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HomeMy WebLinkAbout80-00171 \,.. , '.;:' I; ~ ~ . i>< t;3 ~ CJ) :Il ~ ~ ~ 0 1=1 ~ J!l . is fo:I CJ) 0 . ~ H ,.., ~ ffi ~ 'l""l 0 ~ H ~ , I" :J: Po< '~ 0 ..... co 0 I ' -" N{ tl)' .... ~ . IlJ 0' ... \D Z III LLI , J . . cJ/-8'!.)~/'71 COMMONWEALTiI OF PENNSYL VANIA DEPARTMENT OF REVENUE nUREAU or COUNTY COLLECTIONS * RCC-33 (4-731 RESIDENT DECEDENT COUNTY OF CUMBERLAND IMPORTANT, -- -.- --- This relurn l~ust he ClJIlllllclCd in dclUilul1d filed ill tluplicllte, with llllllltudlcd. with till' Register of Wills of the County where dcccllcrll rcshh~d; Return is due within nine l1loluhs nfter dllte of d{',tlhl unless UII extensiun is grunted by Ihe SccrclilrY o[ Re\lClIllc. (Scctiun 70J of lhe Inhcritlln~c I1UtI EslU1C Tux Act of 1 %I.l i I I I ! i I I I ! I i I i I i I I IN TIlE MATTEll or TilE ESTATE OF } AFFIIlAY)T OF . EXEClITOII AIIMINISTRATOII County WILLIAM J. WALSH ISTATE FULL NAME OF DECEO!;;;NT) Late of ----CUMBERLANV PENNSYLVANIA CUMBERLANV ),,, State of County of A ., _cum/' II (flIAf~IiI-ZUTlA~ . AciIn.i.ri4..~x. dnUI1ISlriltor of the CIS lata of the above-narnod docodent being duly sworn, dapo5Q and say Decedent died JUIVE 6 , 1l)E-{~c5tattJ leaving a 105' will, copy of which Is hareto attached. } (MONTH) (DAY} (YEAR) Intestate Nom. ..d .dd.." ,I ,It""'''} PETER J. DUBINSKY. ATTORNEY other authorlzed represenlativc to whom .1I'.""pood"",,,h,,ldb.m,'I,d. 116 COCOA AVENUE. HERSHEY. PA. PH. (717) 534-2383 ~r That as such AdJnUti...o:tJta..tJti.x JepO!1ent i:-; familiar with thc affllirs of said cstate anJ the property constituting (F.XECUTD R~ ADMIN IS T R A TO Rl the asset:-; thereof 1I1llltheir fair market value. That aL the time of death there was no safe deposit box registered in deceJent's individual namc, or jointly with, or as agcnt or dcputy of i1notlwr, or in decedcnt's indiviJual namc, with right of access by another as agcnt or deputy, with the exceptiun of the following: - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A S.-IFE DEPOSIT BOX THIS SAFE DEPOSIT eox RENTED IN l'!AME OR NAMES OF REL.ATIONSH1P OF JOINT HOLDERS TO DECEDENT WIll That the contents of sa id safe deposit box or boxes are itcmizcd under Schcdules with the exception'of the following, fur the reasons hereinafter set forth: of this return, That Schedule A attached herelo and made part hereof sets forlh fully and in delail alllhc real property in the Commonwealth of Pennsylvania of which decedcnt dicJ having an interest therein. It also sets Corth the mortgage cncumbrances upon each parcel of real property at the dale of death, giving the amount still due at death, I~ame of mortgagec, date, rate of intcrcsl., and book and page of record thereof. It also sets forth in the columns provided thereforc the assessed valuation of each of said parcels, the estimated market value thereof as of date of death of decedent. That Schedule B attached heretn and made part hereof sets forth fully and in detail all personal properly whercsovcr situated owned hy the decedent at the time of death; all moneys left by the decedent at the time of dCi.lth, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons giving also scpamtcly the accrucd interest thereon, if any, down to the last interest day prior to decedent's death in t1!e"ciisc of savings banks, and to the, date of decedent's death in all other cases; all honds,postal saving~,;;"t'reasury certiricates or notes and other e\'idcncc of indcbtedness of the United States to the dc- cedent';'.' all obligations, whether by statute or agreemcnt they arc designated as tax free, of thc United States, or any state, or political subdivision thercof, or of any foreign country, which are oWJled at thc time of death; all wearing apparel, jewelry, silverware, pictures. books, works of art. household fUflliture, horses, carriages, automobiles, boals, and any and all other personal challels of whatsoever. kind or nature. left by deccdent, together with the fairly estinmtcd llIarket value thereof; all bonds and mortgages held by decedent and of all claims due and owing dccedent tit the time of death, and all pr'omissory notcs or other instrumcnts in writing for the payment of money of which decedent died possessed, of whatsocver nature, with interest thereon, if a;1y, 'giving the iace value and estimated fair market value thereof, and if such estimated fairlllarket value he less than the face valuc, it sets fouh briefly the reasons, f<?r::'such depreciation as to e:lch item; all moneys payablc to the eslale frol11 life insurance policies carried by dccedent; all annuity and endowmeT1t contracts lhe proceeds of which wcre payable upon the death of the decedent; all and Ihe corpuratc stll~ks and dividends due thereon and unpaid us of the datc of dcath, bonds and accrued interest thercon tn the date of dcccdcnt's' death and other investment securilies owned by the decl~dcl1t 31 the time of death, with th'c Rwrket value there- of at stich time. '/' ,("., / .j.> ;]JD' I I I I I ! 111 t.he ellse III' secllrll.les 111' c!os" or 1'11"'11" CII"'"""l.lolls, till' VIlIl1"S 1'"porl.<"III/''' liS 1'lIr liS pOSS I hI 0 slIhs t.1I111.111 t.e<l h)' I'IIIIIIIC 1111 S 1.11 t.O"'OIl I.s 111' t.h" COr'""'1I1.1 OilS, show III~ till! IISS'Hs 011<1 IIl1hllll.los I.ho,'ool' liS 01' U", <llIl.e 01' dOIlt.h. Th" sc'''''h,)" IIlso sots I'orl.h I.h" 11I1."r"sl. 01' doc,,'I<.'I>1. Ill. tI", 1.1",,, 0[' dOIlt.h 111 III1Y eo-pllrt.'ICIrshlp or l",sIIIOSS, 1lI1l' 111 SlIpporl. of' I.h" volllo of' SlIch h,l.",'osl. till"'" Is 1111111,,,,,1 1.0 s/ll<l sehorhl/,', 1'1 IIl1l1e 1111 St.Ilt.""'"IIt.s shoWIII~ I.hllllssols 1111<1 llllhlllUlls 1If' SIII<I eo-,""I.II11,"hlp IIr ""sIIIISS. A CO")' 01' I.h,' eo-""rU",rshl,, lI~rec"'olll., (If' orlll, II sl.lIl.IImolll SIIt.t.JII~ ['ol'l.h lho IIl1lllrll 01' tI," "~rllllrnolll.) t.ogt!lhllr wllh II Sllll.ornelll. sol,t.Il1~ f'orl.h tho ehllrllcl.or of' tho ''''SIII''SS, It.s 10CIIUoo, ''''<1 slIeh ol.hor l'IICI,s portlllnlllg t.o u'o hllSllloss liS "'"l' he porUllolIl, t.o II 1'lIlr 111111 .111111. lI"prllllllll 01' tho <I"co"olll,'1I IlIl.or"sl. tl,orolll "'liSt. ho slIhm I 1.1.011. It sholll<l III so set I'orth 111 Homlzo<l f'orm, to~ol.hor with tho f'alr mllrkot valllo thereof, /lilY other JI roper t:\" owned or bequeathed hy the decedent at the tJmc or dCllth. The SChedule C IIl.tllehe<l horeto IIn<l "IIl,lo I'"rt horoof' sots f'orth II trlle IIl1swer to elleh ill'luir)' cOlltlllne<l theroln and ill the caso of' transf'ors of'proport)', rOlli or porsonal, within two yoars of' docodont's doath, In contomplatlon 01' <locodont's <loath, or illtondod to toko olToet In possessloll or en.1oymont at or after dellth, said solledllle sets farth the nature 1>0<' vallie of' such property, 1.0 whom I.rllllsfcrred, the relationship of the trallsferees to the deeedellt, the proportlonato share roeoivo,1 hyeach tronsf'oreo and all other facts of 0 perUnont nnture regordIng said transfers. In the case of' trallsrers Intellded to take effect in possessIolI or en.foyment 01, or arter doath, thoro Is also nttacl""1 to the schedule II COllY of the deed, trust agreement or other instrument creatIng the trllst. Ther" Is nlso set rorth ill snid schedule a lJs I. of all property, real alld personal, with Its value, which plt,"es It I. decerlen I.' s dellth by v.trtue of the exercise by decedent, eItber indIVidually, or .fo.tnt,ly wItb anotlrer, or any pltwer of IIppoillt- ment vested In decedent, either indIVIdually or JOilltly, by tire will, deed, lIr lItlrer IlIstrumellt 01' another, with a copy of the instrument creating such power attached to the schedule. Thnt Schedule D attached hereto nnd made part hereof sets forth tire I10mes on<l addresses lIf'nll persons benefiCially Interested ill this estate at the time lit' decedellt's death, the nature 1If' their res- pective interests, their relationship, Jr nny, to the decedellt, together wIth the ages nt the timo of decedent's death of all minors, annuitants and benef'1eiarIes ror IJre "nder deeedellt's IYUJ. It also contaIns a statement showing whIch of the benef'1eiaries named in the deeedellt's Will, If Itny, died prIor to decedent, tire dates of' their deatlr, their Issue, (md the rellltlonship or such issue to the hellef'icIary. That Schedule E attached hereto and made a part hereor sets forth nil property, real alld per- sonal, oWlled by the decedent Jointly with another or others, includIng IntangIble, stnllding 111 the nome of the decedellt nnd others, plus the date and place or record or instruments ef'rectIllg the v~stiture or renl estate and the date or acquIsItion of personalty, plus the nnme, Itddress alld rellttiollship, ir any, of co-owners to the decedent. That Schedule F attached hereto Ilnd made a part hereof sets forth fully and in detail all dehts and deductions claimed for and on behalf of thIs decedellt's estate, including runeral expellses paid; ramUy exemption, where applJeable; costs or administration of this estate; counsel rees nlld rudIciary's commissions paId or to be paid; cost expended for hurial trusts, tombs tOiles or gravemarkers, nnd reli- gious serVices" In consequence of the death of the decedent; debts nnd claims owing and IInpnfrl lit time of death; taxes accrued chargeahle for period prIor to decedent's deatlr (except those allowed ullrler Section 651 of the Inheritance and Estate Tax Act); together w1t.h It statemellt of collateral pled~ed ror olrlJgn- tions, if any. It.is agreed tlrat the fIduciary wUI present proof or S/lid elaimod obllglttions upon ro- quest, that if the amount actually paid In settlement of any fee, commission or debt is less than the estimated amount claiming nod allowed, thnt the same will be reported to the !legistor of Wills, and that the amount of tax assessed enn he renssesserl in accordance therewith. That the totals or the appropriltte columns ill Scherlules "A", "8", "CO, "E", nlld "F" ns directed therelll, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this .,"""".""",,,...,,,,,,,,,, "...",.""".../:!,:dc, "",. day of ';?CH "'"'''' 19""'''80 """...,,,,,,x1t.(J],Ci4:::z.<~""""'!c(f;a{" '""...".", (forg,;r;Ol 1\~01J, Hot;:r~1 t'~-'tJ I -, - r.'. )>~., ',., 9 1- ,...t My (OI1lJ:1':l!:m ..::,wt, ''''.'', , (<lmj) Hil!, FA (IJnl~u!ilnJ Cl':Jr.!'( NOTE: Before signing affidnvit make Sure IlIl blnnk spaces in the nffidnvit nnd schedules llnllexed ure rUled 111 with dotaUs or the word "None", IInd in cnso the IISsets Inclnrle rflre anr! unlisted seenrHles, securities of close or fnml1~' corporatIuns or an interest in nn,r co-pnrtnerslJlp or business, tflllt the data and stntement.s requirerl under the'pnru~rllph ahove relntJng to Sclll!rJuJe "B" nre nttltclleil. Also mltke certl1iu that column #1 in the "Sl1rmnllr~'" has been properJy completed ns flhove-dirr~cted. ""&:.~e-"",t.2...,,,kz2(~:,,..,,,,,,,..,, ([--------~_______l A~~ ""l'IZ0"'Ap~VAtm;;b;:j"'"''''''''''''''''''''''''''''''''''''''" , M~gaJ\.~;t'tthd'WJY"'''''''''''''' , .. . . " REV-4!1I (B-78) COMMONWEAL TH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS: This Schedule llIusl disclose alllangible aud inlangible personal property owned individually by Ihe decedent, at the time of his death. Property owned by the decedent jointly with another or others must be listed under Schedule liE". Intangible personal property, titled in the nome of the dcccdtlRt, but payable at death to unother or olhers. including but 1101 limited to P.O.D. U.S. Savings Bonds and tentative trust accounts, must be listed. despite the fact that they arc not of the administered estate. Tangible personal property should be listed first (e.g. jewelry, wearing dPjlarcl, household goods, and furnishings, books, paintings, automobiles, boa 15, ctc.) Intangible persona) property, such us bonds, treasury certificates, cash on hand and in bank, stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance payable to the estate or fiduciary in said capacity, partnership interests, interest in any undistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be lisled in Ihis schedule. lIelll I'lliM UNIT ESTIMA TED DEPARTMENT No. Lisl and describe fully VALUE MARKET VALUATION VALUE (Do not write' in this space) 78 CHRYSLER SEV~V 3,800.00 , VONEGAL MUTUAL INSURANCE CO. 10.00 STATE OF PENNSYLVANIA - REFUND 31.00 ~VTHRACITE HEALTH & WELFARE 20.00 I, , \ , I , , Insert this total opposite "Personal Property", Schedule uB" in XX 3,861.00 J J H 00 the uAsReported" column on the last page of this return. .40ti RCC-37 (\2-63) roMW1:\\\'EA\.1'1I OF 1'1'::\:\'\"\"\.;\:\1.\ THANSFEH INIIEHITA:\CE TAX IlESmENT DIXEDI':NT SCIII,:\)t:I ,E "\)" 1'''- ~if;.~!l f: (,~.':::"..) \;~ I( ','~"\/""!: i\ \::':":;.:'.,~~.::;':/.-- B~:\EFICI:\I\IES - llENEFICIAHIES AND ADDHESSES, ~lIin~~~I:~\~!I~I~~:~Por I Sl!lt\:IV,ED I 11,\']'10: INTEHEST (IV Stllto full "a"es a"<I a<l<lI''',"05 01 "I I who illegitimate childrl'll DI,'.CI:.I,lIc!,,:I: (Ji" BENEF\('IAHI' :\\'(! an inlerf'st, vested, contingent 01' other' arc invol\'cd, set 51 All'. ,1 bS I 1111\'1'11 IN ESTXI'E WiHC. in (I~tal t~) forth this fact.) Olt NO I -- - + x-1HL --' , CLAIRE A. ZllTLAS 1JAUr./iTER VES -ENIlRE-1:SIAIL ..-. I I i I , --- - , - I , I i I - , , , \- , , - , - " I}I?Jloncnt f\lrtller sn)'s tillLt ulI the uhove-Illlmcd llenef1clllrles Ilf(! li\'tnl-!; I\t tills til1~~4~llt IJelow: NAllE -~~E OF DEATII -J -.--. ! I IIESIDENCE ! --I i L.- I ----- i __---------- I, -- -- _L---.c----- ---....,-,--.--..,--..-..-..------- .' REV.",,, C4-70) COMMONWEA~ TH OF PENNSy~vANIA BUREAU OF EXAMINA TION INHERITANCE TAX SECTION SCIIEIJULE "E" .I0lNTLY OIl'NED PIUlPERTY INSTRUCTIONS: This schedull: must disclose all property, real ami personal, ~d hv the decedent jointlv with another or others, including intllngihles, slanding in the name lIf the decedent lImllltlwrs. List real estatc first, ns cntireties, or joint tenants, giving hrief description, as indica led under Schedule IIA," plus the date uml place of record uf instrument crfccting vestiture, bul dOl1ot include entireties ur out of stale real estate vlIlue ill estate valuation co!u!lln, Persllllul\lfllperty should he listed as ill Schedule HB." plus dalc or acquisitioll, and the IIlImc, address and rcllltinl1ship (if :IllY) of eu-tlWllers tu thc decedcnt. Description of Property, Dute of Acquisition, Name Adlrcss {lnd Relationshil1 of Co-Owners, :Ind Place of Record of Instrumcnt, wherc Renl Estate. CO-OWNER - CLAIRE A. ZUTLAS (VaughteAl 1120 Apple V~ve Me~hanlC6bung, Pa. 1".t BANK & TRUST COMPANY CHECKING ACCOUNT NO. 161-14-7 SAVINGS ACCOUNT NO. 505-037-2 297 SHARES OF A. T. & T. STOCK A. T. & T. VIVIVENV U.S. TREASURY BONVS TOTAL NOTE: OWNERSHIP IN ALL OF THE FOREGOING ASSETS EXCEEVS TIlE TWO YEAR PERIOV. Ullil Valllc Percentage Estate Share Valuation IlEPAlrrMENT VALUATION (OFFICIAL lISE ONLY) Vullle or Entire Properly Vuluc or Decedent's Interest y, 179.07 11'/.~ 1 "'~ ;: ,111.83 rill, fJ :.L ,5'i. ~t "- Y.. 6,929.00/1'<1'/.';(, .l- 371.25 S'((,.I.$" '1~-1'1 :< 2,800.00 ~:1;J't{),O{) ~ 5,991.15 f-~.J"(" I ~:: <.1; IU, J ~ Insert this tolal opposite "Juintly Owned I)rol't:rty," Schedule HEu in the "As Reported" column on the last pOlgC of Ihis rcturn. ~JII?.3..3/" -~f( Rl:V.484 EX+ (J.1l0) INHERITANCE TAX SUMMiI.RY SHEET (BUREAUJ!~E ONLXl 21-130-0171 File Number --------.------------.---.---- Estate Name ___Jiilli jlm_J..J:!J'l.lsh - -" -- -.---.---------.-.- .._- Date of Dealh 6/617'1 ..-.-----------.--. Social Security Number ...---. ----.--------- REPORT OF INHERITANCE TAX APPRAISER I, tho und.rsign.d duly appaint.d lnh.ritanc. rax Appraiser in and lor the County 01 -C mh.e rR a R P.nnsylvanla, do respectfully report that I have appraised the real and p.rsanal property as ,epaa.,I'.. t · l)"e9a1n9 r.tum at tho valu.. sot lorth opposite each it.m in the last column to the right in Schedules "A", "B", "C", and "EO> Dat.d: Apri 1 24, lqBQ .Jtt7~, ,oJ J -A,'/"l d . j ) - INHEmTAI~CL: TAX APPRAISEH INVENTORY VALUE AS APPRAISED ADJUSTMENTS CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE -- Real Property (Schedule A) Personal Property (Schedule B) Jolnt.Held Property (Schedule E) Transfers (Schedule C) s 00+ 10+ 23,183 36 20+ TOT AI.. GROSS ASSETS N on,e 30+ .___2L,MA _36. .---- .----. Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE <10- PRINCI PI.. E Valua'tlon of life estates or annuities. . . I I . . . . . . . . . ~ FACTOR -- FOR USE OF REGISTER ONLY T ax on $ 9lli' 6% 15% Tax on $ Tax on $ Tax on $ T ox on $ Exemptions Total Estate "OTAL TAX INTEREST FROM BALANCE TO Less Credits DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST S + 5 S = + = BALAtolCE S INTEREST FROM TO _____ S BALANCE DUE S VALUE COMPUT AnON OF TAX $ S $ S I $ 5 S TAX CREDIT $ 92+ 93- CODE t- ~ ~ ~ ~ "" ~ ~ ~ :;: '" "" \ ~ .., <: ~ fIJ ~ ;:l E ..... ...l ~ l- ,-J .~ OJ 0::. I < .... .t:l - E "' ~ Z .... ~ ~ 0 .~ '" ..... 1>0 - :;: :;: U ..... 1>0 ~ 0 ci ~ 1>0 1>0 ~ 0 '" 0 z ci '" ~ '" >- ~ d - gj z z ~ ~ ~ z ::l ci ~ d ~ ti ~ ~ z Z f-i Q ~ Z ~ ~ '" ~ 8 0 ::l ~ Q COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '*' COUNTY. FILE NO: ~ I - rs 0 - I 7/ [iCr'1/I-i.ti. t1,:z.VII..I'15 ,) , TO: (/0 It. r[ 1< :;-;j)UUIN ~KY r ;JvL . )~ .I "'/1 DATE ;11 (4 j ) 7, 11 8'0 (1.11) I . ", 'I J 1/)4)..5/-/ J)) -?o --/?/ [. 5 C,< ESTATE / I 0 c;.) 0' /7 /-It. f< 5/7;;' Y I FILE NO, /' 7 - ., , t:J ->-' COUNTY (" I.-IM .'5;:: 1<).,,4 AI j) DATE OF DEATH (.;,-0-71 Appraised Value of Estate: Real Estate Personal Property S + J, 8'0/, ()U + <J), 12'3, ic" s 5: 701?1~f,,) [( / ?F;.5""b s / ~g tj-;t() . Jointlv Held PropertylTransfors Total Gross Estate Total Approved Deductions Clear Value of Estate Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax s Amount Taxable @ 6% Rate s If; B'b.'J;e-o tax due s //.3/ '1:;-" Amount Taxable @ 15% Rate tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ / J 31. '1:;,-' A five percent discount totaling will be granted if the Inheritance Tax is paid by ****** s Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT s + s s = s + = + = Interost accrues at the rate of six (6) percent per an m _ on the unpaid balance of Inheritance Tax from fi111/\ (Jj ({" 1 111('(-, to date of payment. Interest du(; if paid by " .s BALANCE OF PENNSYLVANIA INHE!;!TANCE TAX DUE sl/3/,'/j /~v5 INT.f.l(;!..sT c/f; f!I " ~ ~'- , / ,) I (' Assessed by: lAb' .D '/I/,,:<~ See If'llormahon on Reverse Side !A5~n1f?rl_~OCOmm?n,weahh '- y-'/'Vl! /'1 [-G,s, / <:'1(' C,;;='IM)j ;; l; I.:: 1':~1l:;~ ,if \.\,; 1 i ESTATE OF " 7/ DEDUCTIONS ALLOWEO IN ,;( 1- g (J. r d ...., STATEMENT OF DEBTS C1') THE SUM OF ,,,,,,,,,,,, $ P,' /78:,5,," AND DEDUCTIONS lo DATE APPROVED ,,,,,,,-0c;/I{() '" l / /Jy; /1 l ~~I,(?-~{L2!1!.~lu :f ::: ;iI.;"./(. ' /;4"1/)('/1 / ,,2 ,: f.{) ;//I,..,T Y R.,h'.." Wllh, A.", WI LLIAJII J. WALSH LAT' OF MECHANICSBURG. Pl.. COUNTY Fotm RC C .10 OFFICE 011' THE REGISTER OF WILLS or r.uMf\FRI AIJD AND AGENT 01"' THE COMMONweALTH DATE OF FILING APPRAlS&:MINT DATi OF DEATH J(J,VF 6, 1919 DATE NO. 0' NAMa OF' PAVEE REMARKa AMOUNT VOUCHI1I1l 6/79 BELL TELEPHONE PIIONE CALLS 29 67 DUTCH PA,VTRY mVERAL MEAL }8 74 PEALERS FLOWER SHOP FUNERAL FLOWERS 59 10 .jk[ KRAME R GU-H"-tHtEJ>tttw j),S/ll).L.,./€.J MYERS FUNERAL HALL FUNERAL EXPENSES 2 240 52 FARMERS TRUST CO. STOCK TRANSFER 15 00 CARLISLE RADIOLOGY X-RAY 10 00 OK- >r.c lE..H I,IARGARET ZUTLAS GIFT TO GRANDAUGHTER i1mcrlf;P 2,240 00 W & M BOC'! SHOP REPAIR OF CHRYSLER 200 00 EVENING HERALD NEWSPAPER I 20 SEIVLE MEMORIAL HOSPITAL BILL 100 00 DR. STAHL DOCTOR BILL 6 00 HOLY ROSARY CHURCH MEMORIAL FUND 50 00 SEIVLE HOSPITAL BLOOD 120 00 HYSERS SERVICE CENTER REPAIR CHRYSLER 22 84 W. L. S. MOTORS REPAIR CHRYSLER RADIO 133 13 MARTANGOLO & ZUTLAS EXPENSE TO SELL CAR 147 36 REGISTER OF WILLS DEBTS AND DEDUCTIONS 5 00 PETER J. DU13INSKY, ESQ.."; " ATTORNEY FEES 350 00 ---. CLAIRE A. ZUTLAS EXECUTRI X 350 00 FAMI1.Y EXEMPTION 2,000 00 TOTAL COMMONWEA~TH OF PENNSY~VANIA }.., DAUPHIN I, CLAIRE A. ZUTLAS HtREoY CERTlry, THAT. TO THE DEIT OF MV KNOWL!DCilE AND BELIEP', THI!: FOREGOING 16 A JUGT AND TRU e: arATEMENT 01'" DEBTS, ~UNER^L DCPEN8E9 AND EXPENIID 0,.. ADMINISTRATION SUBMITTED TO THE ESTATE OF WI LLIM.1 J. ~I.JALSf{ DECl.A8ED. ". CE:CUCTION5 ,..OR COUNTY OF INHERITANCE TAX PURPOIlU. /t /; . .WORN ANO BUB.eRIB'D BErORE ME THI. /4(/;' DAY~-C;~ ;,.~" .u \/kl~1;;~1-.( '^. ~!~"a{~L- G[!)rfl'~"'l f~~'11, 1,1(;1, ry r c, ,il (j " (",.:;:, ~~, 1..7, r', !.' ',: ,',II I) \ ',1.1 ..V, ' f.;:,~_":') C :':i ~) ,r a .-... ~' } '-T" '4/ CL. 1S.1 t~;I;l !i.;, r ,j < .",.. t,-, I ~,,,,,,~~~~!!,." ~,""'! ~"'I~'~I~r!fr:'!'r~~'~!~! 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