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224
No, 21.80
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of ~U~~L Lf:L l>RL~€___ , deceased,
ll,arold E. ~lcLane, DCl2.uty
To Rlci"lerd [, AAderson, Kegister of Wills for the County of Cumberland,
in the Commonwealth of Pennsylvonia,
'"IS-
Petitioner(s) are the executL2LtS_- named in the Lost Will and
Testament of .J11t1t../~L F ELv(2.ibb,E dated pee. 3./97.8
, '"
Decedent was a citizen of the United States and a resident of
t!./f IH' 1//1. L-
of Pennsylvania.
Decedent died on
A. D, 19.9t2., in the County of J,JIklMIAL
~-AJS'i/' VlrNi4 at the age of "/0 years,
.....Itll$ J.)ItT ~~~r her
Decedent hilS R8t been married and I.w M~ had children born to ~
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
7I>"~/J1)/).~ and of real estate to the value of
-0-
4a"I,Jl.iJ5
Borough, Cumberland County, Commonwealth
the ;J'iI'tt1 day of IJ1I'1~c H ,
, State of
_ as near as can be ascertained; said real
estate situated as follows
apply
Therefore, your petitioner(s) respectfully lii/~lieg for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Doted /l1~;1.. IJ 1&180 -:--aJ~? rfJI~rJa ,~')
Name and address tIJA/.t~ '7. E/..~~/iJ6E :J/L.~
of Petitioner(s) f/tID /1?iGKtey RelIt-D 1M,.. /./- 2-
tulfi"II"e.L~ PA. IUJS2-
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CELlAJ 1)1# rt>~j) C:LCC"<L1 ,~kc\(\,
/817 t-U1i./.1't111$ta"~b, ~~.
LE/(/Nt5,Tt>N KLI. 4~
I I
COMMONWEALTH OF PENNSYL V AN IA (ss
COUNTY OF CUMBERLAND ~
tfJ':;U..At!.G ~. 8.});eJ 1)6€ 71I J ~eLiIJ~A -r: 'b"D
,
named in above application, being duly $().J~,J according to law
say~ that the statements set forth in this petition are true to the
best of 7iI€l1f!. knowledge and beli;i 1/!!.... ~ '/) t} /j, _
SfA.}()eN and subscribed before U/~~tai,t '.t {L
'-~ . - uJJ:.k ~l( ~h 11." . Deput y
n;"I,,,, J [, ,^.l'Ide~6El'A:;. Register
r.r~717 .
r./i 0
Filed; April 2. 1980
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FIFTH: If any person entitled to any distribution or
payment pursuant to this, my Last will and Testament, is under
twenty-one (21) years of age, or is incompetent or mentally or
physically incapacitated at the time such person is entitled to
receive same, to such an extent that my personal representative,
in his or her sole discretion, deems it unwise or not in the
distributee's best interests to render distribution or payment
directly to such person, my personal representatives may apply
such person's share for his health and support, including hos-
pital and medical expenses, directly, without the intervention
of a guardian until age twenty-one (21) or until termination of
the disability, as the case may be.
SIXTH: I appoint my son, WALLACE B. ELDRIDGE III and
my daughter, CELINDA TODDr as Executors of this my Last Will and
I direct that my Executors shall not be required to give bond
for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal this ....1;tL day of Itl.u.~~,,{)) , 1978.
The preceding instrument, consisting of this and one
(1) other typewritten page, each identified by the signature of
the Testatrix, was on the day and date thereof signed, published,
and'declared by MURIEL F. ELDRIDGE, the Testatrix therein named
as and for her Last Will, in the presence of us, who at her re-
quest, in her presence and in the presence of each other, have
subscribed our names as witnesses hereto.
II WITNESSES:
I
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"Residence v
. Ob-<' e~ Y:!Mu~~Gcl2ah jJ;ul.wa-t ~
Residence
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF' PENNSYLVANIA I 55:
COUN'l'Y Ol~ CUMBERLAND \
, ' 2 nd April 80
'I hiS....,..,..,..,..,..,..,..,...................".,....."...".....,...., day of ...........................................".......,......,.." A.D" 19.........
Harold B. McLane. Deputy
before me Ri8lHlFII K f.RH8F88U, Register for the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania. personally came ..............
Henry W. Little and John B. Wells. Jr.
................................................................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Muriel F. Eldridge Dec. 3. i978
Testarnen t of ,.......,..",.."""....".........".",....", .........,......",.."",.."................, .., Dated ....""......... .......................,
late of .,."...."......"..,"~:7,~~..,l!:~~,~,....,.........,...,""',.,. ,.,." "..,..".."....,....,..,.., Cumberland County Pa,. deceased
who being duly ...................~~'?~,~............. according to law, depose and say, that ....................................,..,
present. and saw and heard the testa..!:,J;,!,~...................... ..........,~,':l,~~,':,~J,:....~,~~E~~~,?,...................,...
sign, seal, publish, pronounce and declare the said instrument of writing as and for h...;;!:..,...... Testament
~nd Last Will. and at the time of so doing ................?!;,':,..........................was of sound and disposing mind
~~mory and understanding. to the best of .............~.l::~,~E.....................knowledge, observation and belief,
sworn
.........,..................................... and subscribed before
~/ I -/' ,.
"';_~.-L.F;'~j/{<;"'''', <::~~-ec-!-e...~_~
'.;.'..-::..T"'."!Ii7'....'7......;Z'..'"i" .,.,............................,
;0 li,f};/!;.!/ '..J .
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>.('.......,..,....,.....,...,..,.,......,...., ......,....,.....,..............,...,
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b
'-:' . . ") !.' . Deputy
....~. :J1.r.lJ,..i-I\~,:,:~,v."""...,,,...,.........,..........
R~~luu.~ E. .:\.lulcl:;.~~:kgister --.
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND ~
,........ ........" (;,~..! ,', !.\:.!. ,S L.. ,~!, ~,;:.l.~,~.."", ...,......, ..,...,............"...."..""..,..,.....".",. '. .......... ......."".. ...... ,being duly
...:..,~.......:;;..\,:;:U..!,L........... says that as nearly as can be ascertained the said decedent ,.........................
t'-\uI,,'ci i((I(I! ('(dl',cicfC did
"""..,.....,.."....,.,..'"..,..,........",..."..,........,.."....".........."",......,....""",..,.......",..""...."..""............".........., e on
t'l . '"ri, .' \"" .
c::t.. !.\ 1'-1('\'( I' 9'C
....................,#.;,;',-;::-.......,......... the ...........:;...;...............day of ...................'..".......;,,'....,.............., A,D,. 1 ..::..;;
LJ':! I' . ()
at or about ..................:...........,......,.... 0 clock. ...M.
'. sworn d b 'b d thO
....................................................an su scn e IS
I Si /. (
...............,.........:....................., day of ,.."..:,v.,U.........
19, ..5,~..,. before
,..~,~jav.hJ11';,:~h1,~:;.j;),(..,,,,..~,..,'~:.~~::,~
R:.Jltil d. E. &A.J\d~r88R. Register ~.
.~ C('I"CU, ..(clef, .
..................................................................................
";11',7
REV.~17 {B.711J
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
._--,--~-~---_. .--"~- -",- .--
DATE )1[1y__g1,_132!L-
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
ApplicDtion is hereby mode for consent to the tronsfer of the following securities of 0 Pennsylvonio
Corporation or 0 Notional Bonking Association locoted in Pennsylvanio:
(a) 218 (b) Dauph in Dep osJ t '['rust C.91npJl,DY---- ,-...----.- (cL.CommQll_.St.o-cl<
(NOTE: In describing securities enter in (0), ab Ole, either the number of shores of slack or Ihe foce amount of
registered bonds, in (b), the neme of the issuing compony ond in (c) the closs of stock or the stated interest rate
and maturity dote of registered bonds,)
ISSUED ON 14arch 10, 1961,andhavingoTOTALMARKETVALUEOFS_~~~;3,OO
(0010)
as of the date of death of the decedent, Huriel P .....El9-LiJlgL------, on.NflT"h 2R, 1 ::,nO
(Nome of Decedollt) (Doto of death)
who was lote of Apt,ffLl, 3526 september Drive, Camr:U:ltU-,__G.hll)ljJ(=.:r:.1,EJ:ld, pennsylvania
(Street and Number) (Post Office) (County) (SlotC)
The securities ore registered as follows: Ivluriel 1". Eldridg;.~____..______-__--_-___-
(Nome or names In which certificah"!!i otC rcgistured)
Xl)),\rnl~f-j'4:Xf-e5~) vlallace B, Eldridge III, goo 111ickle.:LRd-,->-_APt.__J:,).-2,Wh:Ltehall,PA
EXECUTOR) (Nome) (Add,,,,,)
NAME OF APPLICANT _V1_al.1:.ct~~-.~.:-J.nqXidge III
COUNTY FILE NUMBER 21-80-224
ADDRESS OF APPLICANT- 9_Oli~kl~Y..J\.!L_",~Ll-2'
W ',e 1l,~A Hl 52 -
BUREAU FILE NUMBER SIGNATURE OF APPLlCANT_- cO__ LIlt-
NOTICE: ' IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPI.ICATION, IT WILL NOT E
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -- DEP ARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES DATE(]W.Lui/Y /lItJ
I hereby consent to the transfer of the above secu!'ities now registered in the name of th:r~foresoid /
Decedent and waive the filing of a certificate certifying to the payment of Ille tronsfer inheritonce tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P,L. 521,
as amended and the Act of June 15, 1961, P,L, 373, as amended, This is ulso ';,i accordonce with the provisions
of the Act of April 9, 1929, P.L. 343,
This Consent to Transfer the herein described properly operotes only in reference to the estate of the
above-named Decedent,
~.~~
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Signed for the Secretory of Revenue
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By .'-.'/fJ/1A-I-fJ/:-!Lf1.C&~' . ---
/1 (Sigylturc)
_ A~~; -<~ IJtt/}~d'~<<~_,,-!L
( e) (County)
,
REV"S'7IB"7BI
COMMONWEA~ TN OF PENNSY~VANIA
DEPARTMENT OF REVENUE
BUREAU OF FIE~O OPERA TIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
~,\
..__._-~-_.~-_..-.__._.-
DATE Nay 21 1980
--------------<.--
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for calsenl 10 Ihe tronsfer 01 the lollowing securilies 01 0 Pennsylvania
Corporation or 0 Notional Bonking Associalion located in Pennsylvania:
(a) 10 (ten) (b) Dllqllesne Light C'Jmpany ___-----(cLia'-?-O-pxr;,;f~.rXgd sto~k
(NOTE: In describing securities enter in (0), ab Ole, eilher the number of shores 01 stock or the face amount of
registered bonds, in (b), the nome of Ihe issuing company ond in (c) Ihe closs of stock or Ihe slated interesl role
and maturity dote of registered bonds.)
ISSUED ON Marcl1 27, 1972, and having 0 TOTAL MARKET VAtUE OF S 52~00________-
(00'0)
os of the dote of dealh of the decedent,
Mllriel F. Eldridge
(Name of Doc.adonl)
Oil March 28, 1980
, -----
(Date 01 death)
who was late of Apt .#4, 3526 septembe! Drive, Camp Hill,___cy~_l.<:12~-' pennsylvania
(Street and Number)
(Post Offic.e)
(County)
(Statc)
The securities ore registered os follows: Mllr:Lel F. Eldr~dge -------------
(Nomo or names in which certificates orc ragistoreJ)
XFJIDWIRUllIR)Wallace B. Eldridge III, 900 ~lic:lcley_~~pt. Ll-2_, 'Ilhitel1all, PA
EXECUTOR) (Home) (Add,...)
NAME OF APPLICANT jL~U~s:_~J?-.EJ.2r.idJYLllI
COUNTY FILE NUMBER 21-80-224
ADDRESS OF APPLICANT 9_QtfjO_Ji i,9 kl<;Y_lliL_-->_-AlLL
'1111-' g~')I~' _ ~A-1>'30 -
BUREAU FILE NUMBER SIGNATURE OF APPLICANT -~P--'-- -
HOTICE: IF YOU FAIL TO PROPERLY FILL 11'1 AHY PORTION OF THIS APPLICATION, IT WILL OT BE
COHSIDERED COMPLETE AHD WILL BE RETURHED TO YOU FOR COMPLETION.
....~---_._--" -.---------
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
. CONSENT TO TRANSFER SECuRiTIES DATE(kkj1.,'))?' /91d
I hereby consent to the transfer of the above securities nOW registered in Ihe nome. .of tjj1~foresaid i
-- --- --~--_._""----_..--._---
Decedent ond waive the filing of 0 certificate certifying to the payment of the jransfer inheritonce tux to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15,1961, P.L. 373, os amended. This is also in accordunec with Ihe provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
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Signed for the Secrelory of R?nue
By V12(::,,}~~li_c__:ZY!.?~-
,'" 7 (s..lgn~H\) .' ',1
61/< ~/ (!{'{/7J~~~~
/'-'; Ie) (County)
,
REV.S17 (e"781
COMMONWEA~ TN OF PEHNSY~ VANIA
OEPARTMENT OF REVENUE
BURE^U OF FIE~O OPERATIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
/j~. ~~~~
~Jt~
DATEN~.Lg,L-19g0 _
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for C<Xlsent to the transfer of the following securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania: d
., _' (.,;50.00)
(0) 5 (hve) (b) Greater Lebanon Hotel Enterpr:~~_e_s._,~_~.::_~_ (c20'-Y_~_:2i't!2.e_~e~.l:lres
(NOTE: In describing securities enter in (0), ab Ole, either the number 01 shores of stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (c) the closs 01 stock or the stated interest rote
and maturity dote of registered bonds.)
ISSUED ON Jllne 30, lq6!~, and having 0 TOTAL MARKET VALUE OF S_LQ(t.OO__
(Dale)
os of the dote of death of the decedent, Muriel F. Eldridge_____, on ~lar.eh.-1!~. 1980
(Noma of Doccdont) (Dale of doath)
who was late of Apt .#4, 3526 september Drive, C<!-E:12._li~)~~Lg_ll.ll1):l-,"Llan_(L, PeD!lSYl vania
(Stroot and Numbcr) (Post OHico) (County) (State)
The securities ore registered os follows: Muriel F. ElcJL:i,9g.;.___________________
(Namo or namcs in which ccrtlficntes ore registcred)
XIlMlfflm:O:llIR) Wallac e
EXECUTOR )
B. EldridjSe III, goo ~lieklex_Rd~ilfl_!...:_Ll-2, Whitehall, PA
(Namo) (Address)
NAME OF APPLICANT _ VJal!~.s:!'__~-'-_j;.Lqrid~__ III
COUNTY FILE NUMBER 21-80-224 ADDRESS OF APPLICANT jgQ.Jfi,.ci\:ley Rd--,-,_lIp.tJl-2
VI~hitehall' ~ ~S05
BUREAU FILE NUMBER SIGNATURE OF APPLICANT -' - - - -. . ~
NOTICE: IF YOU FAIL TO PROPERLY FILL 11'1 ANY PORTION OF THIS A PLI A 10 ,I (~
CONSIDERED COMPLETE AHD WILL BE RETURHED TO YOU FOR COMPLETION.
. _____ __._."_._M___...___"__...._~___n-___.n
COMMONWEALTH OF PENNSYL V ANI-A - DEP ARTMENTOF-REVEN-UE--- I
CONSENT TO TRANSFER SECURITIES DATE(7Y.4U!j,~/ff27
I hereby consent to the transfer of the above securities now registered in the nome of ~oresaid
Decedent and waive the filing of 0 certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions 01 the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed lor the Secretory of Revenue
-J /1
/ .'71 ;J-'h..;J
By---//ki.ifL" ..~.../)4~l'~~_
. /-j (~il)n<l,jriJ).)'
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yJrc)' (Ca"nl,)
(/
REV..!S17 (B-78)
COMMOI4WEA~ TN OF PENNSY~VANIA
DEPARTMENT OF REVENUE
BUREAU OF FIE~D OPERATIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
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DA TENay__21,.Jg8o
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for C<Xlsent to the transfer 01 the following securities of (] Pennsylvania
Corporation or 0 Notional Bonking Association loc(]ted in Pennsylvania:
(0) 5 ( five) (b) Greater I,ebanon Hotel E_~.terQ!ci.?~_s..LJnc_,_ (c)_Commol'l stoc II:
(NOTE: In describing securities enter in (0), ab Ole, either the number 01 shores of stock or the face amount 01
registered bonds, in (b), the nome of the issuing company and in (cl the c!(]SS 01 slock or Ihe stated interest rote
and maturity dote of registered bonds.)
ISSUED ON Jllne 30, 1964, and having 0 TOTAL MARKET VALUE OF S_~22.~_00 .
(Dale)
os of the dote of death of the decedent" Muriel 1<. Eldridge
, on
lVIarch 28, 1980
(Nomo of Decodent)
(Date Clf dcath)
who was late 01 Apt.l/4, 3526 September Drive, Cam.~_~_~~' Cllmber:lal~~-,-pennsylvania
(Slteat and Numbcr)
(Post OHice)
(County)
(Slote)
The securities ore registered os follows: NL\riel F. Eldrid(':_~n_____
._-_._----.._-_.~--_.__.
(Nome or names in which certificatc!\ ore mgistored)
~mmmt:m) '/lallace B. Eldridge III, goo J~ick:lex...~~~pt_.Ll-2, Whitehall, FA
EXECUTOR) (Name) (Add..,,,)
NAME OF APPLICANT J:@:P'!,c_~J3,~~_dl-i~ge III
COUNTY FILE NUMBER 21-80-2211 ADDRESS OF APPLlCANT300 11icl(1,~L!ld-',l,_.l).ill. Ll-2,
w~itl1all' PA _b~) -
BUREAU FILE NUMBER SIGNATURE OF APPLICANT - - - -' fdu~'-
HOTICE: IF YOU FAIL TO PROPERLY FILL IN AHY PORTION OF THIS A . t A ION, IT WI L' or BE
COHSIDERED COMPLETE AHD WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER S_ECURITIES DATE ({t!1.1E-!.!f;l1id
I hereby consent to the transfer of the above securities now registered in the nome of t~foresaid
Decedent and waive the filing of 0 certificate certifying to the payment 01 the transfer inheritance tax to which'
the property of said Decedent is mode subject pursuant to the provisions 01 the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
01 the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the ~erein described property operates only in reference to the estate of the
above-named Decedent,
~~~
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Signed fo, the Sec,etary 01 Revenue
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By _' ..__ j)r~{',{_ (___~,.iJ!:..IA/-t~..V
--:1 (Si9~O /'e).'"j .' ,)
~/'Z It t L: .L
../'1:-1t:--. /l. ,'"j ,e;.U-1?L-: ~i'.1::!.,=~__
PIle) (County)
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Inventory of the fool and personal ostale of n, #
^ ^ ' r- ~ \" _ . fttttf /
-1Yl.tH5,l~l r:; _/;:_L_~ 1< tCX:~/:. _ __ . __ _ _- decoas.d.
L.A rE Df THE 'jaD120i,l6f! OF (ljA-lU t' HiLL/ j.
e"U lrt.! i3~LI'A)O ~OLU.JT'-I, ?ArDIt-~ ()f._j)c~TH_-_~(z.eBO
-- -- --- _~~:-----~--=-="----",---=,c---='-'- _c_ -- ---~ -- ---- - - - - ---\- NO c-
-- ---~-------- - ---
1<E1tL EST/TTe
sroc.~s
I. G,eEIt TE~ L t;ft l3lttJctJ 110 rE L E)J / c~ f12-1 SES, :J-rJ(!.
.5 ~1I1!f2.E'5 (JOM A4DN te~ 1: # ~l/-B;). :rS'5IJEf) t:,jaD(I:l-I-
5 20 ~e:I'rfi?. 1J% ])CPWTUleJ3S - J So. toea., 155/..1J."'/) '1#5'7 due C.)'JD)137
tEmF. #s 4'1/:;',41/3, '/.fIJI-I-, 4915", 49fb
/vOTE: Tift $TDel< 4 VEi3Ef.fT/..f12es IrI?E /5SUEb,Tt::It"pt~D~ 5I:::>l-D AS 't#
!rIJ,)i'r.s IrT 1/70. 00 ?~~ L/,JJ!T - TOTAL l/!l--L UE oF'S- iJAJirs Ii 35'0 tXJ
FIfI e eoRPcRATt0AJ - 7 Sf/fleeS fI;J,:l~ eWIf.(!CN/!' tkf. ;)ToeK. \1
g;;lffJe.~eetT. %'7/(:0 /S5LleD 8/10/67 \
VltJ.jJ E OF I $tfi'rfC:E"'-~9'~ x '7 II .:J 04
j)/'{~UES.vE LIGHT' tD~iWJV )0 ~lflteES $7-jO l!i1J11, '&ER-~b I
;;;rlX!K Neo,i8 /5SUED Jp7/J}. !,
lit'lL-LIE tF I $11f'teE"" :J.2.fE )( Jo \1 s.;;o
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4. DA-U'P\-H1-J l:cPOStT TeuST ~M\PtttJ1J .1.18 Swes (Jf
(!,DJ/A m oN f;.nrK; $tff)-ICe (!e~TI f{C-!'r'7E5 a'lfH/ 4'?'l-f/, ,j:l~3q
ID1~1, J1bll, d-79~/, /.5(;;S9, 33CJ90 1!//fl3/ /:J.3Gbl d/289
;3ID 11.;)7.::lJ2 ,J}SkEP ;1..9.50 I WIL.J)E~B.'€9 /S1f.
11C>>:E\J mlli2l<n CEf,TI flcArES-
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'\ /I(JC!T# 002-/9 -on5"7 /tlJfOtJ)JT.. ~B/a;vrt;O
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/II/We DF ~g, Mrs :;::AJmt2:!Sr",;f/ 4:J7, 9"5 -roT/I' J/I}WE
5rtIJTE r..!llfJirAI. SAViAJ6S 4Ll'>AN I/-SW(!.,
!l-f!(!T# t)O~-lq~60'lt,C; /j-1/JOU.Ot! f./q':?Co,e:L
/ Ss/.u:1:> (,,/8/7'1 I/-T tjr'f';<$'~ -//J/l:JU:--ST m-/() 7D ia::c1x':>>r
J1tOJJTHLY i //,4W6 6F .)0 Mys //U~€f>r:. 5:1, !<, rOTA! V/lL.uf3
\' ~AvilJC:r'J M!e.WNT'=>
. 7. STAre Cf'rPiTAL $IWI1J~$ ~ L.o!\tJ -.- {1l%1':i::cKI'rCC-C{.I!Sr
\' MeOU0T#= 001- ODO/53lf P/l-/.. 0>> 3/1'f/8o -fIlO j)Ekf./T5
, . Tlt~(;MfTC?- LlNnL JtF~ bCCEbe1J','S bE/\-TI1
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WJJrtD STI1TES TIZEI1$tlf!c; AJor~?
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Flt/E (s) l1/Q:O,<,& A)OT~ ~;rl-/~9r6l3{),{,I31,1t:13:;ld-71.,'!:>-
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COMMONWEALTH Of PENNSYLVANIA
COUNTY Of CUMBERLAND
'.
I.
J
ss:
-.---'-'''- .--
..____.___.__.______.....____n_.__.__.. .------...--.--.-.-----.~_.-.-
being duly
_ _____ according to law, deposes and says that he_
__________________'__________ of the Estate of
late of ' Cumberland County, Pa" deceased and that the
within is an inventory mado by ______ _.___._____.______ ---------.--" the said
of the entire estate of said decedenl, consisting of all the personal prop.rty and real estate, except real estate outside
tho Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decadent's death.
----
and subscribed before mo, 1.
19
Eucutor . Administrator
--------
Addrou
Date of Death
O'Y
Month
YOIr
--'---
INSTRUCTIONS
I. An inventory must be filed within three months alter appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IY, Fiduciaries Act of 1949.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C~IiiI&IlDLt;:f'kG, H
__L-U,ljc. C1(!c;_A~E~D I?~Q.~~J!f~_____
b' d I SU..o..e.AJ d' t I d d th t h / S nfe
0109 u y _____ .___n_ accor 109 0 aWl oposes an says a e ._
_e){I:3~[(7D.F-___________.._____,__ of tho Estato of II? U/'fEL F Eu');{J/~ -
late of --1!fjJ11 P II/[L , Cumberland County, Pa., decoased and that tho
within is an inventory made by ____li/IJ:L__.. ___________, the said t3 J{E eo T012-
of tho entire ostate of said decedent, consisting of all the personal prop.rty and raal estate, oxcept roal estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each itom of tho Inventory represent it's fair value
as of the dato of decodent's death. I
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55:
~C-.30,--/. 17.._19
~"L'__' ~<--
. I;lj I"",,""i~ien Expir.os
/ "rril 30. 1983
City 01 Iklhlchclll
tf.'bigh (~O\Jll1Y
pr;
..d '" b",lb,d b.I." m., 1
I )
~
.3' C)
Executor. Aaminht"tor '
/jr;o Illk II t. C,C-; all,) IF L 1-c2
u);-; /iE !frlLL/ A. /fos-z..-
Addreu
Date of Death
/11/ft>cH
/126
O'Y
Month
Yeer
INSTRUCTIONS
I, An inventory must be filed within threo months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional a..ets.
3, Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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_~tglj;1J'-::_r.t~j)BLl'6c____~~ deceased.
LA rE DF TrtC !3o[?()W'Jf{0f (I.-l,'tlU r Iii LL .' /
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REAL ESfl2TE _,_,___,,____...___________________,___. _______,_,'
:;,~c.~~ ,,:. :';>) (, -5' ::r' I"
!--:-'((Eltrc.e. Left BtflJt:!J Ifor-cL E/0 IE,.. tKI ",I.:: , .M.,
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5 20 ~cM. <sLiD iJcP/?1J rlli~fS - ;j Sf). (X.'ett, /5:J/./d) 1#5'7 dllf3 t)~DJE::j I
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/vOTE: TIfE Sro<!.1< 4 DEBEfm(P-L"S -'TeE /SSllED,T/2/Jl;:eD~ Su.,j) A-S !J I
LIJJtr.s IrT $/70. rx>.,/#' LlN/T - 77YTlfL L/tf-L ilE OF " uNiTS !V" ;B;{}O i tL)
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VAt-UP- elF I S~E"'d:I9'~S: x: 7
Ih(~LlE$JJE LlGNT C!.-DJliflWV )0 5;ItAi:ES $7'~o 8.tlJ)H~ER*c:=:j)
.$TD<!.K H2o /18 /55tIED :Jpr/kJ.
VALUE t.F I SdAeE-" 6:-),fE x )0
4. DA-I..\ 'PtflJ.J DePDSr r TI.::dSr {2DIW7-tfJij (JIB SHttr-6 OF
t!-O}~lJtlctJ S;rCCK) SritT/2e e(~IFicJfiES ar;rB/ LfI?'IS/, .1:;s3Cj
/OI}iJ-I, /1b//, J-7f;'f)/, Ist-S9, 33~~tjO / 1l/{,'3; /:~3t.-bl fS/289
Elf) <P.:l7.-J:E I ASI<e'P ;;!g.so I f//lL.L/E ~B. g;. 1M',
41C1~IM4<Er CEr-TI FICt\rES.
STI1TE e,4 7'ITIU, s/t-tl//I;&S ~ l.triA-! 11SSl.9(! $i. .
/lfJeT# C02-19 -0275'7 /t-I/IO/.)).)r: Lf8/cco,ff?
/S5WzD 3/6/80 IT r 1'/, 792- j{:.
/lItLUt:DF ,9..') blfys :J:A;1?3.E.$r-=- .:j4.17,'lJ ToTAl. J/l}uN
5n97Fe1?f>il7-1t SAVlit:6S ~Lt.~o/iJl.J 4S5(X~.
/feeT#-' oo~-/q-co'lCJl /T)IJotIAJ(~ 't/o,2co,~;i.
ISSUe)), t./6/'?9 1fT y,'/-.:<S90 -/l.)i7:~-Sr /}J/tJ 7D la'cCJo..:i
I1tcwTIILY; Il.4I-U€ DF ,,10 A-l-y.s l.Nic:eE.sr:. 5::}, L" rOTAl. vAl-ue-
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SrAn: CAP i TAL sJ\-u/',Jf:tS ir f-,tt\fJ .,...l1t>S'&x~l~ IK'CCtlJJ/
MCCUb'r#= om - 000/534- iJ1f1.- 0),/3/1'1180 -No iX:~!~
THe72r;,1FfCg. liNn/. ItFreR bCC,;be?J'T'!> 'VEIi-TH:
(tQIJ'5, N./t. - PI)S:'>Bct~K M~c{J....,r #= O~ -DOD.IS'/"T '/
131-f/.... T /J/lteC!H, ICJeo /,()/l;72eST
er!/Ji3,,!VA Cl/J::I,STII1lt5 e:iul3
(!!/R!.J(IN('~ ;f-<!1!C1..{Vr
- -
. ee.A.Ji3, ;1.11'/, c!ktJ.;<i/JC.., lle.r:t.Jl!vT# ;).t1-3Y~62
UIJ) rf D Sm rES TREASlI ~Y~::!..E.s.., .
1 I, .sf R)E~ If- /CJ82. -:PltICO !/1/"8 /}ilE (,/3<-01- cd f~%
FW6 (~) $/cco. ~ ;fXr& ~II('I:J':;, tl3e, (:I3~ LI3:.lt'l-7t.,';>-
!Jlo!A-SKEf) at ~S--Y',Ii" /~t(,:'f5:
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\
COMMONWEALTH OF PENNSYLVANIA
\
COUNTY OF c~ml.j,) flit) EI-/1C:. If
I
J
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EtldbJ ()(.;F dL.
.
55:
te! 1ft {-fleE
being duly SLUnR-./1/ __ according to law, deposes and says that ,ha _.1Ji---2Ji~-
_EJt.e.fJdZQ./J=- _ _ 01 the Estate 01 /11/1 bEl I::; F-u);?/i'{:'1E
late 01 mE 2%;y,'bU6 H f^:P 611/4;> HILL- , Cumberland County, Pa., deceased and that the
'th" . t d b 1///1" th 'd .c-- XECUT()~
WI 10 IS an Inven ory ma c y _.0:..________.._ ._ -,___'. Q sal L..:::: .
01 the entire estate 01 ..id decedent, consi.ting of all the personal prop.rty and real estate, except real estate outside
the Commonwealth 01 Pennsylvania, and that the ligures opposite each item 01 the Inventory represent it', lair value
as 01 the date 01 decedent's death.
~,
A .C---'
19 iJ-o
l /
tt;&
0;O/J(,CI::a;'-
J ('!Ii! Ildllla,
jI;)
and subscribed belore me,
iy Commission Expires
April 30. 1983
City 01 J3clhlrlll'lII
Lehigh <:oullty
Addren
Date 01 Death
.n1R
DIY
/)? /teEfi
Month
/ r; to
Yur
INSTRUCTIONS
I. An inventory must ba filed within three months after appointment of personal representalive.
2. A supplement inventory must be Wed within thirty days 01 discovery of additionol assets.
3. Additional sheet, may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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I IINO'063182 DEPARTMENT OF REVENUE
t g. , :U OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
i 1\
I ~
!: ; RECEIVED _________________1>0111' HlTll1D\l1i?"
: "
= From,
I
l ddress
.
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II
~ File No, 21-60-,.,4
i Dote of Payment
i Nome 01 Decedent ~liI. f. BWlUDGB
~
Wal111t!.. B. Eldr~Jn.--Ellq.
THIIlTY-&_92AOo----------------------d.ollors
representing Pennsylvania Inheritance or
Estate Tax due from Ihe (allowing eslole:
900 Mickl~OIId. Ap.LJ.J~~---
2(7< 1m: on
>
s
~ Ht>1:>1l1 ) .
p_.
lR052
6% Tm;. on
s
s
Dole 01 Deolh~8d9BO-
15'k- Tax on
s
s
"PAID ON ACCOUNT"
TOTAL TAX CREDII
less five percentum 01 lax if
paid within three months ofler
dole 01 deoth
Plus interest at the rate of
_7clrom
10
$
~
II
45~L60 1
22./i.R t
:Inn.. 17.-19RO
Ck Tox on
s
$
Estate Tax, Act of
Moy 7, 1927
$
Counly C!l1mhArland
Remarks:
$
$
t
ft
uOO~w[L~@gu~ SEA l
TOTAL AMOUNT PAID
$
430.92
NOTE: This Triplicate Receipt to be retained tor audit purposes.
> i J" ~'.--/" 'J
I I ['{"eI I /1J..6.' 't:..!-
,. I I ; ,lSigno ure):""" / ....
M~ C. Lewis
a 8~F.)6f wills
Received by
NOTE: In accepting Ihe lron~fof innerilonc:e 10. on /t;IUfll e~'otos, prior fa the death 01 the lile
lenonl or lenOl'\I lor years, os "vidBn,ed by this receipt, it is undvnlood Ihot Ihtl Commonweol1h ,hall
nol be preduded or pfe...enlod from hllreohef aHeuing additional inheritance lax 01 tho death of the
HIe 'enonl or tenonl for yeaH .....henever II appears lllo! 'lJd1 odditionol tov 010'1' be legolly due and
colleeliblolor ony reason .....hotsoc....H.
.- -' - - - --- -- .- -- -"- -.. ._-- - -- ._- .."--- _..,- --.. -- -- - -- -- ._" -- -",- ,.-- -.- -,.- --- -- -.- -- - -- - - - --
RL:V".U EX+ (~801
Fj I e Number
Estate Nome ---
Dote of Death
Social Security Number
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-80-0224
----------
ELDR~DGE_,___t_Il!.r:ie_L!'_'____________
03/28/80
REPORT OF INHERITANCE TAX APPRAISER
ID Original
o Supplementul
o Remainder
I, the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 Cumberland
Pennsylvania, do respectfully report that I nave appralsad the real and personal property as reported in the foregoing
return at the values set forth apposite each item in the last column to the right in Schedules "A", "B", "C", and "E"
Dated: August 4, 1981 - -j~ I) rI 'j (1,' (f) 'j-\ t) I (I ( I (
INHERITANCE TAX APPRAISER
INVENTORY
Real Property (Schedule A)
PClrsonal Property (Schedule B)
Jalnt.Held Properly (Schedule E)
Tren.fers (Schedule C)
TOT AL GROSS ASSETS
Leu D.bt. and Deduloltlons
(SCHEOU~E F)
CLEAR VA~UE OF ESTATE
o Life Estate
o Annuity
FOR IlSE OF REGISTER ON~ Y
TOK an $
TOK an S
T OK on $
TaK on $
T ax on $
Exomptlons
Tolol Estate
VA~UE AS APPRAISED
CODE
ADJUSTMENTS
(HARRISBURG USE ON~Y)
I None 00+
77,088 20 10+
None 20+
None 30+
77,088 20
41)-
RATE
FACTOR
--
PRINCIP~E
CODE
6%
15%
TOTAL TAX
INTEREST FROM
BALANCE
TO
Less Credits
DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST
S + $ S =
" -- =
BA~ANCE 5
TO
REMAIHDER APPRAISEMENT CODE
92+
93-
VA~UE
CODE
t
COMPUTATION OF TAX
$
1_-
S
s_
$-
S
$
$
TAX CREDIT
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"""~""
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELO OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Wallace B. Eldridge III
900 Mickley Road, Apt. Ll-2
Whitehall, PA 18052
Celinda Todd
1917 Williamsburg Road
LeXington, KN 40504
RE: Estate of
County of
File No.
Muriel F. Eldridge
Cumberland
21-80-0224
Deor Mrs. Todd and Mr. Eldridge:
You ore hereby notified thotthe original
appraisement in the estate of Muriel F. Eldridge
has been filed in the office of the Register of Wills of Cumberland
County on August 4 , 19 J!l.. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Jointly Owned
Transfers
Total
None
77.088.20
None
None
$77,088.20
As to such tax that is paid within three months from dote of death, 0 five (5%) percent
discount is allowable. As to any tax that remnins unpaid after nine (9) months (fifteen months
when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when
death occurred prior to December 22, 1965) from dote of deoth, interest at the rote of six (6%) percent
per annum is charged.
, ' ,
Any party in interest who is aggrieved by this notice may object thereto within sixty days
after receipt of said notice os provided by Section 1001 of the Inheritance ond Estate To> Act o'
1961,72 P.S. 2485-1001, P.L. 373.
Dote
August 4, 1981
I \
l'/lrAI(l1 (~)'l"(:);flJ: U
Signed
Title Appraiser
NOTE: This is not 0 bill.
/ J. -/J. 'f-fo
REV44t'1 (8.78)
COMMONWEJ\L TH OF PENNSYLV ANIA
DEPARTMENT OF REVENUE
BUREAU OF FiELD OPERATIONS
~"~
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. ~' .
. l~~
"i_~~
COW-.lTY OF tAJl1I~~PP_--
~';:SlOeNT llEceoWT
~_____'__._ ._.._' ...__._,._~.._~...,..,..:",,~~---,.,.-.._-..,.,.,.,.,.,....,.----o.,..,~
IMPORT ANT: Ttd~ r~lUrn lI1u"l lw {'ulIIl'lt'{l'd III detail and filet! ill t1ll11lil.:lIu', with all 1Iltarhcd. wllh tilt' Il(~~isln of Wills of the
CllmllY II'hl!rc (k(~cdcnl ft'sid,',I; ltt:llllll is tlu': wilhilll1illl~ monlhs "flt:f Jail' of deal It. 11llko.;s 1I111~XICIlSi1J1I is );tWilled
h~' the Sccwlary Ill' lte\l.CllU::. (St'('titlll 7lU of the Inllclitllm;c :11\(1 Estate Tux ^t.:1 Ilf tlJ(,I.l
..---~
-.-.-.-.-.....--.-..--....----.-
-
.._...____....__...._ n"
----
IN TilE MA'I'IER OF TilE ESr,\TI, of } AI'FI1lAVIT 01'
_MUtLE1.-JiM.JLE~j)-~L{)b~----- ----- EXECllTOR
(STATF. FULL NAME OF Ol::CcOENT)
() /'!:"OJ 6..I.\b .."....",......,.',....1]
Lola 01 c..\A.\M",1t"'-I;,.~-\""-- __ _____ ---,--- Cuu""
510,.01 J5NjJS~LV.t-~-L-- '\
I C:::i! il . n'
Caunly 01 L-L--/T( ~ rr J .
Wll~ ("J1-J:"E_L3. el..-bi?/J:)AE~ [i,eeu'ur
. J 01 tho <;Isletn of Ih" IOIbove..nomnd Jucodonl ucing duly !worn. dllPQ5ll15o aod IOY"
Deeeden' died j()RRC.H ZB, 1'I)?o J ~."a..l.n';n,a I", will, "" .f.hl,h I. he,,,.onnd,ed.}
lMONTHl (DAY) ~.........,..,
Nome ood odd.... .f ,lie,"',"' I t</ItUfI1f!.E (3, EI.7)/C/;)6E::JJJ:
othllr oUlhorl:od roprosontatlvlIl to whom f _ I 1_" a ' , Z) -;"\ . r-~U Q
.\1 ,a""oaod..,e .heuld b. mail.d. f)~- DO M ICKLfJ.j~ylt-...LJ-t W HI7];:,L!ltLL~ fA, l'YO$2
Thai as such c:><eCUTt>/i!:.. deponent is familiar with the affairs Ill' said eSlate and the property cooSliluling
\ E}: ECUTO r~-ADM1N I ST R A "0 H)
the assets lhereof and tlwir fair market value.
That at the time of death there was no safe deposit box registered io decedeul', individual name, or jointly with, or
as agent or deputy of another, or in dccedeul's illdividoal name, wilh righl of acceSS by auolher as agent or depoty, wilb the
exception of the following: -
NAME: AND ADDRESS OF BANI( OR OTHEH INSTITUTION
IN WHICH tJECEDEtH R~t~TED A 5AFE DEPO~il"r AOY.
~u"'~~D eOUAln/ AJA7!LMJ.- -
[UIV~A.) -
~~ ;}U ~12N))6
It.l 'I'I~7C>/I
.
THIS SAFE DEPOSIT BOX RENTED
IN NAME. OR N^MES OF
REl.ATIONSHIP OF JOINT
HOLI)ERS TO DECEDENT
p
If'
()
--
~=-~.
That the contents of said safe de;)osit hox or boxes arc itemi,_ed onder sehedulesLof lhis return,
with the cr.ccption of the following, for ih~ re3~0I1S hereinafter set fOrlh:
That S::hcdl.:/e A attached hereto and made pari hereof sets forth fully and in detail all the relll property
in the Commonwealth of Penosylvania of which dceedent died haviug an iuleresl therein. It also sets forth Ihe
mortgage encumbrances opon each r.rcd of real property at the date of death, giving ~he amount still due at
dealh. oame of morlgagee, date, rale of interest, and bonl: and page of record the,,:of. It also sets forth in tbe
column, provided therefore the assessed valuation of each of said parcels, the estimated markel value thereof
as of datl:: of death of decedent.
That Scill!clule B attached hereto and made part hereof sets fOl'lh fully and in Jctail all personal properly
whe",,;over sitoaled owoed by Ihe deeede"t at the time of deatb; all mOlleys leCl by Ihe decedent at the time of
death. whether in decedent's imr"ediale possession, slanding 10 decedenl's credil in banks of deposil, savings
banks, trustcompanie:l, ur otht:r institutions, whelher individually, or in trust for any other person or pcrsuu:;
giviog also separately the accrued iUlerest thereon, if any, dowu to the lasl illlerest day prior to decedent's
dealh in 11m e<ise uf savillgs bani", aLOd 10 Ibe date of decedellt's death in allnther cases; all bonds, pOSHtI
savings, Ireasuryeertifieates or notcs and other evidence of indebtedness of Ihe United SlateS 10 Ihe de-
cedent: all uhligations. whdhcr by stalutc Of agrecment they arc designated as tax frec, of the United Slates,
or allY slate, or political sohdivision th,'reuf. or of any foreign country. which arc owned al,he time of dealh;
all wearing appalel. jewelry, silvef\nrt~, pictures, books. works of nrt, household furniture, h(Jr!\~~S, carriages,
nutomobih',s, boa:s, and any and ::ill olher person:::.1 challl'l.. of whatsocvcr kind or nature, left hi'deccJ.cnt,
together with the fairly estimated mark", \'aloe Ihereof; all honds alld ",nrtgages held by decedent andot all
claims due and owing decedenl at the time (If death, and all pmmiss",y noles or other instroments in writing
for the paymenl (If monel' of which deeedellt died possessed, (If whatsoever nature, with inlereSl thereon, if
aoy, giving the face valoe end estimaled fair murket valoe therenf, and if soeh eSlimated fair market value be
less than the face vc.luc, it sets forlh hriefly the n~ns()ns for such depreciation as h1 each item; all moneys
payable to the estate frOln life illsurance policies carried by decedent; all annuity and endowment c(,ntractS
the proceeds of wlncll wne payable UJlon the death of the dec"dent; all and the cow"ate Slock> and dividends
dne. thereon and unpaid as of the date tlf tleath, bonds and accrued interest thereun to the date of decedent's
death and other investment sccul'ities owned hy the t1t'cedcnt at thr..: time of death, wHh the market ,'alue there..
of at such time.
In the CII5C of' secllrtt,les 1)1' cl(JfW or f'l1!l1Uy I;Ol'l'crllt,iollS, t.IlI' Vllllll!S report.er) t\rt~ u.s t'ur IlS
pOfi~tbll! subst.l\l\t.lnterl hy l'IIl'lnch! st.nl.l'mellts of t.I\f! COI'p0 1'/1 1.1 ons, shnwlll~ I.Iw !lS!id,~ Ilnd llllh1l1tles
th,'rf:of liS of t1w Ilute flJ' dp~li~h. '1'lw ~(;h(Hllllf! nlso ~wt.s forl.h till! 11ltl!rl!Ht of .1"C(!IIHIIl. Ill. the, ~,tml~ or
IleHIIl in IIIlY eo-pllrI.Ill!rshll' or ~)IIHllll'R"', /\rllt In ~l1pl1()rl, 01' thf! vulu!! 01' "illeh ltd.(~rllst tllf!l'f! Is IUlTlex,,~c' to
fifLld SClll!dHtf!, f'lllllIH'!Il! :=;t'lt,I'm(!111i'i ,>"nwln~~ tl1/'f\!i'iflts fwd Il'lhlltllf!S HI' sllll! 00-IHlrllwrsh1fl or Il1ls1ne'is.
A 1'!lIlY of' t.ho> cn-pllrt.IJI'rshlp ,1r~l'I.~l!mlHIt., (It nrrd, n sl.nt.f'mf"!nt s(!tl.tn~ I'orl.h UW nltl.llrl~ n!' t.h.! il~;r.~(!n:oflL)
toprt!lr>r \11th u stnll'll\l!ld. s,~tltllg {'urth the Chlll"/I(:t.nr /Jr I,h.... IllISlllflSS, Its loeul.loll, 11111\ sll(~h ot.luH i'IH~ts
pl'1"tnlnill~ to till! hustness liS 1Il1l}' Ill} p(lrl.lncnl. to fl. I'ntr IITHl .l'l~;t, Ilpprlltiilll 01' 1,11(1 i!(l(:flc\eut's int.nrl!sL
tltl~I"I'111 1Illlst he sllhmlltpd. II. lilloulll I1tso :H!t "o!'th 1n Il.tlmt1_t'd j"urrn, tOI~t!t.hl~r wllh th,~ f'lllr mnrkot, vullle
t.111.}rf1ol'. Illl)' otl1('r prOJlp.I"t.:,- nWlwtl or lll!ljllenl.lwtl h.\' Uw <I(,(l('lh!1l1. lit I.tw I I nil! fJr (1I'1l1.11.
The SChedlllp C llt-tnchell hereto Hlld lI11ulc PIlI't. 1"11"110(' ~et.s "firth Il lrue 11rIR'lI'er to HIH~h in'luiry
Il\)I\tnlnp.11 there In /lnll In thl! east"! III' tl'llnst'ers uf'Jlrol,erty, l"l'nl nl" pf~rsolllll, wIthin two yent's ot' deoedent' s
(Je/itlt. In eOfltempl/ltlon of (h~cp.df'nt' s dent.", or int,ell,led to IJlke el'l'I'ct in possessIon or enJoyment ut or
Ilfter 1ll'I1t.h, slllll sclll!duIe set.s fOl"th tlw IIlll.url! IUIlI vlIllll! ot' such fll'oJlcrty, t.o whom f,rnnst'err'(!cJ, the
relllttonsllip of the l.rnnst'nrecs to thl! fll~cetlnllt., t.IlH prul'urt.lonnt.u shure I"ccl!ivl1C1 by eflch trnnSfl!1'f!H /lnd
hIl other f"ncts or n 111~rt1nent, nnt.lIre rOl!,nrdillJ!; Slllll I.r'llIsfers. In l,ile eltse 01' tl"lIT1sl'crs lT1temlp.d to
t.nke p.!'f'eod, in possession 01' en.lorlllent nt 01" Ilf't.er llent.i1, I.here Is n1so Id,l.nct!l!/l to tile sclw(lule n cony
of" the 11nl~cl, t.rust. Ilgrecment or nt.lwr instrnment crlHiLJng lh(! l,rusl.. Thl~rn Is u1so set forth tn said
sche<tllll~ II list or flll property, rell1 Imll IH!I"SOTllll, wit.h It,s vuIue, whldl pH~;ses at decmlent's o.enth by
virtue of the exerci.se by deced1mt, elUwr indivldulLlly, or.lo,lnLI~' wiLli another, or f\ny power of' 11l'potllt-
ment veste(lJndececlent, elther Illlttvl1hllllly or .Io1lltly~ hythe w,fl1, cleml, or other instrument of' another,
wi th II cop~' of t.he instrument crent.ln,l.!; such power Ittt.llcheli 1.0 the Sdlcdllle.
That Schedule 0 nttnchcrl hereto /lnd mlHle part hereof sets rortll tile n/llneS and addresses of Illl
persons beneficially Interestf!d in this cstlite ILL t.lw Unit! of' decellmil,' s lI'wth, till! flatlll"e of their res-
pective Interests, theIr reIlltlollship, if' nny, t.o t.he der:cliclll., top;ether wIth the Il~es lit the Urne of
dec('cIent's rtellth of all rnt.nors, nnnultunts IInel hellcfictllries for Hl'e \!Tiller (tccedent's Will. It also
(lontnins Il stllt.ement showinJ; which of t;he hcnefJcinrlcs IllUllefl in th~ (h!ceflent' 5 will, if any, died prior
to Ilcc{~rlent, thp. fllltes of their <Ienth, thell" issue, Ulut th(! relut.lonshlp of such issue to the beneficiary.
Thut Schedule E uttached hereto nnd marle n pllrt hel'COr sets forth nIl llroperty, renl <<nil 11'111'-
5omll, owned by the decedent ,jointly wl.th uno the I" 01' others, including intangible, standing in the name
of t.he d(~cedent llnd ot.hers, plus the dItto and place of record of' In~trl1ment.s effecting the \oestiture of
rell1 I:!stlite anrl the dnte of acqulsit10n 01' personalt.y, plus the nome, Ilddress unO. relationship, if nny,
of co-owners to thl"! decedent.
Thut Schedule F attached hereto find mode h pnrt her~of sets forth fully and In lIe tall all debts
and deducUons claimed for uncl on behalf' of' this decerlent's estlltc, Including funeral expenses paid;
fo.mlly exemption, where !l.ppl icuhIcj costs of" administration of this estllte; counsel fees and. f\ldiciary's
commissions paid 01" to be paid; cost cxpenclerl for burinl tl'uSts, t.omhst.ones or grnvemnrkers, and reli-
gious services, in conse1lucnce or the de 11th of the decerlentj rlehts and clClims owing Ilnli unpnifl at time of
dent.hj t.axes nccrued cllnrgcnhle ror period prIor to decedent's death (except those nllowed undHr Section
651 ai' the Inher1tlUlce I1nd Estrite Tux Act.); tOl~cther wit.h Ii statement of collateral pledgeli for obliga-
tions, if' any. It Is ugreed thnt the nd\lclnr~' will present proof of' sllirl clnlmed ollligllt1ons upon re-
quest, thllt if the amount actually pll1d in sctl.Iement 01' any f(~c, commission or deht is less than the
estimated 1l1ll0\lnt claiming; !lOtl III lowed, thlli t.he surne will he I"epol"t.erl to the l\egister of Wills, and that
tho nlilount. of tf\X lissessctl cnll he reltsscsl'inc\ In IlCCOrdllnC(! l.her(~wi th.
That.
hllVl~
the tutnIs of' t.hl"! IlpPI'Opl"tflll' columns in Scht~I\1l1es "A", "B", IIG",
IJNm cllrr1~d forwurd luut llropcrly registered in UII~
"E", and "F", us dil'ected therein,
"&Jl~.,,,
-71/ I.,
. ~.,J. ,..jt:':;~'~r',.,....:::..L,;-.;'",j.
,":n ,..' ;"I~ , :\t'll ~..
,.; .1'. \ \ I ,';.~
.'\ r" ~\,H\l'1\l
"_.,~? #Jivfjki
kfIn"Ar;{;._.l.!:,...l{t}l?.iM&.............,.,..............._,..
(Executor....1qp.:_:. to aM f) 7)
11n:.t.I:Z......CJ:.eP.....M../Q(?ff..CJ....5.p..8:.2..
(Street Number)
f6JH.i.[(tM('L,.?f.!.,.,l.~,(?,Ii..k............... -
(City (}7' Town and State)
Subscribed Bud sworn to before me this -"
....,,"".'."M"..........'
't'
j,f_f.
.11. [ ~ ,/ )
day of ..,",..(..lo'.~:S,~,~.1~J.~., ~:-::,:';.-~; ...." 19.X.L.:~,..
L,>:':,:, C.'I;I':IY
sorE: Hf!l'nre sl~1l1llg uf'fidnvit. mllk(~ slIre Itll hlunk Sll/iCI~S ill tile Id'f1dlivlt. lmrl sclll.'I1ull!8 1l1ll1l:'xetl Ilrc
l"l11~11 III wllh Il(~ildls or t.hn word "NOIlI!", HI\II ill cosn the IlSM,'t.s Indwle I"/Irt' Ill1lt unlist.ed sectlriticR,
sl~eul'IUl!S of close or flllldIy cnl"pornt1olls or Illl Inli.'rest. InllllY CO-plll"t.nerslllp or business, t.htll.. tilt!
fllll.ll Ilwl stlltl!lIll'nts re11llirPlI 1I1111el' the lIlU'Up,1"IlJlh llllov',' I'eluting to Sctll~fllll'~ "B" ure ntlnche.t. Also mnlw
d'rUdn thl1t 'column #1 In till! "SlIlIunl!.ry" has \)e(tll pl"()\l,~rl~' cOJlipl,!len 11S Ilhovc-dir(!cted.
'~1
."..
,-l,~
.~" ,~, '
REV"'4~1 (8"78)
COMMONWEA~ TH OF PENHSY~VANIA
TRANSFER INHERITANCE TAX
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Sdll:uulc mllsl disclose all tangihle and intangihle personal properly owned il\l.]jviuually hy the
decedent, al llw lime of his death. Property owned hy tlw dccr.:dclIl jointly with another 01" others must he listed
under Schcdlllc "E", Intangihle personal properly, lilled in the 1I11IllC of the decedent, hut payahle al dcalh to alHlthcr
or others, including hilt 1\01 limilculo p.n.ll. U.S. Savings Bonds and tClllali\'c trust aCCtJllllls, lIlust he lis led, despite
the fact thai they lire 1101 of the administered estate.
Tal1gihlc personal property should he listed first (e,g. jcwclr~'. wcaring lIpparel, huusehold gunds, ami
furnishil1g};, hooks, lHlintings, autlllllohilcs, hoats, etc.)
Intangible persolllll properl)', sllch liS honds, treasury certificates, clIsh on hand and in hank, slocks,
mortgllges, notes, together with accrued interest or dividends, salaries or wages, insurance payable to the estate or
fiduciary in said clIpacity, partnership interests, interest in any undistrihuted estate of or incol1le from any prtljlcrty
held in lrust under the will O( .Jgtecmcnl Ill' another, even though located outside of the Statc, at the time or death,
should be listed ill lhis Sdlcdllle.
Item
No.
I,
Z.
,.
4.
f),
(p,
1,
~.
1,
10,
IQc:'91iYhlDllTH (!t:;(1ft? 5h-r5l/m
I
Holt 5 e I-/OL P RI eN i TlI eG" G I/(JtlS~lkxp GcoJ:6
,
(!L()71I//J6~. ~1JIIL I7CI4S
(lASH 0).1 f/ftJJ )>
.
(!JHiCKJ)J6 11007. ~f!.f./ B,NfI # 2f..38~(.Z
AVI~~<;' F'rCCT ~tlg.\STI\'~ aUB )CColJ/~NIl
5/W1J.J&S f)-cc.T ~tJ~,AlA. 00'2-DC>0-/57-7
.
5fl'lIlJ6,S ACcT - ST11T€ CAPiTAl.. Sf'l\lj~6S ~ L.
'P$7~K (tCf!.T=ff ~O'2. -000153'1 I
G f.EiFtrr:e LEltEfiNCW f/oTet t:JJ7S?P0'Sl:5, T/JC
5' :sH1tC~~ CDlYlmC>>J '<~ 5o~i) itS UNiTS
5 ?JO f.je j;eI3BJ7lJEE.s ~
/J$ ~ IN veN TOR.}
FMt CDR'Pf)fFrT1DN 2,.25 t!.UUf. ?eEFE1?fFD ~9,25 20t.f 75"-
c.~:# % 1/(J'() . -15f/lrtffS
])1A~UE9JC;: UGH--TCO/YIPfJlJIj 7-Z0WM.IteF. fi2.6D 520 t;O
Q..82:r /tIeo 2B - If; Sff1reE:5
7JAfJPHI, Ai [;E R:;SiT TEUSr tOMP/11Je; 2aSO to 2 (~ CD
~/~ SlfFtees COMA,1C101 S70CK-1fS 'FE1?:bJv~7tbJ '
us. -ree!6Ut2v NOTE:) -::EPIE5 fI (ff") rive 88./S' ) t.f L/07 5"0-
t/t:J6fJ~ ;VOTeS ";-5 'ltJ;.wvevrz;elj ~/Ob I
'771I7l: eflPi 71It. 91/1iNbS fLlJl7t1l1SSCC. /~Z5"Z 601 Ii) L,qs, ,'))
I1c(J.r# OtJZ-/1-0096f /I(()I./€Ij ml1/!Ki?T~r.
/i5 1&- ;PJWIJ7Derj
5M7li C!/JI'Ir/1L '3/t/l/N6Si LtJ/fN A5sot.
,
Ilaer:ltcoz-It/- /)2-7.1'7 /)folie)! /J1/l.el!eT
{!c~ lis fez W veJ./7b/!f}
RESIDENT DECEDENT
nmt
List and descrihe fully
UNIT ESTIMATED
VALUE MARKET
YALUE
/ 5"0 '(JO'
150{) 00
low CD
&7.30'
(tZ?J ( /
'28 co
0189 95)
2, 'Z()7 /
7b.-
350
II,
/2.
/3.
14:
15.
IfB/J.Z7
Insert this Itlt;]1 opposite "Personal Property", Schedule uB" ill
thc liAs Reporled" column onthc last page of lhis return.
x X 1:J4 bt;tJ
IlEI'ARTMENT
VALlMTION
(Do not write in
Ihis splice)
SHS,3I(
i-I'ie I ~
I ii I. lr
IS,21
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.... ~ =
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o '0
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SUMMAR Y
Reall'roperly
PersonAl Property
Trnnsfcrs
(Seh. UN')
(Soh. "Il")
(Seh, flC")
Gross Taxable Eslnte
-.
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(I)
(As Reporled)
$ -0-
$~/(A~9.2A
,$ -0-
$ -
$
$ ---2!4/Q-'f1.d!3
(2)
(As Determined)
$
$
$
$
$
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t>l
~ "
~ ~ ~ <=l
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<t: 0::
Z '-'l '-'l 5
0 ;:.. ;:.. t>l
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- 0
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-
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::: '-'l u 0 ""' :l
, -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
FILE NO.
/ ,~, -de,,/
;"/.1:/./1 /i /'//1
,- / / '
,,/-,:;~'.,} /';,> /. /
//~, ('/ ','i- , ,/, i: i/i,<.:7::./- /'"
, - , '" ' , ,
"I ,:,;/ ", '/{/ /
....' /.. ,.ll -- .:..,,/~. .- (I
COUNTY FILE NO:
/_- ";"-"1'- ')--:.',./
, , ~
DATE
I., ,',' ..'
TO: _~/l ( ;."/// ,,(. ./ ,,('.1
.//J/J'/- J 'IN'
.:;;. ,. I, '/
/'/- ;-,-, /,'
. (;'./Y l>/. v /',,1 y (1./ ,,;-i;:.(
- /
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.. / '" ,.-1"' I", ;".:,./ ;1 ,~I'
/ ..-' - 1 I
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-'... ' 'J ...,
ESTATE
COUNTY ('-:/.//i//;~"//~' .,;,'p.( --
DATE OF DEATH "-'/;> /1 ,.;',., ,/' J .;~~:.;. //jJ()
I -
Appraised Value 01 Estate:
Real Estate
$
-..' .~_.'"..-,..."'..._--
Personal Property
... '/'i I/r;;;}~/ ',//1
,
---,~~,--_._.-
I
Jointly Held PropertylTransfers
.
Less: Approved Charitable Exemptions
''1/1 .') '-::ci' /i \
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Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Clear Value of Estate Subject to Tax
Amount Taxable @ 6% Rate
$ I; ,;/ ;; Ii 1. (1.1
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tox due
$ :;1'7,'1t:. .~-{/
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Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
-? (/ '7.' /
$ -, / t/!'
,
/;-'1
* * .. .. . .. A five percent discount totaling S
will be granted if the Inheritance Tax is paid by
less Credits:
DATE OF PAYMENT
-/- ') ..-:
/- ~\ -/{/)
/-,~) - J/
AMOUNT PAID DISCOUNT tNTEREST TAX CREDIT
!j :;J'l.J..2 ~/"'(% .//')~3 .. ,
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$ ;. )/J' - $ ,.;;;{:.".(f, < S = $ /,< (J
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Interest Bccrues at the rate of six (61 percent per
on the unpaid balance of Inheritance Tax frorfl
to date of payment. Interest due if paid by
annum
is
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
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~ REV"4SS (11"76/
,;{I- ,'f'C)' ,:).-21
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF
OFF ICE OF THE
REGISTER OF WI~~S
OF r21l111 BEr:.U\td.D COUNTY
ANO AGENT OF THE COMMONWEA~ TH
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OATE NO. OF NAME OF PAYEE REMARKS AMOUNT
VOUCHER
4-3-80 IA /J1/i-'J. I3lf!rr, T.JJC- I?PR;'L Itlf'[J .RdlT ;l€;o co
tl-13-g0 ;2A /111JE~-lIrlLL l:-fllJel2IlL!fCII/C;;P ", Ftr/Je.eA 13/u ~/$7 co
1-1-/3-60 :?A 13t:u. or: 7>;4.. 7CLEff/CJNE 13/u. OF </-(-80 3if 09
1-/--18' So 11.1 Fftl.e V!EtV -p:;zw/J':';/+/'-:> F//!.t: (!o. E/I(ee6rc;.jc'f reiP TO I-!osP/!ttL 5'0 CO
/n8t1l/'l/.X€
4-/~-~0 5A POIJtEeOll5 121ft! j?t:r€ ltr!tOfJlJi /09- 49
J.j-2o-"Jo 101 tu h( I3E.l!t:/l-IJI) II/OJ ..JOtJRt:/'l E~T/lfl; ;Ji!)lkG 1I-))U:72TiSra:~ I~ OD
'-f-20-90 /0'2- PeN.l;,i 1/.10/2 ~ llC.ffT (!o b:_t:M, 13)u ))tlt: '-1-' /s .eo I~ 1;;1
1--2D-~O 103 I() 19tt IiC!.C j). 1/0116- )SA!.. j)fJ/;"; o^~ A:Jct-tJs;}t-Pe-e. - ff
St.( 5t!i'?, PTIOAJ
5'-1- $10 104- J/ERJJOAf R. H-Ihf-IR), At. v, LSe.3';'~'1i"l.)
BiLL- Oble/) f-D~/II/3J)/c(j - '::tv, I~ 00
5-1 ' ~O IOlP /11/iJt 13l.tTT7 ,?t1.Jc:. KE,(jT Rve /111/[1/ /CIFso eJ-g-o (j()
5- 1. 9'0 / /JILt- OF S./~-'~D q If-Z
10S- P PI; L
5". 1- go 107 Rot. t..J ).)1.. GeeeJ f!eJ1lf31El-\// . G-~I'I tlEltHf~~E12- Lf-t./o ,~
j-. IJ ''iO IDS' 13EtL tv: "PA 15/LL CF !.i-'('b-'D /~ 79
0-.//),[10 IOlf HA).] f!115tlA-lT'f e.o, ft!t;2T. h1-~/,tE/..>! ~ )CalL) G"5" 00
f./ TO J:).J" ttlYfilX", /: ~u I
5, I;) '9{) 110 I !lITelor-/Ve/vS es,TlJTE )..:'tY/$ it/)Uc:-7?nStjlJ(S. J./:;; 95
5'31-80 11/ 7J P. I F"/,ol1t eLECT- i3II-L ,;) 1:4-
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5"-31 'riD /12- POI//cf20Ij'S, FiAJ/ll J3ILL - fI!;9R6e ,1-(l(!DI.UJr 1 :3$-
J'2?;,20 - 1I~ "'YSI:3I1Eb fb;~;'mL CIJ!c:b!JEJ.X1i lU)f/./ '7i2eflTlueJ/ ~O) Sf;;,-
, M1t-1.AeE 8, !:Li)R/iliE iJL 1}lJjlh/vCJ3 ,7..0 eSTltTc FoP_ I
!:/2:fu - lS~illb.x6 u= t.137Te/!fS 'n;5r;.J/IIed> ~Lj 00
1,.'), ''i50 , 11 bj/t~<j, f-t~i}.~F
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ESTATE OF Ll1U,QIE(, h &dJKIl:i7{; ~ATE OF ~Jt1111F> HilL, PA.
DATE OF FI~ING APPRAISEMENT ,~If1IJC" ~:.x.;, /1r:o DATE OF DEATH 1f1/1..ee/f 2~ /?J?o
COMMONWEALTH OF_P,EHNSYLVANtA 1
COUNTY OF Le II/cdl f SS,
I !rIJlllilc-<:"" 1::$, E:LL)R/I;,{,u~ ill- IC- xco I TN.:! HEREBY CERTIFY, THAT TO THE BEST OF
MY KNOWLEDGE AND BE~IEF. THE FOREGOING IS A JUST AHO TRUE STAT,EMENT OFjlEBTS, FlJN,ER":~ EXPENSES AND
EXPENSES OF AOI4INISTRATION SUBMITTED TO THE ESTATE OF /1/l1k-leL h rt ,)rIIJc>l=-
DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. II J "'/..) _]1/ ..' '--
, 'r:1 //L/fl /tL.-5J .tz/i. (II) ~.s.)
SWORN AND SUBSCRljlEO BEFORE ME THIS ,,;; & DAY OF (/
..J2a,vj!~;-c.lf:o.,.<--) , ~ 19 po I
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,. ," ....;t..A.)A..~"-~...,. --<_A_-lL.-_C...-e.__t,_ ~
. '. !\ly COlllllllS~lon Expir~)
April '>0, 1I.JSJ
City oj B~'lhkhl.'lII
Lduj.l,h CJUlH}'
PF\-(IE: IF,2-
" REV"4SS (6"78)
DEDUCTIONS A~~DWED IH
OFFICE OF THE
REGISTER OF WI~~S
OF c'1.1.l!lJ (3"i12U1IJAOUNTY
AND AGENT OF THE COMMONWEA~ TH
STATEMENT OF DEBTS
AND DEDUCTIONS
ESTATE OF Mtl C tEL r f: U)t?i l'lr!l.";'LATE OF eli-f'll p HiLL / P/~ .
A
DATE OF FILIHG APPRAISEMEHT,111,IJC 3r),ICl9li DATE OF DEATH 1/1ecJl ,jR. (q ,\;O
DATE NO. OF NAME OF PAYEE REMARKS AMOUHT
VOUC HER
5, !{,,,clo '[;;ALVMiC'}J 1WMl! D.O.0ffflfifu6F J{A It-JD~''J Di" /5"CXJ tXJ
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COMMONWEAL T~_ OP ,PENNSYLVAHIA I
COUNTY oFI-Ef//611 55:
I, !O/'lL/~tll!c;'3. El/JJ:Y.dl.,;ci1i. (-{/((tlilZ;2-- HEREBY CERTIFY, THAT TOTHEBESTOF
MY KNOW~EOGE AND Bc~IEF, THE FOREGOING tS A JUST AND TRUE STATEMEHT OF DEBTS, FUN RA~ EXPENSES AND
EXPEN$ES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF flit '/EL - EtiJ/.:'/ E
OF-CEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. 41/;. " /J ,{li,'#I' , Ia'
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SWORN AND S\!!!.S~RtB-J'O BEFORE ME THIS ,,:;> (0 DAY OF !
_-A~--i'~"-R'-<--' ._ J9 ,j-,' , I
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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FILE NO,
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DATE OF DEATH
. /
Appraised Value of Estate:
Real Estate
$ -.-----.-
+ "/'j
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')/1
Personal Property
/
Jointly Held Property/Transfers
+ ...-------.--.
Total Gross Estate
$ ,,> // ,1/";", '/ t!
I
Total Approved Deductions
," ;;'.; i'/r:-'" j'/
..../ ~. I-~
I" I ,;
.";" I ,/ I ,..-,
Clear Value of Estate
$ /i" '
" /
.'
...--..------
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Talt
$ /; /. /~) .:1 J
Amount Taxable @ 6% Rate
$ ".i/ /". 1/ " ,'//. talt due $ '-:,- , ;;/ /1/- /;--'7
J -, -' ~:
, -- , ,
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Amount Taltable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$ >-;i~; (/ / ,1'-.;- ,./
/ - ~.
* * * * . * A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
OISCOUNT
INTEREST
TAX CREDIT
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Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
is
BALANCE OF PENNSY~VANIA INHERITANCE TAX DUE
$
/) , /1....
Assessed by: c",:'-/; /...- , , />.
. . Agllnt tOr th'e'Comrnonwtllth
SPO lnforml'ltlOn nn Reverse S,de t!
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