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HomeMy WebLinkAbout79-00606 " _I " I- , I' '. ,,' " 'I, f" 'td' ~ J \ -I --," ,I'" ''I. I I, .." " -" , ,.',,1'.' " I ~ J' , ,. " " , , I .. it. ,', I,.' " " " " " " ',;f .. " Ii t. I' , ", " i' "I- " ,. , 'Ii ,',.0 .:',1 ", ,. ,,' " .1',; 'j, " " ,. ,~ " ir. " -'f "1' " '.i, ,. I j, '. I' 1-/' " ,,, I' " ". '" " '" ., ," " I' " " , " 1- ", ,j.. '. " '" " " I, " ," "j ,,", I,'" " I' If " " " '" "." '~'9 No, ,I, .~J. " \ ,1 ~U-) PETITION FOR PROBATE OF WILL AND UTTERS TESTAMEN,TARY In the' Estate of ~ary rlorencu Dair ---.----. -,--, deceosecl. . ' HAt'olel 13. MOlluna, Deputy' , ' To ~r+'Ader80", Register of,WIII!l fortheCol.lnty of Cl.lmberlqndl, In the Commonwealth of Pennsylvania, ' , 'IS' " , Petltloner(s) Cilflt4he exeCl.lt 1/:;""1'- named l.~ .t~e Lost Will ,an~ .., .. Testament of ::l;!(~VL....,2/f;.'M""(-<f._t. ;::1~(.-c..../. doted _ti L"'-' ;/tr15. Decedent was a cltlz(n of the United States and 0 resident of ' , '/l' " ,II' I}/) TOwnship ~./1-?f(..j;' /r/t~(Borol,lgh, Cl.lniberlond COl.lnty, Commonwealth , of Pe~nsYlvQnla.. './ ' /' -t. '? ~'" ,(1' Dece~entdledo,nI-'Jtpt1t 1'l44., the ,;2(/' 'if. day of ,~~(/~,~'c..- A.D: 19~, In the COl.lnty ~ {i.,,-.<..~,,(_./ir"('~~L.~J 7' State of . (91-J.~.(.,~-r:~- "'~I at the age 'of' ?r years, , has ' ' nos her Decedent has not been married and has not hod children born to him f, sInce the ex,c~tlon of the above described WilL , "_' , I , . Decedent was possessed of personal property to the vall.le of #,15; t>t'>(.~ , ~~..:::.. . and of reo' estate to the value of , (;1 as near os can ,be ascertained; ,sold reol , estate sltw;Jted as follows '- " , ' , ' ,apply , , Therefore, YOl.lr petltloner(s) respectfl.llly applies for ,the probate of the sold Lost Will and Testament and for Letters Testamentary thereon. Doted /l2t.:)il', /}!- 'II?, If / f 'V /J .' /j " " '. " Nam~ and address ' (j./t:t1>t:ttt/ /t? ~~ of Petltloner(p. "', " GI', v:::,) 'r-J.~; " / tYJ '0 ' (_""*t..t,('(.-~'L ~ " , ",~- , . 'I.) ,?1'I?ol'f(f.#w.z-hU' .' ,,' Ie?, __ J 7?' -S':-' .-. C,OMM, ONW"EALTH OF,PENNSYLV,ANIA, l C;:OU~TY, /F CyfABERLAN9 ' / . ~ ss" -i?:t;d>-t l;.:'~./ (:;;J. r;'3::tt"-'/iq.j named In above al:lpllcatlon, being dl.lly /,~.r t....'.'.J"L ,.;. according ,to low soy(s) thot. the statements set forth In this petition' ore trl.le to the be.t 01 :t'~ knOWledge and bellel'/iZ.1 ~ R' ' O. sworn . and subscribed before _~. _t-.{:i~v ~.t..-L../j:{;;/ , , , cf' me, ... bot. 12_ 19,7~ (.. , ~J(;(/; Flied; Octobor 10, 1.979 U< /-79- /j?o&, [" . A) I." .<. Attorney: ' _u, , ./':'zrfl ""J' ,- /'/', >" ' \ '..' ~~ ",,--...- . " ~. I ., , ~~ .'~ ii" . . .' . . .I H " Lt kflfYl' vi I.L101\'!.!.1.:n.'lli'l!ili1}ll'lT. I, Nf.Il'y l-'lol'unoo 1.\11 lr' , or Oal,IUbr)l'O, Ij:tboru, J'~O" Yc;n:{ Uount.:u l'OrllwYl.vunJ.n, tlO1.ng 01' '('.O\,\l1cl Dnd \liupoalng , ' , ' ' mlnd, l't!Hl.lizinli thEJ oOl"tlllnby of <lenth and HlO Ul1oortld.nty of' the' tlmn th01'(')o1', do r,1'tl1l1' OUI'C,t'\l'l du.llbol'l3.t1.on Elnd ctUCl 00n[ll<'101'l;\t:\.on 01" ~l11 Plll!1l0pfJ f\l'Hith1nr:Il, mullO, pUI>~J.oh und dooll\Nl thlf.l my I"ast ItJlll nnd 'l'cptlllllM1t, 1101'</by (lXP1'OfJuly , ' l'evoldn[f, ull. !ll'Clvl.oUO willn 1101'0 to1'ope 'made by 11\13, LInd .it,. 1,!lncl:lnf1, i'\ol'l,by La c!JBjJalle e,f ,,11 pl'oj'tCll't:r 0(' whlltao'i'veX' kind und whnN;IlOOV01' l11.t\.wtorl, af' \1h:\.(lh I <liB ae:lv,0d or PQflS()I;\~,od nt my dOOP(lfJ0, find to l!IKor\:lll1o eVI!I'y rowot' of dlBPonitlon I may ponuollo. PIng']"l I di1'oot my hxooutOT'S )HlT'!linn'('tol' i'll1med to \)flY 11.:1.1 my .1twt. dobta Mol l'UnOI'lll oxponnOD, oat,nto, 11111e1'1- tanOO llncl llUcooefJlon t,ullOS, 1\"toludJ,np: l;!lxoa on Pl'OPOI'ty 'vt)Bolnl~ ol.l101.'1d.ao \;}I.un by \-1:\;11, InrI; OOlls ic\e1"od l1 p~\l't of the entntll for, tf1}1; pLll'POfJOO. nlJ lIoon !lEI 'tho onmo oun oonvenientlY .. bO 010110 'l1't01' my deooUOCl, out of' tho' '()o'r'Il\in 01' the oBtlltO. 11' my bolovl.'icl aona. lv\nl'lin B. 1Iair' rwd Uhnl'lElfJ fl. BlliI' , Jr." ,\ l1urv1.ve me " 1 g:lvo, dovll1o [\11(\ bol1uonth ol.l'o1' my ontute, 1'0111 und pOl'llonEl'l, of WhlltoooV01' nllt.Ul'fJ (md Whol'orwover e.\.tuated, to 'I.hom, my onld ,'\.ono, [lhnl") nnd Ilhul'o 11llJte, th~)i1' heil'fl nnd f([\[.llgns, in f'oo nlmpl.0 und f~bflO,\,utol.y. '1'110 \!:":eout6l'S herolnnftel' named llha:L1 hovf\ tho 11\)llo1Ut.o E',:nd un1.:lmi ted pOHor' und authorl I;yin tlHd,l' 11010 lUll ol'otion to oonvert, my re!\lliElnoe , nt (l01Ilrih01'0 ui'ol'nnn:\,rl, or nil)! othel' j'iJ'operty \1hioh I mti.y own Ilt my (,loal;h, , to ouuh r.md, dlll l,l'l.h),l,liO tlw not pl'()(l(1edo uh(~ro and shnl'o nlilto ,1',0 my HOnrl uf;1 f:\l'ol'ofluld, 01' 1;0 l'ont,. mE\n!lg~ 01' otherlvd.flo udm:l.111etor tho qnid property un Tny viMoUt,Ol'S ll]n'y ,jol.ntlY I.\gl~ee. ' ... 1 .. " . '. .' . .. . OATH OF SUBSORlBlNG WITNESS . \ . . COMMONWEALTH Ol~ PENNSYIN ANIA I ~~l CO~TY OF dUMBER1~AND Thla"" "'"'''''''''''''' """ .J,f,~))."", ,,,,,,,.,"""""";",, dUy,llf"""", """ ,R,~liR,~~~,~,,,,,,,,,,,,,.,,,,..,,,,,,,,.: " ,1\:0" 19.. 7.~". UarQ1dD. McLano, poputy , , ' '., ' bllfure me Rldmld 8, Andel'llol1, Rogl~tor for tho Probnte ofWtlls Illld gl'fll1t1ng 10ttel'H 01' Adlnthl,Rtra~ton 1I1lll1d for ilnld County of' Cuml)urlnnd, In tho Oommonwulllth of Ponn8ylvunl\\, ,pol'80nl\l1y ,camo "",,,,,,,,,, . . ,.' ' , '" II...''''''"""", .~~ ,l),~y'" M ~;:("'~ H.~~~;,.. ..~,~~.," ,0,r~,~~" ,~~~~~~~"~'?" ~,1:~,~,~; X""""",,,,..,..,,,,..,,,,,,,,,,,,,,,,...,,,,,,.,,,.., the 8ub8crlbtng wltnoaaoa to tho fnr(lgolng Inatl'umont of' writing PU1'lj(Il'Ung (,0 hu tho lu~t Wtll and' T t t I' " MI\t'v Florence "l3air , , 0' tod l~eb... 3 1956 _ os ama,n 0 ',..IIIIII""I'II!.,'.'111",."".. .""..IIIII,."';"I,....'IIIII,."."'I"""'!;',"ll..,.,.,j l\ "IIIII..",.';.I,f""",j"'I.lil'III" lute of" \!! t 11111" "'~ 'I... j. t'l t' ,',9.f:J11'~, J:\~ ~.+. i." '''' i;." t'" I'''' 11'1' n" H t"'" PH"" t.".." '< eu Inhorl and County Po.q docansod ,pre~entl.~nd aaw and hourd tho teatu"tl.",~,?<,,,,,,,,,,,,,.',,,"'" .",,,.,,~,~,f.:.:',,,lf.h.9,f.~.?,~f1,,,Hn~,f,,i,,,,,'"'''''''''''''''' V!,ho betng duly """"".",1j:f.'iUi,l,\,,,,,,,,,,,,,,,,, acdOl'dtnll to hlW. dopoau lIIld aay. that" . . ' . . . '. ' ,I.,..,....;.,.".;'.j..'.I.11111I sign, aeal, publiah,pronoul:)oa u~d dool1l1'o tho 811id tn~trumont of'wrltlng aa,'und for h""..,,,,,:,,,, Teatall10nt I1naLast Will, and I1t tho t1woof' ao doing ".""",,,,,,,,,,,R'\'~,,,,,,,,,,,,,,,.,,,,,,,wl\a of aound and 'dtspoatng mind mellloryand underatandlng, to tho, buatof' ..,,,,,,,,..,,,,,,I,\~F1,,,,,,,,,..,,,..,,,..,knowlodgo, (lbaol'vatlon and beltof, ;'I\lllii,I""'t~'~~'~;~'II'"i"";""""'1 and subsoribed b(\foro ,~.___. . "''''''''~''' . t '-/,."" ,;,: ,< 10 i '"~ I, """: ')"" I;::: :(a, l"" ,&,. ,A;(;\'.~~rilrr(.""""", 'A."(.';'(;;"f"'::;\,,,(,;,i,4~L(.I(,f,r;iii;'~';" :~{~{;t.(/.r"'" 1I..'I..III'....II111l1l.....ti'!.'....III.'.'...1I1......11I'..""IIHI.,..III1'" ~. J!-~--:;;~' A "j , ' '- ~l-;Jr \'(\\1.,:;:;:;.1' II' Htll II"l HII.I:II.tHIII"~~.f'tS,)'L~~...HHI..'III."ll'l..ll . del'llOn,1feglafer ' /, 'I " AFFIDAVIT OF DEATH ~~~:;;:~~:~:::::SYLVANIA I sa: , ~') , :3;' ' ., " ) ,// /". ' I, / ....__ ',- . I- '.;J.' " ", " ." ;62/ '\ ) , ,,'t#d_',' ""''''''''t'."""."b.."" ""~.kt~",."'''''~''''""",6,,,,,.,''''''',..,'''''''',....,',,,,,,,,..,.,,,,,..,.,,,,..,,,,,,,,,,..belnliduly ",'"" ,k~,',""~"\"'"'''''''' saya, ~hat I\~ nOllrly aa oan bo asoertalned thoall(d!deC\ldent!::Zfftr,i::,~,~,~;;"" '~''tt ," ,", '~/ . J ' (7" ;(...1-' ,t.- ~e.''-~'e....." ' :,(/t-" " ' ,', '. "I:' . ' ,f ;1(1"(;""":,/:",,,,,.,,,, ",,,,4. "Iffi"'"'''''~':'.')f''''''''''''''''''''''''''' '''''''''''''''H'''~':'':'''''''''''''' "":" '"'' " " ,,,die:, on " ...--tt/AI. _/1/ . "" i.Ltli . _//":Iil1~~() -' 'I)'c'? "",r.'i'<<'(J.({~~ .n'''....''",,,,..,, tho ,,,,,...?:',,f,,,,,,,,,,,,,,..,,,,day of "..~v..,.;.1/n{;.y.",:r.,~a?M(..,.':di~"D., 19'1"0' ' '- " 'I ' ' '0 , . '. Ilt o\'abOut """i",:;,,A:~.I.:;1..:"""'"'i''' o'clock, ""M, IHltI'I"Il""..ltll~:f.~'~lni"l,,j'I"I'I:;'lla,nd subscril)ed tht,8 /"~") ~" r,,' ~ /-..:/' , ,.:.,/ . '.-. . of..- f'" .'. . ( .' t..,";" '.' " . .r.",.",G..,.."" ,;{,-t"".'f..;..'(,iw:.!..." ~. ,,,,,,f. ,~<I'. , ,12th ,.I I' October. t".,,"HI'HfilIHllllil'illtt"lllljll""11l1 "ay 0 .....llllll.;..;lIi.'...' 19. ~~,,,., befllre l,..;.<1IOv\,llM" '<:f::-~>"'~l>-~~. ,,_ ,."J':\'''''''~~'f.:;.,,:J.tl~ ,..{. w,r,,,\~,,,,.,,,..,,.,,,..,, RieRaI'd i, J..R IIl'NQn. Rl!' ,'!It ' "'-." ' . A " ,. . ' , , II -J.D -11 ".t..F F""' tIo, ~IY"'" AHII FOftM ~1Q\lIRKP IN ALL I'TATn WITH PMPSUS"S" UHOIM IIP,ooo, UHllI~ "OTKlN 7P1 Cll' AClTCll' JUNIII, '"I, ",.PTIVI JANUAMY " ...."FIL.,IN V IlUI'IlIOATUII't1 cPflY PF WILL ATYACHIIlI " ' - *' . _'CE OP" THE "I<IIIITE" OP' Wi..... .:e I . ~ q. _t, 0 (, , , . oounlYof e....lt ;//1 b (>I"U ' _,f2.. k~rllf-<.'73. ~Cll/r1 _ of I~lj e.~i,;'tl{l,t;J';' St.. 1.f'~t"X1,~Jll!.bI1'?fl(. ,~tf.m'l I~~,...l " bllng dulV S'~(I" (' 1) , IOCP,dlng lu Ilw, QeJlOMI~ andtlV' thl' he I, the '1(.".,- ,xe,c.t tl-if'P /"", , '.' . '.' htO" ^d",t~".,It(i.J pI Ihl 4I,tlll pt .I1(t r'iI ;:. III /"/41 a: l2.; ':fi n 1'1'" who,e 111I1,elldpnoll w.' Lr., " . . .~ '('... / ~,p, "'f) " INol III'"H (Jet: "'1\ ~Oll~ll'~r!j,n ~;7JJ.~IPI deoeal8d, Ind Hilt Ihe whole 01 Ihe 81hllo 01 I8lddecldlnl',who died ,~'.t'~.~{'I.. 11' "9' opnal,led Otl , I ,# 1 ;l IJ 4. 9 ..; " R~AL PROpeRTY .. ' RIAL PRopeRTY IN PIN, NSYLVANIA, WITH I, TATlMINT,O, F MORTClAal UNCUM8RANC,II,UPON IAofi PARQIL AT PlATH, OF PIOjOINT,WHI,RI PROFIRTY HILP AI JOINT TlNANT OR TINANOY BY 8NTIAATln, alY8 NAMAI, ADDRUBIRB AND R81.ATION8HIP OF OTHIR OW,N.RI, ' I i ,.;;-..... 'RGQl'a8tal~ ' EetlmalQQ V Iue -" 1'0 ,- peraonal ProperlY ",j' ..', ", , , - ;, ;. I NOTE 1 You may exped.lte tM prooesalng of tills return by flUng wltlll\. and u a part of Ute ret.Jl.'nl letters from fl.nanolall.ns\itutiona or Illortgage holders, certifyIng; to amounts on deposit or owed by the deoedent as of thll date of death, Suoh letters must be f-Igned by a responsible officer of the flnanoial institution or mortgage holder and, Indl9ate clearly amount8 of principal and Inter eat In the deoedent'I' aooount at the date of d.eath and the type of acoount, acoount number and the exaot name or name I In whioh the aooount il re Istered, ,I; I' . . '. . . . . . , , . , " , :1 . , , I , , , , , " , , , j , . , ~ . , , , , . , . , . ~ . . , ~, ~ , , , ! . , , e . , a ~ . , , ~ , ~ , , , . , , , , , ~ , , .. '\5 . , , I , , , I . , , , , . , , , , , 1-, I '," . '\5 . '\5 . . b . , ~ S " -if' ,i ;, IH: V",U Ii '0-111 C~UnlY, ~~mh" ~nd, H~m'~( 2 ,> ' (1nm.b4X\lllllrl Fllo H~mb.r___ 2lM7\l..0606 ' o.to.f ooolh..-_____._. 9..21\-:079 -~-- ~.t.I' H~m' ,Raito Mativ_"':.L..___ , I~^'T NM.H\I Irln'T N^M"' Wml^~' SUMt,lARY C;OMMOHWEA~ Tl~ OP PEHH&Y~VAHI" ,TRAHSPER IHHERITAH<;e TA~ RESIQEHT pa<;eoeHT RIIPORT OF IHH~Rll A~CII TAX "P~"ISBrt:r-- , ,; Ih. und."lgn.d d~'y ~ppolnl.d lnho,lt~nn T~~ Appr~II~r In ~nd lor Iho Co~nty of," Oumhflt'lllnd' p.rinsylvanla, do ,..p.clfully Itp.,I Ihol I ha,V, .,appr~I~.dth. real alld po"onulproporty ~I ,oporlo"d In Iho for.uolnuli,Mn ~I Ih. val~.. UI la,th OPPOllt. .~ah It.m In Ih.,I~II aolumn to tho right '" Sch.dulol "A' , "II", "~", and "B", ' PoI.d, 11 neo,tnb8t" 19?9' . ')7'j"1J-IyjA~ )').tJnu ,fl INHI!fflTANCli TAX Af1,PRAlfHUl < M__~'" - - RBPO~T Of TN.B R~GI$TBR OFWILL~ I, Ih., u,nd,'sluntd d~ly .I,clod R.g!sl., dl Willi In and lor ," ,',,' .' - County, POllnlylvdnlu,'do /tlp'!.I. f~!Iy ropo,I Ihol I ilov.~lIow.d d.due\lonl In Ih. ~mountl el~lm'd bydoponont, oxc.Pl ~I to thp.. It'mlwho,. 09,..1" or '. I....' omounl II ..I fu,th In ,Iho lall column 10 the rluhl.ln Schodul. "P',', whloh grool" or lo"ef:omo~nl rop'''ontllh. .~.m allowed '0' 0 d.ducllon, " ' .patodl fHrolOT~U OFV/II.l.i& INVENTORY ~..i p,on.ny (Sohodull Al n,rlon.1 p,op.rlY (Sohedul' BI ~olnHt.ldProJllrtv IB.hll<\ulo HI, T,.nll.,,180ho.l<<\, 01 TOTAL OROBS ASSETS L". Pob", .nd P,duU\lp'" ISeHHDULE pi ' CLaAR VALUe OP SBTATE VALue A8 APPRAISED 'ODE IHA~fdM~'Ul\WJBHONLVI , 'RSMAINPHR APPR~ISEMHNT OOPE + ~ 10+ O. 30+ 40. V.luo,to.ol HI. '.,1,0". 0' ~ a"nuHII.f'U.... ,',u,d till' t.-.....:.. ~. PRII:IOIPL.1l ,~ "''''~t: VAL.UIl .. I~: - Es'thre ,TAX ASSE$SMeNT$ --,$ I'il --- -~ , ' ." " QODIt COMPU,.I\TION 01" TAX "'9R UBII OF RIIClI\S"Ilt:l ONl..Y , 'T..on$ " T.. on $ T.. on $ Til,on$ T..on $ &"'"'nllon. T .'nl' E.'olo $ '$ $ $ $- ..-JJ-. 2% 0% 1~% , ~ II' (,'f A. .vldon..d'by,Challloblo , e.ompllon ,Co"llIo.tn I..ood by ,h. h.i,WY of R,".nuo. . $- TOTAL TAX L... '0,' p'.vloo,ly pold BALANCE I.... 5% or '0.11 pold wllhln 311l0n,h.'nf!81d..lh $ $ t: $..... 1- ~' .' lIALA,HCE or INHBRITAHce TAX. pun Add Into,..'.t ,ole 01,6%lr0I11 ,. AMOUHT or UTAlft TAX AssesSED e.tn'o, ,.. pold llALANCe pue Add Inlo'OIt ., '0" of 6% r,om '0 $ $ ,I:::: $ $- $ $ $ $ -:-.. TOTAL 'TAX BALAHCe "PAIP " ',Suppl.m.ntol Cod", (FOR usa IHHARRIS8lJRG aHL Y) 48~Adlu,Irn'nt , 49+Adlu.tm.nt 56~Ahnulty 60411. allOIO 92~,R'niblricl., App,al..1 93..R.rilalnd., D.dottlon ,93C~Charlty "96-Succ';IIlvo' 94-Romolnd.! R'lldu. "'If. B~Iol' F.,OR USB,OF UGIStSROHL V ADJUSTMeNTs HOTEl Wh.re.~b1.qu'nl adluI,Im'nto~/O mod'Io,Ih.aboYII,C~~pulatlonoltuby tho RoglUo, of will.,lo', plop.".aoan lam. thou d b. nol.d bolow, wlt,h .ho,I explonotion., " , 83- . t ' \. OOMMONWEAL TH or ~ENNSVl.VANIAj OATH . R13BIDI:NT INHERITANCE TAX OOUNTV APPRAISEMI,NT mB NO, .~ 11 1] nil QA.liI1l.U'~,j.9.1.~ cumhlp'lllnd -t........""'" HRY.4D7 (8'?a1 ' nu~'~~JrJt1t8PoPB~l~fb~8 p,o, BOX _&70 ' HARRIROURO, PINNA, mOB ~1..'1g..Q.Q6, ."'-....,-..- WheroM, M"",y r, nil'" In[o pI' '~Ilmp Ill" --~_. - -,-- In the CO\1ntY of OllmhA"~ ~lld COIT\ll1onwoalth or'l'enl\kYlvenin"lwvluIJ,1 ,n' the 2Uth dnyof ~IlP1;Il111AIlI' 19 li, Hol1.od ,and pO~Be8s"d of M\ ';'\",( eubjeolto Inherltanoe 1'ax under tho low8 of tho Cf,lmmol1woalth pf Ponnlly!vanloi ' TherQfot~,l, 'Bllnd',...!!l Stqnll ,on appralsor duly appointed aooor<\II\lJ 10 ,',,\/, ,havlnq been dQslqhatod to mske n fall' end oonsolcJ\1oblo allprlllllotnQllt of lIlU.1II\ld oatato, and to 8Il.~ee8 and tiK (It" ,,:d, valuoof all 8nnul\l08 nnd IIfo ontatoll ()rowing Ollt of uald OfJtlllq, hOI'ohy, 1'110 tho I'cillowln9 appralsoment: , III tho GVP"t 'h~1 nny IU.ttirfl11IHirndHi till' utl4hll\ ttnll\'t1lrtld IlIlliilwnl<lI!Or 'JI\JIlYI\1l1l1l to \mlt<1toral hair' of UH' rhltiCldQI1' ,,1\1'1 \I'dll'l'_I'ii'iH',,' of ~"y ,,'.telo, IIh' or fllf Voan, 11m OUrTlI110hWOl\ltll hclt4,l1lY (i)i\HoUIY r\l$lHYfl' IIw fl(1111 tn 11I'1)'lIlill MHIIIUO~~ \11111;1(11 Il1hQrllllllCO tnl'\.' 11\ till) Iily/flll U;;iJ!I",;tI tlte on ~rjV iUllh Wiu,. Illltlrl1it, , , , , , _......,,~--,~ OF,6cr<WrrON of M~n y~';;Ur.& "'''!~'''''''.'"'^r;rli t.\i!t\il,lfl{ , 1_lil<il , ----~ D.~' "...... , .. ~ .Nj " ' . , , PqJ:'llon,l ,Prone%'tv , , " ..;...l.. - --;- , , 'l,'toanPi'atoll,.- , No ,- -.-- - ._.~,,,..... J9intlv Owned " QU. ~t9't-A'1 IItl';L...~. , .- , . , " - , - -- , " , " , , , , , , .. I , , " - , , , , , , ' " , , , , , .. , " - - , -~. " " , , '- , -- - , -~ , ...._...._...~n , , , , , " - .....-'t , , ," , , - " , I , , .. , ' , , ----":"""- " " , , I , , ", , , , - ,- , , , ;' " ..',' ; ,.,'''h.'-''.' , , , , , " ---- , " " " ' - _.......~.~ " , , , " ," .",..,...." " " .. , , ,CC' h....~-'--'O-..,-.:." , " , , ' ," - .,.--"-,--- , '.. , -- ~.v -';"'~'I"'- L_ I .....~~f.....""O'-" I ..-[-- -~'r- ......."~'r~:--' I -"f- .."......."'....~ , 'Have, be,e,n duly Rworn nCQortllnU, ',to, law11 dohorobY cortify that lI,tOnbov~nppralA,ernon,n~,mntlo Inot:mfor,,'.lllt,V with tho ,law on thle ," ,...h "',... MY of n, ~"Oll,~, ,:1, ',",.,if; "..;.-. 19 ,.:u" ' , " . .>..' ... .-'JI'lh~...' ~'YL/J . :'- .. 'c. "......,.".~;........ I -, .. ".'..; .. .... ". . ..' , I\flI')f.,Hu ~....._---- (NUll1hor lIIid AIr""O IJ8I'I"~lIbW_ . I'dlll!\ lP1I11 Dillen) < 01 ,. " I' ,-<,I ~ tJr). C1 () L STATE:ME:NT OF DESTS AND PE:DUCT10NS A'V'411 IIolII 9PP ICt' OP THB , RlOIITIft op WII.~I OP (I,t(,'1IIkf1 ~t(1 / CO\lH~V ANrI A.OeHT o~ 'tHI COM~IlHWlA~TH t'''i' ( "I ~m OP 1// IJh I-J ./ ;(;,' /c. (/~(",/f':' ) Ab{l:~ i 7ft; i),~.t" ~, ./ - " B&TAre OP , ' I"'~J ' A1tt~.r .'';tl'l':lIl:tl I)".)J~' I. DAn op, ~I~IHO APP'~AIIBMBNT (\()o... II "/(,'/)(1 DATI OP DIATH' '~('I,t' _~ , j!l.Y..9 - , . -- - -- - , PATH 'I,HO.OP NAMe OP PA VII ReMARKI AMOUNT ,YOUCHIR , .. .."..... ,- --- - <t(//'7'}' , 1:- (' .IIi 1'1" /It'II.{/~y.-li',,, ,', ' 1-(1.1-1/1111 ('I :ill' I-l ~ f".. t.~1 J " 7 'J!/LKb-'l 1j,I'A...,";~,..I,"I' ('V'\I, t~/./"i~ r. " . 11..' A ..t." ":LL-. .'~(l I/. " '.I.L!..-if1f::, /1', J f.., I,' , . 1IJ.1LZlL_ _ ,0 7-1' Ui...-L~ 1/ >1 ,'/.,,/ /j.,w' . . rI'l(1 1'\,11 .1 (. y./. F '-I' 1...U1O 9(L k.' 'v..<-I-L -r"~- " .. ~'~ f,;~"" 1 ~ I .~ -- , li/:li1Jl~ P';"''l''I/f/A 1/ ~ IC'IU ", "";'/11 ' 'It! , -., /'11.(1 !J I'~ 15 00 .;J {'(I )/' 7:)(1; ;~ _ 1', , ':',f'" Jf , 1m.! 1 ,~ I~~(. ",. ,', I~ J/l/I, \,'-, r"C'!."'~1J .f',(,'V, , !ti,s~~ (l() '1i1LtL. a, J1(i f' II-:J 7? ']<K) iI", F..l. f' (J oJ,;/ J 1/ (' l~'(t ('J. ,. I (I I' (I 1',"/ t"J ( /;?Jflt-'f <,''', 'J ..t1" ' , I ,;:S l~ 1.1-,' / c' .', )1<1.., /I ;:' ",/ <.1 c"", C', ,)/'1 ',. ~ ~IJ ("t2.. - ' / (~, - , , -.---' .-<-"~'.." " ~- - , -. -, ~~ '-T'(I ,,/;1 / tq.tl~ r~/ - - , ,., ":,, ~?j , . ' ' . "1'V''''i'O , , .:b.:<. '70 '7/ , , - - - , -....-. , -- - , , , I , - - , ' , - -- , -- - - - , --- - -- , , .. , - ". - " ---.. - ~-- , , , ..-......~-~- -, -"'---+--------- - , , ----.... .~-r-.~- --- __t__ -~- ----~.- - " ...-----.- -- ~- ----,---_. - , ==== - -...-. =.. -- - ==-- . -..-- -- , ,C:OM, MOHWIAL TH d,P PEHHSY'LVAN'AI, ' " " COUHTY OP c,V t:T\.~l.uJ. S5' , ' " " I ......L.-kgl./e. ,S Tl,. '(2,>.\{'," '_ HEReBY ClBRTlfy,!THAT TOTHe'BBST OF MYKHOW~eDGe AHD BUIBF, "HI PORBOOIHO, IS A Jun AHD TRue STATBMEH'tOP DBlITS, Fl!HeR>\~ eXPBllSIS AHP . eXPENses OP ADMIHISTRA TIOll SUBMITTeD TO THe eSTATI OP .......LUAx:I,j",~U" no W' 0. I.~,(l, ,\ i:.:.- DeceJ,seo, ASI1EDUCTlOHS FOR INHeRITANCI TAX PURPoses, ,//'( /J j/__~)' "./. ,. , "'j,' (I ,.-/JtI/~,J,,./ 1\) ).)/"Ii(,.j (L,S,) IWORH AN Sl!lIICRllS,1 BIPORE Me THIS .~(J:M. DAV OP , ." ., '., 19 J:JJf- , , ,cl:JOKB\~ "''')~, ",': \ '," j.l~ (:i ;7, i< "I;' I, - 1"1.:1 (lP \'!llJS CUM. ; 'I (1",,,,,10$1:-.(\ [lfplrnt \7 If (1,6 ii' ',. ? 0 . , .,,~' Yo" ' 17 O,;l,V ?/ ~:~ ;; '~?, q~ OOMMONweALTH O~ PENNSYLVANIA OePAR"MENT OP ReVeNlJe' IUREAU OF eXAMINATION OfFIOIAL NOTIOE OF INHeRITANoe TAX A8UI8MeNT ':'1'01 () 1- nq ';,.' (~()~ Cl1(M~~', / oot , ~ oOUNTY me NOI ; (A I ') () !El,!Y" APp,alllld Valua 01 Eltate: Aej, &It..te Parlonai Proplrly ..--. Jolnlly Hald ProperlYlT"nlfe,. IlP'76' + 9J;'o$~';" + TOIII Groll BIllIe :Tolll Approved Peduatlonl 0118' Value af,EII"e e L"~I APproved C~erlteble EKemptlonl Olfar Velue of BllIte Subla~t to TaK DATe iSTATE FILe NO, COUNTY PATE OF DaATH Cu I; . 'l3')t? 9''1 , , Amount TaKeble lJ 8,% A"e Amount Teuble Clill 8% A,le . if',3 ? ~)tf ( ilK due leK due TOTAL PENNSVLVANIA INHEAITANCE TAX pue . . . · . . A five peroent dlsoount totaling · will be granted If the Inherllanoe" TaK Is pllq by ...; Len Credll" DATE OFPA VMeNT AMOUNT PAID DISCOUNT INTeAEST TAX CREDIT . + . . . . . + . t . -- 100"18t e~qruel et the rIte of alK ,(81 peroenl per eonum ,on the Unpeld balanoe of Inherltanoe TeK from to dal, of" pevmenl, Inllroll due II paid by ------' Is , '.-i BALANCE OF PENNSYLVANIA INHERITANoe TAX DUe III I",,: Ii II U('WII.I-:, . 1(; r}7 ' . ab:ca, ~K . ~ {d,,~JI , -< \-'""-. IICU,II4 ,~,771 COMMONWEA~TH Of PENN8V~\' ~NIA PIlPARTMENT Of ReVENUE ' INIlERI1'ANCf. TAX OIVISlaN Of'rlCIA~ NOTlCf. Of INli6RITANoe lAX A8Bf.8BMeNT - I ~___.._.._,__~,..,_...,.~,_._....u__..._'m," _....... _.... .._~_m.._"" .'--"~-~--'-'-"-~'I'----:"----- ., " --,-'-' 1\ To:j2.h'~-"~'~2nJ~:WVJ% "n__,J~' ,"If 1'1~o I. ,J....~ ()" t..-c--J.y.._c _....~..__'__.. ...~m,__.._ ~8TATe oP:"~I.~..ll!:,)-(~1 u.~ \.(4 ' t!:CJ!'M,I ) .~~/tQ:.Q ,C __,0Lr~L::,(.~J~),/\~_,\~ 6"',0;." mE NO,'-~(.J-::-':?~-; (ql ~ ','l I ,.. ./ COUNTY OF ",)",'Y:J::n~futllll",\ , por GOII~IY InformntlonJ!lIrllOBO, B ",\Iy /.. '~'''~' ' ' POUNTY.FI~e NO:.",_cx'J.. ..1!L:'" t::g~___ DATE OF DEATH ~':......-...::.~~~ ) lj '"17 ();~;~~;;r~JT~;f1~--I~r71;;f~-~~-(t,(j:;~(~~):(;Z n:i:l ~~J1~li~" (.J;;, .. ~~"M; -~~~ d)(1.r/t,; .. AIl~rllIBod Vnlllo of eBlnlO: ' ..,---. ,\\ - Ronl ERlnlO L-T l" I 11 po~.onnl Proporly --t;Q.-;;-4.5.. 7 /: Jolnlly Hold Propllrly/TrllnslurB .-:1~ ;:),dJ .-!;i Ii> " /(_J ("j 6"', ,) r) TOln' GrO.B EBtn,o "- L \ ii, /1 I I Ii I r I I i' Tolnl !'-Pllrovod codllctlonB Cln", Vnhlo of EBlo11I )i ..3\70 ;"7/ ........!-,t----..---- $.,-jl-...SlsLU'/' ,oc-........._:... ~lIno; Approvod CI1II(1Ioblo E~Ofl1plion. All1ounl..To~oblo (q) 6% Rilla $ _ I? ~_Q ~_~?~J $"~1._() ;;( 7,__ q I In~ duo' $ 'l/...~ I. f:,f- Clonr Voluo 01 EalolO SlIhjool 10 TII~ Am,oynI To~oblo ,@ 16% ROlO In~ dllo TOTA~ PENNSY~VANIA INHERITANCE TAX DUE L 4' .:.-? /, W' ~080 CrodUB: _MIE.Q.EJ'A ytilliliL. 1- /I If O__~ AMOUNT PAIQ.. ]JQg,OUNL 9...~..b",.J::6 t L~..___. JJ::!I.[RESL TAX CREDIT L.._._. uL~~ (" 4 j;"g + t , ! . ' , .. BALANCE OF PENNSYLVANIA INHERI~,~1:~~DU~" ('.r, " ~, !I,,~_,' I " , '. ... ,iA .,..;.. 1\1 ~.,.I'" \'ri'_"1Uj1. InlorP81 will oocruo '01 Iho rllll> of ol~' IBl 'poroonl 110r onnum 011 Iho IInpold bolonoo',,1 InhotllOnllo lo~, Irom_....___.._,.._,..,____,.),," n'..._'~,.....,....-,,_~,I(1 Iho clolo of pnymo!]l, , I " A8S(l9QOlJ hY':.Ag~{~",~ ,..,;hf~!d;onS;~iiI-1::)I.lA.. ,,)p", t.JTCI --_._~~- '- " J Ii %Jl.L_If~ -----+-+..-~-'1"~.i\\ Jv\'Y',~^'~ (f""'(A.\.(.l, ~<t 1~.. / .......t~:~ SF.U o~V~oSE SIDE FOolNSTOUCTIONS nEGIElTEH ClI'WIl.L'A COpy