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HomeMy WebLinkAbout81-00163 21-81 t\l~r.lwn:H 01" '''ILI.S OF """",~m~,,,,,, COUN'!'Y NO, 16n:1'1'\'ION FOil I'IIOIINl'i': OF 11'1\,1, ANIl 1,]':'I'mIlS (II>' AI)~f1Nls'I'IIA'I'I()N (,) nUM 'l'gS'l'AMIGNTOANNI~XO I,I~'I"I'I~IIS <)II AIlMIN\STIIA'I'ION f)Ir. 1I0NIS NON t.i':'I'I'Ir.nS (lJIAJ>MINIS'I'IIA'l'ION 1JIr. \I0NIS NON OlJM 'l'1':S'I'AMIMI'O ANNI':XO III Iho Ir.Hhllo uf "",,,..,,,g.1I.I1i:~~\liI.:Xl,,,,,,~,~Iilli\~Iil,,,,,,,,,,,,,,, d"C'tlfIHOd, "w.l,.u;l,Ml,,,\';1,,,]mw.Q,~,,JP.n,,f.,,:Xi.\l~!l~r.~,,,ffill,ql.l~J;Iil,,,,,,,,,,,,:,,,,""",,,,,, l'olllhIIlOI'(H ), IIIIO"u(llllhllll IIpply, , I, 1'"lIl1u,llut(H) IIfI! 111"'111)','11I0 YOUtH uf '11\1' ,ir uhlur 1l1ll\'''IffH"i fur lulll'rH IIf ,uhnllll"lrllllull o t II il!lIi'H,tltilll,,,u1'1I1!1I1l""""iIlHiI'II"U'H"""Hl"""U"''''''"""'" hi Ihll'l\hnvtl ol\pthllwc1 tlHlnlu. ~, J>"I'o,luuldlhl un Jl1\,\1;',~~'y','",11~~)?lt1Ml!i.y',,,tW\.,J9,~,t, III ll.l.9.9.J~,M, III Iho CUIlIII)' III ,,,,,,,\!MRJ.1H1/1i"""'''O,"''''''' Slnh.l ur ,,1l~.~~l,.~~"'I""'_"" lit tilt' llKH flf ",,,~,Jt:"""'''HtIIIl yuurlfl luwlnl( IIIMIII ",ll~~"", 1l'IHI WIIIIl,ul 'l'IIHIlllllulll <111111<1 Iho ",,~ar.g, dllv ul "",,,S~p,~J;1mb~x:,,,,,,,,,,,,, A,D; 11I"6.0,, .\Vlltltoln "J~, II} .ii I\(lpnlntutl '",, !~~nQf.\ ;"lmn~""",',i"" I "fI'" "".,:" ," "" ,,,tI, ."", "" '''~" '''' '"'' """ ,. l~X(l(1 t,\~Qr.tH, ", \Vhloh :j(H(;U lJ,~Q,li""l!' hUN Ifhl(IU ,.u~fiU').QMr.\Q~FJ""",,,,,,,, Il''''.'' l''' II.. ,....... 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(,""L ^(~~1H''l'fi:trCl'''Street'''''~'''''''CUiffi'errMQ'''''PA 17070 '''''':'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''',''''''.''''''''''''''",," (:~~,~~,~~~~I~~,',~:,'~,~~6~~~~~} ss I h/ff".....W~lt~~,,,Mt,..jP.1i~..~~,1,,.J.Qtl.I,~~,..,,~1t~y~J:,I.;..W.~~*?r:~..,,;..,,''''''t...,,'''''''' thlt llotHlollor( H) Inllw,nhovo 1IIlll1lcllIllnll, 11111.11" clllly ,,,;,~,~,,,,,,,,,, i,vc'l1'din~ 10 IIIIY Hlly(tQ ,Ihllllho HllllOll\onlH Nol forlh 10 IhlH polltl'!II IItu IrulI 10 Ihu hOHI III ",~I:l~~:!\'"""" ;."",;",,,!,~.m,,,.,,.,,,;,,,,,,, nlle1 Nut'Hurlhll(l Iwfnru [,'FIb Match 2 81 ,mo~~"~~~,:,,,,,,,,,,,~}",,,,,,,,,,,~,,,,,,, 1~,,,,,),,,, ..",,,::"1.,,,, '~Jlr"..r.:..""" ~t.t(~.,.... 't!. '"'gIHlur (/lIlJlJr March 9/ 1981 """"""""".""""""";";,,,,,.,,!,..i'''..,.IH.,I""""""",,"I,"'" AllornoY'H Nmllu IIncl ^dclr<l$o Jot, F 0 LalPa'Xlr '''''''''''''''''''''''''''''''I"",,,..,,,,,,,,,,...,Il''''''"l1,,jtlU'lIlf''''.1,.,..'('"11' ,,,,~~,7.,,,Th,~~,,~,~1i.~!i1~,\,,,~~,,S\w.Y.~1i,1ImW",,,,f.~~r)1_~/~ cfl (ov<'r) ~'- Je-l-1 OATil (W 111':RHONAI. IUWlmrn:NTATIVE COMMONW13ALTII OF PBNNSYI.VANIA SSI COUNTY OF CUMUllRLANP /;: -- " ~.- ~/ ~I' -.' Deforo me, Iho I\oglslor ror lito Prhbnto cif Wlllo nnd "rnnllllK of Lottoro 9fAtliil1nlslrnllon In nnd for tho COllnty of 'Cnmborlnnd, pOI'sol\lIlIy 0111110. WitlilU11 N."B~ a~:~~on ]I: T..alri\wr, Esquire who, bolllg duIYI"'.J)I\'rn._, do "doposo nndouyth~l'n8_,i\dmLl:\1.atratorf,l ", or' tho IlIst Will nl1~ TOstnmonl oLCharle~,B. . Steele "".,-" '-",_ d~~eMod _ they will wollnlld truIYJldmlll';lor tho.goods nnd chnttolo, rights nnd crodlto'orlald.~eceIl80d IIcoordllig to IlIw. And _~.._",r< _ .- - --.......-....-.... ' Also wIll dlllgontly cllI!lplyw'fth lite proYlslons of Iho.IIIW rell1tlnglo Trnnofor Inhurltllnce8, Sworn ilnd'i~orlbod bofore me. ,~. "" .~ ~~ .~_..J\,Dil 19 ......._, -............. ~"- Register ] , ~I' u. 111 ] to 0 * ~ M -.J tIl j ",,04 ~ . -.J j:t:I ~ 0'1 ..!. , - ~ ~ J to ~ ..!. .a ,.. l'I 1 C9 to d to 11 ~ ,.. z *1 C'\l ! ! 1 , ,1, 're ~ c" Do It romomborodthnt on tl\o ,9th DECREE March ,A,D.,1981 ,there WIIS probllted IInd dny"of rocordod thO hlsl WlIlnnd TeslntnonlOr Charles B steeie l I _I L 11110 of New cumberland Dooonsod, Lollors.;;.Qf. Admin~ltrati()~. qv~rc' ~rilOlcd to ,. . - -,' Wlthoss I1)Y Itnnd IInd orrlclnl sonllho dny nnd YOllr nf6rosnld. , Cumborlllnd Oounly, PonnsYIVllnlll, Jon F. LaFaver a~d william M. Brown ~"(i}rJ 'J ':lC /. t1,. ~:I.".-<-c.L ;J . . Roglsler ~J.jlMllLltil:Uillll1\N.Q~. T ^ X [1 EHli.B.~UNrQl~~.~I!Q~ l.'~SII3t:E FOR REI.\!.!lli I' Soctlon.701 oHho Inllorltnnce nnd EslntoTox ^cl 011%1 plovldos lhitllllo If,lIl1v/IIIB ptW,flll!i RIIIIII ptOP:1I0 mill 1110 II rolurn: ," , , ' n, Tllo porsonnlruPfosoolhtlvo 01 tllo oslllle of tho dllcodonl it!i 10 Pllllllllly III 1110 doclldolll :llllIllllhlOl(;dhy hl.1II and sucllnddlUonolprupo.rty wlllCIlIS,or IlIoyho 80hl(I(:1 tolllll(I(i1l11lcolitx of whlcll.hn/shll sllflllhnvo III , acqul ro knoWlodgo; , b. Tho trnn~loroo of pro/lorty upon tho lmnsfor of wlllch IlIhOlllilllcnTax I!; orlllilY bfl illlllO!ioil by 1110 19G1 Stilhllo, Including alrll~too 0 proflorty Irnnsforroilln trllst, plOvl(llIiI IlHiI 110 supiHolo rulullllluod hOllliUlo hy tho (rilllsforoll of proporty Includod In tllo rolllfll of n porsonnl roprtlsonlnllvo, , 2, PLACE FOR FILING' Therot\Hn Ista be flied HI dUflllcola with tho Ruglslor 01 Wills of !ho r:Ullllly wlillruilllllo dUQodont r05ldod. ,.3, lIME FOR FILING Tho rolurn Is ,dUO nino manlhs nllor tile decodonl's dooth, lInloss on. oxlollsloll (or fi II II II. hns blloll nppllod for ond granlod by tho Socretnry of Rovolluo within tho nino-month porlOlI. ' 4, fAILU RE TO FILE RETU RN Soc\lon 791 of Iho 1961 statute provides thntH . , ,lIny por~on who wi I 1111 lIy f'llls 101110 n roturil or olhor roport rsqlll rec( of him. . . shall bOllorsonally II obi 0, , ,10 i1 ponolly 0 f 2fi% 01 tho. lox III Ullliltoly lound 10 be duo or $1,000 Whlchov~r Is Ihft lessor to be rocovorodby tho Depnrtlllenlof ROVOIIUO ns dohtr. 01 Ilko OIlIollul oro rocdvornblohy low." " " ,. " 5, TAXHAT.ll Inheritance Taxis poyable otlho rote of 6% on lmnslors.to Ilrwnl dllliOllIlClilnls, such ns Inlher,lIIothor, hushand, wllo, son, daughler, grandchlldron, grondpnront, san-In-Iow and doughtor-In-Inwond III tho roto.of 15% liS to 1111 alllMs, 6. f.AYM.OO.Q.E..m Th~ tax. assoss8d onlho transferof property roported III 11.10 nHurnls dllo 9 lIIonths oltor the docodonl's deoth, lutorust at the rote. of 6% per !1nl1um accrues thereofter lIn\ll pnYlllont I s modo, ^lIpnymonlll rocol vod are fI rst oppll ed to ony . Intorosl which may bo(lua with Any romolnder oppllod to thatox, IF TAX IS PAlO WITHIN 3 MONTHS ^FHR THE DECEDENT'S DEATH, A DISCOUNT OF 5%OFTHE T^X P^YMENT IS ^LL.OWED, . All chocksslioqld bomaUo payoblo tathe Reglslnr 01 Wills ollho r;ounty wheroln Iho doco(lonl IlIsldodnnd oro rscelvodsubjoclto the flnol detormlnnllon 01 Ihe Dopurtmonl of Rllvonllo, . 7, fAI~URE TO PAY Ths .toxes Ilnllosod, togalhOl with any Interest Ihereon, ora nllonllpon roitlproIW[ty, which lion fOmqlns In effn.~t until tho taxos one Illtorast hove beon pold In full. Tho loxos mllY ho mJ(Jd forill!OInSl ony rOill property In tho docodonl's eslatn orag~lnst !Illy property belanRll1R to 0 transferllo lIahlo for IIHllnx, 8, FiliNG OF FALSE RETURN Any porsonwho willfully makes ofalso rolurn orroporl roqulrod of him sh1l1l, 111 nccorllol1ca wHh.Socllon 79301 ihe la61SlI1tuto, bo guilty ofa mlsdomoanornnd, ol1convlcliol1 thoreof, sholl bo sonlllnr.odlo jlny'n fll10 not oxcoedlng $1,000 or undergo Imprlsonmonl n61 oxcoodlng uno yelll or hoth. d'.';,."'" .' ". ""ff~"'! !t.,,- , W!tB1!QlIONS FOR COMPLETING SCHEDULE "E" . IIchedul8 "E" mUlt Include all proparlY. real anel persont;I, oWl1oelhy tlw deoedol1t loll1tly with ol1other party or partl8s allolnt tenantl with right of survivorship,' Both tanglbla and Il1tonglblo proporlY ore to he Includod, Lilt raol e8tate flr8t, 1 ,0e80rlbo 011 raal propertYa, Indloptod In the In8truotlol1sfor Sohodllla "A", Describe 011' porsonalproparlY oslndlaatbd In the In8tructlops for Sclwlule"ll", Include Iho 110mo, addruss ol1d ralotlol1RI!lp to tho ' dopedent of the ,co.owner (s) and tho dete tho lolnl ownership was ostahllshod, 2, Indlcpte thetotel market value of tl1e lolntly ownod pl'Opar'ty, 3, Indlcete the percentege of the deoedent's Intcreat. 4, Indicate the market velueo! tho decodent's Interost, __..f.,..,4.----.--.-.------..--.-~--...--.---.. r:: '" ~ ("\ 6 I'T1 ~ ... ~ ~, 0 ~ Yo '.tI, ~ C"l ~ I:l "" ~ tr1 f',; ;.. ~ ~ ~ 'Z Z ~ i:;l p ~ t/l ~, .,', $ (fl 0 0 "r1 ~ , \ ~. ~ 0 z ~ d ~ [:> 1 ~ ~. 9 I \ \ \l; \ ,ii' " i' ~ ~ ~ ~ ~ ,~ I7l ~. 1"1 I ~ d ..... ~ iJ; 0 VI z d ~ ~ ! d ~ z z . d ~ P Q ~ ~ z z ~ ~ ~ Sl 8 ~ -. ,PII. Number INHERITANCE: TAX SUMMARY SHE:E:'r '(!3UREAU ~E ONLY) ,2 ~Jt~QjQJ_________~.~..____~.__ [J,Orlglnal o Sup~l.mental o Remainder ".v.~u I Xt 1...0' ell\at.'Name __._Q.bID~hIL[;!'-..i'iJ!.~!ll.fL_._~.._.__n_.__- , . Date of Death _ FebI'UI:!.l'~Llg,,_,.1.9.~,L_~_.__..~_~____.._ Social Securl ty Numb.r _.._J9~~_O.7_~.OQaa._... ..-.-.----~.-..--.-- !iEPORT OP INHER~TANCE TAX APPRAISER' I, the under.lgn.d duly appalnt.d Inharltanc. TOM Approl..r In and for the County of (]f1m.ber11lnd P.nn.ylvanla, do lIoplOthllly ,.port thet I have appralud tho rool ond per.onal proport co reportod In t'le larogoln~ "turn at the valu.. ..t forth oppo.lto oach It.m In thola.t column~e I . rlg~t In Soh. I.. "A", "B", 'C", and' II" , __.~ .r' Dat.dl Ausust 14, 1981 ".----;/" ..' t..L2., I>':.(.,~""c...... ' 'NHlij'lANcn ux APpn,."n ~_-:-.~,;;::=;::.::;~,=:::.::,;:;;:::,::;:;::::;;,=:,:-":':::::::;:::':""-:'-::'.._. ....__ f .. _ AaJUITMBMTI ' YA~UB AI APPRAllBO coDe (HARRISBURO Ule OM~Y) ReMAIMDeR APPRAlseMBMT coDa IHV~HTORY __............___...........~".~~-+........ _.__~_ .~~~U ......."..... 92" .- R.aIProptr'Y (Ioh.dulo A) P.,.onal Propllty (Sah.dul. B) Jolot.H.ld Prop.rtv (Sohodul8 B) T,anoftre \Seh.dol. C) TOTA~ GROSS A55en ~'81 llob" ond D.duo'lan. (SCHBOU~B P) C~B^fl \lA~Ue OP IlSTATB I 00+ lot lOT -- C_T__._'_~__"~'~"~___ . ---..........----..-....-_... ........-------.; ---'." 40., 93- :..:..-;;.~..._~~:.:.:.::;:~-=.;..:: :!.=-:..-.;:: :-.:~:=::;' , '01.11. Eet9'. o Annuity WJl f..~~ PRIHCIP~B -- \lA~UB - CODO 1'--- - -~ ---- -~............~<",.,,*,,_..--.=--..~.- PeR LlSR-'~PRI!OISTeR ONLY . To. an $ To. on $ To. an $ To. on $ To. an $ Wi COMPUTATION OF TAX $ I $ 6% "5% ,- $ ---rot I Eurnptlolu Ta'al B.,a'a TOTAL TAX IHTDREST PROM.~ , aA~AMCB TO $ I I - -----.----- " , ~ AMOUNT PAID DISCOUNT IMTEREST 0-.............-- $ ~, I - $ . + --* ~ALANCE $ ~... C,adll. bATB OP PAyMENT IHTBREST PROM c'-"~-;--' TO ~-- I BALANCe DUg COMMONWBALTH OF PBNNSVLVANIA OEPARTMENT OF RllVSNue BUReAU OF EXAMINATION OFPIOIAL NOTiOS OF fNItBHITANCE 'fAX AlI8S88MBNT '*' {, i, ~ ,( (~, I'll) 'I.), ,;;I, .~ I I} H' I I"'!'" . 0.11 FILE NO, .~ I . P L - / (.. " COUNTY (. _AA~v1 ~ ~ ~a.,(, 'J,t Di\TEOPDEATH'l.hk. I<~ /1'1 I , (.j:l .;'" / ,A ~. l..,.11H, COUNn' PILe NO: <~ I,k' I. I 4,'~ JAl"V", '\'i), ,~,' ",q'" 'I '\ '.. ," , TO: (1))1 ~ ;;()) (",,,.1;,, ("1 'I,' .. ..:II I' 7- ~ { , ,~Iv\,,\)I'fY\' OATS saTATB --....;.... \i Approleod Voluo of e.lolo: Rool a.lolQ Petlonal ProporlV Jointly Hold ProporlvlTren.fore . 3(~, O{~O ' () 0 + a J Cj 0 at;" , + ~3 ~ I K..3 , .:57 e 5 6 3 '73 , V L/ - 6', .R.;/ 17,' (.. r.< .' . 6' 0 , I /'; Ii J',Pl. TOlal Gro.~ e'lolO TOlol Approved Doduollon. Cfoor Valua of 8.lala LOll: Approved Chorltoblo 8~emptlon. .......-.......,..- Amounl To~oble @ 0% ROle e 5'CI 11/ 5, J-".,), .5 0 lit 5, i(.;t lax due . t:; Cl 0 If'. ']5 Clear Value 01 Balala sublOOI 10 Tax Amount Tmblo @ 16% ROle lOX due TOTAL PBNNaVLVANIA INHERITANCB TAX DUE . ::s 00 i? 175 II II II II II II A five peroenl dlaoclUnl tolollng . wlllbo grilnlOd If Ihe Inherl'Ol\oQ Tax 10 "old by Loea Credlte: t)A 16 OF PA VMENT 5-'l--1tI . AMOUNT PAID DlaCOUNT INTEREST TAX CREDIT , . /fiSo!JQ + . /('1.5 II . ! = . h:, J.~ / "5" y' / .3 I) '71 IJ + = 13 '? '7 I~ -::rit~ t 300 \;- 75 I . fj .,;,1,0\, If/ - In,oraOI aooluol al ,the rala of IIx 101 PQroenl por annum on the Unpaid polonoe of Inherltonoe TAX Irom to dale of Paymont, Inlerall due If pold bv 10 BAl.ANOB OF PENNSYLVANIA INHERITANOe TAX DUe - 0:?1 ~I.~) 'J' . "d " ' ~ ~ , , .'- .4../ ~SO Intorm.lfon on n,VS'" Bldo HI(di:il Ii ut vVIII~_; lrlHUlMAIlQN. To Inouro propo'r nrorlll \0 your oonoun!, II", nlUM of IlIn n..lolU IIfllUIIII numb(\( sllllulrl bo. oloorlv flrlnt. od on Iho chock or nlonov orrlo" , Thlo ooooltfllonl I. I1\nllll In uOl,o,dnnoll willi 6nllllon 700 01 1110 IlllllUlUlfloo IInd ~GlnlO Tux AOI 01 1001 (72 P,B, 9 2480.7001, To Iho o~lonl Ihol /I'horllnncn tnx In flnld wllhln IlIr"" 131 lIlollllls 011 or 1110 l!qolh of Itlll rlnoodnr\l, 0 rll,oounl of flvo(61 pllroonllR ollowud mil,S, G 24efi.'/10), ' /I,horllnnoo Tnx, olhur IIlon lax on II luluro InlnrllGl, In <luo 011110 <11110 oltho dlloodunl'o <loculi IInd ImoomllO dullnquonl 01 11'0 oXlllrollon of nino 101 rnonlllo ollor Iho <JouorlOIlI'o <loath 172 1',8, 0 2400.'/11), !Ilhorllonoo Tax on n fUlurn Inlnrotl 10 Iloyoblo wllhln Ihroo 131 ,nonlho o/tnt 1I1" Irlln910r Irrkou offool In lIoennulon, and onjovrtlonl ond I. dnllnquunl Ihoroollor 172 I',S, G 2406. '/121, CulolllolO Intorool Iroll! Iho dollnquonl dOlo ollown on Ihe 1000 01 ,Ihla forn! to 1110 dOlo of ootllolll"VIl\Ont uslnu Ihn 'ollllWlno Inturll.lluhln, ---_...~_........_..._............--- -.......--.......-......... .......-........................-.......... -.... ,............. .......,.-,.....---.....- -- - -... -- -- rmonth ,000 4 I1\nnlh9 ,020 7 tnofllhu ,0311 10 nwnlllt ,060 2 monlhs ,010 6 months ,026 8 fIlonthu ,040 11 monlh,o ,066 3 monlh. ,016 o monllls ,030 9 "IOnlh. 046 1 2 monlho ,000 --- ._,.._._....~~~.. ldoV' ,00017 11 dov8 ,001110 21 dllVo ,00302 2d,oye, ,00034 1'~ dUV,l ' 0020~ 22 dnyo ,003e8 3 dove ,00061 1 tf dnvo ,00220 23 dove ,00300 4 day. ' ,00000 1 II dOY9 ' ,00237 24 day. ,00403 6 doVe ,00086' 16 dovs ,00200 26 dove ,00420 o dev. ,00101 10 duv, ,00207 20 beY8 ,00437 7 day. ,00110 17 dUY9 ,00204 27110\'8 ,00464 ~ dove ,00136 16 doyo ,00301 20 dovo ,00471 Ii doY8' ,00162 10 <lava ,00310 20 dov' ,00408 10 dlly. ,00100 20 <!nys ,00335 30 <lov' ,00600 ........ _ ___t..__....... ...__..._....__.._ -.-.... - ........'... -........................... --- .......... ~........ ..............-............ -....... .......-..--..... --_ --. Any Pol1\' In Inlornsl, Innlu<llno II'" COl1\rnonwoullh un<l tho I,orllllnnl rOpruoOntollvo, nol .ollsllod wllh Iho o.8080montmOV objoot IlIo,oto wllllln olxtV leO) doy" ollor rooollll of this Nulloo 09 pr"vldod by Soollon 1001 of 1110 I!,horllonoo an'l aolOIll Tox AUI of 19011'/21',0, G 24~6.10011. Make oha~k or !noljoy order pnyahlo 10: "neglslor of Wills, Agont" Mnillo tho udclruBli IISled below: Ill1V.415f1 (l.fW) OOMMONWEAL TH or rUNNoVWANIA OEI'AIHMENT or RUVSNUB mANoreR INflSRITANOB TAl( ResloSNT OUODOSNT SCHI'.DUl.li "F" sTATHMr:NT or PEIlTa AND nadUOTIONS l'" _.._ ... ~.-~-~- --- -.-..-tr.-.-....... .__.._~-f....T""""""'-H'o...............'U..~~..\,-'~_'..i.'--'-...._..~...,....."..~'.,.....~...o-.-~~ !:8\MO of Charlae B'. ~taele Dille) or Doutl1-1~, 1981 WHEN CLAIMING THE FAMILV EXEMPTION, COMPLIne THE FOLLOWINGI Clolmol1t Rnlnllol1&l1lp to Docodol1t , - Clulmul1t's Address - -- ~, _ r_~'~_~_''"' .-........,--~...... .._~ . -'1'-'" -.. -, , I~~~ DATe NAMD or I'AVBD RaMARKS AMOUNT ~c - ____ ~gietw::....ofWUJ.lL;...,~ __ Lattersl_&..Certifiaa.taa~---.:.c--- 30.00 -------..- 1M.'''8~'1JlRh FlmerAl Hrrne - J.,ill..lL --...;... I alJ::Kpensaa -- , 'TI1l'1 . IReal , 100.00 ~ rM-l", pat1:'iot-News CQ, h ..,,"~~rti8:l.ni-~__ - 20.76 , Ornlberland laW JoUl:'nal I!:P.OOl Adver~t!l.ing I " 18.00 -~ ----------- - I. G. Br~ --- Income Tax ~aparation 10.00 - .. llP&L ~le'!.t1:'ic Sarv:\.ca 37.53 - - I lilT ~. 43.54 - ...-..-----.-- -~ , n..11 , '1'..1 _.~ e ".:...... ce 4.32 of VA - --~------ Water Service . 9.40 L .-- - -- - I'll! 1Il_ ClInberland ~r& '.L'raeh 29.11 - C. , Fuel Oil 63.25 s.WilliB & Sons - --...-. . on F. LaFaver . Deed PrePlilration 35.00 - -c " :Jentral Penn8ylvania Sa~8 Notary Fee 2.00 - - ~dith'SeiE! 1981 Real Eetate'Taxes 102.27 - - Recorder of Deede l%Real)l:state Transfer 'Tax 300.00 ~ Jon F. LaFaver . Legal Fee 2,768.67 - __..________-0.-_ 25.00" !Recorder of Peed8 Fil:lng Releaees j , RegiBter of Hills Filing Feee ", ' 6.00 , ' ' - ,,- , ..-~.....---"--~~"" " ' , - - -- -- - ------- -- , -- - , ____.........-:-.__,-:-:..__I..___~;--"7--tt- , , TOTAL THIS PAQG I 5,227,.62 = I horeby celllfy tDat t,o the Ilest of my I<nowlodgo al1d bellof \110 foregoing Is a Jus\ and truo s\atemol1\ of d~bU, funeral expenses ond,expenses of ndmlnlstrotlon SUbm" 1\,\,l{ld \o{l1u e~I.IfIJ as docl\!cllons !orlnhorltor1co Tax purposes, .. })/t ,~,'j;(1)L,.~Jit.4a'')Y1)y, ~11.A('LI./"" 2.une22. 19,81 -L:::.. _.!ll!.'NATtJRI' 01' ATTOANnV/,'Ir:>UWf\f1Y OATn OFFICIAL USI! ONLY . DEBTS AND OSDUCTIONS,ARE ALLO~ED IN THE SUM OF $' ',!;' ~.~ f) ":3 AT t; "/Il ,. ,. I PE!1CENT, . ) io(..-a/ ..i:.:? .:j ~11 DATI;: G~"'ERAI. I(',IH~8ITANCE TAX If'JfORrtlATIOtlj . Unsatisfied lIabllltlos InclIff'od by lhu duoudonl prlol' 10 )119/her denlh om deduollblu eUlllnsl hls/hor lflxoblo 8stolo, In addition to dobt91ncurrud by thn dooudonl or usleto, othor Iten1s ero ololmnblu Inollldlnu tho O()st.ofodrnlnlstretlon, att~rney fuos, flduolor~ foes, funorel unci burial exponses Inollldln{J thooost uf u burlollot, tombstone orurllve !norkel" All dabts beJnu olelmed eualn9t an ostate are suhleot to tho epprovel of the Reulster of WII19 with whom tho Inherltenoe Tax Retul'Il Is flied, Evldunoo to SlIppof'tlhe dooedent's or the estotn's lieblllty lor the debls beln(J olnlmed should be ettllohed to this sohodule. A family exemption of $2,000 may be olelmod by a spouse of a deoedent who died domlolled In Penn8ylvnnla, If there Is no spouse, or If (he spollse hes forfeited his/her rIUh\8, lhen ony ohlld of tho decedent who 180 rnomhOl' of the same household cen claim lhe exemption. In the evant lhere Is no 9uoh spouse or ohlld, the exomptlon cnn ho ,olal~ed bye peront OJ' perenls who ere mambuf's of the seme household e9 the deoedol1t. ..--- - 8 ..., 8 8 E; ~ ~ ~ ;... Z ...... t.l C'l ~ ~ 0 M ~ ~ 9 P % Z ~ [jl 9 9 ~ ...... 0 VI 0 " .,., 9 .,., - ., 5 ~ ~., :to Cl ~,., !. i!: I_I ..' ... c'\ c" ~ "( ~.. ~ 1.:.11 . i\~ .~; ; l.t...oJ , Et.. i' L I r:" " . r", ice"j (j:'IL' ~ Be,:> ...rel ~~ ~t: SO H. (.~ ~ ~ .. <.> ~ INSTRUCTIONS ,FOR COMPLETING SOHEDULE "F" 1. If tho family exemption Is boll'll) olelmed, Indlcute thu elnlmllnt's nnmo, mfdrus8 /lllel hls/ltm rnlnllonohllllo lhn . decedent. Entor "fumllY exemption" In the remarks uululnn endllta Ullloullllllnlrnlld II11huII11l0llfll 01lIu"1I1, 2: AsslOfl oonsocullvo nUfllbors to eooh Itom IIstod. 3. Ental' tho dUlu on whluh oneh d9bt was Incurrod ond/or Ilnld. 4, Ehter the nomos of oaclt payeo, 6. Provide e brlof explonatlon in lito J'llIl1orl<s c\Jlurnl1 for oOllh dobt UIOlrllud, . 6,. Enter the Amount of ouoh t10bt bulnu ololinad. 7, The form mllst 'bu sloned by tltu porsO!\ who hns ASullflllldllte rU9!lol19lhllllY fill PII\lII111 tltll tfllhlS,