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OATH OF SUBSCRIBING WITNESS
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COMMONWEALTH OF PENNSYLVANIA
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COUNTY OFGJjMBEHLAND
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This............... ,...................,.. ....,............................. day of..... ......,..,............ ,.....', ............. ,(,..,....,...., A, D., 19......."
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before me Richard E. Andd?so,~:, Hegister for the Probate of Wills and graryn(letters of Administration
in and for said County of ClImberla~d, in the Commonwealth of Penn~lV;;nia, personally came ..............
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the subscribing witnesses to the foregoin~'-il!strument ot/riting purporting to be the last Will and
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Testament of ........ ..............,. .........,.......... ............., ..,;.,..,....<.:...................,. ,.... Dated ........................ .......... ......,
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late of..........,...................... ,......,..................,....,......../,..:'::.,_....,................, Cumberland County Pa., deceased
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who being duly....,..............,..............,........ accdi:ding to law, de~se and say, that ....,......,................,..........,
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present, and saw and heard the testa..:..;,:........,........,......, ......,....~....:,..............,............,......,..,.......................
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sign, seal, publish, pronounce and declare the said instrument of writingas and for h..........,...., Testament
and Last Will, and at the tilJle'~;'so doing ............,...................................,w~J:.sound and disposing mind
memory and understandiri~, to the best of ..................,..........................,knOwled~bservation and belief,
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...............................................................1.,:................
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........................::::'.................., and subscribed before
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AFFIDA VIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND I
..,........,..,......""", !:,~7.~,~.~" ,~,:.., ,~,7.:,!,~, ~,~,..!.!:,:," !,!-,Z::~., ,\,!S? ,fI"rt, r.".?"". J. r. XI,+, !i.",."""".,........."",.,...".", being duly
............~:'!.'?7.!:......,.................. sayS( that as nearly as can be ascertained the said decedent ...f.!'!)},f.......,.......
"",...., ,~1,'?-,?, ~,~',1?:"""..".,.."""""..""...""""...""""""..,."..",.."",.."",..."""...""."""".....""""",..,.."., "",'. .died on
...........~~!:,~~1...................,...., the ..,......~,~,?,?~,?.......,..day of ......,~,:,?~~,~~X..........,.....,....,...... A,D" 19~,~...,
at Of about ,......,.....!?,;,QQ................,... o'clock, J',M,
..............~,~(~r.X!,"""",......"..,..,..and subscribed this
..............,.......~,~,~~................. day of .....,~~~~....,.....
19.~l...., befofe
../i4~~m..
Harold S. ir;'l.J;I:'j~r.
..:,~~~'...~"'~~~{,~~......,',.,'
R.d.lIrd" ..~ son, Heg~'"
.'j;:"c
Roger
I
_ '~ d~,-
B. IrN1n
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUN'rY OF CUMBERLAND SS:
Before me. the Register for the Probate of Wills and granting of Letters of Administration in and for
the County of Cumberland. personally came ....,!!,'!,:.~.~.~1,..~.~..J~,y!,~,:!,~,..~,~,:..,~.\\?,..~~fi,<;l,~..,?,'....~:.:1,~!:.....
who, being duly ......~.\;(~r.,l!.......,.... do .....,.... depose and say that as..........~,~,~R,Y,~~,r.~.................................
of the last Will and Testament of ..,....................,~~~,~...~~,'!,~,l!,~,~........................................................deceased
.......!i,I:1~il........, will well and truly administer the goods and chattels. rights and credits of said deceased
according to law, And also will diligently comply with the provisions of the law relating to Transfer
Inheritances, ......~,\;(~!':',t:1.......... and subscribed
before me,
........... ..,...~~~~....~~......~,.............. A, D,.19,~,L..,..
,....... ...,141. ..,(I..:.. .. . "(,.:.-~..............,...
n, He Ister
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DECREE
Be it remembered that on the ......J,~~):1..,...., day of ...........~,~~,~~!.,y..............,..... A, D" 19 ?,L., there
was probated and recorded the last Will and Testament of ...........f..'?:\!,~..,l,!~,?,~!':',~.........,............,..............."
late of ........J!.9.~:!i,l:\)!,~,~l.t9,n...T,~y!,\1R)).:l-,p........,..,......., Cumberland County. Pennsylvania, Deceased, Letters
......., 'F.,~,? ~,~I!}!:,\\ ~ ,~n~...."""",...... were granted to ,~~!;,~, ~9",~,:", ~ :..':: ~!:.1." ~,:.:...,~ !:9.., ~,?,~~ ,~..,!?, :... Jr..~f:!.l.
Witness my hand and official seal the day and year aforesaid,
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........~:ia.r~...~~..: .. t::~~
d~ E. ..I.de n. Register.
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CllMMONII'EALTlIllF I'ENNSYL\',\NIA
IJEI',\RnIENT 01' RI':\'I'NUE
IIUIUc,\U (II,' COUNTY COI.I.ECTIONS
tJ /. fl - }oy
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RCC.33 (4.731
RESIDENT DECEDENT
COUNTY OF _c;,UFI~~I~:,AND
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IMPORTANT,
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Thi100 IclullL muSI he l.:uILllllcll't1 ill dcl.lilulId filed ill t1UpIH:ilIC, \\'Ilh ;111 1I1111dwd, Wllh the Rc~oslcr of Wills (Jf the
ClllIl\I~' wlll~rc decedellt ll'sidctl; Rt'llllll is due wilhillllilll' lIlonlh!; ufler dale Df dellth, ulllcss 1111 cXlcnsil)1l i:; gnllllctl
hy tht' Scclclary of RC\lt'l\IU'. ISl'l'l101l7lU of the Inhcrilancc 1II1d E:-;I,ltc Tux Act of 1961.1
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IN TilE MATTEI! OF TilE ESTATE OF
Loto of
Cumberland
} AFFIf)AVIT OF
',XU'llrOH
All\IINISTRATOR
County
Paul Macura
(STATE FULL NAME OF [)ECEDEr-.jT)
Stale of
PennsylvaniE-
Cumberland
Harold S,
--1'"
County of
X<liilllliSliliK>K
Irwin, Jr. and Roger B. Irwin
. -_..~ --..---------
Executor
of the estot~ of the above-named decedent being duly sworn, dopose
and 50y
IMONTH)
NOnlo and address of attornay or }
other authorized representative 10 whom
all correspondence should bo moiled,
(DAY)
, It)~{lesluto leaving a lost will, copy of which is heroto otloct\lld, }
(Y EARl into51ale
Decedent lIicll
February
2
That as suchJ..xecutors dcpnnr.:nt is familiar with the affairs of said estate and the properly constituting
(EXEr:UTO R7t<)~OON)X"t1<<XOOiX
the assets thereof and their fair 1l1:.lrkl~t valuc.
That at the limc of dcalh there was no safe dcposit hox registered in decedcnt' s indi\'idualname, or joinlly wilh, or
as agent or deputy of another. or ill decedcllt's individual Ilil lIle , with right of acccss by another as agent or dCllUty, with the
ext:l:ptiol1 of the following: -
NAME AND ADDRESS OF BANK OR onlER INSTITUTION
IN .....HICH DECEDENT RENTED A S.~FI.'-; DEP.05IT B<.?X
Fi~"~ N~~inn~l R~nk nf Ship~ahur
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Paul F. Macura
That the contents of said safe dcposit bux or boxes arc itcmized under Schedules
with the exception'of thc following, for the reasons hcreinafter set forth:
of this return,
That Schedule A attached hereto and made part hereof sets forth fully and in detail all the real property.
in the Commonwcillth of Pennsylvania of whit:h decedent died having an i1Heresl thcrein. It also sets forth the
mortgage encumbrances UpOIl cach parcel of real property at the date of death, giving the amount still due at
death, namc of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the
columns provided therefore the asscssed valuation of eadl of said parcels, the estimated market value Ihereof
as of date of death of decedcnt.
That Schedule B attached herr.:to and m<lde part hereof sets fonh fully and in detail all personal property
wheresover situated owned hy the deccdent at the timc of death; all moneys left by the decedent at the time of
death, whether in decedent's immediatc pns:-;ession, standing to dCL'cdent's credit in banks of deposit, savings
banks, trust compnnies, or other institutions, whether individually. or in trust for any othcr person or persons
giving also separately the accrued interest thereon, jf any. down to tlte last interest day prior to decedent's
death in the case uf savings b.1l1k.... and 10 the date of decedent's death in all other cases; all bonds, postal
savings, treasury certificates or notes and olher evidence of indebtl:uncss of the United States to tlte de-
cedent; all obligations, whcther hy slatutL: or agreclllCl11 they arc designated as tax frec, of Ihe United States,
or any stale, or political suhdivision thercof, or of any foreign country. which arc owned at the time of death;
all wcaring app.lrel, jewelry, silvawarc, pit:turcs, blloks, works of art, householu furniture, horses, carriages,
aUlomobiles, boats, and any and all othcr personal chattels of whatsocver, kind or nature. lefl b~' decedent,
tugether with the fairly estimated Illarket value thereuf; all honds and mortgages held by decedent and of all
claims due and owing decedcnt at the time of death, ,lI1d all promissory notes or other instruments in writing
for the payment of money of which decedent died posscssed, of whatsocver nature, with interest thereon, if
any, giving the face v,lIue and cstimated fair market value thereof, and if such estimated fair market value be
less than the face value, it sets forth briefly the reasons for sucll depreciation as to each item; all moneys
payable to the cstate from lire insumTlce policies L'arricd by decedent; all annuity and endowment contracts
(he procceds of whkh wcre Ilayable upon the death of the decedcnt; all and lhe corporate stocks and dividends
due thereon and unpaid as of the dale of dcalh. bonds allll accrued interest Ihcreon to the date of decedenl's
dealh amJ other in\'estment scc-uritics owned hy the decedent at lhe timc of death, with thcfnarkct value there.
of at SlIch time.
In ''It, ('liS.' Ill' HI'I~llrll,lm; 01' 1~IIISI' 0" I'/Hull.\' l'OI'IIIII'/II,luIlS, 111(' vlIllll~S I'!!(lfll'tf'd 1I1'1~ IlS 1'111' ItS
I'IJ~slhll! Nuhslllllllllll'd h.\' 1'I1l1L11f'11l! Slllll'lIll'llls of' rlip l'III'POI'/llloIIS, shllwl11~ l.hl~ IIssr'l,s IllId Iluldlltlr!s
tt\l'rl'oJ' liS nf' I.IH' dllll' Ill' dl'lllh. Till' sl'lll'duJ.. IIlsn SI'ls "01'111 ,"hI' 11I11'1'I'SI. of' dn.~l'dfllll. HI 111(' l.lfllf~ Ill'
1"~IIt.h III /lll.\' ro-pUI'IIlI'I'Shlp or hll!-illlf'S';, Illld III SllPJlllJ'1 of' 1111' Vlllw' nf' sllI'lI Inl.l'rl'sl 1111'1'1' Is 1lIll1f~Xl'd (,0
sllld SPIi"dllll', 1'1 'lIHW 1111 Sllltl'lI1l'lIls showlll,l'.lht'/lS'lpls IllId Illlhllllll''''' "I' sllld I'fI-P'tI'l.IlfI"shlp or huslllf'SS.
,\ I'npy ot' 1111' l'n-p't!'lru'I'sllip 111{I'''''IlIl'IJt., (If' IIf'llI, II slltll'ml'lIl s"ll.lll~~ ('Ill'!!t UII' IIldlll'" IIf' IIII' Hgrl'nlljl~IIt.)
IO~',,>tlt/'I' with !I ~tl1l.1~llwlll s"'llll).!; i'ol'th 'hI' elllll'lIl'U'l' Ilf' IIJ,' hils I IIl'SS, lIs If Will. I 011, Hlld sl/ell otlll~I' l'/lets
llt'I'tlllnlnp; 10 th.. hllSIIIl'SS ItS 11I11)' hI' [H'I'lllli'1I1 In Il 1'(111' awl .Iust IIpprlllsIl1 01' tI,,. c1pnl'dnnl.'s Intf!rf:'sl,
thP"I'llIlI1llSt hl'sllhmltl.l'd. It slJnuld 1I1so Sf't ('/lI'th In Itl!11l1zpl! f'lIl'lIl, togl'lll+'r wlt.h tilt' I'nlt' ll1flrk..t. "nllll~
tl1\~rl'()f', 1111)' 01111'1' pr1lpf!I't.). flll'1H'd 01' hl~.!tJl'liUlf'd hy IIII' dl'I~"d'-'f11 lit till' 1.lml' 01' dl'/Ittl.
TIll' Scl'('dulp C HI.lllt'llI'd hf'l"'ln /Illcl mllde pllrl. h"I'I'Of' spls 1'01'111 II 1.1'111' 1I11SWf!I' 1.0 l~'leh h1llufry
r'ontlllnr>d tht>I'I'ln 111111 In 011' (,I!S"lll'lrllllsJ'I'rSI1J'l"'Opl!,'t..r, 1'1'/11 fll' I'I'rs0I1HI, wlll1ln two yours or decedent's
r!i'nll1, In l'on(f\1I1pllltloll of' d"f!l'liflllf's df-'t\tll, 01' Inlf-'ndlHI io Illk.. nl'l'r'I't. In Pflss(!ssloll or en.loymnnt ill, or
nrtf~I' dO/ltll, sllIl1 Sdlt'dllJ(' sot.s f'm'th till! tlll.t.UN! /lnd \'IIIIl'~ of' SIlt''' pl'nlll'rty, I.n whom trllllsrerrHfl, tho
relntlonsh 1 p f) I' the I.rllns fert!e... to tile dneedlm t, U1l~ IlI'opm' 1.1 011/1 1.(' Sllll rp I'ne'! I vl!d II)' ench trllll~ f'I'r('e fllld
nJ] otlmr fncts 01' II IWI'I,lrwnt. nnt.ure rf'~~llrd1111!; snti! I.rllnsl'ers. III (!II' f:asp of' I.rllllsf'cl'S lI1Lf~IHlc(f to
tnkf-' I~f'fc~t. In possl-'ss1on 01' nn,loYllIl'lIl. lit. or llf't.Hr de/lt.il, t.hel'l! l~ Illso IILI./lpll(!11 to t.he schedule n I~OJlY
of' t.lle deed, t.rust. ngrecment. or ot.hcr Instrument. C)'Hlt/lI.!; till' tl'\ISI.. Till'I'" Is IIIso set I'orth In s1l1<1
scbodtlll~ It list nf' Ill] propel'l.y, rf'/ll /lud !If'rsonlll, '11'11.1, fts VlIll/l', WIIII:11 llIt.~.sns III .lecetlelll's d.JIlt.h hy
v.lrtlw of' th,~ eXel'clsp hy.tneelfent., I!Jt.hel' fncllvldlll1ll~', or,lolnt,ly 11'111. IlIHIl.lltlr, or IHly pnwer of' nppoint-
ment. vesl.erllndpceflent., either IIld1vldlluJly or ,101ntl,v, h,yth.. WilJ, dl'r~d, or 01.111'1' Jnstrlllnellt nf' Illluther,
wit.h II eOJlr of' t.Iw Inst.rIHlII'Ilt. crcfll,lll1!; sllch IJo\l,'(>r Iltlnchetl t.o 1.11" Selll'lhllf!.
TI1/tt. Scht?du/e D Ilt.tnched llereto IUHf mluIe pnl't Iu'r('()f' set.s l'ort./1 l-.Ile flllmes nnd n.ldres~ws of 1111
persons henef'Jr:fllllj' 1llterl~stNI I.n t.llls f'!stllt.e Ilt I,he tlllle of' c1('e(H"~III.'s !Inllth, the IIHtllre nf' their res-
pecUve 1ntl!l'(~sts, t.heir relltl.lonshlp, I" lIny. to t.hl-' deC"dJ:>lIt, togel,hror wi 1.11 thp Hge~ 1It tile time of'
decedent.'s rlentll of' nll mInors, IInnllHnnts find hf!lll~f'll:itlrles f'ol'l1f'e muler r1l'Jcedf!lJt's 1V11l. It nl!!io
contllins II St./ltPrnent. showhlg which of' the henr!f'lclllrJes IIlUned in I.ltll fh~(,f'ilmll"s will, if IIny, dIed pr.lor
to f1ecl,'dent, tilt' e1ut.es of their (h~lIth. Ulf>!r' l~sl1e, Hnd U1f' i'eJIl!.tollshlp 0(' snell Isslll~ to the henel'Jclllry.
Thllt S..:l>edulE' E ntt.nched her('to null 11l1ulf! /I. pllrt. hereof' Sf\ts forth 1111 property, rent nnll per-
sonlll, Olnlf!ft by tile decedent. ,1otntl~' with IInot.her or ol.hern. Incllllllng Int.flllglhl.c, stHndlng in the nnme
of the decedellt llrul othf'rs, pillS the dllf.e nlld plllce of' rCI~ord of' Instruments effecting t.he vest,ltllre of'
rCIlI estn!.e unll the dnte or Iltlqu1s1tiOll of persoIl1l1t.y, pIli!> t.hf~ nllrne, IIddro5s line! relntionshJ}J, if' nllY,
of CO-OWlJf:!rs t.o the decedent.
Thllt Scl>edule F IIltncllerl '}(~rf!to find mnde Il pllrt. hcr(!or sets fort.h 1'I111y 11lId in <let/tll 1111 dehts
and deduc tions cllllmed ,'or null 011 1)1'111I1 f' 0" till s d~c(!d('n t.' S f'S t.n tl~l J I1C J 11111 n,!!; l'lIlIerlll eXpCIISI!S pa id;
famJlyexemption, where HJlpljcllble: costs of' Ilffminfsl.l'utinn of' thIs estlltl!: I)ollnsnl fees Ilnd "lrllclary's
commissions pldd or to hr pllid; cost C'xpend(!rl ror lJl1r Inl t.I'lIStS, tomhst.ollf\s or grllvQmllrkers, nllll relI-
gious services. In conse'llwnCf! of' t.he c1elll.h of' the decedcnt: df.'hl,s Ilwl cllllms owing: 1l1HI unpaJd lit time or
death; t.uxcs Ilccrllerl cllflrp;enhlr for P(,1'1041 Pl'lor to i!ecp.dent.' s drHlt.h ((''(cepl. thos!~ lI110vmd tlnf!l1r SrctJorl
651 of thp. ll1herHllnCl'~ Hili! Estlltn TIlX' "ct); tfJp;ethel'wtt.l1/t stat.emlmt or col11lt.('ral pled,l!.Ofl f'or ohltgn-
tlons, If uny. It. is Ilgr.~ed thllt the f'ldllcinl'Y will presl'nt proof' of' sllld ellllmnd ohllgatlons Ilpon re-
quest, t1J1lt If tlw IlmOllll1. net.uftl]y plllrl In settleml!Tlt. of /lny fen, l~olllmlssjfln or c!pbt is 10s5 t.hllll the
estJ.mld,.~1l flmollnt eluimlng /lull allowed, thut the SUml"! lI'ill he reported to till' Ill"!g;lstl'r of' \\'11 Is, /llIfl thflt
the nmount. of' t.IlX nsse5selt cnll be rCllssessf'!tl In uccorr1l1llp.f~ t1wrl~II'1 tll.
Tllnt the l.otfl1s (If the Ilpprnpl'lntl' columns :In Sehndlllps ",\", "nn, "C"o "E", Illld "I,'n liS (t1rneted Ul('rntn,
hllvf'> hl~en cfJrr1ed forwllrd find proJ1erl~' rC1;1st.erl:od In t.he Sumlllflr,v.
Subscribed and sworn to before me this
..............J3~ ....daYOfA~~ ......19.....8.1
.........M~ A'~RI~ON. NuT,\Rl:PUflLlC.
'1- CARLISLE BOn,'. CUI~hFR,.',I:D COUNT'!
M), COM~lI;'.S:f:.'l ~>;;if~;S [;;;,:.~. F; !"]B~
'~t'lI'Uc:r, Pcr/:'i~~'h'<lfj;.1 JV~";:t!it.'1 .,. "'c!tl,i~s
H
44.
SOTE: Bl!f'ru'(' s1J!:lJlnp; II f'!'l IlhV I I. /nllke Sill'!' n]1 hlllllk Spltl'l'~ In It''~ ItlTillll\'lt. Ilwl sehr>"lIl!!~ 11I1IWX':Oc! lire
flJled jn I.dlll Ilefuils ut' tilt' I'ford 1I~'Olll'''. /Iud ill ellSI' thl' ;tSSllt~~ IIlI'Iud., rIll''' 11Il" lIIl11nlell secllrlties,
Sp.curlt.If's of ('lose or f'nm1.1y eOJ'Jlnl'lllJolls or IIIl lllll'l'l'st ill IlTlY t'o-PIII'lll"J'sldl' or 111Ishll'ss~ Ulllt the
rlntfl /lnt! st'tll~ml'n1.s rf'qllll'l'illlllcl"r l.hf~ par'u/!;I'llpll /t!Jo\'!! rl~lltlllll!. 10 SeJl,'dlll.' "B" Ilrf' Iltl.ll<:hl-'ll. Also mnke
c('rUlill t1111t. eOlllnlll #1 JII UU' "Slln1l1I1lry" illlS heen fl,'oPC'I'Jy l'ompl,.'tpd as 1IIIll\'i"'-dlrf'elf'd.
REV.453 (l.80)
. COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
Estate of
Paul Macura
SCHEDULE "D"
BENEFICIARIES
*\
(Instructions on Reverse Side)
- SURVIVED DATE OF
BErJEFICIARIES AND ADDRESSES RELATIONSHIP DECEDENT BIRTH INTEREST OF BENEFICIARY
Michael Lotocki NO ~l~l~O WHOLE
Catherine Burchell ."iRe."", YES .nn"_H~lf
c/o Lillian Nowak
40;06 Ave. M.
Brooklyn. N,Y. 11234
Marv Tice ~iRt."", v",,, One-Half
P. O. Box 128
~ussell' M.J 07461
'------
------
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The above beneficiaries are living at this time except for the following:
NAME
DATE OF DEATH
RCC-31l
COM~IONWEALTII OF PENNSYLVANIA
TIlANSFER INIIERITANCE ')',\X
RESII)ENT DECEDENT
SCIIEIllILE ''E''
JOINTLY OWNED PROPI':RTY
~.
~WA
INSTRIJCTI()NS: TIIIl'l St:ht'lhlll.' nlllSt. dlscIO!;I.! /III llrnpel'l,y, "t!1I1 Ilwl pel'solllll, ~lf-'I! hy till' df!I.'I!dent. .Jointly
With 1lI111lll{lr Of' Iltllol'S', 1111~lllillllp; 11I1.1l1l~llJl1!S, sLlllldlnp; JIl l.IHJ II/lllll! 01' till! t11!(!I!chmt. 1111(\ oLlwr's. List
rl.'a.l t'sl/llt' f'II'St.. UN t"ll.I"l'tll~s, or .Iolllt. li!ll/lIlts, J!;1\'11l~ brief' dl!~erlpl.loll, liS Illcllcutl'll lIIl(h~r Sr.:hodule
"..\", plus the Ilntl! IIncl pi/Ice of' "I!eord nf' Insl,"ultlf'lll. 1'l'l'l.'cI.ltlg vl.'stl tlll'll, hilt du lIot JncJlule f!nttrct.lns
or oul 01' SUt!.I' rp~ll l.'sLIlt.f! "ullll! In cHlutl! VII I 1111 I. I 011 eo I 1l1ll1l. Pnrsolllll prnplll'ty sllullld he Il-sLeel liS in
Schetlult~ "II", pIllS dati! tlr llequlsll.lcHl, /lful tile Ullltlf!, Ilddrnss /lnd rl!lllLlollshl1' (I f' 1111).') (l" ('o-IjWllers to
the decndent..
><,;>
~
Description or Propf>rty, l)nt.e 0" ACljulsltion, NILflle
Address IUlII nl~lntlollshlJl of' Cn-Owllers, /lnrl PI nee
of' Ilccord 01' Instrument., whorl' Itt~lll Est.ntc.
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SIJllrf~
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, x::xx:x
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xx:
NONE
Insert thts totlt) opposIte ".Jointl)' Owned Propcrt)'", Schedule "E"
tn the "As H'!Jiort.l!d" eullll1l1 Oil t.ho lust pn~(! ot' thts return.
Dbl'AJIT/.IENT VAWATION
CAUTION-Do not IVrlte
In Tllis Spnc(!.
Vnlue of
Ent.ire
Property
Vnlllc of
I)ecedcn tIs
(nt.el'est
N o-n.U
.
.
REV~"84 (a"al
C,ounty, Numb.. and Noma Cumberland
Filo Number 21-8HO~
Dote 01 Death February 2, 1981
Estate Nomo Macura Paul
{LAST NAME} tF'lR~T NAMEl
SUMMARY
F'.
(INITIAL)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
I,
REPORT OF INHERITANCE TAX APPRAISER
I. tho undersigned duly oppointod Inhoritanco Tax Appraiser in and lor the County 01 Cumberland
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules llA", liB", "C", and liE".
Datod:
't/ de,! 1:1
,
///~ 'r f" ) -/f;'did 711 )
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I, the undersignod duly eloctod Rogister 01 Wills in and lor Cumberland County, Pennsylvania, do respect-
fully report thllt I hove allowed ded.uction!. in the amounts claimed by deponent, except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule IlF", which greater or lesser amount represents the sum
allowed os a deduction.
Dated:
REGISTER OF WILLS
-0-
ADJUSTMENTS
ODE (HARRISBURG USE ONL YI
00+
10+
20+
30+
REMAINDER APPRAISEMENT CODE
INVENTORY
Real Property (Schedule Al
Personal Property (Schedule Bl
Joint.Held Property (Schedule El
Transfers (Schedule Cl
TOTAL GROSS ASSETS
Less Debts and Oeductions
(SCHEDULE FI
CLEAR VALUE OF ESTATE
$
92+
2
40-
93-
ESTATE TAX ASSESSMENTS _ S
t=
l=
VALUE
-
~
onnultles....................._ $
Yoluotlon of llfo estates or
PRINCIPL.E
FACTOR
FOR USE OF REGISTER ONLY
Tax on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
.Total Estate
C~OE
COMPUTATION OF TAX
2%
6%
15%
S
$
5
$
$
TOTAL TAX
5
'j) As uvidenced by Charitable
ExemptIon Certificates issued
by the Secretory of Revenue.
$
t
LeJ;S lox previously poid
BALANCE
Less 5% of tax If paid withIn
3 month:; after death
$
S
BALANCE OF INHERITANCE TAX DUE
Add interest at rote of 6% from
to
AMOUNT OF ESTATE TAX ASSESSED
Estote tax paid
BALANCE DUE
Add Interest at rote of 6% frCim
to
$
$
t:=
5 L
5
S l=
S
$
S
TOTAL T AX BALANCE
PAID
Supplemental Codes: (FOR USE IN HARRISBURG ONL Y)
48-Adiustment
49+Adjustment
56-Annuity
6O-Lile Estate
92+Remainder Appraisal
93-Remainder Deduction
93C-Charity
94-Ramainder Re.i~ue
96-Success i ve
Life Estate
FOR USE OF REGISTER ONLY
ADJUSTMENTS
NOTE: Where subsequent adjustments are made to the above computation of tox by the Register of Wills, for proper reason
same ,hould be noted below, "rith short explanation. '
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COMMONWEAl.TlI OF PENI,SYl.VMilf,
DEPAflTMENT OF l<[VENUe
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
00RIGINAL
o SUPPLEMENTAL
File No. ____ 2l-8..1-::0~~4___
Estate af
Paul F. Macura
County ___~_u_mgeE~_':lnd__
.'"+..______..... __M_._.'._.'_.__._._._...__.____.__
Dote of Death .......!_ebruary 2, 1981
- --
In the flvent that any future Intorest In this "statu Is transforrod In possession or tJt1joymonl 10 collateral heirs of the decedent after the
expiration of any estat~ for life or for yuan;, the Commonwealth hnrehy OlCptessly reSNVOS the right 10 approlse and assess transfer
Inherltanco taxes at Ihe lawful collotorcd rute o="~ such fuluro intern"t.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
1, Total Real Property - SCH. "A", . , . .. $
2. Total Personal Property - SCH, "8". . , , $
3. Total Jointly Owned Property - SCH. "E" $
4. Total Transfers - SCH. "C". , ,'. , , .. $
34,900.81
27,698.81
Unreported $
Unreported $
Unreported $
Unreported $
$ 34,900.00
$ 27.698.81
$
$
$
none
none
o LIFE ESTATE
TOT AL GROSS ASSETS
O~EMA~~DE~_________
62,598.81
DANNUITY
--_._._---_._----_._._-~-_.
TOTAL VALUE
$
...--.----.- ----_._-_.~_.- .~---,-----~_._-_._-_.__.__.-
I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this
day with the Register of Wills.
I.' ' ,. , ",.{! ,) April 30. 1981
. ,,/ I. .< ) f / .';/(:L";. ./ ',_
APPRAISER DATE
none
none
....
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.'
COMMONWEALTH OF PENNSYLVANIA I
COUNTY OF CUMBERLAND J
55:
_H.a!'Cl-!:.d._S~.r.rw~I1' .~!:,.~and Rog.er ._B~..!!:'.\'Iin .___________.. _".._'
~~LL
~~
__ and subscribed before me,
13~
r ,
---i
19 81
~RI~!.~UUll"
CARlIS!.F. ~;J:'i), CUW::l:RLMHl COUNTY
. Ml' :':O;~MI'>lOII EXil.,S nEe. 15, IS8:
'I'lBllloer, ('enn~y1\'aniJ Assrx;i~fion 01 Notll/ies
j
Carlisle, PA 17013
Address
Date of Death
2nd
February
Month
1981
D.y
Year
INSTRUCTIONS
I, An inventory must be filed within three months after appointment of personal repre.entative,
2. A supplement inventory must be filed within thirty days of discovery of additional assets,
3. Additional sheets may be attached as to personalty or realty
4, See Article IV, Fiduciaries Act of 1949,
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SCHEDUl.E "F"
STATEMENT OF UWT
AND DWlJCrlONS
HEV.455 EX+ (3.HOI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
.- -...-.....--.....--.....".,..-..........,.
Estate of Paul Macura ____.__._,.._ .1l,1I11.)1 ()('''III:,!')/el".__".Jiler~O.
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
Claimant
Claimant's ,L\ddress
ITEM
NO,
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DATE
/1 81
3/4/81
3/19/81
3/9/81
3/24/81
4/13/81
4/13/81
5/27/81
6/18/81
7/30/81
7/30/81
3/21/81
3/14/81
3/14/81
_ nnlal i()!l~ihip 10 f)(!l;odunt .._..
~
AMOUNT
NAME OF I)AVl:E
IlEMAIlKS
Register of I-li11:.;
---....
Cumberland I.q~1 JOLu.:'!'I'lL___..".
Sentinel
J.k'LL/:'t':\
44.00
18.00
18.00
21. 20
31.45
1,600.00
26.81
9.00
6.00
24.47
180,52
82.60
36.57
148.96
78.25
1,249.80
253.41
3,129.94
3,129.94
9.00
{,(I~'I:\'1.~'-'1.:--
^dWl'\.ln.llll'.
Mountz Jeweler:.; . _.......... V11~U,.l:!.1lJIl)111'il t:;,~11
Robert Cox ._.. _..._.._. .15..'-'l"LI~..':!.~~I.':l':l-___..
Hoffman-Roth r'\lOet'ill 110m" 1'\lrIeml ,;el'v.lee'3
-..-..-----.-.--
Carl E. V1arr.nel'
.--------...-.
Hofflron-Roth r'lmeml 110m.'
']'own,;hlp taxe"
Dea 1.11 cel'LJ. flea teG
Register or \~Ins
United Tel. Co,
.___.__ Xlllnr; Inven~ory ~ Appraisal
Telephone blll
Belvedere Medic:!l CentC't'
l~cdIcal expenses
PP&L ElectrIe Cr:'.
Electl'lc bill
.----.---..----..--- --....-.---------.----
Cole's
i"i.x dool' Ioel\
---.------ ~._- ----..-------
Carl vlagnel' ..__u.n..n Heal Estate taxes
Ben Rowe Auctioneer" s commission
Ben Rowe .u....._._.____ Auctioneer's cOlrmiSSi8h~~~t~Q~~va
Evening SentInel, Cihoppep's Gulch, News - AdvertisIng for Sale
IrwIn, Irwin & Irwin Executor" s fee
IrwIn, Ir\~ln /, IrwIn Attorney's f'ee
Roger B. lrwIn
Notar'.y fee
---.------------- -------.-
- -- ..-----.-..--..----.-.-..~--.-..--..-
TOTAL THIS PAGE $ 10,097.92
1 hereby certify Ih~llo the '",sloi illY 1<I){)wl"d~e ""d heliel III" rnre~oio~ is ~ just "nd true sl~tcllleot of debts, funeral
expenses and expenses of admtl\lstrtltloll ~Ilhllllll(ld to PH' t!stale as (laducllollS for lnllelllance Tax pUlpOSCS.
! IJi,;V -/ / J.
~;i,~( I ;v-u~ A /\ '{(/II ~I
,1(IN1\ltJIU-~^T~(_;~rvlMnur:l^nV DATE I
. -... OFFICIAl. USE O~L Y
DEBTSANDDWUCTIONSllfli:ALLOWI:nINTIlESUMOr S..J.O (iCi 17 9.J, AT /r: ')1 PERCENT,
I
'.1' ,I -/1.
____!.L ;:" l : (/ C ;; { r' (. ' --
I ;:/ IHGISTU~ O)'WILLS
y-/. - .\~)I
,f I.J. (/
DATE
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred bV the decedent prior to his/her death are deductible against his/her taxable estate.
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule.
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania,
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent. The family exemption is
allowable only against assets which pass by a will or by the PennsVlvania Intestate Laws,
r- '" 0 C"l > 1'1 1;. ;5.
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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 amount claimed in the amount column.
2, Assign consecutive numbers to each item listed,
3. Enter the date on which each debt was incurred and/or paid,
4, Enter the names of each payee.
5, Provide a brief explanation in the remarks column for each debt claimed,
6, Enter the amount of each debt being ciaimed,
7, The form must be signed by the person who has assumed the responsibility for paving the debts.
CHl':lJJrp:;
DEB'I'3 A Nil ADM T l'IIS'l'HA'J' I ON I'; X PI':NSI';:,
--
'l'HE ACCOlJN'l'AN'l'S CLAHfJ CHI';DI'l' I,'OH i'J'EW; OF DI,:S'J':3 AND ADMINL'J'I'IWI'LON
EXl'r':NSEc> PAID BY 'J'HI';M I\S 1"OLI,0\~3:
02-13-81
02-13-81
03-01-81
03-0~-81
03-09-81
03-09-81
03-19-81
03-211-81
0~-13-Hl
011-13-81
05-27-81
06-18-81
07-15-81
07-30-81
07-30-81
08-0~-81
08-111-81
08-23-81
09-16-81
1l-02-81
12-17-81
01-22-82
01-27-82
01-27-82
02-03-82
02-08-82
02-17-82
03-01-82
03-30-82
03-31-82
0~-21-82
05-2~-82
06-01-82
06-15-82
06-31-82
07-13-82
08-10-82
Register of WIlls - rIling letters"...........,... $
Cumberland Law ;)ournaI - adver'j,Il;Ing",.....,."....
Mountz Jewelers - wr:1.tten appr'aIsal..,.,.,.,....., .
Robert Cox - fIxed window..".,...,. .,..,..,.,.,...
The Evening SentInel - adver'tIsIng,..,.,...".,....
Car'l E. Wagner', Tax Collector' - taxes....... ...,...
Hoffman-Roth Iluncral Home - I"uneral bUl...,....,. .
Hoffman-Roth FunCf'al Home - Death CertLf'icate...,..
Register of' W:i.lls - J'iU.ng Inventory & AppraIsal.. .
United Telephone Co. - telephone bill.,.......,....
Belvedere Medical Center - medical expenses.."....
Pennsyl vanIa Power & LIght - eleetrIc bill."..,.,.
Pennsylvania Power & LIght - clectf'Ic bill" ....,'.
Cole's - fIx door' 10cl<,............,.,...", , , , , . , .
Carl Wagner - real estate taxe::;....................
RegIster of WIlls - j'IIIng Debts & DeductIons,.....
Pennsylvania Power 8: Light - electrIc bilL"..,...
Dean L. Alleman - mow lots...,..........,......"..
PennsylvanIa Power' & Light - electrIc bIll."..,...
Pennsylvania Power' & Light - electric bill., .....,.
PennsylvanIa Power & LIght - electric bilL..,...,.
PennsylvanIa Power & LIght - electeIc bIlL,...,...
Register or WIlls - PA Inher'Itance Tax.....,....,..
Duane Wert - clean up house aftee pipes broke.".,.
Dana D. Brandt Insuf'ance Agency - fire Insurance...
Baker' & Russell, Inc. - fuel 011....."...,.,." . , ,
Pennsylvania Power & LIght - eIectrIc bill. ..".,'.
Carl E. Wagner, Tax Collector - taxes.,........"..
Pennsylvania Power & LIght - electf'ic bIll... ......
RegIster of WIlls - Short Certificates,...... ....,.
PennsylvanIa Power & Light - electric bIll.........
Helen Wagner - yard work... ......... ...............
Pennsylvania Power & LIght - electrIc bIll., .......
He len Wagner - ya!'d worl(....,......""....,.......
Pennsylvania Power & Light - elcetrIc bIll... .,....
Hoover PlumbIng & HeatIng - fIx plumbIng,.,. .......
Carl E. Wagner - real estate taxe~,. .,..,..,.,.....
IrwIn, Irwin & IrwIn, ,Htorney 1,.ce,..,..........,.
Harold S. IrwIn, Jr, & Hogor' B, lr'wIn _
Executol"lS I }j'ee..................................
Roger B. Irwin - Notary Pee" ,...,.. ...,.,.,., .....
To'rAL:
l".' '1'.(, ,,'
I~'.. ~\ .1. _ "_ I.., ~
.i.u
~ll. 00
18,00
21. 20
31.115
18,00
26.81
1,600.00
9.00
6.00
211,117
180.52
73.09
9.51
36.57
1~8.96
3,00
9.69
10,00
9.13
9.66
10. 9~
15.15
7,986.96
30.00
233.00
291.C(0
15.62
26.81
15.51j
2,00
13.12
25.00
11.32
20.00
Ill. 61
98.60
163.86
3,129.9~
3,129.9~
2~.OO
---
H 7 ,5117 ,17
CI\I';I.I 1 'I'::;
DI':B'I'S AND Almnll S'l'HA'1' LON [':X PENSE:,
'l'HE ACCOUN'I'AN'l'S CLAII~ CHI':D['[' 1,'OIl I'J'EMS OF DEB'i':, AND ADMINL3'i'HA'1'lON
I';XPENSES PAID BY 'J'HI';M M; I,'ULI,O\'J:;:
02-13-81
02-13-81
03-01-81
03-04-81
03-09-81
03-09-81
03-19-81
03-211-81
04-13-!Jl
04-13-81
05-27 -81
06-18-81
07-15-81
07-30-81
07-30-81
08-04-81
08-14-81
08-23-81
09-16-81
1l-02-81
12-17-81
01-22-82
01-27-82
01-27-82
02-03-82
02-08-82
02-17-82
03-01-82
03-30-82
03-31-82
04-21-82
05-21j-82
06-01-82
06-15-82
06-31-82
07-13-82
08-10-82
Register of Wills - fIlIng letters....... ,..,.,.... $
Cumberland La\'l JouPrlal - acJverI.I~;ing,.,:,.......,..
Mountz JCI,wlors - wrItten appraisal......,........ .
Robert Cox - fixed wIndow..... ......,.....,...,....
'I'he I':venlng SentInel - adver-tising."...".,....., .
Car-I E. Wagner, 'rax Collector - taxes,...",....,. .
Hof'fman-Hoth I"uneral Home - I"uneral bIlL.,...,....
Hoffman-Hath I,'uner'al Home - Death Cer-tifIcate..,.. .
Reglster of \V:Llls - flllng inventor'Y & Ap[lraisal., .
United 1'clephone Co, - telephone bIlL,............
Belvedere Medical Center - medIcal expenses....,...
PennsylvanIa POIver & LIght - ele/;trlc blll.......,.
PennsylvanIa Power & Llght - clectr'ic bIll.,.......
Cole I s - fi x door lock",.........,................
Carl Wagner - real estate taxes."....... ....,.....
Register of WIlls - fllIng Debts & DeductIons......
PennsylvanIa Power- & Light - electric blll.......,.
Dean L. Alleman - mow lots...".,........,....,....
PennsylvanIa Power & Light - electr-Ic blll.........
PennsylvanIa Power & LIght - electrIc bill.,.......
Pennsylvania Power & LIght - electric bIll...,.....
Pennsylvania PO\'ler & LIght - electric blll.........
Hegister- of WIlls - PA Inheritance Tax...."....,..
Duane Wer-t - clean up house after pipes broke.,....
Dana D, Br-andt Insurance Agency - fire insurance,..
Baker & Russell, lnc. - fuel oiL...................
Pennsylvania Power & Light - electrIc bill....,....
Carl 1<:. Wagner, Tax Collector - taxes..,.,.."..".
PennsylvanIa Power- & LIght - electr-ic bIll........,
Register- of Wills - Short CertifIcates.......... '"
Pennsylvania Power & LIght - electric bill.....,...
He len Wagner- - yard wor-k......,.,..........,......,
PennsylvanIa Power- & Light - electric bill.........
Helen Wagner - yard wor-I{..,.............,..........
PennsylvanIa Power- & LIght - clectr-Ic bIll.....,."
Hoover Plumbing & Heating - flx plumbing..,.".....
Car-I E. Wagner - real estate taxe~;,.....,.........,
Irwin, Ir-~lin & Tr-win, Attorney I"ee.......,........
Harold S. Tr-win, Jr. & Roger- B. Tr-wIn _
Executors I Pee................,.................
Roger B. Irwin - Notary ~lee........................
1'OTA L:
l ;.:.'~ ~.', .1." I ',.'~ I~ .'::
.. "~ ....'-
:l.U
411,00
18.00
21.20
31,1/5
18.00
26.81
1,600.00
9.00
6,00
21'.47
180.52
73.09
9.51
36.57
148.96
3.00
9.69
10.00
9.13
9.66
10,94
15,15
7,986,96
30.00
233.00
291.70
15.62
26.81
15.51j
2.00
13.12
25.00
11.32
20.00
Ill. 61
98.60
163.86
3,129.94
3,129.94
24.00
H 7,5117,17
l'!.!.!J.l.IiJ:!.~~:J1i~~1..0 N
'I'IlE J\GCOllN'I'II!."j'S ClAIM CI{lmL'J' 1"011 I 'l'I':f~c; lJ!<' I'H I DH IJ I S'),11 IBu'nON MIIDI~
BY THEM liS F'OLLOWS:
1.. Mary')':loo,.....................".... :I: 7,000.00
286 BuLlor' BOll] evar-d
Bayvl11e, New Jersey 08721
2. CatherIne Burchell".......,.. .,.. ,. 7,000.00
c/o Lillian Novak
~506 Avenue f-l
Brooklyn, New York 1123~
fporl'AL:
$111,000.00
'l'O'l'M, GHr:Dl'J'S
Debts and IIdmlnLltratIon li:xpense~",.,.,. $1.7,5117.17
Prlor Distrlbutlon" ,..,...,...,..."... l~,OOO.OO
TOTIIL: $31,5~7.17
TO'I'IIL DEBI'rS,..,."..,.......... $52,203,111
TO'I'IIL CI1EDITS, . . . , . , . . , . . . . . . . . . 31, 5~ 7 .17
BALIINCE rOI1 DISTRIBUTION: $20,655,97
There remalns In the lIecountants' hands, as of the fillng of this
IIccount, assets as follows:
Irwin, Irwin & Irwin, Trust No.2 IIccount.. $20,655,97
.'1' ..-
I . 'L'O~/t) cU~-
-~110ge~. . Irwin
Li[ ~ r:
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