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Home My WebLink About81-00296 '1,- " " . "I' .' .' ,. J' , i, " '.. '" I' " , " " '" " " " " " 'U ,(' ., ,. " I, " " " " '" .J , " ,'. ,,0 " .' ., J ~ }I "., , , I' 1,,- ,,, r'-- >-; ," ", " " 1<,- d' ,,' ,.'J " I ,II, _,I' ,. .' .. " j'J- , " , , -" ...1 '/:" .. " , . ,. '" , .' !' '11I4 .' ,. ~ " , " '~ J "r' " " , ,. " .. " " [, " n', ';:,- , " ,,- '" " I,., " " ," " , , " " " I " ," " :,". ! " " " ,,'I ", ,,' ,I " L " ~'Ii - -,I" , ,,- jf j" " ,,-" '" " . I' I' " ,. ," " .. , II] " ". " ,,' " " 1 " '.." <0, " i,-, I' " \ ,~ ' NO, 21.81' PETITION FOR LETTERS OF ADMINISTRATION IN 'ItIU~ IOH1'ATf4J ()'I~ "!""}~'!'Il.~~,!~,~t.9,~",~,~,~,~lJ!~Y,~!F""'j"'" UI~CIC/\HIOJ'; 296 'I'll ,MARY 0, LmW:tS '..;'illl.,..II".lllij.....il'.II"'....".!""..".""""""""""""""""'.'1""';"""""""";""""""'." JIOIlIK\or llf WIIIK 1'01' tho COUII(.I'Il" CIII11\Jul'lillill, 111 thll (:ollonoIlWCtlllth of 1'IlIlIlK~'lvltlllll. 1'ho PoUUon of ";;, i",~~,J,~9'~~fl;~~",:~,',,, I ~~:~-!,~~~~.~; I,;".j., .... 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I II- '''11111111 1115 A,M, III the 111(0 of "",,,,,,,~R, ~'OllrK, u t; '1'h th II Ji'., ammlcm MOlmllOUSD: ut 0 au ( '''''''1I'1I111''HII",t'''',!''''''I''''Hnl"",,,.,,'''1I1111'"''IIII''. nlll11odwldow orflURbllnd, holrK\\nrlnoxllu kin, III \VII: r10ijllIlKllCl. left Rlll'vlvlnll' Ihofollowln" Nllmo Clayton R, Morehouse HIIIIIIIIIIIIII'PJ"llll'I'lllfl""lll"';"'lU"Il"H"11I 'RolntlollRhlll Son ROHhlelUlll 12 Wild Harbor Road, NOrth ""'.'.'Ilil""'I"'''''!ltltlllllli.IIHlIlIllll!.'''Il11!ltl' ~a1mQuth, MASS 02556 1IIlIIIllllt"-'"'''Hllill,.ItU'IIIl''''"'i!I'llil'''"II1''' '1';""11'''"''''111''''''''''''''''1111'' HllIH""IItIl,lIltlHll;llttlt''''"'''''''''illIllIl'I,,,,jH' IIII'H'"""'ItIl"""iI'''''''''''''''" L~wrenoe M, Morehouso """'1'11""1'111'11""""'1"1'1"1111"""''''''1I11111I Son "'I"'HlilI'itnl",;,'io"", "'"I''''' 9600 He1enwoDd Dr~ ' ""11'1"11'1'11"'11""1""'11'11'111111'1111'1'11"""iill l'alrf'ax VA .22032 . IIIIIII""I""IIU'IIIII""I'II"IIII""il'IIIIII'1111'1"'1 ",,,,,j"Illlllillllllitl""I"'''''''"11ilHllflll,,,,.lllll ~~,~m~,~~:, I~' ~'I.,M~'~~I~'?~~~'~~flllll till I l"I""""""ltI,"""",",,,,I/,,,,,,, Bon "'''III'"llllillit'I''''llllllllilll'',,.. 202 MoI,and Dr'~ va q.j"III""ltll""iillll''''I'''''"HlIltllt''II';'"I'"lll lillllll'''IIlI,'i.IIII1HI''''''''''I'''"IHllllilll''''''''llI 1"1'''''''''11'1'1'11"""",,1''''''''111 Mt, Holly Spring~, PA 1r065 '11""'1"""'1"11"111111""""""'11111'11"11111111"" ~f/1l':191~It)Y'!i..r:ttj, ,,'r.)~IH1l1m~,"'I""IiIl'" I'll It ill i/l J?f},H~r.,t ~!r.lli' it '" j",. J. Rlt !lI~I\\ ~,fH:\'. ,~~n,'P."Il'lIl1"" \ltlfllf'i!li Carils1s1 PA 17013. """II"I""'I'I,!I,,,,,'!II!"III",,I"''''!'''III!.""1'1, 111'"'1""""1"'11'1""'1'1""'",1,11111111111'1/"1"1"'11 """I'''I'IfIHiijj,,,,,,,,,,,,,,,,,,,j,.. """'I"I"II"",..'I",I"""'"IlIII"I""",,",,",",, """'I'It'I",I"'I"'I'I"""I"''''''I' 1I,j"''''''II'''"lIl1l,,''''tt''''''"I1I''IIl,H''\lli''',IIi. Thllt thoRe abovo nllmoet Inolu'do 1111 of tho noxt of kln,Ro flU' ilK known, .. '., Tho Imld deoedol1t WIIH posHORsnd of, pel'Honll1 PI'Ct)lol'Iy l,!tho oAtlll1l\tocl vl\lllO of $,,,!;l,~!f,~,~t,\l,l.I;l;~,~,~,, . nnd of. nonl Estllle! 10SR InclIll1b,'nribo, 10 \110 uKtlmalocl vlIllIW of $"..XlP,\1,li\."...""..",,,,, M n8/11' 111101\1] ,be IIRoortnlned, That the Auld Riml matate in HO ffW UN fA known IN locnlocl In 1""I"''''''''''''Hli!""",";,,,,,,,.lj':.'i!''''''"11\q, 'jllflllillllliojll"""'''"''''''''''HII''''"ll"""..tili'',\"''''''''''/1"""11"" ''''''"''''~''''''''I'''tt''''''''''''''''''''H,''''jil,,,,,,'..'';i''I''1i'.<111'1""""' '1'horofore. your potltlonor(a) rospeotfullY llIJPI.I'(/08) fOI' IJot\ol's of Adml11lRt!'ntlon In the abovo nal11od,ostato, Dated 1:11~'itll;,MI!)Y('''''~''''!I'''d''''''''Ii'''':' A, D" 10.~~"" Signature unci Adell'osK 01' Potltlllnor(K) .."..,."..~~~~~t~.~i'0~~':' '"!''''''' ,',',,, ;I..,G}:h II'~ M ~.E;\ 1:\ j, .t1~n,~ .,'".", "',,, ~ tI" I"" 1111 "'1 I,j Ii j;, j"" j"",. ,'. g ,E!: l-:'. *,~ i~' *.~,~ '1' ,t~" '.I~ ,71 R,~ ,~.. I" ,'... III""" II I' II ,i "''''!I'''''''.'''''''''''''''''''''''''',''Ii.i/''"'''''II'''!ll!.",...lill''lllI""" OOMMONWIMI.Tl'1 OF l'ffiNN$YJ.,v ANIA qpUNTY OF CUMBJiJR.LANIJ 1 ss: . '. DOROTHY M, THtJM~1A ",,,,,,,,,,,",,,,,.,,,,,,,,"1"1"1''''''''"11'''''''1''1'''''''''''1...,,,,,''''''ii''''''''''..."",,,,,,,,,...ih'''''''/'j,il,,,,.,j''''I'I.,,.,,,,,,1"1"",,,,,, , In the nbovollppllon~loll \Jolnl!' club' ".".",,,,,.f;l.1'I.9.1:'.n..,,.,,,,..,,..,,...,, nccol'c1II1U to l11W, HM' thllt thofnets ,Hol forth In, tho nbove appllonllol1 IIro 1.1'110 to thli bilK! 01' "."..l).~.I;~, III1OWloclll'O t\l1elbollol', "I'ill';II'I"'V"'d.,.,""I"I",~,W,'?~J,~:,,""I"I" und 8uhacltlh,ud ] befQro ,mo, 1"'II"lili'rtItIlM~~"""'"''''>>''I'''''I''I''''''' A, 1)'1 lO"~'~~j'; '''~1",~"".,a-l!<MN.6'l...:.';~I~..~~n.. "RolllHtol' '6 1981 Ji"Ued: "",.,1!1"):''''''''''''''''''I''''''''''''''''''''''''I'''''''I'''';;' I1Amod' ","II"~~J""""'III'f""II""""""I",i",.,.,!""""",.,....I""I";'" "~'\ _I, 'y, -\/~., "" _. ~..,;::c:....... , ~ :....".,..." 'J'j~~JiH'i"'%' '~WlI'MMA'''''''''''''''''''''''','!'' "'''I"d'''''I""j.i''''''''''''''''''''''''';''I'''''''''"""d",,,.,,.....lIil" . . .. . , , " , , . " i " " j . it , it.. , , .. , , " , , , , , . .. . . .. , " . ! . . " , .. , i , ,.. " , " 1.11 ;; , \ ~ ' II . . I iI it " IRWJ;N IRWIN & liRWIN ;!";"""'.";;";;";""'''''''''''''''''''!'''''''II';+II'HU, " OATH OF PERSONAL REPRESENTATIVE COMMONWI~AL'I'H Ol" pfo)NN~nN ANIA ,cOUNTY 01" CUMrH<1IU,AN n } MM: D011O'1'IIY M, '1'IIUMMA l'..lI!1'"....!H'Hii,t1'illli'IlI..ItI'"'.l!'I'I'tilllllltllli.llii.""",..",..."..ii....""'"...'..'"..'''''....q"l''";,,,,''';;'".,.''''Il11.'1'1 11utltlollor(>>l 1I000I'dllll\' tn IIIII', ,In,,9.,~,,.,',, c1cflu~O IIl1d Mill' Ihllt ilK tho ruJmlnlRtrn 'lyJ:"tX:,".,'.,ot thu oHtnlo or ,1,."'!I'"v:,,;.,~m~t'J,tO,lt,MQ~mH.Q~JJim,II,,,li,HHII'"''''''''"'111'"1";''''1',1;''"111 sworn ' IIIIIIII"''I;j"",IIIIIIIIIII...IIIIIII'','I;,,",I''',. balliII' clulY 111111 j, ""flf" ;Hilll'lIl ,i Ililll lit I'" ,,,,.. ,.. ..""1111'....' I illII I' '1I1111"'" II" III" II! i,' ;'11""" "',,.11 it ,,,,,,.... H' ,'j,,, Ii I'''' illtH "1"" ,'" I, 1'11.1111'11 IIlil" "II deoellKod """"""~!~~"'" will' \1'011 nud II'ltly IlllmlulMtdl' thll UnclllM nud oIlllllolM, I'II/hIM'lIud crodltA of ""ld' decell~,~d, 1I0ool'dlnll to IlIw. Anti IIIMO will clllll\'~ntl~' l'O 111 \lb' with tho \l1'ovIAlunH of tho lllw l'olntlnll 10 Tl'l\nKfel' IlIhoi'ltlln(\O~, ~ Sworn I I II I 11l1'.!'jl"'IIIIl'""''lllll""."",..""otH'IH''''' aut( HU HWl' loe lieflll'~ me",. ' f'," v-' ,Moou" A ') l1Jl1 h.\} 'UUi:\.\I,."~,, '(\, ,\,>~.lC"rv'o-W-"" - "'lI.ttH."'ilMtlnll'H,,'tf,,"'HIIIII""'''"lllt ,. q rr.r.-.,.... ''''''''''''''''''n'dl~'Otl1J'rY'''M'J~fl):lr-tU'Mtv1J\'''''''''jHUHIl''ilTm'I" . '::',"'1'''': ,~d,:..""~~",,,,,~,,. ,f1IIf~"'-~-d1~' .,.".....,..,..".,..,',....,",..,""""'~""".,"""""""""""."""""""" Reg at r 'I ' "", "-" , ' ""f ,,' DECREE no it ~omemuorod th(lt on tho t""f1,:,,,H,~b,,,,,,,,tt,,,,dny of ,.....,;,JM4M''''';''''''''''illtlHIlIlII+ Al 01, 19i'~}i'..;t }",ettors of AdmtnlstrnUon In tho oRtnto of 1I1""'Ilf..1.. t~~,~~,*,9.m"mRJHm1,gM~.W"""h'IIIIIlIlIl""""II"'O"I"itliill I!Il ...." ,." ,ii,,,,,, HilI 11 ,''" "1" ""!lHI' ',ill' 1I1111l1' ill' ,,"101111111' Into of ,t~RJ:,V,D..,ffltlt,<;l.<;\~.~,~,'f?,t;L, 1';Ji,9.Wlr/.'ilJ:\~.l?tIl'''';Il.Hllljj'''"i CumliorllLndCklunty, PonnAylvltnlll, deoi)IlAod, \\'ol'n 1I1'llllted to ". D,Q,I;\O.'1iklX",M",,,:f.IJ.Ut1U1/.1 """,:,,,,,,,,,,,,,, ,,"'''''''\!''H'''''''''''''''''''''''.',I'''IIH''''I!I'''','''''''''''''""''''''''Il"d'''''''II''''''''''''''''''''''''"I'''''''''''1";,,.I'1"""'''''''''''''''''''''''1111111 Wltlless my hlll1d IIl1d oft\ollll HUIII tho dllY I\lId YOIII' IIfol'OAII"\' ~ . ,-....~ ' , ,"- ': ...",:"",,,,,,,,,:;,,,,?J,~I./"',"c.,"'" '" -"'''''t~,''~' &," "'''r l ROg1S~~. 'WI? .. . ~-- p ~ ~I 8"'" ~'U ~ l! (TItb i!i;o ,;l~ ' ~ll I ':It i ~~!;t: \Jl i.t,.. ~,; _.~;l "1 -"1 n' "0 ;'7':Fi i~)t./'J ~ 1') l" 'f,., ~nl'~1 ..:.,1. ," fl' '~;l "}1 "0:> it ,. \: " '" 'I, " <:0 " \ ~' I; , .. ., C:)fl '.' l.i ~~C Q. ~'J~.1 ,~-,;I'- :l'!r'~ t:. Lr' 'Il '~': 1;..- '1'" Ii' I , ' i ai~! I, I I_I ~. ~.~ M 50 ~. u IH;:V.403 U<t 110.PO} OOMMONWBAL TH of fUNNSVLVANIA oaPARTMaNT Of IlUVUNUa TAANSPBR INHBAITANoU TAX RUSIDSNTDaOBDaNT SCHEOULf; "D" PENEPlcIARle8 Estate of (llIstrllet/1111S 1111 Rovorso S/C/II) F, Bernioe MpruhoUBu 1II!NI!PI!lIARI&S AND ADDRI!8SeS ~ELATION8HIP , 8UIWlveo DATE OP INTDReSTOP lIeNIlPIClARV OECI!PI!NT nlRTH Dorothy M, 'l'humma Daughter' YOtj J./Ii ....--.----...--.-.....-,-- .____.,____.----0_____ ~......-~_..----~ 101 Suaan Lane --~ Oarlisle. I'^ 17013 .--- -..... - ---.'--' llll 0111),1 ton a, MOl'ehousp. Son yeB North l~almouth , , Mass , , , , , r- - Lawrenoe M; Mor'o ho use Son yell 1/11 ,,' .-- , Fairt'ax , ., " , Va. , --,--- , , ___..-___._,_~.~_.____'u..._..~ ..,., _ -->-~-~-----~ ~----_....,..,... ----<.<-.._.~~.~~~._,._..__. ......._,___.._.'n_~__. ._-~~._~-- ~avmond M ~~1OUBe Sbn yet3 1/11 MI- ' 1.1,.,11 \I !'l",.,1,h",'o , , , , - . . PA , , - ~ - . , , , " - , ...............-~-~-~-~- _~~~--->-<_~~_~~_._u_~._,., ~,_~ ..n ..,._._._wn_.'___,_ ___n_T___--+-____.~.__ ..~......_ _." _~__~__~__,.......~___~L.._+___ ~._.._ , .-_~--..,_.._____.u..__._w_._.,_'"..; , " , ---.----<~._..~-_.~-_..~- ~...'L...~..,._._._,_,.u._ .,...-_,--,-- " ~_.__T _..,,- - - .....,...,-'.... -..--,_-4 . , --. , - , " , , ' , . '-- I , --------~ .... ---..--.-- --<-._~..-_._"'...__... , , , , . , , - , , , , -- --------' - -. , , , , , , . , , , . - I , , " The Bbove beneflolsrlQIWsrellvlng at thetll1ie of.the decedent'. death exoept for the followll)gl NAMI! DATe OF DIlATH If Iddltlonollpoeo II noeumv, ule sy," X 11" Ihooll, . " " -'" 1" :l"It" \1'1\ ',<-_'Ii/I.'," 'I I P ";/ilj '.;1 ','" "r,'" 1(1 't,. ,'''\~.4' Il~'.l '/If,',;";j I,"'\~d. j /,1(.#1..,...:11 ,'i, ~,!-I;"vf.fILtf-,~.iJ,;t.l:;f.l /'1<1r;'~ 1.!1.r.'Cf.) '<~/lf/' (.r'1 rrJt) , ! j1, ", I ,10 - , '.',1_', ':-'/'''_'' "j', '\ . I,,'; , ),',',: ,'/;'{ ",' -" "'li" , '}e,', "; ~,J"..IJ.,t:'!',/., ""'J., ~;\.:.'" '.J',;I ".\""1 "'''I "'"V.,''.~.\~.11.~!1', ,"':!,lIf..,rr:' :f"{' i'to, '-ir/,t(M'lJf1~-t .l-J ,:'J;,_ll 'i; ; r~t"',-!/'/r!j! i\..,; ~~( /,' 'I: ~1"1)"-" tt~.l''l'I'i ,'W-!!t',i~" "'.v"(JliIIt.,ii/'~'i'j..ii'.1(:",:''/, "/;/, '~",.,' .;-,t;v':. 'f' t(,':' :_~!~~"~-~:~~~''''I,,~ll_-~' ''')' ,~b, t - 'I $",. ./S-~, ni,:',',',' ~~'), I()~ 'it.": l.s:-',~,~' 1.-' 4"11.,(.4,11 -~ ;,' "..,1 ,of ~,,::p... f~j,:{I."..'tJ,', ,. ",' ~ql:tt"",( 1\( ". .''.If,;I~/..~I;'If:;'~li "'\' :<. of " .J." ,~;~. ' i$j,~J , " .('ll, 'I ~ If'J M~'IlJ, ,(.-(J, ..1"' r JJ a-'l; n' "1~ (, . 'p '.:J < .....hl' ,j- ,h',.. .~.i~ (" ,/.J /.!J, &,.J .n!' '7"/fJ Jt,1f~1, '.' .!ro, ,f ",V.JJ NI,~)../P 'i~(;j,'l~ 'tJ .JJ'/;t~.1 , 50/ IO~,if'~ ...,i41.'.L/.., I " ! 'r" ;' , '. ~, I ' .."0, 1/ ~ '*.3 NJ, tH;i . ':j 'I:' I~,' lJ. -;If'J .'J4.,,'(1 ~ ' : .". " ''c'. ",'.Y j' I f)'f(,i, / - 'f't, ':;:;pJ;o r' .j'-(). I.- Y"I- ';:A~', S';...! ". ./ 1>('. ,,( - 'I' 'I J,'~':l, t:'l ' (M,',. ...:Y-rf' ..1';'1,"1 11>.(1, 9' , 'I-If J J. 1. Ii 'I' .,' " I'}-c, /.;" 9"'1- v Iv". G, "y.y.. Il'!), 'I ~'9' 1,"/, .1, '/'/ '( " tl ,I ,()'(o, ( /('( ',{. '1'1 " i 'I 1 . ' \.. ' "II // II. Y'f II . ~ '/ ,.\, .'/. '~--i , 1/, , ... -~- { . il' ./ ,~.., I~~-t" s .t S'IV t' II" 'f 5'1-:1"1, , 1,. '11'n' ,11.,..;1 I I.~ .. 'f,~-'1'1, /.1..1 1.'.:;; III. -'I!J'" !/'/,'/:/./ ,":"'(0, /.. 'I t. l:rr.'I1,' , ';-:ti,,)..-tfr (, jr!J.t~'f- " . . ~ ". "J;,:();,../i~,tI,11., '1.,f;J;:', 'I:/f; ,," ;: ",,',;1 "'J!,',' I.".: i.,,$" q,: If.:~.'f~. ~.$"Jt;Jfi.'1f ,,' -' .'1 oj, .,$" l;l, ."I"t..,o.";.tf(,, '/ Ji1J,',,;'f ;;1," / "'~-d; ~,.. 'f- '" /r~,.pt, /",('- ,.It. ,; tic. r'{.. '1./p N-~"t ~-'O, f- 'I ~ i~r~, r.f . :)-0, (i V (" . / '-;:.1 ,,1,(' /.',"2., ,i'/ 3,1..1. 'Ii J..t J. Ifl ~-o, IO~ If:/.; ,fJ'-O, Ir-t.N J~'(), I~' N ~i''{}f j _ '/'1 ,J.~1, , 'I f ;'( . 'I / . ,(. / 'i-I', o.l' .J_t,~, '/ l IS-I),'/ ( ..U.., 't J' II"" il I ...1 (I, I IiI j.~", '/ ,)' ",,,.(., 'j , .' , -/ ,..:,)'> " ), 'Ill " ' .' " .i I I , , ( I, '/ " I ,', / , , ,:,-{ J " 'I 'I 1'1 .' , I ~ . , .'~, l , 'I 'I II , ( I, ..f't, If t/ 1'1 J'. () G. tl~,-(I .. C' 'I 'I 1 if I. {.? :,"( I' 'I 7 1'1','" , ,\ , " . I, t , I I;' II,..'. " i' ( ~ 1/ J' 17 .r,~ ( I' 7 ,.3! I "(' 'J ') I / ,i,..J, I. 'j I " " , .'. /:; I, ;)" I.~-i, / t. f..<"j !.' / j , ,. ,_ ,I I', .', ,.1' j' I,c" '.,/ i' ,....', .' ,i:?;',-:i , ! 1,_ ,,/I'il,"", Ifll1' .t(J,\ J,-Vjr, i.,1 f.;,ti'tr l?;!ri' I. r, Ii''" fil .,,-., .'1.1=-',""1 'Ii';P.!;;~~'ir:l/lt~ ,,#;)',~"'> ,fQ,.'J-~t(11 f."1, I~, :: " a'c, 'I- I{' 1. I'/J,'f() ,f;' (;, 'I- ,/1 /'r.IJ, 'l'0: S(', 'I- 'f-j .1'/ Y, I/,O 1(>('. IPIJ-J' ,:lIt, PO 0"0, / t.. 'f" r /3 ,(~ 1// ,~/;", CI'.~'7 11, J,J --r.rt.tU 1"11 t ~ I 5";' ',,1 .;::~.., ( d, ""V'~" RXt tHOI INHERITANCE "AX SUMMARY SHEET (BUREAU USE ONLY) l!l Original \ o Supplemeotal O.Remalnder Pile N mber . 21-81-0296 , Eatate Name _L~fLw:>reh:lullI1L...;--~---_.~-------'- Oat. of o.~th ~ril E.J9!!.L__~___._----'-" Soolal Seourlty Numb.r '210..,2.9.:~1?L__~_~..~- REPORT OF INHERITANCe TAX APPRAISER' Ii the undertlaned duly Q~polnted InherllQnoe TQX ApprQlter In Qnd for Ihe County 01 ~rl~, ,. , PenntylvQnla, do r..putfu\ly report Ihat I \1Qve QPprQlud the real Qnd pe,.Qnal prop.r at rllPQrted In I e IQreaQln~ retum at the vQluet ul forth oppOllte each Item In,Ihelatl column to the rl hI In Sch. 01.. "A", "B", "C", Qnd' e" Datedl Sep1;el1i.)el:' 25, 1981 c::::; .... VALUI Al APPAAISBa coal AOJUITMSHTI R8MAlHaSR APPRAIIIMIHT COOl lHVIHTORV (HARRISBURO UII O.HLV,) Rlol ProplrlV (Iohldull A) oat tat Plllonol PloplltV (hhld,,11 II) 57 851 56 10+ JolnhHlld Proplltv (lohld,,11 I) NONEl fllt T,onl'"1 (Iohldull C) NONEl 10+ TOTAL ORalS ASSITS ~..._._~lr~Ql..~.- ..2.G_ --- .. \.111 Dlbt. ond Dldulllon. 110- I'- (SCHIDUI.I P) Cl.IAR VAI.UB OP B$TA'fI - o Life EIIate l!llI PACTOR PRlHCIPl.1 VAI.UI COOl - - o Annuity - - peR use OP RBGISTER ONl.Y TaM' onl $ To. on I To. on $ T.. on $ To. on $ 1.lmp'l.n' Tolol 1"011 ~ COMPUTATIOH OP TAX $ $ $ $-- $ 6% \5% - - TOTAL TAX IH'l'ERBST PROM ~ALAHCI TO $ $ $ \.... Clodih OATS 01' PAVMIHT AMOUHT PAID DIICOUHT $- + $ IHTBRBST ... $ a ,TAX CRIolT $ + ~ 8ALAHCB $ TO COMMONWIALTH 01' PENNSYLVANIA COUNTY 01' CUM.IRLAND . I. I III Do l'() I,hy , M, 'J'hLllJllJlr~ _ ,-.. -.~..,-~,. _ -- ..- _ _..~._.-_.~~-~ -._.- ,.-.-,--". ..... -" .---., -< -.~...-- - "-. boln9 dulV .. __,,-~~I.o..r'I1+ . H ooccrdln9 10 law, dOpOIOI ood 10VI Ihol[\ ho :l~l....(~o.~~rrl:~~~!~~.~:n~r.'.jx.._ .., .,..._.._.._"......, d ...,_ of Iho Eltalo of .J~'J...l!Ql'n.l(lO_Mot'~lJJ.llurH) .__.___....._. 1010 01 ..!'J9rt.l,1 M.lc1c\l9(JDIl 'J'owllllh:lp .. "m ... _, Cumborlond CounlV, Po" decolltd end thMthe within lIon Invonlorv modo bV'., .Po1'':!.thy_M.!'l'lmm~Hl_. .._........._, tho \Old ^(hll~.I1.lB trat;!'j.~ of Ihe onllre eslolo of \Old docodenl, conlllll09 cf 011 tho porlonol profl.rtv and rOIl oltolo, oxcept rulutolo cuhldo tho ,Commonwealth. of Ponnlvlvonlo, ood Ihot Iho fl9urol cppollto oech Itom of Iho Invontcry roprOlont It'l fair volue 01 of tho doto of docodonl', doolh, . . , Sworn .. and lublcrlbod bofcro mo, ...;;)..,S'~~~~~~~~__ DO BO'l'lI \rM'~r'~1 u I~IV'I\ _...), .Q1_..J'11ill !lll..lill.llil._._.: 081'11010, PA 17013 ,-..-,... -'--"---Add;-;;;--'-' -------,.. I~ ' 19~11 ~ nom:n ~ Ii' 'In /if.' ,'i' 1'111:111: CAlII!';1 t: I (111), l\!WHill i\,-:ill'lill~lI'{ " MY COM/,ll, 10 Ul'lIllS ULf. .I, IV~'I . Dolo of Duth -_.__.?.~::-._.__.._._..._-_...__._~l:~ln~---'-- 1981 '- v.., INSTRUCTIONS I, An Invootcrv mOlt bo II10d within Ihroo monlhl ollor oppolnlmont 01 porlonol roprolOntatlve, 2, A lupplement Invenlorv mUlt bo fllod within Ihlrty daVI of dllcovorv 01 oddlllonol OIIeh, 3, Addltlo,~~llho.oh moV bo ottoohod 01 to portonolty or rully 4" See ArtloleIV"FJduclorIOl Act of 1949, 11.\ ..... L~ ',},' Ef "-j, ; ~;~ t;J'1 :T l~i~ f:"" .,.... "'''of iJl. I;, ,J I t.r:. f".,. f",' , 11;1} /, ,)~'~I cr.'/"' ;E l_rJ.) tl,., ";); w',.l (lr:) (l:C):' P; dt,.. I - p, :a (Jl ~ 0 [-< ..,. ILl 1 ~ i ~ U) r~ 1::0 0 F-1 0 .j> III aJ j II) o ~ [X1 r-I 1: I '<:1 ~lt~~ d '<:1 ,i ~~ ~~:J Iii ~ ~ j:!j fl.l ,e: j ::1 u .~ ~ H .j> ~ ~I n 0 ... 1 1,'1 z rQ J ~ , I ~ ri.t I ~ 1 I ~ Inventowof the ree,1 end personal oetolo 0/ Ii', l3ol'n:toQ Mot'ohoullo ~_ dUIJOOBSd ~,......-;..-..................~_--.----,.~....-.._____...~_,",,~'_--';__""""'h"-"""";O~_~~'_~ ----- .,.. "';=-..;.,......;:::7~:::;:~::I!~-,.,..,;:-';c,o::-,:: ~~-;;;:,'" tc.'..~~;-_-i L PRRSONAL PROPRRTY O~mbet'land Valley Sav:tnga & Lo&n ASBDO, SavinGs aooount n121~38-~-----~---------~~~---------------- Farma~BTruBt 00, oh~ok:tng aooount #7-20712-----------------------.---------- V,S, SaVingB Dondo Series E-----~-~---~----------~-------.--~---~----~----~---~ Ohuroh or God Home ~'e fund- -----..;....;,. ---- -.........~-- -"'" ------ -- --...---...- -...;..... ---;.;.,..- -""",..;';:"- .. 110,699 72 3,?,2!3 05 :\,3,066 29 .,( 860 50 57,851 56 it ; , <I GENERAL INI1ERIT ANCE TAX INFORMATION Unsatisfied lIabllltlO$ Incurrod by Iho docodont prior 10 hls/hor doolh mo doductlblo aoalnsl hls/hor taxable eslole; In addition 10 dobta Incurrod by tho docedonl or oatnte, olhor II 0111 S, are clohnoblo locludlng tho cost of admlnlstrotlon, attornoy /oos, fiduciary /oos, funoral and burial exponsua Includlog tho costal a burial 101, tombstone or grove marker ond ath'or rolatod burial oxpooUS. ' All dobts being clolmad agalost on oat'ate aro sublocllo the opproval oflho Register of Wills wllh whQm tho Inhorllanco Tax, ~oturn Is filed, Evidence ,to support tho deoodonl'sor Iho oatolo's liability for Ihe debts bolng claimed should bo attached to this achodule, ' A lamlly oxeoiptlon may bo clalmod by 0 spouao of a docodoot who dlod domiciled In Ponnsylvanla, ,If thoro Is no apouse, 0 r I I lh 0 spouao ha s forlel tod hi s/h or rl gh ta, Ih on any ch II d cf th e docodeot who Iso momber of tho same houaohold can claim tho okQmptlon, In tho event thoro Is OQ such spouse or child, tho oXlll1lptlon can be claimed by a pareot or'paronts who aro membors of tho Same housohold as tho docedeol. Tho fan111y exomptlon Is allowable only agaloat auets whlchpau by 0 will or by tho Poonsylvaola Intostato L.aws. ' ' ' , NOTEI Compenaal,loo paid to an estato reprosontatlvol namoly, 00 oxocutor or admlolstrator, for IOrvlces porformed Inadmlolstorlng anostalo Is reporlablo for Poooaylvaolal,ncomeTax purposos, This taMable Incomo 110m should be reported On form PA.40~ln\llvlduallncomo Tax Roturo, , ~ ~ ~, 8 g ~ Z ,~ ,~ ~ ~ ~ p I z z ~ 'm ~ p p ~ Z 0 P ." I ',I . ~ Z C'.i '."' .- (.1 hi <'. fil l;. Ci "i/.:' ~ , ~(.\, r," I'"') ~jJ I i j C'J" '!k"l ,~ r';i 't~ ,:-,ICJ ~ I"t'C'/ 1:~J 1:i8 fl.:'!',: ~ ~tt': $0 l."jd '-, II INSTRUCTIONS FOR COMPLETING SCtiEDlJLE "f" , 1, If the family okemptlon Is p\llng claimed, lodlcoto Iho clalmanl,'a oomo, addresa aod his/her relationship to the deoedlll1t. ,Enter "family exemption" In tho remarks columo and the amount claimed In the amount column. 2, \ Aulgn consec,utlve numbors to each Item Ilstod, 3. Enter the date on which oach debt was locurred and/or paid, 4. E,Her tho namos of each payee, 5, Provide 6 brlo(explanatlon In the romarks column lor, eaeh dobt claimed, 6, Enter tho amouot 01 oach dobt beloo claimed, " 7, Tho form must lio signed by the parson who has assumod tho rosponslblllty for paying the debts, IF ADDITIONAL SPACE IS NECESSARY USE BVI" K 11" SHEETS.