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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
SARAH R. KF.TI.
, deceased.
Harold B. McLane, Dep.ty
To Rffi'l'iR~~Jtl, Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvania,
IS
Petitioner(s) are the executrix named in the Last Will and
Testament of Sarah R. Keil dated Januarv 21. ]Q7p
Decedent was a citizen of the United States and a resident of
I~
New Cumberland Borough, Cumberland County, Commonwealth
of Pennsylvania.
Decedent died on Tuesdav the 6th day of NOVAmhA"
A. D. 19 79 , in the County of
Cllmhp-.,..l~nn
State of
Pennsylvania at the age of 74 years.
bUlIt; I;)~ her
Decedent has not been married and has not had children born to Iaiiil
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
Unestimaterl and of real estate to the value of
Unestimated
as near as can be ascertained; said real
612 W. 16th Street
estate situated as follows
New Cumberland. Penna.
apply
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated November l~a:: and address (}t::::!:~:~C~Q-
of Petitioner(s)
612 W. 16th st.
Np.w r.nmhA,..l !lInrt PAnn!':l
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
Jane R. Tonero
named in above application, being duly
say(s) that the statements set forth In
sworn according to law
this petition are true to the
best of her knowledge and belief. '______ ()
Sworn to and subscribed before ') if;?;'--^-- (/~<-0r
me'l;:11 N~vembe, r ;3. 19 79 ( /
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~~~~~tg'gister
f 1J1c
Attorney:
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Robert J. Trace. Esq. L.,/'/
111 I.o::ust St. Harrisburg, pa.
Filed; November 14. 1979
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} RS:
This .....,......................,)j,~~........,.............................. day of ......,........J!.9,X!;l!!1.!?,~,:r...........,...................... A. D., 19..7,9....
before me ...,................~!lE!?,~'i...,~,~,..~~~!l,~l!,'...,I),~I?,~~:Y................................,.." Register for the Probate of Wills
and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania,
personally came ......".... ..,...." ~,o,~~,r.~.. ,J.,~" ,~J:'!!:~e....?E,d...~ [l,r.a., ..R.,~ ..,lI~,~, ~ e.,r.",.."...... .......,.....,....'..,.... ..........,......,......,..
..................................................................................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of
"...............,...........".,......,.,........~,!7~,~..,~,:,..~~~,~..........,....' ",..."......,..,....,..,..,....'.. Dated ..,~/11!:~~y...,?.3.,I..J9,1,~....,...
late of ..................,.,.,~?!:'.?..,~,r...~,~'!..,9.)lln.~e.!.~~d.........,........,........,...............,.... Cumberland County, Pa., deceased
who being duly ...................e.~?,~,........,......,.., according to law. depose and say, that ...........,~~,~,y....,.........................
present, and saw and heard the testa:!;X-,:iJL..............,.....,..... ......,..,........,............................................,...............,...,.......,..
sign, seal. publish. pronounce and declare the said instrument of writing as and for h,ar....,........ Testament and
Last Will. and at the time of so doing ....,...................!',!!!1....,......,........................ was of sound and disposing mind,
memory and understanding, to the best of ,.......................~,h.e.~,:r.,..........,........,..... knowledge, observation and belief.
...............~~.~,~~...~~..,.,.....,.......... and subscribed before
............"..&.,I"',<:,~~.:~....,.....,.....,...,....,..,....
,.........,......A{:!:,~i~..,g..,M,"::,4.':..........................,..
'_M! -^ "lJ*'J.{L>:>, ~' De~uty
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..'i................ ,..,......, .........-...,>...., ....,~..,.......... RegIster.
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AFFIDAVIT OF DEA'nt
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND I ss:
.............., ,.',....., ......, ....,.. ......... ....... ,.. ,.,.. ,..,....., .............' 3!M':!1, , ~".. ,~R!?-,~ -,;9"" ,.."..",'..' ....,..",.., ..,..,'.. ,......,..... being duly
........!!1f<?,~~...........................,.., says that as nearly as can be ascertained the said decedent ...............,..............,....,........
,...... .,......,..' ,......""..".."".." """"..... ,..5, a.?:,~..,ll~.., ~,~ ~,1."".."" ....,..",..""..'""",...., "....'....,...., ..., ........,.. ...., ,..."...., died on
..,....,..~~~~,d,~........., the ,........,~~!t...........,..,.... day of ,....,..,........,....l!,~~.~,I)!!?,~,r...,......................... A, D,. 19.,.1.9..
at or about .,..,........}~.~},~,..................,.. o'clock, ,P... M,
,..,.........,...:'!,"!':9.;J;'.1:\..:\.,O....................... and subscribed this
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....,..'/',....,',...,..........""0,.(.........,....,~..,..,,..,..............
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.,.....................)J,~!:>-...................., day of ..,ff,9,Y~!",~~,:r..,
] 9..7.9..... before
" ~.. \ 1" ';0 ~-(( L-:.., Deputy
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH or PENN5YLVANIA~
55:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the
County of Cumberland, personally came ..",..'",..'",..""..,,' """',J:@~"),\."..r2~,~1':9,....""...,',..........,..,',....,...........,..,.......
who, being duly ..........~Y!,9.1~.P.....,...., do ............ depose and say that as ..,................~~~,~~,~1':;!.,~........,.........................
of the last Will and Testament of ............,...........~,'!-,;:~~..,~,~..,~~,i}...................................,.........,.........,......., deceased
...............~~,~.................... will well and truly administer the goods and chattels, rights and credits of said deceased
according to law, .And also will diligently comply with the provisions of the law relating to Transfer Inheritances.
...11.!2;\',I1..:\;,9......,.... and subscribed
before me.
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DECREE
. ' 14th November 79
Be It remembered that on the .....................,.... day of ..............,............,........,....,..............,., A, D., 19......." there
was probated and recorded the last Will and Testament of ..................,~Il,~~..,I!,~..,~~,i.L..,..........,..,.......................,
late of ......,.:I?.9,~~...~J...1!,f!l,!...9,ll!J!,~~~J~,(L......,......................., Cumberland County, Pennsylvania, Deceased, Letters
..."...........~~.l?,~!!!!\~!).:!;,~:\'y....,..,...,..,......... were granted to ..,.......,....J.ane..R.~..!r.on~l'o, '......,..,.,..........................,........
Witness my hand and official seal the day and year aforesaid. I ,II
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ""tf-Ir-~ DAUPHIN
55:
Jane R. Tonero
being duly .__._ swo.z:n.. ,._ according to law, deposes and s.ys th.t she ..is
_._._._._.___E:~El9u!o.rJ){, of the Estate of __SaraJl_~Keil
late of Rn,.n nf NAW r.nmhA,.l Ann .. __, Cumberland County, Po., deceased and that the
within is on inventory mode by.__ _ ....., __ her.________, ,__ _ ...,..- ---. the said-Exe..c.uWx
of 'the entire estate of said decedent. consisting of all the personal prop.rty .nd real estate, except real estate outside'
the Commonwealth of Pennsylvania. and that the figures opposite each item of the Inventory ,epresent it's fair value
as 'of the date of decedent's death,
19 80
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Sworn
to and subscribed before me,
'I~
Mal'
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Exeeutor'~
((to:,( S ~~ULj
NOTARY PUBLIC
H'rrisburg. Dauphin CoIlnIJ
My CommissIOn E.<pires F.b. 16,1981
___...p.1.Z.JYes1;. 16th Street
New Cumberland, Penna.
17070
Addreu
Date of Death
6th
November
Month
1979
O'Y
Yoar
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or really
4. See Article IV. Fiduciaries Act of 1949,
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C~A"FIEO MASTER
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GRADER
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GEMOLOGIST
jNVE5TMEIH BROKER
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BOUGHT - SOLO
APPRAISED
MEMEJER.
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AMER. NUM15MATlC
ASSOCIA nON
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WATCHMAKER
APPRAISER
ENGRAVER
JEWELER
BASE JEWELER
P.O, BOX 16023
Me GUIRE AIR FORCE BASE. N,J, 08641
TEL. (6091723.8414
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Jewelry APlPl!'aisal
Article
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\zi Thl.' values i)crellY assIgned arc t'l-illlll.tll'S l>nsed till
1I11ormation ohtamalllc while S10/les fl'/llilinc(j In Il\ouf)(in~....
o Sllllll'S were Wl'lgI1L'(j iJnd gr.uled lUl~c'l
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Replacement Cost
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C~RTlFtlO MAS1EH
WATCW,4AKER
PRESIDENT
1971.1d.79
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APPRAISER
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GRADER
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GRADUATE
GEMOLOGIST
INVESTMENT BROKEIl
. DIAMONDS
. GOLD COINS
. POCKET WATCHES.
. ESTATE JEWELRY
BOUGHT - SOLD
APPRAISED
MEMBER:
I~AT'L. ASSOC, WATCH
.:i CLOCK COLLECTORS
M.IER. NUMISMATIC
ASSOCIATION
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WATCHMAKER
APPRAISER
ENGRAVER
JEWELER
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BASE JEWELER
P,O, BOX 16023
Me GUIRE AIR FORCE BASE. N,J, 06641
TEL, (609) 723 - 8414
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Address:
Cily:
State:
Jewelry Appraisal
Article
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The values herct)y ilssi~ncd arc l'slilll.Hl'S 1>ascLl 011
InlOrlnation olHillnuhlc while slones n...mained in mountings.
o S;'*'J),::e~ 9Wel~lledA~=~~'U":t2o J~v
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Estimated
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We assume no liability
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DAUPHIN DEPOSIT TRUST COMPANY
S,lle CMposit Box Inventory Shoet
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Ollice
Date
December 6, 1979
1.
Name of Rcr\tcds)
Snrn IL Keil
Address
612 H. 16th Street
New Cumberland, Pa.
Zip Code
17070
2, 'Box Numoor
1329
Dale Box Rented
Prior to 1936
Date rent paid to
Date notification sent
Delinquent Rental due $
Drillil\g Costs $
3. Instructions: III Cosh: Report totol only; (2) Stock: List in detail every common or pp~fcrrcd certificate, warrant or other rights
found in box. Stocks arc to be designated by name of company, cc;tificatc number, date of certificLltC. name in which stock is
registered, number of shares lInd clJSS of stock; (3l Obligations of U. S. Government: Number of pieces, date of issue, fi>CC value
i1nd names in W'hich registered; (4) Bonds: Designate by n;lme, ilmount and serial number; {5l Savings Passbook: Name of
depositor, n~mbcr of book, last date of activity. name of bank and balance; (6; JI!welrv, coins, stamps, etc.: List and describe as
fully as possible; (7) List Deeds. Mortgages. Insurance Policies. etc,; WI Miscellaneous Items; (9) None: Indicate sarno on sheet.
1. Box containing miscellaneous rings and watch chains.
2. Box containing two rings, each with one diamond-like stone.
3. Box containing the following items:
One brace'1et
One gentlemen's ring (18 kt. gold)
One ladies ring containing one nmethyst type stone
One enrring containing diamond-like stone
One loose dinmond-like. stone
4. One envelope contnining two single strands of penrl-like beads
5. Harris Savings Assoc. Certificnte 122734 registered n/o Sarah R. Keil
dnted February 13, 1976 showing an opening balnnce of $10,000.
6. Harris Savings Assoc. Certificate 127839 registered n/o Sarah R. Keil
dnted Hay 13, 1977 showing an opening balance of $12,000.
7. Ohio Cnsualty Homeowner I\l'newnl Certifieatc to Policy No. OCIl7500162
covering property locat,,,! nt 612 Hest 16th Street, New Cumberland, ['a,
maturing Janunry 21,. 1980.
8. Deed dnted Jnnunry 19, 1935 to real estate and house locnted nt 612 Hest
16th Street, New Cumberland, Pa. Deed recorded in Cumberland County
Deed Book Volume ll-H, Page 523, }larch 21, 1961.
9, Deed dated Hay 8, 1945 to lot adjacent to 612 Hest 16th Street, New Cumberland,
Pa. Deed recorded in Cumberland County Deed Book Z, Volume 12, Page 264,
Harch 21, 1961.
10. Deed dated November 6, 1905 between Paxtang Cemetery Assoc. and John G. Keil
to Lot U 141 in Prospect Lnwn.
11. Envelope marked "Jane & Cnrl". containing the following Series E, U. S. Savings
Bonds:
$25. Serial II Q 6 096 502 792F dated December 20, 1976 n/o Snrah Keil
$25. Serial II Q 5 095 993 742E dated Decemb..'r 18, 1973 n/o Sarnh R. Keil
$25. Serial U Q 5 216 759 848E dnted December 14, 1974 n/oSara R. Keil
We certify Safe Deposit 00)( Number 1329 was op~ned this 6th (iayof
and the above record of contents is correct and complete to the best of our knowlcdg\l. /J
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Signature
~:l.CE P.RCSIO::'Ni. TRUST OFrlCER
Title
Title
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REV-449 (8.78)
COMMONWEALTH OF PENNSYL.V ANT II.
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPER/\TIONS
*,
;2 I - '/'l" (, ) 2,
ReSIDENT DECEDEIH
COUNTY OF .cUNBEltLA.N..D__,_______
IMPORTAlH:
Thi:i r\~llltl1l1lUl\1 he" COll\plt'Il't1 III Ill'tail and fl led ill dupiLt'iLlt', with ,,1l11[llLdn'd, wllh lilt' Itn:lsln of Wills uf till:
COIllII}' \\lll'rc dt't:l'l!cnt fl'Sllkd. lh'llUIl i;.; dUl' \\llhlll niJII' mOlllh:. allt'f dalt" 01 (kalh, LIllIeS"; !Ill \'\lclIsiollll'- grlllllCtl
hy IIH' Sent'lal)' IIf Rnll'/Ilh', ISI'I~IIOn 7lU ot till' Illlwlill111I:C and FSI,lll' Tax An 11f 19(11,1
._--~_.-.-,--_.__._...,_._-_.,._----,---_.
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IN TilE MAIHI( OF '1111' FSI'\TI' OJ } AI'FIII,lVn 01.
___..____SA~H R,. K.~J1______... __. -- -- ----- I:XEClI r<m
ISTAll" FlJl.l NAt.1f OF O[CL{JEN1J
Lata of _New CU:1l!:!EldaJlc!..___.Cu,IT\.Qerland,.... Cuunty ,m:.JIJt~
Slole of
Pennsy'lval!.~Ii_____._.
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1" 5S:
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County of
Dauphin
AdminisHutor
J1!.QL.'lL-'lO.nll.r9
or the alfato of th.J uhove.namod daclldeot being duly IWOln, depuS6
ExceUlUr
Clod say
Decedent died Novemher
(MONTHl
~ome ood oddrOlI of attorney or }
other outhorl:r:ed r.;,prolontatlve to whom
all corruflondencn should be nHllled.
6
(DAY)
19~ ~allotCl loov109 0 tost will, copy nr which il herllto ollochtld, }
~-;~~l-l. ~kX1Xttx
Robert J. Trace, Eso.
111 Locust Street, Harrisburg, Penna. 17101
That as such~Q1l~_Jcpon(:nl is familiar with the affairs of said estate and the property constilutilig
( EX~CUTO"-A~W""''''''''''~
the nssets thereof and their fair market v3hw.
That at the time llf death there was no safe deposit box rcgi:.tered ill decl',Jent's individualnillUe, or jointly with, or
as agent or deputy of another, or in decedl~l1t's individual name, with right of access by another as agent or deputy. with Oil:
~}.ception of the following: -
NAME AND ADORES:' OF BANI<, OR OTHER INSTITUTION
IN WHICH DECE!OENT RENTED ^ ~f.FE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDEr~s TO DECEDENT
Dauphin Dep. Bank & Tr._ Co.
213 Market Street
Harrisburg, Penna.
Sarah R.~.J..L
=
That the contenb of ~nid safe d~l'losit box or boxes are itemized under Schedules__Lof this return,
with the exception of the following, for the reasons hereinafter set forth:
That Schedt:le A altacllt~d hereto and made part hereof sets forth fully and in detail all the real property
in tht: Cor.1monweallh of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each polrcd of rc,al property at the date of death, giving the amount still due at
death, name of mort&abC~, date, rate of intl:rcst, and book allll page of record thereof. It also sets forth in the
columns provided therde/fc the i1ss~s:,cd valuatiun of each of said parcels, thc estimated market valuc thereof
as of date of death of decedent.
That Schedule B attacbcd herelo ano made part hercuf set;.; fOl tl1 fully and in detail all personal Nopeny
whercsover situated owned by the dt:c~dcllt at the timc of death; all moneys left by the decedent at lhe time of
death, whether in dccedl.:l1t's iiIlTncdi...lc l)ossession, :;tanding to dcccdcnt's credit in banks of depusit, savings
banks, trust companies, or othcr in:,titutions, whl"ther individually, or in trust for any othel pl'rSl)n or persous
giving also separately the uccru..:d jJll~rl'S( thereon, if any, down to the last interest day prior III decedent's
death in tile cas!: of savings banks, and 10 the d,HC of decedent's death in all other cases; all bond'), postal
savings, treasury ccrtificulcs ur !loles ~U1d other evidence uf indebtedness of the United States to the de.
cedent; ell ()h~igatiuns, whether hy statute or agreement they arc designated as tax free, of the United Slates,
or any state, or political suhdivision Ihereof, or of any foreign counlry, which arc owned at Ihe lime of death;
all wClIring nppalcl, jc\\'clrYI silverv...a:.:, pictures, books, works of <Ht, houschold furniture, horses, carriages,
automoliiks, boa':s, aud ,my and all other personal chaltels of whatsoevcr kind ur naturc, left by decedcnt,
together wilh the fairly cstilll3{l'd llH:f:"CI vulue thercof; all 11IInds and mortgages held hy deceJcnl and of all
claims due and r,.....ing decedent ~Il the t:m:.: of death, ami all promissory l1o(e~: or other il1strumt:nt~ in writing
for the payment of money of which dt;crdcnt died possessed, of wlmlsoc\'ef nature, with inl(~rest thereon, if
any, giving the fac{~ value and l~s[imaICd fair market valul: thereof, and if such estimated fair l11arkl'l \'alue he
less than thc fac(~ \'ulue, it St:lS forth briefly the rcasuns for such depreciation liS to each itcm; all moneys
payable to the estate fwm life iuslJrancc policies carried by decedent; all annuity and endowment Chnuacts
the proceeds t)(" which were p:tyahle upun tht: death of the dcccJent; all and the corpora Ie slock!, and dividends
due thereon and unpaid us of the datc of Jcath. bonds and accrued interest thereon to Ihe date of decedent's
death nnd other investmcnt securities uwned by the decedent at the time of death, wilh the markct value there-
of at such time.
In the cnse 01' scellrtttes 01' clOfil~ or f'mIlL)y enl'llt;rllt.loIlS, tllt~ vlllwlS f"I!portfH} arf! IlS f'ar as
possible HlIhstIlTlt1l\tell ll~' l'lfl'\f\CI,~) sl1ltl.'mellt:-i fir till! (~'I1'Jl/lrlltlofl~, sllowLIW; tire 'HiS"',~ Ilnd lluhll1Ues
ltll'renf IlS 01' till"! dllte 01' dl'!l'~h. 'rhc sch('fIHlf~ nlso ."icts forth t.Ilf! InU!rf'sl, Ill' dl!(:I~llenl I'll till"! time of'
liellth tn I\n~' co-pltrtn...rshtr or tHlstnp~o:;. 1\1111 tn :ill)lport. of' till' "111\1(1 of' "iIH~h Inl,l~rt'st theJ'e ls IlmtcxfHI to
slIld sdlt',llll'~, f'Inllnelftl sl'l.U'fT'.Pnt.s "hf)iVtn.~ tho IlS';if~ts !lIllt JI'IIJlll tips 01' s!lld cn-p:t.rtrwrshtp or hllslne~5.
A t'opy 01' th'" f'O-pllrtlll'!'slltp il1,!,"/!l-'ml.'Ilf.. (11' ornl, n staU'i!I(lnt :.;.' , t.llh~ l'orth tll,~ flutllrf! of t.h~ Ill~rl~erncnt)
tOJ!,''lhf'l' \'lith n stnt,l!tnf!lIl, SI!t.l11l14 l'flrth t.h,! chllrlll:t.....r 01' 1,110' 11II,IIII",s. Its 11.Watl'Hl, /Hld such otlwr fIlets
p,'rl/111I111~ 1.0 t1H~ 11IlSlIHHiS liS mil)' Ill' llf'rt.llWIlI, t(l .'\ filii' IIIHl Jllst flpprlllslll of' t,lll~ i1ecwtent,'s lnt.I'rest,
tll,'rl'\n lIlllSt hl~ slIhrnlltl'fl. It should nl~1l set r.n'loll In Itl!tnlzl'd form, I.tJl~I't.Ih!r wltll .th.~ fatr lnnrko!. value
tllf~n'()f', /lilY otlll,'I' prorerty OW II"/! nr hCIIUPIlI.llptl hy till! d('(:l',ll'lIf. lit thl' 11mI' of' df!ulli.
T1lt~ S,/1edulp C llt.tllcl1~d hereto unci Hllldl! II/Irt. h"I'I'()f' set.s fort.h II t.rlle nl\swer to el\ch ~nquiry
cOII'-lltlwd therein /lnlt I,nt.he (.tlSp.nt'trnnSf(!l'sofJll'opf'I't,~', l'l'lll 01' person/ll, wit.htn t.wo yenrs or decedent's
til'nth, 111 eont.nmpln t ton of' lJ(!c/!den I.' s linn th, or t l\t.l'w)ed to I.Ilke eff'pc t 1 n possess Ion or en.loyment. at or
after del1t,h, said sch(>dule Sl!t.s fm'f.h t.he nllLlJrl~ Ilnd v/lltl'~ 01' such pl'nperty, t.o whom trtll1s1'errt~rl, the
re 1 1l.1.1W1Shl P of t.he t.rnns ferees to I.hn !leceden t, tile llrolJOl'f,1 on/l t.e sit/ire recHi VNI hy ench transferee W\d
Illl other fncts of a pert.1nellt nnt.urf! rep;nrdlllp; sldd trnllsl'f!rs. In I.he Cflse of trrlnsfcrs intended to
t,nkl! f~l'fect in possession 01' enJoyment nt or after Ilenth, t.here is f\lso Ilttilr.herl to the schedule n COllY
of the deed, t.rust IlgrpcmHnt. or ot.her Instrument. C,'cflt,1ng ille t.rust.. Ther'~ Is olso set forth in said
schedule n list of all property, renl /lnd personal, with its vnlue, whll:h I"l~sns nt decedent's rlellth by
v lrtue of the exercise by decedent, either individullll y,. or Joint.) y wt th nllother, or finy power of llJJpolnt-
ment.. \'esl.ed In decedent, either individually or .Iointl~', by t.1lf! will, deed, or ot.her inst.rument of another,
Oft Itll n copy or thf~ inst.rument c'rentin~ such Jlower Iltt.n(~heli to the scherlllle.
Thnt Schedule 0 littachect hereto nnd mude part hereof' sets forth t.hH nnmes nnrl addresses of nIl
IlI~rsnns heneficia.1ly interested In t.his estllt.e nt the time of' (h!cerlomt1 s rlc"llt.h, t~he nnture of their res-
pective interests, their relationship, if 11I1Y, to the decO/tent, together wi th the af.~es nt the time of
decedent.'s rtellth of nIl minors, onnu~tll.nls llnfl hene{'lciurles for life llTuter rleccdentls Will. It also
contltlns /I. stlltement showing which of the heneficlnr:les nHJl\ed in the dc<:ellent's will, if any, died prior
to clecectent, the rtnt.es of t.heir dellth, their issue, und the rel/it.ionshIp of such issue to the beneficiary.
That S.:nedulf! E /lUnched hereto and mnr1e a part herl)of sets fort.h all propertr, renl and Jtcr-
SOllnl, owned by the decedent. jointly with /inutlw!' OJ' others, including Intangible, stnnding 1n the name
of the decedent find ot.hers, plus the dat~ and plllCe of recorfl of illst~uments effecting the \estiture or
refll estat.e llnd the date of Ilcf}uis1tion of Jlersonnlt~', plus th(~ name, ndclress nnd relatlonshi}J, if any,
of CO-O\'lners to the decedent.
That Schedule F attached hereto Dnd made a part hereof sets forth fully and 1n detail all debts
and deductions claimed for and on behnl r of' this decedent' 5 estllte, including funeral expenses IJaid;
fnmlly exemption, where applicnhle; costs of admlnistr:iUon or this estate; counsel fees and t\ldicinry' 5
commissions paid or to be pnill; cost. expended for blJ)'inl t.1'lIsts, tombstones or gravemnrkers, and reli-
p;imJs servicp.s, in consequence of' the denth of the decedent.; debts and cl nims owing and unpa1rl at time of
death; t.axes accrued dHu'gen1Jle for 11t!rlod prIor to decedent' s rlenth (exc~pt those allowed under Sect.ton
651 of' the Inher1twlce /lud Estnte Tax Act)j tOj.1ct.hcl" with Il stlltement. of' collateral pledger! for obliga-
t.ions, if any. It is o~rcerl that the ftrtucinry will present proof ot' sllld clnimed obligationS upon re-
quest, thnt 11' the I\mount. act.unlly pllld in settlement. oj' llny f'ce, connntssion or deht is less than the
estimat.el! amount claiming unci ll11owed, th/lt. the SHme villI he reported t.o the Register of Wills, a.nd that
the nmollnt of tax ussl~ssed cnu he r(!Ilssessed In llceorrltU1Ce ther.-.....i tho
Thllt UH~ tol.nls of the npPl'ol'rlcllt.' c,)lumns In Sr.hl'!llules "All, liB", II~"., "E", cmo "F" as d11'ccted therein,
hllvP hef'.n ct\rrh"cl, f'nrwnrd und proflcrly registered in t1lf~ Sllmnllll'~'.
Subscribed Bnd sworn to before me this
"",df:.~;:~~~d~.....,_..
':"/.~,12 ":H..~,~~"..!~,~)),,,?,~.., """,'.'_""'..'.',......,,..,..__,'
(Street Number)
t,e",g\lll!!,>",}Ill,l:!.,.!'.enn;J,., JZOZQ,.,. ,
(City or TOWIl and State)
sorE: Before sl~nin~ ul'l'Iollvit muke SllI'C Illl billuk Splll~f'S 111 UU~ nl'fldlwit nnrt schf:'dule5 nnnexed are
nIl.',l In with ("~lllils or Ule lIl'uro \lNoll(!", /tllel in ellSl' Ul(' ussl'ts inclllde ,"ur(! IUvl unlisted securities,
sl!f:\Irit.lt!s nf clus~ U1" flllldl~. (~;)rpnrl\t.illlls flr 1111 lul"rl"H III HIIY co-p'lrt.llprshtp or husiness, tllnt t.he
'!Ubl and sllltymellts rp.'llllrl>cl IUldl!r th(' plll'ag,l'lIj1h Iib()YI~ l,t!lat.ll1l'.. 1.0 Sc:hl'(tul.~ \Ill" Ilr~ 1It,t.llcht~fi. A15(, muke
cl!rtaln thni column #1 III th~ "SlInrrltll'Y" hilS h'~ell JlI"olwr)~' (~(Jmpl t~t.erl IlS fthove-e1t r('ct.t~ll.
I). r!
day of '
MaY
m 19,..,$0
,DJ.;. ",1 '
('r"U ,_~)
..... ...,,,'
; ,~". ':...'
;~; ')1' "....
REV.450 (0-70)
'COMMONWEAL Tfl OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPf:RTY
------_.-------~-----
Real property in Pennsylvania, with stutcmcnt of mortgoge cncllrnbruncp.s upon each parcel (It deuth of dece-
dent. Property held by the decedent os tenant in common with onotiwr or other, should ho identified
os to quantum of interest and the estimoted value should be thot of the decedent's interest only. (Property
held os joint tenants with right of surviorship or tenoncy hy elltireties should be reporteu On Schedllle "E.")
Tho real property locatad In tho Commonwt:lahh of Pennsylvania Ihould bo
de.crlbed by lot and block number, streot and stract number, togalher with
a ganeral de.crlptlon of tho proporty, with a roferenco to the record of Ihe
conveyance by which tho docadent took title; If 0 form stoh.. number of o.
cru; 01.0 ,tatemont of mortl)age encumbrances upon each parcol at death
of decedent. TOICOS, as,eUtnlJnts, accruad lntorost on mortgages, etc.,oro
to be listed on Schedule lIF" and mu~t not be deductod from this schodulo.
~t 10. 1
AJ.I, ~t celU1J1 traot 01' parcel ot laIId situat
1& the IIoJ'oIIP ot lew Cuaber1ud. C01Ult7 of CWlber-
1_. ud. State ot haDllJ1YUia. IIOre partioular11
ba1llUlecl _ dlllOribe4 u toUows. to wit.
1!lIIII,.llfG at a paint on the oouth aide ot lIu-
teellth street. Nid paiDt beilll two hUJUlnd twelltJ-
011I (221) to.t e..t ot the ooutheut oOl'lllr ot the
1&tel'HoUoa ot 811ipD01l 'orTf IDad 1eadi.JII tro. Hew
C__rlud to Cup Bill lUIIl 81xte8llth Stnet.,
theIuIe oouthwal'dlJ 111011I 1IUld 1l0W or late ot J. r.
IrwiD, thellCle WeotWU'd11 alOlll Aid last ..IlUOII8d
1..... tittJ (,0) tnt to a paiDt at 1iDe ot 1ude
ot IoJ G. IIowI'tJ _ B. Paul MowI'tJ' thellce lorth-
wardll alOlll the _. oae hUllllnd But.ell ud two-
tntha (U6.2) teet to a paint 011 the /JOUth eldo otl
S1xtentha Itreet, th8llOe ..twardll alq the
IIOllth .ide ot lixteellth Itreot. tl"1 (50) teet to
a paiDt. tile plaoe ot _~....41'l1' BartDll thereon
enoted a two _ OIl...halt .to17 true dweUiDI
IunIH IaaOWII _ llualMncI .. 612 Weot S1st.ellth
.treet. lew 0_er1aDd. PemlD1lftll1a. .111I the
_ pI'OII1... wb10h IoJ G. KovI'tJ et al b7 deed
date. JaVA17 19. 19" srutod _ conye,..d 1II1to
nore.e I. leU _ Suah R. leU. whioh deed 18
nool'lled at Car1:l.1Ile. PelllUlJ1ft111a in Deed Book H.
'ol. U, Pep 52'.
~t 110. 2
ALL ~t oerta1ll traot or pieoe ot 1_ sltuate
1& \he Ioroucll ot .ew OWlborlW. Cllllber1uc1 C01ll1t r
P8IIUJlftDia. ba\lllded _ deeoribed .. tollows. to
wit.
1IIauIIl.&1lG at a paint on the .0utUl'll eld. ot i
aixtenth .treet. said point -111I 121 t.et. ..811- !
UI'tId in lUl euter11 cU.reot1on trea the oouthl..t i
oorur ot Sixtenth _ Brudt Stnet., thelloe ill I'
a oOllther11 cU.reotiOll 1Il0lll laIlda IlllW or toneI'll I
ot AJlthoaJ CIuariJI1 _ Juliette CIaarino. lI1e wite. I
UJ t..t to . point at luId.a I10W or f0l'll8rl1 ot I
J. r. Irwin, thnoe in u euter11 cU.reGUOIl &1011I
eaid 1u.da BOW or toneI'll ot J. r. Irwin. 50 feet I
to a point at ludIl ot norelloe I. Jdl ad Sarah I
R. leU, thellOe iD a llorther11 cU.nctiOll &1011I 1
ot nOl'8llGe I. leU ad lIarlIh R. leU 11'.59 teet
to the lIOllthem 11u ot Suteellth Street, thell.Oe i
a ."eatlr11 cU.reot101l &10l11 the eouthel'll l1u ot
lixtHBth Street ,0 teat to the place ot lMp""il'll
"111I the .... prelliee. whioh Jlo)' G. Mowrel bl
4nd ..ted ..., 8. 1,4, pv.ted _ oonTe,..d 1II1to
SanJl R. 1e11 _ nonllOe I. leU. whioh d..d 10
nooNM at Carl1ale. h_. iD Deed Book Z, Vol.
(1) (2)
(3)
Dr,PAllTMENT
YALUATION
CAUTION
(Do not wrlto
In thll .poco)
ASSESSED VALliE
FOR YEAR OF ESTIMATED
DECEDENT'S MARKET VALUL:
DEAlIi
';'-7 'lO, B9.000.00//
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the last page 01 this return.
.51 vc-<:, <0
~ .
tl9 'l'
RE""451 (8"78)
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Sdwdllk mllsl disl'ill:;e alltangihk and il\lall~ihle persollal pruperly owned illlJividually by the
decedent, <It the time III' his death. ProPl'rty owned hy the del:cdcllt jointly with another ur others lIlu:;t be listed
~llHler Schedule "E". Intangihle per:;ullal property, titled ill till.: lIamc or the decedent, hul payable at death to lInother
or others, including hut !lnt li11litctlto p.o,n, U.S. SiI\'ing.s UlllUls Hlld h~lllati\'c trust aCCollnts, must he listed, despite
the fact that they arc 1\01 of the lldlllinis ten.:d estate.
Tangihle pcr'iol1aljll"Olwrly should he listed firsl (e.g. jewelry, wearing apparel, household goods, and
furnishings, hooks, paintings, uutlllllllhiles, hoals, etc.)
Intangible personul propl'rty, sllch as honds, treasury certificates, cash 011 hand and in hllnk, stocks,
mortgages. nnte1-i, together with accrued interest or dividends, salaries or wages, insurance payahle to the estate or
fiduciary in said capllcity, partnership interests, interest in any undistributed estate of or income frolll UIlY property
held in trust under the will or agreement Ill' anothl:.i", even thuugh loc;lted outside of the State, at the til1\t: of death,
should he listed in this Sl.:hedule.
Itcm rmM UNIT ESTIMATED DEPARTMENT
No. List and descrihe fully VALUE MARKET VALUATION
VALUE (Dollot write in
this space)
1. Checking Acct.-CCNB Bank NA if 014_000218-9 277 . 79
2. Cert. of Dep.- Harris Sav. Assoc. #122734 10,330.00
3. Cert. of Dep.~Harris Say. Assoc. #01-09-127839 12,437.75
4, opt. Passbook Acct.-Harris Say. Assoc. # 20 2,793.35
5. One (1) E Bond-$25. Q6237158111E Dec. 1978 19.61X /1. $'.3
6. One (1) E Bond-$25. Q6181742559E De ~ 1977 20.60)1 .2.0,"~
7. One (1) E Bond-$25. Q6096502792E De c .1976 21.71 ;'l ,,<, I. fIf
8. One (1) E Bond-$25. Q5216759848E Dec. 1974 25.26 X .<..E. t, 1
9. One (1) E Bond-$25. Q5095993742E Dec. 1973 26.80X .,t.>.7 t,
10. Misc. Jewelry (See attached appraisal) )08.00
11 Furniture, Dishes, Pots, Pans. etc. etc. 965.00
Insert this total opposite uPcrsol1all'rnperty''. Schedule uB" in XX 27,225.87 .2. 1) ..U~ . 1 I
the "As Reported" column Oil the last page of this return.
49"l
-.;1 h,t~':~I;~';";"'h'''''''I'
':I"-'.t';"i~:~';--_. ,
') ~':'-~,"-~~~ !
-.-..
:;'\.l. ?,~.:::~ .
:;1 '
CERTiFIED MASTER
WATCHMAKER
.\~!~\~~~-
.t'lf~~
~!si~~, ~p~
....\~..'~ l'.l..f
....~ .... ~\~
"~'1y.;r.....-<-
PRESIDENT
1917-18.79
..."ltl\/"~
. ,~\.. . "..~
1 ~ '
A.A
....._,-
./to....",.,..,...
-:==';..~~~=?:=..
,":..~:=(7,;;,)"'..:..-=_
,..---
CERTIFIED SENIOR
APPRAISER
/--:-~~
1 "/:E';-SjP' b';"
~' ,_..-, //
,-,-::::......-,' '
......1;_
..-
~/
,~
CERTIFIED DIAMOND
GRADER
cPUcI.,
~:;;'.':i.;
--.~::-.:::=-
--
GRADUATE
GEMOLOGIST
:t<VESTtI.ENT BROKER
. DIAMONDS
. GOLD COINS
. POCKET WATCHES.
. 1::5T/l1E JEWELR'!'
BOUGHT - SOLO
APPfMISEO
MEMOER.
r;:"T'l. AS!:iQC. WATCH
:. C:"OCr. COLLECTORS
AMER. NUMISMA'l"C
ASSOCIATION
RARE "OJ! CLUe
."11" .'.rAI:AI".A
rvValtcr g. CJeiCf}lcy ,ASA
WATCHMAKER
APPRAISER
ENGRAVER
JEWELER
BASE JEWELER
P,O, BOX 16023
Me GUIRE AIR FORCE BASE. N,J, 06641
TEL. (609) 723 - 8414
,'>arne: TIl'\..4...., e?v\...Q
Cr> (.).. LV,.u,\
n'-
;((<).,\ l' /1...,~
,~~L
Aciel ress:
/v,, (J f; () 1 fA)
Cily: ~ L.lIvYi\-\J-€A.-I:'O,,~ Slate: J()o.-.
Jewelry AlPpr21lis81ll
Article
( - ^"i I y-t:: F ~~ ZY-~<Zd""- fr~J-.
l _ ~~ ~ t.,::lN;wvv>v jW~ /.-v~t:f-.
~ ~CA.X ~JL,
~~ pi6'#r~~ ''''~G-Vtcu
Il~\-L~~~~J-'u~~ 2-+rr wPJ:L ~
II~ ~~~ ~It ~C41;d-
t - w-;ivt.. ~ r -FW f 'f-1f lo-~
l ~ ~\.J-;tJ. cP~ ~.{J f-iJw I ~ 18-v-g,
I - ~\r~d-cJ2,~ ~ r 8 f( ~~1v.r 1Jui2& '7rw-~ ~
/- f?o~~~v~~Ov~
o Hcplill'(,llll'lll "ppri.li~ll
Estimated
Heplacemcnl Cost
--,
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d.-&d I -
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J: ( .ol-<l
b,<S0
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~u.
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nUl 'r;.UluJ ~.pr""IlU .n ..u.n.
n' u.. 'ppnUl.r. ut,lll npJ_r
..J.... \"hoIopUonll t;>l .",.,u...._II
n'v~pUll)'. r_.I.....Jd.....c..~
to ..ll U-uU"J. IQr till' .......c.
OW'9'..:UI>fO'''''r'''. ...J""\1'~
M.... tD U. poll") of tIw ,.,.,d
fT~oe-"J"n.
'tzj The vahu.'s held)y dS~lgncd are ('~III11;II('S I>ased 011
1I110rmalion ol>lillnal>!t' while Sl<lI1es remained In m()U,,1in~o;;,
o SIlIlH'~ \VerL' \\'l..'lgllL'd and gr<idcd 1lllSl'l
'~Juc.. II /, ~+-j).1\ 12
II.llt;\ 1\Ppr;II~L'Lo-t'v.... b-~......:::::::J:
Oi:)'
.
WI..' as.-';UIlll..' no liat)llity
willl respect to nny
i..IcUun Ihat may be
laken on tIle' basis of
Illis appraL.<ia!,
, '.
REV.4i53(a.nl
'n'
" (~~~
~f.7~',
Hk,<1,o\m;., "
,I~" ~JI:!'..,,,,),.
_-t,If;Jf.,(>eN'-j-
COMMONIVEALTII OF PENNSYLVANIA
TRANSFER INIIERITANCE TAX
IlESIDENT IlECEIlENT
SCIIEllllU: "11"
III ':~;FI:I( 'IAIUES
- _.~.~--_._--+---- -
- - ---'. u -'-'-"~-'-'_._-" --.-
IlENEFICIAIUES ANIl AIlIlIlE~~ES RELATIONSIIII'
(Stutc fullll:lOlCfi llnd nddrl'sscs of ull whu (If step-children ur SIlIlI'II'I'1l IlATE INTEIlEST OF
Imvc I\n intcrcSI, \'ested, c(jlltil1gcllt or uther- illegitimate children IJECEDENT 01' IlENI':I'IC1,\RY
wi~;c. in c~tlllC) are involwd, sl'l STATF YE~ WIlTII IN ESTATE
forth this fIlCI.) OR NO
Mary Louis Batche1er 'H 0"0 v~" To""' One-Half
M~ ~t i nSlCiJJ.e... II ,J QA8J6
Jane R. Tonero Niece Voc To,," , A. ".H
612 West 16th ", c
NAW r.l1mnA,..ltl\"l.4 . po 1 ~71)70
-
-
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME
DATE OF DEATH
RESIDENCE
.2J....
"
.9~"""
~...: ~
)0- ..
'" - =
'c ~ E
._ u ::;I
e- -
_0.0
~ e U
'10"
" U -
o ""
~ _ U
"'" ~
U = "
u e 8..
>< ~
!:! <z:
SUMMAR Y
Real Property
Personal Property
Trunsrcrs
(Sell. "A") $
(Seh. "II") $
(Sl.:h, lie") $
$
$
I
Gross Taxahle Estute
~ ... ""
= Z ~
UJ '"
::;:: ~
>C u '0
UJ u s::
~ '" ~ .. ...J
:;: Q M -<
... VI
c.: I.l. " ,;: :;;:
Q., ~
Q., 0 .-< '0 = CO
'M '" ~ " D-
" <t "UJ " u > D-
-= -=... ". .-< -;:, -<
0 ... UJ I-<<t ~ r.. '"
:l: = Q
Z .S ... ....... . " = :z:
0", ~ Z .0 ~
I.l. t.lJ 3 a.. -<
0 .c: .... ~ I-
.. 0 u 0
r.. 0:
c.: .. 0 .:; 0
UJ Ul ... " Cl.
... 0 W
II1 ~ u
... 0 ~ 0:
<t ~ c
::;: 0 >, c
- ~ C E
- ;; = e
~ 0 0
..J U U
(\)
(As Reporled)
39.000.00
27.225.87
None
66.22<;.87
.' ,
(2)
(As Determined)
$
,$
$
$
$
$
REV-484 EX'I p-t\O)
INHERlTANCE TAX SUMMARY SHEET
(~U..B~AU USE ON~~)
File Numbe r~m.~.21=79=.o672~u~______________.__ .m'________
Estate Name
. ,Sw,ahll. Keil
Date of Oeuth --'iQYeJ1l..beL()_,ml979.m___
Socinl Security NlImbN .
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritonco Tax Appraiser in and for the County of Cumberland
Pennsylvania, do respectfully report that I have appraisad the real end personal property as reportad in the faregoing
return at the values set forth opposite each item in the last column to the right in Schedules "A", liB", lie", and liE"
Dated:
AllguRt 14, 1Q80
..Pli, .,,',, /'j/':', ft.",,'/ )
INHERITANCi: TAX APPRAISER
INVENTORY
VALUE AS APPRAISED
ADJUSTMENTS
CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE
Real Property (Schedule A)
$
00+
92+
Per.onol Properly (Schedule B)
Joint-Held Property (Schedule E)
'7
1 10+
00+
Transfer. (Schedule C)
None
30+
TOTAL GROSS ASSETS
_____.___..66, 222..7L ___~_
Leu Debts and DeductIons
(SCHEDULE F)
CLEAR VALUE OF ESTATE
40-
93-
Valuation of life utates or
annuities. . . . . . . . . . . . . .
RATE
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
T ox on $
CODE
COMPUTATION OF TAX
$
$
$
$
$
6%
Tax on $
15%
Tax on $
Tax on $
T ox on $
Ey,emptlons
Total Estotl!
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$ ,
Leu CrcdltSl
DATE OF PAYMENT AMOUNT PAID DISCOUNT INTERES';
S + $ $ =
+ =
BALANCE S
INTEREST FROM --- TO I
BALANCE OUE S
TAX CREDIT
$
~ ~
~ ~
Z r.>l ~
0 :>- .-<
r.>l
ell 'tl
;J
..1
-<
-
u Z 0
- .-<
I'- 0 N
I'- -
0 ~ 0
~ I'-
I'-
~ 0 ell 0 Z 0
ell ell :>- fo- 0
- r.>l ~ Z
z E E-< r.>l Z
..1 0 - 0 ~ ~ r.>l r.>l
..1 Z ::E z Cl U " Z
~ ~ ell ~ 0 0 ~
r.>l U Cl :l
:~; ~- '[ i WI. T I UIJ',
flJ I'" \.Il' I.-Tq"'! ",dill t I oIJr "
l'll (.Ill n\!' tlll'.' (,I :1!lJr,o'Y \I"jt.r
'1'11',
El61 \n I'~;
1":j II"
"
. ~ II : J " I)~, I
l'l.td,'
rr1.
1"1.1
. . ! >II ~ '
dl5COIJfH tll :IV(; '1:.1) W'I':t'l,ll', ,dlt"....,:,11 \I.! f':;
/lVl I1bl
IrdH:llldf',(;,! 1'::"-. nl_ll<'r :Ir;,n ld' <",.1 I, "I',' Inll:,.
:' ,. .' , ;II' ,: r I ! ! I : , I , I J .. . 1 ~ ,,, I "t I, .' Il' (: ~,I'
011"1'
I,.: \I),'
:,'" It: ill I' df,d [',t,I:I' i ,I': .'\C\ uf
, IT
(i)
1:1',; ;Ir,'; if!!: d, ,;1\
"I' 'JI:'I,!'I'!.,J
':',:1' ,f :~", ,;;',:.~ Li 'i:'_) (li:LL.'ri,~n:',; (:1~,1'11 ilrhl tJ(~nJrr~'~5
dl~llrqllt~nt ill lll.." ,.,~:(r,l!I(J" ii! IIlnL' (~~! !i'ul;',i,., ,-j!l. n'" fk',~"~"r"": 'I"il" 0" PS ( /'4i-h-11Il Inh'-,rlti~nU!
T",; on .1 tUtUI!! IIlIUf",t I!: 1';Jy,lbl\~ \1','1111111 II1f1~" I:,) nHlll~W, al'.'!1 Itll~ tr,"!r15h!! I"kl'~; ,,!fpc\ Ifl pr"~':if!S~,lOn iJnd
elil'.''rl'~: Iii ,1I',t! I'; c!1~1:. II;f~l\t i:,l~r,__;di', iF' p~;
on :1](' lil!;'~ ulll:, , Iolln; tl) nil.' d"I(~ III i,':I-,I<11 1.';:'(:lll~r-.t
-----~~-
1 r'-'1111l11 .Oth
2 month!; ()H)
3 monlhs ()Hi
1 d,lYS iY'Ol'i
2 days (I(XUr.
3 dilYs OrX.1S1
4 (jays OOOGe
5 dtl~".; 000');-
_ ,,,J)
6 days (;0101
7 doys ,OO11e
8 days OOiJ5
9 days OU1 ~,2
10 diiYS 001 f:)~l
- - - - - -- - ,.-- ,-.- -,- - .-..- ,------
': nil;!',:I!',
020
.02.5
OJO
:' Ii
l'lilt' 1r,~','; 1 :1',lll \; dl'l,rlqlll-'fl! ddtu ~hu,^,n
ILl), l
IrH} tll'; i"Ii[),,,'n~1 11:1.,: ,; ,1 1<1\)1,.
-- --- -. - -.-' -" ."- - - .- -..-- ---
1:1111;
((h
101i''''J11\l,,,,
,050
055
Of'JO
[,llliJPt!,S
L II\1Ifl~ll';
j 1 ddy:,
l'/lJ,l\";
1 :~ ,lei',:,
i <I d;,',:,
i ~i d;l',"
1 fi rf ;1\:~
l'io,i.W>
~)~ d:l/
~ ': ~: ,I',':;
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PI: .1:.11'
n,lO
11 lIlC-flth5
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0.; ~)
11. IT HJ 11 II l~,
(1' ; 1 ~'
" UiI\'S 003~12
) ~.' d.:iyS 00369
23 d~IY~, ,OO38G
~'"t (la\,$ ,00403
:/.!5 day:> ,O04~0
2(j d.J)-':; 00,137
.'l7 ddYS .OQ4!)4
:-:~~ day~ .004'11
:)<) days 004BB
~j[J d:ly<':; ,00500
( I~ i ~'_ 1 .' :
UU:':":i
)>~o
O''1:iiJ/
OC:Jr',;
C,rnU1
nil',; H
O~\~-Lh
/\rlY pr:jfly I', ,!,~, II:S!. iIH,:I\I.1lfH:: 111.' Cr)r':;!~:)I'I';'(::'I"1 ;'[,:1 ';"I~,'Hld! 11"1"': ,,,,,,,,,'e, n'_'! ~;j:ls(lCd v....nh
the a~;~;e',;~>ml!nt ll~;l', ()~1J',~r:l :hl;~;:t(j wl;lill~ ~,1,~1'f lGU:: 'J,,' ;,li_'~ .'Il:! oi l1rl~; r~o: ::r' ,\:> plu'''ld(~d hI' Sur;\IlJn
1001 oj li)\~ Illher ItJnt:e ,md t ~~hJI(: "I <1>\ Act U1 i :3',1 \ /} !' ~J /.'l(;~, " I'C I "
"Hl~\; \ t I:: t \
r,t1b' ~,i \,;,: j 'r I" r ", ~ \()
.,\,: t'
,;;
'::
"'T",'
._---~..,.-=--.""""- lI:I:II. _""-__..'" ___--=- .......- ...-=-.... --
n~~:el,t1/J~r\,:<" '," ," 'COMMONWEALTH OF PENNSYLVANIA , '
~~Oi;\t06~'3' 0'" ,,' ", DEPARTMENT OF REVENUE ' "
~tiJ:~ii~,::(:;:~\,IOffICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX '
If"""""""''''':' '
; RECEIVED --------------"'-~ THOUBABD
II
a From,
~ Jdress
ij
-_..', '/t"",~.
'. . . "j}(;'.,:
'. '" . "",.,;
Ii'OIlTY-KIGR'l' " 91/100---------------..Jlollors
representing Pennsylvania Inheritance or
E~'ole TOle due from the following estate:
Jane R. TOntrO
C/O Robert J, Trace,
111 LOClU.t Street.
..q.
2'7c Tax on
$
Barri.buN, fa,
17101
6% Tax on
s
21-79-672 Dole 01 Deoth 11-6-1979- 15'7, Tox on $
I File No,
Dole 01 Payment
Sept..~~ 2, 1980
'7" Tax on S
Estate Tax, Ac.1 of
Moy 7. 1927
Name of Decedent
Q&DI.R Ra KR~L
County
t!1...'h.rl.~
TOTAL TAX CREDIT
Less five percenlum of lax if
paid within three months after
dole of deolh
Plus interest at the role 01 '\
<;" from 8-6-80
\
emorks:
"PAD) IN 1'1JLL"
(.0
10
9-(i-&0
'U'OO~[p~~@ffilJ'rn SEAL
TOTAL AMOUNT PAID
NOTE: Thl, Triplicate Receipt to be retained for audit purpolo,.
I
Received bv
NOTE: In occepllng Ino tronder Inherltance IOJ( on future ,,,lolliS, prior 10 the deolh of the lile
lenonl or tenonl for years, as e~ldenctd by this recoipt, II Is vndllf5tood thai the Commonwealth sholl
not be precluded or preventod Irom hueoher auusing addiriol'ol inheritanc.e to. nl '~'II death of the
life lenanl or lenont lor years wheneyer II oppllon thai luth oddillonol 10J( m<'ly be legally due and
toll.cubl. for any reason whatsollyer,
$
$
$
$ I
$
$ 2,O~A.72
$
$ 10,19
$ 2,048.IU
, '
.---.--.--------------.- -----~- -.----.--------------
,