMONWEAl. HI Of peNN$VLVANIA DEPARTMBNT Of RBvaNue BURBAU ~f COUNTY coLI.BCTION$ u"". .~~,,_.,c~_ r'___ OAT IIIcLV-a _1. ...J,9..7 ~ ..._....._~...~.l-+_...__~~...--c-+-.,; _~'r_.~~.~or-+~r__.'--'-"" .~-" ,-,..,-- ~ (MUST BEPIl..ED IN TRIPLICATE) TO THE PENNSY\.VAN1ADePARTMENT OF ReVENUE: , Application la hereby modo 10r.ccl1$ont to Iho trona(~r of tho (ollowlnll ao~urltlol of 0 Ponnay\vonlo Cotporotlon or a,Nollonol Banking Aaaocl.oI1an,locolod 11\ Ponnaylvonlol IUli'tt, I. d"",~lO=,.;'=T.t.}~~~~, ;".;; ih;-;;;,;;,J;i;i;;;.I';, 'ft,~:foh~'" ;.,,,,--;r regllleted bonda, In (b), tho nome 01 tho luulnq co,nppny u~dln(c) tho clan of stock or tho atotod Intere,t tate cnd maturlly dole of reglllered bonda.)". . lCo. . PlC/O, ).430' . ' ISSUED ON_.J.4-l9'l'O, and having 0 TOTAL MMKET VA'LUE OF $_..3.9O""QIL~'- (po,,) 01 of the daleo! death of,lho .decodent, Nj!ll1i._~.._.JAib...._..--.._,._--, on'..liQp.t'..o_..2.2, li7."'--,- .. .. (Namo 01 po.rido"il (Dot, of d.ath) who wa. lole QI ~'~Q~A...ot...~.;U,'l...~W\Ib~lan4-JJo.......pa.,-..-.----.,;.---~-~ .' ($li..1 and ~umhlf) (Po.t Olllc.) (C,unty)' ($ta") Th. IGcuillle', QIO teglltored aa fQllowll_--..-Nel1ie..K.,-.x.t!il:I..----....~--~...-------- (Nal'11~ of nal11tl' 111 whIch 'cCtrtlflc:.atU aro foolstarod,) xdEX'~E CUTOR ~)) 11 ~y M. T .aih~~.6.9_n~k/,1lJ:-_8t.f...datU.alClf-..b.-...l.7lU.~~ ' , ,(~,m.) '(Add"..) , NAME OF APPLICANT ..._...1\&y-.)l. ,,1l1"'lh' COUNTY FILE NUMBEfU,4,9-&a3.:...- ADDRESS OFAPPLICAN~l!U:' ......st4.. cu' i_tA, pa. .u~e.U PILe ~u'..eR-,.-, '. __51'HATu.eop .PPLICAHT -'.' ~~ , COHSIOEREO,C:OMP\.raTl!At"D WI\.,L.IlE RETURNED TO VOUFOR ,COMPL.IlTIOH. ~---_._-~---_.,,~.~----,--_..~_...~.-"_..""...._~...,-'--~-,,_.--~ ......-'-' ,'" .._--'-,..-----..-,,---~--'--_.,.---,--_...-,....H.~..-".-,..-...H--"------- ,,' .' . COMMONWEALTH OF PENNSYL.VAN1A _ DEPARTMENT OF REVENUE . I' 1 h.~b, .~..;"""hO "...~:.::;:: :;::::~::~:~:~::::d" II.. ".1':1~~{.k19-?7 Do,cedont ~"d waive tho fll\ngllf'acorflflcato cortlfylng to tho pqymont of Iho traMlor I"horit~nc. 'to~ 10 w\1lch ,., ' Ihe proporty~f laid Oecodonl I, made l,uhlocl pursuonl to Iho, provll16M of,lho Act 0/June20,J?19i: P,L.521, alomended oed 'he Acl qfJuno 15, 1961, P.L. 373, as om(lndod. This II ,olao In accordance wl.lh thellrQvlllona oflhe,Act of April 9, 1929,'P.L. 343. , Thl. :Con$(lnt .10 i'topsfortho ho;oln doscrl,bod prop,,(lrty oporotOl, only InrolGrence to Ihe ,uto,io 01 the abQv..nomedDecodenl. Sln,~ed,or t'ho SO,cro,tary of "RGYOnU,e . ll' '- - '*'1_ ' By- , _-,-,t?=m~ ' ~ . ~$1 nolu'o) ~ W~ '-. ""'" I': , . ~ w ' .. - 1110 ~ (aunty) \ I \ I Hcr:.n 1'iI'('fl! \ APPLICA TION FOH AND CONseNT TO TRANSr-ER SECURITIES REGISTERED INTI.IE NAME OF A RESIDENT DECEDeNl '* COMMONWEAL TH Of Pf.NN5V~VAHIA OEPARTMENT or REVENue . BUREAU or COIJHTV COL~f,CTION5 _.....----..-ri~~-~~.,-.-........~..-.. ~..~....-...~.~"._-.. ,,--- PATE ._tJ9.y,...:.1~::j97 ,~~--'- ~ (M~S" BEF,ILEO IN TRIPLICATE) TO THe PENNSYLVANIA PEPARTMENT OF REVE~UF.: Appllcallon I, horobymodo fo.r cons,ont to tho translof 01 tho followlIlQ $oc'urltIO$ 01 0 Pennsylvonlo Corporallon or 0 Nollol1ol BilOklnQ AssOtlollon locotod In Ponl1sylvonl(lt (a) 111, (b).JJ.tJ:~Ul2"j._~~!.tJ~;~2!L~<?Il\~i;I'IY.., 'c,',nu (cl.......PJ:,~l~PJ'J!d"-'~ (NOTEI In descrlblng,ucurltlG& ontor In (a), (Ib 010, olther tho,numbor 01 shurosol slockor tho loco qmounl 01 registered bonds, In (b)/ the name of tho Issuing cOlllpany and In (c) tho closs of stock Ot tho statod'lnteto$! role ond mOlurlty dale of regl,S1ered bonds,) No. BH0!l365 " . , , '3 ' ISSUED ON AIo)\J. ~" 19f19 , and having 0 TOTAL MARKET VAtu!:, OF k.J)9.,.Q(Lw..,~.-- (pot~) a.s of Iho ~Qte of death 01 thG de9odonl,_ N.J.J,:Le$-'_,M~i1L'_~.~'_"'H''--' on..J~.smt,.L,Uf,J.i79 (Nomo of O.God..'), (0010 .f d.olhl who was late of t.h.~Qll;h_..o'LCIt'.li1l';.,J:l.lmbe~llt.n\1~tlunty,_P"",~".,~,~, '(5"..1 o.d Numh.,) (Po.IOllloo) (00"011) (51010) Tho IGcurlllu or' roglllored a, follows! ______1lI1i11U(\,K...Ht1\) u, .....",u.... u........._______.__........4- , ' " (HuI1IO rit nomOi 'In whh:h ,ctirtlfltnlu'. nrf' 'flullll~rCJd) . ~~ . R~LM., (~~,!'>~t....!i-~..R~~lI:l!~S~.! L.c:l~r.,~AtJtI?/T~~~...~TUO'lt'c_~.;.,~~ ' . . NAME OF APPLICANT. RayM. . 'tt.:L1L~,--.._':"'--,,-- COUNTY FILE NUMBER n~?9-6QL ADDRESS OF APPLICANT _.:6i>.P~klU:...s.t.:...,.,aar..1J.allJ+.-2.. , ...,..l ({;-;I"l".W~~.LI'(" " BUREAU FI!;.E NUMBER~_~____,,_SIGNA TURE OF APt'LICANT -..,,-,...~-..--_..----..----_. . MOTICEI .IP you PAl\. TO PROpeR\.Y PIl.\.IM AMY PORTION OPTHIS APPLICATION, IT WI\.LNOT a~ COMS1DERED COMPl.,ETE AND WI\.\. BE RETURNED TO YO\! POR COMP\.ETION. _,.______~,_u.......---;;--'.'r'~-T---'-~.. ~.'__.nT_"'__" _, __,,_._..._, ,____w, ,~ n._~..._ _._'~_T_~_U.~_...,_.."._~_~-._ COMMONWEALTH OF PENNSYLVANIA - DEPARTMENlOF REVENUE ' I horoPY'conUnl to Ihe trons~o~::~:~To::-~~!:::~~I::::=~.;~:~:::;:d In tho naln~~1Ii?t~G~Q(t ,L~ r. Decedenl ond ,wol,ve the filing '01 a certlflaatocortlfylng to .the payment 01, the lral1~for Inhorltol1ce, 10(10 which Iho properly of 1(lld Docedent 1& mqdo sublect ,pursuant to tho provl'slOll& 'olt\1o Act olJund 20, 1919,'P,L, 521; ',. ,. ,'. ',' as amended ,and Ihe A,91 of JUNe 15, 1961, PoL. 373,(1& amended, This Is olso In occo'tdoncowlth IhG provli!l?nl ollhe Act of April 9, 1929, P.L. 34~, ",:'hl& Consonl to Translet tho herol,n described proporty oporotos only 'In refotonc~ lo,tho utoto oflhe above-named Oocedenl, .......... .. ,~,,________n__n.~..,,_n.__.~~'_'__ - .~-.--, ~., _, .---,-.---.-.C'~- __~_-,_-~-.. .-~---.~, ..m~'--!"f"__"".~_ _..- 'tar~~, ' ~VQ ~lgn~1 ',or Iht ~:c~ott1,ry 01 R~VenU,'o ~~~'-1YJ~~w _, ~". 1. .. ,(~IU'r"U'~) ^l (\.' ,.' I I f1tV:J.J'-4'B~'~h_,./W'~~\d \.\ l (T111~\r..) 'D (O."otvl ^' ~('UST .B "C~. 1M TRIPI.ICATB> ' DAT....V~,.l.,_~ TO THE PENNSYLVANIA DEPARTI,\E!NT OF 'REVeNUE' " Applloatlon II'her'Gby tnado lor conlOnt to tho trtlnsfor of tho following locuritlot 01 a Ponn5ylvanlo CotpOrotlon or 0 Notional BonklOQ Anoclnllon loout~d In Ponnsylvo'nlal APPLICATION FOR AND CONSENT TO TRANSfER SECURITieS REGISTERED IN THE NAME ,OF A RESIDeNT DECEDENT *' HCc.n.I'.l'IHll' COMMONWUA~ Ttl OF PENNSVL VANIA OEPARTMENT OF RSVENUf; BUReAU OP COUNTY CO~LeCTIONS H'~"~-- ..__..___~.. ____ .,~__..._~~..._".....--_~r"'-"-'~ ",_.~.....o-~~,._.__.,_.._-- (a l. 111 (b) ..,.UnM.l-..IQdt."&~tti,,<ilh1;.~u,m- .~ n~m_'n'-__' (0) pnt!tu:t,.\L---- (NOTEI In dncrlbln9 IOcur\llu enlet In (0), ab (lIO' olthor tho numbor olahotos 01 atock or Ihe loco omount of regl5tered bond~, In (b), Ihonatno ollho Ilsulng cOlllpany ond,ln (c', tho c\ouol ,tack 01' tho IIotod Inlernl1alo and maturity dale 01 regl1torod bond!;.) blo. dO 3&9 ' . ISSUED ONJU.MJ.4-19'~ , and hovlnll 0 TOTAL, MARKET VAtUE OF $J.~"4alS..a-OO.-.__. .. (POl') , ' ' 0101 the date 01 dealh 01,,\10 decodQnl, b.U1.n.K'dWb.~.~n~.~"..n'nn"'~--' o,1..ept..._;l.:t..-J.i1Q (H.n.o .1 p..od.,,1) (DolO 01 d.oth1 who wOllale of '~na-BOJ;0U9ll.0t_.OI\X1!d..t_uCwnb8J:llU\d-.Qount.Y..~h._._n__---,t--- ,(5tro.t a"d Numb.') (,PO,.t Ol/I..l (Cou"11) (510to1 Th' lecullllu ore reglllerod os lollows,___.."Ne1.1.ifil ,K.~t..UL.n.__.~-_._._,,_..-_"_m-_"--"---- . (No"'" 01 "0"0' I" ,,"'oh ...IIII.otol 010 ,ogl.llI.d) i ' " Pt~, ' ,t )-EI!Y- M .~e:Lb..L_u.p.at'~!l"JL.~".",t.~,".~~!<ltB,,1,9,'-.l!'\.~~.~Jl9It.._____- EXECUTOR " . (Nom.)" ' , (Add....) . NAME OF APPLICANT .1l.ayT_!4......LUb--~---~ . I CDUMT' PICB NU..'R""".&>.L- ADDR'" uf APPCiCAN~"-~~~~"" po. , .URBAU P,ILI "u..eR~s\QNATUR' Of APPLlCANT~.: ~,\..,Io 'OTlC" If ,ou PA"'o fROP'''''''' " AN" PORTIO' 0',"" ...llcA Tlo" I WILL NO' " r_C""DlRc:.i:~.f::T;~~~;Js~~~~~~~:;'~~fr~s;-'it~u,~~ .... - . 1\',' .. I ;,,'bi ""':'1' I>' ",".~"~:~:;T :::::~~;::~~:~::~d ,. ,>. ".~~l~~~;"~ li1!l4 \' .... d.., ,"' "'" I~' Ii "",,0 I . ",II Ii".... "h""" " ,>. ,P'Y ..., " ", h'" I'; Ii>" Ii'"" '" I, w hi.> . . \ ' ,>0 .",,,,, ,I.." 0,..'''' I. .,d. ,,,bl'" ..""" " ,>..,..,."" ,I,h, A,' ,I'..' 20. 19';, P .L. '", \ ' ' I .. ,."',' ,Od 'b. A",I J.",' $. ,",, P.C. 373. .. ,m,"d.d. Th"". ,1\, ,. ""..~.,.. wh> ".' ,,,,, "'". i' of the Act 01 April 9, '929, P.L. 343. Thl' Cpnsonl to Trons!et tho heroin d05cribod property oporotos only In roluronce lathe 0&1010 01 ,he ,. . . " obove.nonl~d Decodonl. '* Slg~Od 1 ,r",tho Sectetaryof Revo~~o ......~' "j;!~^ll 1> " " Oy - Qt4 . --~~\l.I-i;Qi~ - . (~!~1~1"')" AI ~'~ o&,~'.::rl ':1<.tl\~~'W~-~ ,.' " ' ~Tl;[~TJ (Count1) , Ifl'l 1,' ''J'r,n!, COMMONweAL Tl\OP I'flNN5nV^NI^ DePARTMeNT OP ReVeN~Je BURe^U OF COUNTY COLLeCl'ION5 APPLICATION FOR AND CONSENT . TO TRANSFER SECURITIES REGISTERED IN THE NAME OPA RESIDEN'TD.ECEDF-NT *' ...... ............. J DA TE Noy..-...J.t,-~ne-- I I I I i 1 ___,_____.....R~_'.~_~U.,..._'.r<<..._.__ ._....._..._, ~ , ~ (MUST BE FILED IN T~IPLICA "E) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE, Appltcotion II hereby modo, for cOOlont to tho ltonaforoltho lollowlng aocutltlol 0/ oPennaylvanla Corporation or o,Nollonal Banking Auoclallon locatod In,Ponnsylvonlo: , l~OTEI 2,"d~I~';j'~~~g ~~~I.;;~~ro~~M;'::r~*,~;' ii;~'~u';b~~-oT;h'at~'s(c;f ~o~~~"~;~;-om'ounl i' reglllet.d bonda, In (b), Ihe nom\! 0/ Ihe luulng company and In (c) tho clan 01 atock Ot tho statod Inlerlilt rale and maturlly date of regllterod bonda.) 1~!ll~~~4, i!l>>.~l~ip~i'~r~IJ+OTAL MARKET VAWE OF L625..DO-----..- , (Dol.) 01 of the dale 01 death 0/ Iha decedonl, --lfellie.l(...t.aib.."..__._......',._""'_, ors.pt..._2.7.f.-U.'1.!L-_ (Num. .1 D...donl) (Dot. .f d..lh) who waa 101' 0/ -'--....thL..D.r.u:.QUgh..D'~CatlJ..1fI,..Cwnl2.r~.ruLCOllnt:i4--R.a...--_._-_.._- . '. .. . (51"'1 .lId Numb.,) , (1'0.'10111001 (Counly) (5101.) Th' aecurlllos are reglsleted os followS! :_.-..tlIelU...'lC.. .t.e.i.):I......-...,-.............................----- , " (Nama ('If nnmnl In which eorllflcatu Q'D raglltored) ~l-aay-M~~,-69-PIUlk.11.Stlll0/l111bler-f!.ll".~f-70J..3--..-. , NAME OF APPLICANT _,...~..Ray.J4.~L.ib_..__.._..._ COUNTY FIL'E NUMBERll-.?9_6.03-__. ADDRESS OF APPLlCAN'&9.....>>-lU:k.~t...,-~U.l.1 pa. BUREAU FILE NUMBER' . ,--,-SIGNATURE OF APPLICANT~~~~~'\ \, Q)IQ -- NOTICEI IF yOU FAIL TO PROPERLY FILL, IN ANY PORTION OF THIS APPLICATION,'IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION, . , -~~--._-~~_.- ----..---, "--'.'Y-' ..._____~___~_.__.__ .,_.._.~--..... _____. T.' .___. _"__~_,u----,, ..._.___.___-'-_._..._ .--., -,,_,'._-... COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE . . . . CONSENT _~TR,~l'!~f~BJJ:CURIT!pS. . DATE~v:v...lk.Jf1~ I horeby canlonl to Iho tronalet of the abovo socurltlos now roglstered In t,he nomo of the olo,rosald , Decedenl o,nd waive the filing of a cettlflcoto cOttllylng to thopoymonf 0/ the transfot Inhetllonce 10M 10 which , Ihe property, of sold Decedorills made lubloct'purauant to ihe provisions of Ihe Acl o/June 20, 19.19,P.L. 521, 01 omendod oodlho Mt of June 15, 1961, P,L. 373, as 01110l1dod, This II 01'0 In occotdance with Ihe provisions I' of the ACI 0/ April 9, 1929, P,L. 343, .Thls Consenl to Tranalor the horoln doscrlhod proporty ~poratos only In te/oronce ta the oslote 01 thG abovo-nulOed Do'codent.' '.~~.. ~~~ Sl~:.~ ~t,lho S~cr~~aty 0/ R~vonue ," By:yJ~..p,;-"\Y{.~4p",~.- ,. (5101lOIU'0) '. M /\ . ! 11 ~(~~'1~c~"".'~"~ I I COMMO'NWE^~ TN or rENN5V~VANIA I DEPARTMBNT or RBveNue ~uReAu or COUNTY co~~eCT'ION! --.-----.---.... ~-", UCC'/i" I Il'foll I . APPLICA nON FOR ^~!I) CONSEtn TO TRANSFER SECURITIES REGISTERED IN TltE NAME OF A RESIDENT Dr:CEDENT '* " _ ". _.. ~"'._u___..____._ : ~ (MUST BE PIL.ED IN TRIPLICATE) DATENOV_.l,._1~.7..!L.;. . TO THE PENNSYlVANIA DEPARTMENT OFREYENUl!: Appllcotlon Is hetoby ~'odo fot CQ'lso~t to Iho HunGlor of Iho lollowlnll sneurltlos ofo Po~nlylvonlo Cotporotlon or 0 NollonolBonklng Assoclollon locatod In Ponnsylvonla: .. (0) 810 _jbL-!ar~~_~...~.~~!~_q~l'Iy' . .._(c)..~9~~~_)~h~r!_..__ (NOTE: In doacrlblng loc~tllloa ontor In. (0), nb 010, ollhnr Iho numbor 01 shlltOA QI stock or tho loco amount of reglllered bondI, In (b), the nome 01 tho Issuing cOl1lflony ond In (c) tho cion of'.lock or tho stotod Interost rote aad motutlty dale 01 reglslered banda.) ISSUED ON ~... .tt.oh~L, and having 0 TOTAL MARKET VAtlJE OF $.!~,-1..~g~Q!L~~__..__.-,- , (Dol') . , ' " os of Ihe dole oldeath 01 Ihe decedent, ~...!!.l1_~._.ISLl!fj.I!....___._....m" on_'~PL...aL. lt71 (Noma of Doo.c1.nl) (Dntn .f doalh) who waslale 01 the ao~oI!PJ~__.!l1-9~;_~!I~~,_c:m~~~~aIld ,qowaty, m"....... -.-....--.--.--- . (51".1 ond Nom~") (P." 0111'0) (County) (5101.) Thesocurlll.s are reglsleted os followsl...____ .~..._.NQllj,Q K. _Loib . ..... ......_"...--._..-~. (Nun," or nClRlU 10 which f'lNtlflenlOl urn rogl.torad) " , UI~) EXECUTOR )- " Ray' M. _~~b ___~~_.~!'!)(.ctJ:_IJ~~lt.~~ ...C~;~~J.,~f..!.~L _~?'Q.il.....:.____ (Na",o) , (^c1dro..) NAME OF APPLICANT .w R.Y,~!~_~P.__"h_ .-..~____--I_ COUNTY FIL.E NUMBER 21..79-603 ADDRESS OF APPLICANT._~?_',~~.I!,w:.I!t;.~.L~uU.I1.,".. ". ~,., , ~ "'l'l;/!'lt.~cl.7 . . BUREAU FILE NUMBER _______SIGNATURE OF APPLICANL__.~.."._._____~~_______ NOTICEl IF YOU PAIL TO PROPERLY PILL IN ANY PORTIQNOP nus APPI.ICATION, IT WILL NOT BE CONSIDEtlEP COMPLETE ANP,WILL BE RETURNEPTO YOU PO.R COMPLETION. 4~~___'.~~'____'_"'__~""'_~~""_'___ _ . ___,..__' ...__..._.__~...,..'_'h~_ COMMONWEAL ;:H-OF-P-~N-NSYLVA-NI'A ,:uDEPAR'TM'ENT6FREVE~Hj'ii-'-' -...--- " . '" CONSEN}_J.9nT~f.\.~,~E;~~t;.~V~lI!E~DATE ~t.w_1Jb..l~.o1j I hereby conunllo Iho tronsler 01 tho ohovo soqlltltlos now roglstorod In t"~ name of the olotuald.' I Decedent and waive the flUng 01 0 cerllllcoto cottlfylng to tho f1uymont 01 tho translor Inltetltonce tox to whlc~, Ih_ propetly 01 .Iold Decedonlls modo sublect pursuant to tho ptovlsl~ns of thn Act 01 Juno 20, 1919, P,L,.:521, as omended ond Ihe Act 01 Ju'no 15, 1961, P.L. 373, as umondod. This I~ o.lso In occordance with Ihe provlllbnl of Ihe Acl 01 April 9, 1929, P.L.. 343, This Conse~t 10 Tronsfot ,tho hotoln doscrlbod ptoperty ofloratos only In roioronco to tho OIlate of tho . obove.nari1ed Decodenl. ~~~. '~~~ . SIY~lodjon tho 50CtO, t~: 01. R~vonuo o&Q:?,-~C1f~i~UA \I:f1.i ~ ~nonty) . ~ COMMOHWIALTH 011 "BNNSYLVANIA J. COUNTY Oil CUM'BRLAND III 'i , RauM. I1e:tb ...,.._-;,- __. ~. .......,... _~_...~...~...~_~....,._..o. ___~_".~__ __,_"'___"c~ ....... . _ ...u'H"'_".~",__,,__ ._.._....-.__.__..___.....,......_...._t..__.__.,..... ~_"_n_""___ bl'ng duIY..._.-Bo.~n..,.d_ eooordlng 10 lew, dopolG,1 end uYI'thet ho ". is the I!lx~Qut.~.t.'__~.._~_ . . ' . Ne1liel<. Leib .. --...-_~_.__......_,_._.__.., ...-.."........_....... of tho, Ella to of ,..._ , .__.__--'--__ lole,ol _.., ~,l1,!'Il3ol:()U~h "of .Oadis1e '_u........__..., Cumborlend County, P." docomd ond ih.t Ihe '~lIhln II an 'nmlory m~do by ..u,...._..h.im...___._.u.. ....-----.---, Iho'uld__~Q~to~ of tho ontlre OII.to o,f uld dooo~lnt, oonlhtlng 01 ell tho pmonel ptop.drly end real "telo, IKOOpt rOil OIloto ouhld. tho Commpnweallh ,of Ponnlylvenle, end Ihol tho f/guroloppolll. OIoh 11'10 of tho Inventory upr...nl 11'1 lair value u of'tho doto 01 d.oodonl'l dulh, . ~l,IIOrn _ end lublorlbod bolore mo, . . '~~-:~~~~~,,~;:'~'9 .._,..~~ 'h..~t.' ~ AIIlM..-. tAY~II^ I. urlc~'lnln~,'IIOr^nV PIIDLIO eouruM,II'lOH l'"\'II-;,,Hlfl, f'/lfINKl.IN OQ. MY OOMI,:lal,,;l.m L:"I'lnLtl AUO, 101 1~1 I _!.L!'.~'k.-,,-..... O,>;lio1, ,Ja "--- ---~-....-~.~._---_.~._- Addrojl --...-~:...._...- Doto of Death __._,.....12_._____....._,__~ePte!.llber--~ , DIY Monlh. '1979 ,VOIr ~ INSTRUCTIONS .' I, An lnvenlory mUlt be flied within throe mon.thl eft.~ oppolnlmonl of penonel r.pr...nlallvo. 2. II lupplemont lnvonlory mUll boWod withIn thlrly deYI 01 dlloovory of eddltlonel 0"111, 3, Addltlona!' Iheah meV b. altaDhlll " to pO/lonelty,or reellv '4. S.. Arllol. IV, Flduolirl.. Aot or' 1.'14'1. if " ('I . 1 Il S ~ ~ ~ ,~ J I ~ ll: ~ I lS ~ ~ ~ l J. " l' ~ ~ J " - ~ 411- ] 'tl j :5 ~ 1 "CC.~ (''''''1 . " COMMONWIlALTII OF I'I\NNSYINANIA 0I1PAIITMIJNT OF IWVENLJE IWIWALJ OF COUNTY COLLECTIONS iii ...9/.., 71 "'(,;, ('8 RUIOINT Dle.PINT COUNTY OF ...-QUMBIllRIJ\NP IMPORTIIHT, Thlnolurn 11111'1 ho 00111111010<1 In '<101011 ond 111..1 In .liiiilloRlo, li:llh nil OlhlOhod, wllh lIio Ilosl.lOr or Will. of Iho Counly who,o <Iooodoll1 1..ldod, IIDlIIIll I. dllo wllhlllnlno III""lhH IIfl'" <lOll or <Iolllh, IInfo,. on o.lon.lolIl. .'unl,,<I hy Iho Sool'w,y or Rollonllo, (Soollon 70.\ "r Ih. (lIhDllllllloo 011<1 H.llllo Tn, A.I or 1961,1 . , .... , -- ~~ T f!T Loti of IN TIIP. MAT'fllR Ill' 'f1,lIlIlH'I't\TIl 01' } I\I'FIlIt\VI'I' UF NIllIlLIIll K. LIllIB. InAYl ~U~~'NOM~ or OBCF.OBNll --.---, ""Hcll'I'UR Cumblll" laM____..__..._ Covllly ~lAAIIflClIif(1fIK . Penney 1 vania } ~" Statio' XIlMl1lKH~ Covllly of_Oumberland _. R!lY~~ Leib.___...__ of thl ..tal. of thl oboYI'namld' d.udlnl b.llIg duly .wor"1 dlPl'/1I Sand tay S Septembe't' 27 , 19~110"a" I;a.,no a ,10'1 will, ..pyol whloh I, hmlo ol"',h.d, } IMONTHI 11>0.1 ,va.,,, ~1UC1f" , ' Nom. and odd.... af ollalllty al } GeOrge.l'...!-DOU91a!!., Jr. ~th" aulhorlud ,.pfu.ntaflvl III WhOM all,a~l..po.dtll".ha.ldblm.lltd, 27 W.' High Stt'4lIet, Oarl:llille. Pay 17013 Thul o. .uuh executo;\:' doponont I, rlll11lll"l wllh Ihu Mrulr, or .lIld o.tolo ond Iho proporly uClnsllllltlnu t,ltkRCU'l'OR'-'llMlNIST,RATOhl " ' , tho nuuls Ihoroor ond Ihulr rlllr motkol VOltlo, Thot ollho I/me (If doalhthoto WOK nil .nru deposit hllx ruul'lorod III dooodelll'~ IlIdlvlduol nomo, llr Juiul/y Wllh, 01 uS nuonl UI doputy or 0110tho(,OI lu douudolll'S IlIdlvldulIl nll'mU, wllh II"hl or IIUOOOS by onolhol liS ouont or doputy, with tho exooplloll or Ihe r"llowlni: - , , IlS00\llOl 1I00.deul <110<1 - NAM~ AND' ADORns! 01' DANK OR OTHBA tNOTITUTION ,IN WHICH CElCIU)!NT AKNTHD AS.4I'E HPOSI BOX ollUllonwea a o'la an, Car liB 18 ,_..2L:;...~. - - THl8 ~Af"U CUPOSI,. oox AENTID IN NAME! 0" NAMIU Of" a . e an e 1 e e AIL A TIONIHIP 0" -JOIN T HOLPKAI TO'DEC.OIl ,. . 'f~ot Iho oonlont. or KRld soro doposlt box or hoxos litO ItOmlzod IlIldor Sohodulos with tho exooPllon.or ,tho rollowlnu, rortho roa~ons horoh\'unor sot rOtllll Thot Schedul. A ollnchod horolu IIl1d m~do pori huruor .01. rorth rully and In dotall 011 tho tool pro'por,ly, In lho Commonwoolth uf ronnsylvonlo of whluh dooodolll dlod hllvinu an Inlorosl thuloln, It olso soU rOllh tho morlUligu onoumbronoo, 'upon ,ellch porool or toul ptoporly 01 Ihu,datu or doalll, ulv'lnu Iho omouut sl/II duu,lll dooth, nlimo or mottgau.., dlllO, ralo of InlOrOSl, ond buok II lid, polio or rouord thetour, It also sotl forlllln tho oolumn' provldod thorororo Iho IIsllo~ood volunlloll ur unuh or'll/d' pllruols, Iho osl/motod morkol valuo thorour OR or doto or doalh or doeo~onl, ,or Ihls rolulO, '('hPl Sch.du/.S IIl1l1uhod hero to IIl1d I11l1do 1'1111 heleor HUI. r;'rlh rlllly ond III dOloll nil potsonol proporly whorosuvol sltuntod ownod.hy Ihu douodonl 01 Iho lime I'r dOlllh; oil mIlIlO)'O Ion by tho dooodent Ollho 11100 or' douth, whulhor In'dooedonlf. Immodlnlo posNO.sllIlI, HllllldlllU 10 deuodonl'. ulodi'llnbnnk. or deposit, 80vlngs 'bOllks, ,Irust eompnrilos, ot olher In'llllIllollo, whelhor hlllll'hllllllly, IIr III ttUH'1 rot III1Y olhol penon 01' pers/,"s . "Ivlllg 'olso soporololYlhu lIeuluod IIII~.I"I IhorUIIII, If OilY, dowlI 11I'lho IlIsl IlIlorost doy pllor III dooodenl'. doolh III thu 'ua.o or suvlngs honks, olldlo tho dlllo nr deeudenl'. dOlllh III oil olhor uOHOs;oll hond',I,o.lal sllvlnss, Ireasury oerllllealu. OlllllluS nlld olhor ol'hloll"o IIr Illllohlodnos. IIr tho Uhl,od 'Stllle8 III thu du. eudellt; ~II obllgotlon., whethot b)' .IIIIUlo ot 08r~omollt Iho)' lIIe dOAlulllllud liS lOX rrUI', or Iho,Unltod Slatos, nt IInv slillo, or 1IIIIItleul.,lIhdlvlst,," Ihorollr, or IIr IIny roreiSII ellllllll)', which III'e hll'1I0d ollho limo ot denlh; nli'wonr,lns oppllrol, Jowolty', .lIvorwllro, IllullI'OH, 'blink., wn,k. Ilr ort, houNOhold rurnlllito, hurNOs, uortlliuos;' out"muhllos, hontN, ond nn)' und oil nlhot pOI.nnul chnllol. or II'hnl.nevoI, kind 01 nolulo, lurl' h)', dooodont, ,loUOlhor with Iho foltl)' ~'llmlllod I11Ptkol vuluo Ihoronr. 1111 hnn<l. nnd I11nllSllgu. huld by dooudont ~,nd ot u(l .ololms dllo ond nwlng douudont III 1110 tlmo or dOlllh, nnd 1111 IlIlllul',HOI'l' nolu,~ nt othot Insltuments 111 WIll Ins rnt Iho poyment or monoy or whluh dooodonl dlod IlO..e"oll, or II'hOIHOOVOI nnll!rO, wllh Intolosl Iholoon, Ir " nny,' giving thol/'Ruo vuluu olld o~tlmolod rolt motkul I'l1luu Ihoroor, nnd II ,"oh oHllmolod rolr murket vnluo hll' "loss thnn tho rnoo VOIIl.',tl SOl. fOrlll bllerly tho ton.on. rUI .lIuh dOJ1roulllllon. liS, to oRuh lIem; 011 monoy~ pnyoblo 10 Iho oRtulo rtom llIo Insu,nnue pnllel.. uotrlod h)' i1ouod.lIl: oil onnlllly Rnd endowmonl oontrnoia Iho ptouoods or whl.h wu!.u IlUyohlo IIPOn Iho doolh or Iho dooudoni; oil ond Ihe ,eotllnroto Rtouk. nnd d'lvldondl duo lhoronll ond IIl1plltd RN or Ihu dlllu of donlll, hOlldA, IInd lIeellled Inlplo.l, lholoon ,In Iho dote or deoodo~I". deRlh 0"11, olhol 1III'l'Rtmunl '~Ol" ,\I... nWllod hy Ih~ dpuudolll III Iho limo or doulh, 'Vllh Iho RlUrko, vnluo thoro. or 0.1 .1I0h limo, . . ," , ,. , , ..-'-' ,- j '. ".. , ,. ,,' d " iln 'l,h8:;oa"0 or ,e,Ollr1t.1o1 or 01010 or rftll1!1'y oornoraHonl, 't.hn vallie. 'reporterl aro II ra~ "' 1,0'nlbloil'lIbIUlllltlUt.o,1 ,by ,r!II/i11olul ItUWOlo"tO 01' the 'OOr\IOrUUOnNj Ihowlna tho,ouotn,1I1,<I UulllUth. Iheroor, III (lr t.lIP "al,ool'. doatt.. 'Nlo 'ollodlllu Ilao lot. rertll ,tho IIlLare.t or rlQoodeht 'at, i,hOI,lmo,of lIeal,h,ln (tnl' OO-I'AI'I,nOr.lllp or hll,'tno..,' !llIll In "'II'porL or qlo volllo or IlIoh lt1torllit thoro,<h'cimlo!/ort to .~I,l 'nllolllllo, rJhlIholal HI.otolormh ahowlnU tllo Res'OtH und tlabllHI\\a or Uliloo"purtnqr'lllp or tlUnlhou, 'A oON' 'or tllo Oa-f!UrtnOI'ahlpUl!roamollt, (( r oral,a~tntomont aeH1IIM rorth the Mtllro or "Wo 'Ilil'ooment) t080thol' ,wltleo II,ul,omont, .0tt,JtI~ I'orth thoohurooLor or I,h. ,billIng", It. loontton, anll"HIIOh othor raota 110r~,oll\II1Il,t,n thq,bllllnnoH o. rllllY ho PlII'UMtlt tn a ,rftlr aM ,11!Bt Oppra,lIul Oflho dooodonttaintoro.t thol'o.lt1lnIlHt ho luhmlt.tqll. [l. Hhoull! nho Hot f'orth In !tomhoo "arm, tOgllthor' WILh 'tho ralr lIIarkot"yallle thor~ar,'""y otllOI' "rnl,ot'ty OWl\lld or \;oIJI!oathod by ,t,l\o lIooolfOllt at tho tlll\o or dOoth. . , 'Ii '; rho, Sch.dul. 'C Ilttnohod .llorol,n al\d madn l'llrt horoof lot, forthll true anHl\'er 1,0 Ol\oh il\lJlllry oonto.lllerl thoroiii .rullll "'10 oou Of' L1'anHf'orl Orllrn"ur,ty, roof or'l.eroon.I, 'WHlltn !,WO yearl'or ,ilooudent"8"" 'death" in O?ntomplfttlon nl' Ilooodont'H Ilonth"or ,llltondod to iakeel'f'eot'tn P088088,lol\,or onJO)'111olll:at or aftor, lleath, SIlicl Hohodulo ooto rorth',tho natura ollllvnluo or ouoh ,pronort)'" I,n whom trnlloror.rltd, tho rolatloll8hl,p 01' ),110 trulIA r"I'OOH to tho dellOllon t, tho pro,por tlonn,to '.h,orO"roooi vO,lby Ulloh trnllHrnro'o and', au otliorrnlltl 01' "1'ortll\0llt 1101,lIro I'ollordlll" Holo, tran8f~.rH, In.tho on.our, t,rlluorerH Int,ollooit"to ,tako Of'root,fu pOHHolHlon fir ouJOYOIOllI, nt, 'or IIf'tor donLtl, thoro 'i. nIno 'Ilttllohn,( tn t1WHoh<llllllo 0 oony 'or tho dooll, I,ruot nllroOmolltor ol,hol' t,nltrunlont llroo'tlllll the trult. 'Thor., iBnI80'.~I, 'forth,111 Uld 1l0holfulo Il Ii",- nf' illl proport)., rOil 1 oud porloUIlI, with it. valllo, Which "auoa 'at 1I/,oo,lout' n doath by. " vlrtuo'ol' tho 'bKorolHo h)' l\ooollulIL, III thor ll1dlVJlluaUy, or Jointly Wi Ih ,oilothor" I;r IU1Y.\IOWOI"Ot' aI1lI01nj,.; .. mont.voatodh, dono'Ilollt; olthor,lllIUVllfUIl\lyor:,JoIIILly, h,y tho wIll,. dood" or ol,hor tMtrumlmtor onot,her, , Wltll II onpy 0.1' 1,1'0 ,lnstrllmOnt' orootl111l Huoh flowor othohoo' to. tho sohollulo, "." , ,Thot 'Sbh,,/Jul., 0 lit. t,IIOlu,,' Iwroto 'alHI modo p'/lrt horool' Hot,O f'urt,htho. 1"'''''lI, . olill IlddroHHo.' :or'~u ,pnrHonH, honof'tol/llly h.tol'oll,nd III thin OHt.~to 'at tho tlmo nf' dooodont,'ft~oct\,h" 'Ulolllltu"o nl' Ulolr'roa" Ilo,o'Uva Intorosts, tholr ,'olllt,!""Hhlp, if' /'ny, to tho Ilooodollt, l,oKothor 1'I1I,h 'thO /lgoH'.IIt tho"\:I1'1\l"or Hooodol1 I" s ,1100 th o'r 1111 lIIt'norH,ollnlltt.on U onll bonorl o III !> (OH I'll r 11 ro undor <lollOdoll I,'. W111 i H tilao 'oo"\.a\l,.:'/I.III,o tomout. ".howl Ill! Whl oh n f'tho'honorlotllrlo/l 'nomOrl III t.ho douQ!lontlri Vii 11, tr ony, dlod'llrior, to dRcodol,I,/ tho IhltoH or 'I,h.lr ,!oOLlIt I,hoir tRRIIO, '1IIl1ll,ho roloUPllHhlfl nr slIoh tlt,suo to '1,110 ballorlolllry. . '," , - ,,' " "" 'l'hftl,S"....dul. Ii' nttoilha,ih'rotQ,OOl' 1110110 0 part horoor .0tH,rorth /l11proporty,' "oul/lndl1or- ,',onal, ,o~nOll by diD, rlooollont, ,loll1tlr wi th nl1Ot~or or ot!lor., inOllUUolllnto~1l1l)1~, ,st/lnol'UHtitljo,.~lIm8 ,qr",q",t!ooo!lol,\t itlullll'\!l.rft" pIllS t.ho MI," alld plnooor rooorll ,nr lrilitrl\lllonts orf'!ldt.i11~t.I'OVo.ltI t)l,ro 'pr roft) o.\.I.to,al1'l\ \,ho Iloto or IlOqlltHltlon or,por.ollolty, Plu. tho namo, nddrosR 1l0l1 rOl'/{,tlnnohi!', '1f1'fthy, o'r on~oWnnrs tn tho do'oodont. ' " , ~ " Ii I ThlltS~h'dulf, Ii" nttuoho,l horoto ond mAflo A part heroor lotS' furth' rUlly Ilnd,llIllot/lll/iu de11\,a And\lltduoUonn 0101mOll ror, Illldon tJolrolr or, ,thls, <Iooodimt,'. oHtlll,o, hlClllllln!\ !'\loarol o~pollsqs pa,tdl ,romllJ oKnmpUqll, whoro /lppllollhlal oO.ntH or A,I~litlhtrat1tin or, th18 oatatol oounso] I'oos and f\ldlo1llry'. .; o,Ol11llltsatOlls p~ld or 1,0 bo l"nl,ll' <lOHt o~l'ol1~Rll for burial tru~t.lj tombotolloa or' IlraVllmnrkoril,lllltl rotio., llioUI Heryl.o,~"il",bonBoquono. or U,O r\l'al,h nr tho IloootlOl)tl 'doht$ Alld olalmH 'owing Mlllunp,oJrlnt timo nr . 'doatln tAxao, Aoorllo<1 ohorgo/lhlo ror 1,url,,," prior to Ilooodril\t"1 (loHtl, (OKoopt 'tloo.oal1oWhcl \mdol"llootlun :" - _: -' - '. -: - - - - - , - ,- I _ ,_. _., ",6QLor,tMJnhHrHonollllnlllt,~,t,"toTax Aot)1 tOllothor wilh 0 Htntomont or oe~latoral\'IOdllodro~nhtilla_ tlon", if' oily.", I,t Is ug\'ooll 't,!lol, ,tho rl<luolary wUll,rosont proof' orsulll ololmod,olll\lllltlotlll :UpOIl '1'0" quost,';thot,lr'tho omount 'qot.tlally plllrl In .otq!l,mont or ol)Y roo, oommlHHion or dOht ,lH"lna'ti thati tho, Olt'Llmlltotfilmollnl, :olrllmlng "hd o)1oworl, that tho HHtoo will ho rRported to tho I1ogtst/ir 01\,Wtl'lH, IIndthftt thQ AmO\\\lt'.ol'tIlK llHHOHHOl1 0011 bo r,oneHolHoll In llooordnnoo,' thorowl'tlh ' TtiHt"tho. totllln or tho fti>Prlil'HAto'o~jumnH In Sohodulon 'A', "n', '0", 'E', And 'F" n. dlrolltod thor,,1n, havolJOononrrl,odf'l'rWllrrl nndl1rol'Orly roglo,torod 111 the SUllllnnry. ",' I ' . I',' __, ". _ _ , Subsorlbed nnd sworn to beforo me this ""'"'''''''''''''''''''''''''' "a~ : ' ." . '..'''.:' ""'''~'''''''''':''':''''''NU~",~'Q~tm~lII,t",,''''''''''': 10",,1.J).:.. '''''''''',,'''''' , , ..."sL ..~~\\.\.~ ,'.."" '"'' ".,,,,,,,,,,,,,,,,, LAVftNA L. antcIIOI!I.; NatAny ru t.IO BbVtH^t.\I"rnN. l' \'II/;";,IIP, r I1^NKLlN co: ~jy UOMMI..1..i1 '''l'lAta AUG, 10,'1161 " " rt2;';'~~.AA A'c",) , . ' ! ~ ~ . ,."."" ""j., \(1""""""""""''''''''''''''''''';''''''''''''''''''''."",,,,,,,,,,,,....;"lj.IH.....;'......,, . (JlIAl'llUtO!l....._~.lt.k. . , ,,:,,~HL,)1'~f~;~"~~~b;r:''''''''''''''''''''''''''''''''''',':;''~''-''. "::""(l".~,U!l"tJ,./""'''~/Il"."'',,,,,,J..1,Q,U,,,,''''''''''''''''''''''''""",,,; (t'ltil 01' !l'own "M St4*') NOTEI ..nornro .Illnlng Af'rllloVI t lIInko Hllro IlI1 hlllnk .l'ao~o In tho nf'rt,IIHVlt 011<1 Hoti(,dlllo~ nnnOKol\ ArO l'U\O<lt,h',wHh dotoUs or tho word ',Nono', a"" In OaBO I.h,o 'ORHRtH 1001\ldo rtlr~' ond 'IInUSI,o" "nOIlI'Hle., l,oOlirlt.loH or' 0\01~ nrl'Amlly 'ollrllorottonH or on llltorolt In uny 00-1'l\rtnorHhI1' ,or bllSfitou, that tho <1111.0 1111t1 8 t,at.OmOIlt.H rll qnl r~,I,.I\1ldor' ,\.110 pnrollraph ollnva r~ln Ung .1.0 80hodulo 'n:, /lro . ftttAoltoll. Alln mi(ko OSt'tllll1 tl1OC' oolu'1'l1 '1/1 1\1 LIla, 'Sul1'l1lrtry' IIOB bOon Jlro)lorly ooo",lot~d 1\8 Ahol'o,,;dlro~tod. .' " ",.1 Reo -~5' ,. nOMMoNWn:lllml, (JIr pl1JNNSn,'lANIiI 'l'I\IIN"W1011 INlfJl1l\t'l'ANOID ,1'11" ,. ; anllf>:IlUI,l1J "II", J11msoNIII, I'I\Ol'f'lII'I'Y I\H:ammi'1' pl~OImfDN'I' ....... IN~Tl\l~:'I'I(lNHI TlllA 801l0<lul0 "IU8LIII80\U8dnl'l Lnngjll,\'u/uuI IIILnuglll]0 POI'HOI\nl pro\lOrLY oWllo<lllullvllluII'lIy lIy 1,110 dl~IoIII" nL I,IIn I,\mo ot' IIIH II0nUII flropol'Ly uWllol1 IIY \.ho 1100011011(, Jlliul,ly WII,h IUIO',lIor or ll\.hIJrK mllftt \ill] IHLolI \I\IdOl' Hol\oillllu ",~". '"'\.II"gI\Ilu pOr81l""], prol'or\.y" 1.1\.1011 \111.110 IIIlmo 01' 1,110 Ilooo,I'UIL, 11111. Ii oY/lhlo n\. 11111'1.11 I,u lIOuLllor or ol,lIurft, 1II010l1\11g hili, "" I. 11"1(1,011' l.o fI, O. fl, II. ,1I.8I1Y 1."1\8 Illll'"IH nllll., 1,011 I,n- Llvo Lru8L IIUI'o,UI1\'., 'h!\leL ho 11$\.\111, 1I08pltu (,1101'1101, 1,1,11It 'I,huynr" "!'\. 01' 1.110 11.1,"111181.01'011 nHLIII,O. , 'J'I\I\I~lhlo l,or80nllll,rol'olot,Y8111l1ll'\ ho 1181,0<1 1'lrKt (o,g. ,Iowolry, wOllrtr'll (lI'l"lrol, IIO\lHO'IIII]1I '110011., llrul 1'lrll\.hlllll8. 1I00k8, PlllnLIIIg8, outomohl\oa, IIll1lta,l 010,) Inl,'lIIlllhlo 1'01'8011111 pro\,orLy; 8uoll '18 hOll'\8, LI'oll.'iry 001'LU'10IIL08, 00811, Oil 1I",ill IlIiel In 'I~Oljli, atookK. hlUl't.llolloll, 1\01.08, LOlloLho'r w\l.h nOf.I'iiocl, 1ntol'08t. or Il\vJ,lotldo, 8111/\1'108 ,or WOll08, 1118111',,1\00 p"y- .. .. .... ,." .." ,. .. "hiD tll I,ho "81.1,1,.. or fl<luolnrY'l1I onlll unpooHy, pnf'l.I1.;rHlllp 1111.01'081.., InL,ol'oo f. IIIIIIIY IIl1dlHurll1l1toll 08tnl,oul,' or 11100"'0 ,1'I'om IlIlY pr"I'Orty 1I0ld \11 1.1'1181. IIIH'Or 1110 wlll'ur ugl'oo",olll, of' IllluLllor. OY"I' t,1I11Ilg11 1001ll,od,oulHldll "I' t,lIo HtllLo, Ilt, t,lIo Lltl1oof' .10IlLII, .lInulel II.. Uoto,j \11 t,lIlo aollo.\1I10. , IL ILllhl HI" 1. 2. 3. 4. 5. 6. 7. 8,. 9. ' ,,10. 11. 12. 13. 1'~I~11 . 1,\"1 oruf ,108orlbo IVlly , UN'IT. '~HTllfA']'(lll YA1.UI~ IIAIlKb.,. YAWl! 1I1':I'AIlTlll!NT YAMJATION (11011" I. wr,\to 111 ' \.h18 "I'1l00) CQmmonwe~lth Natio~a1 Ba~k - Savings AQco':l~t #18-0.0.07041-7 - Balance as o~ date 'of death Series III ~ond - No. Q7217729811ll - v~lue ae of date of death christm~s Club - Dauphin Deposit Trust $ 8,551.02' (~A' 1~.')1 71.13 1.0.0.0.0 Far\1l~:l:'s Trust COl1lpanystocl'k, "", 810shares (iI $31 . Americ~n Te~ephone'and Telegram - 265 sh..~es commOll (ii, $55 Amer:lca~ Telephone andTelegr~m - 3D shareS prefe~~ed(il $42 3/4 25,11.0..0.0 14,575..0.0 ;1.,282.0.0 America~ 'l'elephone and Telegram - ,10 sharss preferred ,(il $44 , ' 44D.QD AmeriCan Telephone and Telegram -.4 Shares preferred @ $.57 penna. Power &c'Light Co. - 5 shares preferred (il $,78 228..0.0 39.0..0.0 Penna. Power & Light Co. - 15 shares pr~f~tred @ $97 Penna. E1ectrlc'Oompany - 25 shares preferred (il $25 1,455..0.0 625..0.0 Metropol:ltan'llldison Company - 15 shares prefet'red (il $2.0 3.0,.0. .0.0 New York. State m1ectr1c .&c Gas - ,75 shares, common &. p:l:'~f~ (il $16 1,2.0.0..00 --..... l( l( $~~, 32~.J:?) ~~/lltJ(), I/)- UlaorL 1.1118 Lot.ol 01'1'081 Lo ,"PorHon..1 \'r<,\,or t,y" , 80ho,bl] 0 "n' 111 tlIO. "A. Ilol'"rlbd" Ml1lhU' "11 LI1~,.lo"t, Jl.I'g,o 'Ilr tllla ro\.urll. ROO.:!? 02.63' . . . . - . I ('OMMllN\\,flAI,"1I Of' N1NNRYYI;AN1A TIIANSn11\ lNllfJlllTANCE TAX RESIDENT PECfmfJNT ~. --- ........,.---. , , JlENFJf'1C1ARIES AND ^DnI11~S81~S (s~n,~o"rull lIomon nlld "ddl'OKnOH or '1111 who hil\'~ nn In~oront, VORtlltl, oonLlII"ont lli' othur . wtHU, 1n osLuto) Ray M.'Leib 69 pfu:k.er "at..' ' ' , ,"'I,,'.. ~I" ! i'7013 " " ".' . , -- , ..- , '-'- ~--J. . " , , , , , , , .' .. " , " " , " " SClmDl'I.I~ "I)" IIgNf:IIICI^\lII~R 1 ' 11N1,A'I'\ONSIIII' \1 stol"o IlIdl'ulI or Ilu~llIi1\nlo ,elll dl"'n n"u hwulvo'i Kul forth IhlK 'Ani,) ~sbanq > - sUitVIVlnJl IlIWI':I>NNT S'1'^,I'I~ Vt~s' 011 NO yes, , \lA'I'I;) (\I<' BIII'I'1I 1/31/1902 -- , , , , , *' -- lNTICIIFJS'r 01" \lf1NI, "WIAllV IN ~),8'I\A'J1I~ " ent.i:t'e ", , , " , , , - , , I >, , 1l0l'onont r\\Hl:~ nn~ thn', nll I,ho nhovo.11Il,r,od honorlqi~:~~ro :, ivlnll n~ thlR Um~,nl't ~olOWI \'lAME , ' " 'I I , DATE Ot' l>fJA'1'1I , ! RESIDENctJ ,!,-, , , ' , .- I , , , ~--",,------_.............-~,--'--'" ~,-,--- ----'.--~ ",t. , , i " SUMMARY , /I) ( M 1\6nnrtod ) , t.,.,~q.ll\l, '..1$,4."~,27,.1~,,. .,,,,,,~q.!'H\l,.....,..,, , (2) , (AN p\.turIllh!\.d) Or\lIl,:t~Kablo Ellato...:,..:,...."., ,_ 1,_" " ' " \!.,-',,,,,,,,,,,t,;,"-,,,,.,,,,"",..,'''',,.,''''''''''',,.,''';....,,,.,d,,'"'''' c;","""'"''''::''''''' $"'''''''\''''''1''''';-'' "..""",;""""., ...JH:I.3.~7 ~'.1~" . $'. $ $ " '-, ..." $ R,o"' Prollo;rlY '.."i""...'"....,,,..,,,,,..,,,,,,,,:,,,,'.,,,,.....,..:',,,,',,",.,"'( 8ch, "A") P~r.oo~1 l'rQnorty ,........,....;.",,,....,,..,....,,,,.,,,,,........,,,,,,,,,..,,,,(80h, "8',') 'Tr*n.f~" ..".,."""..........:,......;"....".."..".."',:'..1"'''''''...""...",,'( 8<Jh, ~'O") .' "",,,,"d,,,,d""d'"''';'';''''''''''''''''''''''''''''''''''''''''''''',,,\,,,,',,,,,,,,,,,,,,.,,,,,,,"""""'" ,.""..""""..", ."",,,', """"'"'''''''''''''''' ", ", cni ,.', ~1 \1 Jll, " r' "~\ , .lo'i' . ,~ "tI'll ~\ 'M\ ] j. ~\ ~ .ctl .~ ~ ~ ~i . " 'I I' I '~ ., , ,~ M ,~ ..~, ~ ffi ~' ~ i 81 Il< . .---. ~ '8 i ~ \0(' 1 , i 2, 8' '8 B "S !' IS ..!l i:!: ~ \, II I1roV.4U71,I.OOI COMMONWUALTH OP PQNNBVI.YANIA DBPAATMUNT apf\QVeNue TRANePBR INHQRITANOB TAX Re8lDeNT pec,peNT Im,lERIT ANCIU A,r. APPRAISEMENT , * \- - E,lato of N"l11e K. t.eib File No, 2l.?9~0603 COLl!1tv Ctiml:!et'lanc\ Dale of Dealh _ 09/27 /79 , PROPERTY REPORTED BY THE ESTATe 1. TOTAL REAl, PROPllRT,Y.. 8CHllDULE "A" .' . . , , , . , , . , .. . . . a,TOTAL paR80NAL PROPERTY - SCHllDULE "B,I . ' , . , . . . , , , . , .' , 3. TOTAL TRAN8~BR8 ... 8CHEDULll "e" , , . . . . , . , , . . . , , , . , , , . , 4. TOTAl. JOINTLY OWNED PROf'BRTY - 80HllDULE "B" . . " , . , . , , , , , . , 54.400.1~ Non,o Nolle TOTAL RE~ORTED PROPERTY PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH 54,400.12 "~I; ;j , TOTAL UNREPORTEP 'PROPERTY TOTAL GROSS ASSETS ., ;\ None 54400.12 LIFE ESTATE OR ANNUiTY CALqULATION I' - -- -----""' -~ ----'" - - I do horeby 9or\lfy \11M tho abovo nppralsorhontls mndEi In conformity wlth,Ponnsylvnnla '1'01'1 ond has boon flied this day with tho' Roglslor of wills. ' , .rg/:J-~'.n~_/, j .A,-iJft1~;.t':"'~ / O~l03/80 I\rpI1I\IS~R " H !~ ~ ~ I dfl , I it) 'l-l .!l ~ ~ 0' ~ ~. r- ,~ N !. 1:) ',~, ~ ~ ~ d ~ ,I ~' z i i ~ ~ '~, ~ jl.j ,I , , 'I j " \ \ \ \ i i , I , I I' i I e . . p<1~ i;;! ~ 11 Vl \ ~ " ) In f:3,~ ~ : , !ll~ \ ,~ ~ " ~f:3 ~ ',J IO~ '>.j ~, t,) r- i~~~ -~~-\ ',", ~~ 81 ~, .".:.:--:.: ~ ~,~ ~ ~ ~~.~ "~ .~ A; \A_ ~~f:3 :"-',-\'1 ~f:3 ~~ ) , -- . , 'a fI .' ~.-;~ ~l .. l.! \....;!Y,('1Clh ';p Ie' t' '. " r:; '1 i? " l:1 ~ ~' .,' 5..., ~. y ~ ~"" "" j '" 0 r1 ;; V t.~~.. 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