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~ET\T10NFOR PROBATIi or-WILL AND LETTERS TESTAM~NTARV
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In the e~tateo'- OSCAR t\., 'I () H l;,~
, deoeeelld,
To Regle\er of Wille for t~e oounty of Oumberland,ln the,commonweolth of pennaylvanle, .'
Pelltloner('f) la' (rH) the execut rl IX ~ named In the I.aet Will and Teetament of
cx.c."t'L ~. \jAJ~( , , dated )\i!~1-1 ~3'?
Dlloadent was a oltlzen of the United Statu and a reeldent f ' ) I..-~ ,j11012 t:l.11~,J
Townahlp (90f"...Oh), oumbllrland OountY, Oommonwllslth of penney IVan la, .
Deoedent died on ~ \')')t\I./cl.4) the "J.f,- ~ day ofm 11Ir1lk A,D, 19 S' I , In the
oountYof ' C V Iv.. \o'!.\-\,~ ..,'~. State of _el~ at the age of ~ yeare,
t1eoedent has (I.ea 1'18tl been married and ~ (has not) had ohlldren born to him (l:Ief) slnoe the ex-
ecullon of the above desorlbed Will.
Olloedentwaepoeaessed of personal propertY tO,the value of (, (')\j()
---., ,
and of real estate to the value of
ae near aa oan be aaqertalnadl said real estat,e eltuated ae follbwll
--
, Tharefore, yollr pelltloner(e) respeotfully apply(lee)fqr the, probate of the eald ,I.aat Will and Teata.
, ment and for l.ettere ,Testamentary theron,
Dr.ted ' P\ V'1Us\ \ \)... \ ')i Q)...
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Name and addreee __.0, fu~\-"~I'.> Jr\~~J,~~:
0/ Pelltloner(e) ., i' ""^
'.. '1' 5 \LWQ~"(\ \((\ll.(~
~\~ 11. ~\.bu'o\'l rt>- I. i', 'l...'
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COMMONWEAI.TH OF. PENN6YI.VANIA
OOUNTY O,F OUMl'lERI.AND ee
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narl)ed In above applloatlonl beln'g duly ~w l\ i\. \..) " ,
statamente set forth In thle petition are true to the beat of
sworn and eubeorlbed before
"acCOrding. to law eay(a) 'that the
t\- 'knowledge and belief,
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eglatar
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12; 1982
11- ~cfo-i
/1- '1ftf'''.3
Attorney
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JJl\ST WILL 1\Il1D 'l'lDSTl'\MEW!'
I, OSCAR 1\. YOIJ'~"mEl, e,f the 'l'ewniilh~t) eIl Lewer 1\lHHI, county
€If Cumberl<\nd and Gommenwoalth of l'onnaYlvan~<\, being Of aound
/lnd diaposil1g mind, memory nnd underatnnding, do m/l*~, pUblish
/llk1 deol/lro' \;his as and 'for my Last Will und Tes\::ument, hereby
,
rElvold.ng and making void all, Ilermer. willa and oedioilll by me at
any Ume her6tofer.e mude,
F,:I:RST. ,I order and c1:1.reot that, all my juat debts and funeral
eXljenlOles be pO\id by my Iilxecutrix or. Iilxecutor, <,\8 the case may be I
hereinafter named, as Sl,)en as cenveniently may be done after my
decease.
SECOI:'ID.
I give, devise /lnd bequeath all the rest, residue
,
and r.~maincler €If my Estate, real, personal and,ll1ixed, whatseever
a.nct wherasoever situntact, unto mY"wife, ,ANN M. yOFFEE;, Il,qaelutely
and in fee simple, :\.f she survives ma.
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THIRD. If my wifo, ANNM. 'tOFFEE, does not 13urv:\.ve me, then
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and in, that event, I g:\.ve, deVisa !'\nd bequeath all the rest,
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residue and remainder €If my Estate" real, ,personal and mixed,
whatsoever and ,wher.esoever situated, in equal shares unto my,
five (5 )chilC\ren , namely, 1\. MARSHA MI'l19HELL, l'1\TRICIA J . SHELLY,
EDW~RD 1\. YOFFEE, EUGmNE J. YOFFmm and RONALD, I. 'tOFFEE, share and
shure alike, abSOlutely and in fee simple. If any of mY said
children should predacaase me, I order and direot that the share
hereui1der of any such deoeased ohild shall lapse and said r'es:\.dua1:
estate" shall be distributed in equal shares unto those of my oh;l.ld
ten Who may surv~veme.
LASTLY. I nominate, oonstitute and appoint my, wife, 1\NN M.
MAnTlQN 6 SN""^K'. YOFFEE, to be the E}~(;lcutri~ of this, my Last Will and 'l'estampnt,
ATTonN.':V8 AT \.AW
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O,~T"ot' l'ICRHONAI. RI~I'RmmNTATlvt~
COMMONWDALTH OF J111NNSYLYANIA SRI
COUNTY Oil CUMllERI.ANP
aefore me, the Resister for the probllte of WIIIR lInd grnl\t1ng 01' l.ei\ersof' Admlnlstrntlon In lInd for the County Of
Cumberllll\d, personlllly Clln)e
who, belns dnly fllyorll
ANN ~\. YOI'I'W:
,'tio llH depose IIlld sllY thllt ~R
t,110 1:):(ll'lIt,'1 x
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deceased
of the IlIstWlIIlInd Tostllmon,t, of DUI!1I t' ^, YIl i' I'llll
Hho will wellnnd truly administer tM goods IInd ehll((els, rlshls IIlld9redlls of sllld deceased accordlns to hlW, And
alsd will dlllsently comply with the prqvlslons of the law rellltlng to Transfer Inheritances. HIVU I'll lIlld subserlbed before me.
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SIllE NEW LIllTTlllM XSSUI!lOS/12/s2
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Be It remembered thllt on the 28th dllyof April
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recorded the IIIstW1II und Testament of 08CM ^, YO!"l'I:!,
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t there WaS prQbated and
IlIto of
, Culll~erlllnd <,::ounly, Pel1l18ylvlI~III,
1,l1\~ot' ^ lhm 'l'nlvIIElhlp
Oecellsed. Lettors 'J'oliltlllnlllltl1t'V .wore grnnted to
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Wllnes, my hll!ldlllldof(\cllll so1l1 the day anQ yellr IIforOSllld,
51;1,9
Ann ~I. Yol'foe
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OATH m'I'~nSONAl. REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA asl
COUNTY OF CUMBBR\..AND
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Boforo me, tho Resistor ror.tho Probate of Wills und IIrantlns of Letters of Administration In and for the Count~ of
9umberla"d, pononall>' oamo__-!4;-[J')tl.{tI\v:.. \YV\( \\,; \1 --
who, belns dul~ ~l.i~()j\.tJ ,do ". dopose und sa~ that as ~,;i p.( I.A\\\ t'
of tho last Will and Tostament of C'J S ,./\ \\-r\ . '! I~{'C. ~
~r
_deceased
will well and trUl~ administer thesoods and chattels, rlshls and or'edlts of'sa\d deceased accordlnsto law, And
alstl will dlllSently c0lJ1P1Y with the provisions of the law re!atlnsJo Transfer Inherltanoes~( (,~/2 f~ and subsorlbed before n;e,
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DECREE
Augunt
NEW LETTERS
82
,A,D.,19
ISSUED
.
reoorded t~e last will and Testllment of
'oscar A. yoffee
,there was probated and
late of
Be It r.emembored that on the
, LoWeX' .1\llen ToWnJhip
, Cumberland county, Pennsylvania,
A. Ma.t'eha Mitchell
Deoeased, Letters Tee i:amentary wele sranted 10
Witness my hand and offl~I~1 seal the da~. and ~oalil~res.al ld,
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~l\mAJtJ.l:l!ill1I.8.@f.JAX GENERAL INFO,RMATION
I.WSON~RE.~POttSIBLE FOR RETURN,
Section 7010lthe Inhorllonce andEl/tate Tax Act of 1961 provldos that the following Persons shall prepare and fl.lo
o return:
0, The per~onl1l' representative of the estale of.the decedentlls to property of the decedent administered by him
and sllch add I tlonal property whl ch I s or may be sublect to Inheritance Tax of.whl ch he/she ~hall havear
~cqulre knowledge;
b, ThQ transferee of property upon tho transfer of which Inherltonce Tax Is or may be Imposed by.the 196\ Statute,
Including a trustee of property transforred In trust, provided that no separntereturn need be made by the transferea
of property Includod In the retulll of a Ilorsonol roprosentatlve. .' .
2. PLAOE r-OB~ILlNG
The return Is to be fllodln duplicate wllh the Register of Wills of the county wherein the decedent resided,
3, TIME FOR FILING
The return I s due nine months aller the decadent's doath, unless an oxtenslon for filing has bean applied for and
granted by the Secretary of Rovenue wllhln the nino-month pori ad,
4, ~E TO FILE RETURN
Secllon 791 0.1 the 1961 Statuto provides that " , :,any porson who WillfUlly falls to fila a return or ot~er report
required of him, , ,shall be personally liable" ,to a penalty of 26% of tho..tax ulllmately found to be dueor $1,000 ,
w.hlchever.ls the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by
law,".
,
6, TAX RATES
Inl1erltanceTax Is.payable otlhe rate of 6% on transfers to lineal descend.a.nts, such as fathQr,mother, husbandl..wlfe,
80n, daughter, grandchildren; grandparent, son.ln.law and daughter-In.law and at the rate .of 15% as to all others,
6., fA'{MENTOF TAX
The tax assessed on the transfer of property reported In the return Is due 9 months after the decedent's death, Interest
at the rate of 6% per annum accr(les thereafter until payment Is made, All payments received are flrst,applled to any
Int~{est which may be. due with any remainder applied to the tax. IFTAX ISPAID WITHIN 3 MONTHS AFTERTHF.
DECEDENT'S DEATH, A DISOOUNT OF 5% OF THETAX PAYMENT IS ALLOWED, ,"
All checks should .bemade.payable to the, Register of Wills of the county wherein the deoedent re.slded and are
received sublectto the. final determination of the Department of Revenue. '
7: fPILURE TO P~Y
rhe taxes Imposed, together with any Interestlhereon, are a lien up. on real propertY,.whlch lien remains In effect unlll
the taxes and Interest have been paid In full. The taxes may be sued for against any real property In the decedent's
estate or against. any property belonging to a.lransleree liable for the laX, ,. ,. .
e, FILINOOFfALSE RETURN
Any. person who Willfully makes a false return or reporl required of him shall, In accordance with Section 793 of the
1961 Statute, be gulllyof a misdemeanor and, on conviction thereof, shall be sentenced to pay a. fine net exceeding
$1,000 or undergo Imprlsol\m'i"tnot exc'eedillR one yenr or. both,
tiQIf.: Componsatlollpal\1 to .nn estate rOllrospnlnllve; namoly, nn executor or milnlnlstrator, for servloes performed
In administering on eslate I.s roportable .for Pennsylvania Incomo Tax.purlloses, This taxnble Incomollem should be
rsported on lorm P MO.lndlvlduallnoomo Tax RetUlli, '
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llUESTIONS CONCERNING PROPERTY TRANSFERS
\, Dlddaqedent,withln two yooraol don IIi, lII11ko any trons/or 01 ony 1II0turll11 plllt of his o~toto.Wlthout rocolvlnR
vnluablo and ndpqunlo consldOlollon? (Answor IIYes" ol'INo",). No
2. Old docedont, wlt.hln tm YOllls of dn.oth, trnnsfor propurly from'hll1lso! f/ horself to hllllsol f/horsel fond nnother pillty
or pl1lllos (lncludlnll o spoil so) In 191nl ownorshlp? (AnsWor IiYosli or I'No".) -llL
3,11 tho onowor to ono or two obovo Is IIYos" nnd tho trnnsfors 1110' ololmod to bo nOlltnxnhlo, Ilrovldo lho fellowlnR
. Inforlllallon:
0, Age of decodontnnllllo of lronSfer,. , .
bl COpy of,doath.Cerllflcole,
0,. A1f1dllV!I ~y the ottendlnR physlclnnlhdlcotlnR tho stote of dooodont's honlth at lIlIIo of transfer,
d, All other Inlorl1lnllonsupportlollnontoXl1blllty of tronsfer,
4, Old docedol\l, In hls/llor IlIollmo, IIInko allY (rallsfor 01 proporlY wlthollt rocolvlnR n vnluohlo or ndoquoto consideration
thoroforwlllch was tbtakooffoctln possosslon or onjoyment nl or altor hls~!lor dontil? (Answor lIyos" or IiNo";) No
0, Wasthors nny posslhlllty thot tho proporty transforred mlRhl retutllto transforor or hls/hor ,esloto or be subjeot
to hls/herpowor of disposition? (Answor lIyos" or IiNoli,) , ,
b, What was tllB tronsfareo's ago at lime of docedent's deoth? .. .
6, Did docedent In hls/hor IIfollme moKp ony. tronsfor wllhoul recolvlllR 0 voll(nblo ond adoquoto consldoratlon thorefor
IIn~er which Ironsforor exprossly or Impliedly reservos for his/her II fe or nny porlod whl oh. doos In. fnol end hoforo his/her
donth: '
a, ThOp()ssosslo~ or enjoyment of or therlRhtto Inoollle frolll tho proporlY transforred? (Answer "Yes" or "No",) No
b, The right to deslgnnte tho persons who shall possess or onloy the property transforred or IncOllle therefrom?'
'(AnSWer "Yes" or "No" ,) Nn
. ' . . r
, 0, Iftheonswar to live b, obovo 15 "Yes,',' was the rlghl roserve\lln decotlenl alone ( ) or decO(lenl. and 9thers (),
,7,' Dlddecodont In hls/herllfellme make 0 tronsfor, the oonslderotlon for. which was .\ransforoe'b orollllse to pay Inoome
to or for tho ~onoflt or careof transferor? (Answer.I'yes'l or"Nol' ,) . Nn
8, Old decedent, ot any time, tranMer property, Ihe bmeflolol enjoyment of whloh wos subjeot to ol1onge, beol1use of
a reserved power to oltor, amend, or revoke,or which ooulq rovort to deoedont under terlllS of tronsfor or by operation of
law? (AnsworI'Yos" or "No".) No
.. 9, lIthe answer to olRht abovo 15 "Yos," was the powor to allor, amonqor revoke tho Interesl of the ~eneflolary reserved
In tho decotlont olone ( ) or doced/lIlt nntl others ( ), " "
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IIHV.4G3 \:x' 110.801 '
COMMONWftA~Tlj Of PBNN8VLVANIA
OBPARTM8NT Of RBVeNUe
TRANSfBR INHBRITANCB TAX
RBSIOBNT DBonDBNT
SCHEPULE "0"
aENeFICIARles
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Eutate of 0I1CA~ ,A. VQFFEF.
PSNlifllOIARI 6S AND ADDRliSSES ReLATIONSHIP SURVIVED DATe or INTEReST OF B&Nef 101 ARY
D&CEDIlNT al RTH
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.The Rbove henefl~larle. were liVing at the time ~f tho dOQodoryt'S do~th a)(Q~pt for tho followlngl
NAMe
O!\TIl OF DEATH
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If .ddltlon,llp,co II MOOllQry, \110 aW' x11" Ihooil,
LNST~UC'TIONS FOR COMPLETING SCHEDULE "E"
, Sohedule "e" mustlnoluclo all property,real andpersonal, ownecl b't tile decedent Jointly with another
perty or pertles8sjolnttenantswlth right of survlvorahlp, Both tangible ancllntanglble property ere to be
lJ1oluded, Lls\ real estate first,
1. Desorlbe ell real proparty as Indlcated,ln the Instructions for Schedule lOA." Describe all personal property
8illndlcated'ln the Instructions for Sched\lle "B," Inolude tlw nanw,.addre98 and ralatlonihlp to the
decedent of the co.owne'r[sl and the data the joint ownership was estaqllshod,
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2, Indloete the total market value of tho jointly owned propertY.
3, Indlcate\he percentage of the decedent's Interest,
4, Indicate the. market velue of the deoedent's Interest,
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Iat1j',c"w.:kL!1'l,A!:1.p.. j'J'l.IJ:I'Al:1~lJi'r.
I,/.OBCJ\H 1\. '{OU'l~I~ln, or. thtl '1'(lWllllld.p or. rlOWql~ l\1.1al1/ county
of cl.1mberlnl1d llnd C011\11\0 nwlltl1 Ul el(; I'nnl1f1ylvtlnin, ,))1\11119 of llolmd
and dj,spos!.l1g IIdnd, momtll~~' 1111('1 'i\l'l(lClI~"\;l\nr1J,ric;", do mnko, publish
and deolaro thi.FJ llll And r.Pl~ illY 1,l\t~1:. Will tlnd 'l'ulltclIllon\;, haraby
r/ilvoking find mnkin~J voW till ,1'()1~II\(JI~ wU lfil nnd oodj,pl.3.a by me at
any time herot.or.(Jl:I~ lI\[\do.
l~IHs'r. I ordOl~nrid d.II'<H,ll: that /\11, my jllat dobts and funeral
exponsl'ls be pnld by my l~xnCll \:1':1.>1 (11' I~xoolltor, as the. ilaae may be,
hereinafter l1/\mod, tlfl floon CIliI OQI1VunJ,QIl)t1.Y may be done aftet my
deceaso,
Sl1JCOND. I givu, dmviub und boquoath all tho rase, .residue
arid remainder or. my mutnta, ronL, porBonal and miHad, what~oover
and,whoraaOOvOl: Ilttuntotl, unto my wHo, 1\NN M. YOFFl1Jll1, absolutely
and in feo IlJmple, j,f nho ",ul~vivoa mo,
~HIRD. If my wHo, 1\NN'M. Y.Oll'U'jr.m, does no\:. survive me, then
and in that avant, 'I giVo, dovise I\nd hoquea\;)1 aU the rest,
reaj,due and romld.nc1or of my BBtat:.O,' roal, porsonaland mixed;
wl1a \:aoavar nnc1 wl1cll:onO(lVoJ~ fl 1. Ct\u tod / ,1,n aqua 1 shares unto my
f:i,vo ,\5) oh.11dron,'nnlllo1y, 1\. Ml\HBI11\ MI'l'CHlnJJL, pl\'rHICI1\ J. SHl1JLLX',
El)WI\HP 1\,. YOli'U'mm, Jr.Ut1JnNJr. .1. ':lOFI!'ml1J and HONI\LD I. yoppmLl, share aile!
ahara ali.'kl;l, nhllolntownnd 1n fao Id,mplo. If any of iny aaid
ohildren ahoul:d prodoQoilF.ioino, 1. ol:c1bl: and c1Jl'oc\; that the share
horollnd6r of any Buoh,c1ecoQfloc1 ohild shall lapse and said res~duar
I~Btato ahal.1\Ja c1j,fjtrlbutod 1n ocjunl 8111'\ros tmto those of my ohUd
ron who I1IlWHU1~vivo ilia,
kI\Jl',!'JJX.; :t norninnto, oonuti,tllto Qnd appolnt mY wifo, ANN M.
M.,,,'UI! 1\ ."""",,,," YL)I.i'lnnm, tu bo tho Ji:;',ooll t1: ix (} f: \:11 l.tl, my T,na\: Wi 11 and 'l'ostamon\:.,
^"ftHUH,VII h' I,.AW
I
.
buttf for any reason ~he should, fuil to qunlify as Buch Ix~cutrix
or aGnse sa J:o sarVG, than and in that avant, I nominate, Donatl.tu ,(l
and appaint my daughtor, namoly, l\. WlllSIIl\ Mr.'l'CII\llliT., to be the
Illxeeuttl.x horeaf, oaell to aervo without bond. I f both of tho alJOV
namad. i.ndividuals shauld fail to q\lalHy as my porsonfll ropreaon~
tative haroundor orcoaee so to sel've, than find in that ultimate
ovent, I nominate, 'constl.tute E1nd appol.nt my son, namely, RONALD
I. YOl~FElIll, to be tho \!lXOCl1 tor. of thl.s, my Last wi 11 and Testament,
to ser ve wi tho.u t lJond.'
IN .WI'l'NEl8S wnEHIllOF,' I, OSCP,R.A" YOF~'ElEl, hav~ hereunto. set
my hand and seal to this, my Last Wl.ll and Tostament which cen-
typewritten pagos to. each o.f which I have affixed
"'1...'. .
1'1' 'day o.f september, A, D" One Thousand
sists of two (2)
my signature this
Nine Hundred Jeventy-throe (1913),
~~a Vr;(,p-e
/llf' "
The preceding instrument, censisting of thi~ and
(SElAL)
one . (1)
ather typewritten page, each identifl.ed by the signature o.f the
'l'estato.r,waS on th.e date thQrlflof signed, sealed, pllplished' and
declared by OSCAR A. YOh'FEEl, the Tostator ther\'lin named, as. and
for his LaatWill and Testamont, in the presence of UB, wh9,i at
his request, in hi.s proBence, and in the presence of eaoh other,
have sulJscr ibed our names as
wi tj'OBBea/J~ "Y- '
_4tli,r.(.<,lA~-t?d~h,,/
~ J~Jtrri~ J
, ..' lIih~'/ '....,,:..
I I'
"
MMHBOU ,!II, BtUn..nAl<lln
AlfOf1NJ:YII At l.AW
"~v.~u ox+ 1...01
INHERITANCE TAX SUMMAR I SHEET
(BURl::AU USE ONLY)
..........-.-....-..-.-.----.-....--
FI Ie Humb.r _".""-.?1~Ul...g,6q..<.___.~_._,._-,~-------..-;--
eltat. Nom. Q.p.9..!!C_6_dQrJ.'!J..Q......--"..-.~._._.._ri_.-_._--~-
[] Orlolnal
o Suppl.mental
o R,malnd~r
Date ,I Death _ MI.1Poh 23, 19(jl .
.- , ~.---.......~=..,..,-,.-.,...~~..........----------
l'I2~01.?'I66
Social Securltv Humber
...--~--..--~~.~.........,_.~--_....._---~_....._-
REPORT OF INHERITAHCETAX APPRAISER
I, the lJndl,.lgn.d duly eppolntld lnh.rltanot Ta~Appral"r In and 10' the County 01 Ollmbarllmd
Plnnlylva.nla, do.r.IP'otIllIlY ItPo. rt that 1 l1av. appral."d the ,eal and p".lonal p",ptl'" a. ,~ort.d In th. fo"Oolnd
r.tum at th..yolu.. ..tlorth opp~.It. loch 111m In th,101t oolumn", the ,I ht In $ dul.. IIA,I; 118", "C", ond "e"
D~t.dl January 13, 1.98?
INVINTOl\Y
--
V~LUI ~, APPRAI'IO COOl ~OJU'''MIHTS R8M~IHOIR ~PPR~IUMIHT COpl
(HARRIUURO un ONLY)
4 N QNlll.. 00+ I
14.800 00 10+
0 , 1Il+
NONn: 10+
--1JL,JlQL..---- 00
-~
MI- ' .,-
-
R...I p,op.,ty (lch.dul. ,\)
p.,.onol P,op.,ty (1Ih.dul. III
Joln,.H.ld P,op,,'y (Ioh.dul. III
Tr.n"'" (Soh.dull C)
TOT "'I. GROll "'IIIITI
t.:... O.bt. .nd O.dUII!On.
(ICHBOUI.IIP)
CI.B"'R V"'I.UIIOP BSTATII
o LIf. eotot.
o A.nnully ,
Rill
P",CTOR
. .
PRINCIPI.I
V"'I.UII
-
CODI
-
.--
:
\
J
d'
-
PO.R liS! 0' RBOISTBR ONL~
T ax an $
T.x on '$
Tax on.1
Tax an, I
T.x On $
I~'",ptla"
Tol.1 .".'t.
~
COMPUTATIOH OPTAX
$
$ -
S
~ll"
Ull
--
$.;.:....-
$
TDTAl.'T"'X
I~TeRim P~OM
IlAI,A~C.
TO
$
$
$
1,... Crod'"
pATII O~ PAYMeNT.
AMOUNT P"'IP PIICOUNT
$ + S
IHTIRUT
~x CRlbll
$,
- $ .
*
--
.,
+
BAI.ANCe" $
TO $
$
J i t! "1<
i ~ ~
, ~
!'~ ; :::l I ...
i
~ 'a I
.
..... ~ i I;
~ ~ ,
~ ~ ~ 0 d
" , ~' z z
i ~ i Q ~ ~'
~ .~ ~. 8
i:\<
J<<EQB.Mt\IJ.011
To II1S\lro I'rollor .rodil 10 YOllr OC'''"II1I, Iho I1omo (II Iho oolnlo nnd 1110 numborellould Iln olonrly prlnl.
nd (m Iho "hook or rnanny milor,
nllo OBOnDemanl 10 n\llelo In nO"(lIlIol1.o wllh 80clloII 708 (If Iho InhnrltonQo ond Eelolo To~ Ant of
19811721',8,92486,708).
To Iho o~tOlll Ihollnhorltoll.o 1l1~ la IIPllI wilhln Ihroo 13) monlhe oltor Iho deolh ollho dooodonl, 0
dleooum olllvo 16) I'orconl lanllol'l9c1 i72 ".S. 9 2486.7\ 8),
Inherllnnoo To~, IIlhor Ihon lo~ on 0 fu\Ure IIIloroel, la c1uo 01 Iho dnt" 01 tho doooclonl'e dOOlh ond beoonlne
dollnq\.nnt .01 Iho o'I'lro\lon of. nino 19) I'10nlhe ollor, \110 dooo<lo",'e dOolh 172 P.8. 9 '2486.711), Inherltonob
To~ Oil 0 fUluro 1I1Io,oal la poyollle within Ihron (31 mOlllhe nllor .Iho Irenelor tokoe 011001 In' poneulon ond
enjoymenl ond la lIollnCf\.onl I"orooller 172 1'.8, ti 2485.7121. Coloulole Inloreel Irom Iho dellnquenl dele ohown
pn Iho 1000 of \Ilia lorm 10 Iho c1uto 01 ROluol pnymo", uelno Iho followlno Inloroet toblo:
......_......_........___ ..._......_....._..... _...._ __.h'" u_'" .......__ _ ___._.._....... _.. ___... ___ .....-.........._....._ --...- - -",--
l/tlonlh ,006 4 monlhu ,020 7 monlha ,036 10 month. ,060
2 monthe .010 II monlhe .026 B monlhe .040 11 monlha ,066
3 monllle ,01~ o monlhp .030 9 mon\l1e ,046 12 monlhe ,060
, doys ,00017 11 cloys ,00180 21 dayo .00362
2 deys .00034 12 doyN .00203 22 doye ,00369
"
3 doys ,00061 13 doya .00220 23 dNya ,00388
4 doye ,00088 '4 <Ioyo .00237 24 daye ,00403
6 deya .00086 1 U doya .00260 26 doyo .00420
6 doyB ,00101 10 doya ,00267 26 doye .00437
,7 deys ,001'18 17 cloys .00284 27 doyB ,00464
~ deye ,00136 18 doye ,00301 28 deya ,00471
. 0 days ,00162 19 days ,00319 29 dayo ,00488
10 dava ,00169 20 doya .00335 30 days 0600
.,_ ___ _.....____ ____.....___..._ ____ ____ _ __ ......._ ...... "Tl--'.-r _.... ___...._____.~ - - _...._.._M_.. -....... --.
,AnyporlY In Inleroul, I~plu<llnothn C"rnmol1wool!h ol1d lho poraonOl ropr09ontollvo, nol Bollafled wllh
Ih8 oaaoumenlmey obi 001 Ihorolo wllllln BIKly (601 <Joya olto, rooolpl 01 Ihla Nolleo oS provldod by8eollon
1001 of tho Inherlloriee ond' ~slDln ToK AnI 01 1 nul (?2 1'.6, fI 2465.1001). .
Make chook or money ardor puyablo to:
"Roglstor of <Willa, Agenl"
Mull 10 tho uddross listed bulow:
Q.!iliI!RAL U:!.flERITANCE TAX INFORMATION
Unlatllflvd liabllitlollncurtod by tho docodont prior to hls/hor doath lire doductlblo against hls/hor taxablo
utato. In addition fa dob" hlcutrod by tho docodont or ostato, othor I tall,. aro clulinublo Including tho COlt of
admlnlltratlon, attornoy feol, flduclury 1001, funorul and burlnl OXI'OnSO& Including tho COlt of a burial lot, tombalane
or grave matKor and,olhor relaletlburlul exponlOl.
All dobll bolng clalnlod ag'alnl' an eltato ora aubloct to tho a\lpraval of the Rogllter of Willi with whem the
Inhorltanco Tax Return II flied, Evidence to support the decodent', 'or tho ostuto'llinbllity for tho d~bta being
claimed Ihould bo attached to thlhchodulo. .
A fanllly oXQmptlon may be claimed bya IpOUIO o.f a decodent who died dOlnlcllod In Pannsy,lyanla. .If thare II
no IpOUI.e, or If tho Ipouae hOI forfeltod hll/her rights, than any child 01 the decedent who II a fIIomber of the lame
houlehold can claim tho oxemptlon, In the ovont thoro Is no.auch spOUIO or child, the oXlll1Jptlon ca,n be claimed by
a parent or parontswho are memberl of tho lame houlohold Qa tho doced,ont, The family exomptlon II allowable only
agalnlt aileta whIch pall by a will or by the pennlylvanlo Intesttite LOWI, .
NOTEI Camll~nlatlan paid to an estat,e ropreuntatlvol namely, an executor or administrator, far aerylcOl
performed In admlnlstorln..g an OItate II roportoble for Pennsylyanla Income Tax purpOIOl. Thll taxable incomo
Ifem Ihould bo reported on form PA.40.lndIYlduallncomo Tax Retlirn.
~ ~ ~ 8 ~ ~ Z ~ ~
~ ~ ffi p
z ;j ,
Z
P P
z 0 Vl 0
0 ." ."
,
~
Z
~d
~( "
r"". .'
, ..... .'1
I!' /_, ,.'
J: ~ :-,:'1;;
I 1<" '"~
'cj ,'-11;1, ~ ~
i '~'" j~: :!:~
I (. iO lA-1'"
.,(.)
U
INS1'RUCTIONS FOR COMPLETINGSCJiliQ!.!.LE "F,".
1, If tho family exe\11Ptlon Is being claimed, Indlcato the clalmant'l name, addrolo and hll/her relallol\lhlp ta '
the decedent, Enter "family exemption" In the remarks column and the amount clalflled In the amount 'column.
2. Aaalgn cOl\ucutlve numberl to ,each ,Item lilted.
3, Enter tho dale on which oach debt wal Incurrod and/or paid,
4, Ent., tho names 01 each payee,
5, Provide a brle(oxplarlallon In the romarKs 90lumn loreach dobt clolmed,
6. Enlor thoomount of each debt being clalmedl,'. '
7, Tho form must be Ilgnedby the person who has assumed tho rosponslbllitY for paying tho debts.
"
IF.ADDITIONAL SPACE IS NECESSARY USE aw' x 11" SHEETS.
/ /- c;J .tiC) ,./
. .' I ^MENI)InO
MYI~IM'~:~!.~ ,~l\Im 1~~~N1~! INH~;~J~:~: J::B~:~~.RN
, ~e PilI Number 21_R1_2t';t';
WI' "u . ("01
Olcldlnl'l Nlml. (Lilt, pint, Ind Mlddlllnltllll Oeeldlnl,l Addrell
SCAR A. YOF1FlllE 233 Deer.Halo Road
OEOEAIEO 80e I BtourllV Num Ir 011I 0 O..'h Camp 1\ ill, rI\ 170 11
OHIOK '1, Orlglnll Rlturn 0
A"RO,
'RIAT8
2. Buppllmlntll Rlturn GJ
3, Rlmllnd,er Relurn 0
BLOOK8
4, LIII EIII" 0 6, Pldlrl18ltl" TIM 0
Rlturn Required,
8, Oleldlnt dltd tll"" 7, Oecedent mllnlllnld I livinG 0 e. Total Number of ufo
(AUtoh COP 01 Willi IrulI(AUIOh oe of Ir III de 131ft bOKII Inventoried
All oorrllpondlnollnd eqntldlntlll 11M Inforll1lt1on Ihould bl dlreotld tOl
OORRI. .
8,ONOINT Nlml
Oavid F.
relephonl No.
Seoond
Addllll
DeWeeS
IDs uire
I
I
!
I
,
I
I
i
I
,j
I
\
\
'1
I i.
I
011
'RlOIpltulltlqn
t, Rill Etttll (8ehldull Al (II -Q-
2, BtookllndBondl (8ohlllull BI ( 21 4H09,38
3, Olollly Hlld 8tqoklPlrtnl"hlp Interllt (8ohldUllol ( 31 -0-
4, MortQtQII Ind NOIII (Sohedule 0) ( 4) -0-
B, Cllh & Mllollllnloul PI"onll Proplrty (80hld'ull 8) ( BI -0-
RlQAPIT, 8, JolnllY OWnldProplrty (Schidull PI . ( 8) -0-
ULI\TION 7. Trlnll," (8,hldull 01 ( 71 -0-
B. TO'II Droll A"ltl holllllnn 1.7) "~f. , ,
AND 8, Punlrll bPIRtll Adml~ll\rltlvIOoltIIMllO'lIlnlOul
8xplnln(80hldull HI (81_ 41. po
TAl< 10, 0IbIIIMOr\QlgIIILleril(80hldullll (to) -D-
.
,t, Tolll Dlductlon. ttolllllnll8 & 101
12, NIt Vllue of filt,IIW", B.mlnulllnl tll ,,I
OALllU, 13. Ohllitlbll Blquntl (Sohldull JI
LAytON 14. NItVllullubllOt to IIX U1ne 12 mlnulllnlt31
(11) 41.00
(12) 4768. ~8
(131 _ -0-
1141,.--4768.38
, ;Irq
" -' , ,',:'
N "
I
" I;;
..
(sl 4809.38
4769,38
x,08-
286. 10
OOmPutltlon of Tlx, ... '
t6. . Amount of Ih\1 t4 'IXlbllll 8% rl"
. i (lnoludl vllull from SehedullKI
t8, Amount of IInl14 tmblll' 1611'rltl
(lnoludl vllulllrom Sbhldult'KI
17, Prlnolpel tlX. dUI (Idd tlX from IInlUpl~1 t..x Irom IInl t81
18, Totll Prior plymlnl1l
(,I Amount P,ld
(bl . Plu.,OllOuunt
(01 Mlnullntlreel ~
19. 8111nOl Ou.(I1n111 mlnulllnl18)
'Mlk. OhlOk PlYlbl1 tOl Rsgl'l!r ef WillI, AQlnt
i i i PLEA8E R8CHEOK MAYH i . i
.
, Undll pln.ltlll alPlrlury,1 dlollrlthlt1 hlVS mmlnld Ihll return/lnoludlnQ ecoomplnvlnQ IOhldullllndllSlIl11lntl,lnd to th.bllt o'my knowledgl
Ind~~.I~~:JSf ~~~~ trut.. cor,.ol, Ind oomplltl, OlOllIItlon 0.' prIPI,.. ~,othlrlhln the.PlrlOnll.reprlll.nl'U..VIIl b\"I~.on IlIlnformltlon of loh pr p.lrerh.11
''tX . 1S;1\6..;' " ". I (ei \,.C\ I I " \ IT:') t.I" le\. .\,. "}" :8":J.._-"
IIONATU 0 PBfl80N~ flBPfI.1 NTATIVB( A 0 BSS '0 TB
(161
(181
x,t6"
-0.- ;
lt71
286.10
Interest DUe
.57.22
(IBI
(191
343.32
I
I
I
I.
I
1\ I.KI ~. ~,
OATS
101 S. 2nd al:. Harrisburq .'1'1\
fiB OP pASPl\flBfI OTHBfI THAN flBPflmNTATIVB ADOflBSS
~ _..._. ____, ......,_u
,I'
~~tt~~~:~~i~:t,~,~~~~~~~!I~~!t~~~~!~~~:::~:~:';Ii.~,,~j'
m t\Q!i m AMOUNT
A880urnanl Control No,
D~^".t!..
-
l4'_t~
. ~alvso ~"OM:
r ~. "'1'''. "i"ob.~1.~-..,.-'-",_,_,.-'_,,_~
;:JILL D,vi4 ..L.,lll."lU,-.laQt.-...-",-..... '
, ~"l.cU"....~_-u.r..t-..._,.-_...._,...._..,-,.
~~_S$.Pu~__Ja..,_,--.U1.01,.,. .d'''.'
L ',' -l
aSTATE INfORMATION:
fiLS NUMSeR,
. NAMe Of OECEoeNT
,OATil Of PAVMeNT
POSTMARI<OATE
. UNTV
",,'fE Of DEATH
~
-"
I
"
MI
REMARKS
mTOTAL ~MOUNT PAID
'.:1.32
--
Ww-
ltr.{\\:-;n..p! 1.)1 V\JlII'"~
_.1_'
~
- - ---
I
j
I'
seAL
I.'
1..'"
~'
II /.," )
NATUR~ / ,'~<."'I
RecelVOD BV
\--'-;/'
,.
, . .' ,'-- '. '
- - -.. - - -- --, - -- ,,+- - --. ...- -~.- --- -.-" --- ,- ---.....- - -'- - ------ --.......-"- ---
Rev, 1847ex (10'82 I
. I .
j BURDAU or- UxAM1NA110N I NOTlOE or INHERITANOE TAX
PENNSYLVANI~ OQE~~~T~j~~ or- REVENue, APPRAISEMBNT, A~~OWANOE OR DIIA~~OWANOE IACN 101
. _._~~~llIS~UR~! ':'~_H~2_~~_~"_.J_~~;,,~~~~.~ON~.:_~~~,~~~~~~~~~~~~~:_~:".lIl.A1'L.~_ _
UTATE or YOFl'Em ' OElOlll, 1\ rlLB NO, 21 81-0266
llAtLor._;WnLQJ::;tJ,::aL~",.... _,~ _", __y' _''___ ...- H .",,_oOYNIL-.()UMaERI.lINP~~_,.-,c_-.
NOTBI TO INSURBPROPBR CREDIT TO YOUR AOCOUNT SUBMIT THE UPPBR PORTION OF THIS NDTIOE WITH YDUR TAX
PAYMeNT TO THE ReO,STBR OF WIL~S or THE ABOVB ODUNTY, MAKU CHECKS PAYAB~B TO "RBOISTaR or WI~LS,
AoeNT", .
,..-.
DlIVJD F QmWEms ESQ
101 S 2ND au'
STm L~
HBG PlI 17101
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
QY't ~Aj..~~9 ,.'tt1I~ J..!I'4,S_ ., - ,
" NOTlOB or INHERITANOB TAX APPPA\SBMBNT,
RBV. 1B47BX ( 10-sa I
eSTATB or YOFFF.lE Of,lC/Il\
", ~ ., ., . .. .- ~ ., .. - - -- ..,.. .. - ~
A~~OWANOE OR D1SA~~OWANCB OF DEDUCTIONS AND ASSESSMENT DP. TAX
_.._*_.....~_._...,___u___......_.._,..._...._~_.., .~....._.__,_....~".__, .... n'_"'_'~_'_. ,. n~_______'!~__ _.. ._,_.____u ,.-_ _~_~_ --'-" _. n~" -" -- ... u ..'----.............-....."'-~-....-.-..._~
1I rl~E NO,21 81-0266
AON 101
DATE ,J2~OB"82
__.~,__c___.l~"Bglh!mLW6~~".L~,1,I\.C~~[:!m .t.~,.~!I,gl?__"L. .! ..cH^-~(1EP..,__,._._~_H..._._....._.L._________
APPR~IBED VA~UE OP. RETURN SASED ON, lSUI'PL.lliMEJNTTlL.
I. Re.1 e.l.le (Sohedule 'AI
2. Slnot.. .nd Bond' (Sohedule al
3. Clo.elv. Held SlooklParlnerahlP Inle'eel (SOhedule Cl
4. MOrlgage. .nd Naill' (Schedule 01
,a: c..h & MI&OIlII.neoUa .P~r&on.1 ProperlY (Sohedule m
6, Jointlv Owned Property (Sohedule Fl
7. Tian.le..(Sohedule'OI .
a. TOlal Auela
RETURN
( II . .00
( 21_~~,~~~]dLqi;)~:=.
I 31,.__._..__..,_'&9...,
( '41 ______.__-'_00 __
( 51 ___,_-L~_....t9.Q......
I 61 __,~_.__.._.,!QL_
( 71 .____.,~_____--'-9JL...
( BI
______.h.~9l,1!l_
APPRDVEO DBDUOTIONS .AND 'EXEMPTIONS,
9, funeral EXPQr\.e./Admlhillr.llve Coola/MlDoell.nequo
Expen..u ISohedule HI
10. OebIa/Mortgag..ILleno (Sohedule II
11. TOIaI Oeduollon.
\ 2. Nel Value of Tar RQlu,n
13. Ch&rllablelOovernmllnlel aequeata (Sohedule JI
) 4. Nel Vllue 01 B.l.le SubJenl 10. T."
( 9) ,,___....._.._4J .00 __.
11 OJ _.~___..._,__LQ.Q.._
(Ill
( 121
(131
1141
4LOO
..-"--~;r_'i~38.
__,_.._...:!.t,.,..._
_______.._"t9.Q.-
."':"',..gj 399.38 .
ASBIISMeNT' OF TAX,
la. Amount of 11M \ ~ laxable II 6% ',alB
1 e.. Amount of line 1 ~'laxeble al 1 a'lo rale
17. Prlnclp.1 Ta" Due
TAX.' CREDITS I
,-- .-.._.~--------. -------I..-'-----.-...,.-..~-'--"-----.--~-.-.."~'--l
. PA6~le~:" ___.._.__~.~~~I:T____..__..I._;,.J~~~~~~:L~L..___,J'.,...m__~.~~~.I~~~~~__._'----,1
12-1?~81' '069895' .00 I. 457.86 \
1l~10~82 04~952' 15.11-1 343.32,
. I !' I '
~-~---'-'-'" _.._.____._____._,_.__L~._nN.~. ...,-----..-----1--'1:-- TOTACT-A~ C R'i;-D1f"d--.. ""''''-. "--~'---';--"i
""._..__+.~..m.____"__'''_ _,,-+ ~,_ ____7,6.6.,.0____1
. BA~ANCB or TAX Due 42.110R
I" "-;"wfiilfi'f-.nn.n--- ,-~_~m-_n--:-oo'n'l
i'-~--'-~~- --, ,...-.------~_.._----,-.~-~_... . .----~." ...,-_..~_.._.-.~ ----.. - j
i TOTA~ DUE' . 42.llCR.!
... ;"_'___'_~'4__.._n_'_''''''_''''''_''''~T~...J__u_...._.~.'''''_........~, ._._,_..~.._____J
(II 8alanoo OUe'la Ie.. than 11.00 no pavme,,1 10 ,.culled)
(161 ,__ ~...l?J}~9 \'~~.n_X.oe'i,.__7!\). 96._
(1 61_,,__._."~_, .00 .";x. la'_,_,_~~n
(11) .. 143..g,Q...
,
. IF PAID 'AFTER THIS DATE SEE F\EVEFlSE FOR CALCULATION
Or ADDITIONAL INTeREST
. RETAIN THIS PORTION POR YOUR REOORDS