HomeMy WebLinkAbout80-00501
/.,'
:),....
.'
, ,~:' ..;,.
,.....
-:~ ':~~.; :::
''':'
. -,~ :.
,',
.....
'I"
~ .
I ; ti
I
~
'. a
.
..
e ~ .
14
I = I
~
-...:....
..
'c,
-
0
, '. Jt li
0 j r-l
,z
" '"
,
",
';;',
"
'I':;'
" .::~.i
..
.,.,,\
'.';:;'
/'
'''.:
""";'
~ . ~ ',.
No. )1-80
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
51)1
in the Estate of
cA-nl#IPiS ;..1, Ir!~f(
, deceased.
To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania.
Petllloner(s) ~ (are) the execut R 'CIS ~ named In the Last Will and Testament of
~1JNA/~ N. N€.tS:Ft!;f? dated pee. I~ ItJd:>'1
Decedent was a citizen of the United States and a resident of a..;p AlII..f.-
Te'A'R5~ip (Borough), Cumberland County, CommonViealth of Pennsylvania.
Decedent died on FRJP4'f the I~ day of vvt..J/ A.D. 19 ~~ ,Inthe
County of j),J,fJf'H/).) ,State of PI;, attheageof ~~ years.
Decedent.fte6 (has not) been married and M (has not) had children born to ntm (her) since the ex-
ecution of the above described Will. ,J;J ff.
Decedent was possessed of personal property to the value of I) ~(J(!J. -
and of real estate to the value of & ..ft', ~(J(1. -
as near as can be ascertained; said real estate situated as follows
2.2.~ RMK~J~tf" &J9l! CAHP .-'JIU-, I'I!)~
Therefore, your petitioner(s) respectfully apply(ies) for the probate of the said Last Will and Testa.
ment and for Letters Testamentary theron.
Dated vVL,/ 24 . 19~o
.
Name and address
of Petitioner(s)
...'\ 1 i d.JL~'y i,l, VV,,; '~( ~
'MRUi H, Wt!:lf,.Jfitr':t!L '"
3" 7 ~,).~711 .$.7:, (""PI,rP;JI1 LJ., ?", I "?t'11
J1>47>?' ~t!; /.-/7-~'N; /
/f.p'ill ~~ I.s-~ >',,~( $./I(I"'~~ 1:1, /7J7~
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF CUMBERLAND ss
H~&u: j.,I, W6',v~~l?r t P~""II ,R..
named in above application, being duly .,$~V
statements set forth in this petition are true to the best of
JuJ"~P and subscribed before
me, V tJt..'1 24 19.!C-
~J21d-l'l--~' .~:. ~~
c; ~~
,P/(t?~tS If'
according to law say(s) that the
~/R knowledge and belief.
,
'\ \1 . I, t.
." L", -L~'
J;(, ~, v,' ,
",'\\ \'\ / . -.L
~ J " I V"-l'lt.'l.......r/-," .\
7( ;/-:? / 1"",(//; ./
-
It1~
Filed:
July 25, 1980
//-<;'1-$
Attorney .J~ ~ ~1P.vlJd; tr"~,
[:?CJo 7
,
_._-"~
i
t~?~
"
~ \
'.
'.
ARNOLD II SLlKE
Ano.un AT UW
:lIal JUIIT STltU,
., CU, HILL, .IIHIIYLY"W1A
LAST WILL AND TESTAMENT
OF
CATI~INE N. KEEFER
I, CATHARINE N. KEEFER, of Camp Hill, cumberland county,
pennsylvania, declare this to be my Last Will and Testament,
hereby revoking any will previously made by me.
I _ I direct that my jewelry, personal effects,
clothing, furniture, household goods and car shall be divided
equally among my sister, Mabel M. wengert, of Camp Hill,
Pennsylvania; my niece, Naomi K. Prosser, of York Springs,
Pennsylvania; and my nephew, Atlee Keefer, of York Springs,
Pennsylvania.
II _ I devise and bequeath all the rest, residue and
remainder of my estate of every nature and wheresoever situate
unto my trustees hereinafter named for the following uses, pur-
poses and distribution. The trustees shall hold the estate for
the benefit of my grandnephew, Edward L. Prosser, of York
I Springs, pennsylvania. The trustees shall have the right to
distribute income and principal at their 30le and absolute dis-
cretion for the health, welfare and education of my said grand-
nephew. When the said Edward L. Prosser attains the age of 21
years, my trustees shall distribute to him at that time the
remaining trust estate. Should the said Edward L. Prosser die
before attaining the age of 21 years, the trustees shall dis-
tribute the trust estate to my grandnephew, Brian D. Prosser;
my grandnephew, stephen Keefer; and my grandniece, Dawn L.
Keefer, all of York Springs, pennsylvania, share and share
alike. My trustees shall have the power in their sole and
absolute discretion to retain any real estate I may own at the
time of my death so that if my estate is sufficient to pay the
expenses of maintaining the real estate and if my grandnephew,
(1.-1lrJ?all;....Jl.J "V/. }{ 01MJ'
Page 1
I
d
Edward L. Prosser, desires to reside in the real estate, the
trustees may allow him to do so, in spite of the fact that the
trust estate may not be income producing under those circum-
stances.
III - All taxes that may be assessed in consequence
of my death of whatever nature and by whatever jurisdiction
imposed shall be considered a part of the expense of the
administration of my estate, and my personal representative or
"
representatives shall have the absolute power in his, her or
their discretion to pay the same at once whether or not the law
under which they are imposed permits the postponement of all or
part of them to a later time.
IV - I appoint my niece, Naomi K. Prosser, and her
husband, Melvin Prosser, trustees of my estate hereinabove set
forth. Should either fail to qualify or cease to act as such, I
direct the remaining or surviving trustee serve alone.
V - I appoint my sister, Mabel M. Wengert, and my
" niece, Naomi K. Prosser, Co-executrices of this, my Last Will
and Testament. Should either fail to qualify or cease to act as
such, then I direct the remaining or surviving executrix serve
alone.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
on this, the -1JL day of ~JC.,
, 1964.
(!,d,IJ.n~ _0, 'VI. ]I. d o~.
Catharine N: Kee er
(SEAL)
Signed, sealed, published and declared by CATHARINE N. KEEFER,
Testatrix therein named, on this and one (1) other sheet of
paper as and for her Last Will in our presence, who, in her
presence, at her request and in the presence of each other, have
i' hereunto subscribed our names as attesting witnesses.
I' ~~ ('a:4 H-;Y~, I 0..
~~ ~ ___/~L,C7,,-
v
t.-t -:-r-t
~l~t ;;= ~
fiI
II ~t r..
fiI r:J
~ . ~ III ~
~ J:t -, ... t ..
. .J ~
~ , z
~r l < ~ ~OO~"
, - .
. ~ t:t ~ ~ ~ ~ ~
~} t t"
o . ~
~, ~ ~ A = oS
, , j.J~"
. -
i~~t) g ! ~
S .ex:
() ~ . 2
<1l 6
.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Lellers of Administration in and for the County of
. ,
)-I~Le
/1.
I.VGv(ftfR/".i PA-~'#I ~P,fP.J.1tGli'
Co.. ~trGl/1',e/(:.t!J
K~itFiS~
Cumberland, personally came
who, being duly G.~,pU, do
of the lasi Will and Testament of
depose and say that as
c.91'IIM 11lJ~
,u.
deceased
~"
. . . ,
will well and lruly admi~ister the goods arid chattels, rights and credits of said deceased according to law. And
also will dilig~ntl; comply with the provisions of the law relating to Transfer Inheritances. J.l"~ and subscribed before me.
vtJL 24.' .D., 19~ \1/ ,()~()...:-."',(\ \ \/\ --'~ 'cPA
,/:. J' . \ ' '/ ,j/,/\ .
C!....--c4./ flown. .'_ 7r 7;),A~)/}{//)/
-
~
o
1Jj
u.
o
.....I
.....I
-
~
~~~]
:<11
:B
~l~
~l
~I
~I
~
gi
1
-
rz
M:
co:
=11::
..lll
8
~
0:
~
~f
In:
N,
:>.l
.-I:
::I:
"I
.-I:
0:
Ln:
I:
0:
co:
I.
.-I:
N~
~
.fl
.5
<Il
r::l
-
~
r::
.~
u!
E-<:
r.l~
.-I:
\I):
\I):
=11:,
g>"
'<II
p..
i::)'l
00 :
.
-
N
"t:I
Q)
1:
o
...
Q)
....
"t:I
r::
<II
~
Be it remembered that on the
25th
DECREE
July
80'
,A.D.,19_. there was probated and
day of
Catharine
N. Keefer
recorded the last Will and Testament of
late of
Camp Hill
, Cumberland County, Pennsylvania,
Deceased. Letters Testamentary were granted to Mabie M. Wengert and Naomi R. Prosser
Witness my hand and official seal the day and year aforesaid.
-
>~? //J J .
/~ //7~ (!. ~-c~
~ R .
egtster' -
"Ii\'oo440 11-10)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(In.t,uctlons on Rovorse Side)
*'
Estate 01 CATHARINE N. KEEFER
Last Address 2209 Parks ide Road
Camp Hill, PA 17011
Date of Death July 18, 1980
Saciol Security No. 168-24-4104
Bureou File No.
21-80-501
,,2/- /Y'O' 'J() I
(CITY)
(STATEI
( liP)
Coun ty FiI e No.
1. Decedent di ed:
( ) Intestate (without a will)
( X) Testate (leaving a last will--copy ottoched)
2. Is the filing 01 a Federal Estate Tax Return required lor this estate? Yes_ No X
3. (XX) Executor/Executrix ) Administrator/Administratrix
Name Mable M. Wengert and Naomi R Pro~~er
Address
c/o 2109 Market Street
Camp Hill, PA 17011
(CITYI (STATE) (ZIPI
4. All correspondence shauld be mailed to ( X) Attorney
) Fiduciary.
S. If an attorn ey is representi ng the estate, indicate:
Name James K. Arnold, Esq.
Address 2109 Market
Camp Hill,
(CITY)
St., P.O. Box 737
PA
(STATEI
17011
(ZIPI
List all sale deposit boxes registered in the decedent's individuol nomel or jointly with, or as an agent or deputy
01 another, or in decedent's individuol name with right 01 access by anatner as agent or deputy. Include the nOme
and address of the bank or other institution where the safe deposit box is located, the name (s) in which the box
is registered and the relationship 01 the joint holders to the decedent.
NAME AND ADDRESS DF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN wHiCH
SAFE DEPOSIT BDX IS REGISTERED
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Dauphin Deposit Bank & Trust Co. {,'l.}
2275 Paxton Street
Decedent and Mable
Sister
M. Hengert
Under penalties of perjury, I declare thotl have examined this return, including accompanying schedules and
statements, ond to the best 01 my knowledge a d beliel it is true, corr,ect and complete.
;' " , .--, ,)
'- / /
, ,G-.-.- rl--< __ .:~~ -f ~4-<2i>2/
. :--/" ~\ _O-,v..~. </- 1(, - :y /
OATE
. llIEY-4S0 11ol10'
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
*
(Instructions on Reverse Side)
ESTATE OF
CATHARINE N. KEEFER
ITEM
NO.
ESTIMA TED
MARKET
VALUE
DEPARTMENT
VALUATION
(OFFICIAL USE
ONLY)
DESCRIPTION
House and lot at 2209 Parks ide Road, Camp Hill,
Pa., purchased 11/25155, deed recorded in
l6"V"449, Cumberland County records, valued
as per actual sale price - 3/24/81 7/10,
54,000.00
TOTAL THIS PAGE
54 000
REV"51 (1.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEOENT
Estate of
ITEM
NO.
SCHEDULE "B"
PERSONAL PROPERTY
(III'tructions on Reverse Sidel
CATHARINE N. KEEFER
DESCRIPTION
399.490 shs. Mutual Investing Foundation
in name of decedent as Trustee for
Edward L. Prosser at 8.38
Harris Savings Association savings
account fF1486
1976 Oldsmobile Cutlass automobile
14 shs. Chrys ler Corp. common at &.90
34 shs. Harsco Corp. common at 34.13
8 shs. G.P.U. common at 6.44
2,354.357 shs. Investors Mutual Fund, Inc
in name of decedent as Trustee for
Mable M. Wengert at 9.47
Furniture and household goods
*
UNIT
VALUE
ESTIMATED
MARKET
VALUE
DEPARTMENT
VALUATION
(OFFICIAL US/: ONL YI
3,347.73
4,388.90
3,000.00
1.M (97.16 ) H,
1,160.42
51. 52
2,295.76
1,000.00
TOTAL THIS PAGE
. .
REV045a EX' 13.80) SCHEDULE "C"
COI",,'OMW!ALTH OF PENMSYLVANIA TRANSFERS
, !l!PUTM!NT Of REV!NUE
. TRANSfER INHeRITANCE TAX
RUIO!NT O!CEDEMT CATHARINE N KEEFER
ESTATE OF .
*
INSTRUCTIONS:
1. Answer the Questions on reverse side.
2. If the answer to any of the Questions on \he reverse side is "Yes," provide a description of the property transferred per
Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, to 1I110m transferred and
relationship of transferees to decedent. Allach a copy of any trust deed or instrument relating to the transferred property.
- -
ITEM DESCRIPTION ESTIMATED DEPT. VALUATION
NO. MARKET VALUE (OFFICIAL USE ONL YJ
NONE
TOTAL THIS PAGE ^'MIC
~/L
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of 11is estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) NO
2. Did decedent, within two yearsol death, lranster properly from himself! hersell toJ16lllself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Ves" or "No".) -
3. If the answer to one 01 two above is "Ves" aad the transfers ale claimed to he nontaxable, provide the following
information:
a. Age of decedent at time oftranslcr.
b. Copy of death cerli fi cate.
c. Affidavit by the attending physician indicating the state of decedent':; health ~t fimp. of \ransler.
d. All other information supporting nontaxability of fJansfer.
4. Oid decedent, in his/her lifetime, make any transfer of property without receiving a valuahle or adequate consideration
therefor which was to take eflect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) NO
a. Was there any possibilily Ibat the property transfelred mighl retull110 transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".) NO
b. What was the transferee's age at time of decedent's death? NQ
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves 101 his/Iler life or any peried which does in fact end before his/her
death:
a. The possession or enjoyment of or the right to income (rom the property transtened? (Answer "Yes" or "No".) NO
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".j NO
6. If the answer to five b. abJve is "Yes," state whether the right was reserved in decedent alone or others.
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Ves" or "No".) NO
8. Did decedent, at any time, transfer IHopelty, the hmeficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revolle, or which could revelt to decedent under terms of transfer or by operation of
law? (Answer "Ves" or "No".) NO
9. If the answer to eight above is "Yes," was the power to altm, amend or levoke the interest of the beneficiary reserved
in \he decedent alone or the decedent and others? (Answer "Yes" or "No".)
REV04!53 EX+ (3.80)
, COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT DF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
Estate of
CATHARINE N. KEEFER
(Instructions on Reverse Sido)
BENEFICIARIES AND ADDRESSES
Mable M. Wengert
307 South 24th Street
Camp Hill, PA
RELATIONSHIP
Sister
Naomi R. Prosser
R. D. #1, Box 158
York Springs, PA 17372
Niece
Atlee Keefer
York Springs, PA
Ne hew
Dawn Louise Keefer
York Springs, PA
Grandniece
Edward L. Prosser
R. D. #4, Box 221
Elizabethtown, PA
Grandne hew
The above beneficiaries are living at this time except for the following:
NAME
SURVIVED
DECEDENT
Yes
Yes
Yes
Yes
Ye
'*'
DATE OF
BIRTH
INTEREST OF BENEFICIARY
$27 250.72
$10,696.87
1 333.00
DATE OF DEATH
."~~-
........,.".-.
. .
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be
included. List real estate first.
1. Describe all real property as indicated in the instructions for Schedule "A". Describe all personal property
as indicated in the instructions for Schedule "B". Include the name, address and relationship to the
decedent of the co.owner (s) and the date the joint ownership was established.
2. Indicate the total market value of the jointly owned property.
3. Indicate the percentage of the decedent's interest.
4. Indicate the market vallie of the decedent's interest.
C ." 0 n ;J> m >- ~
Z >- 0 0 0 IJl 0
C) n c: 0 ...J Z ~ Z t"'
m m ~ Z ~ ~ ? ? t"'
Z Z m ..; r:l ..; ~
? m
? ..; -< '" IJl
.v.... Z 0 '" 0 ..;
l('; ? ." '':1 ~ ~
" ~I: I >- 0
,.. oc u ..; ."
,~ c:l: :.n;:: 0 ."
,- -
...... ;'~Cl Z n
9"". ~ .{-.. -
N "'~' >-
c..'~. Q.,"" t"'
lLJl;- c:; ",-'
ol- e:: C
a:U) o. a"J
0(; cr :::S IJl
Co)LU c:~ m
~c: ~ w=> 0
50 -,Co) z
Co)
t"'
-< -< -<
~
m m
>- >-
~ ::<l
REV.518 FO 17.80)
~~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIDNS
NOTICE OF FILING OF APPRAISEMENT
Mabel M. Wengert and Naomi R. Prosser
C/O 2109 Market Street
Camp Hill, PA 17011
RE: Estate of
County of
File No.
Catharine N. Keefer
Cumberland
;>] -80-0<;0]
Dear Mrs. Wengert and Mrs. Prosser:
You are hereby noti Ii ed that the orieinal
appraisement in the estate of Catharine N. Keefer
hos been filed in the office 01 the Register 01 Wills of Cumber] And
County on May 21 ,1981 . Said appraisement reflects the following valuations:
Real Estate
Personal Property
Jointly Owned
Translers
Total
54.000.00
'1<;.'14;>.'1'1
1'1,067.61
None
Sl02.4o<l.q4
As to such tax that is paid within three months from date of death, a live (5%) percent
discount is allowable. As to any tax that remains unpaid after nine (9) months (Iifteen months
when death occurred Iram December 22, 1965 to June 16, 1971, inclusive; and twelve months when
death occurred prior to December 22, 1965) from date of death, interest at the rote of six (6%) percer,t
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 as provided by Sectio'n 1001 01 the Inheritance and Estate Tax Act o'
1961,72 P.S. 2485-1001, P.L. 373.
Date
May 21, 1981
Signed
..fl./h/f"" / IFff,;? d k) )
Title
Chief Anllraiser
NOTE: This is not a bill.
I
"
I
..1
I
I
! ' i
I ~ ~ ~ al
, ~ 0
p; o-i
Z ~ ~
0 ell
. ."
101 :z: ....
fIl ."
;;l !ll s::
as
..:l o-i
:!i '"
ell
\,J Z ~
- 0
'"'
'"' - <.)
0 ~ , ,
~ '"' 0
'"' 0
f-o 0 '" Z 0
fIl 101 '" >- f-o 0
- ~ Z
Z f-o f-o 101 Z
..:l 0 - 0 ~ S ::<: 101 101
..:l Z ::E z Q u ~ z
at ~ fIl ~ 0 0
101 \,J Q :l
"
REV-455 EX+ (3.80)
COMMONWEALTH DF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
~
..
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
--
Estate of Catharine N. Keefer Date of Death 7/18/80
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
File ND. 21-80-501
Claimant
Relationship to Decedent
Claimant's Address at time of Decedent's Death
ITEM
NO.
OATE
NAME OF PAVEE
REMARKS
AMOUNT
Patriot-News CO. Advertising Letters 25.98
Cumberland Law Journal Advertising Letters 18.00
Register of Wills Letters Testamentary & shorts 49.00
Camp Hill Post Office Certified mailing costs 4.66
Gaughen Real Estate Agency Commission on sale of house 3,780.00
Comm. of Pa. 1% realty transfer tax 540.00
Arnold, Slike & Bayley Deed preparation 50.00
Register of Wills Filing fees 9.00
Arnold, Slike & Bayley Legal fees 4,467.00
Mable M. Wengert Executrix Commission 2,234.00
Naomi R. Prosser Executrix Commission 2,234.00
Register of Wills Reserved for accounting 100.00
PP&L Electricity 96.00
M. D. ["-ills, M.D. Medical bill 340.00
Harrisburg Hospital Hospital bill 160.00
V. E. Helman Memorials Monument 855.00
Bell of Pa. Telephone bill 16.28
Pittendurf Funeral Home Funeral expenses 2,954.34
Truman E. Horner, Inc. Trash bill 11. 85
Lester G. Connor Realty appraisal 100.00
J. L. Gilbert Plumbing repairs 184.95
Riverton Con. Water Co. water bill 9.40
Nationwide Mutual Fire insurance premium 112.00
V. E. Helman Memorials Marker foot ~~ 274.00
I 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 administration submitted to the estate as deductions for Inheritance Tax purposes.
,
GENERAL INHERITANCE TAX INFORMATION
Unsatislied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable
estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost 01
administration, attorney lees, fiduciary lees, luneral and burial expenses including the cost 01 a burial lot, tombstone
or grave marker and other related burial expenses.
All debts being claimed against an estate are subject to the approval 01 the Register 01 Wills with whom the
Inheritance Tax Return is filed. Evidence,to support the decedent's or the estate's liability lor the debts being
claimed should be attached to this schedule.
A family exemption may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is
no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member 01 the same
household can c1ainl the exemption. In the event there is no such spouse or child, the exemption can be claimed by
a parent or parents who are members of the same household as the decedent. The family exemption is allowable only
against assets which pass by 0 will or by the Pennsylvania Intestate Laws.
NOTE: Compensation poid to on estate representative; namely, an executor or administrator, for services
performed in administering an estate is reportable for Pennsylvania Income Tax purposes. This taxoble income
item should be reported on form PA.4D.lndividuollncome Tax Return.
r- "d t:l 8 E; t%l E; ~
- ~ 0 en
Z n c: t:l ~ z 3: z ~
t%l t%l ~ Z '" 9 - 0
.['.
""" : .._~ . . Z Z t%l ..., t%l ..., Z
., ,:,t.. 9 9 ..., -< en t%l -
en
..., - '..1 ~. Z 0 en 0 ...,
('. ;:;: :--',8 ~ S
4:.: '70 9 "'l
L..... ~, tr' <I-
v':. :::<
6=- N -
ri:.-J 0
wul Z 0'" Z
0'- =s ,w
0::'" ::0:'"
0-
u'" o::~
WW .- w~
",0:: 20 .....u
(.)
-<
t%l
!:;
-<
t%l
:>
'"
INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to
the decedent. Enter "family exemption" in the remarks column ond the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3L Enter the date on which eoch deh! wn< i"rll"o~ ""~ t.. ..:J
i
I.
\
\
\
\
\
!
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
PAGE 2
Estate of Catharine N. Keefer (con t ' d) Date of Death
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
REV"",55 EX+ (3-S0)
COMMDNWEAL TH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DeCEDENT
File No.
21-80-501
Cline, Inc.
Kenneth Reiner
22.00
85.00
Claimant
Relationship to Decedent
Claimant's Address at time of Decedent's Death
ITEM
NO.
DATE
NAME OF PAVEE
REMARKS
Furnace repairs
Lawn care
AMOUNT
TOTAL
I 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 administration submitted to the estate as, d~ductions fO~ Inh~ritynce Tax urposesi?
. '-\J .N.s. '/ .N:. "7.t'J!1J
SIGN TURE OF FIOUC ARV OAT. /
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ / p- , ? .3 .J. '1:f. AT ).6"'
. ...
% TAX RATE
~(?~s{i'Fwqj~
~ -.::(9!-tf'i
DATE
;,:.
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible ogainst his/her taxable
estate. In addition to debts incurred by the decedent or estate, ather items are c10imable including the cast af
administration, 'attorney fees, fiduciary fees, funeral and burial expenses including the cost 01 a buriallat, tombstone
or grave marker and other related burial expenses.
All debts being claimed against an estate are subject to the approval af the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence ,to suppartthe decedent's or the estate's liobility for the debts being
claimed should be allached to this schedule,
A family exemption may be claimed by a spouse af a decedent who died domiciled in Pennsylvania. II there is
na Spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of the same
household can claim the exemption. In the event there is no such spouse ar child, the eXRl11ption can be claimed by
a parent or parents who are members af the same household as the decedent. The family exemption is allowable only
against assets which pass by a will or by the Pennsylvania Intestate Laws.
NOTE: Compensation paid to an estate representative; namely, an executor ar administrator, far services
perfarmed in administering an estate is reportable for Pennsylvania Income Tax purposes, This taxable income
item should be reported on larm PA.40.lndividuallncome Tax Return.
r-' ." C t'"l ~ tt1 ~ ;S
Z :> 0 0 en Z
C'l t'"l c: " ~ Z == l""
tt1 tt1 ~ Z ::ll 9 - 9 l""
Z Z tt1 ..., tt1 ..., z
9 ..., ><: tt1 -
9 en ~
.r Z 0 en 0
C, ~:.;.' 9 "" "" ~
""
~:. l_)
8" li,'-' -
i7.' '<.... 0
::'~ .-
l..I._', ...-r::';: Z
Cl' l!" "<
c,.. N "-...
lIJ..' 2: Ir:.a:
c"" = ';'''-'
O:L~ -,
0- ~C~
,-,'-"
LULU "'",
0:0: - ~'-'
11' u
-< -<
tt1 m
:> :>
;<l ;<l
I
INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. lithe family exemptian is being claimed, indicate the claimant's name, address and his/her relationship to
the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3, Enter the date an which each debt was incurred and/or paid.
4, Enter the names of each payee.
5. Provide a brief explanation in the remarks column lor each debt claimed.
6. Enter the amount of each debt being claimed.
7. The form must be signed by the person who has assumed the responsibility far paying the debts.
IF ADDITIONAL SPACE IS NECESSARY USE aw' x 11" SHEETS.
III :!! 0 r-
0 it " oo
0 3 -
... ..
.... <T
RECORD,-:"",;';r " .. 0
~
REGI~~1 ' ;- -
L< "
... C'l ."
~ ... 0 ~ > m Z
'81 APfl 21 Z ;0 ~
AH ., " 0 '"
ltl ,) , " n ~ c 0 Z
tIl " ~
+ Z <
?t:;.; ":' ;0 > 0
H ~ 'T1 m
CLERK -D!:,'lII.;. ~. ." 0 r- Z
0 . z
3 CUllOEflL;',I:.l ';;' . f' ::t: t>l 'T1 r- ." .... 0
." J:
CD g- oo C ..... m ;0 m C>
..., '" Z '" 0
CD .. t-' > ~
n t-' ."
0 .. m
oo .... ;0
t-' M IJ:l :;.; m :;! ~
p.. CD 0 t>l
!'- 11 t>l
0 "':l -.
C t>l
::>' :>::I
'61<61 10 fOV So!'o!onpI~ 'AI ololfJV oOS '1<
Alloo' '0 Af/ouo"od Of so po~ooHo 0'1 Aow sloo~s 10uo!f!PPV 'E
'sfo"o 10UO!l!Ppo jO ^'OAOOS,P jO sAop Al'!~l ul~l!'" pOllj oqlsnw A,OIUOAU! IUowolddns V 'Z
-oA!lofuoso,do, 10uoSJod jO fUOWfuloddo JOHO s~fuOW oO'~f uI~l!'" pom o'l fsnw A'OfUOAUl uV '1
SNOI.L:)nll.LSNI
A.O
""A
I{fUOri
kIn!,
Bl
~fOoa jO Of 00
0861
1S1"PPY
110Ll va '111H owe~
A1trlO) puopaqwrI) Y4 'I!H -,
t86l '1 Al"r U1!dXi t10!U!WWO) ...w
~~N,n~~~
6l ;7~ ~
4aa~4S 4a~~ew 601Z 0/0
18
'ow O'Ojoq po'l!,,"s'lns pUO
04 U~O{o1S
'{:;/> ;)< /
~foop s,fuopooop jO ofop o~f jO so
onloA J!Oj S,f! fuoso,do, A'OfUOAul o~f jO wOf! ~ooo ol!soddo so,n6lj o~f fO~f pUO 'OIUOAI,{sUUOd jO ~II00"'UOWWO:) O~l
oPlslno OfOISO 100' fdoo.o 'OfOIS. 10.' pUO ,{IJOdo,d 10UOSJod .~f 110 10 6u!ls!suoo 'luapaoop PI"' jO Of of sa aJ!luo o~f jO
saol~4n;)ax:;r Plo. o~l ' wal.p,{q opow ,{,olUMul uo sl U!~l!'"
ollllo~l pUO po.OOOOp "Od ',{funo:) Puol,oqwn:) , tI13rlo~oH - ftlfC C1Web-----.. -'-- jO Of 01
.J.d;f " Cl}l N aUl~etI4e:::> jO ofofs3 o~l jO sao'P4TIOax:;r
atI4 a~e ,{ 0~4 fO~1 .Aos pUO sosodop ''''01 Of 6ulP'oOOO u~O{o1S
,{Inp 6u!a'l
ti~~~OVN pue l~:;r~N:3:M 'W :3:1HVW
{
ON't'lllil8wn:) :10 J.J.NnO:)
VINV^1ASNNild :10 H.L1VilMNOWWO:)
:n
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
'*
. COUNTY. FIL" NO: ;;< I Y. 1\ _ -5 0 / .
· l-i\ cl,1!..v ~ VJ -Q"...~./I.:/ Y- A'J1(1l~f\1L R P7...;':;,-",,/_
:. TO: "/.LL ~.o/ Ie (ff1/\\ 4~( C-01'
~ 160; VhV'i"t ,/ '1\1-, .e LJ /2-/1"">' _ '1,3 ')
[~^"" r '1.~J,Jl, fo-. I? r) IJ
COUNTY
DATE OF DEATH
IJ.
, /
)9 Yo
Appraised Value of Estate:
Real Estate
Personal Prop&rty
s J;L/
I ,
J .
+ < j f)
/
o (n,) U ()
3 '/ ~ .3 J
() (..,7 (,/
Ll09 If
'7;; ~. Lj-G
~?ry VIf
Jointlv Held PropertvlTransfers
+ )~
---
Claar Value 01 Estate
s /0;)
/J
,
s J-;:;;
-'
Total Gross Estate
Total Approved Deductions
Less: Approved Charitable Exemptions
Clear Value 01 Estate Subject to Tax
s L3J (.,'7'7.Vt
Amount Taxable @ 6% Rate
s
tax due
s
Amount Taxable @ 15% Rate
5i'3 6. 77. L!t(
. .
tax due
Id 5.5/. 6d...
s);;? 55/,. (.,~
TOTAL PENNSVLVANIA INHERITANCE TAX DUE
. * * * . * A fjve percent discount totaling $
will be granted if the Inheritance Tax is paid bV
less Credits:
DATE OF PAYMENT
AMOUNT PAID DISCOUNT INTEREST TAX CREDIT
$ 31) (",9. ~S+ s ),J(?, '/,7- s = s 3757.5iJ.-.
ex 0 S/f, 75 + log. f~- = ;J, I 601, cf'~
-
-r~:t;J -
+ = ..5- 9 ;J.,(J tJ-1
/0- $-k'o
/O-ly-rO
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 PENNSYLVANIA INHERITANCE TAX DUE
$
t::, "'.3 I,,;J. /
,
Assessed by: (), r '- O-
See Information on Reverse Side~""S . ~Iforlh"~ommon
'J\~.M~'\.. 1
:~L(;i~T~ ::, \..~; ."l~:S
,
1--- -- ---- -- - - '-- - -- -- - -. - - --.-.- -- - -- - - -.--
I : ...-..... -- -- --
: >>'REY.1102CX
:d:": . , COMMONWEALTH OF PENNSYLVANIA
: 4 'NO: K' 29667 DEPARTMENT OF REVENUE
, ,.,,'...' '. OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
I
~
.
"
II
=
~
~! RECEIVED
n FROM
ADDRESS 2109 MlI1'ket at.
-
__ __ Fa __ ..__
~~..
--
TAX AT 6%
Mable M. Wengert
James K. Arnold, Esq.
TAX AT 15%
TAXAT_%
ESTATE TAX
camp Rill. PA 17011
ESTATE~FoRMAT~N~-ii~i-y--18~-1!leO---------
DA TE OF DEATH
TOTAL TAX CREDIT
$6,631.21
FILE NUMBER
21"80=501
DATE OF PAYMENT
July 24, 1981
Catharine N. Keefer
LESS DISCOUNT
COUNTY
C umber land
m
m
PLUS % INTEREST
(FROM 4"18=81 To~fel
105.73
NAME OF DECEDENT
---- -- - ---- - --- -
TOTAL AMOUNT PAID
$6,736.94
POSTMARK DATE
REMARKS:
~
"PAID IN FULL"
SEAL
RECEIVED BY
, (.'" /
.' 1/,., () .,/ d
/ / LDI(,f . .j}-U.(/.-t,.
! /I SIGNATURE /
REGISTER OF WILLS
------ -------_._--- ----
"
ARHOLO Ii SLIICI
..,.,........ u "".
"" ....n 'TWIf
, .,
.
-
,
LAS'!' WILL AND TESTAAENT
OF
CATHARINE H. KEEFER
I, CATHARINE N. KEEFER, of Camp Hill, cumberland County,
Pennsylvania, declare this to be my Last Will and Testament,
hereby revokin9 any will previously made by me.
I _ I direct that my jewelry, personal effects,
clothing, furniture, household goods and car shall be divided
equally among my sister, Mabel M. Wengert, of Camp Hill,
Pennsylvania: my niece, Haomi K. Prosser, of York Springs,
pennsylvania, and my nephew, Atlee Keefer, of York Springs,
Pennsylvania.
II _ I devise and bequeath all the rest, residue and
remainder of my .state of every nature and wheresoever situate
unto my trustees hereinafter named for the following uses, pur-
poses and distribution. The trustees shall hold the estate for
the benefit of my grandnephew, Edward L. pro.ser, of York
springs, pennsylvania. The trustees shall have the right to
distribute income and principal at their sole and absolute dis-
cretion for the health, welfare and education of my said grand-
nephew. When the said Edward L. Prosser attains the age of 21
years, my trustees shall distribute to him at that time the
remaining trust estate. Should the said Edward L. Prosser die
before attaining the age of 21 years, the trustees shall dis-
tribute the trust estate to my grandnephew, Brian D. Prosser,
my grandnephew, stephen Keefer, and my grandniece, Dawn L.
Keefer, all of York Springs, Pennsylvania, share and share
alike. My trustees shall have the power in their sole and
absolute discretion to retain any real estate I may own at the
time of my death 80 that if my estate is sufficient to pay the
expenses of maintaining the real estate and if my grandnephew,
f1..1l:rJ?BII":'_u.11,}{ 01t1A~.
page 1
.^--
ARNOLD' SlIK(
ura..n. If UI.
'''IIUII,,''''eT
:"..IIIU.........\....l.
i
.' . 1;,
. '.
.
Edward L. Prosser, desires to reside in the real estate, the
trustees .ay allow him to do so, in spite of the fact tl,at · hE'
trust estate may not be income producing under those circum-
stances.
III _ All taxes that may be assessed in consequence
of my death of whatever nature and by whatever jurisdiction
t
imposed shall be considered a part of the expense of the
administration of my estate, and my personal representative or
representatives shall have the absolute power in his, her or
their discretion to pay the same at once whether or not the law
under which they are imposed permits the postponement of all or
part of them to a later time.
IV _ I appoint my n'iece, Naomi K. Prosser, and her
husband, Melvin Prosser, trustees of my estate hereinabove set
forth. Should either fail to qualify or cease to act as such, I
direct the remaining or surviving trustee serve alone.
v _ I appoint my sister, Mabel M. Wengert, and my
niece, Naomi K. Prosser, co-executrices of this, my Last Will
and Testament. Should either fail to qualify or cease to act as
such, then I direct the remaining or surviving executrix serv~
alone.
IN WITNESS WHEREOF, I have hereunto set my hand and Beal
on this, the -1.!L day of ~JI..
, 1964.
(!,~~. ))- JI. "'~.
Cat ar1.ne N: Kee r
(SEAL)
Signed, sealed, published and declared by CATHARINE N. KEEFER,
Testatrix therein named, on this and one (1) other sheet of
paper as and for her Last will in our presence, who, in her
presence, at her request and in the presence of each other. have
hereunto subscribed our names as attesting witnesses.
()~ ~, ~ Ca.'u? H:'pf}j J ~.
-:r..~-r-._/~j . -/ ,-<- ..L. ,- - ... ~.4. " (. . ~
" c:xi
roO :rJ~
("';1'''-1 -"
r::~.. "'n
-.r:':"': 1;'0
f':'-l" ~ \:~;o
f~;( ) .CJ
,,":fT1
r- -..:, N ';I?
1"-'"
" ...., oj 0- .c. L'
'!:" ~ ii 0 ~ " C .-
~ @ ., ~ i c: ",",
~ ~ ::: , '..l 'I
~ ~ " " ? ~
::; 0
~.... 'tl Z ] - u u I>l,
:<; 0 J:: III 0 , ;, ~ "" u v. ~
" 0; "
Ill'M H .I:. .. ~ ;;
:J '" .-
..<::.-i J:: 8 ~ c 1! ~ ~ ~
Z t1'k III P ...;" ~ ~ ::: li'"
.- ;: i) ~ " . ~ ~
::l Ql :> ~ tl:l C C 'i -~~ <"
~ O~.-i 0 H ~ g C ~ ..l" Z
i) ~ clS <
Z k :>1'tl ~ " ~ OJ c .t . ::.
" - ,. 1-'"
\i1 o III Ql ~ 8 ~ :;. a tii OJ ~ r~ <" >
~ tl:l U J:: III H Ul " c .- i'l <Il e "
o<C J:: III P H -5 ." - = .. ~ " 1.
tI: Ql - Ql QJ 0 0 - ." .... ... . z
:; :;: ~ . "
8'<:: .-i P< C) ~ ::: " , , ~ ~
~ on < Po
o<C+' .-i QJ tI: 0 '!: ;; E ~ :; lfJ 1- ~
U 'M -0 U ~ '- .c <:: " - " 0
.a ;: :- ,., ~ .
.... tI: :>1 Ul Ul ~ :;:: '" ., ~ 0 ,;:
^i:: 7 " 1i
(h ~ 0 +' 0 a OJ " - - - ~
0 ~3 P< ..c: - u 0 . .
'" u . 1-
I Ql ~ ... ~ -
0 -a ... I: '. -- -:Ii <
~ +' III 0 >- - .s = ] u
8 III U U P< '3 ." " ""
'0 " 'E
~ H .. " " t: . '-'
~ ~ '" " ;., '"
'-' :: ~
Ul .. " " , ~ 0
~ VJ .., :- c::
.' .~: - - <; 0
.. '" ~ " - ~ " u
-= :c " 3 .- .~ 0 OJ -..:
..... - "" J ... .0
.
^aNOLD,SUJ:. Be BAYLEY
AtTOlNn'i AT lAW
-............
C".'"Iu.,h""n1Yu,,,",,"
PP&L
Bell of Pa.
Cumberland Law Journal
Patriot-News Co.
Register of Wills
Register of Wills
Register of Wills
Lester G. Connor
PP&L
Bell of Pa.
Riverton Con. Water Co.
PP&L
Nationwide Mutual
Fire Insurance
Bell of Pa.
PP&L
Truman E. Horner, Inc.
Bell of Pa.
V. E. Hellman Memorials
PP&L
Bell of Pa.
Riverton Con. Water Co.
PP&L
Truman E.Horner,Inc.
Bell of Pa.
PP&L
Riverton Con. Water Co.
Bell of Pa.
PP&L
Bell of Pa.
Truman E.Horner,Inc.
PP&L
J. Lear Gilbert
Riverton Con. Water Co.
Jack Gaughen Realtor
I,rotary Pul:..lic
Arnold, Slike & Bayley
Recorder of Deeds
~~ne Keller, Tax.Col.
Mable M. Wengert
Naomi R. Prosser
Arnold, Slike & Bayley
Register of wills
Naomi R. Prosser
LI l' ~~.q /-.":L" . I '
,; ,; ~..,"" ;;"...
Electricity bill
Telephone bill
Advertising Letters
^dvertising Letters
Filing fees
Short certificate
Accounting reserve
Real estate appraisal
F.lectricity bill
Telephone bi 11
Ivater bill
F.lectricity bill
Premium increase of house
insurance
Telephone hi 11
Electricity bill
Trash - 4th quarter
Telephone bill
Hon umen t
Electricity bill
Telephone bill
~Iater bill
Electricity bill
Trash - 1st quarter 1981
Telephone bill
Electricity bill
Iva ter bi 11
Telephone bill
Electricity bill
Telephone bill
Final trash bill
Final bill
Plumbing repairs
Final water bill
Commission on sale of real
estate
Fees on real estate sale
Deed preparation
1% realty transfer tax
1981 boro & county taxes
Executrix Commission
Executrix Commission
Attorneys' fees
Pa. Transfer Inheritance Tax
on probate estate
($6,631.21 plus interest of
Refunc of 50% Pa. Transfer
Inheritance Tay. paid on
100% of joint account at
First Fed. S&L, C 0.#2-36-806130,
of which 50% was taxable
102.00
6.79
18.00
25.98
9.00
1. 00
75.00
100.00
96.00
7.65
9.40
96.00
112.00
6.79
96.00
11. 85
6.79
274.00
96.00'
7.34
12.68
102.00
11. 85
6.79
102.00
9.40
6.79
191. 70
6.79
3.95
70.22
184.95
14.78
3,780.00
3.00
40.00
540.00
213.30
2,234.00
2;234.00
4,467.00
6,736.94
105.73)
714.57
TOTAL PRINCIPAL DISBURSEMENTS $27,326.74
- 3 -
AaJfOLP,SLUUl Be BAYLEY
Anal.NIYJ AT lAW
-..............
e..... "1u..,......U...u 1100'
INCOME ACCOUNT
Income
Harsco Corporation
Dividend
TOTAL INCm~E
DISTRIBUTION ACCOUNT
Mable ~'. l'7enc;ert, Naomi K. Prosser and
Atlee Keefer Tangible personal property and
vehicle per III of Last Will
and TestaMent
TOTAL DISTRIBUTION ACCOUNT
JOINTLY-HELD ASSET ACCOUNT
(For Record Only)
399.490 shares Investors Mutual Fund, Inc.
NIO decedent as Trustee for Edward L. Prosser
at 8.38 per share, distributed to Edward L.
Prosser
2,354.357 shares Investors Mutual Fund, Inc.
NID decedent as Trustee for Mable M. Wengert
at 9.47 per share, distributed to Mable M.
Wengert (Pa. Transfer Inheritance Tax [PTIT]
of $3,177.14 paid by distributee)
First Federal Savings and Loan C.D. 1-1-500360
N/O decedent and Mable M. Wengert at $5,508.87
. distributed to ~Iable M. Wengert (PTIT of
$392.51 paid by distributee)
- 4 -
liliLii ~:J h,~t 276
$17.00
$17.00
$4,000.00
$4,000.00
$ 3,347.73
22,295.76
5,508.87
^aIfOLD,SLla. &: BAYLEY
A~NKn AT lAW
-......,.......
C6..III1....,""..I1'~.U"".....
'.
",
First Federal Savings and Loan C.D. 216-720485
NIO decedent and Naomi P.. Prosser at $8,698.07
distributed to Naomi R. Prosser (PTIT of
$619.78 paid by distributee)
8,698.07
First Federal Savinas and Loan C.D. 2-36-806130
NIO decedent and Naomi R. Prosser at $10,029.03
distributed to Naomi R. Prosser (PTIT of
$714.57 net paid by distributee)
U.S. Series "E" $50 bond #L649140279E N/O
decedent or Dawn Louise Keefer at $81.78
distributed to Dawn Louise Keefer (PTIT of
$5.83 paid by distributee)
10,029.03
81. 78
TOTAL JOINTLY-HELD ASSET
DISTRIBUTION
$49,961. 24
- 5 -
L'''lh !:is h,,;( ;.: 77
;-"",1'."::.
COMMONNEI\LTH OF PENNSYLVANIA)
55.
COUNTY
OF
CU/1BERLAND)
MABLE 11. WENGERT and NAOlU n. PROSSER, being duly sworn
according to law, depose and say that the Account as stated is
true and correct and that the Grant of Letters and the first
complete advertisement thereof occurred more than four (4) months
before the filing of the Account.
~Q.Q~Ma~ v!~
aa~{'/IP ~'
Naomi R. Prosser
:!~:>~.~~~~ 1
"0""
.. :., .,-"..l,
:. ,,' ft~;,:,,,}) ~,
. ,:2>,.l"";!J
.~.; ';~....~.~
:. t :l1 '';i~J~,
~ . ). -( . -'..1~-~'""'l
: :;,~. \ ....,.. ,r.::j" ~'t
'~;\1~ '".//
,_.1' .'~ '.
"_:l'.. .' 'I .
.......::..~:
..;~~rn '0 =d ""b"ch,oro me
I:,t.l)}s, .2./ I'd> day of _, 1981
i,;I;,<>i2 y'
,(;jl~ .,l /h ..f~-~
'r;,,,,:,',' .i' :' , Notary Public
1.'" ...~.':;:.
.' '\~"." l'
H\ ..
""...<,'../: Thelma S. AHau"in. Nol.ry Public
I. '~" ~\( My Comm:'l;nn [xpim July I. 1984
C~In.1 II::!. p" CULn~tl..r,J Cotln:v
ARNOLD. SUllE Be DAYLEY
ATTOaHIYJ AT IA.
_....n'......
c...~lln........'"'.n....I&'.....
~l\;t.~
- ~7-6
l 'I
..h.l (J~U(
--...
.<J
~
I
;;J
I
.....
't:
~
r..
~
1i:l4-fI'O ...
~ 0 C fU
fU'M
''<::.-i C
Z 0\ i-< III
::l Q):>
~O~.-i
Z i-< :>1'0
H 0 Ul Q)
I':IIlCJC!!l
..: C 'u
:r: Q) . Q) Q)
E-t.<::.-iP<U
":+'.-i Q)
CJ 'M'O
....:r::>1
r..O +'
o 0. C
Q) e ::l
~+'11l0
E-tI1lCJCJ
":0-1
E-t
Ul
.
"'1' oJ .
. ." '"
Ell" ~, "odt
~t\~~. ~
i~lA.JI (1
~C'll.c~
0''''
... - 0 :t
c '5 Q. 41.'-
:I ~ :? ii c
o ; Q..c
<> ~ .
~ ~ H~":
,.::J 'C " ~ ...;..I
,...., C l Q
0'-!tII 'u';:."-'
........i > ~t::-" .
'.....,11 ~ ; .....
~i~:, _ L1
.j": :, e'~
~~! S
d'L3
E-t
Z
::>
o
CJ
CJ
..:
0-1
..:
Z
H
r..
o
~
E-t
gJ
H
r..
'- v s: ... j
,:I o!= .5 ;!: ~ ; .
5~-?~
:;: 8 :.J U U t;
., L.. .S;:9 ~ ~
- .... 0.0 0::':1
-=-.....oc.~:l,)
O~~E~-5~
o ... C ... QI
~ ~ u 'C ~ .... cu
.: ,5 CJ ~ 6i ~ '5
gcro~Eg.s~
~.@;;J~-=l!'!
~EA'&C~~
~-=E)~='~c~
'.r. ::J......- =
......~~~: ~
.... .... ::-.. ~ -;, ~ ;.: 0
.::: ... ~ ~ ~ ~ .; ,5
"f: :::.~ ': .... c ~
8~"'....5~S~
:.-. ti E :oJ::J:l,)__
.g .~:; ;;. c > ~~
.r:: or: :J ._ ~
c-,
'Jr.-I
f_ ',_,
~t:i'
(.J.
(;:~;~~
I'~ ~n
~~ -.:.
03
~
N
,C>,
....;
1
,',.::J
,',1
,""
~
,:;:
C")
~')
.:r:
'~1
~
?
:'O~
ro'n
;;-;0
~;; -:-.c
'::l
,1-'1
.t::1
:.:~
v
><
r>l
...
><
-<
~
~
r>l
~
...
...
rJl
A
...
o
~"
<W
..lW
.
!-o "
< .
.U') t
~ ld
Z ~
'" .
~ ~
< "
, .
~-~
;;
~
~
z
~
~
~
.
z
z
w
0.
j'
j
:2
~
.
<
u