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HomeMy WebLinkAbout79-00771 No,2f..79 ("t'] PETITION fOR PROB.ATEOF 'WILL AND LETTERS TESTAMENTARY In the Sstote 'of .,~,,;,c"''''''''''''H.~}m~.F_!J:-',,~~~T~.~. ...:....., "'., ,'''.~.~I deceased. " , H.",01,4 8. Mot.an./ D,pl.\t:y . " Toi"*eMardr;;. ,~rqf1e~B8n, Roglster of WIII~ for tho. County of. Cl:Jmoerlc:md, In JhQ Commqnweolt,!l of Pon,nsylvanla, . IfiK , Petltloneds) ore tho OXElCutRr.s,...named In thl.'J"l,.ost Will dnd Testament of _.""..'UI]j~!:.P:.L~113!;"t!L...~' "n ..; '. doted ,QQtobfilr...la.,...J.979. D$codent was 0 citizen of the Unlled Stoles and 0 'resident ,of 'Oam'lt:f.ll ~~~H~, " , ". P ._~-__._._ Boro\.lgh, ~4mberland County,CorlimonweCllth of Penns~lvanlo. ' Docede"l'dled on ,;;.s.BJ;.w:'~I.\Y.'_'~',"",--_H' fhe ~...lQt;lLH." day oLNoyambar.,.___, A.D. 19,79 , In the County of ..--....-'.Ql.!m,b.lU'lt.lnQ..-,.c_~~'"._.,_.__..__.., State of PEl,!lnsylvan:f.a __.....:..:.__._.__,~ at the age of __~;L yec;lrs, Decedent ~ not bee" rr,qrrleq and ~~~x 'not hod children born to = since the eXecutlot,of the above described Will. Decedimt,wos possessed of personal 'property to the value 6f $150 I boo. . .'.__, onoof real estate to the value of -- ---------. .-.....--_. . as near as can be ds<;ertdlned; sold real 626 ,Arlington ~B.o:a<i.,-.Camp- H il 1 ~-.P.a~.l:\T.al;1i.a estate situated os follows' ...........:.--~-__'t'_...J.i " ", 'apply! Therefore, your petltloner(s) res/)ectfully )Q~UeS{for the probate '.O~ .the t!--~ast W~" and ,Testament and ,for Letters Test,~mentory thereon. Qoted '. 'c.:',;). 7, L.:l-,79 , ". ',~;"" ,,".._' . ' ~~;n;e~~~~~~(~~ss Fl;~;~~"-H: "sw~lz ~', t2.~J;:1')-~ and . NATIO CENTRAL BANK . ,'.' . J1~~Zc?it~~no~r 222 arket Street' H.a.r :ls.b.urg+-E.antl.B,~L-...;, ~~~~N~:~~~B~:~:NSYLVANiA is, Florence It. Swartz and Natiot)t1l O~.nttaL_aank' , , nomedln above application, being duly -;-_..!~~-'~___......'._ according to low '~oy(AO thot the statements set forth In this petition are trUe to 'the best Of their. knbwledg~ and belief.;, ,,/. ,/) , . "J,;! ~-h- SWQrn and subscribed before'ilo~~~;~"~~~"']~~rt~. (/Jc '.... ~'-~~, . L~:~~' .~;i~ :~J.;:ll~it~,.. i'~;'IIReglster. ll.._,""~ ~ OJ,,, ' ".. ., _. --- -----~ -~ --0 Attorney: Ronald H. Kat~manC":V r.f~;~" '4, 19110 " ,,' . 1; " I .' I' ,,' " ; \1 ITmM IV I , , fifj;y pe~ oentum {50'r.) of my ad,1usted g'ross estate as finfll~y, dej;erlOined fQr Federal Rstate Tax pur.poSes, and free of all taxes, , ' '., 'I less tho aagregat~ maritnl deductions allo~able fo~ Federal, Estate Tax PUrpQSeS for proper.ty or interests ther.ein whioh paes or have passed tO,my wife other than under the ter~s' ot this provision to I f~iva, devise and bequeath an amount equal to my 'wife! FLORENCE H. ~WARTZ, if ahe Rllrvivesme. Only property which ,is fully eligible for tha marital deduotion,unde~ ,the 11ederal Estate Tax law shall be u~ed in sattiafaotic;>n of this bequest, i , l ! ! , I I ITEM V I I give, devise and bequeath, IN ~RUST, a~l of my property, real, personal and mbe,d, not c.lispoeed' of in thepreoeding portions of this Will,to NATIONAL CENTRAL BANK, Harri~burg, Pennsylvania, and ROBERT POZNER, as Trustee!!, and aU powers of ,appointment which may be vestfild' in me at the time of my death I' hereby " exe~ci~e in favor of said Trustees", IN TRUST NEVERTHELESS, for the, ,following uses and purposes I ' , , (a) My Trustees shall have, hold, manage, inv8flt and , , reinves t, t:he same" oolleot tl1e inoome and ,pay oveL' 'the net' inc011le in quarterly installments to my wife I FLORENCE H. SWARTZ, during her lifetime. (b) If my ,daughter, LESLIE, H,POZNER, is living upon 'ths death of the survivor of mYllelf and my wife" , ,- ' , my Trustees, or, if my, said wife has predeceased nie, my Exeoutors shall distribute the then Trust assets tQmy daughter, LESLIE H. POZNER. If my said d/lughter is not liv~.ng upon the deat:h "',f the survivor of mYflelf anI;! my,wife, my ,Executors or Trustees" as the case may be, shall distribute the then Truflt assets 1:0 the then living issue of my said daughter, per,stirpes. Page 2 Qf 6 pages. /, ,I (0) " (d) . " q , .' ,\/i" " " My Trustees may,disbuise to or for the, benefit 9f my s,aid wife so much of the pdnoip~t of thia 'l'ruet, as my Corporate Truetee, in its sole discretion: shan deem necessary and/or ,advisable to supplement her incom,e to mdnt'f,lin my sd4wife in a proper s,tationof ,111;e, to inclU,de maintenancEl, s,upport, medical, 1:\o~pital, 'nul'S :(ng an'dnursing home care. , ' In addition to the above, my Trustees shall also pay to my wife, FLORENCE H. SWARTZ, during her life, so much of the principal as she, from time to time, may request in writing, not exceed~n8' in atly cdenda;1;' year t1:\e greater of FIVE THOUSAND DOLLARS ($5,000.00) . !-, or five P~r cent (5%) of thevalua of the principal at tpe end of such year,' IIrEM VI I No part 01; the income or, principal "of the 'property, held under 'the Trust oreated hereunder shall be subject.to atta.chment, levy or ,seizure by any creditor, flpouse, oIl,ssignel'l or trus,tee Or reoaiver in bankruptcy of anybenefiq'iarypriorto his or her '~ctual recf;lipt thereof. My Trustee~ 8hal1 pay "over the net income and the prino~.pal to the patties herein designated, a8"their interestS may , appe/ilr, Withoutreg/;\rd t9 any attempte,d anticipation (except ,as specifioally provided in th:l.s instrument), pledging, or assignment: by any beneficiary under any Trust created hereunder, and without regard to any olaim thereto or attempted levy, attachment, seizure or other p~oceas against said benef:l.ciary., I,TEM VII 1 In the settlement of ,my Estate and during the cont:l.nu3noe of the foregoing Trust', my E~ecutors and my Trustees ahal1 possess, among others., the follOwing ,powers to be exero:l.aed. for the best interests of tM benef:l.o:tar:l.esl Page 3 of6 pages ~ , I , . , , . ',' I ITEM VIII I Any p\3raonEl, other than 'FI.:ORENCEH. SWARTZ, who s.hall have diec\at: th~ same' time as Tast:ator, or in f.I common , ' disaste,r with h~m, or ,under such circumstances that: it ;l..s difficult pr ill1po!lsiblo, ,to determine who died first, shl111 be deemed to have pradeoeased him. If Testator sndFl~ORENCtr. H. SWARTZ die at the same tima or in a oommon dissstet' 'or. under such circumstanoes that 'it is diffiou1t or impossible to determine who died first, Testator shall be deemed to have predeceased FLORENCE H. swARTZ. Any person (other' than Testat:or) who shall hava diad at the same time as any then reoipif!lntof inoomeor in ~ oOl1Ul1on diastEtt' ,with such benefioiary, ot' ,undet' such circumstanoes that 'i,t is dif;iol\lt ot' impos,sible, to de~ermine who diedfir~t, shall be deemed to have predeceased such benefioiary. ITEM, IXI r. hereby nominate, constitute and appoint my 'wi~e, FI.ORENCE H; SWARTZ aDd NATIONAL CENTRAL BANK, ',or the survivor, to by 'my Executors, My Exeoutors and Trustees specifioally " are relieved' from the duty or obligation of fiHngany bond or other security, IN WITNESS WHEREOF, I have Bat my hand and seal to this my: Last Will and ,Testament, ,co\1sisting, of this and the preceding five (5) pages.. this I~ day of October, 1979, Page 6 df ,6 pages. /"-- f c:......, .~ . ,/' - ,"- ~~.'\ L ",--",_..} C"~.r_/ (.. " " ('/ ';t-<21.t.(~~, A~{;1'-, :Iilii~'l1t'FI. Swar z ' '. c' , , ;I~ ' We, the under,signed I hereby certify that the foregoing Will was signed,sealed, published and deolaredby the above~named Testator as and for his Last Will and Testament, in the presence or us, \o1ho,' at 'his ,request and ,in his presence al1d in the pt'esence of ,ea,ch <;lthet' I lt~ve hereunto set ourl1ands and seals the day 'and year above written, and we certify'that at the time or the execution thereof, the said Testato;'j was of soung, and disposing mind and memory. ,i!"w.,~ ,,' (SEAL) R."d'" at, ,&1y-11<t. ,( ~y:d~-, ~~~<- ~(~{~~~~;) (SEAL) R..'dih, at, ,)f!%M~it)?,1;:::{~ . ,~lll~~'~'a~;~;\~,:~t~(~~ V'~"i '\'\yCOmlhllllon ExpIres Novembor 30, '1911I, (SEAL) Residin,g at I .) 'I 'I' , ,/'i' _t.c ',p" / -, ~ ,.' OATH OF PERSONAL REPRESEiNTATIVE , O"O~MONWIMI:'I'11 ()J!' PlCN,NHYINAN1A }" ',' qOUN'/'Y 'Ol~ oUMBlmLANIJ ' liB, , " BofOl'u IOU, tho HO/-l(stol'lbl' t,ho Prohnlo;,f' Wills IInd Itl'lInl,lng- of' 1.(lLtol'H of' AdrnltllHL1~lItlotlln IInd f'01' ", 'l/lorence H .Swar.t:z and Raymond T. Cameron tho Oounty of dumuol'lllnd, POI'Hol1ully ollmo ,p,~,Jlp"~,~m~,(\)",.9.!'1~.t;1i',IjI.~"I}.~r~,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,I.,, who,~olng duly "HIHaWQi,tnltfj'IIHII do ''''HHIt dOpnH(l nnd ,.my Lhnt n8'"Il~~~IIri>>,~,Qt'''~'Il;;'''tl'''''''I''''lttjlt''''''I''' of the In~t Willund 1'ostnrnont of ":;""tl."""t~,+.lJlP,h"J~,\, ,,~W,lj\'P.;~,~. ,t..,~",,, ""'1' i",,,,,,,.,,..jl'" "llj'I'ii "..",dOCOUBcd t:.h~Y'I"'''''''''''''' will well nnd tl'uly ndmlnlHtol' Lho goodH \Illd ehllttols, l'ights,und oredlts of sllld docoased acobrdlng to law, And ulsowlll dillgontly oomply with tho provisions of tho luw rotntlng to Transfer Illherltunces, ,,,,~~R1il.\,,,,,,,,,.,, und :subscrlbod before me: ,'2~:~'L<" ;"".J ,',"V ( PIorence H. wurtz ,,'j t~~'~-~ ' , Illjji:'i'iltlilj.J;!~.~...tt'~~ltl"'I'H';."H"i"'t A, D'l 19,.7.9.",1,1 ,," ,!"""~Jtr.1;~$"~V{,if,J.,=~",..,,,,,,~~,~~~,r Rl!l._.J Ill, ....Jv._",', Register 1111"i""jj'llllilt,.t ~Y..I, '] 01 CS; I U- N ~ 0 I ,( ~ .:-J t " j, ..J ',.~ i'- I .... ~, - I ~I ~ ~ M N !I .8 I, 're::: al ~I I':i ~ 1 ..J.,I ~ , I N: ! ~ ~'. 1 DECREE B It b d. , 4t.h '.' ,Jahuary , , 80' . 0 rot:nem .oro thnt on the"'''''''''''''l..."""duy of.i..".,.",.....,...,....,.;,'.',.,.",.""""",; AI D., 19 """'" thore was probnted'snd ,rocordod tho lust'Wt11 and 'roatnm, ont of 'jj,'~.~~.~~"~~,'".~,!!~~~~.,.".,~II'j....;..,''''".,,'...III," ;." " ' - ,'" ,i ' " OIUl\D Hill .,'" ' rate of 1...,IIII.,.....!!~''''IIII,...''..,! """"""""jl""""""..".,j"Ounlbot'lund County I Pennsylvania, Docoa,sod, Lotters " "''',It t I"'I'!"" ..~~"."~.~n~.~~:f.;., I; wero ({runtod to, ..~ ,+.t?,~~.~~~., '~l~' "~~~~~j~' ~'~'I ~.~~~.~~~,~. .,I,~j~'~~I~~~" ,~ank , ,I Wltllosa my hand und amolnl sOlll tho dllY nndyolll' nfOl'oAI~' '~' '~',"', ?A' ' , ,,-' ," ~ /~O "l:.;:,.~ V1L . Deput.y "'. ~>f,( ,\,...-r,,;;'1""''6:''',''~~Il'IH'''i'''''' " Iswl'. tOO .J , ' ' COMMONW~AL T/'lOP PENNSYLVANIA COUNTYOFeuMl~ ,DAUPjUN I~Cl~eMe.<I}._S-'i~~t:~ /lc Hamil t:otlnl\nl~_( ~r;r\.'mf.lJ;'ly...NIl.t;l.9nll.l<.Qent~Il1.13ank),- bol~; duly ._JlJlQ.Ill-~,,--,<_." aocordlng 10 law, dOp0101 and IOYI Ihat (:hoy.arfil"-"",,,,--,"'rl."". __.,._.:g!te9.~~<~r.L n..".,..". ,01 tho Elthto ol.,,_,]J:l1l\\ll:.. Ii: J..-.el'lfirtlL~~--'-"'--"~-"-T' 1010 01 t1Ja Borough oil Camp \I~l~ "C""d~" Cumborl.nd Counly, P'" dooomd and Ih.t tho , wllhln It .n Invontory modo byF:19r!mQ.~Jj..6W~~Ii\Jx_H~miltQn"llank~, Iho Iftld_~Ke.CJ.lt9U...~". 01 tho onllro OIt",.to, 01, lold dooodon,l, oonllltln; 01011 tho porion. I prop'~rty .ndrolll 011,.10, o~ooRt rOIl olt"oto, ,OUhldo Iho Commonwealth o( Ponnlylv.nl., ond Ih.' tho Ilguru oPPolllo, qA ..ph I,tom o,llho Inv"s,njory r ;P, ro 10 nt" It'"l, 1.lr v.luo .1 oftho d.to 01 ~ocodont'l doalh, ' ' -j~~. "t'-"'~ / t5!/ .>',:2" z-. swom~~":~:~bi;::m~,:\ .~~:~~:~:;~~~~~ . JUDITH A. NORnOTfWM, Nn,^,:v~mlln Har~,~~1'':lr.~!".p.,~_._.~l:.~108.._..".._____..,~ IIAIIRIHIIl'I!';, llAllI"lIN nnllNrY Addr," MY CllMMIHSIOlllxPIIlt:; Hll'/. ~I. 1'101 ,l1l!llbor, P,",n'Y',"''''f A\,'"ciJ linn of NoIM/I,' I" P'.to ol'Peath _...__...lO.th..--.....---."..--..-..No1JembeJ:-.------...-..l.9-1-9.:.....:.-.,...~:.._,,"-~-,,--, . , DIY Mon!h V.., , INSTRUCTIONS " An Inventory ,mult b. llied wllhln threomonlhl altor oppolntment 01 porson.! roprOl~ntotlve. ~, A lupplomont Inventory ,mult bo.fIIod within Ihlrty d.YI Q/ dlscovory 0loddlllonal4ll0h, 3,Addltlon.1 .hooll m~y bo ,attachod 01 to perlonoltyo~ roally 4, Soo Artlolo IV, FlduolorlOl Act ,0119,49, ~ ~ il:l ~ ~ ~, j. ] I ,~ ~m I I of' ~I'! ~ . "" fiI j 0 .~ H , ~ ~ 1 1) ] ,3 a ~ .OJ <3 J r(~:"i'/~W'~~~-"OOMMON\:AL;';;'QFr~~-;;~:N~A,,"~ ' ]'. ~N9r.A6o'm"'8' '),' " ,DllPARTMJiiIllT OP RfiVl!lIIUI! " ",'," , ~ ,.'. ,'" ~Q\iI OPRIOIAL ~BOBIPT' PBNNSYLVANIA INHRRITANPE AND ESTATE TAX ~('~'~~;I:~'~ w~~.~.~:w~M~,~..::::::~w~;~~~:::;'~'~:~_1~~~OO.~.~~..~W_W..W_~~N_ " rOI"olonllng Pe~nlylvllnla Inhorllanco or ~ AFra~"_. N.mflt.QIlJlanIL......____~_~_~_.:..nu' __,,__m~_~!~~_due Irom_lho lollowlng ..Ial., , . ~ \".._222 ~.IIl"~.t Rt......t. ~'"'___",","'n 1'i110" on $_____ $ " II JIa".L.1)Il&\9, ....---J.1J.oa--,,_.~.._ ~ 'ill", on $....:..~-- $ I File No;~"","-17..L;Dolo of Deolh,.ll~l.Q.~:li.1.11 Dote 01 Paymenl A"'9ut 1, l'8~--.------ Nome of Doeedenl .LHIlR-.I.....WAM'Z--'..,,-~-"----' Ib'(., la, on $ $ 'ii, Ta~ on $ $ ~.Ialo Ta~, Acl of May 7, 1927 $ I lOT AL l,AX CREDIT $ 11.,':;18,'70 lo.. flvo porconlum, of la' iI paid wllhln throo mohtlu allor dato 01 doolh' $ Plu. Inlero.1 01 Iho ;a16 01 ---. % from____ la- $ 10TAl AMOUNT RAID $ "'-Q~~ Itn Co~nly 0..",-,,1 and Romark.. I I , "'AID 0" ~COtnl'1'" l I I I I 1........ .- -- ~.,~ . I I 1 J 1]'00 ~[jD[L~ @m'iJ'~ SEA l NOTS, Thl. Trlollo'I' ~.o.lpl 10 ba "I'lo.d for .,,,11I pm....." ) ~~ ". '., t1: ' Ro"olvod by ~ J"' "'6.4. NOtE In (J(('pllng th. Irondor Inheritance tax on fulur. 'ItofU, prior 10 lht dQOlh ollhl;l w. ~ ( atu~f) ; - l,no,,1 01 'Inan! lor yenrl, (a llvld,mld bv IhU lecolpl, 1111 vndp'~lood lhll! IhC! Cl;ImrllOnw(llllth ,tUJI! r Q, L i. nol b, preclud,d or r.""'''d fmm h...,II" ,,,,,,,"g ,,'dlllonollnh"/In,.. !I" .,,10. "..,I. 0111,. a.f. .. ,,1.11. Ilflt '''Hml or I,nunl 0' Y~HHI 'NhtMy" II applari thaI tuch Clddllll'lnol Ihl( Illay bt Iltgolly dvl,J and ( 8 collecllbl, fOf flny reolon WhaIJa.....', ' .__~.. __......--' _..... ""'-' ~,___"" '''n .~_. ,[ '. " 1'IUNOIPAf., IJ:J:FlBlJ\111IjMHIN'J'fJ 11 3/00 Rogintar ,of' WUJ.a, l,ottOl'E1, 'l'orHaunontaI'Y' 1116~, 00 OI\OI.t OOl't:l, 1'[ outoll 2.00 " ',<, l/lOIBo 1/11l/80 1/'22/80 " F),ol'!'lt)oe II, Bwal'br" Heimhul'flalnonb 01' t'ollow:Lng expena orl 1 lrunel'e.l a ol'vioes Oemotery lota fltld 1I101l19t':ll\1 1~2. h25'1 00 1..!J1I5,OO FlorohOe II. SWal'tr" Purticllpuyrno/l't 01" lrumily lJ)xomption ~a. Dept. ot' ~'I'{),nallol'tuUon, 'rl'lJ.nn1'er of', tit3,0 and l'esiotl'aUcm platen 1/23/60 Althea Steiner, Witnoss to sign,~t\\l'e on WiJ,J. l/29160 21 7/80 31 5/80 1'/11/80 7/22/80 7 /31/ 80 61 l/80 1/14/80 1/3.6/60 5.1 5/80 7,/1,9/60 9/10/80 lO/J.5/60 12/10/60 JClhn l1l;lose, WitMauto a:t.gno.tul'eon WUl '\. J " Climbarlo.nCl t,aw Journal, AdV,el'tio :Lng l,ettel'o Tentlllllontury RestateI' of Wi1~B, Short oel't:L1'ice.teo Went Shore Timea, AClvel't:l.aing TJettel's Tea'blllllontury Pa. Dept, <;>f Revenue. 1979 IndiviiUlal, Inoolno "rax Florenoell. Swartz, Balanoe on' Fll.II1ily, J!:xe'mption . 'Rag1ater of Wi:).la, L ' ," Register of Willa, Short Oertificate , FUing inventory, oto. Po., Inheritance '.vall: 'Retained for - , (loldberS, Evans &, Katzman, Prof'eSsionl\l, Servioeo HIl.II1:L;Ltol\Bank, Oo-Exeoutor'o fen Estimatt;td amount fol' tHing'fl,na1 aooount,' eto, TOTAL P\lINCIPAL DISBURSEMENTS PRINOIPAL INVWSTMIDNTS hoo,ooo Daily Tempol'ary Account '$l.oQ,OQO.OO 25,000 lI.a.Treasury Bille due 7/17/80 23,546.!J3 , ~IOOO U.S.Treasury llHle due 9/11/80 965.35 25,000 II.S. Trsll.o. B~Ue due 10/16/80 2h,5JO.eh 1,000 U.S.Treasury BiUe duel2/l.l./60 975.86 25,000 U.S,,,Tl1eo.so' Bille due II 8/81 24,lll.h.92 1,000 q,S.Treaeury !\:tl.le due 3/2J./81 959.56 lJj;~f, L u r,-It'l .1 L.L -2... III ,!5'( .00 3,970.00 1,030.00 29.00 l.!J.00, 1!J.00 10,00 2.00 19.39 66,211 970.00 " 1.00 9.00 ,6,928.70 3,000.00 5,000,00' 300.00 ,~ 21,460.33 . " , 11 11 tI .' r~ I. fi E <j< ,': . ~j !l~ Ii] ~ t, Ju :", l~ ,~ ~I l() ill (1) ell "V r~ (1-1 'J ~ fj' ~ ~ f'l r! u' ~;~ o ' '. ~ ' . t-.. t_ ,H l ~ . :J ~ ~I t'" ell I ~ t; II,,, ' ;'1 t.l n, 'I f,) ~.I_ e' " I U.~ l;;j I~ P' ,-, 1 r 'l.t: U I.~ '. r r,.l ''I., I 11 .' et: Iii ~ j f;J 0 11\ ~ ~ ~ 'J l ~d~~~~ II~ " . ~1 . ~,'J ' ~ ,,11 ,.j 1'1 8 {) "eJ l .. -tJ'~o t't . _ - ~l ", lU (11 ~ {; :,~' f,;1 ~ ~Jl ~ ~ 0 1:1 ~ \. il ~ fe,) .J n... "'" o.:tl (' ",0 "'t. .~ 0 i'!i 1"1 1',1 vt eJ 1\1....::1 ~ r;~ ~ () i:i o "... ~ ~ r,j ~.,,:J ( .. ~ Ig ~1 " .. '"1 f1 I~ . co' "1 I' . '" .) vi [" .~ ,I h:l ,,< [!J , "1 I~t, il.i , jt.r ir,' ;,d 'lj f.1 '1-=1 '!';, :u " ~I rn . . '''', n -+.J" (!I'\ !Yl,1 .;.., ;' rYl(~, r'1' ti '1'- I r \. i:l,J: -,'.'1 ~, " . al .., :offi '<I,') (,le:) ,,-,,'.-11 1,"j i:') 'u; '- .. ~, ~ '0 ' 1'1 , I , ,('1 (i) ""i "'1 .... CO g) LX' ~ (n ~.. ,., · iifi~j,!f~;{:;{I~i~Ui:~:". c__ __ ~I":~.~~:~f~\~;:_"d~}_____ _ _ ___'* . _ ..... ~___...~,.~~.,,__"",",,__.,.-,O,-~._....,-,-+""~,._..,'r~u-~',-t.__..u;j;!-_","F."~_""""'r' ". _ ,_,_,;,~".,'"__'-"~~_""_h-,"~____".!..,__.t..I"~~'r__~t-~~-m~~~AJ"'~~f",,~,j. .,~ Emto ,of _ EtlJ)ill:'.J~L~~f!l~tZ.u.'._'.n...wn .,.... Lalt Addrm .~6.~,~.~r1~r1gtCJ,11J~o~.~L............ .Y~p._.lt;.1:kL...rlL_...._..U.QJ1...- t{~lT11 PITA tFI (IM;1 Dalo of Doqth .._.!'!2yemb~,!:.lQ,...,ln9..... 500101 Soourlt)' No. .l}2_-2H,~.83{tZm.C~"- I~uro(lu I'll" No, __.._~....~n_...m:;~_"""_'_""'_'_'_'+'U""" County Plio N(l,_.:..!{L7CZ~. 77/._."......... 1. Decodent dl ed: ( ) Intostoto (without 0 will) (X ) Testate (1~(lVlng (I lusl wlll--copy cltluchod) 2; II the filing of 0 FOlloral Ealrito Tnx Rolurn roqulrod 101, Ihls ostoto'! 'IDs ..1L.... No 3. ( X) Execulor/Executrlx ( ) Adnllolstrotor/ Admlnlstrutrix Nomo F'i?pm c ~J:!~__~~~t'E.~_. ~Jlfl!ll~1t.o..!l...~!'\llJL.{ f: 0 rmor 1 y Addross 222 Ha.~ke.LSttQet.'_.._n__"""d'""_'__""__ National Central Bank) ~i.libl.U::&.._EA._.".,_.,...,_._".....l.llo.8~c....--. (CiTY) < (UT AT 1:1 ('1,lfl) 4. All corr~apondontl~ shoul,d bb'mollod to(' ) Attol'l1oy 5. H on o'ttorney 1$ ropreslJntlng tho 051010, Indlcutoi Nome Ronald !1!...l$:!!tz.!!l€ln Imnl1!.!lJl}J;!..J;_e__....._~...l-...,- Addross ,31 ~_. MarJ;9J:_Jltr~\i!_t..._I,.Q_.._.B.QlL?_6.6----.... ( X) Fiduciary. liard A hll t'g ,_.P-A.-"'__._(J..'7.~nl.l-_,_.----, (CllY' (tlAT({) 11.1r;, Lilt qll aalodopoalt boxes roglsterod In tho docodo~,t's IndlvlduulnalTlo\ or jointly with, or os 01'\ oglll,t or dcput), 01 another, or In docodent's ,Individual nomo with rlg~t 01 occoss by unot lor 05 ogont 01' doputy. In~ludo tho neUH/' . . and address olthll bank or IJthllr,ll1stltutlon who'ro tho solo doposlt bllx,ls locotad,\ho "'"no(s) ,In whl/:Il tho box Is reglsterod and tho rolatlonshlp 01 tho lolnt holdo'ra 10 tho docedont. _~~,'=-.l-~_..~"::'l,",-=~,,;__~""'-;i;;;C;"'-"''-:'''''''''Ol-=---.1-'';''''_.''--__""_'""~.L~=1;:r",,"1.';1:;1; H~"'P AHD ADPR,ESS Of BAHK OR OTtleR IHSTlTutlOH , HAMr. all H^MaS III WIIletl Rr.I.HIOH~IHr or' JOINT IH WHicH omDEHT M^IH_T^II!J!_~,~,S~!!J?:';~.SJT_BO.~......" =.o~;~;"~.E~~;;;r~~~clLIl~,~~~~Jl",,,,,,- ,~~J~.!?I1JlJ.!9...P_~~.\]J1!~L.~.= CeNB, Bank ,Harket'Street Camp. Hill; 1,'.1\ --,-,~.__~..__.m'. E1m\'l.J;'_H!!;..1.~.SJ.'l.!lr.t~.~ntL..."-_.'_n_--.~-~"""""C'''''_.' ...~....._._,......'........___"___ _.J':.1.c;>tgM~. JL.SwU.t.z-__....-- ....._wifa,__-'_._____+___ 17011 ' ______________.______ _._~;"~"'.~~..',n.-~+'~...-__-.,."..!'" .___'..'_._,~_._~_.....__ .__~,..~.._.~____'...,o,_,_._~~._ ~- u -- ....-.--..--..--..... _......,- ---~~-- -------.." .---- Un,der p~oltl&& ofperlury, I d~c1aro Ih,ot I hove exo01ln~d this relurn, Including Ucconlpunying achadulos and .t01801&\1t., eod ,tothobo,sJ 01 my knowlodgo ond bolluf It is !rllo, corroct and complolo, 1;)(/ j .j l._/; ._-f-:'"'' H~tlt'rON~B /15--:7,( c1~.((d-,._-^-.e-t.~.f \.__-~. ~'"-(,l((I.~ti---l~.f;..;.- __ Bv;''A-''2 -'~--;tJI-) __..4>"" /",J,'__">---" Julu 25 lQ80 ""- .'.-1' L"I' ,/.;;4igfi~~~~g;t:L_'''+:''~ _":.+--,l---~;~~'i1:..].."-, !?J;t{tiliY1.'iAtiLti 11:111 ~.!llT ANCE TAXGI:N EnAL IN 1'0 flM^TION _",. , ",_'u ....,--...........-...,.....-.____...""'"'"~_.~,~'....r"~"<rO__..__-__ 1. prnsONS HESPON~IIJLE I'CiIl HETlIRN j', ~_e......"."--~-~-...,--'-~.~ ,_~.F'.~.._._.'_,_,~.nH._..._ ~,~ .' S(!C\i~1I 70\ MillO IllhorililllCU nnd \:stn\9 TuX Ar:\ oll%\llIovldos IhRIII)o folluwim! \)orsoI\S Shnll\HOpnro IInd (lie 111\1111111: ' ,I. ThilllfHsonilllopromllltnliyo of Ihn IlSlRlo nf lho doc(I(lonl (IS to prop1ll1v 01 thu dncodont OIll11lnl~\orodbyhllll mill such mhlltlollal propulty whir-III!; or IIlny bo s\lbjocllo Inhorltnllco 'jnxol wllich hn!sllo shull havo ur ;1cqullO kI\QWlodi!O; b: Tho lfil1lS{1l100 of proporlY upon tho lfilllslorof whlclllnhorllilllGoTIlX Is or Iliny bo IIIIPoSQd by Iho 1%1 Slatuto, IlIcl111llnH,n Iluslol! of Ilropnrtylrllnslu[[od III trlist, plOvlllo~1 thnt no sOI!i1rnto rotum nood honwdo hy Iho trnnsforoo 'of proporly Inchlllod In tho rolnlllol il porsollnl roprosontnllvo. 2, r; L ~;;J~..I.l)lU1!J N C1 The rotulII I', tobo fllml iu dupllcflll1 wilhlho flogi~llor of Wills of Iho coullty wlioroin tho clocedonlre~llIed, 3, JiME FOH IILING ';"""-"""-'-'IF~+"'-'-" ' Tho (IlIUIII is'duolllnolllontbs 1I11I)r tho clocodonl's dontl1, unloss i11l nxtorlf.lon for fillll~ l\fis 'boon nppllod lor nnd r!filr!ioli hy tho Sucrotary of HovonulJ wilhllllho nlno'lIIonth 110110d. " " , 4, FAILlJlll TO FILE HtTLlHN ,-"~-~-'.' -- '., ---,.'--'" ;--...,,-.;~,--....-....~->....-- , . SUcliou I'J lol,thol9G1 Stnlule'providos thilt " , , .nny porsoll who willfully hIlls to fllo n 10lUII1or othor reporl roqUill'li 1'\ hliii",shnll Ilo porsonollY 11 obi 0, , ,10 a ponal ty 01 Z~i% of thu lox ul1l1l1ntely founcl to bo cillO or $1,000 whlt;llIlyoll;; tho io%or Iu ho rocovOIocl hy Ihu Doportmont of HOVOIlIlO lW dohl!; of IIko !1IHOunt oro rO.covOIoblo by law." 5~ TAX RATES ',.._.h___....~___.. ,lnhorllul1cl; Tnx,ls pilyahlo nllllo rnto 016%on trnnsfors to Ilnonldoscendnnts, slIch as,futhor, mothor, 1111f,han\l, 1'1110, son, dml~\hlor, grnndchildrnn, glilndpnronl, son,in,law ilnd doup.hllir-In-Iaw nnd at tho raloof I~% as to ull others. 0, l' ~XlJtE.N."U1LT A X Tho laxilssosSllll on tho transfor of property roportetlin tho rehllll Is dno 911lonths aftor tho deoedont's deilth~ Interest illlho [nte of 0% par ilnnulllncl:1II0S lllOllJoftor,lIntil paymolltls OIU(lo, All paymonts rocoived are first applied to ony Intorosl whlchlllay lio dllO with rillY IOmalndor applied to Iho tax: IF TAX'IS,PAIO WITHIN 3 MONTHS AFTER THE DECEl1ENT'S [lEATH, A.orSCOUNT OF 5%OF THE lAX PAYMENT IS ALLOWED, . All cttacks shonld hOlllillfn paynilla 10 tho Rogistor of Wills of tho county wherein the docodontroslded and are rfJCOI'iotl 511\ljoclto tho linnl, do\ormlnotior\ of tho DopartulOllt oflwvOllllO, . 7. E!)jt,L1 B!~)O PAY Thn,lilxos 111I11050(1, 10p'olhot with OilY intorost thorcon, aro a IIQn upon roal property, which lien romolns In eflectuntll tho lny-of; ;1I1l Intorm;l IlilVO hooll pnid in full. Tho loxoS lIlay I)osllod fol' ngoinsl any rool property In thO doceclent's m\latn 01 af{ilhH,tany propnrly holnnHln~ to atrollsloreo Ilnblo for tho tax, [l, nLlN GO F FALSE m:'lu HN ~_.._---~-,._< ,~,_._-" g,~~'~---------"----' ,~ny porsim who willlully mokes nlalso rotnlll or ropor\ rOQuirodof him shall, In accordance wilh Socllon 7~,3'Of tho 1% I Statntn, 1)[: AlIiily oln mlsdollloilnor and, on conviction thoroof, sholl Ill) sonlenced to \lay n fino not oxcoodlng, $\;000 ot IIncllJ[~!o imrlllsollrnont 1101 exceodir1A ono yom 01 hoth. . " r r ,"l JlI)f."MH"II.~.1'I1U'" ~ lhDAJtlGR AT~O"tl.:.... "T l."w ' H"'A",..UAQ, p", ..:~:..:t-i!. . , ',41.' 8T/lTIIIT"UT I1lUI~QI"'C1 .."".,.. , ""-,, ,-'1'1-" S'l'OUK )'Hn()l1l\m~ III:I'(L!:t.l,lIJa1?,1 L1 r;\~~\ ?i 'l'H:r.a (lclnmmMT'JN'1.', mlldu Me! Im\l\IX'Qd Hlllo tlh;\,.I.;'Z.. ~;~~,y r.l;~ , , ,I X,lfJbM~II'~U. A.OI1 ~G\ao~ b~f,\nd bOl1W(HIII M. Oltll1,lrilH!l' ,TliI'l'Cr.:wp" 1~1I0 l'!(ll'/'\ 'l'ha'l'bh:bh st,;t'C}I~ll. QW\lP 1{l,u.. POlll'\pylvtinh, (ltltllll~~'11lR 111" ::WIM,'.l,.::;, (\f' "; , , At'U,I'lsllOn Mo.rl~' O'.ll1Ip l1:t:I.:I.. I1rmnIl1:tvah:!.t\p hflllaj,nntbol,' l'I,l.':CI).'J'~t\ 't;'" (', tho "/3'bIH\t(hQ',(lo~t1" I 'liA'P.OLIF.F& aWilnlJ.lZ~ XNO~ ~ 23-:\ H01.th '1.'h~,J"4 M1:'; ",1l11~.r1tJb\U'~~1'~l,n'J;y:l.'I'l'ln j,lI,. . n PonnrJ1l.v~U ,'.0. IJ0J11)llli1uta,r.m,h()a'I)l;1.l1n1::h',' f'r~Wf.l(\ tu l!.Iilt!?", "O(Il\X10~'II.:tlll)ntlJ' ,Md thCi O^P:t'l~/l.t D(I~l1CI\Nt)~'rHW'J.' ':,1;' "~,If' , , 1I((T"I'~",1b'\l'~n PMrlo:rl'V f.\J/',II,h ~,Penn o71vElX'ls'e. oO~po'rnt1.ohp hf.l:Nil!.ncl:l'iJ :\7.' ;, ;\, iiEll"X'Qd to M thq "'l1t"~lltHI~ll n " WJ:'.llNJJl13S111'J.1n ')ml\~1 Wli1JJr<lJlJ\lh ~'hll StoClkholl1o:t''' tll:'Q tho o'llllO:t'n of a:U, 61' ~h(l Ilha':r.OI~ pI! tho r,lomnQn ~",p1t(l,!l. ptClt)~t 01' tho 00l'pol'llU0l1J ant' . ' . . t-," WltI!JI'iDJ.hSn :t IJ ,~,/,l to tlbo b~~fJt :U'ita:rdollal or t.h(l .O,O"'ll(l1,qHl~/m 0'1 r,,:,1t'\ "11' ,1;(10 Sb9C.ltho),d~1"1'J tlhnt all ot tho oointnon onps.t.a.1. atooti: of.' 11l:\\? Ct:'~>, , , pr(\'lllcm tJo oml.l.'d bY' thollB oot'pornto ottlaill'll who llotuollr' 1\1'0 1'.1:,11:,:',/ ;i ~11 tlho ,Mnduatl of :!.t.n butll:nll/ll!lJ l\nd , ,WIIDJmDAllln S1H)akhQ~,del''' ll;re tho Pt'lnCl5.tH;>,l QOT.'pl)l'CI.,t,a o:r.t~r.lr\' 'J ",'h'l 1,\<'I1I\\lIH;'7 Q:r!)~"l.ff,nrp(Hl in tho QoMl.lat or t~~o bl\"~.noul.l 01' Oo,rIlll~'i\t :~"11' ltl),'{ , , W1l1DfUllMh In. thG ovont ofthb dOCltll1 Cot dthfiX' l)'ttl1o ttbQl,n'.: 'l()lll'~U f.\1.'.r..tlle:ro IUHf $tt,olcholdel:'1I of the OI)X'pox'ntlon, 11lwrUl bCll tiel il~\l1 h~HI\) h\tOt'OllttlfJ,tthl,J OOl:'poX'(l,;bo.cm tbat ,tho 00l"~X'ntl0nt\oq.\tll'e ~h() nh'u'QQ 01'nDlIltlf,)I1 o,tQl'k oTfOedbr thB,t It,.oGtl(1nt DO' whllt tbrU'$ ,\"'1), b" 'W"',\.) "bl"l t1'Bnlltt't':r,,,tQt~ic f91' tl'anflt'tJ~to obhot'" ro~ th~ then boalJ h\'" hat.'~i'Jb ot iih!! OOI'p(lN\tllonJ ..rad I}i' , , WlfmRn:M3 n?lbQ oorpol'o.t~on, .stllb8l" 1m I.\~q\ttt'o flU,'lh O(lI\ll1l0n r;l:\p,l.tlll.ll1 'b9~lclt1 'thG eVl)nll thllt 'ilflber !';It' tile Blll)okholdarDd~Ul1t\GD t;l i,l)).], 'th~ Dlllile. dUl':L~8 hh .1Ue~"Ill~, O~ itr t'h/J evantl or ,the "'clB.lIh "or, , tlHihol' ut' tho Stc,IC\khQldol'h . . . ' , . , ...~,....-.. ...,'~ "".-.__~..,'.. 'c!' ...~.......'~..H-..-~._..'_..... ,.'"" , ;- " " . . I"", ,fl" , , . .' HOW, '1'11 1m mII'OII'JI: , I, ,. ;, ',l~l\\ o.l'l,lIn p)""\I',r,,,'! I' fr.' 1I111,t.,,\'n:\. ('l"'~l1l\rltfl uncI :~lld1t;11.rl:\Ii' hut",.lll o.oI1I',\I,I'\IHI" !'!",'h r;d' '1<'," i , hIH'!oli~\I' tn&41l1d:lu.f'. \)1) till 111{S(1:L:l:r bilUWI. l1I1.\i,',\I,1:Uy r,I(~\\I:"'l,', ,aohr.h \!'I' ~11f',III\\' "[",, l\11lI S\;('\ohl'll)lr;tcll'/.' "11m Otl\"pN"I,l,(,j,('1l ',1I\'1~ \ U 1, i " I,' f'\", p' .,<, c, (cI(j'Ultl"Ht,1 II t,ll.al\1lf ,,(mIll),' th~1 1"nl'I"" 0,(' 1,:11'.1'\ ^r(,I'IH~m\",1f\;" ('1' tlVi"l'," I, uJ:' (; l. 1:J.'H.,t' ot' , ::j ',d: ,I ;,- \ , ~ , .'u ,,.11"11 ~1_' U~;tl n' ~:, ',' ill:, "d'l\,"r,I,Orlj I)IH,' {'I " 1',-' \1\l.I'I11111/11) t:h<:l Ilt.p"l~ foj.'lI f.p'('\l/lhuJ'.I'H' \1',(.1(J):' W" 1:\ll'llll! !:'J' 1'!'I;I' (, t" Hpml \',Il" (I,l!/,H'\\lilo.\ I"./' 1,;1.1 ,'I i\c\\'O,r,lIIIIUnl", 1. h'" ,,,",:1." ',1C> n1 Ill\; ,II, (l1\P~t:t\,1. (l,i;,lmll 1~(.1" \Ikv~ !.",u'~ihlll.' dro9:UI'lIiJ,I'lCft,l,'ill (;I;' Ii';)!,. "o', ,'I.:'", ", 1,lIn1"(,\'o'l' ~ 111\ \)11l'l'lll1lli''I'.ol' pl1ovJc1t1d" ,JIl'/I),;\' bo' (I 1,(ltH,1:! 1:1/' IQllOO,OOQ 440 '~"1ll"1:!!l!~111' 81\Mlt o\"lnod b;V toll'" St~wlll1,,~,dlll'll ""11.1> LIt') r ,"(", \ ': tiI1~,1lItl(~I'IlQm(j111:,~ wi \rl\\" I l'(jll\WI1I:iv"' 1n\,ol~(l/'j'~U (Lpn Vl1l\I",!l till' .t'(,:1 J ,',:: ! B t(I'(~lt\'AQ,/, Ill'll." ,,,_"__"_''''''''''!''''''''Y1 TrJli:P.ll 1;',IJlH'tI",' ..........._\~" oj" ;.,h..._,~;l '1'(,1 r,n' ,lhllllfl' ut' fJhiU'IU ...,O-~ c....,...."'. _.,~.J! "" ,'" \'u,\,:: ;; J" '~," - ,('II , , I ;, ,",j'-" ".,' I, "',' Ill> Ollf.\ll,'nnt HO~Il'J',1:L't' J!lJ,tl!~lP I!l.SI'I<II't:.iI\ mlJO ~() :fP.oa,aoo $:!OO,OOO ~.. r: 'I ,,~ l~l~j;~~~, ~';,,"" ,;~/J"\'" '" 5 I !l"1 I'; I -, .711P j ,I I! \',\ ,j I' ('1-'\ , " i ',' !,t".\!l 1\,,]1, ;\', /,.,,' rill' ;,tv' I' " , '1 /J ',1\ i'{' ,i (' . ~. .1 i t l~ i, I' I ''-'.' .\ , \, 'Ill b,l 1 I,) h ,\,1, 1'~,l,Li'"I. I~ "'I' \ I! I)' '~i ''II! \) lqllll~'\ lIt \').1' 1\11(\:, F,t,":I.',".\'l',I',:dJ ',h:-I'/O}, !,',I.f ,m ;( , , 1 i_I 1 "j LH'.! II i"! (i (' I, -, jlr:d (tI' I' i" \t'l I" ", '\ ~;;"! , " ;-"''', ' " " /..;, , ! ~ ", ' ; f 1 \ ',/i!' I<()\tr:td" I'" ,11"'1 i,b"1 {l/H'{i':':'-;'- ,'\ (,,', I1hf,I:I.~ II L \ ' ;,d!,l (.II .J,! 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S 6 7 8 9 10 11 - 12 , IlrV.4DD iI.nol eOMMONW511L nt Orl'nNNnYLVANIA OUI'IIIITMUNT 01' nnvnNun TI1I1NSI'UI1INHnRI1'ANcn TAX I1ESIDnNT DEPnDSNT ~, .~i4?~, '/~~A, II<:ft i- IfJ?a , ' 8C~IEDL'J~-t"FW STATnMUIH OP PlHHS , AND DEDUOTIONS ~.- -----..-~"'-~.~ -~cn-_"'1'U;... * 'r~~'..L.,L;:.'4~U~''''''''''''''''-"'i''"-''''-'"'''''-'''~~''''''''''''-'''ct~"~.....~...._~_,,,__~""" r:atat~of 111m....,.. ~ flW~I-~,Ptltllof()olllh Novembor' ],0,),~79F"1I'No,(.:?l7q-77/ WHE,N CLAIMING THE FAMILY F.XEMPTION,COMIILETE THE FOLl.OWINGI Clahnul1t l~lorenco 1'1, Swart;:: Rolullonnhlp to Doeodol1t \4J.dow .'- -- Claimant's Acldl'oss..Q!.6 ArJ.:Lngton Ronel, Cump lIill, PA 170ll. _ "__ri,,___"::;'=:':"-.~..bT__~"__ Tn,u..___ _,>""'."'," _n,.h,;~, - ~,"_mn.m~_.,~._~,"'", _". _T' _,...... __ .___~ =;, DATn NAMa 01' MY,nn , 1- 1/ 3/aC J~t:~!:': of IHlls. _..,__botte~-1:9_~t_F,1_mf!nta.!L~___._.__.~65..c.9lL.. . '__"--'-'__ Sh01:!. C01.tj.licntes .. _____ __.....6c,.Q.Q.._ 1/11/80 Hyers ~Hall Funerl\l 1'lomo Funeral exponaofl ?:..!!125, 00 ~.- - 1/.1l/ 80. Rol; ling Gr~on tt9111oriIO!L_.._ Purchase Q.~__co.l!l9J:.9.EY.-1QJ;...." L_~~.?....c.9_Q.__ i - " '! 1 i1 j, 10" F-J.~nGe-..H.,..swanz-(.w#~- ,l".amil.y....ExampJ.:Lo,n __.__ .2...0.0.o.,..o.D.- ., , " , -l-l~~G Pn h"\l.L-o.f.,_l'.r.ana,p.oJ:..u.at:.iQll..TraLl.sfor.....oLIlu.to H t:.lo_____ , ~~LO'O_ !J/23/JlQ Althe_El.-.SJ;J;lJ.n01" ~M.1:l.~ to signatul"a on lt1.1L_ _~.QL. John R~efJ~_ , ~41'E.r~.1!.Ltq-1!.:t8l1~~1LHill___... .15,00 1/29/80 Cumberland Law Jout"na1 Advord.ail1g' T.ottors Testl1111cntarw 18,00 - --~.""""-----------"---'-'------"r--''--'''- 2/ 7 /80 Ro~~stor of Hills _ Sl.:..o..':tCe:.~icates." .______ 2.00_ 31 5/80 West' Shorl' ~___ .Ad:.1.Q,r.t..b.1ng...Lottors 'I'e.aJ;.'Imo.n.t;.'IrjL..,:,-J C) 19._ ll/ 11/80 Pa; Delt. of Revet\ue .. _~ll1nc~.~_tU.2.Z2-.IndiYJ_dual ~_._ Ine3me Tax RC~lir..!2....-=- & Katzman Profossiol1<11 services --.--------.--.....----. - Co-~xecutor's feo . .. , inventorL final ,account, , nUMIIRK8 AMOUNT -.- , Goldborg,Evans Ham:l.1 ton 13anl~ --- , --.....--- Estimated amount for HUn 80,24 , __4.060,00 __ 5 ,000 ~92- ete, , , , 300,00 , , . .-- - --- I ~. , TOTAL'tHISI'AOG 1L5.a~_:l_ Ihorebycerllfy th'nt \0 tho bost o,f my 1<l1owlaclgo al1d bollof 1110 r(1l'a~olng is tljustnl1d true statemont 01 clobt;i flll1aral ' ~'~ ~~~j UI1c1 axral1so~~ 1d':nj?,,~atlon W~l11lttOdlO tho a ~i;R~So~(,'UC 10K'~ f Ij"l1arltmlco Tn~ purposqr., k~d \. Jyj ~ .~ ' . 1l;Ll '." ..l ...I -~.. ,.J.uol..y7""2-5~980 - . -, . ?' ,,' _, __' !!J'I'lll1F nF l\1:.ml~ fiYIFIIJUCil\l~Y, _=Ji::.~_ ' ___~ .,,', ' . ".,," ,OFFICI L USE ONLY, ce, 1"ea on,' .,' , , ; jl/-;(},;),/E AT t.,'lv P~IHJr.NT. PESTS AND DEDUCTIONS,ARE ALLOWED IN THG SUMOF $ ",--" ~' ~', \\ ': &v\"..W ! 'lot nA'rl'..... 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A"'. . \'......... .;..'. .. ___-"".:u.:~~_~_. _ ............__ PILB 1'401__. ../1'_ "~.::...1..2L.. COUNTY OPI.~..(1#-hJ..iI.4:.d.L<f #./ DATE OP DBATHI II,. Iv .. ? 'I _ '- -~ ".---~--~-- _...-.- ---'... -- --.. --"" .......'-- -...-......... --.......... --- ----- - -- --------..--- --...- --- - -...- --- - -'.... -.... ..-.....--- ....... ---.. --. I. DliTBRMIHATIONI '1. TaKablo 0I1al. baud uponl --+ rho Unltod Sial.. S"al. TaK Rolurn (Porm 706) Tho communlaallon from Iho F.doral Gav.rnm.nl confirming Iho aoc.planc. of elr ohcng.. to tho "odoraIS.tot. TOM Return' , Amounl of credit for 5101. d.alh laKn (01 verlfl.d) P~nntvlvonla Inhorltanoo laK ouo...d (o,Kaludlng any dltaaunl and/ar Inloro',,) Normal Inherltonae lox paid 10 alhor Sial.. or Torrllorl.. of Iho Unltod Stal.. (oKcludlng OilY dll/lounl and/or Inter..1l Tolal Inherltana. laK cr.dlll (IIn. It.m 3 plu. IIno 't.m4) TOlal liability for P.nn.vlvanla ..1010 laic (IIn. It.m 2 mlnu. IIno II.m 5) 2. .1. $ $ .t.:!..@ .I9tl. .!I~ .. 0" $ ~'7,1 P, '/I) 4. ... f) II $ ---- 6,9.;'1'. ",0 ti, 6. $ $ _ c:J - i 7. NOTSI Complot.lln.lt.m. 7 and ~ ONLY whon d.t.rMlnatlon . I. baud on p.deral Clo.lng .L.tter " Amounl of P.n'n.vlvanla"Ialo laK a.~..ud on d.ler~llnallon dal.d' , Addltlan (reduction) to Pennlylvanla ..Ial. laK ,(Ilno lI.m 6 Mlnu. IIn. II.m 7) j) WI,.,."',-",' P . " . Ilu o. . $ $ ~.&i' O'Iormlnallon propar,d bYI. "Oatol ...._... ...._.. __ ___ _ _.._..""'....__ ..._~_M....____ __';""_ __ __ __...__ ____ __......... ______ __"__ _.. ______. _ __ ___.~___ __~___ B. ASSIlSSMSNt; 1. ,"onn.ylvanla S.Ial. TaK reflocl.d onl IIno II.m A (6) '1In.".mA (8) :2.' Lo.. cr.dltll .Q.ru...OP 'PAYMSNT AMOUNT PAID $ INTEREST CRBDIT (s ) = -- (s ) = .: is 1 --- = ...-..--- L I --.. 3. Balenoo of P,nn.ylvanla ..101. IUK due $ Int"nl I. duo at th. ral. of .IK (6) p.rc.nl p.r annum from 10 Ih. ~ol. of poym.nt. A.....m.nt prepor.d byl ~ A.aUNT pon THg CQ:MM,ONWR^l.TH Dal.1 , SEe REVERSE SIDE FOR INSTRUCTIONS