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HomeMy WebLinkAbout79-00749 ',I, ,,; <f~"\ ! ~ Jl,', I'i' j' "I ,\.-, , "i [1,1' 'L t, ~, ,-" H"I', ,~_'I ',) , -j, - -"..,' (",,1 ~/!! ,,~,' ,i' Ii ,~,' J ,.,' [L '..I'i, ';lj " " ~:/,' --, ' I !"_ ;::i~:,;:~\ '~-f:.' ;0) : ;~' '\i'''i'. ym(:',. . (, __ ,:'j\~;:}':'(~~~',;\,:I~:i ,\,~t~.~~,,~ .", '.' ..,~.' ~"J,i~:" . ,- ',,- ;,'. " ", 1" " -Of' 'I 'I: ,,--' [1" ,il '1.1' " I. I;" , / ", ,l' , , " " " ,1\ " I ,''- /, " ", ',' j,: ,,; /. ',' , !i -i, " I" ,I I' " , " .1>, 'I' , " " ,,' " " 1. i,; ", , ,I '1,,1 , ,~ " ,'I', " " " " ~ "I ,~ . ,I '. d' ,', , ,,' " .." " I, " . " '", .' " " " ,. . .' " , ., .' ii", j. " " , ,/ , \. ;1' .' .i' ,,.' " " H.,':,,,: ~, I ~ '\\. y' , , " " I.: ."t. I \' '" "I' " " No 21..79 /.1~) PETITIONFQR PROBAT,6 OF WILL AND LETTERS 'TESTAMENTARY' In the Estote of ____".~~" IdLON!L~L.(:ooYlm "."...u"d'" der.aased, IIIll',Q1d I!, MC/.fI)\O I Doputy ," ' To ~tq&~ClIXLifXmildltlx:s({)Xf\ Roglster of Will!; fM the County of CLlmberlond, In the Commol~woalth of [:lot1t1sylvonla, IS ' Petltloncr(9:lIll'lIl.lthe executriX nomad In tho LClst Will cmd Testament ,of .... ~,Jj,QQ,I1JJ.NL_(:9QY.(l\' dolor.! .i\.~lLmH L1li"clJ175 Decedent WaS 0 eltllen Qf the United Stales 9nd 0 rosldent of , , xKllIwmk1i;Jx ~_.: GlIl~U1!J.Q...~___,,_:___._, 13orOl~gh, CUlnborlond County, Commonwealth of Pennsylvania. . ' . Decedent died on ""."_..JwJ.\lJ:\!m:._,,., tho, JZ1;I1, u' doy of NoY~oll\bol'_...., 7!J ' A, D. 19,_-:-:__" in the Cout,ty of" ." .CUII\IH)l'~f\ndL ..,.u, State of' _J~Dnl!y,1y.J!llL\l~._,_.-..m__" at the Cine of ,.JHi.. yeclrs, X~ k~~ I,r,r "Decedeht has not been married and hos not h<ld children born to Xi4m sirice the execution of the above descrlbod Will. . Decedent was possessed of personal proporty to the yalue of ul}e.~J.!!1lHe9...".,,__,_,,__mHn''''~''L and ,of roal estalE'! to 1he value of _c._ un~~til1l~~,~sL_~_,.."_...~_"__U__ os near os ton be ascer:toincd; said reol estl'.1tesltuated as follows ._,,-,,' -..---, .n. '''__~_'~H <___. ._~".--o",,-~._... ". ',.--->!r_'~._.".._'T_~'h""j;"-__"~ ~...______.._._.______ ." '.'__' ','~'- ._~,~~___.u _ .__~_~~ ,~..._~_ -0- ',_...~.._..,-~--~'~." ~---~---- , apply Therefore, your petltloner(s) respectfully applios for tho probate of the sold Last Will and Testament and for ~etters Testmnen1orythoreon, Doted_...~cemb.or 2..J._-1il~tP______._," ' N~~;e~~~~~~(:~ss "J~~~(fn~~~~;;fn"'J~ua~;_'./,,--,._u.,~ 811 N. West St. " ' . ___._,_.. ~~ .._ _..._...~__ __........n.________.<.~_........._~__~........___________ , Gllrlis10 ' Pi\. 17013 ' ~>+~~~......_:_..._,_.__L__......................,..--,,_...--,_._........-........;.;.-u-- ~~__.._~___..._.........--.___~n_".~___~'~'__'''__ , . COMMONWEALTH OFPENNSYLVANIA lss COUI--ITY OF CUMBERLAND ' , \ Janet n_, Gnlamun "_.____~.._.. ,_ ,_,_.__.......'''._. ..r_~__.__ __...,~-----.~... 'u....__--.--,-_-----'-_~.._.______ \ . named In above application, being duly _,_.sw2,Y.~_,,_m,_,_'u_;accordlng to law 'soy(s) that the statements. set ,forth In this petition' ore true to, the be~t of, _~!........,_~ knowledge and belief, Sworh,t~_ and subscribed before"Dl.1J.i.J.l~_&' (-';~:c.'.t,~ JJ(~t_l.vl (1 ' . mo, '-yeceml~_<!.!~...__!.!__u.______ 19.]9 '''L ~~"> .~:Uj /{vY>~~,,~- ,0\ 6' XR*<<~~~x~xJA(~~m~l\)Xl\ Register /.I Harpld B. McLn.no. Doputy ,. r___ ,",._...___________~_.__._..'.~___. ~~ --~~-~,..".'~~.-----,-_..__...~_.-.__. .._".._~_____ '_ _,_"._t':_~T""""'4.--.~.__. D.aelllber 19, 1979 /c,..:?,J~'~' (". Attbrllcy: ,,;~>-:.:r~l .J !\ III 0 S It, Illtlllo r L:;i,J..:,---,--'-- '. h' ;'. I' , 3Uit~t. 31tHll nub' {lli,~htt1il'llt ' I, l,JiONI1 ~t. cMVllll, 01' (:hll lIorolll1h of' Clll'l:lHlo, Cum\1orland County, l'onnny.lVII!ll.lI, dOlfJU1'q thin (:0 bo Illy lUll!: wLll 'und tostamont un ,revoKonll IdUH which I hnvo p I'ovl 11IIH Iy II\lIdo, ,. I Illvo nnd boquollt:h lilY ont:! 1'0 oHtnto llnto /lnd son- :111-11111', ,lunu!: ()(1(l II 0 I' ClIi'l11II1I11 IInd MIIX II, Cnlnllllln, all my ,da\.lghto tonants by " tho'onti.l'oUoH I II' hath (II' t:h1111\ HI1I1111'nl1 t.o Hurvlve mo, I givo Ilnd bequol\t.h tho lIUII\O 1111(:0 Ilullpldn 1!llpOHlt 'l't'ust Compuny, to hold' tho sarno fn 't\OPU1'Ut.O oqlllll t:I'll!lt:H 1'1.;1' my t:l~o 1l1'IIUdchlldrol\, Mark A, Calaman and " tORu, A, CnlUlllnn, (:(1 IWcllllIll.lllt:O t:ho 11I<.',OIl!O nnll to dIstribute to each grundchlJd 1/:\,01' t:11\1\11"'1111:lPIlI upon ut:t:a:ln:lng tho ago of 2l Yl'lara, an tho hnlul1co of' p,'ll1dpu,l un,\lll1l.!oIllO upon IIttai.nln!l tho ago of 25 years , If oltho~ Hrul1d~hJ1d Hhlll1 dlo hoforo flnaldi.stribution ~urVived by hSllO, tho tl'llfltUo Hh,/IH ho:I<I tho corpus of said trust fO,r tho childls survivinlll 8t1UO, I,llHIIf' t11oro ho no survivi,ng istluo tho trulltel;1' shall add tho carlius of $llId tl'USt. to. tho truSt of my s~rvivil1g grandchild, and if 110. grandchild survivoH the t~ustoo shall dIstri.bute the carpus in aCC01'U!lI\CO wU:h J1!1l'lIllrOJ1h IT of th1.s will, 11 11' ,l\oHhol' my dallghtor nor my san-i.n-Iaw nor a!1Y, iStlllO nhllU tllIrv.lVl1 11I0, 1 g.lv~'nl1d boquaath my enUre estate unto. the " Elk's 110undllt1enrot' C:orohrlll PIIlay, ' III IItJJ1o;l.l1t ns QXocutl':lx' of thla my, last will and test/lll1ont my dllullhtl11' ,Jllllot II, (:111111\11111. and if for any reason sho shal fail to qUill try 0'1' contlo to. net liS such during tho. admini S.t ratian of III estut:e J lIJ1pa:ll1tu" Huhatit:lIto o~ocutor my son-ln-law Max ~, Cala~an; if ,rOl' !illY 1'01180.1\ ho sh/Ill.fllflto qualify 01' coase to. act as such, during tho udll\ll1inf1'lltiol1of, my estuto, I appoint Dauphin Deposit TrUs Co.llllllll1)' IItI III to.l:11Ilto. executor of thts will, 1 N WFI'NI1SR WHBIWOF, I havo herounto set my hand and sea'l thl./l ,fJ.~,=.. dllY or MgllSt, 1975, 'ti'(','!)1 I.~ "J//i,:')'/'-l/L{, ;L)($EA ) ,", ~/ .;'C"'" ...' , \' /illllllod. lIonJ\1d, IlllhUshod unci clocIllrOllb)! Leone M, Coever "testatrh IIhoVo 1Ianl(1ll. 1111 "rd far hor luat.wu'1 and toat!}lIlont, in aUrprcs\'lncc , WII.o. 1.111,10.,1,', J1l'o.lllll',lC01 lIt,' hor rC;1quest" and., in the ,presence of ,enchothe I1I1Vo IIq1'ollnto. slIhacrhod our namos !IS attesting witnesses I __.:;~L~JL ~' / ( cj I, fJl: ...) P, tj """ ) 11J .. 7' J ,fL.",,;.. ,.,. , ! , " . OATH OF SUBSCRIBING WITNESS " OOMMONWIIJi\VI'11 flll' PII)NNHYLVANIA [JOIIN"'Y< II" ('111M mllll,AN II I HH: , ;; ! , , , ~' , " " ", ' ".,"" 'l)ooomho1' ",. '79 I h\H'''''''''''''''''I'''''''''''' I.,A ..,t ,I..""""",,,,,,,,,,..,,,,,, <lu,v ul "'''''''''''''''',..,....,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, A,IJ" 10""",:, 1I1l1'old n, MOI.IIIlCl, 1)I.lJlllt}. " , ' hol\ll'tJ 111(1 ItdkIllN,glJll.)(~"d1H'H~" I(Uj.(IH(,PI' Ill!' t.l1U P,'ulllll.uul' WlI,ta /I lid g'1'uut/nj.(lol.l.ul'a (Jr Admlnlstrllt/on ' , 11111'111\ 1\11' Hulll (JlI\lllt:V ul' O""ll1ol'IIII\<I,lll tllll OUIllIllUIlWt~Hlth 1I1' Pon'IlH,vl Villi III, POI'sullnlly cnmo "'''''''''''' ,:.",,,,, "'"".""",,,,,,,,,,,,, ,( I ,9,1p. n", I: ,'"" n~,~ r.LI;", 1\ !),~l", r"I,\ n !~., ,N.t!.l~Y." ,'!:.!!.9,I!\11 ,~.,"""""',.,.".,''''',.,''''''''''''''''',.",.,.,',., ,'thu RIII,lalll'llIlnj.( wltlloaa('a III OW 'HIl'!Ij.(ulllj.( ,lnHtl'IlIll0I11,c;" WI'fLlng plll'pllI'tlng tiJ bo tho,lnst WI\! 'nnd 'l'uHtllnllllll, O/' .. ;,,,,,,, 1,,9,RIl.~I, "N", ,,1;,9,9, X,9.1:.""., """""""" """ ,.""" ',"'" ,,;, ,."., '. Dntod ~,HI{,I,I,~ ,t,.~'!i.l, "~,~,7.,9.".,, ,,1,\1.0 111',,,.,,,,,\1 fl.r,U,~, J,.q".IlR,I~\Hl~I1,,,,, ",,', "'''''''' ,,,,'" "',"'" "",'" .."".., "".", Glllllbol'lllnd County Pn., d~consod ""I ,I I I I Hwtll'n I '11 t I' I 'I II t they' \""'0 "W 10,)U IlJf C U ,V "PII';'''''i'''''II1l''''''HIIl!'Hlltlll HOCCU ( ng ,n H\V, eopoAO nfle AUY, ,1U ......1'111 tilt 1.1"'11"'''1<'''"", '1I':061I1\t, nl1<1 HllIVlIlld hUll I'd t1w t,OHl.U..trJ./I",,,,,,,,,,,,,,,,,,,,, "",,,.Ji,9.P'!),9,,.N,,,,,ft.\Hl'y,\H:,,,,,;,,.,,,,.,,,,,, """""".. HIIlIl, HO,\II,I)\lhIlHh, 11I'lIlm\lnUO und l!Clclul'u tho Huld IIlHtl'umllntoCwl'lLlng Ilsnnd for h",Q,r""."",' Testl\ment /lnd 1,IIHt Will, und fit tho (,11'10 II/' Hodtllng ""'''i''''''".....""~,I.1R.".."..""..:,,W!1S of',sound find disposing mind " 11\1l1l101'Y 111\(1 uncll111Htflhdlnlff (0 thu bOHt or ""...,,,,,.th~.tL,,,,,,,,,,,,,,,,,,,,knowllldgo, OhS01'vation Ilnd boliof, ' "i",,,~Wfl,1111,:,P'P''''''',',,,,,,i,,,,,,,, nnd subscl'lbod bol'ol'o , I'" I 1<.1 ,(".lr~Irt~.".l.lt" '~I~tY" ,.,.)" ,7:(,., j((:l~A; Ill. H" J' ,01') /1:,' /' ~ . ," ,'.' ~J 0 '.., ,~". .',..... "~" 1(.~lIr'\.'..1 i ~~'i' ",C'I (ft- 'ttl};"}".(."lt..; to. .'i.. '" 0 I ~ J~' '~ i- t:.. ' . ;;', ,C, "'" ) "" C:Y.1" '" "~'H'" \",,1" "\();,i(',.~,,,,,,,,,,,,,,,,,..,,.,'.,,,,,,, xi addjJxAJIIKOO>>Llll, HOUIHl.OI' ,~,. "llurol~ il. Mcl.ane I Deputy ..I...........,..."...I......I'O.,...'.....,'....".,llli...III.........i,...liH AFFIDAVIT OF D,EATH , ", :~b~::~N:;D~~'::~l:~::NSYLV ANrA f, ss: , " , ,Jalle,t lJ" Clllalllan, ' b' 't' d I "lOti I"~ IUlflllllH '.11111 i. i ,1111 If II' III!'. ... """"" "I j III .....,,,,, I......""... '1" j ,..,..; "'" .11..... .1.';'........., .1. H I.....I;! I....." H'" .,., e ng u y , ' , , ''''''"."."'''".~,l'f,9.r.n."".""..",,. Sl\YS thnt as nearly aBcan bo IIBoe\'tlllned the said docedent "'''''''''''''''''''"", ' ''', :" " " ' . , l,eone ~I . Coover ' " ',' ' dl d n I ;1~1" j 1'11111,." ,It. .,1' III; I. it lit... '111 H j I t j .-.,,; I..... '" H;, .,.... .,.,.. .,.1'.... """.1.1... 1<.... "'" "1",; I.... I" I"" '1", j ,"1"1" '1", .,.... '1" e 0 "",,,~R.t,"~:,y,\\r....,"""'''''''',..,, t110 ...."J.?,~)),."."."",,,i4I1y of ."".~,?X,7.1}lR,7.:.~...".",..".....""""i.. A,D'f 19~?,P.",' ~t 01' aoout, ,..,It..i,~III,j~,9..:....,.ttIH..,...,..... o'clock! ~...M. Swot'n 'to 'd I. 'I'b d'tl I ' '"ij;iitll.IIIIIII...'tl"'I'H""lli""I'I'i"I,an aUusc~ 0 18 '''''''',:",''''''''''~,~~, ,'..""...,....., day, of ,.....~,9,y;~I!\,p.~X . J)~,.I ,~~/..dr..4i,~.(;,;~..U,l, ,~.,..~,l<.(,....".....,. II, ' , 19,:,7"Q",berol'o .~" ,! A~"12?l" ~,. ,?/" ' ,,-' .,,' ,~" '(':> , c,,;, ,\) '"'' ,1M1,;\t,-". ,''''''''''',' , .' ""~,: "H-,',f1o,,,,,,,,,..,;;.. "..".... ldlIt~.xJ\"dil<<lIOb; ROlfla(.ol' --. Ilal'old D, MI;LIIIlO I ,Doputy OATH OF PERSONAL REPRESENTATIVE COMMONWI,MI:rH ())r PlnNNSYliVANIAl COUN'!'Y OI~ CUMBERLAND ,f SS: Beforo me. ,the Rog'laLel' fOI~th!l Pl'obot!! ol)VlIls und MI'/InUnf.l of' 1,0Ltol'a (If' Admhll~~I'IIWlll In LInd fbl' 10 .' tho Coun'ty, or Oumbol'lnncl, P01'H<Ulullyonmo '" ""i,.,}J\I).9.h,. J\li!I'ly,nJ.~I,\lHJ,\1'ltlll"'1 11111'.1111111 "u.,tli,'i"li,tlth..'i"I who,'botng:duly I~H~,\~~In'Ui\f"ilH'~ cia I~,~"qt dOP~)RO nnd any thnt lUL'\II'HJ~,~RIY.U.tl:I~~lljttlli"'i"Ii"jlllilllllliljll of tho laatWtll nnd Taatnmo,1.lt 9f " 11,.'1 11",111111'1'11111""'11111" Jtlq.RnI9.:',~.111" 1~;,9J\'Nt(,~n:Hf'" l'III""i"""'1 I'I"llIldooonsod ",,,,,,,n,I.\lt,,,,,,,, wlll well und truly odmtnistel' tho gOllds,und Ohlltwls, l'ights /lnd ol'udits of suid docoosed uooord,tng to law, 'And /I,lso wtll dtllgontly oomply with tho pl'ovislons of tho IlIw ,'olatinf,{ to 'I'l'o'lsfol' Inheritances, .",~.\,{R,r,n"J'~'''\i' nnd subsoribed before me, 'itjnQ,~R-,~WP.I~Ir.jl'I.I"'!?I'IHIIIII"j,jIIH'I'" A. :D" .19 ,Z~tltl'ltt \...~'~~' 'J::::>. '^"<L'-col , . ,,~, ", ",;\'i?"",,;\,~l'''''~(y~lJ)'\''''''''''''':'' lit IU'~I< K~~ Register ' . Ilorold~. McLnne, Deputy ~" 't.' 'l1.~' "",., l , '. ./)",' / .", ..1.11., ..,."G;,\",tC"", ",If, ,(",{, ,:./,h ,fl..I,f.. ".,,,,,,,,,,,. , '. '\""""""''''Hll'lll...,t'H''''''I''It''I,j".,.",1HI'I'IIHI'II""IIIIH ;1 .l I ~I ' I Ql I, r-4 u.. =1, I 0 I ~i ~ ~ ~ ~ ck -J ~ J - , , r", .... ~ ii u .!. "~ M N " .ft I ~ l I ..I J Nci 1 l ~, ~ DeCREE , . 19th. Dltcelllb4u" ' '79 " 'Be it remembered that on the, "'"t1lntHI"i....... day of ..'r'I""lllIHIIHlfl....""'''.''''IH..I'..' AI D.; 19 "If'i",,~here was;pr~bated and record~d tho last W,ill'and Testament R'f ""lft~I~~~..'"I'~'.,9,~~~,~fi~...II'I"'''I'''llllllllllllttHlttI, Ii-tO of ..,..,..,."g,~,...+:hl'll..,....,.".....".,'"'''' ,,,,,,,,,,,,,,,..,, Qumberlnnd County. Pennsylvanltl, peceased. Letters '''''''i'''''''''''"",!~,~~,~~f.'.~~,~.,,, Were grilllted tp ".. "":"'"'i...,~~.~~~...~,~.,,~.~~~,~!l'''''''I'''''''''''''''I.,.".",... Witness my hand and offiolal seal the dny and yenr afore~al , , ..... , '<AiL ~- -, c. '-' D.puty , """.t.:[,,,f.fr,,~~~~,,~:,,,,,,,,,,, , )Qt~~ irK'fl.eglster. . i"" " COMMONwaA~ TH OF f'ENNSYI. VANIA PEf'ARTMENT OF REVENUE OUReAU OF COUNTY CO~~ECTlONS APPLICA TION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT *' -.-----------.---.~..~~~._u_,___".., ~,.'__.~_,,'~_. o".,,-,_.~. ~_. 'I I I I I, ~ (MUST BE FIl.ED IN TRIPLICA TE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE, Appllcot/on I. herebYn10de lor C~SOnt to thv tronder 01 tho lollowhlg securU/oa of 0 PennsylvanIa Corporation or 0 NOl,lonal BonkIng Assoc/ollon locotou In Petlnsylvanlol (a)~' ,~8 (bL...P..IYRhin.J!tRUlL'trM.LLC9...L........____ (c) ComJ (NOTE,' In duorlblng securities enter In (a), ab Ole, olther the number 01 shores of atock or the lace amount \II regIstered b~ds, In (b), the na~o 01 the IlIulng oompany and In ,(c) tho 01011' 01 stock or the stated Interest rate ondJmatyrlty dateil~l/r'8Islerod bOJ1ds.) ~O(,1:s/651, 7(... 7 , 9/18/72, 8/8/74, ' ISSUED ON_ 4/1j175 , and having 0 TOTAe MARKET VAWE OF $.lli-L-OO , (Dot.) ~s 01, the dote of death of thll'decedor\t, Laone: M ,_Coover (243 S, H.nover St, until 10/23!rIW'/ D...d.nl) who was late of 811 N~.t St, Carlhle '_'_ (Shoot and Number) (P.'I'Olll..) (Dhd S/29I7S) The socurltles ore registered 01 101l0wIl M.rlLB~~ver and Leon. f,f, Coover (Namo., 110m.. In whl.h .."lfl..t., .,. l.gl.t."d) -- .,~--.~,---.-P".O-----'-.._'~._~u"__'_'_.._,~~_....____:"'-.+--.""_....__ DATE_,ldl!..B.O "--, on NQv, H, 197~ , (Dol..1 d.a~h) CUllIbel'land --. PA 170~:S_ (C.lIntyj , (51.t.) UIJIJIXUXDX' Janet!t. Cal~ '. 811 N, Wut St-lUlrlh1e, PA 1701L EXECUTOR) (Nom.) " (Add'...) NAME OF APPLICANT Janet B , ' Cah/1lln COUNTY'FILENUMBER 21-79'-749 ADDRESS OF APPLICANT 811 ,Wut. ,CarU.h. BUREAU PILE NUMBER~ SIGNATURE OF APPL.ICANT: If' NOTICEI IF YOU FAIL TO FROPE~L Y .FILL IHt\NY PORTION Q,F nus AFP CA TION~ IT WILL HOT ~.E CONSIDERED COMPLETE AND WILL Be RETURNED TO YOU FoR COMPLETIoN, , " c/ - ...---..., COMMONI'/EALTHOFPENNSYLVANlk.... DEPARTMENT OF REVENUE , , CONSENT TO TRANSFER. SECURITIES' DA,TE(A,^ " ~ (J ~ I ~'''~r ""'" I. Ih. 1,,",1,. .1 Ih. .h... ,,,,,,,,.. "..""".,., I" th, "m. .f ,,~ Decedent and wolve the filing 01 0 certificate cettifYlng to the payment olthe ,ronsfer Inheritance ta~ to which '" ) i. , tho property af sold Docedent Is made subject pursuant to the pravlplons af the Act 01 June 20, 1919, P.L.521, " '. , "( 0$ ambnded and the Act of June 15,1961, P.L. 373, os llmended, This I,SClllo In accordance with 'heprllvlslo~fi of the Act al April 9, 1929, P,L. 343, Thll CllnlOnt 10 Tronsler the ,hereIn ,doscrlbed,property aperates anly In reference to the esiate llfthe obave'named Decedent. , , '* Signed Ipr th Secretory llfRevenue ,__ I;.... 'By / '--,_ I.. 0.. '~.~. (S~, UI.) .~ ^ ~ WQt'1,7:~ ',' I, \ . \... J J~. ,c ' -, ~~:a,i, ,.--It\L\l ~-~"_L~~ ( Ill.) \J (C.unty). " 21.7p-74\1 COMMONWEI\L'l'H OF PENNElYLVANI^ PEP^t{'l'MI1:NT OF RIlJVr~NUI~ IWHE/\U (,)f' 1"IJ!:J,ll Ol'IGRI\'l'IONf:l * JtC""'40 (8,181 ,HBlIllBHT PBl)BPQNT COUNTY ,OF. ~c.:Y~f)l.!m1L\N!L~,". L -'l 1~~'J._L1L ,,',' .,L;r_~_ _~,~__~__.,t....~,~,_, >---"r,o.-'--. ......~.~"II"l.i..n".~~.+_,., "',.'''''4'- IMPORTAHT, Thl, rolllll1 11I11'1110 I'1I"'1,lr,I,,<l11I ""lulI IIlul 1I1I,.llu tlUIIII,'uh', will, ull '"IU..".,.I"wIIII IIII' III'ol'lI\r III \\'111, ..r 1110, (lmU!t.Y WbMtI dO'WthUIl 'ttu.hINl;- Ilt'lllrtf 1M dlW wilhllllli'ii.\ 1111111111" IIflt.' dillt 1'ldtlUlh, lIHIlIt", 1111 U1l11llHt11l1l IN,Kfllnlotl hy Itw,Hc.',uUlIUr)-' n(llr"'NIUII, (Sl\lllltlll 71H lH IIII' hll;I,I\rllllll,'\I\ IUIII Htllitlu 'flU '^~l I.r, 111(11,) . , ' ~ ~J;;li:I~~~'~ --'~,'~'~~'- .' .-j.--...._ -- n C'- n_ -;r fr'iIl ~,-tr . __. IN 'l"IIH, M^'I"I'Hllllli 'I'ltli HS'I'A:I'H 01' ""'*'rc--J&Qtill.ltJ _..QQQYJilt _, IIT~n';,I'UI.I. HAM'; 0" IIfH'-HPl":l-ill }, ^1'FIlIAVIT III' , IIX1',('IITOIt C 'lIro.xJNIlIi'l(II(,\X)XlH otlllly LooII of .u~fl!~lJlJlJl.',{lNj) '," $10" of -, _r.9JJ11Si'1.v.!!n.HL~.__~,,_~ tl" Cqunty .f _~CJ.UuIJ.lU.lIlIUL,,_,,__._.,"___.J ~lN>>II\IJOl(-'~~--;;lh; ..,.~ ~PI';~b.~~:~;~~;;~~~:~~l~;I~~<d~if-;;'-;;'';;-d;;'~; S"----;~d-..;;-S.-.~-'------.-- n'.lIIIIIJI 000011011I dlo<l Jovembel' 17 _, I'JJJl__ll"'UI' I"YIM~" I.,t will. .IIp1 01 will,b'I, h.,ol. ono'hod",,}, ttt1CINTttl {nAy) (Ye^w~XOOJ(. , ' , Nom. ."d odd,... .f Qn.,no, ., }, _J1lnlQJLJL...J:llJ.m.I,1J4_,_A1J,}'_o._,,_______ __-,-_____ oth.', a~thC>>'l..d ,.pti.enltlt/vD fa when" .11 '."..pond.noo .b."" b, moll,d, _~......l....lY..,_J:L4:1L.S.t.,......J;,1ll'l is] e ,...l'AJ.'Z.O.L'L_ Thill I" '1IolI.Jl..Kecutr!x ~"-'.;lor"Ill'lIl'ls f"lIIl1lftr willi Ih. IIfflllrs of SlIldosllllo IIl1d 1110 11Wllorly'oollslllllllllg' tttXItCJurOH4AtJtt1INI6T,nA'fOI'l1 "" Iho'IIS.ol11 lhurollf IIl1dlholr flllr nlUTklH vlllllo. ~'liot 1I11ho Ih,1I0 'IIf,llolllh IlIoro WII. 1111 .hfo dop".it b".,rogl.lotodlll dooodonl'. Indlvldllulllomo, IIr Jllllltly Wllh, IIr os 1180nl IIr dopllly of 1I11111hor, or ,In ,llIuu,dolll:. Indlvld\\lIllllllno"w!lh (Iuhl IIf IIUUO.O hy unlllhor II. IIgonlllr dop"lY, wilh IlIe o~oo(llllln of Iho fllllowlnu: - l-.. _ ='=~~-=-........_.,.~.~===>:'--::.~"==__= _ t'r4AMK "ND ADPRUlJOF'BA.NK (lR OiHl!H,INS'f1TUTION .T~UB lIArf;:,(HWOD!'t ftQX fHiNT'St) IN WHICHOt!Cf!:t'HtNi RENTIH) ^ SAtre bt;:POSIT hOx IN NAMfi o~ NAMES OF o e RULAT'ONS~jIP or JOINT HOI.iJEHl\ TO OfiCEDfiNT ---_....~,-~... I, "-0 -- .= ,That lho oonlontn of .itld oufo dO(loslt ,box ot bllxoo Ul'o Ilo,mltod undor SOhNluloC- .,. -I>f this rotllrll, wllh tho oxooptlon of tho follllwln", for 1ho ron ~on.,' horolnnflol' oot forlli: Thill, Sohedu/. A Iltlnllhod horolo uud mnde pllrl horoof uol. forlhfulll' und In,dolall 1111 tho roal ptuporly In tho Commollwoulth'of I'ouu.ylvunlu of whlul; dOllodollldlod huvln" uullllorool thorolll, llulsoHolS forlh Iho mOrl~aso onoulllbrallooo ,U(lOn o!\oll purool of roul ptopOrlY.1l1 Iho dulo of donlh, 81vlng tho IImount atlll duo al doalh, numo IIf morlgagoo,dato, rnto of Inlorosl, und bonk IIl1d (1l1go of,roooidthorllof. II also SOlo fllrlh In, tho oolnama I1rovld~d Ihoror"re tho Ilsso.ood "ulpatlon of oaoh,pf. sald'l1l1roolo, tho 08llmlllod lIlarkot Valllo lhoroof ao IIf ~ato IIf doath of dOUlldolll, . " , ThaI Schedul.'l uttn,llhod hutolo ulld mudo pUrl hotoof ooto fqrlh fully and In dolllll alll'oraonal (lro(lorty whotosovOtsltulltod oWlled bl' Iho douodollt ut tllo tlnle,of.dllulh: ull'lIIolloys loft by Iho doo,odont,ullho Ilmo'lIf doath, whothor hl'dooodent'. ImlllodllllO rooso.olou, .lulldln8 10 ducodont'. ,utodll In banks IIf dOPll.lt, .avlllg, banks, 11'11.1 oompanlos, or olhorlns/II11II.,,,s, whclhor indlvhlulllly, or 111 Irll81 for any, IIlhot poroon 01'1101'.0110 StVlilg also so~utaloly lho noorllod Inloro.1 11\01'0011, If IIny, dOWII 10 tho luolhtlol'o.1 day' prior 10do'oodonl'I. dooll1 tn tho oaso of .avlnasbunk.,. und In Iho dlllll of dOllodolll's doalh, In, nil olhor, CIIOOO; 1111 bond., I)dolal .lwlng., lrouollryuurllflcaloo or nolo. ,alld O.Olot 'ovldellco of. Indoblodnll.. of \ho 'Ullltod Slaloo 10 tho de- oedonl; 1111 obllgllllllno, wholhor hy SlulUlo III' 'ugroomunl Ihe)' UtO de,lsnulod a. Iq.froe, nf Iho Unllod Slalos, orilny .IIIIO;:Or pulillunl ~uhdlvlolnll th<'tonf, nr Ill' all)' fllto,IS11 oullnlry, whloh.uro ownod nIUio limo of dooth; nil woarlng appRrol, JowolrY, sllvol'wuro, (l1<1ll1rON, hllnk., work. nfntl,'lIoll"ohllld funllllJre, hntsos"oarrlu80s, outomoblles, boalo, ulld IIny IInd nil ulhor "p<1roolllll uhllll"I, of whnlsuovor kind Ot urdure, lul'l by dooedonl, logolher wllh tho flllrly uOllmatod mlltkUI Vuluu lhorenf: allbund, 1I11d mllngllgo. hold by deoudoul and,uf ail ol~,lmo duu lill<l uwlng deoodUlI1 III Iho Wuo flfdualh, IInd ull promlo,"ty nUleR ot other Inslrumonl. III wrlllng for tho paymont of mll,noy Ill' whluh dooodonl dlod l1(lS0usootl. of Wlllllooover nntllru, wllh Intorool lhetooll, If atlY, glvln8 lhu,faeo vulno aud eotimlllod full' nlurkol va Ino Ihereo[. and If RUoh 0.llull110<l fall' mllrkot vahto be " loNU thou Iho faoo vllluo,' It ,sitt. fdrlh brlofly Iho toa.OII. for, slIolI depro~lalloll os to oaoh itom; all monuYs ~ayoblo '10 tho OOlalu from lifo InSllta.llee IlOlIcloo ourrled by douodolll; ull ""nulty ond elldowmont oonttaolo ' the proooodoof Ivhloh woro puyul1lo Ul1ll11 tho douUt of Iho dooodolll: ail 111111 lhe. oorporale s,tooks ond dlvldon~a duo thorooll IInd IIllpuid uo of tho dlllo of doalh, hUlld. IIl1d uuurllud InlureR' Ihoroun 10 Iho dato IIf dooodolll's douth and III her ,lnveolment Ooulltlllos IIwllod by lho douodolll III lho tll\le of doUlh, wllh tho murkol vnluo,thote- of ut suoh limo, " III I,hn n"Ho n I' HOI\II r 11,t'OA 11(' (! 11I,HU (I" 'f'lIIll t I Y (Hfl'lll. rl' t' lilli'll t.111l "n 1 ti"" rf11Iol't,orl ,'n 1'1' "s fl\r RS 1'{)"tithlt! t1uhHt;lull,lntlHl \1)' t'IHftl1illnl HI,llt,OI1ItlIlI,H or (,l1n UU",ifll'IIL.lIIIlI1, Hhowli1gUl0 ""III)I,H I\tH' I1nhtlit.1oli thIJru{lI' 11ft tilt t.Iid 111\1.0 uf (hInt)" TlIu Huhntlllt'!) ,Jdtin HUI,H "ut\t,1l 1.11'1 III 1:t1f'IIHt. tH' (Iooollufll, ,d, Lha Umo ul' ,'until III nll~. Ou'"plllil-lulN,1t1p or li\lfllw.lffH, IUIlI I,n ,liUlltH1rt. nf' thy ;~II,ltlfI nf' ~li(lh ,III l!ilt'UH lj l,horo 1ft ntmnxoc'.,ln t1,lIlf'. "1IIIf!1lull', 1'll1l\t'IIII;11 AI.nt,Oni'''I!.H HhowlllP; U!Hllf\HfltH HIIlI IlullllltloR nfl Rntfl OO"Plll'l.tlOrHhIJl ur hUHtf1{1~N, ^ 1HlI')' (d' !,tit' nu..pnrt,fl(ll.khljl nl-\l'Ul1flllinff '(If' i11'nlJ .',\HI.I\I,OIllO,II, IHittllll(t'{II'l,h tho nntllro nf' f,)lu 'l,qroOII\Ont.) 11I",11I1U'1' wlf.h'.,1l tHlltllnlrlllt, Hl/tt,lhJl,I'ol'l.h t.llll fJl\1'rllfl't,or nf' UIU IIllHll1flfi"'f it,H looflt.tlHh nnd Hunh otlll.l'r f'nota 1ll!1't.nhlll1p",l,,,' thn ,11'\" Ifill"" (\t\ mllY lIu llurf.lnnllt, t.n 1\ ,flllt" flud .I llR I, fllllll'n1FII't1 of' i,IIo <IO(HHlont'lt ll1t.orost thlll'clltl IlIH~1 ht! HuhllIIHll(l, Il.Hhulll(( nlflu Hut, "l)f't.Il In It.fllftl;r,oll "orm, 1,lwot.hor wlt,1l 'Mlo fnlrmnrknt vnlllo thnrfl(d', UII~ (it,IUIl' 11Iiullurl,,y, OWI1IIlI Ill' hnqlloRtlllld hy 1.110 f1ucltHlnflt, fit. Lhn t1l1\tl lit' Ilout.11t "'hi! Sf)lerlll!p C ntl.llutHlll IHlflnt.n /111(1 ",ucln lilli''/. IIm'oof' Ht.lI.HI'orth tI 1.1'1I1J IlIlHWfll' I,o,onuh llH1UJry (\(111/ f\ lllnd t,llc'rllll1 fllHI III l,huOMHI U f' (l'fllIR "''''H CI I' 1IIIIIIIfIl'ty" "filII" III' 1IC1I'tI nIHil, wi Ul.t n twuyonrfii. or l1oonclon t.' H ChIllI-ill In Otl'fll.fli"l'lntl,(ltI IIf'dIIIHlI.lnllt.'/'4 1Il!Ilt.hi iH' II,lt.1nl<tclll t.o"t'tlku nrf'not III IHIRHoAAlntl (Jr' on,H1Ynll\t1t fit or Ilf'l-OI' .1nllt,h,tll\tll RollllllltIn'HUUi rUl.tll t.11(I Iln,t!lIItH I1IHI 'IIlItH! nf ~\thh rll'i1J1o,'I.y, t,n whnm trl\nRf'n~t',fJrI, the ,IU) u I,) HIlHh l)ln f' UW 1,"f\t,IH ('ol'un" 1,(1 ttln tlot\ClIlufl (" t Iii' proplllll, I IInu t,o "hurn l'OflUI vorl hy onoll trnl\HI'oroll, nn(1 nil, ClI.htlr f'ltIIt.A. nr Il )Intt.tnllut, nnl:llrn r(1~I\I'IIIf1~ ,will 'j,l'I\tIKf'orHt In thn o '''HI nl' td'IUIFtrUrH tnt,qndnclto ,t./Ik(1 II ,"I'nut, In IHHHHHiHI(HI"ur flll;!flyu\nut. Ht. nIt 1\I'ttJr r1clnt.h. (,I1tll'n lfi nlAolIl,I.1I0Ilo(I.I,(j t,lIo ffuh(ulul'n "'onflY Ilf' UtH'llf.lod, truHt, unroomont. flt' llt.hor 11lHI,I'uniont, oruIlUIlA Mil' t,tillffl.. '11hi1t'11'lu (,lHtl (wt ,t'Otlt,1t fn Qnh~ f1ullnilHlh 1\,,'1 IHI. {If' ,,11 prnpnl't,y, roul lind, pOl'Hnnul, wlt.h Jt,H vllluo, whtl\h lHlfdHlH nt, fluoodnnttH donUt hy vt'rt.tlH'~!f' ,t.ho flJWI'O!tW hy (~OIHJ(loll't'f ulUlUI' IllflfvirlHul1y,ul'.t"tnt.1y Wfl,h 111I01.1101', nr I\I1Y Illlwur of'nl1polnt,... mOI1L V(lKLl1(l tn l!pU[lrlOI1l., uJt.hor ,llUUVi(htlll1y UI;' ,lot"t'I~1 lIy t.ho will, fl(locl, or ot.llor IU'HLrtunont. of' nnot.hor, wit.h n nup'l of' t.tHI InAt.rUtnOnt"oront.iIlR Huoh pnw"... ut,t,I\llhofl t'(\i Utn "(lIl0IhI10, Tlult S('h~d()!e D at.taolwd horot,o And mHch) (Iurt, llnr(l(J(' RB,tH "(l1't.h t.IIH nllmOH nll(1 nddr,oRRofl or at 1 IHJrfHlIlft hun,flf'lotnlly int,oroat.ocl i11 t.hiN oAtnia at. UIO t.lmn of'doOOlhHlt.tfl (Iont.h, Ul(J nnt.uro or thoir rOB"": ponUvn lnt,oroato, t,i,olr rnlo'tlo"ohlp, 1 t' n"y, to l.hn ,I"noll"nt, tnllol.hor wall tho ng08 ut tho t1n10 or ltooodonl,'ff (lonLh 'ur 011 minora, llnnuJt,nntH (tlllt honorlutl\rtflN f'or Ilf'o 11lll\ur (looO(lont,t~, Wtll. It. also oont.ulna " 8tot.omon\. ahowlng whloh or tho honol'jolorl",i '"u",od In l.ho <1000'11,,,,,,,, Will, lf' unY, dtorlpr!"r, I,ollooodo"t, tho 1101.0. or U\olr Ilooth, tholl' la"li", IlIoll.h,. \'0.101,(0"01111' or onoh loono to I.ho honorl010ry. 'l'hOt. S,/ltu,'tlf;!! nt.t.f\ohod horot,o unit mndo II Jlllrt hOl'oof notR f'C11'th lilt prol,orty, ronl nnd por... 8onltl,' ownod by I,ho dooodont .!olnt.ly WHh o"otho,' 01' ot,hOI'a, Inolurltnll'lnt.anlllhlo, "I.nndl'1g In ,uiil no\lOo of' tho d,,"ollonl. nnd ot.horB, I'ln. I,ho <1111,0 01111 1'11\00 01' rooorel or Inol.,rnmunl.. orrootlng thO \utttllro or rOlll ootot.o on<l tho <Into or no"lIlaftlon or I'oronnnlt.y, pluo t.hO nomn, 11<1111'000 IIn<l l'ol"tlo"ohlp, tr any, or oo-ownor,o to tho dooodonl" Tho( Sc~.rlul. F' otto~llO<I herol,o nlld 1011<10 II tlllrl, horoor 80t,8 rort.l, rlllly ,uld III, dotall nil dobtB 011'1 <10dllOtlonB .lalmod rllr ond oli hohnl r or thin Ilooodollt,'o ootol.o, jllolll,llnR I'>l1\0ra) oxpo,,"OS pai<1l f'I'",ll!' oxoml'tlon,whoro al,pllollhlOI 000,t,8 or 1I11",lntot.rnt.il;n or t.I\'l~ 0~1.0t..1 oonnool rooo an<1 ,f'udlolory'. llonunl61HonR lH1id or t.o ho pRJII,1 onst,f))qlOnclorl for hllrlf\t, f,1~U8t.8,t,omhHt.o"nH 'or grnvolnnrkorst nnel, r,~li.. glollB HOI'VloOH. In,oon."IIIIOI\OO or .I.ho 'I"oth 01' I.ho !looodOlil.l ,johl,onnd 011'1",0 owing nmlnll}10111 01. Umo or dUl\-thl t.nxo8 noorllod ohn.r~onlno for lwr lorl prtor ,t.o dooorlont.l H (tonl.h (oxoopt Uw,so nllowod \ll1ftor Soat,ion (\01 c\p l.ho 1Ilhol'.l~nl1On andlCol,nl.o 'rox ^otlJtnRot.Ilor "fI,h II .t."tomont 01' oonuI,orol .1'lorlgollror obllgo- 1.10"0,' Ir nny, It (. 'ogt'ood thlll. tho rlllllojory wlll I'roBont proor.nr Bldd olllllOod'ohltllntions upon ~o- 1\1\"0\0" dint lr tho IImonnt o"I.llnlly pllld ,jll oot,tlo",OI1I, or ,ony roo, llOIOml881011 or dol,t io'l~aothol1 t.ho o.thnnl.orl,nlnOnnt olllimlng onl\ollo'woll, t.hnl. l.ho 80100 wll1 IIll 1'01'01'1.0<1 to t.ho lIog,lol.or .or Wlllo, 'ond that tilln fIltIOIllt't. of tAX llBAORRorl ellll ho ron~floaHod 111 "oo~rrhmoo I.horow:ltlh' 1'h/lt. tho tC,I,l.l\lA of' t.hn l\ppropt\tnl,(1 (!(Illllllnii ,111 RohorluloH "Aft, "n""~. "elf) "K"J ,t\t1rl "Il'" as dirooted therein, hl\1/O hriflll 'u/\rr-to(t f'oi'wttrd nnd proporly l,oglB,t,nrod hi t,lIo SuuulIf\ry. Subsc!'lbed and sworn' to before me this ,.............:,:................ ..,.........'"'1~?'..,:~}Jh,,~aVf .,.;~,~n~~p~.,.....,..,.l~....~,Q." '7:..~~~,'.,"'~,:t<:.:f~:.".~rj("I,lrt,.,/~,;1,J~!~ ',...',..,............., ,',' " ", ,,~hl'h'id (IHlll\'t' (~'"l,~, r , ' N01Igl. Hof'nro Atgning tlrrJdf\vit ntilkl1 RlIrO 1\11 hlnnk flJlHOfHl 1II"t.l1o uff'tllnvtt I\l1rl fiollollnlofl, m,noxod nro f'l1ioft tll wlth dot.lll1s or t.)u't wUrcl ftNol1o", (lW\ ill oitso t,h~" IIIHtot.a ,tmdudoruro allet llJiltstocl Roouritios, fH!OurJt,toftnf' 010'10' or ,f'uml1)' ollrp(Jr,llt.lof1H Clr ul1,Jnto1'I1Rt In /tHY t10-pntl.f1(1I'Hhip, or 1)lIalnoR8~.!thn~'. tho ,dnt.n"l\llll Ht.nt,OlltUlItA rOi!uli;Ofl1tIHlor t.h,o pn1'1lf\I'nph Ilhovo r(llnt11114 lo Hohliih.lo "n" Itro R:t,tn'Qhot\. Alan mako ~wr,t.ldu t.hul"oollltnn #1 lntho i1ffll~(\ry" ,hnR 11000 Ilrnporly oomplotncl llR '~hovn..(ltroo.tf\(t. ;' d..'.,~') J .., '.-' ..-,;" "".;~'C'I-. ,/ ',',"', ,. , "rlZ1..1.7~~;;Ut;;:;,tdmj;t;i';~)<l,',a"'/"k...."..".... ..Bll..".N ,a.r.tb,..,:I~.o,a.:t....:S..tr..o.e,t......",....:..,......................, (Stteet Numb",) "G ~X,~,~,$.,~Q,t...,'p',A...,1.7..Ql,~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..........".. (el/II or rown and State) 16 WO,SI1J1fJI1 SlIool, CI~lllhlo, /'onnsVlvunla IlOl3 249,2826 .'l~lml'lh fl. 1/IIIIIClI' AHul'I111Y ot I.'IIW "'iI'lnOra TNlflt BUll dIng Dna l~ol31 1I.J[J1l Sf;, CCll'lia .10, Pu. nOD ,CUMBERlAND 'I?4LLEY ~'NG,s 11N1~IQtJN ASSQc/~TION OOOolllbor 7, 1979 Ill: I 1.'1\0110 /.1. COover Qnte of Oooth 11/17/7'] .~,,-_B,!!tl.llila .Opnollnt (ll.1.2('16~ Dllnr Mr. IIl/moh We haveollooked OIH' l'or.O!'ds Fa!, the abovo alJv.i!1gs, (1,1426.16 .in .\;110 name of leone /.1, COovl!l,r. UaLod bolow IlI'I!l tl),o F.igUI'Ei,S (:in ,th.i,ll nooou"t, (1142616 (; P.rlllo.ipa'l BIJIIllloe, '... '" ,..,. .,$ 33,829,09 Ar.e!'ljod Into!'oat to 11117(79. ~. .1.......22.1..)8 Tota.!. ..... ....$ 34,%0.27" IF YOll, ahoilld l1eed any uc1dHlonnl .1nFormnt.!(ln pIoose oontnot this 6ff.ioll. ;; Vary truJ,y YOllrs, .,~). "~' I I' ,-'< j/ ';7..' /('(:('I-:_f(, ~".( ..-'"1, "({(t.",.; /lJr.Il()l'd L. KUlltz , At'oollll Ung Oepmit/nent IlI~K I ymt' i' , Bi~ :H~ I ~ f~ ti '~ ..~ 9 f' -....- -.-.....- -- ...--- f(~IIII'f!lp~rly l'ul'Nullnll'rup~rll' 'l'rllll,"rOI'"__ SUMMA It\' ........... (Suh, "1\") (Suh. "II") (Soh. '\C") --- ~ - (/rU"" 'l'nxllhl~ IlHlnlj, --. --- I 'll. ~ U II ~. Q is .. ~ 'j ll. " ''''i:l ll. ~ ~ ~ ~.r, '~ <( ,15 {.I.. 'S ~ ,~ ~ ~ =1 'a Iii; it .~ oS ~ ~ ,~ llIC lli! '5 to j .. ~, j . ,~ ---'-0 ,~ , . ,', 1- -=::...--:- 'j, (I) (I\,N Ilupurted) ..... -- - >jIf; f "';,'-'1 , '(2) (^N l>ulur",lllud) . ' $, . '- $ . 't t, Iii Vu,lll,j (n'lIil . . C"unty, Numbor and Na"'.....2.~ ~ Cumb~n~ I'll. Numhor...__,~1"79:0~~L-_,_ 1'''1< 01 Daal,,"_,__~~.L~!.a9_".~_.:c______._______..~ Ii!; tot" Nu 1110 '~__92RYlll.k__;. ___.__~!!E!cm.~.__,~J.f.!..-...., 'II. ~"ffjAMI:1 ' 'trll,"1 H~Mul 'IItil1t^'.1 SUMMARY COMMONWeAL TH' or rSNNSVL VMilA TRMHrUIIINIIr.RITANca TAX ReSIDeNT DeceoeNT I~ ! I, ~~ -~ o~"'_-n~_.._ -- REPO~T OF IMH~RITANCETAXAPPRAI$eR -- -- ....---.. ',' I, tho undor.lonod duly appolntod Inho"tanao Ta~ Appralur loand far tho Cauoty of ClIl11berhmd ~_. , P""iI"ylvanlu, do ra.poa,tfully ,apart that I havo apprallOd tho r,alood panaOQI prop arty a. repartad I.n tho farogalng raturn at till, vqlllll' .ot forth appaalto oaah Itam lri,tho la.t aalumn to tho rloht 10 Schadulo, "A' , "B", "e", and "e". Dot,,,II '..._ ll11pruary 28, 1~80 ,- _W'i1k_t'/~J,J t1'Ij~IJ1J_tll) INHHIlITANGh T^X ^f1flR^IIU'ff ~E /,<~-_._;;~::t':;'~ RepORT OFTHIl kOGI5TeR OF WILLS I, tho undar!lgnadduly al..t.d Rag!.t.r of WI,II"n ~nd fu, ' , ' County, Ponn.ylvonlo"do rup..t, lilli, 1'01'"11 thnt I hava allow"d daductlana In tho amount, clalm.d by dopon.nt, ox. opt aa to thau,ltom. whora a g,oato, or I"""", u",ollnt I. lOt fa,th In tho la.t aalumn to tho rlgh"'n Sch.dulo "F", which greato, 0' Iou., amaunlropruontl tho .um tdic.wad ., a dadoctlan. D';-I~\J(11 ,- . fH!O(9Tt::Il of WILl.O- None one ODe (HA'1rdM'UMIUCe ON~VI 00+ 10+ 20+ 30+ ReMAINonR APPRAISbMeNT CDDe INVI1NTORV n01l1 f1"i/H10l/(SoheduJa A) Piwi',I/l1 PfiJJ,-qrtv (Sohedule at Jolllt-llold f'ro"""v (Uqhocf~l. el Trtll;.filfi> (801l0dlllo or TOT^~ onoss ASUQTS l.OIl~ l'1111H5 llnd Ooduntlon' j (!JOIli1PU~e PI O~I!^" VA~(Je or eSTM'e . VALue AS APPRAlueD ~L_ None ,+ 40. 93- -,Y(IIIHd"lO,~fllfo Oltutttl or, 2L.-' annurtl<1IiI' III' t. "'I'tll'" t t_ $ F'RINCIPl.ll t= "AOTOR VAI.US: I:O~ BS'fAT,U 'TAX ASseSSMENTS _ $_ t=- ~~,\Jfm_OI" ~EGI8Te:R'QNI:.Y Tox ort $,... I Tti.ll iJn .$ 'Ttii<VlI S .....;;. ,TO,ll,(iI,$_ TdX Oil t ..... Bkempll(lns, Tolill Uf,lttltl CODll - OOMPUTATION Of! TAX 2% e% 16% $ $ $ ,$ $ . TOTAL TA~ ' $ (') A. .~id.nc.d by C~arltobl. a..mptio. C.rtl/I.ot.. I...od byth. S..r.tary of Rovo.oo, " Lo.. tux prevlou.ly 'p~ld BALANCE 1..'01".. 51;, of lmtlf paid \Ylthln 3 tTHlIllht, cdfllt doath ! $ $ $ E A/,IOllHT OP eSTAte TAXASsEsseo IhHdo Irll~ pulel BALANce cue Add hllO\Old \If rulo ()f 6% from to $ $ f::: , L~ I" $ $ J $ $ $ BALI.lief, OP INHERiTANCe 'fAX cue Add lilii,rtJlit"al'rafn of 6% from ~"~'~--'-,>__ 111_ TotAL TAX BALANCe PAID (POR USE IN HARRISBUR'G ONLY) 411-Adl "itmant 4')'IAdl"~tmant 5(;"'Anrtlllty , 6O...Llfa O.tat. 92tRomglnd., Appralaal 93...R.malnd., Deduotlon 93C~Charltv 94-Romalnder R,,'d.. 96...Succe..lva Life Il'tat. fon U~E OF Rl!GISTER ONLY ADJUSTMIlNTS HOTEl Whe,. .u, bj'!IJ.n, j gdluatpi'nharo mad. to tho above computation of tox by the Reglaler of Wi'lla, fa, proper "oton aame ahau d be ,not.d b.law, with .hort oxplanOllon, " , " " , ,I , ',; I .J l -e a l!l -e i>< c.: Cl.. f III 0. -e u.. '8 Q m ~ m 0 ~ ~ UJ - -e , ~, ~. t-< ~ ,"" 0 i!; u.. ~ c.: Z. Q ~, u.. 0. ~ 0 ''5 ~ ~ -s 'E ] '5 i 'S '5 '" I' i! ",!j g ~, j 0 u u " , ..,' , ,. . " " ,-,-, , i I) I , I I~l 1 I I HI I I I I "'I .....1 I I 0 '" I i '" I ~l I UJ ~ 1~1 ffi I 1 I ~ 1 . I \ 1 .' OJ '" , I 8t,', 't'l" II \...... r-l jlj I I I M I' I I ~ ~ I ci ! I a: I +oJ' .-t ~ ~! ,:cf ~ ,I u. 11 l 1 1 I I \ l .'!I 1!l ~ ]1 ~ I I ~ 0 I: I 1 ~] '~ ":rj I~ tIl' ffi I I 1 ~ ~. !' i u>1 I ',VI or I I t:: II .g i <-I ffi I Q \Q, I ,I M ~ I '1:1 <I: ~ i' 'l3 ~ N I I ra 1:1 1 ! I '1:1 I ~ b1 I ~ ra u I I .... al ',8 ~ 'I ~ 0 1 i ] ~ 1 I ~ 0 J '" J 1 I ,E! ~ ~ 1 m I I .'!I @f. I al ~, ~ Jfi I tll ~,~ re ~ I 'I COMMONWEALTH 0,. PONNSVLVANIA OaPARTMENT OP Rl!VI!NUO BUREAU OP EXAMINATION orFICIA~ NOTice OP INHERITANoe TAX ASSESSMENT " *' ,- t/ '.(/1'1 '/ , ! ',VJ~j':,"\\j tt;k, L ,~v\L"J,.., \ ~ 1- I) q' ..:4? (' tl\~, Gl::(' V"" ' !.. ).j; 10>;': '.I' .. .~'f . (!.,. I ') () ,I~:, DAT& , h') Ovl ;), I? I (~",.~ dk"()'\\,J '\~1 (,t\ UN.'\... COUNTY FILE NO: '\ . ~I r V~v'h;) (~ . EBTATE r.o~ 1 ".-:1,), \')(. FILE NO. COUNTY L,~ k,-", t , DATe OF DEATH]' IU'I I '7 t ~? I) 7 Apprelud Vnluo of &alolo: Roel E'lela Personol PIOPOrly & - -,......'----,. + _~;: 'j/ (:l'".~ If), ~S-.i~ Jointly Hold Proporly/Tronsfors t '(dlot GroBt Eslblo Total APproved Daductlona . :!.; .~)" I)~ .(1 , ~~ '~ F' -._' Claa, Value of Etlalo . (1' (. /." I ':) r:- _,' '1'.' "',";'; e If Ip3~: Cl 1/ r , La..: Approvad Charlt.bla Exomptl~n' , Claat Volue ol'E"elo Sublool 10 Tax Amount Toxablo @ 8% RSle ! VI/. :;'!.;(1, i/ r e 1.1 'I ~/,; '11/ pf _ r {\ tex duo . ~.(. (, / ,oS't.., Amounl Taxable (jj> '6% ROlo 10K duo TOTA~ PENNSYLVANIA INHERITANCE TAX CUE .. ( J / ,t:;", I ,~,"~~J _Q , · . . · · · A five pe!Oenl dlsaaunt tOlallng e will be granted IIlhe Inherltanco Tax Is pold by Lus Credits: DATa OF PAYMENT 1~.::J,9'fo . AMOUNT PAID DISCOUNT INTEREST TAX CREDIT , , " t; " !? 1/ ? . /,3 ~ (~ 1;1. . e ~(.,{../(Gb ,. -.' ':';'1' _ '- + ., - + . + " -- Interes' .ccruas at the raID of 81x (61 poroent par annum on the unpaid bnlenoo of 'nherltanca TaK fro," to dale of payment, Inloresl duo II 'pold bY___'__d___'_ 19 ;,.//"" tl BALANCE OF PENN8VLVANIA INHe,RITANCE TAX oue "C;;,L (J '~Y1 :"f~ A8SmedbY~'-~)J] J.Jiin (~N("~ Boo Inlorm",lon on n.Vo". Bid. ;1 (\ ' A~1,f 1'0' Ih~_,?~, ~',:n n;rw "t,~ '^ 1 '-, Ii", '1:,11 '" \'/i\l 'i LX:LQ~AJ,.v'l t, l'\""'.....\ r6 W'-\WJ.. R&V"4U I";" U~79"74\l OFPlca OF THB RBOI!TBR OF WILl,S .OF. Cumbotl.!!!!.L COllNTY AHP AOBHT QP THa COMMOljWU~Ttt PBOUcfiOHSALLOWHDIII _ STATEM~:N'I' Of' I)EL~TS Tlla SUM or , I C{ I~;c;~.~"-.-?:' ,. AND", D8DUCTIONS qAT~ Ar~RDVI'f :J.I: ) (t,!_:.i!.::.!jlll ./::' (" jI: ril" I!, ,/ 'I 7 Y _~u IAI l\~J~.J.tLdJ:-'J':'k !'/ "1,./' (It ''"7,\;:;;ii'r.''~I'WI~~",^".'11 ,l ~ ,~__:.._._t"<~.!~..._.____ j,Y-,-<.:~~~_.___,_._~~____~ __ ~ -_...-...-"-~._............................_-- BST;.Ta of ~lJlQNJULJPO-'LUIL.,...___ I..\TC 01' _-"..,_.cARllSLII PATU OPPII,INO AI'PHAISCMHHT .J~~' /llhl r,ATe OF PUAnt .lL~ombol' ...-.-=---.-...;:::T...::.....--;;----.=-~~~-~':""":::::=_..;._.::'!_=~:~::..:.:~;;.=::.::;:::::.......,......._.:.. , -----.....---_..,...~ 17.-l.I1.7JL.__~._..._..."._ OATp ---.-..J..o..- HO,oP VOUOIIER ..-......... --..........,..................-_.~ ~~-+- "-'--'-"---'-'- _.-............"-f"~..-+.~~ NAMa OF FAYea ReMARKS AMOUNT ""', -----........ ...-.-~-._.........-~_.~___~ ___..____...-<~.o__o_~_.___...._..............--._______.__... ~.~.._.._ ----....- J1!,1l O.!..Jl.~..P nJ., n 1lLl.!.!L,,--... ..' .._.' !!JJu.L1Y..Jt!.2.1I11U;Jg.Jl._.__,.._'_' ,_ ,1.:.JLQ,Q. L ~n'_";'.. ____~_ Ro.sl!..tot: OUVi)J.ll __'...~~..._.. .1;!.QJt9.J.~ILJ'2Jt~.J,-.LElh. Ctfll..._ .,~,~.-.4_Q._.QL --.,. ~......_':"_. B(Hii~_Hl.L 0 i: lVi H1L_..._.uc-,,--._.. J1U!!1!1.E.c.g.."fl..,J1JJ!L.,...-'.___..,.,., ...,......"b _O.a.. ._". _n..__._..... !!!'!.~,!!g->>,!~.9.j:~~.!ll:~..yu..n 0 r !lU;lPJ!L ..,_..g~ l' VJ e O..L..,___..__.,_~_.___......., ~..iU Jl..lL ~~ TJb q.t~jJ.Lto_ Wor~L__..,..._u~, l.o~tori!.\lL.fi,Jlo'!J..ottllliL__ .-11'!,LQJL. GllOrllEJl Plowors '.'_"""'''''__ PUllil1'nl _9JI- ~...;..........__.,_.. M.I!.~)nnd As lloe in tOJ.l__......... L~~Ul.lJ1QJi1L_~,_-'_~. ~_,U[l JlJL ;...-,_~_.._ ~.._ Q!!J:,l i s !,LR~\d ~.sL~Qg,L__~..~._.._ .1Jl~.L.n lJH1J1.~......__. A. ..lllL _~_.....:. ___ . K nth ot: i n q,. Tu r 11ll--.,.______.._... .J:Qt.min.llJ:,l..Q)L..Qi.....nlU.,J..~ t -:...9JL L ~...:.~ha.!~<l .of O'XP9.!1,~OS ofJu~1i_~n10 ,_.__ l1n i t II d _LoJJ..J::lh.....:........_____.__, J1 inn 1 b i 11 , , ___.._. ..,. UGI .__-'-_..-'-..___~gj.nnl bill ] [L2.L ----....-- PP~k .al.Jlul. _3.....9.L _n .lli!.!l1!ll_..__........l.._. ,A:ttQ..tnoy f j;l..e..,.~. ~ I ~ 0 0,..0.0_ __~__ _~__B.osor.ve4-for c,:.lQ1Ltn.U ox en..Oll ______ .1.QJ,:NL___~_-----..:........ 9.J..6.5... ..aL -.--..-.-- ..---~ -....-----------"--- .- ........_<~~..- ~------,-...- --~_.._-_.-..................------~~------'..-----_. --- ---- -- ...,-..............-.-....,......... ................-...!'f-.......... ~+>--,--r-+;._____..u........_~............._.,_................~.--...--'-----"__ ___, -- -.--..... -.~........________. ____~.~__ri.._~__...._______..____ ~-;~--_. -..~-.,-;'t.~----~- .....-'-.,;--~....._.._________._-:-.....__...~.___...~_~ .....-------.... ........--.- --- OT_'_O_""""'_-r. _....__________~__.~..__.__---.""--- _0 --.--- ~~...-... .'_='lC.,~ '=J1lI:;-..~..=~__"L_,,{...;'"._'O,~~~:.;,=:.:~,.:.:;;::;_;:;~"':!..:.._:____:;;;;"...~~~~::::_~= .. ,. . .""" 'COMI.\ONWeAL TH 01' P~NNSYLVANIA I SS, 'COUNTY op~_GJ,illillJ)r In.nsL_ I, ___,'_......._~Jal1\l.t.. B ,__.G.a1Q)lU!JL,,__m.___'..____..____ HUR~BY CBRTlPy, THAT TO tHE BBst OF MY KNOIYL1HlOE AHO BeLIUF, HIE FORF.OOINO IS A JUST AND TIlliE STA Tf.MCNT OF: tlBOTS, FUNERAL EXPENSES AND EXPENSES OF AOMINISTRATIOI-lSUflMITTED TO THli ESTATE 01' -1&Qll.Q:.:.M.... Convex...,... DBCBASED, ASPEDUCTIUNS FOR INHERITANCE TAX PURPOSES. '! '. " ,,1' 1(/7 ((-if: (;.~-~; (<'I/lfi' ~{ ,/ '. (LoS,) , SWORN AND SUBSCRUIED BaFoRE ME THIS 1'IL'1f.: _~~_JanU~l;k#-__ 19.!JL _-~, ;" ',~ '"~l~ ~,T"ny PJr-1 !-" My r{l :';\t!C1 f"';"", ',\' ~, IHI (;:ULIi, fiA .~.' !",!! L;u,\ PAY 01'