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No, 21-80 226
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estote of
ROY G. Sl!lIUJ,I,
, deceased.
Harold B. McLane, Deputy
To niSR8rs ~. .^.R6!9HJQJ:l, Register of Wills for the County of Cumberlond,
in the Commonweolth of Pennsylvania.
>lR
Petitioner~) ore the executLLQ_M_ named in the Last Will and
Testament of Roy G. Shaull,
Decedent was a citizen of the United States and a
Township
$(U',(5{fgf,l:, Cumberland
_ dated ,Tanuary 2G, 1~77.
resident of
lIampoen
of Pennsylvania.
Decedent died on
County, Commonwealth
Tuesnav.
the
25th
A. D. 19~, in the County of
Cumbprlann
pennsvlvanin at the age of 72 years.
_ [qillll her
Decedent has not been married and has not had children born to him
since the execution of the aboye described Will.
Decedent was possessed of personal property to the value of
$65,000.00 and of reol estate to the value of
Unestimnten
as near as can be oscertained; said real
estate situated as follows
l!al11pnen TO\~nship , Cumberland County.
Pennsylvania.
apply
Therefore, your petitioneds) respectfully GI9I9\.i2s for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated
JI.pr; 1
1. 1 QRO
,',r
^ I) V\L ')/J
-JJgiO'-'11 1[' . ob \ (w..\C.~
o 1;'''v1 /: . U(.."~v-/
//
v)J( 41(1. Ii ;(JPr1/!
6367 Basehore Road,
Mechanicsburq. Pennsylvania. l7055.
Name and address
of Petitioner(s)
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
HELEN R. SHlIUT,r,.
JlINF.T L. CRlIMF.R. nnn MlIRIlIN H. RRRn,
named in above application, being duly swsrn according to law
say(s) that the statements set forth in this petition are true to the
best of the i r knowledge and bel ief.
Sworn and subscribed be fare /,~~-"--""\
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() ~'i'/ !)
,,\. /' :,71/
~'. ',i-) :'.....l_~ \.
m lIpril L 19 no
r 6.1' A .-:;, ,-\ [
'-'1 -{;Vt( I~ +> ~l(-h 1'."'- k ,~eputy
nieR6rel c. }'.flelar381'l, Register
_~) a,,,-Tl.
-'JJ1(U I.h .
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II. ;t(J(1/(
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Filed:
.':U-F~-:2.:2.'"
1980
Attorney:
-~v.,
'~'-. ) /
GEOR(;E 1'. HonCK. fl') '/:.:
..:::----
4.
All the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and ~Iheresoever situate,
I give, devise and bequeath unto Helen R. Shaull, Janet L.
Cramer and Marian II. Reed, Co-Trustees, in Trust for the
following purposes:
A. To pay the net income derived from this Trust
Estate to my wife, lIelen R. Shaull, for and during her
natural life. In the event that my wife should exhaust
her own assets, Janet L. Cramer and Marian H. Reed,
Trustees as aforesaid, shall have the sole discretion-
ary authority to determine to use and consume so much
of the principal of this Trust Estate as may be neces-
sary for her comfortable support and maintenance, in-
eluding medical, surgical and hospital or other insti-
tutional care.
B. Upon the death of my wife, I direct the sur-
viving Trustees to distribute the remaining principal
and accrued income of this Trust Estate among my three
(3) daughters, Janet rJo Cramer, Susan S. Ilollyday and
Marian H. Reed, in equal shares. If any of my daugh-
ters shall have died prior to receiving her share in
said Trust Estate, the same shall then be held in Trust
by the surviving Trustee or Trustees for the issue of
such deceased daughter, if any, until such issue at-
tains the age of b~enty-one (21) years, except however,
that the sa.id Trustee or Trustees shall have authority
to apply such portion of the principal of the share
of such issue for his or her education as may be neces-
sary for this purpose. If any of my daughters shall
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die without issue hefore receiving her share afore-
said in full, then snch share, or the remaining
balance thereof, shall be added to the shares of
the others.
5.
I direct that the interests of all beneficiaries
in the Trusts hereby created, ~Thether in the principal or
income thereof, shall be free from liability to attachment
or other legal process issued at the instance of any credi-
tor or assignee of such beneficiary, and I direct that no
payment shall be made by way of anticipation of sums which
may thereafter accrue to any beneficiary.
6.
I hereby authorize, empower and direct my Trustees
to sell at public or private sale or sales and to convey any
real estate which may become a part of the Trust Estate, and
to give good and sufficient Deed or Deeds for the same. They
shall have sole discretionary authority in this regard and
shall not sell real estate at a sacrifice.
7.
If any of the beneficiaries of my Estate shall be
minors or mentally incompetent at the time that a payment is
due such beneficiary, and such minor or beneficiary has no
Guardian appointed to see to the application of his or her
income, I authorize my Trustees to make needful expenditures
out of said income for the proper maintenance of said bene-
ficiary.
8.
I authorize and empower my Executors to borrow money
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OATH OF SUBSCRIBING WITNESS
COMMONWEM:r!-l 011 PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
This....... .................... .J.!il.t................................... day of.............. !,\P.1;JJ I.................... ................. A. D., 19~ R....,
Harold B. HcLane. Deputy
before me Hi~bll'd 1'- ^ RQg....n_, Hegister 1'01' the Probate of Wills and granting letters of Administration
in and for said County of Cumbel'iand, in the Commonwealth of Pennsylvania, personally came ..............
................... .00~g.r.~m.. .~1.,...!! ~.\l. ~ 1$................... !~.n ~.................... .r.'? 1;Y... ~.,... !?.9.l.~ ~ .f). ~ g.f). /....................................
the subscl'ibing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of ................ .)\RY. ..G.,.. .('1h.i\ !l.lL ................ ....... ..... ........... ........... Dated ..Y. i!D.\-!i!X'.Y....4. H,... Jn~..
lateof.....................Jr1!.lnP.0.li!.11...'+.Q~!)),~n.-i-.p.................................................. Cumbel'iand County Pa., deceased
who being duly .............~.\~R);'.n................... according to law, delxlse and say, that ...J;)J.(l:,!...wer.(l................
present, and saw and heard the testa:t;.9.L......................., ............1\!?y...0.'...0.l:\i!!f.U...................................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h..ii>........... Testament
and Last Will, and at the time of so doing ............l:l.~.................................was of sound and disposing mind
memory and understanding, to tbe best of ....:t;.I:1.~t+........................t2;vledge, ob~e~va/ and belief.
............."'''XU..................... ,,' .,b~.;be' b,foro ....~.a;".\'.lI.I.,.2~",.4......m.....
I tv'/ I, ~ ~ ........~7../JC)$.?:;..r,"..:?................................
.~~\t:l:.M.l3..:::.ln~::.:...~~..~"...........?~.~~ty ..................................................................................
R:....l.....~d E. ..A..l.aDILOFl., Register ---
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA / ss:
COUNTY OF CUMBERLAND \
......... ...................................... ..... ..... .... ...9.'.z:..~P.:~.. .!!.:...~.~~.l.':P:.<........ ... ..... ....... ... ........ .... .... ................being duly
................~~.9.H!..................... says that as nearly as can be ascertained the said decedent ..........................
....................................................... R!?Y... G.,... 0.1:1. i!)fJ. ~...............................................................................d ied on
............:1'.\le:;.<1i1)l".................. the ........?.'i.th...............day of ................~1ilX'.\:;h.......................... A.D., 19..B.n.,
at or about .........................~.;}!L...... o'clock, .J:'...M.
................Ew.<:>.r.Il.........................and subscribed this
/) , d
.. ........::~... (t:(.l.i,I......~4..~I;;i...~=... ....................
U
................l:;.t........................ day of ....l".P.1:.:i-.J.........
19, .1l.0...., before
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':.~..l....~:~:~:.~AQ....!.?.~...}JJ..~.:'./.)..~~~.~::>:::...~.~~~.~!'
RiElAClFB II It ~'.l"'''''.-.nl Hc~ister
....tc"c
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PlmNSYLV ANIA }
COUN'rY OF' CUMBERLAND SS:
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for
the County of Cumberland, personally came ....l.1.!';g:.N...R......~!!!\~1~r,..I...if..(',N!?T....h..~.M-~f:!3...~..~~~.E~!t H.
REEP,
who, being duly .....~~.~m............, do .......... depose and say that as.............~.~!l.9.~j;.+.~9!~.!L......................
of the last Will and Testament of .......................~m(...<:l.,...m).i,\\1;t..L/...................................................deceased
....tll.e.y,............ will well and truly administer the goods and chattels, rights and credits of said deceased
according to law. And also will diligently comply with the provisions of the law relating to Transfer
Inheritances. .......!3)({Qr..l:\......... and subscribed
before me.
......~..i~.....~P.h.~:;L......~..~' ::., 19..::.~~~y
.........~..~...t?.~.................."................_..
RieRaI'd E. .^.R8IHfl9R, Register -
jJi~/l1 /P j~ cw-te
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....~ /J..ruf...I., ...4a.;;r.'.';.~:J.. .... .... .......................
. ..'1Jt.Wf6;.....N. .... f?t.L.ti. ..................... ..........
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DECREE
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Be it remembered that on the ........~.7.~......... day of ................I\p.dl.,..................., A. D., 19 aD...., there
was probated and recorded the last Will and Testament of ..............Rpy...G.,...Sbal.1.11................................,
late of ............!!~.~p.~.'?!l...T.R!':'!.\!!nJ.p............................, Cumberland County, Pennsylvania, Deceased. Letters
..... ...:r.!'l !i.t.?!1I.'?!l .t? r,Y................... were granted to .!.I.f:!:-.~.N...~:... .~.!1 !}':9.~ !t.r... ifl.w.m... r,.. ,... ~.w.\!:W. R.I... ?D.9.....
MARIlIN Il. REED.
Witness my hand and ollicial seal the day and year aforesaid., /" ' . " '
'- .:H~.~~:.~':.(~:.E:))2.~..g:0.::~.<~.:~~~y
Rid..1UI E. .\"r~"~"'-, Register.
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COMMONWEALTH OF PENNSYLV ANI/\
DEPMTMENT OF REVENUE
)JUREAU OF FlELD OPEH1\'J'IONS
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REV-449 (8-78)
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ReSIDENT DE':EOEIH
COUI.jTY OF, __CUMBE.RLlIND__
.-------------.--
-.... ------------- ... ..
IMPORT ANT,
This r~tlJrn 1lI11~1 hI": Cllll1plt'\('d ll\ dClaillll1d elkll ill duplLl:llle, wilh all iltludll'd, wilh the Regislc.'1 of Wills /If lhe
CUUllty WhCll~ dl:ccdcnt rt:sitll-d; l{t'llllll is tlue withillllinc months ilfll'r dah' uf death, unless 1lIll~.'(lcnsioll is grlllllctl
hy the Sc('rc(ilrY llf RC'lClltl~.. (Section 7lH of Ihe IJ\llcrillllln~ alld Fslalc Tax ^l;t Ilf JIM!.)
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IN TilE MATTER OF TilE EST.\TE OF } AFFIIlAVIT OF
ROY G, SHlW.LL_______ ___ EXU'lIT<JI[CF.S
!STATF. FULL NAr"{' OF Drci. l'OI~Nll ~ ,~
Lattl of _ Cumber.l~XL4_h_"______ _____,._. C')unt'/ AD~lIN1STIV..'1 UI~
State oj
Pe lY.' ,
~nn5Y- ,_anl~______ I
Cumbe~...l.<l!ld. J '"
JmLE~LR~SllAllLL__ann JMIET-L.__c.RAMER-r____ Exccut.rices
of tho ustalo o{ tho obovo-nlH1\od ducodonl bolng duly sworn, depolD and IOY
County "I
~Ci1GX
Decedent died
25-1-' 19...B.D.~ tOltotclooving 0 to~1 will, copy of which Is herelo ottochfld. }
(D/.Y) iYE~M~
March
{MON THI
Homo ond addrllu or attorney or }
atho( outhorh~od roprosenlotive to whom
all cortlu.pohdc.-nco should bo moilod.
_.Gem:geJL._Hauck,_Jl.t.toJ:nay-" t - T.aw_
NationaLBank fin] lr'ling, M",,,nanicshur.g.'-----p-a.,
17n5"
That as such Executrice~_t.Icponcll( is familiar \vilh tltt,; affairs or said estate and the property constituting
(EXECUTa R-.\DM1NI!iT RA TO I()
lite &.sscls thereof and tht,;ir fair market v:duc.
That at the time of dc:uh thcn~ was nl) safe deposit hox r(~gislcrcd in deL'client's indi\'idual name, or jointly with, Of
as agent or deputy of another, or in dcc.:~denl's individual namc, with right of access by llnother as agent or deputy. with the
c:\cep1iol1 of thc following: -
NAME AND AODRE5~ OF BANK OR OTHER IN~T'ITUTION
IN WHICH DECEDE'NT RENTED A SAFE DEPO~il"r BOX
-.- - ~
THIS SAFE DEPOSIT BOX RENTED
IN NA.~_E ~f3 NA~g OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Commonwealth National Bank
Mecbanicsburg Offica
oy-G... Sh,,"11 "n_
Hp1pn lL ~h~,,'
~--===::..-:-~-===-..==-=-..:::.:..-..=.=~=-..=.:==:",=..:.;'::-.
That the contents of suid s::tfe. deil()~;it box or boxes are itemized under Schedules A&B of this return,
with the exception of the following, for the reasons hereinafter set forth:
That So;hcdu/e A attached Iwreto .Illd made parl hereof sets forth fully and in detail all the real property
in the Commor,wcahh of Pennsylvania of which Jecedent Jied ha\'in,g an interest therein, It also selS forth tlie
mortgage encumbrances upon each \lilrcd uf real projlcrty at the date of death, giving,the amount still duc at
death, name of mortgagee, date, rate of imerest, and book and page of rC'cord thereof. It also sets forth in the
column!. provided therefore the :.lsse~s~d valuiltiOll of each of sitid parcels, the estimated market value thereof
as of dale of death of d{;ccdenl.
Thal Schedule B attached hcn:fu itnd madc part hereof sets forlh fully anu in dctail all personal property
where!.io\'l:r situat~d owned hy the dcceJclit at the time uf death; all mUllCYS left by the decedent at the time uf
death, whether in decedent's immcdiatc;)()ssession, standinb (0 dCCL'dclIl's credit ill banks uf deposit, SitVi,lgS
banl:s, trust companies, or other institutions, whether individually, or in trust for any olher person or persons
giving als9 scparately the accrued iuterest thereon, if any, down to the last interest dHY prior (0 decedcnl's
death in tllc casc of savings hanks, :lIlU 10 the d.~tc of decedcnt's death in all ntilL'1' case1i; all bonus, postal
savings, treasury certificlllCS or hotes and other cvidence of indebtcdness of the United States to ihc dCM
ccdcllt; all uhligations, wlll;thcr by statule or [q;rcclIlcnl they arc designated as lax free, \)1' the United Stalt'S,
ur any state, or pt;lilical suhdivi~ion thereof, or of any foreign ('ountry, which l.trl: owned at thc time of dc.llh;
all wcaring app.uel, jewelry, silvcrwan.:, pictures, hooks, works of art, household furnilurc, horses. carriages,
uutomobiles, boats, and' any and nil other pcrsulll.lI challcls of whatsoevcr kind' ur naturc, left by deccdent,
together with the fairly. estimated markl.:t \'aluc, tlll~rcof; all honds aud mortgages held by deccuent and or ull
claims due and uw!ng decedent at the time or death, ilnd all promissory flotes or other instrumcnts in wdling
for (he payment of money of which uecetlcnt died possessed, of wh:usocvcr natuTC, with iltlcrest thereon, jf
any, giving the fact~ value and c~airrll\tcd fair ma.ket valtic tIH~rc()f, and if such estimated fair market value he
less than lhe face \'ulul:, it sets forth briefly th~ reasons for such lIepreciation as to each item; :111 moneys
po:ynlllc to the estate from tife insurance policies carried by oel.:eucnl; l.dl anlluity and endowmcllt ccmlrnClS
the proceeds of which \\Cfl~ payablc UPUfI Ih..: death of the decedent; i11l and till: corpolate stocks and dividends
due lhcrcon and unpaid us of Ihe uate (If death, bonds and accrued intercst tht'reon to the date of dccedeJ1l's
death llltO olher invc-stment sccuritil~s owned hy the decedent at thc lime of death, with the market \'alue Ihere.
of at such time.
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(II the ellS(! of' se(,\lrlt.if~s lit' cIM;'~ or 1'1I11l11~' (:OJ'pl~l'Ht.lo!ls, tile vnl\1l?5 report.ed nr.) IlS I'llr (15
possilJl(! substllnt.tllt.efl hy f'lll'Ulct'\J r,;L~It.e1Tllmt:1 (I{' tit I! corpornl.lnlls, showll\U; the (His~t~ nnd ItllhllJ.tlcli
O)l'r('ol' 1\5 or L1\f~ !lute oj' l\illlth. Thp s\:hl~r11l1~ n\so snts f'orth tile Illterr!!'lt. (\1' decedent. at. the t.1me of
<lenth tn IIny cO-l'llrl.ncrsh11' or 'JllshH"~<S1 Mill In support. of Uw Vlllll(! o{' sueh tntl?rf!s!. thtH'C Is IlnneXt)<\ to
sui!! sc!lt"'dulc, {'Jnllnel'\! ~t'ltem<!J\l.s :;ho~ln~!; I.h4~rt5SI!tS uncI II!lIlilltli's of' ;'illld cO-ll!lrtrwr3h1p or nuslneos5.
A t'OI1Y 01' th(' co-pnrtncl'sh111 flI;l'f!cment., (If' orllL, n Htl\tl~lnl~nt s('tt1f1~ forth the nllture of' tht! /lgrIHHnent)
to~eth('r with II sltl.teml"nl set.t.tlll!; f'urt.h tlh~ ct\!lr!lctl!r of th.'! IJllsllln~s, Its locnt.l()Il, tl.nr1 such otber t'ncts
111'!I'llllllll1,~ to tile hnslncss IlS nmy IUl pcrl.tll~lIt. to 1\ ,'nlr lItH1 .Il1~t npprnlslIl of' Uw decedent's lnt.ernst
tlll't'ein must hesllhmlltnd. It should 1\150 sel. fort.h in Jt.IJmlzod ('orm, tl)~ether wltli th."! fa1.r mnrkt~t vfllllP.
therflo!', IUl~' olllel' propert.y o\lllcd or hcqtlCllI.hed by tile lh'!cnd.'!nt. n t the time of dtHd.h.
Tht~ Sch('du/~ C nt.t./lcl1P.d heref,o /lTlrl rnnrle 11111'(. hfll'f!of' sfHs fort.h II t.t'lle IUlswer t.o fNleh Inoujry
COlltlltncd therein Rnd In t.he cnse ot' tl'/HlSt'CI'S ofJll'oJlcrt,~', l'Clll or pcrsotllll, within two ~'ellrs ot' deccdnnt' s
oi".'l\th,ln contemplation of decedent's flent.h, or 11l1.f!nded to l.ukn nffect in possc5sloTlor en.1oyment nt or
u.l'ter <lenth, sutd schedule sets fo,.th the nlltnrt! nnel vlllun or sueh propcl'ty, to whnm trlUls1'erl'l!rt, the
relnl,iollsldp of the transferees to the ,Ieccltlmt, the pro(lOI't.Jllllftte share received hy cHeh trlt1lsferel~ Ilnd
nIl other fllct.s of fl pert.incnt natllre r(!~nrdlllp; suid trnllsfers. In f,he efl~e of' trltnsfers int~nde-d to
tuke effect in possession 01' en,joyment fit or nft(!r Ih!llth, r.hcrc l.s also Ilttllt~llefi to the schedule n COrlY
of t.he deed, trust Ilgrecment or ot.her instrument cl'cllting t.he trust. 1'herl~ is nlso set. forth 1n said
schedule n list. of nIl property, real find personal, with it.s \'lllue, whlc:h IHI:::SCS at cleC(H!ent's donUt by
virtue of the exercise by deced.ent', either indiVidually, or .1nlntl~' w1.th another, or 11l\Y power of ullpolnt-
ment vested intlecedent, either lnrllvldunlly rJI' ,jointly, by the w:lll, deed, or other inst.rument of' unother,
wi th 11 copy of the instrument crentinp; such 110wer flttncherl to the schedule.
Thut Schedule 0 nttllcherl heret.o Ill1d murle pnrt hereof' sets forth the nllmes /Inri addresses of nIl
persons beneficially interested 1.n thts cstutc Ilt the timl~ nf' decedent's ,1eot.lI, t.he IIllt.ure of Lha!r I'C5-
pcct,ive interests, their relatIollship, if /tny, to the decedent, togt'ther.....i t.h the nges Ilt the time of
decedent's denth of nll minors, nnnuitunts nnd bene('lcilll'ius 1'01' l:1.fe Hurler ,lecedentts Will. It also
contnIns n stntement shol'dng which of the bcneficil\rtes nlUTIcd tn the ftccedent.1 s will, if uny~ died prior
to dccerlent, the dutes of' t.he:l.r delltil, their issne, lUll! the relntioflship 01' suell issue to the beneficiary.
That S:hedule E Ilttached hereto and mllfh~ n pllr'l.. hef'cof sets f'orth all property, renl find ller-
SOIl/li, owned by the decedent ,1otntly with nnothe1' or otlH~rs, including Intans;ible, standing in the name
of the decp-dent Ilnd others, plus the dnte ((od plnce of record of instruments effecting the \o'estiture of
relll estate Ilnd the dale of flcqulsition of personalty, plus the unme, ndrlress and relationship, if any,
of', co-o\mers to the decedent.
Thllt Schedule F nttuched hereto flnd mude Il part. hereof sets forth fully 11l1d in detall all debts
nnd deductions clnimed 1'01' arlit on bchulf of this decedentts cstnte, inclucHng funeral expenses paidj
f'nmUy exempUoll, whef(.~ llppUcnblcj costs of nrlmfnistrntion of this estatej counsel fees and r\ldiciar~" s
commissIons l111i,1 or to he lltlillj cost expended fOl' burllll ll'uStS, tombst.ones or ~l'nvernllrkers, /lmi reli-
gious services, in consequence of t.he denth of' the decedent.j rlehts and claimS owing ant! llnpllld (ll time of
deathj taxes accrued chnrgellhlc for period. Ilrtor to decedent' s ,I(!flth (exc~pt those allowed undHr Section
G51 of thl~ Inheritance unci Estnte Tax Act) j together with (l stnt.ement 01' collaternl plerl!l;ed for obliga-
tions, if nny. It is agreed that the t'ldudnry will present. proof of' snid clflimed obligations upon re-
quest, that if the amount u.ctuu"J1y paid in 5\~ttlement 01' tiny fee, eommlssion or deht 1s less than the
estimllt..ed amount cl fliming lmd llllowed, tJ\I:~t the Slime ,dll he rt~Jlorted to the !legister of WUls, and that
t.he tltnOl1nt. of tnx nssessed Cllll be r('nssessetl in uccol'dllnce therewith.
Thill. the totnls of tl1f'! llPIlI'Oprih.tl' culllmllS in Scheehlles "A", "B", "(:", "E", /Iud "F" ns directed therein,
hl1vc bef'Tl cf1rriet! fnrwlll'd and }lroperly registt~n~ci. in t111~ SUllIDIIU'Y,
..-, r.
J.1~l'YLR " ~'1!1~~ ' Executrix
"..,.iI{~~litil~;~i~r...."!;;~e.J;;Uj;riX
, ,6.36,7..,.13,ase.hO:t:e...,Roail.............................-..-.-..
(Street Number)
l1echanicsbur.g, ,..Pa"" ,....170.5.,5.............._.
(City en' Town and St4te)
SOTE: Bf!fnre stgnln~ l1f'l'Ionvit.. m!ike l'>ur(' 1111 hlnnk spnel~s ill t.he nt'flrlli\'it flnd schcdlllc~ IlnnHxetl arc
f'11J'~lt in with detuils or the \lwrd "NulIe", /lllel In ense the ItSSt'ts lliClllt1l~ I'ur(~ nllll unlisterl securities,
sef:t1rlti(~s of close or f'llmlly corporlltlollS or /ill Intl~rest- ill un~' co-p'lrtnel'shlp or husiness, thnt the
Mltll null stfl.t.~mf!nts requlrl'It lindeI' t.he 11111'1l~"Hpll rlIlO\'I~ l'f!l;lt.tnp.; tu Scheltulf! "H" nrl~ llttncherl. A.lso mnke
cl~rUdll .t1l1lt t:olumn #t III the "Smrtl\/l"Y" hIlS hl~ell pr()JlI~rly cnmpl~V'II liS Ilb(we-llIrect.IHi.
Subscribed and sworn to before me thiB ........-....-.....-..,.....,
/?",
.,..,.._.3k/" day of ",....Y4~ ...",.",...,..19!HL.,
,~ 5. '7."_
Z)(otar{1f$i'f;"':.' .
My Commission Expires: ~:Y.-:J/ /-: /1'J"..i"
I
REV-"sl (B"7SI
COMMONWEAL TH OF PENNSY~VAHIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This S~hedlllc 1\lllsl disclose alllangihlc and intangihlc personal prollerty owned individunlly by the
decedent, at the time of his death. Prupcrty owncJ by lhe decedent jllil111y with ;lllutllllf or ulhers lIIust be lislc.:u
under Schedule "E". 11IIallgihlc pcrsulIal pruperly, litlc() ill the lIatlle Ill' the dccl.:dcII1, hut payable al death to another
or Illhers, including hulnollimilcd III P.O.D. U.S. Savin!,!.s Bflmls and tentative trust al.:counls, must he listed. despite
the faCllhat Ihey arc 1101 or the lIdminisll.lrcd estate.
Tangible persollal proJll~rly should he listed first (c.g. jewelry, wearing apparel. household gOllfls, lInd
furnishings, hooks, paintings, automohiles, hoats, CIC.)
(nlangihle personal properly, slll:h as honds, trl.lasllry cerlificiltcs, 1.:1Ish 011 hand and in hank, stocks,
lIlOrlgages, illites, together wilh aCl.:rtIcd interl.lslllr dividl.lluls, sal:fril.ls or wages, insurancc payahle to the estate or
fiduciary in snid capacity, partncrship interests, interest ill an)' undistributl.lu cstntc or or inl.:ollle from UII)' propcrly
hell1 in trust under till: will Of agrccment of another, c\'cn though locatcd oulside of the Stllte, at the lime of death,
shnulll be lislell in this schedule.
Itcm
No.
I'IEM
List and describe fully
UNIT
VALUE
1.
Certificate of Deposit #14-4681, Common-
wealth National Bank:
Accrued Interest to date of death:
Savings Certificate #11-3411, Carlisle
Building & Loan Association:
Accrued Interest to date of death:
1976 Subaru Sedan:
1973 Ford Galaxie Sedan:
Rifles, guns, and bow, as listed and ap-
praised by Kenneth R. Spidle Gunshop:
Sunfish Sailboat and Boat Trailer, as
listed and appraised by Harrisburg
Seaplane Base, Inc.:
International Farm Cub Tractor, with
Plow and Harrow:
20 Shares Common Stock, General Electric
Company, at
50 Shares Preferred Stock, West Penn
Power Company, at
133 Shares Common Stock, Pennsylvania
Power & Light Company, at
50 Shares 9% Preferred Stock, Pennsyl-
vania Power & Light company, at
100 Shares Common Stock, Hershey Choco-
late Corporation, at
50 Shares 7.75% Preferred Stock, Phila-
delphia Electric Company, at
418 Shares Common Stock, Greenray Indus-
tries, Inc., at
50 Shares Common Stock, Barsco, at
90 Shares Common Stock, Weis Markets,
at
1 Share Common Stock, Ctmberland Valley
Co-op, at
2 Shares Preferred Stock, Cumberland
Valley Co-op, at
10.00
"
,..
3.
4.
5.
6.
7.
8.
45.375
9.
71.00
10.
14.812
11.
63.00
12.
20.1875
13.
52.50
14.
15.
16.
1.50
30.3125
23.687
17.
16.00
18.
I
L
Insert this lutal opposite "Personal P1'tl(lerty", Schcdule liB" ill
the IIA~ Rcpurted" I.:UIIlI11I1 on the last page or this return.
x X
ESTIMATED
MARKET
VALUE
DEPARTMENT
VALUATION
(1)0 not write in
this space)
$38,000.00
692.97
8,000.00
142.91
3,000.00
700.00
2,749.00
645.00
1,5QO.00
90:7.50
3,55p.00
1,970.06
3,150.00
2,018.75
2,62$.00
627.00
1,515.63
2,131.88
10.00
20.00
73,955.70 7.3/y:;-.s;70
<19'1(
~ ~ ~
1 ~ 'M 'lJ/.
.<l \J)
;z: I'-l ~ d ~
\ 0 ;>< ~ ~
~ ~ ]
'" E1
::l
~ s:l ....
. " f.<
, I t!l '" "
"- - 1 .... N
U ~ ~ ~ .... r<\
-
I:.. III <)
I:.. -
0 ~
~ 0
~ I:.. I:..
!-< 0 '" 0 ;z: 0
'" '" ;>< !-< 0
- ~
:z ~ ~ !-< ~ Z z
::l 0 - 0 IX: S ~ ~
z ::E z !-< 0 u t.? I'-l
- ~ '" ~ 0 0 -< z
:::: ~ u 0 ~ :J
REV.S17 ta"761
COMMONWEA~ TH OF PENNSV~VANIA
OEPARTMENT OF REVENUE
BUREAU OF FIE~O OPERA TIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
D^ TE .. ,J_~m(.! ,.2~,__.l2J1Q
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for consent to the transfer of the lollowing securities of " Pennsylvania
Corporation or 0 Notional Bonking Associotion located in Pennsylvania:
(0) 418 8h i'lreab)_~enr.aY----IruluEJ:ril.!sJ-_In.c-'---n------..--- (c) --- (',o_~\!T'QIL__--___~c____
(NOTE: In describing securities enter in (0), ab Ole, either the number of shares or stock or the face omount of
registered bonds, in (b), the nome of the issuing company and in (c) the cl"ss 01 slock or the slated interest rote
and maturity dote of registered bonds.)
ISSUED ON Var.i01H> Pnt",r, ,ond hoving 0 TOTAL MARKET VALUE OF L_6_7.]_._M___'__'____'
(0010)
os of the dote of death of the decedent, pny r. --5llaull--------, an_---L1ar.ClL25-l-li8JL
(Nome of Deccdenl) (Dute of deoth)
who was late of 61(,7 nas.ehOIC-..1load,__~~anicsb-ur.q'--c.m"-l<~x-tanJLCPJ,Inty-,-:ta-u 17055
(Stroot ond Number) (Post Offic.e) (County) (Slote)
The securities ore registered os follows:_____J':QY..S~,,__~J:l.a_ul.L____p___________
(Nome or nomes in which cortificotes ore rcgistored)
M>MU4mRMOR)
EXECUTOliCES )
(, 16J--B.ascltore- .RaadL_'Jg,gh?JltQ.!>-buXg.,.-1'E---"-J 17055
(Addres~)
NAME OF APPLlCANT______~eorqe_.ll._11QUck,--Es.q-uira-
national Dank Building
COUNTY FILE NUMBER 21-110- 226 ADDRESS OF APPLlCANL__'~.c_c~jj;cSb-urn:------p.aiL]']~.5-
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ~f1.~~~.0-J.L'11~Jl',vL-
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCA TION, 1 WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETIO .
~!flrian !!. HCGd
Helen n. S,haull
,T;H'~.. ('rRmpr
(Nome)
~-_._."-_.~-,-_.~._,....._-_._-~_.~-'_._--._-...__. .._--
~--_._._-_._---..._-_.-----_._'--------_.._-'- -
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~ ., /) ,/ /4V11
D A T --', 'tdW--:2\-4J-.,N v
I hereby consent to the transfer of the above securities now registered in the nome of t~ aforesaid
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 provisians 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 operoles only in reference to the estate of the
above-named Decedent.
Signed lor the Secretory of Revenue
), 04'0
/, , . . I
/,/ .' /, /I, -'" v' U
By___d:/LU4 e ,'._ ,. f.:.('i4"'--
(/ ') f (Signoft're) ") .
1)-/ . -oI-J It ;/, ~ d!..-
o .L:ld.d-..(j _ ct(.,"AU-!:'~, __0(02:':::,___
T).>!{i (Caunly)
/ (/
REV""7 (e.761
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
APPLlCA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
~~.t\'
~Jt~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Applicotion is hereby mode lor consent to the transfor oltho followin\1 securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
DATE June 24 1980
_______.... .._._...__1___
(a)} 0 Shares (b) l'ieis....&UE.Q!:!L__._...______._____ ____ (cL_CoI:'Illon__ __._____
(NOTE: In describing securities en fer in (a), ab Ole, either the number of shores 01 stock or the lace amount 01
registered bonds, in (b), the nome 01 the issuing company and in (c) the closs 01 stock or the stated interest rote
and maturity d~fe aJlre~.stetedG~cnds.)
/\pr~ , 2" ,.)
Dec. 2' i ,,71
ISSUED ON Hav 4 ,979 , and having 0 TOTAL MARKET V HUE OF 5..2,131. 8_8.__
(Date)
os 01 the dote 01 death 01 the decedent, Hov G. ril1iltll.J..___.___________.., an__tlar.ch.2S.,_l9J1D_
(Name of Decedont) (Datu or death)
who was late 01 6367 nasehore Hoad._ Hcc.hanicslLl!l~g_L~_umP_",-rlandc.o.unty_,_.J2a._, 17055
(Street and Number) (Post Office) (Counfy) (Stoic)
The securities ore registered os lallaws:
___..ROy_.G..._Sh.aul L_ ____.___
(Nama or names in which certificates orc rcgisterad)
r-tnrinn n. n.f~ed
Helen R. Shanll
~~~)~net L. Cramer
EXECUTllllI/ces ) (Name)
6367 Bascl1_~J:'~.._13.<?9Q.,-_MerJ.l~l}ic!!l;>).g:9.., Fa.. , 17055
(Address)
NAME OF APPLICANT __._._.C',-~Q~g~_I.1.,__l:Lo~~t.L Esquire
National Dank Building
COUNTY FILE NUMBER 21-.80--/.26 ADDRESS OF APPLlCANT.__lJ~.9~~g_g;!2),lrg, Pfl17055
BUREAU FILE NUMBER SIGNA TUR E OF APPLICANT -~J_"='-~AM.2'/:L~_
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETIO .
COMMONWEALTH OF PENNSYLVANIA - DE.PARTMENT OF REVENUE /1 i
CONSENT TO TRANSFER SECUR~"!:.I!=_~ 1/. . . -1// JOtil! I
DATE ~)t01-r.:~.4"Y7I-'1{)V '
I hereby consent to the transler 01 the above securities now registered in the name 01 tlti aforesaid. I
!
Decedent and waive the liling 01 0 certificate certilying to the payment 01 the frons!"r inheritance lox to which
the property of said Decedent is mode subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
as amended and the Act 01 June 15, 1961, P.L. 373, os amended. This is "Iso in accordance with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in relerence to the estate 01 the
above-named Decedent.
r",
~m~"
IF~';} :p
IJ hf,i:, t\
I '~l ~';'J>' ,;;
1):"..,>,~?.L;,._
Signed lor the Secretory 01 Reverue
\ //
/y . ~ . /
B>__.:://I:U(.j,l!_..M-'_~_
/1 (Si9I1a~e) ,,-.7----
1 / .' ,,-,. J '
../;f'k:..4/uJ ... t;tc-:1'H.c-4_4u~L
ptle) (County)
REV.!ill 10.78)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELO OPERA TlaNS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE .,1\ll1<' 7,!,_!__!?S~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode lor consent to the transfer af tho lallawing securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
(0)50 Shl\TNl (b) \'!cnt PCl"n POVICY COP'''''"nv ____._.___.__.__._(cLl..r~':iPr-(-!fq-r}:e~
(NOTE: In describing securities enter in (0), ab Ole, either the number af shores or stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (e) the c\"ss of stock ar the stated interest rote
and maturity dote 01 registered bonds.)
ISSUED ON ;ruly 1, 107(\
(Date)
os 01 the dote of death 01 the decedent,
,and having 0 TOTAL MARKET VALUE OF S_.3_'_~2~_'_!O________
RoV G. ShGl'Jl
(Name 01 Decedent)
on r~urch 25, 19CO
.---.-+ , ------
(0010 of doOlh)
who was late 01 n 36., l'oasehorp POil",_ r'0chi)nJ.c!'l~mrCfJ Cnr"'~e rJ<:.l!(l..c::g.tl~i;)'L.J~.<1.!-'--~ 7055
(Street and Number) (Post Office) (Caunly) (Slate)
r-; 3ri7 B~;,(':.r()]~~ p'Q.~rJ ,_~e.:..<2~~n.~~s.t\1rtl.! Pa. r 17055
(Acldwss)
NAME OF APPLICANT Gef1rq,,\ !.!. Poud:, Esquire
------T~Rtfomif--llunJ'; Building \
COUNTY FILE NUMBER 21-80-22(, ADDRESS OF APPLlCANT_- P."~1~~d2.l.1.~'1J ,~~.L-l705.5 ,
BUREAU FILE NUMBER SIGNATURE OF APPLICANT --......c::'----~~ML].:.b:::d'. (~I
HOTlCE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION. OF THIS APPL.ICA T..ION.,..I:.. \:,.j LLN.OT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
__ ....._ ________.m_...__._._._.._.. -. - --_.....-..~-~.-_._. .--
- COMMONWEALTH OF PENNSYLVANIA - DEP ARTMEN. :rOFREVENUE--'-- II
CONSENT TO TRANSFER SECURITIES ~ ,/J// )4'--.d
DATE_ dd.U!/~]J(/
I hereby consent to the transler 01 the above securities now registered in the nome 01 tl aforesaid \
I I
The securities ore registered os lollows:
~"'nr:L:!n E.. R('(~rl
Helen R_ Sh1\llll
AOO1lIt1'Y.I'R'it-'l'UR) Jan!'t T,. Cral"p.r
EXECUTClRCES ) (Name)
.r:o'y__r_~!_~h~lll)--------------
(Name or names in which certificates are registered)
Decedent and waive the liling 01 0 certificate certifying to the payment of the transler inheritance tux 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 01 June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
or the Act 01 April 9, 1929, P.L. 343.
. This Consent to Transler the herein described property operates only in reference ta the estate 01 the
above-named Decedent.
Signecllol the Secretory 01 Reven,ue
/)1) ,,;;/'.
By _!./,,t/XLdJ/.. (!:,.. i/-)l~(~{~t.2!_
) (Signafrcl.,
-1.. .~fY/'t:.r&~) /j{lj)J,.....t.l~//!.:.,~
IT 10) (County)
i
REV.!!17 (0"781
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELO OPERATIONS
APPLlCA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Applicafian is hereby mode lor consent to the tronsfer of the following securities or 0 Pennsylvania
'Corporation or 0 Notional Bonking Association located in Pennsylvania:
DATE_..rUl1Q._21, Ino
(0) 'iO 81,;1 l'''' " (b) Pcnm'y1vilni...:.LJ'ol:ill.L.!< Liaht.J::.Qmn_nny___.(c)_Q,;\ l'mferrcd.
(NOTE: In describing securities enter in (0), ab Ole, either the number 01 shores 01 stock or the lace amount 01
registered bonds, in (b), the nome 01 the issuing company and in (c) the closs of stock or the stated interest rote
and maturity dote 01 registered bonds.)
ISSUED ON ,1"" ?? 1 ~7n ,and having 0 TOTAL MARKET V AtUE OF 5-_1,J.50 ,lLQ____
(Date)
os 01 the dote 01 death 01 the decedent, Roy G. Shi'1I1~___.___, on r'1ilT'ch 25 , 19 no
(Name of Decedent) (0010 of death)
who was late 01 6 3(i 7 JiaschoT'p TIOi'd L_ ,;u:hi'ni cshura , _.c.L1E2c.e:rlnn.cLCn.un.q.,_J?a..., 1 70S5
(Streot and Number) (Post Offh:c) (Counly) (Statc)
kD~lNls<r.R~llOR )
EXECUnJR:Cr:S )
The securities ore registered os lollaws:
~'!;:\rinn E.. P,~0('l
Helen R. Shaull
IJ'Flnt.t r,. Crnrt.(".,..
(Nome)
RoV G. ;,h i!!11 L__.
(Nome or nomos in which certificates orc registored)
6:16 7 Ba~c:horG.-B...~~__]Tcchanicshurq, Pa. r 17055
(Address)
Geo_Ulul.....lIQuc1" F.squim
National Dank Puildino
COUNTY FILE NUMBER 21.-80.,22(' ADDRESS OF APPLlCANT__. :''eCl'''-"~-_'~SbUJ'a_'..Rat7055
BUREAU FILE NUMBER SIGNATURE OF APPLICANT -'-...._... j'0_ydJ{ ,<J '......." L-
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, ~~ILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
NAME OF APPLICANT
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES DATIJ?.!!..,,/.A1;ly.fZ'
I hereby consent to the transler 01 the above securities now registered in the nome 01 t~0resaid
Decedent and waive the liling 01 0 certilicate certifying to the payment 01 the tronsler inheritance lox to which
the property 01 said Decedent is mode subject pursuant to the provisions of the Act 01 June 20, 1919, P.L. 521, .
os amended and the Act 01 June 15, 1961, P.L. 373, os amended. This is also in occord<lnce with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in reference to the estate 01 the
above-named Decedenf.
\~
~w.~
''i''.,;')
111~", r\
~,,"t;. ~t.~\..
:J......,...;ji/r~,
Signed f~r the Secreta; 01 R~eV?nUe
/ J 1 ;i" J
By _':.0.I-(ld"!~"C_,-o:L ~ /'t-
//---) . (Sig,~'~re) /) '" j
,,/, . j.:: /,(1 II, / ?
11~~'-.J C:-t:(..J"1A/'{;t:.<-:~~
y Ie) (County)
REV.~17 18.781
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
Il+"
~~~
,-------
D ATE ___}_~,~__31 ' 19 30
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode lor consent to the transfer of the following securities alII Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvllnia:
(0) J 11 ';h"r=-(b) pennsvlvania I'O,,,,,,r _I;, !,tg[lt_.~Qr.1r>i'll1'y__.(cL-~()!~!:l9.D._----_.---
(NOTE: In describing securities enter in (0), ab Ole, either the number of shores of stock or the lace amount 01
registered bonds, in (b). the nome of the issuing company and in (e) the clllss of stock ar the staled interest rote
and maturity dote of registered bonds.)
ISSUED ON Various Dates ,and having 0 TOTAL MARKET VALUE OF S ._._lL~7n. 06
(Date) ,
os of the dote 01 death 01 the decedent, ]lOV G. S'1anLL________, onJ'_larch ~5 , 1980
(Nome of Decedont) (Dahl 01 death)
who was late 01 6367 BaGChol.7C Roae: , 11echilnicsbur2_f Cll!"t~1:J'1l1'5~__IC.():tJll!:y.LPa-'-L 1705 5
(Streot and Number) (Past Office) (County) (Stote)
The securities ore registered os lallows:
""nrii:ln H. p~~rl
Helcn R. Shaull
.Tanc t L. Crm':1Cr
(Name)
Roy_G .__~;haulL------._-_._--------
(Nomo or names in which certificates orc registered)
fl{)IMWlS4:tNt:i!:'CR)
EXECUTOtiCES )
63(,7 naSch()r,,_~9.<I,1,-Jjcc1~1ni_c:;;1::'::lrq-, pa., 17055
(Addw!<s)
NAME OF APPLICANT ___De_oJ:_qg_1J-._JJoucl:, Esquire
Natinnal Dank "uildinq
COUNTY FILE NUMBER '1 -Rn..??G ADDRESS OF APPLlCANL_~'e_ch_cJS::5_blJ.:r.9.f_1'_7t705'j
BUREAU FILE NUMBER SIGNA TURE OF APPLICANT ..-~Z,~'-'..:vL\.k"- -<-"'( 1'2--
HOTICE: IF YOU FAIL TO PROPERLY FILL IH AHY PORTlOH OF THIS APPLlCATIOH, IfjlLL HOT BE
COHSIDERED COMPLETE AHD WILL BE RETURHEDTO YOU FOR COMPLETIOH.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE (
. CONSENT TO TRANSFER SECURITIES ~ AI) Jdf1J
DATE. JtJt4!'/"'~ U'
I hereby consent to the transler 01 the above securities now registered in the nome 01 II alaresaid '"
----... ._-----_."....__..~_._--~_..~-_.- -_.-
_.._________.._ ..._.___._..____n_u__._ ...-. --.-- -.
Decedent and waive the Iiling 01 0 certificate certifying to the payment of the transfer inhcritunce iux to which
the property 01 said Decedent is mode subject pursuant to the provisions 01 the Act of june 20, 1919, P.L. 521,
os amended and the Act 01 June 15, 1961, P.L. 373, as amended. This is olso in accordl1nce with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in reference ta the estate 01 the
above-named Decedent.
Si~ned lor the Secretory of Revenue
- /J1J (!:.' ~ . !
By__...i:2L/,{i.:f<;/-'!". t.. e,(.k-u--/
/7 (S;9n,p#") t') ,1 ..
<Y._ v ~.' ?
!1t/..:...,.) .f..i/!d"-l!-?t.v~-
; If}; c) (Ccwnty)
REV..!S17 (8-701
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELa OPERATIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT DF REVENUE:
Application is hereby mode lor consent to the transler 01 the following securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
D A TE__~Tl]rl€l_X1./.J..9 80
(0) 50 All ,n'" F: (b)-ElJi.J.ad.e.l!2l1.1.il_rJkcJ;XLc COJ11J2Qm'___.__H_____. (c) ___}.2~S,._r.rc!lle_!.J;:!J_q_
(NOTE: In describing securities enter in (a), ab Ole, either the number of shares 01 stock or the face amount 01
registered bonds, in (b), the nome 01 the issuing company and in (c) the closs 01 stock or the stated interest rote
and maturity dote 01 registered bonds.)
ISSUED ON Dec. B, 1<)00
, ond having 0 TOTAL MARKET VALUE OF L 2 ..ti.~~~Q....
(Data)
os 01 the dote 01 death 01 the decedent,
Po" C-. SlltLU.lL.__.__, on.--Jlayc1L25, 19110
(Name of Decedont) (Date of di.!oth)
who was late 01 6%7 Basehore Hoad, I'\echnnicsbllrrrL_Cl~lf~.!_1.!"!.n(LCo_'mty:, 1'11.,17055
(Street and Number) (Post OHice) (County) (Stole)
The securities ore registered os lollows:
?>:(\rinn IT. P~e(~
Helen R. Shaull
lTRT10t L. Crampr
(Name)
Roy r,-,__~l,-<:'c~1.L._
(Name or nomes in whIch CtHtificlltes are regislerf.J'd)
AOOlH~R)
EXECUT(}R:CFS )
G367 BasehQX(L1l9-,-'.9_,...1.!e9.lli!nicsl":>~J:'.9..L Pa.. 17055
(Address)
NAME OF APPLICANT _____..Q",orge ',1. Eouck, Esquire
national Banl: Building
COUNTY FILE NUMBER 21-1l0-226 ADDRESS OF APPLlCANT____ -''''~f41tJ.:i_C.~l)UmLlLa, 17055
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ..b.t'?,~~':iU :-s3 ~''"'" k-
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCA TION,\.1 WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETIO .
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~. . -1.11//'/0:1
DA TE _. "t1U/~_Z/c,
I hereby consent to the transler 01 the above securities now registered in the nome of t oloresaid
Decedent and waive the filing 01 0 certilicate certilying to the payment 01 the translor inherilance tax to which
the property 01 said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os omended and the Act 01 June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in reference 10 the estate 01 the
above.named Decedent.
Signed lor the Secretory 01 Reve))ue
.. -,};) " Y: ;J
By _:::!L/{idci.(!::. ../)d~'-
. .j (Slg'la,i..) 'I ,1 1
~" . -. /,'i ;, ft . d
. ..' ir~1~.:d<"i/1 d:t?:':'1~<;<e.l~~f.:Jf:.~
t e) (County)
REV..517' (8"70)
COMMONWEALTH OF PENNSYLVANIA
aEPARTMENT OF REVENUE
BUREAU OF FIELO OPERATIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
~~~
~WI~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for consent to the transfer of the following securities of Cl Pennsylvania
Corporation or 0 Notional Bonking Association located in PennsylvaniCl:
DA TE_.3..\lll'Ll_,t,--.l9 80
(0) 100 Shares(b) HerGhey ChoC'olilte _~QIT'o]:'i'ltir.m____..__(cL~()rnrno~__._._._
(NOTE: In describing securities enter in (0), ab Ole, either the number 01 sllClres 01 stClck or the lace Clmaunt 01
regisfered bonds, in (b), the nome 01 the issuing company and in (c) the closs 01 stock or the stated interest rote
and mafurity dote 01 registered bonds.)
,ruly n, 1%5
ISSUED ON July n, 19GG
(Date)
os 01 the dote 01 death of the decedent,
, and having 0 TOTAL MARKET V A'll! E OF 5---"_..2lI1. 7~
nay n. S11 aull____..___ t on
(Nome of Docedent)
r.~.:trch
25, 1900
(Dale of doath)
who was late 01 G 3 G 7 !Jasehon'! ".oa!L._l!echanicsbur<1L CuIThe.rJ.<\l:l.cLG.Q_unt-y-.-.1:.il.L.J1J2.5.5..
(Street and Numbor) (Post Office) (County) (Slote)
The securities ore registered os lallaws:
R~..s.. ml.a.u1l____.._._______.
(Nome or names in which certificates arc registerad)
r'~nrinn 11.. !'''''l~(l
!lole>n n. Shaull
XDMmlS1RX:r.C:1R)-'!1ill."to t., Crnmt-r
EXECU11lRcrs ) (Name)
G 367 Basehore .r~oiJ._~_11I;ch9J)i.<?!>.lj_m:gl Paw 17055
(Addross)
NAME OF APPLICANT .__..s~Sl.xge__ n .._JJQ.ll.Qk....l:B_mli.L:~
National Dan); Duilding
COUNTY FILE NUMBER ?l..rO-22 (. ADDRESS OF APPLICANT __ r.ecJlft~_bUrC1 L.Eil'::,-}J105~
BUREAU FILE NUMBER SIGNATURE OF APPLICANT -~~~'~~L?~~xMt .~~~-.,J~__
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT ~L NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~. A~ /f~
. OAT. :'(1/ u.ld
I hereby consent to the transler of the above securities now registered in the nome 01 t aforesaid
Decedent and waive the liling 01 0 certilicate certilying to the payment 01 the lronsler inhcri:ullce tax to which
the property 01 said Decedent is mode subject pursuant to the provisions of the Act 01 June 20, 1919, P.L. 521,
os amended and the Act 01 June 15,1961, P.L. 373, os amended. This is "Iso in accordance with the provisions
01 the Acf 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in reference to the estate 01 the
abave.named Decedent.
Signed lor the Secretory 01 Revenue
JhJ, ~) /'/:: < J
By__. L/#--C~<;/:.._'-//')CLt,-~
.'J (Si~"ntZe)<< /J
. A;~"L GJ (':{t.j'J(.tcaA-7{'~
'lj;ttle) (County)
OFFICE OF THE.
REGISTER OF WILLS
,'! j.. ,( l .::> .) {-
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
REV.41l~ (0.781
OF __ COUNTY
AND AGENT OF THE COMMONWEAL TH
..--:., (
..,_......l."
)
/1... ..(
_J. (/ /<, r .i
THE SUM OF $12,808.66
DAH):p'P~OVEi!~~;" /1,)17
v/. 'l} t7 '-? . J
/1 U" ~eL</-('d/
nErol F.:R OF WILt/.;, I.G [~tH
.'
ESTA TE OF
ROY G. SHAULL
1
LA TE OF _---1!llli.E,DP,)' 'rOl'lNSlIIP
DATE OF FILING APPRAISEMENT r';,u L, ,,(/4 jC!'ii) DATE OF DEATH --1:J]IRrn ?t;, 1980
NO. OF v j
DATE VOUCHER NAME OF PAYEE REMARKS AMOUNT
n~~' -:rer of \~1i'ls Tetters IJ1est"nmpnt;lry .~~ ~c nn
Myp.r~ F'nnpl""rll l1nmp 1"" " 1C":~nnsP" 1 , 11 lL
1-1 rwm rrl r.ohcn. 1\1. D. MenicnL-Expenaes hn ..Q.L
-
- IT.p~t-~r (;. r..nnnnr .l\.pJ:U:niRnl of Heal j':st"h, ?nn nn
I ~la:l:ion" 1 Flnnn Tn~"'''~'l1~~
T;"~~" ,.~ ~~ nn
-
p" Den, . . nf 'r""ns-
nn,.tntion RnRt rprFl:i ler T' h nn
j
~PCJ;~t-P,... nf T~J; , , ~ p"'~- "'~~j,,~ h WL
Reaister of \"Ii lls Short Certificates and Cer-
-
. j,,''''M' "opy of I-Ii 11 ' 0 ~n
"e'-'m'''~r' ~ne" ~" e~' 1 ;n,., ,'j,,'~~ ?nn nn
-:-
,..; nrn-; ~h - ~ ,'e ..c~e" nf ~'nmh-j---- liln no
-
~~I~ T~~,,~"~~~ I'n 7\l1tom~h' , ~ T. ,..." lRn .-OJL
n ., ..R. ~n~1111 T;',m; ,,, f.:. 2 000 00
. -.
. Georgp i-T. II olli:k.,...llil.qJ.li ,.,., nH-ornev I 5 Fe'" .2.....000 00
rH 5.CP 11 "npOllR BxnpnsfllL ~'"l~nh~~n BilL etc. re
.
- - . l.clmi nis.:l:.ration of Bstate 45 00
.Re.cor.deJ:...o.:Lr:lee.ds lL..Rr-">r'11 r~~t:;}r.p 'p 'r";.'I nsf..e..r..-Tax. ' ?~n nn
,
.
-.- ---~- - -
-- --- ---
.
'-. -
, .,CJ,!' Lt:-
.-- - ._- -.-. - --.---..- ._0.- -.- - ! ,/. ','t.',
COMMOKWEAL IH OP PENNSYLVANIA I
55,
COUNTY OF-Cl.uJ\be.r.lanL_
1']~,---1lELElLR. S"l\lJI.L.._..awL~lj~ 1:,. CRJlj,mn. HEREBY CERTIFY, THAT TO THE BEST OF
MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND
EXPENSES OF AoMINISTRATlOl4 SUBMITTED TO THE ESIATE OF "()~..-SilllTlT.T..
DECEASED. AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES..
I (I Ji." V(i v'
~ ~.J-'L{~~}7 ' - ..J./) .t--:.' (;t~_ (L.S.)
SWORN ANO SUBSCRIBED BEFORE ME T1iIS ?Atl, DAY OF :9.. t. J j: . J (SEAL)
,1111114- 19.:JJL --- .a~ .{L_LAti.cl_______
-- /)/ ,.".-.. fC"/.
~UI.~~I'/;;:?:l.t'/l i.Tn....::'lr~' p"h1i.c
l1y"commission Expires All'J. 11, 1983
--.---.-----
Ar hlel, riG:; FOR ArW COt~SEtn \'%.
TO TRAt<SFER SECURITIES J C'" '1'~~
REGISTERED It< THE NAME I'-:':"i'~~:,r\
~.t ';' ~'.........1)
: OF A RESIDEIH DECEDENT ",,~',-"""'''-
---- -- ---~ - .-- ----.------ --- -------..--------.-.
OI.''"'.=''~...r::..~,.M OF ft'JHSYL\'At'~IA
OEPt.F,"';/,,'.E.r.;T o. ';,:E\'ENUE
UF:E/,U OF COUt~H COLLECTIOt<\
. .
gP!,JCAI!Q!:!
DATE ~.. 'I -f;'-
TO THE PENNSYLVANIA DEPARTMENT DF REVENUE:
Application is hereby mode lor consent to the transler 01 the lallowing securities 01 0 Pennsylvania
Corporation or 0 Notional anking Association locoted in Pennsylvania:
(0) ) IJO (b) eM. li&miLJJl'd~4:_L!)~L~-:t?n:-lf-(cL{0!l1(/lOrJ
(NOTt:: In describing securit'es enter in (a), ab O'e, either the nu er.A shores of stock or the loce amount 01
registered boods, in (b), the nome 01 the issuing company and in (c) the closs 01 stock or the stated interest rote
ond maturity dote 01 registered bonds.)
ISSUED ON .MII. 1b1/9n ,ondhavingaTOTALMARKETVALUEOFS /'ifILt!~
(Do'.) -4 /:. - I II
os 01 the dete of death 01 the decedent, (J' _L,0.nflUJJ- ,on--3I.2Sj80
(Nome of Decedent) (Date of death)
who wos late ol-tJt 1 fj.d5c.hre_-'!~fxjAn1l$b--c'D>JJedb) t..--
, (Street and HumbtH) (Past Office) J (County) (State)
The securities ore registered os lallows: ...-J,-'1' . t. S}lJuJJ
:j/}f1t! t. C/,lImfr 15 5~~:;~j' nam5 ~~r~h~~;~:~t~. If ,;~~.;t)
ADM I N I S TRA TOR) ..!!1{rlIul._J!.ud_.-1d!..L_,=-C')jJl~:l:._gL.iJ,J1:J.v.C~._+A. . .
EXECUTOR) (Nom.) '(1.dd,...) i
NAME OF APPLICANT _J.1nd_b,J'tJ"n:r:J: '-.J1.JA&tAN IJed
15 5. Wf$f 5;'." ~'N n...",; -p,.-,l7oI1
COUNTY FILE NU/l.BERdl3~2,4-~- ADDRESS OF APPLICANT -~b~;-!.:~~;J.}/~~'-5:t~~7J-lf~
BUREAU FILE NUMBER_----SIGNATURE OF APPLlCANT_':'hJ(UU,~~/f
NOTICE: IF yOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
DATE ~ ._L) -f!,-
I hereby consent to the transler 01 the obove securities now registered in the nome 01 the oloresoid
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
Decedent and waive the Iiling 01 0 certilicate certilying to the payment 01 the tro.nsler inheritance tax to which
I
the property 01 said Decedent is mode subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
os amended and the Act 01 June 15, 1961, P.L. 373, os omended. Thi's is also in accordance with the provisions
Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in relerence to the estate 01 the
above-nomed Decedent.
~,
~ ...~
"-'C:.....
I~. .~~~:'.. .\
'_' ,.,;:.J....
,...;....-..;..;..-:-.....F'
Signed 10, the Secretory 01 Revenue
By1!Ja\1~-L&t.( L(~-fJH--.PJ35}F~
t{Signclule) - ~
Ke!l'-crl..(,.l;Qj.L____.ll(~~~'-~~~..".'i--_.___
U 1frltle) (COl.:nty)
APPLICA flu" FOi( AND COt.SENT
CO.IJ,l,l,O.;\o.[.:.~ ":"H or: "rtH~SYl\'J.NIA
DEPAF,:"ENT 0; REVENUE TO TRANSFER SECURITIES
jDUREJ.U ~F cou',nr COLLECTION\ REGISTERED It~ THE NAME
OF A RESIDEIH DECEDENT
i ._- ----.---.-----------.----
I
I
I
I (0)
I
I
I
J
(\~~t;
I;~l,;,rt.f()~\
~.t.....-1"',.I...~.~.o.IJ
,'" '-.-0:-:
APPlJCA TION
DATE
to - LI-J'.s-
TO THE PENNSYL VANIA DEPARTMENT OF REVENUE:
Applicafian is hereby mode lor consent to fhe transler of the lollowing securities 010 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylyonia:
g (b LJ!'Juir;.'1j.ld!lrl~~1-..L', j j ,
(NOTE: In describing securlYies enter in (0), ab ",e,4Jth;;-the n mb
registered bonds, in (b), the name 01 the issuing company and in (c)
ond maturify dote 01 registered bonds.)
,I (c) t!u,-nn,o/
01 shores 01 stock or the lace amount 01
e closs 01 stock or the stated interest rote
ISSUED ON 1lf:'J Jlt-LiD_, and having 0 TOTAL MARKET VALUE OF S_!-/."- 'ig
(Date) ~ /' ,_"
os 01 the dote 01 deafh 01 fhe decedent, () lr: S.bf1JAlL , on~/.25 /80
(Nc..me af O~ccdc:nt) (Date of death)
who was late oct-3.t.:L-'3M.m---.f) !l1e.d!n<l( in, ~a-J11d .t
(Street ond Number) (Post Office)"/ (County) (Stole)
. The securities ore registered os lallaws: g,_'1' f SJl'Ju II-
.j;J"tf t.. Ctllm tr IS '5.~W'".:sr nomS J.~r;h::'~1a;:~t:. If 7~~t:t)
ADMINISTRA TOR)~J.tJJV~d IJ I> '-llJ I-/./t,,, Rd..._11.JbJY-4--f t1,
EXECUTOR) (Nome) ~dd,e..) /;
NAME OF APPLICANT -.::k:4-~.' (:g~ _~ f)p"J
- 1 'S 5. Wl'sf 5A'rr"~~ rc,,,,,, . ft---;ji;,'J
COUNTY FILE NUMBERdL-?1?-2.?t; ADDRESS OF APPLICANT .J<.df!,~:L;.s;-!tt~~~~j!..:;/~-t-f'b-.
BUREAU FILE NUMBER SIGNATURE OF APPLlCANT~au.(.';" ,1./. ~/j
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ) ,/ 17-
DATE (0 -If -a.5-
I hereby consenf to the transler 01 the above securities now registered in the nome 01 the aloresaid
Decedent and waive the Ii ling 01 0 cerfilicate certilying to the payment 01 the transler inheritance tax to which
I
the property 01 said Decedent is mode subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
os amended and the Act 01 June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to Tronsler the herein described property operates only in relerence to the estate 01 the
obave.named Decedent.
~e~~.
~:r~~ ""
1;1 - ~..,r" . ~
-:"c~'~;;.or.-..
~""-..u..~F
Signed lor the Secretory 01 Revenue
By1:()Cl_1l C- ~Y~_I~,JjL~
D Signature)
~~~--?<,~~,-----~Y.\'vkk~ ____
Cr (Title) . (County)
01l,Mo~~""r':'L TH OF F'!:NtHYl\'ANIA
OEPAF.:.'.ENT OF ;;EVENUE
UF.EAU OF COUNTY COLLECTION!
AFPLICA TIOt-; FOi\ AND COt~SENT I'"
.... ;.D- ^
TO TRANSFER SECURITIES J \ '~!.-~'?
REGISTERED IN THE NAME Ih;:'~;:Q~\
OF A RESIDEtH DECEDENT ",,,,,-.,.,..,,-
----"--.-- ---- ----------.--
.6.PP~ICA TlON
DATE in -II -J>.r-
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for consent to the transfer 01 the lallawing securities 01 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
(a) 5 0 (b)_J!f'It'J!!:/VJ)n~-"'fLJ~ L~"j /- t:;r~4(c) fJrt'iro/
(NOTE: In describing securities ter in (0), ob Ole, eit er t e number 01 t~s 01 stcfck or the lace amount 01
registered bonds, in (b), the nome 01 the issuing company and in (c) Ihe closs of stock or the stated interest rote
and maturity dote al registered bonds.)
ISSUED ON J4<l:Jd_i7L_, ond having 0 TOTAL MARKET VALUE OF $_5 j!:'o, t2Q
(Oate) ~. /'.. tI
os 01 the dote 01 death 01 the decedent, 0 '---lT~MuJJ__.__, on 5/.25/80
(Nome of Oei:cdent) (Date of death)
who wos late ol-t.JU--'illv j,re--.1) 1'1,,( j4~"l( /."'4 .-C~ubJ
, (Street end Number). (Post Office) J
The securities ore registered os lollaws: g,.-lf ~ SJlluJJ
f ' ~a~e or na~e. 'n which ,,,\'(;ca.e. ore ,es','ered)
::Mt1f t. Cl.lM"r IS 5. WtSt ~""'-emINTo",,J j p~ noli
ADMINISTRATOR) iI1A-'i.4.N-M /.dill L~k,o/ Rd. o.lIshV4~
EXECUTOR) (Nome) #dd,...) ~
NAME OF APPLICANT ....:k4.....b.,_.i~ _.L!.lt1i~I'M Ped
lOr, 1 ~ 5. Wl'sf 5)"''(1'~1 t;::;;;-~j7o'J
COUNTY FILE NUMBERa2!~--;;-:1..~ ADDRESS OF APPLICANT J~;:-;S!: ~Jl~:,.~:L. ~~1J.!d:;J-I.f'h-
BUREAU FILE NUMBER. SIGNATURE OF APPLlCANr~~~tI. /2/.{",(
!'lOTlCE: IF YOU FAIL TO PROPERLY FILL IN A!'lY PORTIO!'l OF THIS APPLlCA TlO!'l, IT WILL !'lOT BE
CO!'lSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
;1.
,
(County)
(State)
DATE to -If- -r~
I hereby consent 10 the t,ansler 01 the above securities now registered in the nome 01 the aloresaid
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
Decedent ond waive the Ii ling 01 0 ~erlilicate certifying to the payment 01 the transler inheritance tax to which
. I
the property 01 said Decedent is mode subject pursuant 10 the provisions 01 the Act 01 June 20, 1919, P.L. 521,
as amended and the Act 01 June 15, 1961, P.L. 373, os omended. This is also in occardance with the proyisians
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to T,ansler the herein described property operates only in relerence to the estate 01 the
obove.named Decedent.
e~~
.., ..
~-'
/jl.~: ..,~~
.\,;J.~--"'"
Signed lor the Secretory 01 Revenue
By'21h'IJ_U~(L'1."--P-~ Pll~~
i) (Signature)
/(Ci).:.!:( LLl~~~)___._CLl-rJ.,,,,~,,,~'\ ____._
~Titl~) (Count,)
CO",MO';....(l.L TH OF prtH~SYL\'J.NIA
OEPAf\11,1.Eh'T OF REV(NUE
leURE~U OF COUHT\ COLLECTIOHS
i .
I
/,FPLlC/,TIOI, FOR AND COt,SENT J
. TO TR/,NSFER SECURITIES
; REGISTERED IN THE NAME
i OF A RESIDEtH DECEDENT
----- _._-----.------~ ._-----~---~ ~
n l} ^
\ .".. -"'.'
't'oI1,f,1;) '.\
.-::"';'..t.,;';i!.
I'ot ~ ./....Jt
:r;v'<-"rw-~J
APPJ~.LCA_TION
DATE (0 -'-I-f,s-
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode lor consent to the lransler 01 thelollawing securities 01 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
(0) 22 (b) , .(..vm,' wI i ,J.l ti.~_(c) Glhlh'J
(NOTE: In describing securiti s enter in (0), ab Ote, eith r the number o~ares 01 sfock or the lace amount 01
registered bonds, in (b), the nome 01 fhe issuing company and in (c) the closs 01 stock or the stated interest rote
ond moturity dote 01 registered bonds.)
ISSUED ON :)/Nl 15joJ1L7_, ond having 0 TOTAL MARKET VALUE OF S 3..25, J2.
(Oat.) /J. /: "
os 01 the dote 01 death 01 the decedent, ----iY!j--I5-~.billJll_ , on---3!.,:25~
I (Name of De-cedent) (Date of death)
who was lote 01.L3i:L->>...!!xjJL-'L&iArJl1S-t~ ~er-kd t
. (Strt!et and Number) (Post Office) V (County) (Slate)
The securities ore registered os lallows:_~-'I' LSJlJul)
f. llXame or names .in which cerJifjeotes ate registered)
::)lIlle 1-. Cl!.lImfr IS 5~ W..st ~ J.. Ire m+OS /o,...,J j p.. OPt!
ADMI NI STRA TOR) J!1!rJIU>LJ.a..L_kJ.!_LJ!:d M/k,o/ .fJ:.-iJ.JbJJd'~-<..fl,
EXECUTOR) (Nom.) 'f1<dd,...) /;
NAME OF APPLICANT _-Jo..d/_bJ'i?J~ U'/iJ&lJw f)ed
r; 155. Wf5f 5;""'''~l fe,.."." I 7l."j7oll
COUNTY FILE NUMBERdUC)-,;2,;.,J C,ADDRESS OF APPLICANT ~,):esU;!::~..~. B:::..f)j'Jb~-jfb-
BUREAU FILE NUMBER SIGNA TURE OF APPLlCANT..';Muu"':' /J 10t1.j
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA TlON, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEAL TIi OF PENNSYL VANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES I I
DATE W -t -fs
I hereby consent to the transler 01 the above securities now registered in the nome 01 the alaresaid
Decedent and waive. the Ii ling 01 0 certificate certifying to the payment 01 the transler inheritonce tax to which
I
the property 01 said Decedent is mode subjecf pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
os amended and the Act 01 June 15, 1961, P.L. 373, os amended. This is also in occordance with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in rclerence to the estate 01 the
obaye.named Decedent.
~t~~
/) ~fW t\
I.~t~!.';>.:
~...~~
Signed lor the Secrelary 01 Revenue
By ~k~f-_..k ~< ,-=-w_f!-'!...LfLs"'/lult.1
U(Signoture) b
) .l
K-'::<J '~J<.-~<_tL _ Cu.yn.:~R.~~~__.__
O--r.fitle) (Ccunty) .
CO!,t./.\O!i.....C/..L TH ('F F::~J:I.:SyL\'J.t~lA
OEPt.F.1'.',ENT 0;; ;n:\'[IJUE
BUREAU'OF (OUIlT\' COLLECTIOHS
t,rI'L1CA flON FOi..: MW COI~SEtn
TO TR/,NSFER SECURITIES
REGISTERED II~ THE NAME
OF A RESIDEIH DECEDENT
\....
C~ ;~ ~
. ....... .."
ry,' '~"I
I' '..:-c.;r..
. '".\~:~h;,!, .\
(,;-" ,...I.....!)
-,....,....;..../......,:..
"......_ _ ._._.. _.. .. _"_n_.~__ _.h
_AE.P_L1c:A1Wt! DATE___~. "__'i::J'.I'___
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made lor CCX1sent to the tronsler 01 the lollowing securities 01 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
(a)__Si2. (b)_fd.!t:>jt_B.JY.1L_8wPL!o]J_-.d.-1.tL~-- (c)_ffc-krr::cJ
(NOTE: In describing securities enter in (0), ob Ole, either t~e ~er 01 shores of stock or the lace amount 01
registered bonds, in (b), the nome of the issuing company and in (c) Ihe class 01 stock or the stated interest rote
and maturity dote 01 registered bonds.)
ISSUED ON~. //_Lt7~-1 and having 0 TOTAL MARKET VALUE OF L35.5 DD _00
ale) (). II
OS of the da of ~eath of the decedent,__ML6_sl1I1uJL ,on__3/-.25..)80
J (Nome of Decedent) (Date of death)
who was late aljJLLfjd5C.kH_fLlJf(kisj~ I~ed.bj L-
. (Street and Number) (Post Office).J (County) (Stotc)
The securities ore registered os lallaws: A,..'1 6. 5}t1JL
~i t.C/,. fr /5 /':J;j' .,:-; 1;~'~""~%:~'~' f,.' 7~~,i'"
ADMINISTRA TOR).i:1!KJ/J.#_/!.e.e.d~d!.Ljo;j....iIoI!o,o/ fd,--fl /ls6!d:~ j (J;,
EXECUTOR) (Name) t1-dd,.,,) ~
NAME OF APPLICANT -~d L. ('~~ 0!J.iJfJAtLf)e.d
.. 1~ 5. wpsf :;}"", ~~l fcMJ I Pa."":i70lJ
COUNTY FILE NUMBERdbf;::J-.22~ ADDRESS OF APPLICANT J.df;!f!-#:!'-:"' .~'.l;.,~:~-;f.~
BUREAU FILE NUMBER SIGNA TURE OF APPLlCANT~la.c.u.-: II. ;f.I/;(
i'lOTICE: IF YOU FAIL TO PROPERLY FILL li'l Ai'lY PORTIOi'l OF THIS APPLlCATlOi'l, IT WILL i'lOT BE
COi'lSIDERED COMPLETE Ai'lD WILL BE RETURi'lED TO YOU FOR COMPLETIOi'l.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES / Fr
DATE \C -t.f- .>
I hereby consent to the transler 01 the above securities noW registered in the nome of the aloresaid
Decedent and waive the Iiling 01 a certilicate certifying to the payment 01 the transler inheritance tax to which
the property 01 said Decedent is mode subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
os amended and the Act 01 June 15,1961, P.L. 373, os' amended. This is also in accordance with the provisions
of the Act 01 April 9, 1929, P.L. 343,
This Consent to Transler the herein described property operates only in rclerence to the estate of the
above-named Decedent.
I''''
I,\r.-~.~
'\i;~I...-'
/." "!"f '...
..t~fi,~. ~,
fu?~;.,.~ .:.,1
:t.........."'JI:r.....,~
Signed lor the Secretory of Revenue
Byl,(kt.'Q C ;&L_L.':<'______p-'--j)-'-8.2J.~\.
Signature)
~'if.~c1J.0~~_-_~wJ.,-,-~~....~------
r~tle) (County)
CO~.MOII'TL L TH OF PrNNSYL" ANIA . AFPLI CA T iON FOi\ AND CONSEtH J
I DEPART....ENT OF RE"ENUE : TO TRANSFER SECURITIES
BUREAU ~F cou~ny COL L ECTIONS i REGIS TERED IN THE NAME
i OF A RESIDENT DECEDENT
---.----------...--------.--
APPLlCA TION
c:~~~
It~l.. .":-;;-,,,....
~.......;ll.c!:JJ;'
,..,.~........':o,:
~""':'?"l;,..o.
DATE CrL/-iS-
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode lor Clllsentto the fransler 01 the lol/awing securities 010 Pennsylvonio
Corporation or 0 Notional Bonking Assaciafion loco fed in Pennsylvonio:
(0) . C) 0 (b)_&Jp It;;;. F hfr.iJ".. C~~f'7n V (cL.&J:m',)
(NOTE: In describing securities e ter in (0), ab Ole, either the nu~r of shores 01 stock or the lace omount of
I registered bonds, in (b), ,he nome of the issuing company and in (c) tn. closs 01 stock or the slated interest rote
, ond maturity dole 01 registered bonds.)
I .
i ISSUED ON A ~ J170
(Date)
I os 01 the dote 01 death olthe decedent,
!
.2 [.2-5', llO
i who was late 01-&31.. I !Jllx!u't>
(Str~et end Number)
. on 51.25/80
(Date of death)
t:L led&), If.
,
(County)
(Stcle)
The securifies ore registered os lol/ows:
COMMONWEAL TH OF PENNSYL VANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES J f D-
DATE to -l. -45
I hereby consent to fhe transler 01 the above securitie5 now registered in the nome 01 the aloresaid
Decedent and waiye the filing 01 0 certilicale cerfilying fa the payment 01 the transler inheritance tax 10 which
I
the property 01 soid Decedent is mode subject pursuant to the provisions 01 the Acf 01 June 20, 1919, P.l. 521,
os amended ond the Act 01 June 15, 1961, P.L. 373, os amended. This is also in accordance with fhe provisions
01 the Acf 01 April 9, 1929, P.l. 343.
This Consent to Transler the herein described property operates only in relerence to the estate 01 the
obave.named Decedent.
.~
~ ~~
I~Js'; . :\
~~-c,..
Signed lor the Secretory 01 Revenue
By'Y))Q"o. c. t:u-':--'=-I~JJ3.2f-L~\
(Signature)
ikif-< lA),;~__CI,'n'-Q.......~~..,\_____
rfitle) (County)
tH..l>/i IIl"tJ"J
.COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
Aef,L1CATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:.
Application is hereby mode lor clllsent to fhe transler 01 the lallawing securities 01 0 Pennsylvania
Carparatian ar 0 Natianal Bonking Association located in Pennsylvania:
DATEtU6t.,Z~119RC
(0) 3 . (b) Pennsylvania Power & Light Co. (c) ccmron stock
(NOTE: In describing securities enter in (a), ab Ole, either the number 01 shores of stock or the lace amount 01
registered bonds, in (b), the name 01 the issuing company and in (c) the closs 01 stock or the stafed interest rate
ond maturity dote 01 registered bonds.)
ISSUED ON
9/23/70
, and having 0 TOTAL MARKET VAtUE OF $
Roy G. Shaull .'
, on
3/25/80
(Date)
as 01 the dote 01 death 01 the decedent,
(Hame of Decedent)
(Date of death)
who was late 01
6367 Basehore Rd.
l>Echaniscburg
CUmberland
PA.
(Street and Humber)
(Post Office)
(County)
(Stote)
The securities ore registered os lollows: Roy G. Shaull
ADMINISTRATOR)
EXECUTOR )
Janet L. Craner
Marian Reed
(Name or names In which certificates are registered)
15 S. West Shirestown PA 17011
RD#l Iiost Hollow Rd. Dillsburg PA
(Addre..)
NAME OF APPLICANT Janet L. Craner/ Marian Reed
15 S. West Shirernanstown PA 17011
COUNTY FILE NUMBER ;:)./-8o-;;J.::J,(,. ADDRESS OF APPLICANT RD n w"t Hollnw Rd. Dill"hllrg PA
BUREAU FILE NUMBER SIGNATURE OF APPLICANT (}/1.J) b.tt-J
NOTICE: IF YOU FAIL TO PROPERLY FILl_ IN ANY PORTION OF THIS APlliC~T10N, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
(Name)
DATE
I hereby consent to the transler 01 the above securities now registered in the nome 01 the alaresaid
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
Decedent and waive the Iiling 01 0 certilicate certilying to the payment 01 the transler inheritance tax to which
the property 01 said Decedent is mode subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, os amended, This is also in accordance with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consenf to Transler the herein described property operates only in relerence to the estate 01 the
above-named Decedent.
*~
Signed lor the Secretory 01 Revenue
By_ '/l/a<<Jr' a.~ .
~) '(Slg~u'e). .
-4?&./'; ; / J/;dlh_&~U~
, Itle) (County)
1