HomeMy WebLinkAbout81-00287
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Inthe~lItate 01 ", ,.>, '-'''I't '., (, .'. !'" /'-'~""~"I-t......,y" I(
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To Regllltllr of Wille lor the OounlY Qf OUmborland, In Iho Oommonweolth 0' P'""sYlvan'~,
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~;..,.;r~"~iJ;';n;"~~ Un '''' .J"ii~":'i~~.i',~,~I'.':zi'~, ',~ ';8;,,(::/...:,;
TOWnship, (80ro~llh), Oum, erllln~ Oounty, OommQnw..,II~ 0' PenneYlvanll, .
b""'~1 dl~Q~ ?"'.' iI'''';;:7~,I~._""t::d'' QI>f,l",.,( , ~'~," ~~ f In ""
Oounlyol ,\_..;11""""1/1..1:.1/"."",( ~-'Ialllte or....iJ~j~',(111 thU.Qlgf ~Y.ars,
O,e',oedent haMffil,ff lJ.@'boe, 11, married and ha~hall nOIMl.dOfJlldrenborh',I",O, ,hltltJ,=,ID .I.I!!.O', ','11,0, . ,.1 he '. x.
eOl.ltlon 01 the'iibOVe described Will,>" " "~"'. " ,
beondent was poellessed of personal proporty to the value or --l I' /' ,. . ,/!. " C' t',! d
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ancj,o' teal lie/ate to the valUe of ---,-,L'J;LjJ..E"',_,_,,_...__..,....;..,.,
No, 21.81 287
PE'J11T10NFOR PAOBA'J1E OF'WILL ANI) l.etrlRS TISTAMBNTAAV
,d,o".ed, "
aenellr lleclln be asOertlllned; Bald 1111\1 eellllo IlItUllled III followl~
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l;herafore, YO\lr petltloner(l) respeotfully appIY(Ioe) for Ihe probllle tJf the said LIst Will and Test".
rmenlllnd .Ior Lellere Testamentsry theron.
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OOMMONWEALTH QF PENNSVj"VANIA J '
'OOUNTY OF OUMBERLAND . ss
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nom., In ,.~6;. '"II,.IInn, ""'" dul, ''-''<'"~''-~'''''''''' 10 I.. "~'J I~,t' lfi.
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FlIlldl M~'y 4 j 1981
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tl1irty (30) dayf.l after my death, he br she shall be deemed to have
predeoeased me for all purpoaes undor this will.
5. I direot that all est~te, inheritanoe and suoession taxes
that may be assessed in oonsequenoe of my death, of whatsoever nature
and by whatever judsdiction imposed, shall be paid out of the prinei"
pal of my general estata to the same .offoct as if. said taxes were
expenses of. administration I and all property includible. in my tax"
ab~e estate whether or not passing undflr th.is will shall be free'
and clear thereof.
6. No intereet of any beneficiary of my estate shall be
supjeot to antidipationor to p~edge, assignment, eale, or transfer
in any manner, nor shall any interef,lt be liable on aocount of the
debts, contracts, torts or other engagements of any beneficiary.
7. Any gifts made during my lifetime to any pereon or persone
who 'are benefioiaries under thie will shall be coneic'\erec'\ to be
lifetime gifts anc'\ not to be ac'\vanoements mac'\e to that benefioiary
or benefioiaries.
B. Any amount-a Which are payable to a minor urlder this will
may at the discretion of myfic'\uoiaries be paic'\ either to a parent
or. guarc'\ian of suoh minor, to the person with whom such minor is
residing, or c'\ireotly to such minor, or may be applied to the use
or benefit of suoh minor.
9'. 1. aUthorize my Executor to exercise the following powers,
in addition to arlc'\ not in limitation of suoh powers as my Executor
may hold by lawl
(a) To borrow money for the payment of taxes or
.for any .other purposes in the ac'\ministration. of my
estate.
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(b) To diBtributfl in kind or in cash, ~Ipon any
division ,or distribution of my eatate.
(c) In general, to exerciae all powera in the
management of, my estate whioh any individual could
'exercise in' the management of aimi lar' propertyowr.led
in his own rightl upon such terma and cohditions as
to him may eeem beat, and to exercise and deJ.iver all
instruments and to do all aots which h~ may deem neces-
saryor proper to carry out the purposes of this my will.
10. I appoint my sister, MARJORIE WILLIAMS, to be the Executrix
of my ~ill. In,the event she is unable or unwilling to serve, then
I appoint PAUPUIN PEPOSIT TRUST COMPANY with main offices in Uarrisbl,\rg,
Pennsylvania, as my Executor. No individual fiduciary named herein
shall be required to furnish bond or other aecurity for the proper
performance of his or her duties hereunder.
IN WITNESS WHERJJ10F, I I Catherine M. Kemper, herli\with set
my hand and seal to this my last will, typewritten on three (3)
sheets of paper" inoluding the attee,tat:l.on' olause and signatures
of witnesSes, upon eaoh one of wh:l,oh I have also written my nf!lme
i ICl12. , '
th s '/ - day of August, 1976.
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(SEAL)
On'the J 97( day of August, 1976, Catherine M. Kemper declared
t'? us, 'l:he undersigned, that the foregoing instrument was her last
will and she requested us to net as w:l.tnesses to the same and to
her signature hereon. She thereupon signed said will in our. pre-
sence, we peing present at the same time. We now, at'her request,
'in her presenoe, and in the presence of eaoh of us, hereby subscribe
our ,names as witnesees. Elaoh of ue further deolares that he believes
thie testatrix to be of sound mind. '
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Oom,.o"w..I\1I 01 ".""lvIV."lo INHERITANCE TAX RETURN j
~~:::,I::"~:':!"I~~~:~':' FOR ESTATEa WITH GROSS ASSETS'
fllIlIl."IOO.,'l."1 UNDER $10,000,00
fI,v,~a~'a)(' (1.001
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LOil Addross, ,~),~) y (~j~>.J'J /J )( ,.)~'J J c ' Boolol S,lourllV 1/ ,/X" 9'.-;1 ;;-:.j ,fV s'-
ro,," (jJ'~M/:. .(,~,/. "i .. /;~ "'~?' II a",""" "" , - - -' - . .- -
Counlv Fllu II
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01 InlO&lolo (wllhoUlll willI
9( TOS10,18 (Iooylng 0 10Sl will., OOPV 1I1luohudl
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3, All oorreipondenoo should 1)0 mellod 10 0 Allornov' {Xl Flduolurv,
'4, If enallorlll\V Is reprosOnlli\ij thanslOlo, IndlcolUI
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ABI'~ PAOPQRTV .,. Ido"llly ,osl P'OP8r1Y 10o.lod In PonnlY,vonl.,UY 10\ onu'hlooK "umhor. Ilmo\ oduroll ond Blllm810d
Inollldo 8 ltat'f1lonl of mo,lg090 8".Uml1,.".01 01 of tllo d.18 of uoolh. " ,MorKol Voluo
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Doporlmonl Volll.llo"
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UeNDPIUlAI1IHB AND APDRQII8SS
ISI~I' lull ".m.. ."d .,ld'M'1t of .11 who 1......1 Irn...'l
'lIh.. YMI.d, oonli"u"" 0' oU,., 1"'or..,1
BENEFIOIARIES
RnATloNBHIP
TO lieCBlleNT
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ChQt~l!lI 1\, Kl1ll1per,EJol< 347
Slii'OIn'l eLl ,-\.l'~4 7 6
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Ot to l<empo.L' w497 oute~.j.~.!-.lIe _
mlloncom.Fl~L-J~~3~
MOtiOIl l~rl\!1dalL wIlt :l,jlox61d.
Rtate*lIillo,N,O. 28677
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Marj.or1.e K!W1.lUalns..2tlO\l Markot !Jt 'lot
Cl\mp H~1l,'pa,l70ll stetnl:'
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INFORMATION
B\JfWlvelJ
peOBPeNT
STATe vue
OR NO
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AGe OP LIPU
TeNANTS OR
ANNUITANTS
AT OBATH Of
OBOUOeNT
INTUf188T Of
eBNBflCllARV
, IN eSTATe
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PLAoe FOR PILING.. Tho roturn la to bolllod In duptlooto with Iho Raulslor of Willa of tho oounty whoroln Iho dooodenl realdocj,
TlMSPOR PILINlf- Tho rolurn Is duo nino mOntha oftilr Iho deoodont's doMh, unloss On o~tona'on for fIIlnu 11ea boen oppllocl for and grontod
by the Soorotory of Revenuo within tho nlno,month por.lod. '
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FAILURE TO PILE RETURN - Soo(lon 791 of '1110 1001 StollltoprovldoBJl1ut ", '.. onv parson who WillfullY lolls to file a rilturn or
othor roport rOCllllrodof him, , , sholl ho porsol1ollv 1I0hlo , , , to 0 ponolty of 26% of lIIO tP~ ultlmaloly'found 1,0 be duo or $1,000
whlohover Is tlto 10slPr 10 Ilorooovored hv tho Doparlmont o( Rovonuo ,lIS dohts of IIko omol1l1t MO rOllovoroblo hy,lo\,/,"
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INPORMATION
,
".. ...~.. ,. .. ""'" '..... .. " .'". .,... "OlIO' 10' " ,. ,"'""." .., ,,,... ,.. '"
of '96' (71. 1'.6, lIollon 24861, "
" .. ''',,'' ." WI.' "..", '''.,'' '" .. .......,'. ...., · ,,,,'00' " .. " ,.. ". .." " .....
Inh.rll.nol n~ b'Qom81 dlllnqulnl nln' 19\ monlh. .ftlr Ihl dloldlnl'. d..llh. ,lnW8l1, I' oh.rgld .1 Ih.
r.11 01 II~ 16\ plro,nl,p,r .nnum on Ihl .mounl 01 unp.ld la~, ,laSe all.AMp.a aa.OW\ '
"""'.. "..,..." "'," " ". 00,00 i. '". ,,~~.. .",.. ,,,m ,",. ,", .., .-. " m.'
on 6-23-80, Ihl Inllr8l' la, o.loul.lld II Indlo.lld bIlOW' , -
Ir~p 1
Plllrmlnl Ih. rll. of
Inllr8l1 from Inl I.ble bllow.
nap 2
Mulllply Inl b.llnQI of
II' dUlby Ihl r'll of
Inllr8l1.
srII' 3
Add Ihl ItIIlr8l1
10 Ihlb.lanol of
1.~dul' Ii
e.l.nol of \I~ dU'" 02,000,00
plul Inllr8l1 10 --,'
_.QI1tof pIym,nl 1+\ .J 26,1Q.
'fO'1'A. I'~ Ind ' ",
Inllr8l1 10 0.11
of p.ym.nl 02,026,10
--.-...-
Inler8l1 from ~-30-ao 10 6-23-ao
R..U\\I In, ' '
, 2 MoMhl. . ,0\0
20 Iml ,_ j ,OO~B.
R.II of Inl.r..1 ., ,0 \ 36
a.l.nol of II~ dUI
BIl' '01 'InTIII
NraRSar
02,000.00
)('.0 \~~lt_..._
. 26.70
...~~~..~..~"~~~._-~.~-_.~._...~......~-~--~~.~._~~...--~~~-~~-~-~~~-
\ ,monlh, ,006 4 monlhl ,020 7 monlh' ,036 \ 0 monlh, ,0110
2 monlha ,0\0 6, morilh' ,026 a monlh. ,040 11 mOnlh. ,066
3 monlh' ,0\5 6 monlhl .030 9 mpnlh. .0'46 '2 monlhl .060
1 d.y .000\7 " d.y. ,00,sa 21 d.V' ,00362
2 dan ,00034 12 d'YI ,00203 22 d'YI ,Og369
3 dlv' ,0006' \ 3 d.y. ,00220" 23 d'YI ,0 386
4 d.y. ,00068 '4 d,VI ' .00237 24 d'YI, ,0040G
6 dlY' ,oooall \6 d."1 ,00260 26 d'YI ,%0420
6 dl'" ,00\0\ \ 6 d'YI ,00267 26 d'YI ,04G1
7 dlY' ,001 \8 \7 d.". ,00284 27 dl'" ,00464
e dlya ,00'\311 ' \ 8 dlY' ,0030\ 28 d.y. ,00471
9 d'YI ,00\62 \ 9 dlVI ,003\S 29 d'VI ,0048a
\0 dlYI ,00\69 20 d,YI ,00G36 30 ,d.". ,OO'~OO
~~~~~~._-~~~~...-_.__.~..__._.~~.__.-~~--~.~~.~....~~~~~~.~~._-_..-..
, , '" "",," """'. .'".. .. CO_,,,,,. .. .. ...... ,~".."",..., "" .."n.' w," '"
.... ,...., .d ......""", "'" ",.., w,.. ..." ''"' .O' .,,,, ,..." " 'W. "".. .. .".... "
810110n 100\ 01 Inl Inh.rll.nol .nd hIli. 'Ta~ Acl of \96\ 172 p,e., 110.2486 - ,'00\1,
IolAKI CHICK 01\ ~ONIlV o"DII\ "AVAIM TOI "l\llllITI" D~ \/11.\.0., AIlINT"
,,,,," ,.. TO' "..ON OF,'''' """ 'ND '"'~,,"'" "". .,,- TO "" ,,"II'" co "'" "OR
"" ",,"' ,,_ ON "" ..va.'" '" "" _""'" '" "'",,,,,"" """ PO' """",
R!V. I 100 I~, 18,861
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~'J~,D INHERITANCE TAX RIlTURN
COM~~{~!~mij~g:7ANIA ,. ., . (~~~~:~t~iT~Egr~~{tl)E ,,;{ I. ? / .&~ g?, .
~ ~~~'tlitiiim~rooT;Afilrj;ffi;~rr~tr'-._.u. .._U.~~ ..~ - nfcWfflf'ICOI;(i'(iff',i.OljAtlll',uA~"--'-"'" .-.~......,~-.~._-
..,.~ItM_p, ,dI,(/tlWl1~ . . ~~'I.,l:t.rc.;'p,q, ~~/I
~ ~ l't"()"""J(":~/! 2", I"l c"w ~J~",./~""c.(JcJA.lty
IJ L O"oln~1 R.lurn' ~.,,2, Suppl'.luntal R.e.lUr. L.I3, Remainder R,lu'n
. . ," (for dal.1 of d.olh prior la 12.13.021
o 4. llmll.d ~IIa" [J '4a. fuluro 'nlere" COfl\prom". (J s. f.d.,~, e.llalo TcI~
(I~r dolOl ~f ,de~lh afl.r 12012,92) R.lurn Required
o 6. rAI1:~~~lo~~':,r~:~I' ~,~ . ,[J 7. rAI1:~~n~0~;I~I~~~'~1 a lIvln9TrUII " , _ 9, Tolal Numb.r ~I Salo Oep~I" Box..
ALL CORRUPONDINCI AND CONPIDINTIAL TAX INPORMATION SHOULD B. DIRICTUD TOI
FfAMI'...." ,......... "'UT'" 'ICOM'lll!M^llI~O AOORIW. ~. . ., ,..
lI~lj$ltK:r!.k.I,f('AIhL.:a.r- ' 2.tD, ml4_'~ If'" '
. =J?'1.,j,,,'1?i1r-}(lt/. (J~.HAjJ Me." ,fh~~7~!!
, (\1,1 !1
. L Rool"'~I' (Schedul. A) ( 1) ...-._--.............~_... i'.!';\i;~
~: ~:::~;y~~~I:~~~:k~~~;:~::~h~~ In""" (Sch~dule CI .: :: =~:::=..=~..:,:_-.~.===.~..::~: r:r;:
bl .~
4. Morlgao., ond 'N~I" Rmlva e (Sc~.dul. DI I 41 .....____. ..'..'........._.._.."..
5, Cq,hlBonk DjPO"" & Mllc.llon,oul P'''~nal Proper'y( 5) ____....__...~"-_..-
(S\nedul. e '
6,. Jointly Own.d Properly (Sch.dul. PI ( 61_j:l~_f.', 9.r...~~
7, Tranl/'" (Sch.dul. G) (Sch.dul.L) ( 71~_...u_'_.m__~._
8,Tolol Gro" ,1,,,," (Iolallln" ,.7) I 91 _..;;.._~____..___
9. fun., role1P'Mltl, Admlnlllro'lv. COli', Mlic.lI~n.~u.' ( 9) __m._______
.exp.n'" 8ch.dul. HI " ..
10, Debll, Morlgag.llablllll.".lI.n, (Sth.dul. II 1I01._.___..____~
11. T~Iol ll.ductlROI llolal line, 9 &, 10) ,
, 12, N.I Valu. ofhlol.(lIn. 0 mlnul"n. 111
,1~, .Charlla~l. and GOY"nlll.nla!B.quOlI, (S~h,dul. JI
14. N., Vol. Sub .cl I~ Tax "n.12 011 nUl "no 13
15, Amounl ~f IIn. 14 laxobl. 01 6%rol.
(lhClud.volu" 'rom Sch.dule K or Sch.dule M.I
16, Amounl ol."n. 14 loxable al 15% role
(Includ. valu", from Sch,dul., K or Sch.dul. M.I
17, Prlnllp~1 lax due (Add la~ from "., ,15 ond 'rom IIn. 16,1
18. Credlu, "Prior Poym.n" Dllc~unl
FILE NUMBBR
"'f;:-t)
hi'"
cc"~?'B,,,.
f_~:{~_~
"':~ q
"
1111
(121__.,_.
(13).--, ,! . --"
(14) ~..1.IJJ..f""
(15)__.____.__K .06.. .__~___"_.....-_.-__....
(16) ~id.:J.U_1.r.._.!..)( ,15 .. -ft4'lt /p ~{~._m_...
1171 _.__.,___._..._._..___n...
Inl.r..I
" + '~'____'___ (10) ._-_____..,.._:....__.........
19. I""n' Ie II or.al,r Ihqn "0'17",n'er Ih. dllleronce 00 "nu 1,9: Th" h Ih. OVIRpAYMeNt, (19) ...................,....._...............
A, OChocW her. II you are requ,,1I011 0 ,,'und 01 your ou"paymeot,
20.. If "n. 17.1, oreai., Ihan "n. 19, .n"r Ihe dlffer.nce on lIne 20. Thllll,he TAX DUI, 120) ...._..v..Sl.t.,~_..
A. enler Ih. 'nlOr." on Ih.)olo'oc. due on "n" ~OA. 120,1,) .-'I-II..~Ze,.--",._....
B, enler Ih.lola!.ol IIn. 20 ond 20,1, 00 IIn.20B. Thl." Ih. BALANCe Due, (208) ...tl-'1I..~..~"..__.......
_.._~m.M!lJt.!_c:.~!~~t~.abl. to.!..~!g!!'..t~O'!'IJ!o.,_~Il.~L,. ~'~',_,""~~' '".",.. .,""~ ~~ ~~ u..., .. ... ,....~.
~.-:..:...:...-.. .~ .~,. ~li.~._.T.()AH~Wji~Lj:Qlji.rfoN. ciN~.V:I~Sniiil"\ND T(niijeHiciiMATH..--~.--__.",",- .......~
Under p.nolll.. of porlury, I d.clqre Ihol I hay. '~.mln.d 'hll rei urn, Including ,occolllponylng .ch.dul.. ond IIolomonll, ond 10 Iho bOil, of my knowlodoe ond b.II.I.
C II tru., correcl ond complele, I d.clore Ihol oll,tolOllol' hOI'b..n reported 01 Irue mork., volue. D,c1orollon of prepolul olher Ihon Ihn p."onol rep..lOnlollvo I.
11O'~~fan blllnf~'mo~li~qpfl~~~h,~ii~~:IW!~~~~~~'b5ml-- .'. .",., " "','I( !J' MfS-:i "..
lftlllllYUKoHR . R 0 I R A'I'R!W.jJJM:;i~mAP.It:I' .I!1MIUrI sr. ~"I:" bAil'" 17
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IIVdlOI,,, I.", .
COM'llatll~rt~~HI~~~'~~UI~~ANIA
iNH'UITANce TA~ ACT RN .
RUIDeHT DeceDeNT
P,O. lOX 8327
tIARRI6BU~O, PA I 03
IITATI OP
SCHEDULE "C.l"
CLOSELY HILD CORPORATE STOCK
INPORMATION REPORT
Pleole T e or Print
. PILI NUMBlR
1. N.m. of Co,po,.lIon _...__.:.........._'''~....'_ ...__".._.___._.____~- Ilal..f Inc. _____
. II..., Addroll_____.___,..___...., _.........:...__...._......_.___.._....____ Ool..f Inc, ..._._..
Clty_____..___..____ 11.1. .._.....__H .."._: ...__ Zip C.d. .......,......,_ Tolal Numb.. 01 Iho..h.ld."_._.._.~.___..
2, . rl:~~.~,r~d~,~7~::'niTiOj---.....----"-....--...-.... IUllnfl' R.polllng V.., -.-------"-__1.
3, Typ..f 1.lln.".___..__~.._---..-:H,-----....--. P,od." ________ __.._._____
4,
u....."... V - .... .... ........ 3, ~!!Im.I!~ V.I.y.~ of P!"~..n!'l~~r~'!.--....-......-. ......-.
~E~i"" · ~~.I'. ." ..w. · ~~: ... ...~:.~,:~F:~:~=.~~__
P,o,ld. .11 ,IOh" and ..,I,I,lIon, p.,lolnlno I. ..,h ".11 of 1I0,k.
6. 'W., d".d.nl .mploy.d by Ih. Co,po,ollonl OV., ONo
If/f1, POlltlon ..____._.......___...... Annuall.lo,y L"..____....__._ Tim. D.v.I.d '0 bu,lnfll..
Amounland type of company Indebtedn... 10 decedent at dall of d.alhl $~_____
W.llh....ltf.lnlU'.n" p.y.bl. 10 Ih. 'ot~o'.II.n upon d..lh.f d".d.n" OVfI ONo
If Yfl, Ca." lu'..nd" V.lu.. L_____ N.I P,o,..dl P.yabl" 1________
Own" of P.II,y -.-.c-----.-:...------:-' .
Old Ih. d.,.d.nl 1011 0' I,.nlf" ,I.'k .1 Ihlt ,omp.ny wllhln .n. Y'.' p,lo, 10 d..lh If Ih. d.l. of d..lh w., .. a' ."" 12/13/12 a' within Iw. Y'~" If Ih. d.l.
.f d..lh WOI p,I., 1.12/13/8210 VfI 0 N. '
..::,~...,:;:=".~.,~;';:~;;;~::~=:~~ ... .=~~j~~=~l-; ~"-==
If YI'I '.porllh.~.(...ary InformatIon on a ..parol' th.." lndud/no Sch.dul. "C.1" or I/C.2f1 'or tach Inte"lt.
W.,lh... a w,llI.n ,h."hold.,,' aU'I.m,"lln .If." ollh. 11m. of Ih. d",d.nl'l d.olhl OV~I ONo
If.yOl, ouach '~Py 01 .g,..m.nl.
WOllh. doc.d.nl'l ".,k ,oldl OVOI ONo
If YOI, p,ovld. o ,.py'.1Ih. .8,..m.nl oll~i., .1',
W.llh. ,"'po,.II.. dlllolv.d or IIquld.l.d oft" Ih. d."d.nl'l d..lhl OVOI DNa
II YOl, p,ovld. . b"akdown of IIquld.tio. dl",lbull..., 01,. A".,h a ..p.r.l. .h..l.
PI.... IUbmlt Ih..lollowlng 1.lo,m.llon wllh Ihh "h.dul"
A. Ad.f.lI.d d.",lpllon ,h.wlnUlh. mOlhad of ..mput.llon ullll..d In Ih. v.lu.llon. .llh. d. ... "~I ,I.,k,
I, C.mplel' 'oplOl of fln.,".I.,I.I.m.nll ., '~mpl.1O ,0p10l of Ih. ,.d"ol To. R.lur.. ".d." j /0''1' 112011., Ih. Y'.' of d.olh .nd 4 p,."dl.g Y'.'"
C. A ,'ol.monl .f dlvld.nd, paid ..,h y'." L1lllholO d"I...d and unp.lti,
D. llll nam...of offlcln, lalarllt; ~onut'l and bny other b,n.fll. r,c.lv.d frOM Corporal/an,
8. If 'Ih. Comp.ny own.d ...1 01101', tUb,." a II" ,howlno Ih. ,.mpIOl. .dd,.,,/OI .nd f1l1m.l.d P.I, M.,k.1 V.lu.ll, If R.ol B,'ot.
App,.II." h.v. b..n ..",.d, pi.... .".,h 'aplfl,
P. L1,1 p,'n,lp.1 "o'kholdm.1 d.,. .f d'.lh, nu~'b" ol,lh.,.. h.ld, and ..I.llo..hlp 'A d".d.nl.
15, A~~ OTHIR INPORMATlON RBLATlVE TO AfPIXINn THI TRUI VALUI 0' THI DICIDINT,'IINTlRIIT SHOULD ACCOMPANY THIIIOH.DULI,
7.
8.
9.
10,
11.
12,
13.
14.
~ REV, 1B47E~ (12-e8 1M'
.~ - .
1 "
COM",,,,,,,, ", 01 "'''''''''''''' I" 'JVf. , I NOTICE or INHERITANOE TAX AON 1'01
\-'fl-,'o!ll~lfl" (11 III "'UIII( f ." I .. f
",,,,,,,, <"''''''''('01" "'~I' "', "~ ~,'\" I APPR AlSEMEN,T, ',A~. ~OWANCE OR 01 SA~~OWA,NO E I
"(', (10';, "'" ,,' I ,or DEDUCTIONS, AND ASSBBSMENT or TAK j ,
HI.lttH$Ollli(, 1'1, ,',\flr,'iI,},,] - - - T ......
-~, "'. __....--_.....".._J-...-"...,"''''...'''E.a'''''''_~'';''~~.......E~.''''~E'I~'''''''T'*....'-'Fr.41......-"""_. ~g~LL_~~.~~__
ESTATE OPKlliHPI!J\, CA'l'llEI11NE:M' PI~E NO, 21 B1"0287
llAtLlILlIGAnLQ4::'O.2:-:.UL_._....~.. .... .._.~" ,u. ",.L......... ,. __ _ ........~...,... m~:...'" QOYNtY ..__,.oj) Me.IllRL.lIN.ll._.___________
NOTE ( TO INSURE PROPER ORElllT TO YOUR AOCOUNT, SUSMIT THE' UPPER PORTIoN or THIS NOTICE WITH YOUR TA~
PAYMENT TO THE REOUTER or WI~LS or THE ABOVE COUNTY, MAKE ~HECKS PAYA8~E TO "RBOUTER OP WI~~S,
AQENT" ,
f'HllP1l:111cK J WI!.>!.>ll1MS II I
28051 MARKE:T ST
CAMP HI!.>!.> PlI 17011
r"'PLEAse-RET"URN'TH I S.....~-)
I PORT ION TO REGISTER OF J
! WILLS IF PAYMENT DUE
J.~_._~.,____,__,__
!~==~~~. R.~~II~~~ 10 -~~~ ::.-1
91:11 .~..L9~9.1HJ~J';J~S. u . ~.-:-. .R!iTA.I~. ~OW~R_ P9~TI9r(~C!.R Y9UR ..R.Bc.oBt)~ _-c. .. . . . _ . _ _ , _ . .. ..
NOTIOE or INHERITANOE TAK APPRAISEMENT, A~LOWANCE OR D1SA~~OWANOE or OEDUOTIONS AND ASSESSMENT or TAK
REV, 1B47EX F12-UI
ESTATE or I<~HPER
OATHERINIl: M F1~E NO,21 81~0287
ACN 101
DATE DSl"21-87
TA:< RETURN WAS: (X I ACCEPTED AS FILED ( ) CHANGED
B~m~n.Q!L9~.t&.wJ.!aiJ.tjU.Bm - _UILRillRU' ---,.---..,.--...-.
APPRAISED VALUE or ReTURN PASED ONI 1 SUPPLliJMENTlIL RETURN
I, RUI esl"'(Sohe~ul~ AI ( 11 ,_'~__,-l..QQ.__
2, Slooko an~ Bonoo ISohedulo BI ( 21 ___ " DO
~, clb,ijly Hel~ Slock/Parlnorship Inloreal (Schedulo .01 I 31, ,~_.
4, Morlgogea/Noloo Reoeivoble (Sche~ule 01 ,( 41 .9.9__
5, Caoh/Bank Depoalls/Mlsc, poreon'l Proper\\' ISohe~ule EI ( (;) __._.__.tQQ........
a. JOlntll' Owno~ ProperlY (Sctiedule FI ( 61 4.390.95
1. Transfora ISohe~ule GI I 71' .00
6, TOIaI AUlla ( 6)
4,390.515
APPROVED DEDUCTIONS ANO EKEMPTIONS,
9, Funer,I' Exp.n..s/A~mlnlslllllve Cosls/Mlsoellaneous
Expenaea (Soho~ule ,HI (91. DO
10, OeOll/Morlgage !.labIIiIlOl/l.lena,(Sohlldule Il (101 . DO
11, lOlal De~Hollon. 1.1 1) ,
12, Net Value ofTe. Return 1121
13, ' Ch,rll'ble/Oovernmenlal 6,oUO;II (Soh.~ule JI (131
14, Nel Value of, EataleSubJeol 10 Te~ (14),
NOTII If.n .1I....ment w.. IUU.d p~,vloU'lY. l1nl!' 14, lBand/b~ 18 'n~ 17 will
refl.at flgur.. th.t Inalud. the tabl of ..I.1l r.tu~n. .......d to d.t.. '
ASSESSMENT O~ ,TAX' ' '
15, Amounl of Iln. 14 Is"sble .1 e% 1111 , (161
16", Amounl of I'nl 14 laxable at 15% tall (161
17, Prlnolpal Tax Oul .
TA~ OREOITS,
.00
,4,390.95
.00
1014'1-8.91
.~Y..Da.
10,448.91 X.la.
(1?I'
.00
1,567.33
1,567,33
PAYMENT
DATE 'I
I
04-06-82 !
05~14"87
RECeiPT
#
010627
283944
DISCOUNT (*) ---r
INTEREST (-)
-........--
24.16'"
454.95-
AMOUNT PAID
922.94
1,140.40
!TOTAl. TAX CREDIT 1.584.23
1''Bii~AjijCEOF TA~ DUE 16,90CR
r
" i--- INTEREST .00
· IF PAID APTeA THIS DATE SEe AEVERSE FOR CALCUI.ATION 'L' TOTA~ DUE 16 gOeR
OF ADDITIONAL INTEREST " '____, ...!...._
UP SALANCE DUe IS !.ESS THAN $1 OR IS REPI.ECTED AS A "CREDIT" (CAI, NO PAYMENT 16 ReOUIREDI