HomeMy WebLinkAbout80-00562
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No, 21-80
562
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
Dorothv E. ~Iiller
, deceased.
MARY C. LEWJ;S
To niB~arB ~, ,('.FlSEHSElFl, Register of Wills for the County of Cumberland,
in the Commonwealth of Pennsylvania,
IS
Petitioner(s) ~ the executnr named in the Last Will and
Testament of Dorothy E. Miller dated September 25, .1971
Decedent was a citizen of the United States and a resident of
Township
Borough, Cumberland County, Commonwealth
Camp Hill
of Pennsylvania.
Decedent died on
the
10th
A. D. 19 80 , in the County of
Cumberland
pennsylvania at the age of years.
has ~ her
Decedent ~ been married and has not had children born to Wm:
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
and of real estate to the value of
as near as can be ascertained; said real
estate situated as follows
~
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated August 28, 1980 )~. , ^ "-----hA '/J/1
a./J1~ ( I Ir~-G
Name and address Benjamin T. iller
of Petitioner(s)
18 CountrtJG:i\J.lb'lP<l,.~_cb h"est. Camp Hill , Pa.
l70B
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
Beniamin T. Miller
named in above application, being duly
say(s) that the statements set forth in
sworn according to law
this petition are true to the
best of
knowledge and belief.
I ,______
~o/L I, f1~
hie:
Sworn to
and subscribed before
me August 28 1 9 80
~~i.'~Register
~
~
Attorney-: \oJilliam J. Madden 1. Jr.
240 N. Third St., P.O. Box ti77
Harrisburg, Pennsylvania 17108
Filed:
"t)-5"6:Z-
AUgUdt 29,
//-I/'f-,3
1980
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I, :)OH!)'rH'/ ". ;'IT,LEH, or 1I(lI'rLsbllrf~, Dauphin County,
Ponn~ylvan1a, do horeby malto my l&st H11l und testament, revoking
all tea t!lmontaI'Y dis::Jos i tions hcrctof'or<o nmde by me.
1. I F'ivo all my estate, real and personal and where-
soever situate, to my hU5band, Ben,jamin 'f. i-liller.
2. I nominato, constitute and appoint my husband,
Ben,1amin 'f. Hiller, to be my F.xecutor.
IN \HTNESS I'lIiEREOF, I have hereunto set my hand and
"
seal to this my last ~:ill and testament this ,15 day of
September, 1971.
Signed, sealed, published and
declared by the above-named
Dorothy E. Hiller, as and for
her last will and testament in
the presence of us who, at her
request and in her presence and
in the presence of each other,
have hereunto subscribed our
names as witnesses this ,,{,~-
day of September, 1971.
,
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\HLLIA1', J. :-lADDE.1!, Jri., BS(tL; IRE
2311 N. Front street
Harrisburg, Pennsylvania
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA } 55:
COUNTY OF CUMBERLAND
This ...,..........,...........,..~~.~~,.........,..,....,.................... day of ...............,....~.~~.~,~......,..........,....,.......,.. A, D., 19,8,Q..,
before me ................Jt~!;y..,~"...,t!i!,wJIJ,..,....,...............,.........,...........................,..... Register for the Probate of Wills
and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania,
personally came .....R'ily.,...,O'"..,P.,...,~9,llJ.ILi!.tlQ...Hil.<:gl.,M.....Co.ble..........,..................................,..,..,....................
..................................................,.....................................................,........................................-.,.........,.....................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of
...."....,',..........,!?~E!?,~~,:Y...,~,~....~:!-,~,~~,!:....".....,',....."..,...., ",...",'....,..,..... ,..""""" Dated ."..!?,~p.:t:,~!!I,g~1;".?,?....,J.9.,? 1
late of ,....,..,.................~~p...!.t:!.X!:......,.............................,.........,...................'...., Cumberland County, Pa., deceased
who being duly .....,........,...~~9.;:!?-.................... according to law, depose and say, that ..:t:h~.Y....W!~U;,~....................,....
present, and saw and heard the testa,trix...,...............,....., ,......,......Darathy,..E..,..Mi~l.er..,................................,
sign, seal, publish, pronounce and declare the said instrument of writing as and for h.eJ:.......,.... Testament and
Last Will, and at the time of so doing ...............$.):),~......................,..................... was of sound and disposing mind,
memory and understanding, to the best of .......,.......,..2~.;:......................,.....,...,... knowledge, observation and belief.
.....,?!I:~,~~..,:!=.2....,..,..,................. and subscribed before
"',..",~"..f2:..-!:$:,~'?L.,',.........................,..,..
",..,"r;-.J..f~(,",<:?1z.",f;;d,.<;,.."......,...,',....,....,..
...,9l;IUf",~,:,'~..,.......".. Register.
............................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYL VANIA 1
COUNTY OF CUMBERLAND I 55;
..,...............................................,..Benjamin...T,~..Mil.le.r..,.......................................,.........,...................,.. being duly
......,........Sl\(OLn...........,.......,.. says that as nearly as can be ascertained the said decedent ....,....,............................,....,
..................................,..,............,D,Q1:,Q,tby...~,.,..MilJ.e.:r;..,......,...............................,.......,......,........................... died on
......,....,........................ the ,.....,....,.....J"Q:t;,!L......... day of ..,..,.(\,\\g,1,!~.:t;,......,..........................,.............. A, D., 19..,!;!9,
at or about .........?.:,~,9.......,.........,....,....... o'clock, P.. M.
..SY.{o.:r:n...tQ......,.................,..,......., and subscribed this j' "-----"
........,........~,rtt;..;...........,........, day of "'<<7~~ ....i~..,~~li:l~~'.....,
:~;(t~__ "'8'76
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENN5YLVANIA~
55:
COUNTY OF CUMBERLAND
Before mc, the Rcgister for the Probate of Wills and granting of Lctlcrs of Administration in and for the
County of Cumberland, personally came ,............""..BP..nj.arni.n..,T..",Mi.l..L~J:..,..,.........,...............,........,....,.............
who, being duly ......SlItoJ:n......,...., do .~,s,..,.. deposc and say that as ....~~!;;u:l;P.l;...".."..........,.",.".""......,.......,..
of the last Will and Testamcnt of ,.,.....,p.,9.1;",9.:!:.hy.."g"...11.HJ,4?;l;",,,,..,..,........,.,....,...,,,,.,,....""...,,,,,......,....,,, dcceascd
...,.....,...,I:l~...""...........,...., will wcll 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.
Sworn to
and subscribed
before me.
"...,........"...?'!~,9.~!!.~,,,~~.....,,...,,...,,,,,,, A. D., 19...80.
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DECREE
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Be it remembered that on the ..."",,~~,~~......, day of ,.........."..,~,~~,~,~~,....,..,..""""..,""" A. D., ls#.~...., there
was probated and rccorded the last Will and Testament of ..."""!?,~.;:g,~hy...;:,~""1!!,PJ~F.,..,.."..""",,,,,.....,.....,......,
late of """"..,..5:~~J?,,,~~,!,L,...........,,,......,.....,,,,.....,,...,,......,.,' Cumberland County, Pennsylvania, Deceased. Letters
""",.."....,'"'''''''',:,:~,~,~,:~:,~~~''''''' were granted to .. ."...,"""'~~,~J~~,~":~,:,"~,~~,~~!:",......"..,...,,...............,..
Witness my hand and official seal the day and year aforesaid. ~ ' ."',\~:
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to: . ";,..'i:,\:"~.~~
, RegISter. ":':''.,~,
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1-0_ _ _ __._ __ __ ___, __ ___ ._, _~ '__ _''__ __ _._ __+, .___ .___, _~ +__,_ __.., ,__. __. _ __ _, _ _ _. _, _ _"_
..-.... --. --
11. REY.116Z EX
~ ' COMMONWEALTH OF PENNSYLVANIA
4 NO. 00027 DEPARTMENT OF REVENUE
. K 5 OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
If .
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~l RECEIVED
'J FROM
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TAX AT 6%
TAX AT 15%
ADDRE55
ESTATE TAX
TAXAT_%
Att
.
Harrisburg, Pa. 17108
'--~f~~T~[~i.~~ATiiiN~-i.--;;t-io-,--i98-0-------
TOTAL TAX CREDIT
FILE NUMBER
21-80-562
DATE OF PAYMENT
NOvember 6, 1980
LESS DISCOUNT
PLUS % INTEREST
(FROM TO_I
'NAME OF DECEDENT
DOROTHY JE. MILLER
Cumberland
m
m
TOTAL AMOUNT PAID
~OUNTY
6,000.00
POSTMARK DATE
REMARKS: .PAm ON ACCOUNT"
SEAL
RECEIVED BY
'---:' "
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Ma SI~AT~~is
aegrrster of Wills
REGISTER OF WILLS
, ~_:.J'~ .~----..
COMMONWEAL TIl OF PENNSYLVAlIIA
DEPARTMENT OF REVENUE
BUR=AU OF COUNTY COLLECTIONS
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:
Application is hereby mode for calsent to the transfer of the following securities of 0 Pennsylvanio
Corporation or 0 Notional Bonking Association located in Pennsylvania: ,
DATE
I\\~gl
(0) 60 (b) F. W. \'loolworth Company (c), common
(NOTE: In describing securities enter in (0), ab Ole, either the number of shores of stock or the face omount of
registered bonds, in (b), the nome of the issuing compony ond in (c) the class of stock or the stated interest rate
and maturity dote of registered bonds.)
ISSUED ON
, and hoving a TOTAL MARKET V A'LUE OF S 1,715.62
(Dot.)
as of the date of deoth of the decedent,
Dorothy E. Miller
(Homo of Docedont)
,on AUGust 10, 1980
(Data 01 dooth)
who was late of 18 Country Club Place West. Camp Hi 11. Cumberland. pennsvl vania
(S'root and Numbor) (Post OHico) (County) (S.oto)
The securities ore registered as fallows:
Dorothy E. Miller
(Nomo or nomu In which ~Ntiricotes ore registerod)
~)Ben1amin~T. Miller, 18 Country Club Place West, Camp Hill, Penna.
EXECUTOR) (Nome) (Add,oss)
NAME OF APPLICANT Benjamin T. Miller
~J 18 Country Club Place West
COUNTY FILE NUMBER ,/'}/-fj. ,i}1/,2 ADDRESS OF APPLICANT Camp Hill, Pennsylvania
BUREAU FILE NUMBER SIGNATURE OF APPLICANT'"
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMP
""
N, IT WILL NOT BE -
ETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DAT
I hereby consent to the transfer' of the above sec;urities now registered in the nome of
Decedent and waive the filing of a certificote certifying to the payment of the transfer inheritance tox to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os omended. This is olsa in accordance with the prOVisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estote of the
above-named Decedent.
~~
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4.1(~~1
By
.
~
,
.~~
(County)
CO",MONWEAL Tit OF PEHHSYLVAlIIA
DEPARTMEHTOFREVEHUE
eUR:.W OF COUHTY COLLECTIOHS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN TilE NAME
OF A RESIDENT DECEDENT
~"
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.~~';.
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APPLICATION (MUST BE FILED IN TRIPLICATE) DATE~
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode lor coosent to the transler ollhe lollowing securities of 0 Pennsylvonia
Cor?oration or a Notional Bonking Associolion located in Pennsylvonio: , ,
(a) 102 (b) Tenneco Inc. (c) common
(NOTE: In describing securities enter in (0), ab Ole, either the number 01 shares 01 stock or the loce omount of
resistered bands, in (b), the name of the issuing com?any and in (c) the class of stock or the stated interest rote
and maturity date of registered bands.)
ISSUED ON various
(001.)
as of the date 01 death of the decedent,
, and having a TOTAL MARKET V AWE OF S 4,021.87
Dorothy E. Miller
(Name of Oecedent)
, on AUQust 10. 1980
(Dolo 01 death)
who was late 0118 Countrv Club Place West. Camp Hill. Cumberland . Pennsylvania
(Slroel end Humbe,) (Pasl Olfi<a) (County) (StoIa)
The securities are registered as lollows:
Dorothy E. Miller
(Namo or names In which certificates oro registered)
NAME OF APPLICANT
,. CQUNTY FILE NUMBER ,4/->>'-10;( ADDRESS OF APPLICANT
~~~) Benjamin T. Miller, 18 Country Club Place West, Camp Hill, Penna.
EXECUTOR) (Harne) (Add,e..)
Renjamin T. Miller
18 Country Club Place West
Camp Hill. Penna. 17011
" I
BUREAU FILE NUMBER SIGNATURE OF APPLICANT'" ~ <Vl'l...............
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION DF THIS APPLlCA'l10N, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM LETlON.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE Q.
CONSENT TO TRANSFER SECURITIES j/ /.00/
DATE fl4?" It?) 7<? '
I hereby consent to the tronsler of the obove sec;urities now registered in the name of tltfoforesoid -
Decedent and waive the filing 01 a certificate certilying to the payment of the transler inheritonce tax to which
the ;>roperty of said Decedent is made subject pursuant to the provisions of the Act 01 June 20, 1919, P.L. 521;
as amended and the Act 01 June 15, 1961, P.L. 373, as amend cd. This is olso in accordance with the provisions
01 the Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property opcrates only in refcrence to the estote of the
above-nomed Deccdent.
\.~"
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I'~~~~
"~"-t.,7"..-iF'
i COMMOHWEAL Tit OF PEHHSYLVAllIA
DEPARTMENT OF REVENUE
'BUREAU OF COUHTY COLLECTlOHS
APPLICATION FOR AND CONSU"NT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
~
, ,Sr,..i.}
.I:C:,,:\;~,\
~
DATE " 1 <I/€>-/
APPLICATION (MUST BE FILED IN TRIPLICATE) -4 I
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
. Application is hereby mod'; for CCllsent to the transfer of the following securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Associalion located in Pennsylvania:
(0) 235 (b)-5oIJ thwe!'lt<'!rn Publi '" Spn,kp .compan)L-_ (c) common
(NOTE: In describing securities enter in (a), ab ",e, either the number of shores of stock or the face omount 01
registered bonds, in (b), the nome of the issuing company and in (c) the closs of stock or the stated interest rote
ond maturity dote of registered bonds.)
various
(Ooto)
os of the dote of death of the decedent,
ISSUED ON
, and having 0 TOTAL MARKET VALUE OF S 2.893.43
Dorothv E. Miller
(Hamo or Decedont)
, on
AU9U!'lt 10. 1980
(Oal.ol.doeth) ,
who was late of' P. Country Club Place We!'lt I r..mp Hi 11 I
(S"oot and Numbo,) (Post Olli..)
rnmnpyl.:.nn,
(County)
PpnnC:;;}T1 \Trlni a.
(Sto'.)
The securities ore registered os follows: Dorothy E. Mi 11 PI'
(Nomo or names In whtch certificates orc registered)
~~)Beniamin T. Miller. 18 Countrv Club Place West, Camp Hill. Penna.
EXECUTOR ,) (Nam.) (Add..ss)
NAME OF APPLICANT Beniamin T. Miller
. .;1/ C1 18 Country Club Place West
COUNTY FILE NUMBER OV-,~/, - %,;( ADDRESS OF APPLICANT Camp Hill, Penna. 17011
,
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA N, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the tronsfer of the above se~urities now registered in the nome of
Decedent and woive the filing of 0 certificote certifying to the payment of the transfer inheritance lox 10 which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os omended ond Ihe 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 Consenlto Transfer the herein described property operates only in reference 10 the estat!> of the
above-named Decedent.
~~ I:D. ^
m" ',<;::>'~''i.1
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By
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COMMOtlWEAL TII OF PEtll'lSYLVAtIlA
DEPARTMENT OF REVEIIUE
BUREAU OF COUNTY COLLECTIONS
APPLlCA TlON FOH AND CONSEN1
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE
1 \ \<.( 1-'1
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made lor calsentta the hansler of the lollowing securities 01 0 Pennsylvanio
Carporalian or 0 Nalional Banking Association loco led in Pennsylvania:
(a) 49 (b) Public Service Electric & Gas Co. (c) common
(NOTE: In describing securities enler in (a), ab Ole, either the number 01 shares 01 slack or the foce amounl of
regiSlered bands, in (b), Ihe nome of the issuing company and in (c) Ihe class of slock or the stated interest role
and molarity date of regislered bonds.)
ISSUED ON various
(0.,0)
as of the dole of dealh of Ihe decedenl, Dorothy F:. M; 11 pr
(Nama of Decedent)
, ond having 0 TOTAL MARKET V AWE OF S 941. 71
, on Auollst la, 1980
(Doto ., de.th)
who was lale of 18 Countrv Club Place wpst, C"mp '.H 11 I
(Street and Number) (Post OUice)
rllmhe:a,-l ~r'lri f
(C.unty)
ppnnc::y'''~ni~
(St.t.)
"
The securities ore regislered as follows:
Dorothy E. Miller
(Name or names In which certificates arC' rcgblcred)
~) Benjamin T. Miller. 18 Countrv Club Place West. Camp Hill. Penna.
EXECUTOR) (Nome) . (Add,ess)
NAME OF APPLICANT Ben;amin T. Miller
, ~. _ 18 Country Club Place West
COUNTY FILE NUI,IBER .::1:1-,&1 ~ .-);,;:A ADDRESS OF APPLICANT Camp Hi 11, Penna. 17011
, BUREAU FILE NUMBER SIGNATURE OF APPLICANT' ·
NOTICE: IF YOU FAIL TO PROPERLY FILL IH ANY PORTION OF THIS APPLlCA T N. IT WILL NOT BE -
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMP ETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the transfer of the above se<;urities now registered in the nome 0
&1
Decedent ond woive the filing of a certificale cerlifying to the payment of the transfer inheritonce talt to which
the properly of soid Decedent is made subjecl pursuanll~ Ihe provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Acl of June 15, 1961, P.L. 373, as amended. This is olsa in accordonce with the provisions
of Ihe Acl of April 9. 1929, P.L. 343.
This Consent to Transfer Ihe herein dcscribed properly operates only in rcference to the eslolc of Ihe
obovc-nomed Decedenl.
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APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE '\\4 \ ~ \
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
. Application is hereby made lor crosent to the transler 01 the lollowing securities of 0 Pennsylvania
Corparolion or a National Banking Association located in Pennsylvanio: ' '
COMMON\iEAL Tit or PENNSYLVAtllA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
(0)_ 200 (b) Northern Indiana PUblic'Servi"'''' Cn. (c) commnn
(NOTE: In describing securities enter in (a), ab "'e, either the number of shares of stock or the foce amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
,and having 0 TOTAL MARKET VALUE OF S 2,443.75
ISSUED ON various
(Do',)
as of the dote of deoth of the decedent,
Dorothy E. Miller
(Name or Decedent)
, on August 10, 1980
(Dot. .1 deo.h)
who was late of 18 Country Club Place '<Jest, Camp Hi 11 ,
(Street and Humber) (Post OHice)
rnmhp""~nnr
(Coun.y)
Penn"y1vania
(5'0")
The securities are registered os follows:
Dorothy E. Miller
(Nome or names In which certificatos ore rcgistorad)
~ Beniamin T. Ni11er. 18 Countrv Club Place West. Camp Hill. Penna.
EXECUTOR) (Nome) (Add,,,..)
NAME OF APPLICANT Benjamin T. Mi 11 er
~/ 01 18 Country Club Place West
COUNTY FILE NUMBER <7J /- ,M - &v:< ADDRESS OF APPLICANT Camp Hill. Penna. 17011
,
,
BUREAU FILE NUMBER SIGNATURE OF APPLlCAIH~ YA/Y,"'lolo
NOTICE: IF yOU FAll TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCA 'ION, IT Will NOT BE
CONSIDERED COMPLETE AND Will BE RETURNED TO YOU FOR COM lETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
OAT
I hereby consent to the, transfer of the above se~urities now registered in the name 0
Decedent ond waive the filing of a certificate certifying to the payment of the transfer inheritonce tox to which
the property of said Decedent is made subject pursuanl to the provisions <i! the Act of 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
of the Act of April 9, 1929, P.L. 343.
This Consent 10 Transfer the herein described property operates only in reference to the estate of the
obave-nomed Decedent.
fl'~
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COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT I
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby modci for coosent to the transfer of tl,e following securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association locoted in Pennsylvania: ,
DATE
,/,41h
, I
(a) 80 (b) NiaQara Mohawk Power Corporation (c) Common
(NOTE: In describing securities enter in (a), ob Ole, either the number of shores of stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (c) the closs of stock or the stated intercst rote
and moturity dote of registered bonds.)
ISSUED ON
, and having 0 TOTAL MARK ET V AoLUE OF $ 1.080.00
(00'.)
os of the dote of death of the decedent,
Dorothy E. Miller
(Name of Decedent)
,on AugustlO, 1980
(Dot. 01 d.oth)
. who was late of 18 Country Club Place \vest, Camp Hill, Cumberland,
(5.,... ond Numb.,) (Po.' Olftce) (County)
Pennsylvania
(5'010)
The securities ore registered as fallows:
Dorothy E. Miller
(Name or names In which certificates orc ,registerod)
~~~) Ben;arnin T. Miller. 18 Country Club Place \vest, Camp Hill, Penna..
EXECUTOR) (Nome) (Add,e..)
NAIrIE OF APPLICANT Ben;arnin T. Miller
'~/ 18 Country Club Place West
COUNTY FILE NUMBER,qI-,~-~A ADDRESS OF APPLICANT Camp Hill. Penna. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ." 7
NOTICE: IF YOU FAil TO PROPERLY FILL IN ANY PORTION OF THIS APPLlC ION, IT WILL NOT B
, CONSIDERED COMPLETE AND WilL BE RETURNED TO YOU FOR COM LETlON.
Decedent ana waive the filing of a certificate certifying to the payment of the transf.er inheritance tax to which
the property of said Decedent is mode subject pursuont to the provisions of the Act of June 20. 1919. P.L. 521, ,
os om ended 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 operotes onfy in rcference to the estote of the
obove-nomed Decedent.
fk
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' ~~.....,
, DEPARTMENT OF REVENUE
8URE4U OF COUNTY COLLECTIONS
TO TRANSFER SECURITIES
REGISTERED IN TilE NAME
OF A RESIDENT DECEDENT
aPPLICATION CMU'T BE FlLEO /N T./PlICA TE) DA TE---t/J"i!.
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
' A"II'",,, /, "~,, ..J; /" 'M"" .. ," I""r".r ." ,.11../" "'''''',;.f . P~"".",.
Corporation or 0 Natianol Bonking Association located in Pennsylvania:
c.) "3 -1'1. N. .. Go. . "eotr'e A"oe""Oh C,) """"0
(NOTE, f, ,,,,,,,," ""''' /" 001., ,. C.), ..." ,,,... ", ".'.. ., """ ., .. ,,' " ," ,." '."" .,_
.., /....., · M". /, C,). ,', ".. ."" /,," I"~ co.p.., ,,' /. C,) th, "'" ., ,.." " ,', "..., '''''''' "',
and maturity dote or registered bonds.)
ISSUED ON_
I
I
i
!
!, The securities ore registered os rollows:
,
!
, and haVing 0 TOTAL AIARKET VALUE OF 5_2,140.53
COOl.)
a!, or the dote or death or the decedent,_ Dorothv E. Miller
(Namo or DocCtJont)
who Wos late or-lB
CS".., and Numbe,)
-
,on_AUQust 10, 1980 _
(Do'. ar c/.oth) .'
Penns lvania
(5'0'.'
(County)
Doroth E. Miller
(Nom. 0' nom.. 'n whIch '.'1/1"01.. a,. '.gr".'.d)
.-
.;...
~~) Ben 'amin T. Miller 18 COuntr
EXECUTOR) CNome)
NA}~E OF APPLICANT
COUNTY FILE NUMBERY:(/_ 2J - ~;g ADDRESS OF APPLICANT
. ~
BUREAU FILE NUJ~BER SIGNATURE OF APPLICANT.
NOTICE, lP 'OU FA'L TO PEOPER" FILL 'N AN' PORTION OF TNIS APOLI""
CONSIDERED COMPLETE AND W'LL BE RETURNED TO YOU FOR COM
ON, IT WILt. NOT BE
ETlON.
Club Place. West, Camp Hill, Penna.
CAdd,...,
Ben'amin T. Miller
18 Country CluD ace Wes
Camp Hill, Penna. 17011
'-.:........,
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
OAT
f'...., co...., ,. ". I~".. ., ". "... "'"'' /" '" ",/.."", /, ". ".. .f
. tho PMp..~ .f .." .....,..", .". ""'" P'''",'' ,. ". ''''/'/00, .r ,., Act., J,,, 20. 1919. P,t.52I.
00 ....,., .., ," A".r J,,, IS. 19", P,t, 373, "....,"", Tbi", .1" /, "''''.." .", ". '''."i..,
or the Act or April 9, 1929, P.L. 343.
Th,; C""" I. T M..'.. ,'. "re'. ,,,,,",' ,re,.." ",,,,,, ..I, /, ..,...." ,. ", "'". ., th,
above-named Decedent.
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'\
CO!-\MONWEA~ TIt OF PENtlSY~ VANIA
DEP.\RTMENT OF REVEtlUE
BUREAU OF COUNTY CO~~ECTIONS
TO TRANSFER SECURITIES
REGISTERED 11'1 !fIE NAME
OF A RESIDENT DECEDENT
~'.
. ,... A
~ .~... ~J
I'~'\
. APPLICATION (MUST BE FILED IN TRIPLICATE) D^TE~I
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode lor CQ1sentto the tronsfer of the following securities of 0 Pennsylvanio'
Corporation or 0 National Bonking Associolion located in Pennsylvania:
(a) 100 (b) National Distillers Corp. (c) cominon
(NOTE: In describing securities enter in (a), ab Ole, either the number of shares of stock or the lace amount 01
registered bonds, in (b), the nome 01 the issuing company ond in (c) tho closs 01 stock or the sloted interest rate
ond matarity dote 01 registered bonds.)
ISSUED ON
, and having 0 TOTAL MARK ET V A<LUE OF S 2.937.50
(Dato)
as 01 the date of death 01 the decedent,
Dorothy E. Miller
(Namo of Decedent)
,on Auoust 10. 1980
(Oato al death)
who was late of lR r.OImtry Club Place \oJest. Camp Hill, Cumberland. Pennsylvania
(St,... and Numbo,) (Pas.Olfjco) (Caun.y) (S'a'.)
The securities are registered as follows: DorothyE. Miller
(Nama or nomes In which cerUfic;ahts ore registerod)
~ Renjamin T. Miller, 18 Countrv Club
EXECUTOR) (Nam.)
NAME OF APPLICANT
COUNTY FILE NUMBER,c:? /- ~ -Q~,~ ADDRESS OF APPLICANT
Place West. Camp Hill, Penna.
(Add,ess)
Ben;amin T. Miller
18 Country Club Place West
Gamp Hill, Penna. 17011
,
BUREAU FILE NUMBER SIGNA TURE OF APPLICANT /1'Yt~~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA ON, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM LETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DAT
I hereby consent to the transfer of the above sec:urities now registered in the name of
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of soid Decedent is mode subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
as omended ond the Act of June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
01 the Act of April 9, 1929, P.L. 343.
This Cansenf to Transfer the herein described property operates only in reference to the estote of the
above.named Decedent.
~
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AI't'L1I..A IIUN I-UI{ AND CONSENT
TO TRANSFER SECURITIES
REGISTEREU IN THE NA/.IE
OF A RESIDENT DECEDENT
APPLICATION (/.lUST BE FILED IN TRIPLICATE) DATE~ .
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
, Application is hereby mode for ccnsentta the transfer of the following sccurilies of 0 Pennsylvania
Corporation or 0 Notional Bonking Association locoted in Pcnnsylvania:
COMMONWEAL TIt OF PENNSYLVAtl1^
DEPARTMENT Of REVENUE
BUREAU OF COUNTY COLLECTIONS
(0) 131 (b) Interstate power Co. (c) collimon
(NOTE: In describing sccuritics enter in (a), ab OIC, either the numbcr of sharcs of stock or thc face omaunt of
registered bonds, in (b), thc nome of thc issuing company and in (c) the closs of stock or lhe stoted inlercst rote
and maturity dote of registered bonds.)
ISSUED ON various , and having 0 TOTAL MARKET V AWE OF S
(Oelo)
as of the date of death of the decedent, Dorothv E. Miller , an
(Hamo of Decadent)
1,760.31
Aug. 10, 1980
(Del. 01 d.ath)
who was late of 18 Country Club Place West, Camp Hill, Cumberland, Pennsylvania
(S.r.o. and Numb.r) (Pos. Offi..) (Caunly) (S'al.)
The securities ore registered os follows:
Dorothy E. Miller
(HomD or names In which cerlificates Grc registercc!)
~ Ben;amin T. Miller, 18 Country Club Place West, camp Hill, Penna.
EXECUTOR ,) (Hem.) (Addro..)
NAME OF APPLICANT Benjamin T. Miller
'."? 18 Country Club Place West
COUNTY FILE NUI.\BEROJ/-'.9J-:. ~.,;? ADDRESS OF APPLICANT Camp Hill. Penna. 17011
~.
BUREAU FILE NUMBER SIGNATURE OF APPLICANT n~
,
NOTICE: IF yOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA' ION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM LETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTI.\ENTOF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the transfer of the above sct:;urilies now rcgistcrcd in the nome of
Decedent and waive the filing of 0 certificatc ccrtifying to the payment of lhc transfer inheritance tax to which
the property of said Decedent is madc subject pursuant to the provisions of the Act of Junc 20, 1919, P.L. 521,
as omended ond the Act of June 15, 1961, P.L. 373, os amend cd. This is also in occordancc with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described prapcrty aperatcs only in refcrence to the estate of the
obovc.named Decedent.
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COMMOtlllEI.L TH OF PENNSYLVANtA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT .\
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DA TE-LI' 411;,
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for ccnsenlto Ihe tronsler olthe following securities of a Pennsylvania
Corporation or a Notional Bonking Association located in Pennsylvania: '
(a) 80 (b) International Harv~ter Co. (c) common
(NOTE: In describing securities enler in (a), ab Ole, either the number of shares 01 slock or Ihe face omount of
regiSlered bonds, in (b), Ihe nome of Ihe issuing company and in (c) the class of stock or the stored inlerestrate
ond molurily dole of regislered bonds.)
ISSUED ON
, and having 0 TOT AL MARKET V HUE OF S
2.447.50
(DolO)
os of Ihe dale of death of Ihe decedent,
Dorothy E. Miller
(Home of Oucadenl)
,on August 10, 1980
(Dolo 01 doalh)
who was late of 18 Country Club Place West. Camp Hill. Cumberland. Pennsylvania
(S"ool and Humbo,) (PosIOFfi.o) (Counly) (51010)
The securities are regislered as follows:
noro~hy F.. Millpy
(Nome or names In which ~ertiflcoles oro registerod)
~ Ben;amin T. Miller. 18 Country Club
EXECUTOR) (Homo)
NAME OF APPLICANT
COUNTY FILE NUMBER cl/-jJ- ,z,}'ADDRESS OF APPLICANT
place West, Camp Hill. Penna.
(Add,ess)
Benjamin T. Miller
18 Country Club West
Camp Hill. Penna. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLICANT"
NOTICE: IF yOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlC
. CONSIDERED ,COMPLETE AND WILL BE RETURNED TO YOU FOR COM
,
"
JON, IT WILL NOT BE
LETION.
,;(L
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent 10 Ihe tronsfer of Ihe above se~urities now registered in the name of
Decedent and waive the filing of a ceriificole certifying to the paymenl of the transfer inherilonce tax to which
ihe property of said Decedent is made subject pursuant 10 the provisions of the Act of June 20, 1919, P.L. 521,
as amended ond the Acl of June 15, 1961, P.L. 373, as amended. This is olso in accordance with the provisions
of Ihe Act of April 9, 1929, P.L. 343.
This Consenllo Transfer Ihe herein described property operates only in reference 10 Ihe eslale of the
obove.nomed Decedent.
f~
m-S:~$') By
1'iC;;~J~'\
f;,~':.:...p-.;,.#T-
COMMOt/WEI.L TH OF PENNSYLVAtIl^
DEPARTMENT OF REVENUE
BUREI.U OF COUNTY COLLECTIONS
APPLICATION FOR AND CONS[JNT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME .
OF A RESIDENT DECEDENT
~~(.)
If 't:t~(\
~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made lor ccosentto the transler olthe lollowing securities 01 a Pennsylvania
Corporation or 0 National Banking Associalion locoted in Pennsylvania:
DATE----4d\ 1'1
(0) 100 (b) General Telephone & Electronics Cor~(c) common
(NOTE: In describing securities enter in (a), ab Ole, either tl,e number 01 shores 01 stock or thc lace amount 01
registered bonds, in (b), the nome of the issuing company and in (c) the closs 01 stock or the stated intcrcst rolc
and maturity dote of registered bonds.)
ISSUED ON
, and having 0 TOTAL MARKET VA>LUE OF S
2,671.87
(Dol.)
os of the dote of death of the decedent, Dorothv E. Miller
(Harne of Decadont)
, on Auqust 10. 1980
(0.,. 01 d.oth)
who was late of 18 Country Club Place West. Camp Hill. Cumberland. Pennsylvania
(S'..., ond Numbo.) (P.., Olf;..) (Counly) (Slolo)
The securities ore registered as follows:
naro~hy R. Miller
(Nama or names In which certlticales ore rogistered)
~
EXECUTOR )
Renjarnin '1'. Miller, 18 CO\1n~ry Club Place West. Camp Hill, Penna,.
(Nomo) (Add....)
NAME OF APPLICANT Ben;amin T. Miller
, , _.:J J O-l ' , 18 Country Club Place West
COUNTY FILE NUMBER 0'/-,10'-, ~.,.1 ADDRESS OF APPLICANT r>>mp \.I; 1 1 I Penna. 17011
L.---1':"
BUREAU FILE NUMBER SIGNATURE OF APPLICANT '1
NOTICE: IF YOU FAil TO PROPERLY FILL IN ANY PORTION OF THIS APPLlC~ ION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM LETtON.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENU~ I
I
, CONSENT TO TRANSFER SECURITIES DATE f? _ /~ /9'f/l
I hercby consent to the Ironsler of the above se~urities now registered in the name of aforesaid
. .
Decedent and woive the filing 01 0 certificate certiEying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended. This is also in occordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in referencc to the estate of the
obove-nomed Decedent.
ll\.
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1'Y,};~t8i'
4.~
COMMONWEAL TH OF PEHNSYLVAtIlA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
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 OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of 0 Pennsylvonia
Corporation or 0 National Bonking Associalion located in Pennsylvanio: ,
DATE~r\
(a) 100 (b) General Telephone & Electronics Corp. (c) common
(NOTE: In describing securities enter in (a), ab Ole, either the number of shores of stock or the foce amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stoted interest role
and maturity dote of registered bands.)
ISSUED ON
,and having a TOTAL MARKET VAolUE OF S
2.671.87
(Ooto)
as of the date of death of the decedent, Dorothv E. Miller
(Namo of Dc~odont)
, on Auqust 10, 1980
(Do'. 01 dealh)
who wos late of 18 Countrv Club Place West, Camp Hill, Cumberland, pennsylvania
(St,oet ond Numba,) (Post om.o) (County) (Stoto)
The securities are registered os fallows:
nnr~ R. Millpr
(Nomo or names In which certificales ore fogi$tcred)
~ Renjamin T. Miller, If! Country Club Place '~est. Camp Hill, Penna.-
EXECUTOR) (Nome) (Addre..)
NAME OF APPLICANT Ben iamin T. Miller
, _q (".-<1 ' 18 Country Club Place West
C!OUNTY FILE NUMBER o/I-,-1{/-, QZ.:< ADDRESS OF APPLICANT r>lmp I-H 1 1, ppnna. 17011
~
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ..r.
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLIC
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM
ION, IT WILL NOT BE
LETlON.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the transfer of the above sec;urities now registered in the nome of
Decedent and waive the filing of 0 certificate certifying to the payment of the tronsfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consenf to Transfer the herein described property operates only in reference to the eslote of lhe
above.nomed Decedent.
f~
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1'lli'l!~Jr;\ y
~~
(CDunty)
MMOHltEAL TH OF PENNSYLVAtllA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
... . ........,.", ".". I VI\ '\1' V \,.ul'(.lCI'f I
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
~~
"'.......~
,. .:;.A_,;;.~I
f.;2>:.@f:.<~\
~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
. Application is hereby mode lor crosent to the transfer of the lollawing securities 010 Pennsylvonia
Corporation or 0 Notional Bonking Associolian located in Pennsylvania:
DATE~
(a) 100 (b) General l>1otors Corporation (c) common
(NOTE: In describing securities enter in (0), ob Ole, either the number 01 shores 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 slated interest rote
and maturity dote of registered bonds.) .
ISSUED ON
,and having 0 TOTAL MARKET VA-lUE OF S
5.387.50
(Dolo)
as of the. dote of death of the decedent,
Dorothv E. Mill~r
(Namo of Oecodent)
,on Auo. 10. 1980
(Dol. of d.o'h)
who was late of 18 Countrv Club Place West. Camp Hill, Cumberland. Pennsvlvania'
(S"e.' ond Humbe,) (Post OWe.) (County) (5'010)
I:
The securities ore registered as follows:
Dorothy E. Miller
(Namo or nomC5 in which certificates ore registoro&)
~R)
EXECUTOR )
NAME OF APPLICANT
COUNTY FILE NUMBERq/.fJ- -?&~ADDRESS OF APPLICANT
Benjamin T. Miller, 18 Country Club
(Nom.)
Place West, Camp Hill, Pat
(Add,...)
Renjamin T. Miller '
18 Country Club Place West
Camn Hill, Penna. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLICANT""
NOTICE: IF yOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlC
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM
. "
A.~" /,
ON, IT WILL NOT BE
LETION.'
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE g
, ' CONSENT TO TRANSFER SECURITIES, J/?/?/
, DATE '4J Jd L~ /
I hereby consent to the transfer of the above sec;urities now registered in the nome o~ afares;ic?
Decedent and waive the filing al a certificate certifying to the payment 01 the tronsfer inheritance lax la which
'Ihe property of said Decedent is mode subject pursuant to lhe provisions 01 the Act 01 June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with Ihe prOVisions
of the Act 01 April 9, 1929, P.L. 343.
This Consent to Transler the herein described property operates only in relerence to Ihe estate of Ihe
above-named Decedent.
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(Coun'y) ,
1':"
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TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
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COMMONWEAL Tll OF PENNSYLVAtllA
DEPARTMENT OF REVENUE
. BUREAU OF COUNTY COLLECTIONS
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE. PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby madli for cCl1sent to the Iransfer of Ihe fallowing securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvonia:
DA TE---l) 1<(( i I
I
(0) 64 (b) Exxon Corp. (c) common
(NOTE: In describing securities enter in (a), ob lYe, eilher the number of shores of stock or the face omounl of
registered bonds, in (b), the nome of the issuing company and in (c) the class of stack or the staled interest role
and maturity dote of registered bonds.)
ISSUED' ON
, and having 0 TOTAL MARK ET V A<lUE OF S 4.484.00
(00'0)
as of the dote of death of the decedent,
Dorothv E. Miller
(Name of Decedent)
, an
AUQust 10, 1980
(Da'. 0' doath)
whowosloteaf18 Country Club Place West, Camp Hill, Cumberland, Pennsylvania
(S'r..' ond Nomber, (Pos. Olliea) (Coun'y) (510'0)
The s,ecurities ore rog'istered os follows:
Dorothy E. Miller
(Name or names in which certificates arc registored)
~) Ben;amin T. Miller. 18 Country Club Place West, Camp Hill, Penna.
EXECUTOR) (Nomo) (Address)
NAME OF APPLICANT Benjamin T. Miller'
vf, (~ 18 Country Club Place West
COUNTY FILE NUMBER '0'/- 47 -~,;( ADDRESS OF APPLICANT Camo Hill. Penna. 17011
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to tho transfer of the obove se~uriti es now registered in the name of .
I
eP1",
, IT WILL NOT BE
TION.
BUREAU FILE NUMBER SIGNATURE OF APPLICANT-
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICAT
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPL
Decedent and waive the filing of a certificote certifying to the payment of Ihe transfer inheritonce tax to which
'the property of said Decedent is mode subject pursuant 10 the provisions of Ihe Act of 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
of the Act of April 9, 1929, P.L. 343.
This Consent 10 Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Secretvryof_Revenue
7 '/f , )
.,;.,
(Coun.y)
~~
CO....,MONWEAL TH OF PENNSYLVAllIA
I DEPARTMENT OF REVEnUE
1 BUREAU OF COUNTY COLLECTIONS
! '
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE--1{ I<I'/f?,
I
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: ,
Application is hereby made lor cQ1sent to the tronsler ollhe lollowing securities 010 Pennsylvania
Corporation or 0 National Banking Associotion located in Pennsylvania:
(a) 225 (b) Dentsplv International. Inc. (e) cominon
(N'OTE: , In describing securities enter in (a), ab Ole, either the number 01 shares 01 slaCK or Ihe lace amount 01
registered bonds, in (b), the nome ollhe issuing company and in (c) the class 01 stacK or the staled interest rate
and maturity date 01 registered bonds.)
ISSUED ON
, and having a TOTAL MARKET V A'LUE OF S 3.951.56
(Dole)
as of the date of death 01 the decedent, Dorothv E. Miller
(Nome of Decedent)
, on August 10. 1980
(Dote or death)
'who was late 0118 Country Club Place West, Camp Hill, Cumberland, Pennsylvania
(Streel and Humber) (PosIOfflco) (Count,) (SIDra)
The securities ore registered as lollows:
Dorothv E. Miller
(Noma or nomes In which certificates arc registerod)
~~ Rpnjamin T. Millerr 18 Country Club Place West, Camp Hill, Pa.
EXECUTOR) , (Home) (Add,oss)
NAME OF APPLICANT Beniamin T. Miller
, q' 18 Country Club Place West
COUNTY FILE NUMBER 0/-- ~~I).?~ADDRESS OF APPLICANT Camp Hill. Penna. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLICANT v. 7-1
NOTICE: IF YOU FAIL TO PROPERLY FILL IH AHY PORTIOH OF THIS APPLlCA OH, IT WILL HOT BE
, COHSIDERED COMPLETE AHD WILL BE RETURHED TO YOU FOR COM LETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DAT
I hereby consent to the transler of the above sec;urities now regislered in the name of
Decedent ond waive the liIing 01 0 certilicote certilying to the payment of the trcnsler inherilonce tax to which
Ihe properly 01 said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521~
as amended and the Act of June 15, 1961, P.L 373, as amended. This is also !n cccordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference 10 the estate of the
above.named Decedent.
~-~~ .
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'~'4~
COM....ONWEAL TH OF PENNSYLVAlIIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
At't'LICA"IION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NA/.\E
OF A RESIDENT DECEDENT
, ,
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby madli for ccnsent to the transfer of the following securities of 0 Pennsylvania
, Corporation or 0 National Banking Association located in Pennsylvania: ,
DATE~
(0) 100 (b)~~m_ral Maine Power Co. (c) Common
(NOTE: In describing securities enter in (0), ab Ole, either the number 01 shores of stock or the lace omount of
registered bonds, in (b), the nome 01 the issuing company and in (c) the closs 01 stock or the stated interest rote
and moturity dote of registered bonds.)
ISSUED ON
, and having 0 TOTAL MARKET VA'LUE OF S 1,318.75
, (D.t.)
as of the dote of deoth of the decedent,
Dorothy E. Miller
(Nome of Decedent)
,on August 10, 1980
(D.t. 01 d..th)
who was late of 18 Country Club Place West, Camp Hill. Cumberland, Pennsylvania
(St,.., .nd NUI.bor) (P.st Olfj..) (C.unty) (5'.'0)
The securities ore registered as follows:
Dorothv E. Miller
(NomC!f or nome5 In which certificates orc registerec!)
~ Benjamin T. Miller. 18 Country C:lllh Plar.e We",t, Camp Hill. Penna.
EXECUTOR) (Namo) (Addr...)
NAME OF APPLICANT Benjamin T. Miller
, !:') / 18 Country Club Place West
l::OUNTY FILE NUMBER,/)/-2' - -'5Z;{ADDRESS OF APPLICANT Camp H,ill. Penna. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA TI N, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMP!! TION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the tronsfer of the above sec;urities now registered in the name of
'I
Decedent and waive the filing of 0 certificate certifying to the payment of the transfer inheritance tax to which
the property of soid,Decedent is mode subject pursuant to the provisions of the Act 01 June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended. This is olso in occordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estote of the
above.nomed Decedent.
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Signed IoU
,/
By
COMMONWEAL TIt OF PENtlSYLVAtlIA
DEPARTMENT OF REVEHUE
BUREI.U OF COUNTY COLLECTIONS
At't'L1LA IIUN FUI~ AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE--4llJ-ll-
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for crosent to the transfer of the following securities of 0 Pennsylvania
Cal?oratian or 0 Notional Bonking Associolian located in Pennsylvania:
~.~-~
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~
(0) 100 (b).J&Dj;ral Illinois Public Sprvice Co. (c) Common
(NOTE: In describing securities enter in (0), ab Ole, either the number of shores of stock or lhe foce omount of
resistered bonds, in (b), the nome of the issuing company and in (c) the closs of slack or the slated interest rote'
on: maturity dote of registered bonds.)
ISSUED ON
, ond having 0 TOTAL MARK ET V AoLUE OF S 1.196.87
(Del.)
OS of the dote of death of the decedent,
Dorothv E. Miller
(Nome of Decadent)
, on Auqust 10. 1980
(Det. 01 deoth) ,
who was lote of 18 Country Club Place West. Camp Hill. Cumberland. Pennsylvania
(S"..t ond Numb.,) (Post Offlco) (Ceunty) (Stot.)
The securities ore registered os follows:
Dorothy E. Miller
(Nomo or nomes In which corlificates oro rcgtsteroll1)
~ Benjamin T. Miller. 28 Countrv Club
EXECUTOR) (Neme)
NAME OF APPLICANT
~OUNTY FILE NU/.\BERv(/-& -S~~ ADDRESS OF APPLICANT
Place West. Camp Hill. Penna.
(Add,ess)
Beniamin T. Miller
28 Country Club Place West
Camp Hill. Penna. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLICANT '
NOTICE: IF YOU FAIL TO PROPERLY FILL IN AHY PORTIOH OF THIS APPLlCA IOH. IT Will HOT BE
CONSIDERED COMPLETE AND WILL BE RETURHED TO YOU FOR COM lETIOH.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
OAT
I hereby consent to the transfer of the above sec;urities now registered in the nome of
Decedent and waive the filing of 0 certificate certifying to the payment of the trcnsfer inheritonce tax to which
the ;>roperly of said Decedent is mode subject pursuant to the provisions of the Act of June 20, J919, P.L. 521,
os c;;;ended and the Act of June 15, 1961, P.L. 373, os omended. This is also in occordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-nomed Decedent.
~
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
8UR~AU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE V l<if'-'
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
. Application is hereby modci lor cCtlsenllo the transfer of the lallawing securities 01 0 Pennsylvonia
Corporation or 0 Nationol Banking Associolion located in Pennsylvonia: '
(a)' 100 (b) American Water Works Co. , Inc. (c) 5% Cum. Pfd.
(NOTE: In describing securities enter in (a), ab "'e, either the numher 01 shores 01 stock or the loce omount of
registered bonds, in (b), the aome 01 the issuing compony and in (c) the closs of slock or the slated interest rote
ond maturity dote of regi stered bonds.)
ISSUED ON
, ond having 0 TOTAL MARKET VA-LUE OF S 1.618.75
(Doto)
os 01 the dale 01 death of the decedent,
Dorothy E. Miller
(Homo of Decedent)
, on AUGust 10, 1980
(Dolo of deoth)
who was late 01 18 Countrv Club Place, West, Camp Hill, Cumberland, Pennsylvania
(Streel ond Numbor) (Posl Ollice) (Counly) (Slote)
The securities ore registered os follows:
Dorothy E. Miller
(Nomo or names in whIch certificates ore rcgisterod)
~~} Ben;amin T. Miller. 18 Country Club Place West, Camp Hill, Pa.
EXECUTOR) (Nome) (Add,ess)
NAME OF APPLICANT Ben;amin T. Miller
R)/ 01 _ 18 Country Club Place West
COUNTY FILE NUI,\BERO(/-d't'-1Z,~ ADDRESS OF APPLICANT Camp Hill. Penna. 17011
BUREAU FILE NUMBER ' SIGNATURE OF APPLlCAHTvl3t;. ,vf';"~;'-I~-'\.l:7i1-t/Ct.<;c.,-
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCATlqJ'l, IT WILL NOT BE ..
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
, DAT
I hereby consent to the tronsler of the above se<;urities now registered in the name of
Decedent ond waive the filing of 0 certificate certifying ta the poyment of the transfer inheritance lox to which
lhe properly 01 said Decedent is made subject pursuant to the provisions of Ihe Act of June 20, 1919, P.L. 521,
os omended and the Act of 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 reference to the estate of the
obove-named Decedent.
r!.\. ~~ ...
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COMMONWEAL TH OF PENN~YLVANI^
DEPARTMENT OF IIEVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
t*~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby madci for CQ1Sentto the tronsfer of Ihe following securilies of 0 Pennsylvania
Carparalion or 0 Notional Bonking Assacialian loco led in Pennsylvania: .
DATE
'h4/f1
J
'-'
(0) 100 (b) A. T _ & T. (c) Common
(NOTE: In describing securilies enlcr in (0), ab Ole, either the number of shores of stock or the (ace omount o(
registered bonds, in (b), Ihe nome ollhe issuing company and in (c) Ihe closs 01 stock or the slaled inlerest rote
and maturily dote 01 registered bonds.)
ISSUED ON
,and hoving 0 TOTAL MARKET VAWE OF $ 5.221.87
(Dole)
as 01 the dote 01 dealh 01 the decedent,
Dorothv E. Miller
(Hamo of Decedent)
,on AUQust 10. 1980
(Dolo 01 dooth)
who wos lote of 18 Country Club Place. West. Camp Hill. Cumberland, Pennsylvania
(S.roo' ond Numb.r) (Post Office) (County) (S'ato)
The securilies are registered as lollows:
Dorothv E. Miller
(Name or name:> In which certificates arc registered)
:Afljd:IN:I1S5E1o~,'i':0R) Ben;amin T. Millerr HI rrmni'r}, rluh Pl""~1 West, Camp Hill. Pa.
EXECUTOR) (Nome) (Add..,s)
NAME OF APPLICANT Benjamin T. Miller
c:j / 0 k/, -? 18 Country Club Place West
COUNTY FILE NUMBER q /- ,.x:-'/6.:'~ADDRESS OF APPLICANT r:>mr \.t;" I PpnM.. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLlCANTJ3L'IL;1~'1/~""'- r;-ll&;J!6--L
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCATI9N, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE.
CONSENT TO TRANSFER SECURITIES
OAT
I hereby consent to the transler 01 the above sec;urilies now registered in the name 01
Decedent and waive the liIing 01 0 certificate certifying to the payment 01 the transler inheritonce 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 01 June 15, 1961, P.L. 373, as omended. 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 operales only in relerence 10 the estate 01 the
above-nomed Decedent.
~' :~t)
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By
~
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COMMONWEAL TN OF PESNSYLVAtIIA
DEPARTMENT OF REVENUE
BURE.l.U OF COUNTY COLl.ECTlONS
APPLlCA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE
1114/ ~,
I ,
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPART/.\ENT OF REVENUE:
Application is hereby mode lor crosent to the transler of the following securities of 0 Pennsylvonin
Corporation or 0 Notional Bonking Associalian located in Pennsylvania: '
(0) 400 (b) Rochester Telephone Corporation (c) common
(NOTE: In describing securities enter in (a), ab Ole, either the number 01 shores 01 stock or the loce amount 01
registered bonds, in (b), the nome of the issuing company and in (c) the closs 01 stock or the stoted interest rote
one! maturity dole 01 registered bonds.)
ISSUED ON
, ond having 0 TOTAL MARKET V A'LUE OF S 7 . 562.50
(Oa'e)
os of the dote 01 death 01 the decedent,
Dorothy E. Miller
(Hame of Decadont)
,onAuQust 10. 1980
(Oa'a 01 deo.h)
who was late 0118 Country Club Place West. Camp Hill. Cumberland. Pennsylvania
(S.reo' ond Humber) (Pa.. Office) (County) (5to'e)
The securities ore registered os follows:
Dorothy E. Miller
(Namo or names In which certificates ore reglslerod)
~RM@R)
EXECUTOR )
Benjamin T. Miller, 18 Country Club
(Home)
Place West, Camp Hill, Penna.
(Addre..)
Beniamin T. Miller
18 Country Club Place West
Camp Hill. Penna. 17011
NAME OF APPLICANT
COUNTY FILE NUMBER ,;(I-"sa -5h:; ADDRESS OF APPLICANT
BUREAU FILE NUMBER SIGNATURE OF APPLICANT /
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCA
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM
I ~.//
v,"l,; ___~
N, IT WILL NOT B
ETlON. '
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the tronsler 01 the above sec:orities now registered in the nome of
Decedent ond waive the liling of 0 certificate certifying to the payment of the transfer inheritance tax to which
the property 01 said Decedent is mode subject pursuant to the provisions of tllO Act 01 June 20, 1919, P.L. 521,
as 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 Trnnsfer the herein described property operates only in reference to the estate of the
above.named Decedent.
'/
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, COMMONWEA~ TlI OF PENNSY~VAtll^
DEPARTMENT OF REVENUE
BUREAU OF COUNTY CO~~ECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPAlnMENT OF REVENUE:
. Applicalian is hereby mode for cQ1senlto the Ironsfer of Ihe following securities of a Pennsylvania
Corporation or 0 Notional Bonking Association locoled in Pennsylvania:
DATE
'1/4/ G'I
I I
(0) 100 (b) Texas Eastern Transmission Corp. (c) cominon
(NOTE: In describing securities enler in (a), ab Ole, either the number of shores of slack or Ihe foce amounl of
' regislered bonds, in (b), Ihe nome of Ihe issuing company ond in (c) Ihe class of slack or the stated inleresl role
and malurily dote of regislered bonds.)
ISSUED ON
,and having a TOTAL MARKET VALUE OF S 6,912.50
(Do'o)
os of Ihe dole of deolh of Ihe decedenl,
Dorothy E. Miller
(Nome of Decedent)
,on Auqust 10, 1980
(Do'o 01 dOOlh)
who was 'ale of 18 Country Club Place West. Camp Hill. Cumberland, Pennsylvania
(S',eo' ond Numbo,) (Post Ollice) (Ceunly) (5'0'0)
The securities ore registered os follows:
Dorothy E. Miller
(NomD or names In which ce-rt1ficotes ore regIstered)
~) Beniamin T. Miller. 18 Country Club Place West, Camp Hill, Penna.
EXECUTOR) (Nome) (Address)
NAME OF APPLICANT Benjamin T. ~liller
18 Country Club Place West
COUNTY FILE NUMBER,~/-)i',-,-?t{o?ADDRESS OF APPLlCANTCamp Hill. Penna. 17011
^
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA
CONSIOERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM
1
N, IT WILL NOT BE
ETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
OAT
I hereby consenlta the transfer of the above sec;urities now registered in the nome of
Decedent and waive the filing of 0 cerlificate cerlifying to .the payment of the transfer inl.eritance tox to which
the property of said Decedent is mode subject pursuant to Ihe provisions of Ihe Act of June 20, 1919, P.L. 521,
as amended and the Acl of June 15, 1961, P.L. 373, os omendcd. This is a'so in accordance with the provi;;;ons
of the Act of April 9, 1929, P.L. 343.
This Consent 10 Transfer the herein described property operotes only in reference 10 the eslate of the
above-named Decedent.
~
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. ~V''''''
Signed fgf'l e Secrelory of Revenue
./ <<~~
. ~ '
,By ~ ' ~
UA;;no0 d4?t~
~ (County)
COMMONWEAL TtI OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURl:AU OF COUNTY COLLECTIONS
APPLICATION FOI~ AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
~~
, .,..........r.>
t': .~...,A'J
. 1'A.i. ~~'P"(\
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~
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
. Application is hereby mode for cOllsentta the transfer of the following securities of 0 Pennsylvanio
Corporation or 0 Notional Bonking Association located in Pennsylvonio: .
DATE 1/!I?6"1
/
(0) 236 (b) Rochester Gas & Electric Corporation (c) common
(NOTE: In describing securities enter in (0), ob Ole, either the number of shores of stock or Ihe loce amount of
registered bonds, in (b), the nome of the issuing company ond in (c) the closs 01 stock or the staled interesl rate
and tnalurity date of registered bonds.)
ISSUED ON
various
(Oo.e)
os of the dote of deoth of the decedent,
, and having a TOTAL MARKET VA,LUE OF S 3,340.87
Dorothv E. Miller
(Hame of Decodent)
, on
AUQust 10. 1980
(Ooto .f deoth)
who was lale of18 Country Club Place West t r."mp Hi 11,
(Street and Number) (PO$t Office)
C':l1mhpT"1:\nn,
(Countr)
ppnn~vl\Tani.a.
(Slole)
The securities ore registered os follows:
Dorothv E. Miller
(Noma or nomes In which certiflcolcs ore registered)
~~) Benjamin T. Miller, 18 r.ollntry r.lllh P1"cp Wpst, r.amp Hill. Penna.
EXECUTOR) (Nume) (Address)
NAME OF APPLICANT R"'nj"mi n '1'_ Mi 11 ",y
.' 28 Country Club Place West
COUNTY FILE NUMBER .::?/-ft -a.7? ADDRESS OF APPLICANT Camp Hill. Penna. 1701>1
BUREAU FILE NUMBER SIGNATURE OF APPLICANT'
NOTICE: IF YOU FAIL TO PROPERLY FILL IH AHY PORTION OF THIS APPLlC IOH, IT WILL HOT B
COHSIDERED COMPLETE AND WILL BE RETURHED TO YOU FOR CO~ LETIOH.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the transfer of the above sec;urities now registered in the nome of
Decedent and woive the filing of 0 certificate certifying to the payment of the trensfer inheritonce tox to which
'the property of said Decedent is mode subject pursuont to the provisions of Ihe Act of June 20, 1919, P.L. 521,
as omended and the Act of June 15, 1961, P.L. 373, os amended. This is olso in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consenllo Transfer the herein described property operates only in reference 10 the estate of the
obove-named Decedent.
f~
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COMMOHWEAL TIt OF PEHHSYL V AtllA
DEPARTMEHT OF REVENUE
BUREAU OF COUHTY COLLECTIOHS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
. }l} ,
1'*"
APPLICATION (MUST BE FILED IN TRIPLICATE) O^TE~
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
. Application is hereby mode for ccosent to the Iro~sfer of the following securities of a Pennsylvania
Corporation or 0 Nationol Bonking Associalion located in Pennsylvonio: ,
(a) 74 (b) Consumer Water Company (c) Common
(NOTE: In describing securities enter in (0), ab Cle, either the number of shares of stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (c) the closs of stock 01' the stated interest rote
and moturity dote of registered bonds.) ,
ISSUED ON
Various
, and having 0 TOTAL MARKET VALUE OF S 1.447.62
(Dol.)
os of the dote of death of the decedent,
Dorothy E. Miller
(Name or Decodont)
,on August 10, 1980
(Dol. 01 d.olh)
who wos late of 18 Country Club Place West. Camp Hill. Cwnberland,
(Sltoot ond Numb.,) (Posl OHico) (County)
Pennsylvania
(Slat.)
The securities ore registered os follows:
Dorothv E. Miller
(Namo or names In which ccrtificoles OUt registered)
~) Benjamin T. Miller. 18 Country Club Place West. Camp Hill, Pa.
EXECUTOR) (Homo) (Add,...)
NAME OF APPLICANT Renjamin T. Miller
....::J 18 Country Club Place West
COUNTY FILE NUI,IBER "1J-~-~~ADDRESS OF APPLICANT Camp Hill. Penna. 17011
~
BUREAU FILE NUMBER SIGNA TURE OF APPLICANT ~ ,
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLIC ON. IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
OAT
I hereby consent to the transfer of the above sec;urities now registered in the nome of
Decedent and waive the fjling of 0 certificote certifying to the payment of the transfer inheritance tox to which
the property of said Decedent is mode subject pursuont to the provisions of the Act of June 20, 1919, P.L. 521,
as om ended 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 Consenllo Transfer the herein described properly operales only in reference to the estate of the
above-named Decedent.
\.'J...
t1>':l:-&",j),
'tn~~.'T ~
/j~- ,.'@~~~
..~.. ~.'''''t''
- -.:.:...?"::J.
Signed for/the Secretory of Revenue
tA -- tJ .,)
By 'A, ~
~) (lgnDI /ir'
"~./ A ,,~ 0-(;-m.&-t~4~-
~ Counly)
,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
DATE :,:arcl1 .it 1031
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Applicatian is hereby made lor consent to the transler of the following securities of a Pennsylvania
Corporation or a National Banking Assacialion located in Pennsylvania:
(a) 7 (b) Rochester Gas and Electric Corp. (c)~ommon
. (NOTE: In describing securilies enter in (a), ab lNe, either the number of shares of stock or the face amount af
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
~"d maturity date of registered bonds.)
ISSUED ON F'eb. 25. 1981
(Oa'e)
os of the date of death 01 the decedent, Dorothy E. Miller
(Name of Decedent)
, and having a TOTAL MARKET V AWE OF S 99.09
,on Aug. 10, 1980
(Date of death)
who was late of 18 Countrv Club Place West, Camp Hil.J...o-CYmberland, Penna. 17011
(Stroot and Number) (Post OHico) (County) (Slate)
The securities ore registered os follows:
Dorothv E. Miller
(Nomo or nomos In which cortHlcotes arc reglslered)
A~
EXECUTOR )
Benjamin T. Miller, 18 Country Club Place West, Camp Hill, Pat
(Name) (Add,...) 17011
NAME OF APPLICANT Renjami n T. Mi 1 1 ~r
COUNTY FILE NUMBER at /-&1 -.-J(;:.jJ ADDRESS OF APPLlCANT18 Countrv Club Place West!
---c mp H~ll, yenna. 1/U1
, I~
BUREAU FILE NUMBER SIGNA TURE OF APPLICANT'
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICA
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COM
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES DATE~.A:J~/fJ"/
I hereby consent to the transfer of the above securities now registered in the nome of the 0 oresaid - ,
Decedent and waive the filing of a certificote certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
*
1~'~l '
IJ ~ "li:,. t\
By
the Secretary of Revenue
, 0.,:r~
/1::u~/d/.Lu0--
(County)
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26,
Invontory 01 Iho roal and personal oslalo 01
Dorothy E. Miller
docoalOd.
1.
State Capital Savings & Loan Acct. #002-19-02932
Interest to date of death
State Capital Savings & Loan Acct. #002-19-02933
Interest to date of death
Dauphin Deposit Bank and Trust Co., Checking Acct. #60-35-70
Bequest from decedent's sister
100 Shs. A. T. & T. @ 52.21875
100 Shs. American Water Works, Inc. 5% Cum. @ 16.1875
100 Shs. Central Maine Power @ 13.1875
74 Shs. Consumer Water Company @ 19.5625
225 Shs. Dentsp1y International, Inc. @ 17.5625
64 Shs. Exxon Corp. @ 70.0625
100 Shs. Central Ill. Pub. Ser. @ 11.96875
100 Shs. General Motors Corp. @ 53.875
100 Shs. Gen. Tel. & Electronics Corp. @ 26.71875
80 Shs. International Harvester Co. @ 30.59375
131 Shs. Interstate Power Co. @ 13.4375
100 Shs. National Distillers Corp. @ 29.375
143 Shs. N. E. Gas & Elec. Assn., @ 14.96875
80 Shs. Niagara Mohawk Power Corp. @ 13.50
200 Shs. Northern Indiana Pub. Servo Co. @ 12.21875
49 Shs. Public Servo E1ec. & Gas Co. @ 19.21875
243 Shs. Rochester Gas & Elec. Corp. @ 14.15625
400 Shs. Rochester Telephone Corp. @ 18.90625
235 Shs. Southwestern Pub. Ser. Co. @ 12.3125
102 Shs. Tenneco Inc. @ 40.21875
100 Shs. Texas Eastern Transmission Corp. @ 69.125
160 Shs. F. W. Woolworth Co. @ 28.59375
25,00 00
9 47
20,00 00
7 78
4,79 37
4,50 00
5,221.87
1,61 .75
1,31 75
1,44 62
3,95 56
4,48 .00
1,19 .87
5,38 50
2,67 87
2,44 50
1,76 31
2',93 50
2,14 .53
1,08 00
2,44 75
94 .71
3,~!) .96
7,56 50
2,89 43
4,02 .87
6,91 50
1,71 .62
2.
II
I
I
I
122,06 .59
COMMONWEALTH OF PENNSYLVANIA } u:
COUNTY OF C"_IItIll!.UD..&Jtr~~
Benjamin T. Miller
being duly
sworn
according to law, deposes and says that he Executor
01 tho Estate 01 Dorothy E. l>liller
late 01 _._____. <:;,<lJ!1P..H:U.l____. u.__ , Cumberland County, Pa., deceased and that the
within is an inventory made by Renjami n T. Mi ller__, , the said~ecutor
01 the ontire estato 01 said decadent, consisting 01 all tho porsonal property and real ostate, except real estate outsido
the Commonwealth 01 Ponnsylvania, and that the liguros opposite each item 01 the Inventory ropresent it's fair value
as of the date of decedent's death.
Sworn to
Ii .., '--j 'p/J
,,,r'tJVj"UI/-t""'l'../ /F{7-[.e;~1.
" El(Ocutor-~
and subscribed bofore mo,
UL~t.<1L ,-;>-3
4<djM /1/ Jk-<7/
19 81
IB-CQuntry-Club Place West
I:..u;"~_. .'. ;:.
>-"., ;" ..}
j
r~mp Hill, Penn~y]vania 17011
Addr.u
(\,:''.'1,'':. .
1','1 i ~;' . .
Date 01 Death
10
Day
Auqust
Month
1980
Vur
INSTRUCTIONS
I. An inventory must be filed within three months alter appointment of personal representative.
2. A 'supplement inventory must be filed within thirty days of discovery of additionala;.ets.
3. Additional sheets may be attached as to personalty or realty
4, See Article IV, Fiduciaries Act of 1949,
, "
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.. ' COMMONWEALTH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(Instructions on Reverse Side)
'*
Estate of DOROTHY E. MILLER
Last Address 18 Country Club Place West
Camp Hill. Penna. 17011
'n;'_
Date of Death
Auaust 10, 1980
Social Security No. 074-32-0082
ICITY)
ISTA TE)
(llPI
Bureau File No.
I. Decedent died:
( ) Intestate (without 0 will)
( x) Testate (leaving 0 lost will--copy allached)
2. Is the filing of a Federal Estate Tax Return required for this estate?
01)/ ~-) /-;/ _,
County FileNo. ,'?( -,oL -'-)t'/',~ ,
3, (x) Executor/Executrix
Yes...x...- No
(
Administrator/ Administratrix
Name
Beniamin T. Miller
Address
18 Country Club Plac~ We~t
Camo Hill. PennsVlvania 17011
(CITY) 1ST ATE) {ZIP'
4. All correspondence should be moiled to ( x) Attorney
(
Fiduciary.
C') c::d
...,.- :0'"
c:.... ~ ....~
:c~
""- :x ::20
fTl~~ ,',"';0
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?~:-11 ::l -,,11'
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S. If on attorney is representing the estate, indicate:
Name
William J. Madden. Jr.
Address 240 N. Third .s:t.... P. O. Rox 877
Harrisburg. Pennsylvania 17108
(CITY) (::iTATEl (ZIP)
List all safe deposit boxes registered in the decedent's individual namer or jointly with, or os on agent or deputy
of another, or in decedent's individual nome with right of access by anotner as agent or deputy. Include the name
and address of the bonk or other institution where the safe deposit box is located, the nome (s) in which the box
is registered ond the relationship of the joint holders to the decedent.
NAME ANO ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH OECEDENT MAINTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHiCH
SAFE DEPOSIT BOX IS REGISTERED
RELA TIONSHIP OF JOINT
HOLOERS TO DECEDENT
;
,
I,
Dauphin Deposit Bank and Trust Co
Doroth E. Miller or
213 Market St. Harrisbur
a
Ben'amin T. Miller
Under penalties of perjury, I declare that I hove examined this return, including accompanying schedules and
statements, and to the best of my know/udge and belief il is true, correct and complete,
1...2' ',-- "J- ,
V I i.kt'lIC~)}l<~" I I J /l(il/;'.c,
I --lltNATURE OF FrOUCIARY
/JLCiL./9. /9$1
.,
DATE
I'
;.fEY-UO EX+ U0-60>>
COlollolONWEA\. TH OF PENNSY\.VANIA
DEPARTIoIENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEOENT
SCHEDULE" A"
REAL PROPERTY
(Instructions on Reverse Side)
i ITEM DESCRIPTION ESTIMATED DEPARTMENT
i NO. MARKET VALUATION
\ VALUE (OFFICIAL USE ONL YI
I
\
i
I
I
NON E
TOTAL None ^t.~,., ,
. . 1" " '~
ESTATE OF DOROTHY E. MILLER
If add'l1ono\ spoce IS necessary, use BVl x 11 sheets.,
l.'~~v~~~~.~~~~;~ OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEOEN T
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
SCHEDULE "B"
PERSONAL PROPERTY
(Instructions 011 Revers(.' Side)
Estate of DOROTHY E. MILLER
ITEM
NO.
DESCRIPTION
UNIT
YALUE
1.
State Capital Savings Association, Acct.
#002-19-02932
Interest to date of death
State Capital Savings Association, Acct.
#O02-19-02933
Interest to date of death
Dauphin Deposit Bank and Trust Company,
Checking Account #60-35-7010
Bequest received from Decedent's sister
100 Shs. A. T. & T. 4/ A I 2.2187
100 Shs. American Water Works'WcrC.<V1liU 6.1875
100 Shs. Central Maine Power 3.187
74 Shs. Consumer Water Company 9.5625
225 Shs. Dentsp1y International, Inc. 7.562~
64 Shs. Exxon Corp. 0.062
100 Shs. Central Ill. Pub. Ser. 1.9687
100 Shs. General Motors Corp. 3.875-
100 Shs. General Tel. & Electronics 6.7,1875
80 Shs. Internationa1.Harvester 0.5937
131 Shs. Interstate Power Co. 3.4375
100 Shs. National Distillers Corp. 9.37~
143 Shs. N. E. Gas & E1ec. Assn. 4.9687
80 Shs. Niagara Mohawk Power Corp. 3.5Q-
200 Shs. Northern Indjana Pub. Servo 2.2187
49 Shs. Pub. Servo Electric & Gas 9.2187
243 Shs. Rochester Gas & E1ec. 4.1562
400 Shs. Rochester'Te1ephone Corp. 8.90625
235 Shs. Southwestern Pub. Servo 2.3125/
102 Shs. Tenneco Inc. I'C,J/3.5'~ 0.2187
100 Shs. Texas Eastern Transmission
60 Shs. F. W. Woolworth Co.
2.
3.
~,~,
* ,'>~'
, .~.~t.
.,'~dr;g1~";J:.t.
ESTIMATED
MARKET
YALUE
DEPARTMENT
VALUATION
(OFFICIAL USE ONL Y/
$25,000.0<Y'
93.47/
20,000.00~
74.78....
4,797.37.....
4,500.00-
5,221.87,..-
1,618.75--
1,318.75-
1,447.62....
3,951.56-
4,484.00-"
1,196.87-
5,387.50-
2,671.87_
2,447.50-
1,760.31-
2,937.5CY-
2,140.5Y
1,080.00/
2,443.75-'
941. 71....
3,439.9lY'
7,562.50.....
2,893.43--
~,021.87)
6,912.50..-
1,715.62.....
'till, n
If additional space is necessary, use B'i" x 11" sheets.
TOTAL $122,061.5~
/.l"t /.5'/. ~ e;t
..
,.\~~,,#
"~.:I
WJ~
STATE
CAPITAL
'SAVINGS
ASSOCIATION
im
William J. Madden
Attorney at Law
P.O. Box 877
Harrisburg, Pa. 17108
DATE: August 22, 1980
DECEDENT: Dorothy E. Miller
D.O.D.- 8-10-80
#!m2.-li-02932 BALANCE AS OF DATE OF DEATH $ 25,000.00
ACCRUED INTEREST 93.47
DATE OF DEATH VALUE $ 25.093.47
DATE ESTABLISHED
MATURITY DATE
ACCOUNT TITLE Mrs. Dorothv E. Miller
#QQ2-l9-02933 BALANCE AS OF DATE OF DEATH $ 20,000.00
ACCRUED INTEREST 74.78
DATE OF DEATH VALUE $ 20,074.78
DATE ESTABLISHED
MATURITY DATE
ACCOUNT TITLE 1111
#_- BALANCE AS 0];' DATE OF DEATH $
, ACCRUED INTEREST
DATE OF DEATH VALUE $
DATE ESTABLISHED
MATURITY DATE
ACCOUNT TITLE
#_-. BALANCE AS OF DATE OF DEATH $
ACCRUED INTEREST
DATE OF DEATH VALUE $
DATE ESTABLISHED
MATURITY DATE
ACCOUNT TITLE
THE PENALTY ON PREMATURE WITHDRAWALS OF TERM INVESTMENTS
IS WAIVED PRIOR TO THE INVESTMENTS RENEWAL DATE. TO ACT UPON
ACCOUNTS HELD IN AN ESTATE WE REQUIRE A SHORT CERTIFICATE"OF
CURRENT DATE: A DEATH CERTIFICATE ON JOINTLY HELD ACCOUNTS.
CONTACT US FOR ANY FURTHER INFORMATION.
.I
BY:
\._ I ..;
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.'.,.... .
) -.'
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106.114 NORTH SECOND STnEF.T. P.O. BOX 1881, HAflnlSEJUnG. PENNSYLVANIA 171~ (717) 23&8252
.~~~
---.--
,"
D
Dauphin Deposit Bank
and Trust Company
MAIN OFFICE: 213 MARKET STREET. HARRISBUffG, PENNSYLVANIA 17105
717255,2121
August 26, 198n
Beckley, & Hadden
Payne & Shoemaker Building
240 North Third Street
P. O.Box 877
Harrisburg, Pa. 17108
He: Dorothy E. Miller
August 10, 1980 Deceased
Attn: William J. Madden
Dear Mr. ,Madden:
In regards to the above mentioned, we submit the following information as of the
date of death:
Checking account #60~35-7010.opened 1~31-79 balance 54797.37 In the namp of Dorothy
E. 'Miller.
If we can be of any further assistance, please do not hesitate to contact us.
Very truly yours,
~~' ,
\ ' ,.
'\ . ~,~ ;,
.>-~' ,l\."",- (/"1.7,, ?'-( L.'
JoAnn c. Stover
Account Service Officer
JCS/lf
REV-,.,2 EX+U-SO)
, COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "C"
TRAtlSFERS
Estate of
Dorothv E. Miller
INSTRUCTIONS:
1. Answer t~le questions on reverse side.
2. If the answer to any of the questions on the 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 Wlom transferred and
relationship of transferres to decedent. Attach a copy of any trust, deed, or instrument relating to the transferred property.
, r
ITEM DESCRIPTION ESTIMATED DEPT. VALUATION
NO. MARKET VALUE (OFFICIAL USE ONL Yl
NON E
TOTAL ^J,,-,~, ) ,1'tYff'
y
1/ additional space is necessary, use 8112" x 11" sheets.
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Ves" or "No".)
2. Did decedent, within two years of death, transfer property from himself/ herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Ves" or "No".) -
3. If the answer to one or two above is "Ves" and the transfers are claimed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer.
b. Copy of death certificate.
c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer.
d. All other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Ves" or "No".)
a. Was there any possibility that the property transferred might return to transferor or his/hel estate or be subjcct
to his/her power of disposition? (Answer "Ves" or "No".)
b. What was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration thcrefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end beforc his/hcr
death:
a. The possession or enjoyment of or the right to income from the property traosferred? (Answer "Ves" or "No".)
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Ves" or "No".)
6. If the answer to five b. above is "Ves," was the right reserved in decedent alone ( ) or decedeot and 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".)
8. Did decedent, at any time, transfer property, the bmeficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Ves" or "No".)
9. If the answer to eight above is "Ves," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone ( ) or decedent and others ( ).
....
III
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a4~ Ol d!4SUO!lelaJ pue ssaJppe 'eweu a4~ apnloul ,;a.. alnpe40s JO! SUo!~onJ~SU! a4~ U! pa~eo!pu! se
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INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
[i] Originol
o Supplementol
o Remoinder
File Number
21-80-0562
Estote Nome
Dorothy E. Miller
Dote of Deoth
August 10, 1980
Social Security Number
074-32-0082
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and far the County of Cumberland
Pennsylvania, do respectfully report that I have appraised the real and porsonal property as reported in the foregoing
return at the values set forth opposit~ each ite-m in the last column to the right in Schedules "Au, "S", "e", and liE"
Dated: April 20, 1981 );/n: 1 /'/r'flh.nJ)
INHERITANCE TAX APPRAISER
INVENTORY
ADJUSTMENTS
VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
00+
122,151 60 10+
None 2D+
None 30+
122,151 60
40-
REMAINDER APPRAISEMENT CODE
Real Property (Soh.dul. A)
Per.onal Property (Schedul. B)
Jolnt.Held Property (Schedul. E)
Tran.f.r. (Schedule C)
TOTAL GROSS ASSETS
Less D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Life Estate
o Annuity
RATE
FACTOR
PRINCIPLE VALUE CODE
I
COMPUTATION OF TAX
$
$
S
$
$
FOR USE OF REGISTER ONLY
TalC on $
~
6%
TalC on S
15%
Tax on $
Tax on S
Tax on S
Exemptions
Total Estato
$
$
$
TOTAL TAX
INTEREST FROM
BALANCE
TO
Less Credits
DATE OF PAYMENT
INTEREST
TAX CREDIT
AMOUNT PAID
OISCOUNT
S
+ S
S
$
=
...
=
INTEREST FROM
BALANCE OUE
BALANCE
TO
S
S
S
93-
REV..IB FO (70801 '
.~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Mr. Benjamin T. Miller
18 Country Club Place West
Camp Hill, PA 17011
RE: Estate of
County of
File No.
Dorothy E. Miller
Cumberland
21-80-01)62
Dear Mr. Miller:
You ore hereby notified that the original
appraisement in the estate of Dorothy E. Miller
has been filed in the office of the Register of Wills of Cumberland
County on Aoril 20 , 19l1l... Said oppraisement reflects the following valuations:
Real Estote
Personal Property
Jointly Owned
Transfers
Total
None
$122,151.60
None
None
$122.151.60
As to such tax that is paid within three months from dote of death, 0 five (5%) percent
discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months
when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when
death occurred prior to December 22, 1965) from dote of death, interest at the rote of six (6%) percent
per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within sixty days
offer receipt of said notice os provided by Section 1001 of the Inheritance and Estate Tox Act of
1961,72 P.S. 2485-1001, P.L. 373.
Dote
April 20, 1981
Ai7~, /" r{'fI'Ji" yj )
Chief Appraiser
Signed
Title
NOTE: This is not 0 bill.
. ,
. REV-457 (1.80)
I . COMMONWEALTH OF PENNSYLVANIA
I DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
: RESIDENT DECEDENT
I
I
I
,
I Estate of Dorothy E. Miller '
,
INHERITANCE TAX
APPRAISEMENT
'*'
-
File No.
21-80-0~6::>
County
Cumberland
Date of Dp.ath
AUll:Ust 10. 1QRO
In the event that any future inte,slt In this estate is transferred In possouion or enjoyment to collateral heirs of the decedent after the expiration of any
estate for life or for years, the Commonwealth heroby expressly reserves tho right to appraise and 8S58SS transfer inhoritance taxes at the lawful coUlteral rate
on any such futurelnterert,
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "6"
3. TOTAL TRANSFERS - SCHEDULE "C" . . . .
4. TOTAL JOINTlY OWNED PROPERTY - SCHEDULE "E"
TOTAL REPORTED PROPERTY
$122,151.60
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL UNREPORTED PROPERTY
None
TOTAL GROSS ASSETS
$122,151.60
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify thot the above appraisement is made in conformity with Pennsylvania law and has been filed this day
with the Register 0; Wills.
.cd".J7H j" J7'?l.'j;"1ft )
APPRAISER
April 20, 1981
DATE
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REV0455 EX" (3-80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
.I'i'r7
Estate of DOROTHY E. ~IILLER Date of Death Aua .10,19oole No, "'" '/- ,; (. ,., ,-:jZ.,;),
WHEN CLAIMING THE FAMI L Y EXEMPTION, COMPLETE THE FOLLOWING:
Claimant
Ben;amin T. ~liller
Relationship to Decedent
Husband
Claimant's Address at time of Decedent's Death18 Country Club Place Wps t, Camp Hill, Penna. 17011
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
Ben;amin T. Miller Family Exemption 2,000.00
~lvers-Hall Funeral Home Funeral Services 2 677.00
Beniamin T. Miller reimbur ement for followina:
St. Stephen's Cathemkal Me lIorial Fund 50.00
Dean Mintz, Funeral Servic "S 75.00
Flowers 20.00
Oraanist 25.00
Music bv Bovs' Choir 40.00
Sexton 15.00
Reqister of Wills Probate 55.00
Witnesses on will 50.00 330.00
Pa. Department of Revenue Balance 1980 tax 338.00
!Internal Devenue Service II II " 518.00
IRrackendorf Memorials Cemetery ~larker 585.00.
St...'Sd:ephen's Ga:thedral Balance 1980 Commitment 45.00
Medical Exnenses not allowe j bv ~ledicare 40.00
ronDo
,
Renister of Wills Filinq Inventor.y, Debts & Ded. 8.00
Notary Fees on Renorts 1.50
William J. ~ladden , Jr. Attorney's Fee 5,650.00
~~~~~ile",~~~ ~~n~Ht,1~:L ~~1~~'; I~~ g~m~)~~~~ re transfer of stoc ~~.~~
Reg~_s ter of \'lills, Short ( ertificates 16.00
_. '-:- n _ -;-- --.-,---- ,.-- ---
-
TOTAL I 512 2'11.35
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,
, ,';JOt ;OM'" ';-"7 tt.., !JjC,.,Ij)CjSI
SIGNATURE OF FIDUCIARY DATE
OFFICIAl: USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S I.?, X/!- )j'/j- AT
o
% TAX RATE
tJ~' /~ ~
I 'c... ' 'A/'Z.4
}A7f'REOISTER 0 WILLS
1;--//-0/
QATE
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the decedent priar ta his/her death are deductible against his/her taxable
estate. In additian ta debts incurred by the decedent ar estate, other items are c1aimoble including the cost af
administration, attarney fees, fiduciary fees, funeral and burial expenses including the cast af a buriallat, tombstone
ar grave marker and ather rP.lated burial expenses.
All debts being claimed against an estate ole subject ta the approval of the Register of Wills with wham the
Inheritance Tax Return is filed. Evidence ta support the decedent's ar the estate's liability for the debts being
claimed shauld be attached ta this schedule.
A family exemptian may be claimed by a spouse of a decedent who died damiciled in Pennsylvania. If there is
no spouse, or if the spouse hos forfeited his/her rights, then any child af the decedent who is a member af the sume
household can claim the exemption. In the event there is na such spouse or child, the eXllfT1ptian can be claimed by
a parent ar parents wha are members of the same hausehold as the decedent. The family exemption is allowable only
agaillst assets which pass by a will or by the Pennsylvania Intestate Laws.
NOTE: Compensation paid to an estate representative; namely, an executor or administrotor, for services
performed in administering an estate is reportable for Pennsylvania Incame Tax purpases. This taxable income
item should be reported on farm PA.40.lndividuallncome Tax Return.
t"" '" " ("l ~ t"1 ~ ~
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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 and the amaunt claimed in the amount calumn.
2. Assign consecutive numbers to each item listed.
3, Enter the date on which each debt was incurred and/ar paid.
4. Enter the oomes of each payee.
5. Pravide a brief explanatian in the ren,arks column far eoch debt c1oimed.
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 BYz" x 11" SHEETS.
Purpose pI Notice:
To Renllt Payment:
Refund (CR):
Interest:
Ohjections:
Administrative
Corrections:
Tc h.lfdl Ill+' lI'qtl;I('ll1\'J1t~. III SI:nillll 17.1:) (il'l of the Inlwrilil!1Ce .11lt"l Estate Tax Act of 1982 (72
P;l. C, S, 5,'ClI":) 17,15 1!J1)
Dd;:ch till' top port:'):1 uf Ihl~ Notlcl..' "ntl ~ttltlllll "',lIh Yl~lll P.-JyllllJlll 10 the Hl'~Jister of Wills,
. /\(hl'l'S~ IIl!nrllldllon I, li'ili'd on PdCjt' 15 of tl\l' !l~}nkl(,t, "Instructions lor Inhcltli'lllCe Tax Return
fOf ,I nt~~idl.:llt Dl:C+'d('Il\ ..
. i,bk!.' chtck (II 1l1Ull"\, nIdI'! pdYd!J1,' to' Bt!gis1er of Wills, Agent.
^ lI:ftllHI III a l;IX ('(lilt '11.1,' iJ,~ rl'qll,.'~,:(:d 1)'( cOlllpll'llnq;Hl "Application for Refund of Ptmnsylvilnia
lrill"IIClIlCI' ilnd F~t;i~l> LJ.\" \forrn nrv 1:~i31 ^ppllCdll0l1S jllt! aV<.IlI.lblt, lit tile Office of the Regiswr
uf WillS, JI,Y of tIll' :?~ HI:.I'tlUI' DI~t1lf;! Of"u"~, (If !rom the Department's Forms Service Unit by
c;l!:iflfj (1171 233,::;.1,l]
Pt~llflS'{I'...lIlid E...tdli: T;p' [';l'ol'd ull thl~ Fl;(ba! btall' T iJi\ rt'lllfll IleCOllWS delinquent at the expiration
of 1"ljhl(,I~11 (18! tnfJtl:h jrlllT~ diltt' of d'~Jlh
4D IIH1!If'St i.. r.:.lkuli1lf:d Oil d d,III'/lli:lsis ,II tit!' !t.'lrn':lf1q lilies:
O"linquent Date
^nnual Interest Rate
Daily I nterest Factor
:).'27 '43 to ,md IfH:I,:drlll; 12 ':{1 ,81
1,1:82 tu ant! inclll<lil1'J 1/,31 '82
1/1.'83 !lJ :!lld illC::ldl'HI 12/31 ,B3
1,.'1/8410 .jlld r!lcllHjlll!112:31,'8.1
1/1/85 !O<II:d Hlclwlinfj 12'31/35
6"
"
.000164
.000548
.000438
.000301
.000356
20'~;,
1 G(~"
11[.';,
13',';,
. ESLJ:(~~ tl1;l: h"Cdlllf' d'~lnqlJr~llt 011 O! 1)('lnll: O,!cemtwr 31,1981 will mainwin () constilnt intercq
lilt',' utlld Ill,> d.~lllnllH'1l1 Iii" bitlal1c,! is paicllll full.
II [S1il;r.... lh~\ iJec;lm'~ fj.:linqw!nt on 01' dIll!! JdlHliHY 1, 1982 ;Hn subj/!Cl to il vari.ible interest rale
1 h;il dldllQC<; [';IC~l r:,lh:nd;;J! VI'iJt.
. ill;l~rt'~;, I~ C,dClli;l1r'd Ii'. foli.,',\',>
INTEREST c BALANCE OF UNPAID fAX X NUMBEIl OF DAYS X DAILY INTEREST FACTOR
4> An,; ~J()IIU: >~,~It:'rI d!"'! tIle 1;1;" b,'r'\)ll1'.'~ dldll1flllf'1l1 \';r1! IIdlccl all inll!rest c,'!!culiJtion 10 fiftl!l!!)
(151 d:W<' hr:VQlld lh. da:., 01 :IH' i",:":5:.T1wn!. Ii 1';I'{lIH'l1t IS made ;,fwr tlw jnlerc~t computation
rl:lll~ )11,'\',"1 or, ltw fI!Oll\:':, ,l(ld!\l(llliJ[ i[ltL'lc~1 rllll~t Ill' Ci1klllil!,~d
All.... P,]':y in 111\,0(,",1 1:111 ',,:ll:;!:,;(j (',Il!lll!!' ,1','ll'll1llll;lllllfl ur ilSSP~.5Ilwnt of lax (includ;ng iml!rest) as
-;111,':,(\ (,11 !Iii", ~.J\lll':l' Ill,,",' (Ihi>:c! ,::"I1r1o ',1>:ty (GOi diJ)'~ of Il,!:pipl of lht~ Not~ce ,IS follows:
hv \'nrll":' p'ot''',; I') llw :1t'P;I!It1I1.rll (lj !\1".'.lliJ", [{oald of Appl:al<;, r.o. 130)\ 1874, HillrisbufU,
P!\ lliO~ ()f{
1)..1 l'!t'C!ItHl III ;'011.1,' Ill" l1~,!lI:'r rj.-'t"!rl\ldt~rl ,II till' ;rlldit uf II)!! ilCCOIJllt of the pt!ISOllill rl!pre.
~l'nl,t!:'~c OR
II',' ;!fll)(~i:ll f(} I hI' r II ; 1~1;111;' (> Jr I t (
F.;JCllJlI "rIOt', (hCil'.t:f.,(1 Oil ,hl~ 11 t<.'lIlHl;I!I(J'l ,l~1(1 i]S:.I',>,>tlwnt ;,hUlJld be addressed in Wlilinn to:
PA D('P,;rlllll'1l1 of !11:tt.'rl'Il', BWLalJ 0: [>:i1111inalllJll, P 0, Bo:o 8327, H,urishurH, PA 17105. See
I'd:!" ~ ~rf tht, !1t):)J..;!"1 ":nS'/II.:liuIlS fo! Inlwrit,lI1Cl' T,ol fl(~tllrn for <I Rf~sidellt Decedent" for an ex.
[1:,;11;1';0'1 c: ;rdrnill;"Ir;li:'JI'tv nH~l:c~;dl!t'I'I!Or';.
~ REV. 736 EX (03-661
NOTICE OF DETERMINATION ANO
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
CLOSING LETTER IDATE
Q5-19-86
ESTATE OF HILLER DOROTHY E FILE NO. 21 80-0562
DATE OF DEATH 08-10-80 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT
TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO: "REGISTER OF WILLS. AGENT."
COMMONWEAltH or rENNsn~AHIA
DEN.R1NENl Of R[\I[Nl1l
OUR[AU 01 INDIVIDUAl TAxes
r,o. flOX llJ21
HARRISflURG PI. 1710!>
ACN
202
BENJAMIN T MILLER
C/O WILLIAM J MADDEN JR
PO BOX 877
HBG PA 1710B
PLEASE RETURN THIS
PORT ION TO REGISTER OF
WILLS IF PAYMENT DUE
,Amount Remitted to Register of Wills
~lorLA.!-9~~ _ 't::HJ~ .L!tI!.E, _ _ _ _~_. . _F!.E.:r~~N, J,.<?~~~ ,P,O_R.:r~O_N. ~<?~ ,Y,O,U.R. ~IJ,.~~ _ __ _ ,~_ __ __ _ _ _ _ _ __
REV. 736 EX (03-861 "NOTICE OF DETERMINATION AND ASSESSMENT
OF PENNSYLVAIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER"
ESTATE OF HILLER
DOROTHY
E FILE NO. 21 80-0562
ACN 202
DATE 05-19-86
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
2, Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
3, Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
4, Total Inheritance Tax Assessed
5. Pennsylvania Estate Tax Due
6, Amount of Pennsylvania Estate Tax Previously Assessed
Based on Federal Estate Tax Return
7, Additional Pennsylvania Estate Tax Due
'~ .pO.
:'1,.....,
,"', .
6,594.59
:;::
':'
.00
6,594.59
.00
.00
.00
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
INTEREST {-I
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
.00
.00
.00
, IF PAID AFTER THIS DATE SEE REVERSE SIDE
FOR CALCULATION OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN $1 DR IS REFLECTED AS A "CREDIT" (CR). NO PAYMENT IS REQUIRED)
~~
~--~~-_.........
-..-------'---------,------'-- ------
-
TAX AT 6~o
TAX AT 15%
RECEIVED
FROM
\
'ADDRESS
Ben amin T. Miller
TAXAT_%
.....
..~..
....-...~ -- ~ -- -~
.. REV.11112".(
~ j COMMONWEALTH OF PENNSYLVANIA
4 No,K 29534 OEPARTMENTOF REVENUE
, OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
I
"
.
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II
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Club Place West
18 Countr
ESTATE TAX
TOTAL TAX CREOIT
278.80
'--EsTATErnFORMAT~7--------------------------
DATE OF DEATH
FILE NUMBER
21-80-562
May 20, 1981
DOROTHY E MILLER
Cumberland
m
o
LESS DISCOUNT
( .005)
PLUS ~.INTEREST
(FROM 5-10-81 TO 6-10-81
1.39
DATE OF PAYMENT
NAME OF DECEDENT
COUNTY
---------- -------- ----------------
~ POSTMARK nA TE
;' QEMARKS' ~PAID IN FULLu
~
RECEIVED BY
TOTAL AMOUNT PAID
280.19
SEAL
nEGISTEn OF WILLS
~.
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, -' I
/ j/~(.~
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I,/, SIGNATURE
Mary, C. Lewis
Reglster of wills
----- -- -- ----- -- -- ---- - - - ---- -------
.m._