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HomeMy WebLinkAbout81-00295 -';, " .1, '" If,,' ., [i,-' ,/Ii " ,.' 1'-, ,,-,\;.. ~ 1,,1 ~ ! - I~,' ~ , d' . " ".1, i I, " .' j-" '"I, " " 1;1 " .. .f' } I' .. "". .' /. ~ I' i" )1 I, " "'J '.f " '. /, I, " , I. .. .' i, '1 i ij .'i I ,I. .. I lilt, I I \1" , , 'I" ~" .. I. ,_ '!' ,.' i J ~ ,,, ," , , ,. 11" " ,. ,.' ., ,. ., .. ." 'i. '"~ .. , . .' " ,. ,I' ,. I: , I " .' I' " .. , " " /. " , .. "~I I. I, , -'\ " I' " I, ., " . ,. . I,. - ~ ; ,. JI' ., ,(' ';0 ". " 'i t: ?-i ! tIl ~ ~ . '~ " i ~ I ~ . ~, J ~ ~ i .~ J:r.. ~ m m ~ ~ 0 3 I .2! Ii ..:l ~ f;j j i ,4; ," ., "t~,' , I , , OM'II CW HUIIHClUlIlNO WI'I'NliHH COMMONWU^lil'I.\ O~'Pl~NNSYI,Vi\NI^ I KHI COUNTY OF CUMllm\I,^NIJ f TIIIH Lith dny or May_ ^,1J,,19 81 , byfore me, ReglKler rO,r tho I'robllle 9f WIIIH IInd grllnHng lellerH 01' ^dmlnlHlrnllon hlllnd for IlIld Connly or Cumborlnnd, in tho Commonwollllh oll'olHIHylvnnlll, porHOI)lIlIy Cllmo. , ,.......-' ";"" ,- . " fiobert M. Frey tho HubHorlblng wllnelKoH 10 therorogulnglnKlnln)ont or wrlllJig pUI'l1llrHng to be the InHI Will nnd TOHlllmont of . Inlo 01' "Ro~h ofOuvllsla 1)lIled _ ~aI111'ar~....1.0BO Cumhorlnnd ~ounly I'll" deeollled who boing duly qllle M. Myers sworn IloCordlng to IlIw. deposo IIIl1I HllY, tbllt. presenl, IInd SIlW 111\\1 hellrd Ihctosln trl~ Hlgn, Heltt', publlHh, prOl\ounco IInd doolure the suld TOlltllmcnt "'1d'tllll Will, IInd III lho time 01' H\ldolnB she he LillIE! M. My A 1'1'1 IllIlr\ll1\ent br writing ns IInd for h er W~s or soundllnd disposing mlt)d memory nnd \Il1derst,Mdlng, to lho hesl or his koowledgo, obsorvllHon ond boiler. . ~ FlWOt'h _lInd subscrihed hefore _ ROhAt't~.h ;Jay' ~,.,' ,C ,,//-C)'III't-..~::J' " 'f(h..~tXiLf~ Register AIIIIJI)AVIT 01<' nEATH " COM"MONWt!ALT~~F PBNNSYLVANIA t SSI, ' COUNTY OF CUMllEl\LAN1) \ . 'Clayton W.' '~alr, .Tv. being duly sworn I " HIIYS thnt ns nOlltlyas clln be IIseorlnlned tho sll)d deoedetit.;.,.-1.Jllle M. Myers dl~'d on , A,D,,19Jl1.., ------ Monda.y tho 23rd dny of April III or nboul 12125 o'clock, -A.t...M, Sworn nnd Hubscrlhed this Ll1;h dllY urJall {t"t 'Lv) 11 to, ~ Clayton W~ Ball', 'J!" ,. 19...8.1...-. before ... ~~;":'''''"'fiN OATil 0)0' PIIR!lONAI, ImPRl<:SI':NTA1'IVt: COMMONWUAL.THC:Wl'flNNflYLV ANIA ss: COUNTY OF CUMlILlRLANI) . J . ll~forc me, lhc Reglstor for tho I'robllte of Wills IInd grunting of L.oltors of Admlnlstrntlonln dnd for tho Counly of I' -.; cllmberlllnd,personllllY clime Clayton W. Rail'. .Tr, who, bolns dillY aworn ,'dOIHI depose and say Ihalas ll1>t001Itnt' of Ih~ h\81 Will and, Teslllmenl of Ll1lEM MYol'S decoasod 'h~ will wellllnd truly administer thesoods and ehattols, rights and orodlts of 'ftld deoellsed aeoordln\! to Illw,And , a, ,18,0 will dIlISOntlY,~OmPIY with Ihcpr~VlslollS, of tho law relfttlns to Transfer !J111~2noos, ~~ftnd ub a, orlbO,d .bof~ro me, '. ',MaY 4, . 0",0" 19JL tiltf/ tv Ii",,=--. , . ,-',' , ," ,h \,' ,~ ',L'l~'" Crayton W. Ball', l'. '-'W, ~Iy,{', J~~,,~ ~"tl.^n,_d;, ~,l\&.~~ > ,,'~, ' _toox ] (~ '. u.. 0 ~ ~ I ~ ';..J d. ~ ..J .. ~ - ~ Ql @. ~ ,S 0 '1 Q) U"l ~ ~ ~~ J, I , . ! I 1 ~ ~ en ':11 ~ Bo It rom'ombered thai on Ihe DECREl<~ 5th dllY of_ M.;y ';, rooord~d the last Will bnd Tostalll"nl or ~,Rnt'nlll1h O( Oarllsle ,Ll11le M. My~rs ,A.O,,19J.L,., Ihoro waa probal~dand lato of , CUl,1)borlandCOU~IY, POl\n4ylvanla, Dcceasod, L.cltcrs ,TAAtAmAntR.t'y wero sralllod to_ Cl~ton W. Ball'. Jr. Wllrwss my hand andorrlelal soallhe day and year aforesaid. , , , '. , t;Q~ '," ,', '~'YY1 ~UI 6..'cJ~ '" .c~~w1\~'i' ~\ , - - . "" .. . -, .~ - !! " . ,'" - . -.. - - , -- 9ENERAL IN~ERITANCE TAX INFORMATI,Q!i Uosallaflod IlabllllloH Inr.utlod by Iho docodont prior 10 hls/hor doalh lIrO doducllblo agoloat hla/hor toxol1lo ..tate, In oddltlon 10 dobla Incurrod by Iho docodonl or ostalo, olhor 1101111 oro clolrnablo Including tho coat of. admlnlatrallon, attornoy fOOl, fiduciary foos, funorol aod burial uponlos locludlng lho COlt of a burial 101, lombltone or gravo markor and ,other rolalep burial OMpOosOl, . . .'. . ,All dobtl being c1almod against on OItolo aro lubloct to tho approval of the Roglftlor of Willi wllh whom tho Inhorltanco TOM Rolurn II IlIud, Evldonco .to 6upport Iho docodonl'l or Iho oatate's liability far the dobtl bolng clalmod ahould be attaohod to thll Ichodulo, A family' oMompllon may beclalmod by a spouao 0; a, dooedool who dlod domlcllod In Ponnlylvanla. 1/ 'thoro II no Ipauae, or If tho Ipouae hOI forfoitod hla/hor rlghta, thoo aoy child of Iho docodoot who laa mombor of tho samo household coo claim tho oxompllon, 10 the ovont Ihoro la no luch IpOUIO or child, tho oMlII11pllon can boclalmod by a.poronl or parontl who are memhors of the lama houaohold 01 Iho docodonl, The lamily oMompllan II allowable only a~alnll aneta which pall by a will or by ,Iho Ponnlylvanla lolosloto LawI, i .' NOTE I Componlatlon pold to on OItato reprOlontall Val namoly, an oxocu tor or admln latrator, for aervl coa porformad In admlnlltorlng an oslalo II roporlablo for Ponosylvanla locom'o Tax purpoilOl.1 Thll taMable Incomo 110m Ihould bo roporlod on form PA.40.lodl,vlduollncomo TOM Roturn, , . ~ ~ .~ 8 g' ~ ' '~ ~ ~ ~ ~ I ~ z ~ t;l . 5 , z p p 0 ~ ~ , 'M . Z . . . f" " , ',I <1:' ";' ;::: t, " .....' " ",I t~ ~ Cl ~ '-. r;: (.1; ',' ...Jl" lP ,~~.# ll:!" i;l..~ " .- hli:..J p:;> r;J. ,< , . INSTRUCTIONS FOR COMPLET!~O SCHEI2Yb-E "~" , " 1. 'If the family oMompllon II being clalmod, Indicate lho clalmanl'l 00010, addroll and hll/her relallonlhlp to . the dooedent. Entor "family, eMompllon" In the romarks column and the,omount claimed In the amount column. 2, Alllgn cansecullvo oumborl to each Itom 1llled, 3, Entor tho date on which each debl was Incurred and/or paid, 4. Ent" the nomOI of each payeo. 5. Provldo a brlo( explanotlon In the remarks column fat eochdebt claimed. 6, Enter tho amouot oloach dobt being clolmed, . 7. Tho.lorm must be slgnod by tho poraan wha'hos auumod tho rospanslblllty for paying the del1ts. IF ADDITIONAL SPACE IS NECESSARY USE 8h" M 11" SHEErs. ! F ',1 cd -..t '''i " i.:,';' ";~ I If!) '/.I 111o,'j " f:l .1_ " ,t:f) '_'-, !; , , , ~' ff4 r..1A ,!! , .'. .'~~~~~ ~ Ii; "-, ,Ii! ,f' '. II f, o ,U) ~..:l" -" \ ~1~ U~<fI~~~I><B ~ "., U ..:lii!'i f: , ~ ~ ~ ~ U)" ~ 8 ~ ,j, ~~ " I I '1: I" , ~ i i I I I:i ~ ~ 0 U .r,' " r' In ~~~~~ffi~~ &l~ " , Ii OJ (: . N " ~~~ I ~, ~rf3 ~ 8 ~ ~ A~ ;-, .... " : co fjJ~ " ,,, , ~.r,~~~~ ,rl .... " 0;, N ~du~~ ' ~ 2fa Jj' I '. , g oA '~ : ;,; ~~~~...1~B~ a: ~' .l/ ! I, U 0 , I. -'. ~ I ~,j, U'J ); ,~: :.: ." ";.,,' ", .. '. ' , ','1 '"", .. , " . ,., '~J ~rJ ' r'l~ " 1.-' , ,j:, ',) 111, , , " ,1111 ~' I~ 15 :'!::l Sopl, :1O 3n Nov, 3 3 3 Clll'llHlu IIIlHpllnl, IW(llllllll iluUlHIl:II' or WlllH, 'I Hhul'llHll'1I1'l1'llll1 H'(jglHlol' of W!llH, l'u. 'l'I'III1Hfol'lnlluI'ltHlwu 'l'I\~ l~uMIHllll' uf WllIH, I'lllllg l{npoI'lof AHHutH iluUll:l\ut' or WlIlH, flllng IJuhtH lltltllJnrhll1tlUl1H ,C\rlylon W, 131\l'l', ,J,I'" l'olll\bUI'HlJilHllll rol' ()XpUnHUH UH llnOI'ne,y.lll"fllut Clllyton W, BuLl', Jl'" H:xuuUlOI"1i UOll1l11lHHlolIH Hllbol'l M, l~I'OY, ullol'nuyll'lfou I~ l3Hl31'Vad W f11e Aooounl HIH10I'ved 10 l'ouo"'1 Helol1811liJ H uHel'v~1'fol' ',IIJB 1 1'11, PU1'H0l1ul [nuu nl~l 'I'nl< I~ ut\II'11 Comtno,nwllullh Nutlol1ul BUilk ohuuklng llUUOUl1t NO 11-111323- 2 el'l'onoously 'I'opol'led IHI thu pl'opel'ty 01' l.,lllLo M, Myers, deceuaou, which lB, l.n 1'11I:t, thl:! n\H.IOupt or,ll dlffel'ElllL LUlLo M; Myel'l:1 who lH ullvo 11I1U .1 I'o/,lldent of VOl'lt, f'd, COI'ntnonweulth NntLonall.1unlt 8Rvlllga Ul!lHllIl1t N!ll. 0000046. 5 orl'oneouslyl'epol'ted Uti thu Pl'Opol'ty or Llllla M, Myel'a, decensed, whk!h La, lll,ruut, tlHl 'n()oount of u dLfferent Lillie M, Myel'S who ltl ullve and uI'BSldelllof,Yol'\t, Pn, ' ',Anul'ued"lnte,l'a$t 01;1 savLl1gH ucoount H81"()OOo040-~ 'rOT AL D!l:1EUH SIDMEN't'S LlltR 100 I'I,:'~ G36 .' -' I, :J04, '10 \,00 '3,UUfl,O::l fl,OO fl, 00 44U,OO l,ll~p,liO \,025.50 nnjoo 17, ~Il 100,00 55q,22 2,71Jl,21; 6,04 $14,lJli2,7~ Ii lIi Ql lI'1 , ... QQ I' ... lI'1 I' . ~. I' " . ~ ~ A ~cd ~Of!l ~ Q'"'I~O~,..:l .<d ~!~ ~"~ ~ ~ ~ .~' cQ,' ill ~ ~ . ~8 A o..l . <ri I Ow . cti~ ~ ..r. ilil, ~ ~ ~" ffi @, ~ r:..2~~ 8;:jp; ,~~ ~~ ~ ~ ~ ffi ~ ~,::le.f:1~gj~ ~.'~ ~ ~ ~, ~ . d ' ..~ "'" ";/ -"'tm)'tt, ",' '\'"",rn!"r'r, "11"0 "t.. f.J .. [, (I \J ISf ~41 ~~ '\111M' J9(1 .I'()"nql.il~IP /9 Bin 1iP.~lOH Pf"i,10tIc:IJcl'lfl,'(I-\ H;Jl4IJpJ0iJ,;\1 Ul !l.~",(lllP ""lln'll,ll"lrl pus ~lal'Ol"~ PSUUlIlh'O l"nO()"\j"'r};~'2;T"r/r:L 7~ "." , '." '1.'1 'j '\ '''" ',' ~! t'~ 'I ~; ;j , , ~ ..j )'ri I ,j~ :/ '. "Ii'll ~ fJ (., 'f~,;1 "A~ "1 ! '\1 , ") I ip c:.,'l " VJ " '" riJI ''; "I ." ~J~ .t {\ ,t. :i;': i ' n_ ~, ~ - ~ I Hlq ~_J II ~ l ill M ,f1 (0 H ..J -) I. "! I .!I . " ',," " '-'! ..<, " ~ ; -.. .' , " /1"" 'U:"~"I ,---(../ . " " '., i' ~_. '* IlLVl/lllV U\t.lJ'lllJj COMMOHWr ,L TIt fir rftIlHI'/I.VAIfIA DBPARTM~NT or RHvnNllB TRANlrBlIlNltfRITANCft TAX RUloeln oecHoeNT ~o.=J;~-'::.UWl;.t'C':U.&t~""~~~"J.,s',gunw..#;;::'1:=':=..-...:!c-.~__~~_ AFFIDAVIT OF PIDUCIARY (Il1ltrUCtlOIU 011 Rever.. Side) est~Io of -_.__._J,.J~J.iij!J.M..,.MYJ!JmJ.._...__._ 1.011 Add rm ...7PQ. WR~JI~t MClHClml'Q,fl.. ........ .,_.Q.~rlJ"~.~J '.. )~~.+....+ U.QU,_ lel-' n Pdll ,,-, 11.11'1 Dolo o( Dooth ..._A.Ilrllll3...J.&.II.L. SoclolSot:urlty No, ._1911~..Q~;:j4~6 Burouu FlloNo, County Fllo No, 21.81.29~__. 1, Pocodont died: ( ) ,Inlollolo (without a will) . (lC) Tulato (Io~vlng (I losl wlll--collY ottochod) 2, I. the (1Ilng of 0 FOlleral Entalf' Tax Rotulo roqulrod (or thll utoto? Yos__ No X 3, (X) Executor/Execufrlx ) Admlolslrotor/Admlolltrotrlx Numo ._ Cll!.Y.l9..n_.w,.JiIIJr......Jr....~....~___.___ AddrOl$ _E!.9.~_!!!~er~~.!ld DJ:.IY!_______ _2.~!l1.?_J!!!!i..__._~!I.~...~._."_. 17011 ICJITYJ wrA'rHI (llff, 4, All corrospondenco should ba muilad to ( .'i:) Attorney 5, lion ottornoy I. reprolontlng lho ostoto, Indlc/ltoi Fiduciary, No 1110 _.._....l\!l!;!trt.M.,_..F.r.IY____... Adrlr os 5 __ __'''h~_ .~o.u.~l!.!!.~n.()~ ~~1'~~1!~___.._.-,._ CQrlllle Pit. 17013 ______,......,___..___.f. .._ ,.,_~. ._~,..__ ,...__u Icllyl (R1ATfil (7.'t', t'j ex! t'. p", - :ll~ .~ ~lJ "I \n " .-,g , ~~ :.c'j 'I'. '/,;1 .1)' iI" if'., t'.:;'.' - " J .' '.... " ,'., J'.!f :tl , . Llst,oll &Ulll dopqslt boxos ronl.lored In tho docodept's Indlvlduql nama or jolnlly with, or o. al\ agenl Ordepuly a( ana thor, or 10 decodonr's 10dlvldualnanJo with right of access by anolhor aa ogenl or deputy, Includo Ihe namo . and addrus o( tho ~ank or othor InHtltull~n whoro lho sofo deposit box Is locoled, tho name(s) In which the box I. roglltorod und tho rol(11I0118hl" of tho lolnt haldolS to tho decodonl, . -- -* . r-'~.1"""""",,,,,t-;.,,,.::,,,,...=.~- ~.-... NAMa AND ADDRHSS Of DANK OR OTlIIIR Itf5TIrtlTloN NAMa OR NAMes IN WHICIt lit Willet! DeCftUfiWr MAINTAINHO A s^ra Dal'OllT IIOX \APe DapO!ITDOX IS RBOlsTeRHD .p;&..-r-~~;;:;:-~.--to;.;::.~=....:."".-.*...... ..- * ~oS""* _._---------,.-_.~-_..._-_.-.~._., --_._..~...- ------------ NONE , ......-.--..--. -~-,-*"-+-_.~_...._.._'..."...--.- .. -_........._---._.._~~.,'~--------.-.........._._- --- Under ponalllos o( porlury, I doclaro thaI I hove oxomlnod this rotuln, Including accompanying schodules and slotol~onts, nnd to tho 11lIst of lilY knowlo!lgo and bollo( 1,1 Is truo, corrocl and ompleto, ' . ,--~~"{~!.b~, /o-/.~ L DATe g~ill.ST\O~S C.Qtlfd~\lNJli(\ I:!iQP E]TYJll,6!ill,-!"RS I. D'd "~",,I. Willi' "I," y"'" ,,' "..II" "' ,,'" "'" ,,,"" '''' · I ",y "'"'"",, ""'" "I II ,. ",1,1, wlI""," "eAI y' '" ,",un"" Old ,",""'" """ .Il"'" Ii"" 1 I'll "'" "Y "," '" "Il,,", I ~- -'- ' ' ' 2, Old dOCOlIOlIl, wllhl11 ,IWO ylI!lIg 01 (\\1I11h, 111ll\!\\lllIHOIIIJfty 11l)lIlhilll'"olll \\IJr~o\\ \0 hillrH'11l!1\IJlftlll1 <111(1 <lnOlllorplll\Y 01 \lOI\lOS (lnclll(II11" <I SIlOII~o) ill 101n\ OW\1IJI5hlll'/IAIIBWUI "'iml" 01 "No".) "-,' .~ , ,3, 11\1\0 a11SWO! 10 oliO 0111'10 nhovOl\'. "'i,Uu" <llItI Iho tlaw;II"r; mo dallfllltlllJlill 11n11lilx<lhlo.I)fI)vldIl'IIHllo\lowIOH Il1fOIllID\\OIi: ' 0, ARU 01'docodol11 01 \111I0 ll\'l!i1nflIOl. --~--- h. CO\lyol doolh ()Ollillei\lu, c: Allldovll hy Ihoi\\londlnR physlcli\l1 IIHllenli11P.llllIl.liI\ll 01 dlleodllol'~; IWilllI1 ,,111\110 0\ lli1l1Rlllr. d, Alllllhol IlIlollll<lllon ~lIP\lOllInr. 111inlnxtdllli\y 1lIIIHlI!.I,!1. ' 4. m d 'oc"" I, Il! ,,"~'"' II 1.11 III i, "I ~" "'" """ j I'" . """",,,, 'III "",' , "",,' y'"" ",y", ""Il'" '" "d""'" ,. "'i"","! ,II "" \horolol whlch,wns 10 lnko 1I110c\ 111 pOSSIH.',lollllr 1I1l10YIII'JIllnl 01 allolllls/lllll (10<11111 (fln:;WOf "'ios" or "No".) (I, Was thoro OilY \lo5slllllllY \hlll\\\lllllllllur\y Irnllsloflllrllllll\h\ Illhlllllo'lrllwllorllllll hls/hor oslalo olllll slIlllocl 10 Ills/hOl [Jawor 01 dls\lOslllon'l (An~.VI(If 1''i(J~;'' 01 "No".) ---,'". ' 11, Who! wflslI\o ltflllsllIroC'S lIl\O allllllO 01 (1IIClHlolIl'~;(\ll;ll1l? ---- , 6.' 01" """..,," II I """ '""" '" Ill'" "'" 1,,11I""' "",",,, ,"eA I yll"" vn'" ""',, ,,'" """"',,,, """,id".1I '" """,,',, ,,"d" .,1"" U""'" '" "n, ,,"'I' " ,,,,,II" d' y ,n'''' YO' '01 ,,' ,/",;, ,". '" ""y POI' 01' ." ", "oon ,,, "" ."" \I, ,,'" ,,!s/"" dO<llh: 0, Tho 11055055101101 onjllymlllll 01 ol,,\I\lIll~'.htlo IIlCOIlIO 11011I1110 \lIll\llllly Imllslllllorl'! (An5WOI"'illS" or "No" ,) h.1ho [11\11110 lIoslnllolo 1l1oilOfSOllS Wllll sIl0\11105:.II',H 1l1llll\OY Iho IHOIllH\Y II flllslOl 10(\ or IIlCOIlIlIlho[nlrrl1\1? (AIl5WOf "Yos" 01 "No" ,) ,6. IIlho 011swor \0 \ivo h. i\IXlVO is "YOS," sloW whulhllllhnrlgl11 Iva!i IOsorVOrl III doco(\onllllooo 01 olhors. - - 1. Olrl docodollll11 hls/hor lifolllllll 1II11kll a Irallsllll, tho cllllsidolnllon ,lor which V/n~; li<lIls11l11l0'S proMiso 10 Ili\Y Incol\1o 10 ollo[ IIHl h01101l101 calO ollli\III.loIOI? (AlIswor "Yos" 01 "Nil" ,) ---' 8, Dill doo(l(lonl, lIllIl1Y 1I1110"Ir<lI\sIUl\lI0POllY, 11\0 hmllllcl\\\ ol1ioYlllcml 01 wllic\1 w:\sslIhiocl 10 ch011go, hoonllsO of . , ",,,,,,,,,, 'OW" . ",". """"", III 'OW,", III ""0' '"II Id ,"YO' I"~ ,,"""d.'" "",," , '"Ill''' ",,,,,,, III by "" III ,11011 " Inw? (Al1swor' "YO(," or ."No",) 9, II .Ik' """"fu .1,11 \ ""'" I' "I ",,', w", '" ,lOW", . .11 "', """,,' III "".,. 11,,1'"" "',' ., "'" ""',11 .,." ",,,,,"'1 In lho de~lIdol1t 1110110 Of \llll dOCI)(\0111 and lllhors'l (Al1sV/(][ "Yos"OI "No".) --~-,-- ' ' --~-" -"~----------"'---_.._'"-_._--~-'-'~.__..._-'----'-~ - , " IlI;v.4n:1 (I.flll) r.OMMONWEAL Ttl 01' I'BNN8VLVANIA llfiI'AI1TMf.NT 01' nnVUNLln fIIAN!II'F.11INllnnITANon TAX nUBILlF.NT IlF.Of.OfiNT Estlllo 01 LILLIE M. MYllHlS SCHEDULE "0" neNIlPICIArlleS WI (/mtmot!o/lS Oil Rllvor,o Ii/,M 11-........ BIlNeFIOIARleS AND'ADDR$sftall RIl~ATIONSHIP SUI\VIVIlD DATIl OF INTIlReST OF BIlNEFICIARY oeceoeNT BIRHt - - __SJ<-P.A."l~._L,l.ltl1llrf.lJ1..chl.lt.QIL.__ ~... ,_~_""~n-,ri.__~_'" ..u.__.__u_. __.T___--.--.._..~_.. . .,"o.n_-.__.,............................. ._ -- - Willi and Louth~r Streit _._.~ ___,_..nn ___"__"_n_ _.............-._~_.--.- -...........-............-......- - Cadl.le, Pat..l:l..Q.!~_.._~_ none --...---,.. :t~00. '0'0'- --...1--...----- ~........._- - - -_._--,,-- ---..--.. --. . !Dldll'lne Wlttnnn - .- 212 Buln Street . . .. Harr Ilb\lr" Fa. 17102 cO\l.ln Yell $2, 000.00 -. , , -' '._- - . -- -- . 'rhelma Sp!Dlr1er. .----.----....-- --- , ....----...- , 2Ua DerrtJ1J.ree!......._~---n " - Harrlebur gt...l:!.. 17105 -- nleoe yes JJI0 ot re.ldue - -.. ,---...--.---'.----,....,.. - -~---..-_..- --.... .._H._....."_.,. ,,,.----+, .,..."" ,<---"-~". ....._-. c,._ _u__._.,__.__ _ __.___u -.........,...,.... ,,--.". ~- '".~--,-,~--~-- -------...~--.-..._,~--~~--- Ellzabeth HUBBell ..-~_._--------.......----' ---_.-._-------~. ,.---..- --..-- - _2184.Jlr"e.I!nStree!. .' --.------ -----.~~",.----- -"'_. Ha~r lebW' B. Pa, 17110 nleQe ..~--- 1/10 ot residue .._---~~--_.--_....- __.___~...M_.._ , ,-- '- --.--~ ,--.---- .---- paul.ltiiltr.._.. on ......____~n_._ _p._.....,. _"_.""'_'___" r -- --~-. ______"_"'_ ..._.___~T. ---.._---~-.,-"-'-,._-_...- ,.,_,~__<,_____._'"a ,._._..~~__,___._, _~!LP-I-"l.l!l@.We~l'y.__.u ................ __._H_~ __,____ ,......, ....r_ ,,_.,_~__'~_~.__4~' ..._. uu n'___.'..,_.__,___._. ---- ._-_.~'.. Thorou Drive -...-.-.---- ----.-. --.., ...--..-- .-------- Mech"nlolbW'lI. Pa. 1705~ brOther yet 1/10 ot re .Id\le 'n ,--~-......-.-. +________..........-___....___._hT~ ..............------- --.-.-,- --..-----.~-- . --_............-_.~._--,-~-~--- ~-- --.--- -+---_. Sandra Wolte __..'r.____.....__r.~~.~._.. .-.. _._-------_._-----~_.. ----- ~__~._'_.r".'-. -~-".-_--.---..-. _~71JI Boa. Street . - -- Penbrook .. ~.. Harrl.b\lr~. Pat 17108 --- _.arandnleoe yea l/aO of re.lduI "- ---,-_._-_..~_..~....-.--<".~ ------..................~_'.'.n.__._' _~__._________~ ~--~-- . Tina Wolfe .. ----.--._- 2715 Bou..mreet. ponbrook. ~-]~:~~lA~A - --.---.- 1------ Harrl.burr, . 1/10 Po. 17108 VA. of re.ldue .. _n_ .. The abovo bllneflolerles are living at thla time el(oept for the following: NAME DATE OF PEATH , . 111:\/.,\&3 (l.ROI r.OMMONWBAL TH OP PBNN8VLYANIA ()GPAnTMBNT OP nUVBNUB 1IlllNSrnn INltOlIlTIINOU Till< I\U61PBN1 OUOIIIWNT Estale of LILLIE M. MYJDlt8 . SCHEDULE "0" BENerICIAnIp.S *, IlmlflllltlollS 11/1 RtlVllr$n S/eltl) , . BENEFIcIARies AND ADDRGSSE9 ROl.ATION81i1~ llURVlveo PATU OF INTeRIlST OP BENePIOIARV rillCBl,lENT BIRTH . Tam Ie WolCe , .__.__.............-.-..~.__._-,-_.__...--.-...+..........~ , ......--" ......,....~................,...-;--"""., __"_0'--' '"O'_____~~ ....................----.....- ~- " 27,lD Boas Street. penbrook - --- -.----'. --- . ~at';-_.-.,:--.- , HllrrlaburM. Pat , 17108 _1/10 of , ndnieoe _ v.. '.- rt.ldue , ---.-- ----- ..........---.... - .~- M lohele Hedrick - 328 Applehl1l Drive . - ~eat. ,---' - West Carrolltort. OM 411449 . :an~llieQe..-- -~. " I , II ^, ......- -~ - . -- , Roberta aalr , , - ...-- -_.....~_._- ~- 222 Cumberland Drlve ' ' - , Cllmp Hill. Pa. 17011 opus In __>.'.01 iliO ot,resldlie .-..------- ~""""----.-. I'-.~~, , , ---.-.........+u___.... _ n. ",. ,_~.. ___,_'< ___,____ __._ "" ...._,'...__r'_._. ,.,. ...,-,--.--.--...., .n_~'__~___ ,.,..u.,.._~.~. ~,~-_.- .._.._.~.""-..~._~ ___._~...-t~_~._._r' - Catbarlne l'\. Adamll --.---- -..------.-....---.-............---......... .----~--~ --.- - - - P. O. Box 489 .~---...,- - - ...........--............... Carll.le. Pa. 17013 Ite.E..~da!!ihl.trr_. _..y'es ___ .-- ,I1nof relidue ---'~._--'" .- , ---_..-----_..._-~ , -.______~_..___~..., ._..,_,___~~___L~_._._._.~ nr._~_"'~__ ___.__u' r.r, ,. -,,_._-....~. ____;lu'____" "'..,,_h__~_. -.-- _._.._--~---.~ ...."_n_.'_~. <~--'~_. __. __._~.~.._~_ ."-~- ____--, ,.._" _ ..,_.~.._....--.-___~___. __.._~_.. __.....,....~.--------+.ri__" _~. "_"P"" ._n ____~,__,~ __,", ,.-~'''__ '~--rr__~_"_'-'- "",- ...~--~.--..'-.~.. "..... 'n_ -~,--. ..--,---.--.--.,...,.. ........ , '. - - -- ---------- --- ----..- ~-_.-.-..-... . - ----....-~-- ....-_........-----....--_._-~. ---- .......-------- -~------ . - - .......---................-- ..-------- -,.---.- ..-~-.....'. - , - ~.;_..............."____.____~T...-.-~_____.__. ~~..._--~--~. ~--.------------'-, I~-'---- -.., ~_......_........_~---- , I-' - - .' , , , - ~ - .-- ....--- _.__~~i___ --- ...-------..--------...--- "_'P_'_._--"-~"'-"~'--"~_. .--'- -- .---- - -- ..-....... - --- , ......-- - . - - ~...--_. .-...--......... --...-- - - Tha above beneflolarles arellvlnQ at this time except for tho fcllowlngl NAMe ~ DATE OP DEATI1 " ~ ~ ~ i>" '~ ~ ;:J :2 .'0 z ~ i , ~ ~ f3 0 0 V'l z d ~ V'l ~ ,~ d ~ ~, Z I; ~ d' d 0 'i"l ~ ?!. ~ Z ~ Q l:) ~ 8 ..r. ,j p.l ,." 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