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81-00289
" -1,_ " -' ,0 J ~ ~ 'I t I' ',- -", " ,. " , , ,. , " , ,. " , " " " I, " -I' ,. , ,. , " , " " '" J' ,: " ," " " ". " ,,' OATH m' "~:hH()N^I. IUWRI~HI':NTATIV.: COMMONWI:lALTH O(1rJ:!NNSYI~V^NI^ 8S1 COUNTY OF CUMIII:lRI~AN() , , Doforo mo,'lho Roslstor for Iho Probato of Wills and srantlns of Lollors of Admlnlslrlltlonln and for the COUnty of , ' Cumberland, personallyClltno or CONI\' Bllnk,N. A. who, bolns duly Awnr'1 , do-ua.-...depose arid sny Ihal as-IDu!.'lll~(1I~ of the Ins I Will and Toslnmontof MLll~Y P. lIondo decoasod ,,< he _will woll IInd truly IIdmlnlstor the soods IInd ohallels, rlghtsnnd oredlls ofsald,deoeased aooordlnlllo law, And also will diligently oomplywlth Iho provisions of the law relntlng wTransforlnherllanoes, flw,orn ~nd sU~8orlbed before me, Hnr ,'41ih.' " , A.O" 19 81 , . ,OIIJ/A,/I~{:(~:Jf,'1 '" , '-~~y C' ~~' ,. ,~ Resister ] u.. ~ [5, 0 I\J '~ N' ~ ,;.J '~ '~ ....J ~ ~ - . @ ~, '" ,.... ,S! co C9 I t r-- U) ~ oj.. ,.. NI ! ! d 1 ~ ~ .It i! ~" \, DECREE Bo It rOlllombored thlll on tho 4th dny of May reoordod (ho lasl Will and Tosllln\ont of ' Mary P. Henrie ,A.0,,1981 . thoro was probated and lato of NfilW (,lumber1and ,,"",,' CUli1~Drland County, PennsYlvania, ,DOOOlIsod, Lollars Testamenta.ry _WorD grantod (0_ OONB Bank. N. A. Wllnoss my hand und orrloln1 soallhc day and yoar aforosald: .' , , r . 1oit..ft"), ",~ 'I( ,t~j I , I , .j l " 1 , , ~ I 1 I ( j *;~ i j I \ l'i)!1'::r'n'll I U :' I I '1IJl, ' 1'1 I '\l~i'C!",,~,\. , \, ~ \ f' '. . I \ . ; ~ j , -'.! t "" (,!,,-, 'i,r L~'\;.," l[ \\~",J~,"- '''''\',i F,! V ;E' '1"1 '\ , ~I'. t~ I':') h t: ; .lj~,"".'L..,./ J/ , , \ '^<<\ r { " J I;' I ::l J <:> l~ I H ~,~ ~ ~ i' I i! 1 I ~.,~ I. 8 ,; " '. '. " ,! ~RAL INHERITANCE TAX INFORMATION, . , Unsutlsflod Ilubllitlos Incurrod by tho (Iocadont prior to hl~/hor doothlllo doductlblo ugulrlathls/hor tuxublll lIstoto. In uddltlon to dobts ,Inourrod by Iho dooodonl 01 olloto, othor Itoms oro olalmablo Inoludlno'tho eoiitof odmlnlstrutlon, attornoy foOl, flduolory /cIOS, funollll and burial oxponlos Inoludlng tho ooat of a burial 101, lombltane or yravo marker and athor rolatod burial c1xponsos, All dobll bolng ololmodoQollIst on ostoto oro subloot to tho approval of tho, Roglstor of, Wills with whom tho Inhorltonce Tax Return II fllod. Evldonooto support tho docodont's,or tho lIstatll'llIabillty far the dobts bolng clalmlld shaul d be attaehlld to thll'ohlldu Ill. A family exemption may be claimed by 0 spousll,of a declldont who dlod domlcilod In Ponnsylvanla. If thero Is no spouse, or If tho IPouae,hal farfolted hll/hor rlghts,thon any child of the dooodent wha 110 momber of the same household oan olalin the e~emptlon. In tho ovont thero Is no suoh spouso or child, the, oXlll11ptlon Dan be ololmed by a parent ar paron!lwha are ,"elnbors of tho samo housohold as tho docodent. Tho family OKomptlon Is allowable only ogalnlt anet. whloh pass by u will or by tho PlInnsylvonlu Intostate'Luwl. . . . NOTEI Componsatlon paid to an eltuto roprolontatlvll/ numoly, un o~e,cutor or admlhlltrator, for lervlces porformod In administering an estute Is reportable for Ponnsylvanla Income Tax purpoles. This tuxablelnoome Itom Ihould bo reporto~ on form PA.40.I,ndlvlduallncomo Tax Rotern. ~ ~ ~ 8 g ~ ~ I ~ ~ ~ ~ :z z ~ t;j p p Z 0 0 P ." ." ~ Z ., 21' I'j: .... ,"- .J j\'; i,' ,4C I J ~: i " ...., -> '1 J._--- ! d~r, (",1 'In ~ ~ lD c_~ INSTRUCTIONS FORCOMPLETI~G SC~EDVLE HF," , 1. If tho fumllyexomptlan In being claimed, Indicate tho claimant'. namo, addross and his/her, relatlonlhlp to tho decadent. Enter Hfamily exemption" In the remarks column and tho amount claimed In the amount column. '2. Assign consecutlvonumber. to eaoh .Item Illtod. " 3. Enter tho date on Which eaoh debt'was Incurred and/or paid. 4. Enter thenamel afeaohpayee. 5. Provide a brlof explanation In Ihe .romarks 'column for eaoh debt claimed. 6. Enter tho amount of each dobl being olalmed, , 7. The form must. bOllgnod by the perlon w,hu has assumed tho responsibility for paying tho dobts, IF ADDITIONAL Sf'lACE IS NECESSARY USE aW' x 11H SHEETS. IlEy.,.41J liXt (O~OI COMMONWBALTH 0" PBNNIYLVANloI OBPoIR1MENT or RBveNue TRANIFeR INHBRIToINCB ToIX RElIDeNT oeceDINT . "ST ATEMENTOF FIDUCIARY (In'tru~t1on. on Ro'/Ur.. ~Ido) ~ +,. . * ~~ ---Nuw..-Oumbn"ll,,,,I. \'4 17070 IOITYI {nATHI I~'rl 'Doto' 0/ DOO~1 ,__.._lI\!r.LLD.J,..J.9JlI~..,,~--- Social Socurlty N~, ,....20.:>>.lO...a61l...-,.,-.__. SIolu Fllo No, E,tote 01 _MAllY 'l'~.lUlNlW.~-~- L.Olt Mdre.."""SO.1..-C.JlU:ul-litr.,,;I, " County Fila No, 21-81-289 1. Oeoodentdledl ( ) Inteatato(wlthaut a will) ( x) Teltate (leavlnQ 0 lost wlll--capy attach ad) 2, I,thellllng 01 a Federal Eltate Tax Roturn roqulred lor this ostol'? YOI_ No X 3,' ( xl Exooutor ) Administrator Name Address CCN!l,lIANK, N,A, Social SecurllY No, P,O. !lox 308 C1nmp Hf11;1' P^ 170.11 IOITY) InTAT", p,\rl 4, All ooirOlpondonce shoeld b. mailed to( ) Attornoy 5.' If an attotney IItepresentlng the eltato, Indicate, ( X) Flduclory. Name Chatlos H. Heane. 1l~~1Ir1 ta Tolophono No, 774-7435 -- Address 414 !lridga Straat NAtJ nilmhR~1 "nft I Ph \ 7070 (OITYI " llI1;ATfil ,ZIPI Lilt alllale,dopql,lt boxOl relllstedrod In tho,depodont',/Indlvlduql nomoh,or 10int\.YW,lth,oro's an (1~on.t "!:deputy 01 aoather, or In decodont'l Indlvl ueil namo with right a accolS by, ano,t er as agent or doputy. Include the namO and dddr...o/ the bank or other.lnstltutlon whore tho,lolo deposit box Is locatod, the n~,me (I) in which the box II rsglstered and the rO,lutlanshlp 01 tho lalntholders to tho docedont, , " NAMI ANa APDRan OP 'ANK OR DTHIR INSTITUTION IN WHICH DSCIDINT MAINTAIIUD A SoIFB DepOIIT pox HoIMI OR NAMBI IN WHICH SAPI DIPOSIT pox II RBOISTBRID OCNllBANK, N ,A, Norman 'Handa 331 nridge Straet New Cumberland. .PA 17070 (DecGI1!led) --------..- .--- Under penallln 01 perlury, I doclore that I have oxamlned this roturn, IncludIng acoampanylng schodulo~nd statements, and to the beat 01 my knaw,lede~H\\'~I%~~~1 ~. It, tru~1IJl81\tlWtt q~ %l\'1lplolO. Eatllte of Hl1rY It') lIul11"1.u n I,' f .fI . / ' , . ." " Y I (J (I .." '" 'J--." AH1it.._lr.9JiL9UiclU:.......-l...::.frli..:::'_- ~ IlaNATuR OF FIDUCIARY CoITa 'OfUrIlAf>= .' HUll - I I"'fl - n TVPE OF ~ OMU No" 1101 U~ DPlWMOO Of HOIAlIlG ~D uNWlllMlOI'MtHT -. ,,,, ~-_.__.-- SETllEMf,N1' SfAfEMD'{T '" filA ~ II I'MIIA 3, II CONY, UNINS l]~~~ ~ II VA b \I nONV, INU o fll.n HUMUlill 7, 1,0AN NUMUEII THI TI'\'~IIN.UA"NO~ COApO""TI~ O~ PINH.V~II"NI" , . No, U. MOil Q,IHU oAun NO, AM .~QA . O. NOTIo rhlf 101m I. 'o,n/.hod IOJ'V' 1.1i. .,IIInllnl ., "'o./nlll.n,,nl 0011I. Amoonl' p./d Iii It.d h1 In. nllltm.", 'y,.nl .It .nown, lI.m. mllitd "(p.o,.,j" W'" p.1d 00/1 .In,oll./ngl Inll'.II .n.wn nil' '01 In/olm.lI.n" PUlPO'" .nd.It 001 'n,'odtd /n In' olOlt, . 0, N"ME OF BORROWER: E, N"ME OF BELLER: F, NM~E OF LENDERt David J. Mor9an and C1CNB nank l'llIocl\tOl" of the Comrnonwaalth National Blink Laurie J. Sohultt ~$tate of Mary p, nondo , a, PROPERTY LOO"TION: K8ETTi:lmENnaENT: IsnTT~EMENT D"TEI 501 carol st.reet. m~"t> New cumberland aorou9h PLACE OF SETTLEMENT: l2!3:1./Sl cumberland Count.y, 1'a. 100 Cheetmut at j ,nbt;l, . PII 17101 , J, IUMMAlIV Of 10RROWIR'1 lAANlACTlUN It SUMMARY Of SlLLlR'S lAAHSACTlON 100, aROBS M,\OUHT DUE FROM BORROWER: 400. aROBB IIMOlJNT DUE TO BELLER: 101, cOlltraet AA~rle. ,ou -4Dl, oonlrpol BaIOP Price OM 7\n 102, PerlOnalPre rW 402, Personal Prepe!!L-.: 103. Settlement chargee to borrcwer (line 1400\ ? q i{:(j '1{.' 403, tl~" , , 404, IIdluolmellta 101 lIems paid by \lellar In advance: Adjustmonts 101 lIems paid by 80IIer Inadvanoe 106, OllylTowllahlp TaK.S to .. 406, OI\ylTownshlp TaxeS to ,n7, oountVTaxea 10 - 401, Oounlv Taxea to . 108, Schn<>IT...A ,.. ,.,-n" ~"o.. ..?I\.?d 40B, 001 Taxes , ?J~,IR' IO'7JQj[ ojd 109, 4011, . 410, 110, 111, . 411, 112. 412, , -,- 120, aROSS "'.IOUNT DUE FROM EORROWER 1.,/, lV., bt' 420, aROSS AMOUNT OUg TO SELLER nl ^ ~ I .J.~ , 200, ,,"'OUNTS P"ID BV OR IN BEH"LF OF BORROWEf'I:' " 50D, RgDUCTIONSIN AMOUNT DUE TO BELLER: 201, DiOQalt 01 earneat Monev ?gnoon 501, eX0088 DODoslI 202 Prli\ciDal Amounl 01 NeW LoanlSI .~ -:;-;\" n.Q 502, ae(\lemen\ Oli8raes t9 seller lIIne 1400\ 1./.1. 203, Exlstlna I.;OIII(sl Taken subloot to , 503, Existing Loanlsl ~on subJeot to . 204, 504. pavotl olllra\ mo aae loen 205, 505, , , 206, 506, . - . 207, .. 501, 208, 50B, ... Adjustments lor Items unpaid by seller Adluslmenls tor lIemB unpaid by seller 210, c\tvlTewnshlo "exas to , 610, Oltv/Townshlo Tax.. 10 . 211,OeuntVTaw , In 511, Oounlv'faxeB to 212, School Tax.. 10 612, School TaxeB to 213, sewer 101l/01 to 12133.191 . '4 24 513, '0/' IR'.....'l2J~lJBl ' A ..4 21., . 5\4, 21&. , 515, 218, 51e, 217. " 511, ., I 220, TOT "L P"ID BVIFOR BOf'lROWER Y ct ,",,!/)),tJ 520, TOTAL REOUCTIONAMOUNT DUE BELLER 1./ I.QQ~'7 c.f 300, C"BH AT lIETTLIlMENT FROM/TO BORROWEf'I , 600, CAsH liT BETTLEMENTTO,fROM SELLER 301, Grose alllOullt dUll.lrom borrower (lIne 120) Il.l./i/. O"'C> 601, Groas amount due Ic sellor (line 420) .<i.::J.:l~. ~cJ 302. LllIlmounU p~d by/for bortoWtr (IInl 220) , (1./9 :1/1/, !1J\ 602,.LIII rld~cllon to Imount dUll8l1er (IInl 620) ( 4. (.99.7l/1 303. Oash t::l From) P Te) 13errewer J/."I./...7L, 603, caAh ~ Tel P Frem\ Seller rqC')c(7\ , .. rn. 'O'01Iolng s.u,.",.nISIOI_nl, oomp,,,/ng p.g" , ..KlI, 01' .umlntd .nd 'PP,ovtd, /n .on,/d."l/on 0' wnlOn Th' rlll./Mo,,"" OOIFO""O"" p.nn'1~ v.nl. It d/'ICltd .1Id .olholiltd 10 m.iI ."I"",,"on .nd P'1mllllf In "..,d.nOl n,,,,,,"h, 0 I.. olin... ,hHI' n.v. b"n ,...l'Itd h~ 'h. undtll/Ilnod, ~ I} to1fJ ' X~Y~Cff~ oF' TIle iCSmt6 (IF I . .7tJ~, V7I~~1- r.;rr (PUrOhOSOll.:e:;.7 l{7' Jj;.</ -- (Sollorl ~ / ~ (j "" '., rV4 ~1'1Ir.<. * .cA. 1. ' Ub, 12/,I;,JKl (Purcho\M1 ' . (Seller) ADDRESS APOR~gS . HUO - I".,.. No, 601-290 Moraan/Schult!! L ImLEMENT OHARQEI' Page 2 700, TOTAL 8AI,E8/11AOKllR'S OOMMlll810N biNd un pIlol' II Dlvlail;m 01 Oomml~on (11M 7oo) at follows I 701. S 2.088",tJO to .'An" n."9hAn. lIi\ll'j"n~ 702,' '2.008'-00, to ~MmPllfthltt06d_ RaA1 JnIl+"~A 703, OommlNlon Peld It Selllemenl .. 70~, 'I, - PAID FROM BORROWER'S FUNDS AT SETTLEMENT' , PAID FROM BELLER'S FUNDB AT BETTLEMENT , AnIOn nn 800, ITEMs PAVASLE IN OONNEOTION WITH LOAN 801, Loan OrlglnllUcn Filii J.' '4 8O~, Loan DllOaunt " '4 803, Apprll..1 Fee to 60<1, Credit R.aorl .' to 808, Lender'alntp8oUan Fu 806, Mortglga Inauranoe Aaollaallon Fee 10 807, AlI8umpUon Fee .. SOB, 609, 810, 811. Commonwealth National Bank , , 'Q~ /In , ' " . , 900, ITEMS REQUIRED I!V LENDER TO BE PAID IN AOVANCE .' @ $ 22.246!i'1 Idav 22.25 901. Interllt from 12/31/B1 to 1/1/B2 902, Mortgage In8uraOQ8 Premium for .' monthato 903, Hazard In8uranae Pral11lum far I vilara 10--C-jf77--;:J:; h: .)"LIlLi..f,,!\.rl I! , 904, 905, " 'Lt'd 1000, RE8ERVE8 bllP081TED WITH LENDER 1001, Hazard Insuranae 2 manlh8G $ 1002, Mortgage InauraOQ8 montha G. $ 1003, OltvlTaWn8~lp prClperlV laxes11 month~G $ 1004, CClunlv ProperlV TIIX81 11 month8 G ,. 1005, Bahool Prqper!vTlxel 6 manthIG$' 1006, 1007, 1008, . 1 100, TITLE OHARGE8 1101. Dooumenl PrtipllrallCln t6 . 1102, Notary Fees 16 1103, Tille Insurenoa ' . 10 'I':tCll 1104. Lender'aooverage $ 46.400.00 1105, owner'e oovlraAe $ SS .000;00 110B, Endorll8mente 1oo,,1l 300 to 'I'ICP . 1107, Seller'IDlslrlbullanFee . 'I'ICP ';. . 1108, 1109, . 7.89 3.94 38,48 per mClnlh . plr month per monlh per month , per month . . . 20,00 , 86.79 A.. .A 230" BB 10.00 , , .. " 10 nn . nn A4Q,nn '.. . J.3.50 . 7,50 , . - 1200, GOVERNMENT REOORPING AND TRANSFER CHARGES ' 1201. Reoordlng feea: Deed $ , MC!rtgllge $ 1202, ' 1203, Trenlfer Tex ll104, 1 l105, Roloale $ 19.00 rlllf\d ,.^..~ti. Re--der of Deeds . 5BO.00 5BO.00 , , 1~, ADDITIONAL setTLEMENT CHARGES 1 30 1. SurVey to 1302, Peat Inlpllo\lonto w.....~w..y "A"/! I"nn.",.nl 1 303, Taxee 13(l.i, SewarAenl 1305, 1306. 1307, 130s, . , "n",plllt"IV -. ~IO nn , , , . , - , - , 1400, TOTAL Sl!TTLE~ENT CtiARGES(enler on IIfl1a103, Stollon J & 6Oa, Stollon 1<1 I..;, fI&. '11.. " , , '+ I ~""'SQ_ , , :;2.J ~J ,<' b~, l~j..)U" 6, / ) 0/<1 ,. r I1A.Jl hA (,.1 L f OJ/,AI.', , , ~e~l. eR AT PURCHASER \\'-f~, ,.UL\ ('.?,I'.\II\I). J- cloi.,". 1'1)/ vrlll})1 , I) " llY PReMises lJ I v( , 1.../ ~ '1 I f n~.!"',n,1."-J).J.n\ I ,. r;1 " " , CONSIDBRATION / , , II-X':' . r;- "II tJt) TAxes POR CURRBNT YBAR 1/'). 17, w~ c\ G,t ,;?:;: , I. "J Id.., , I " ...!.~,T.eR AND SBWBR RBN"S , RBNT " _. " , 49. n !J 97 ~IO ON ACCOUNT , . TAxes POR CURRdNT YBAR , , WATER AND SIlWIlR RIlNTS , , ReNT , , , , BAl.ANCB DUB Sal.L aR lf9..'lE Q') , SETTLEMENT WITH SELLeR SETTLeMeNT WITH pURcHAseR, , BIITI8r.!'...o,.Tl~~ Bk Po BALANca PUB SBl.L ER 1.J.p. ('t.!J ()7 0' MO a a TO ' , Ii, " ,TIi'LE INSURANCB PR,BMIUM : CLOSING OR SBTTL EMENT I' BE ABSTR ACT PE E RBCORDINOI paEO MTOE Ii) (n~ ; NOT MY PE E , , " , II~ In , TRANSPBR TAX , , , " TAxes . , , , . , , , . " " , I'BDBAM. AIlVIlIlUIl 'I'.t.ll - TRANSP!R TAX.. nATd , , TRt.NSPBR TAX.. L.OCAL. 7j~( (ro , , NOTARY PBB I , IIBI.D I'OR ' " - TOTAL DISBURSBMIlNTS " 45'/("" .<1) -!!A~ANCB PUS SBLLER LI r;;. "i /,.., ?'7 y b~nL.t!~i~YI\IW TO CaMPI-nil l./e,OC7 q7 .. TOTAL. PISBURSIlMBNTI , O~PJ'T8II'T.~D ~essl , BV 0 .!iBT I'ROCUOS 01' S,lJ.B , 081>OBI'1'1I0 BV PUROHII8Ilf\ , TOTAL. , , 8~IRU,.oo'\;;" " , THIIIDOY~ I&TT~IMlN~&J(IMINlONlO IIPPpQVlO, IN DON"DlIII\TION 0' W1iICH THl OIIIURIIMO AlPPlllHTIITIVl1I DIRlOTIO ,,"D IIUTHORIUD,TlI flAKI D1ITAlauTl0llIIND PA MINT'IN IIGOOPDIINCC HlPBWIT", ' , " IIt~L.." L 'l' A ! 1;II'l'lf' A.' /J , , " "UIlOH,..... ;.r:.; " ft./' .- j' ; ...... . " /:",'; h,,.n,~. II ,,~.f. Jl',l:. " ,II ",....... I t '.rS"~JJ-'7' , , 1/'./ "IIt'It'lIt'Er ~:'rJ.'J.f. " . !i ' ? ~ f/ ,t'~;{: Col'" ,,-/,,/,1' , ClI,W'. HJU~ ('IT, ;;'7011 /)?rJ....,- ~!i.;..I"l'lof'..t;;(~, ~. . - , , ''f , . I . , , , , ,_ '1 '.'1 .1 '., .' - .,. " ',' ,'. ,;;1t' ,,' , t>' I I " , , , , ,i.I.~141, , , .1;;'1. " 1" , I', :' , , fl, t' I , ' f' I, ,j ,"'. , /'1" \ ',I; , , , , ,0, ' , I , QUESTIONS QQtiQgJWlNG PROPERTY TRANSri,Bl L DI.d d~C.~, dont, .W.I.thln two yon,rs or donlh, mnko n.ny .lrnllsfor 0 f any mutorlul pwt of his ostnle wllhout ro.c. 01 vlnR vnlunbl.onnd ndoquale consldoratlon? (AnsworIlVos" or IINo".) No . 2, Old docodor1l1 wlthlnlWOy.oars .O.f donth, translorprol.lerty from hlmsolf/ hersolf to himself/herself nndnl10ther Ilarly or parties (IncludlnR a spouse) Inloll1t ownorshlp? (Answor "Vas" orUNo",) .JilL. . 3, .11 tho answer to 0110 or two nixlvo Is liVes" and the lransfers lIIe clnlrned to bo 110l1tnxablo, provldothe followl.I1R Informa\llll\: , a, Ago of. docedent alllmo ilf Iransfer, b, Copy of doathcertlllcato, . .... .' c, Affl.davll by thoatleridll1R physician Indlcatll1Rlho state of decedonl'shoalth ~Itlme of lransfer, d, ~II ether Information supporting rlOnlaxablllly of.ttnns.fer, 4, Old docodon,I, In hls/hor Ilfetlmo, mnko any Iransfer of properly without recolvlrlg n valuable or adequate cOl1slderallon Iherefor which was 10 take effaclln possession or eriloymenl alar after hls/hor death? (Anower liVes" or IINo",) No a, 'Was thoro any pos$lblllty Ihat Iho properly transferred mlghl relurn to Iransferor or his/her estnle .or be sublilct . 10 his/her power of dlsposlllon? (AnsY/er IIVes"or IINo" ,) No ' b. Wl1~1 was the transferee's age at tlme'of decedent's death?' -- . 5, Dill decedent In his/her lifetime make any Iransfer wltheut recelvlnR a valuable andadequale consideration therofor . " under which Iransferor expressly or Impliedly resorves for his/her life or any period which doe~ In facl end before hls/hor , dealh: . a, The possession or enloymenl of or Ihe rlghl to Income from the property \ransforrod? (Answer liVes" or IINo!' ,) No b,The right to desl$l1ale the persons who shall possess or enjoy the properly transferred or Income therefrom? (Answer"Vos" or UNo" ,) No 6, 'If the answer to flvo bi above Is liVes,!" was the right reserved ill decedont alono ( ) or decedent and others ( ),' ... . ',',' '. . J 7, Old deceden~ In his/her .lifetime nltike a transfer, Ihe consideration for which WAS transferee's promise to pay Income to or, for thebenellt or cere of transferor? (Answer uVes" or UNo",), No 8" Old decedent, at any tlmel transfer property, the. bmollclalenloyment of which w~s subject 10 chsnge, bece,us'o of a reserved power 10 al ter,nmend,or revoke, or which could r~vert to. decedenlundor lorms of transfer or by operation of law? (Answer liVes" or, "No" ,) No 9, IftheMswor'to elllht abOve'ls "Ves," was the power to aller, amend or revoke tholnlorest of the beneflclaryresorved in the decedent a,lone ( ) o.r decedent and others( ), '. ,.... ...------ I $ ~ ~ n ~ .,,~ >i' ,-. .... PI~'1 ('In ! -:~/ :.of:! $: ;'t tJ .J i ~,!, l:',j !"I'I"I /;~ - ~ I !iP' ,-,--'1"\ ~ .... "p )~; ri ~\ -I' " ~ '-~~ 'i. - ;7, S ~ (;) irf. d - i ~ iJ; Vl 0 z d I:J Vl ,~ ~ d i)j z z-; ~ 9- ~, of. 1:3 ~ I-' Q p ~ ~ ~ 8 :: :l t' 'IS0J01UI8,lUOPOOOp 041 ~o enlaA 10~JnUJ 941 9190lpU I '\1 '110J91UI S,luopooop 041 ~o 061iluOOJ9~ 041 9190lpu I 'E; [f '^1JocIOJcI POUMo^lIuIPle41 jO On19^ 10)lJ9UJ IIhQ10410190lPUI " if " , " , :P~4slIq9iI9 s9M c1lqSJOUM01Ulo1041 019p 041 pUll (s)Jeu/y\o.oo 04110 luepeoep . ,lIlfl (l1 (11\ISliOl\olllJ puo BIOJppo 'ew9u oql oPl11ouI '"8,, olnpoqos JOj suol10nJlSUI041 ul POloOIPulsO ^lJadoJd IUlIOIJod 110 oqlJoso(J '"v"olnpoqoSJO~ slIollonJlsuI941111 P0190IPUls9'^IJodoJd IUOJ 119 9qposOO '~ , ~ , .' " " , , ,. 'llJlj 019189 IUOJ lS11 'pOpnloul llq 01 OJ9^IJodpJd 0lQl6uuluI puo 0lQl6ual 4108 :dI4IJO^I^JnS ~o l\l61J 411M SlUUUOllUlof so 8ellJocl JO ^IJocl JIl\tlOUQ 41lM ^11Ulolluepooop 941 ^q pOUMO 'IOUOSJUcI p1I9199J '^1JodOJd 119 epnloUI ~snUJ ,,91/ 91npe40S " , "9,, a1nO!lHOS DNI.La1dWOO 1:10:1 SNOI.LOnl:I.LSNI COMMONWIALTH 01' 'INNSYLVANIA COUNTY 01' CUMIIRLAND tII " ^. HlIIll\lY, ^'IIlI~~llJ\t 'l'rllHtnrrl(lClI~1. CC~~~.!I.~n.~ .N~~,-~_._...._._,.___......~_...,_.~.....~,. . according to Inw, dopolOl e"d nVI that ho~,. ~.JEl,.J::.xa.c:~J.!:or~._.__,_. _.____ . 01 tho Elhto 01 _".~_.Hllry_J:..J19JJr.!L__._-,-.__~__.__ 1,1. o(Nuw ClIlllhCtl'll\llll .. _ ~_, CumborlendCountv, Pa" doco..ed end the! the. within II .n Inventorv medo bV ". CCNUIlIlIlk., N.". "......,. ;_ _ ". ,___~, the ..ld_~xao.\!t(lL......~ o( the entire ..t.to 01 ..Id decodont, conllltlngo( ell tho petlonill prop.~rtv end roel OItete, eKo.pt reel ..tete ouhlde 'h. CO/l1monwulth 01 Ponnlvlvenle, end thet tho 119urol oppollto oech Itom 01 tho lnventorv ropment lt'l felr veluo II o( thu,deto o( dooodont'l doath, CONU lIonk. N.A., gXllolltor or tho (". . gatllta or Hllry 1'. lIon1io , ,,,> W u lI1. L____ and lublCrlbcd beloro mo, (1 /J. (/ , 1 J:J :L ,.I,,y-LJ,1'a?l)f.':L~~.;~J:~lIH~:: t LTrl!!!.tJlJi!cor 19.1J:~._ ? ,~ l. ,lmuulI belnU dulV ./IWurll ti'....~.-.; _P,Q.L..!!Q1L.~Q.!l...____.__._____ PIIYla J, Rosa, flol,ty Milo c'/Op 1111I, CUIl1~MI.,,~ Coullly p, My Commlllloll E>plr.. July $: '9B~ . j ,Clllnp_IU.ll,.J?IL .1ZUlL___________ Add"" I' Del. 01 Do.elh ..,:"-~-,.--lD3~y'."-"_.-.-..-.--.,"-~--~~l----.----,,.--~~' INSTRUCTIONS (") I, An Inv.nlorv mUll be Wed within three months alter appolnlment 01 petlonel ropreienletlvelf: 2. A lupplemenllnvenlorv mUlt. be IlIod within thlrtv daVI 01 dllooverv oladdltlonel e..eh, ::~. " j '/" 3, Addltlonillheoh mav be ettechod e. to personaltv or ~..Itv ~:':: 4, 500 Arllole IV, Plduclarlu Aot of 1949, . :.. :11 RJ .,,~ /.. I,') '- ,1;(1 ~" jC:,' .-~' "'I .... " ,C; "'1 " " :t;t '-';J , " it; ~ ~ ' 1 ~ ~ i ~ j II ':--.., 1 I ~ ~ir i. I, X - , lit ' J ~ '3 ~ 1 Invonlory 01\110 ronllll1d pora(lI1nl 'oo\n\o of I " ,Mnl'>'...r:!.Jlotldl!.I.__~_._-;-~.__ dooonood ;'._L_~__,~~_:~'r.",.":.. ...--,~ .... REA'L ~a'I'A'1'E 501 Carol, Stroot t Now Oum\lllrlhnd, ClIlI1h'orlnntl COllnt:y, 1'0. Recordlld in pood' Dook F, VOlll1l11l 12, Pallll 124 Rllportod at Balll,~rioo 423 Haldnmnl'l Avonllo, Naw ClImbnrlond, CUlObnrlond County, 1'0, Rocordnd in Poet!' Dook B. VollllOo 19, Palla 362, Reportod at Baln Price I'ERSONAji l'~ol'EI\TY I; I 200' Shares Amadcan 1'eJ,ephone & 'felal\rnph Corp. 6 Shnrns INA Oorp 200 shares 1I0uninll pynnmios. Inc. 1245.173 shares Affililltad Fund, Inc. 1979 Oldsmobiln Cut1.aSR; Title OJ.A3l],6~132 Household Contants ' Miscellaneoua Coins & Ctirrnncy State Ospita1 Savings & 'Lonn, Ctf. 1/15059 7.5% duo 8/11/82 Interest on above State Capit~l Savings & Lonn, Ctf. 014996 7.5% duo 7/22/82 Intarsat on above Stata',(japital Savings & Loan. CtL Snvings Account 11002-000.2562 . Interest on above ccm ChecUt\S Aocount 11385-312-4 MISCELLANEOUS Suzanne DsmchaK - Rant J\lda Oavia - Rant Pa. Blue Shiald " 65 Spiloial BaneHtR Po. Blue Shield " Mediuare Banafits Affiliated Fund' - Systematio Wi thdrownl Ambassador - Refund Dividend on 6 Shllrlls INA Corp. E)(.,.Pate 4/19/.111 Bell of Po. - Refund Ohio Casualty Inauranos Co. - Rafund Seller' 8 shara'l\oro\ll\h/county Rod Estate Tox on Sa1a of 423 Haldeman Avanua, New Cumbarland , Christ:l,nn"Baker Co. " Ra!und Affiliated F~nd - Ba1anoo ~n Tit1a Insuranoo Co. of 1'8, " Insurance pramium Cash Raaarvn at D/O/D Reimburscmant for Pro-Rata Shara of School Taxos , TO'l'At. LICLi; 101 rACE 3G'I 58,000 00 48,500 00 10,875 00 255 75 171. 00 11 ,629 92 .' 4,300 00 11,546 75 42 00 5,037 64 108 18 5,019 72 107 80 5,097 72 78 43 5,323 50 85 50 125 00 9 48 23 76 120 00 1 00 3 60 . 2 97 7 99 6 97 11 00 11 69 22 24 160,07 61 COMMOllweMTH OF reimSYLVANIA \ COUNl'{ OF CUMBERLAND. J , 1$1 '. -I, .Jilmlul~._^-llniJ!):nnt 'J'rust Officllr, OON~_nlln~. N.A, b.lng dulV .--IIworn '''''-- '.ooar~ln9 toJ.w, ~OpOlOl a"dlav,' that he _ is ElIuclltor al tho ellat. 01 ~ MarY.' l', !lunda I.t. of __..:....Naw...aumbacla~d- , Cumborland County, Pa'l deooasecl and that the within ,& an lnvantorv m.debYO~....niItlI4Jl-4._ ,__ '- , tho uld ElIocu~Qr ~ !If tho .ntlre ~.ta'e of ul,d doaodent,oonllltfng or all tho pDrlanalprop'~rlv and real OItafe, txolpl ra,al ..!etl ouhld. ,the Commonwealth of Penn,Iylvenle, and thai tho flgurol oppolltO' each 110m af tho Invonlor,v roprolDnllt'. htr v.lue as of tho d.ta of dloodonla duth, CONII Dnnk, N,A., ElIocutoJ:' 01: tha Estnt:,1l Of, Mar)' P, lIa,nJia '. .s W 0 .e. tV and lublcrlbod bolorome, ~ ' /J. o~' r; .J!y.:d,.~LL.~ ' Aut, Trust Off jeer ( h..uior . ~ kiiHliJ( 1t.Q~.lI.9J5~__ '.' , , , .... , - , , j . PHY 1$ j,ROSS. No.I.1)' Public C'IlIP'IIIII, Cumberland County p, My.Commlel'on tJ<plrol,July 5: 1985 -CIIlUp..ltU.t.t.J.'.A , 7Q] ] Add".. :' If .." .. . f.' , Dale ;bl Pealh __ 13 !:l.y ~J>>:i1 Monlh J!l8L Vur .I,J'; ~,.,-,. '" INSTRUCTIONS I. An Inventory mUll be flied wllhln threo monthlallor app~lntment of pOrlan" reprOlonlatlve. 2, Asuppl.ment Inventory musl be flied within thIrty deYI af dllcovery of additional auets. . 3, Addltlonelsh.." may be aH.oh.d II to perlon.lty or realtv 4. S.. Amole IV, Flduol.rle. Aot af 1'14'1. , Ii . , " .~ ffi ~ 1 a: ~ ~ ~ ~ . I Q tlI C' U. t If ~' ~ ~ ~ 0 .. ,I>, j o Q - ffi ~ z ~ ... 11 '1i .. -c . " ' 8 ,~ J '1 "8 L1DtR 101 rAot ,:"lJ. j if IQ 5/7/8t 5/12/81 5/12/81 5/12/81 5/12/81 5/12/81 .5/12/81 5/12/81 5/12/81 5/12/81 5/12/81. 5/14/81 5/15/81 5/18/81 5/19/81 5/19/81 5/19/81 5/26/81 5/27/81 6/1/81 6/4/81. 6/4/81 6/22/81 7/1/81 7/9/01 7/10/81 7/13/81 7/14/81 7/23/81. 7/24/81 8/4/81 8/4/81 8/6/81 8/17/81 8/18/81 8/24/8.1- 9/16/81 10/0/81. 10/16/81 11/2/81 11/16/81. 12/14/81 12/1.6/81 12/21/81 12/29./81 12/ :11/81 I'R]: N(n "AI., .Ill S !lURB gHII,N'J'S r:;:::;----~==t::r.'1._...--_.tml"'l Woa t Amot'luon In!lUrllllCO CO, ~ 'lnllurlll\uo PremIum to 11,/9/81" 1,0\llno !I. lldahtbH1' ~ WH\\OHH to WIn ,UurkJll!l f{, !lrightbJ.l.l .. ,WHnollH to WJli ,PP&L - ~loutrl~ Borvluo tn 4/2/81 cowluy AalloclLltoH - I'roreaHlonal Servicu~ to 4/13/81 IUvc1tton ConlldHdlltcd Wotur Co, - \~Lltel' SorvIce to It/l/81 R.ll, 1I0buugh & Bon ~ Hepuir Door 11011 4/J.6/81 IlollinG (lreel1 ~tomedul 1'1Irk - ll\HCdpt:t.OI\ on Or/IVll Hurkol' N\lw Cumbllrlund. 1I0rnugtr 'l'rOHh [, 8l'lwar Slll'vle(l to 5/1/61 W, Orvlllu Kimmel - I"\lnorol IlKpel1110 . 11.11 oC Pu. - Telopbone Burvlco to 4/25/81 Stano, SLljar & Btllwurt ~ RelmburHomont for I'rubotc Coata I'p&L - Blactric Sorvica to 5/6/81 , Torminlx Intornatlonnl ~ Ronewnl Charllo to 3/82 Roberta lleck10y ~ Relmburaomont' ror MlBeollnnoouH ~KponaoH Cor Hnry 1'. lIenrl,o ,hick Ooughcn, Rel\ltor. - Appruiaul Foe l,aatar G, Connor, Reultor. - Apprl\1al\l 110e Ka).ly Company ~ Fuol on )Jell.vory on 5/14/81 Kall{Company - RllpaJrllurnllca on 5/22/81 1'lItt,'lot News ~ Logal. Adverql\ing on 5/12, 5/19 & 5/26, 1981 Cumborlllnd l.l\w J,ournol ~ Lognl Advllrthlng on 5/15, 5/22 & 5/29. 1981 Cll1Udll C, Wolfe & Associates - ApP\'l\1anl 'Fue ror I'oraonal ~rrects ,pp&L ~ Ineccdc Sarvice to 6/5/81 Stolia, Sajer & Stewnrt - Rllimburseme.nt for Ilecorder or Doode, , Real 'Eiltate, 'franafor TaKes j Notnry Fea Jude LavIn ~ Rarund or Security Depoait R'giateror Wills ~ Fea for 2 Bhort Oartlfloatus I'p&L - ~lactrlc Service to 7/7/81 KUgora Signs - SII!I1 Cor Ssla of ReLll Eatuta JOlle ClImpba1.l Sarvlcea ~ Ilousakaeping Sarvlcu to 7/17/81 Qurt l,allKa " liandyman Sarvicea on 7/22/81 New Cumberland Borough ~ 'frnsh & Bower Sorvica to 8/1/81 Panilll H,Olam ~ Ilerairs on 8/1/81 ot 501 Coral St. ,'Now Oumberlnnd lIaverly ll, 8pUl;II - l;awn Maintennnceto 7/7/81 Pl'&L ~ ~J.actric: Service to 8/6/81 New Cumborlnnd" Borough ~ Sewer Service t'o 8/1/81 lit .423 Haldenlnn Avanue, Naw Cun\berland ' Bdith Se~pa. T.~, - 1~81-82- Wllst shoro Sbhool Olstrict Rlllll ~S,tate ,Tal< PP&L - Electric Servico to 9/~/81 Rivtlrtol1 COl1soli.clntod Watar Co,, - Wl1tar' Sorvice to 9/24/81 1',P&L - Elactric Se\'v1ca to 1017/Hl Nuw CU\llberlnnd Borough _ Trash & Sewer Surviceto 1.1/1/81 p'&L - Electric Sorvica to 11/16/81 , Ragistpr of Hilla I Agent ~ PennaylVanin Inheritnnce TaK pp&'L - Elactric Surv1.ca Kally 00. - Fuel' Oil Dallvery on 12/16/81 Ke1.lY Co. ~ Repairs & Mail1t'nanoe to Fur,onco Jack Goughan, Realtor ~ Heol tor I a dommJ.anion 'HUu Insuranpe Co. - Notary & HIsce1.lanao\IS Foes at Settluml1nt Hacordur,or Deeds - Real Estate 'fransfor TUl< Naw-Way 1'0stControl Co, ~ Termita InspectIon 6 liJUi lot PI,OE 3'71 $ 79.08 20.00 " 20.00 23.56 42,00 9.40 30.25 10,00 20.50 3.338',00 19.05 61.. 00 22.89 38.00 25t" 7 4 /,00.00 400.00 120,96 ..30,00 21,63 lH,Qb HO.OO 21,13 487.00 95.00 2.00 25.28 26.50 90.00 18.80 32,90 22,00 75.00 2.96 23.20 452.48 5.07 ,13.92 6.17 24.90 4.87 111000.00 11..31 181.72 30.00 1,,060.00 10.50 580\00 35,00 ..,. '. " INFORMATION Thla dooumenl la Ihe Nolloe raqulrad 10 bo given under Soollon 709 of Ih" Inherllanoe' and hl'le T.x Aol 01 1961 (72 P,S, Blotlon 2488), If Ihe I.x II PI'd Wllhln Ih'ee (3) month. .h" Ihe deoedenl'l de'lh, . dllOOUnl Of 8r. of Ihe I.x p.ld I. .llowed. Inh"II.no. T.x beoom.. d.llnqu.nl nln. (9) monlh. .11.r Ih. ,d.o.denl'. dUlh, Inl".11 II oharged " Ih. 0,.1. of .lx/8) p.roenl p.r .nnum on Ihe .mounl 01 unp.,d I.x, 'Isee eXAMPLe 8eLOW) eXAMPLe, If .,bll.no. of I.xdu. of $2,000,00 " In . d.llnqu.nl ""u. from 3~3~80, .nd paym.nll. m.d. on 6~23-.a0, Ihe Inl.r..I I. o.loul.t,d .. Indloll.d b.IOW! ........,._ STeP 1 " 'Oll.rmlne Ihe t'l. Of Inl.le.l from .Ine I.bl. below, STlP 2 Multiply Ih. b.l'no, of lax due by Ihe tile of Inlora81, STeP "3 Add Ihe Inlorall 10 Ih, balanoe of I.x due, 1:\1""1 Jrom 3-03-80 101l-23~80 Rllulle In: 2 Monlh.. ,010 20 O,y, .~B Rele ol,lnl"..1 ' ~ ,0Tm " ii' B.I.noe of I.x due Btlt...Qj.JnlJ r .. I INTeRsST $2,000.00 ; 'OW/a B.I.nolof IIX due Plul Inler..1 10 ~!.Of Plv:penl (+) I.x.n Inl.rlll \oOlle of Flymenl $2,000,00 S 2~, 70 $2.028,70 --~~-----~--------~--~--------------------------~-\.------~---~------- 1 monlh ,006 4 monlh. .020 7 monlh. ,038 10 mo.nlh' ,060 2monlhl ,010 8 monlhl ,026 e monlhl ,040 11 monlhl ,068 3 monlhl ,,016 8monlhl ,030 9 mo:\thl ,046 12 monthl ,OSO " 1 dlY ,00011 11 d,YI ,0018S 21 dlYI ,00362 2 cI.ya ,00034 1 2 d.YI .00203 22 daYI .003S9 3 d.YI .000lll 13 cI.ya ,00220 23 cI'YI ,003S8 4 d'YI ,0006S 14 cI.YI ,00237 24 dlYI ;00403 6 dm .00086 16 d'YI, ,00260 . 26c1IYI ,00420 8 d.va ,00101 1 6 dm ,002S7 26 d.ya ,00437 7 cI.ya ,00118 1.7 dlya ,002B4 2 7 d'YI ,00464 B d.YI ,00135 18 day. ,00301 28 day. 'g0471 9 d.ya .00162 I 9 dlya ',00318 29 dlya . 04S8 1 0 dlYI .00169 20 dlya .00336 30, dlya ,00llO.o -'.......-----....-.-- - --.... - i.,;"....... -.... -- -...- - ---- -....... -,.... --~ _........._ .......;_....__.... ____,.,.. ....___.._..... ....t""._~_.... __ , 'Any party Ih Inle,ell. Inoludl:\g lheComm~nw"lIh. .nd Ihe perl on. I represenlllive, nOI Ulllfled wllh'lhe ' 'PPrelumenl Ind .ue..menl m.y obJeol wllhln .lxIy 1801 d.YI .l1e, reoelpl Of Ihla Nolloe .. provided by SeollOh 100.1 of Ihe Inherll.noe, .ndell.le Tlx Aol of 1 9S 1 (72 P,S, 110, 2486- 1001). , /!tAKa CHICK OR MONIYOROBR PAYAlILB TOI "RallUTRR OPWJLLS, AQBNT" DeTACH THe Tor PORTION OF THIS FORM AND SUBMIT WITH YOUR PAYMeNT TO THE ~ealsnR OP WILLS FOI'! " TH~ COUNTY SHOWN ON THe .ReveRse, see THe INHeRITANce TAX INSTRUCTION BOOK POR AOORess, ....