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,OA'I'1l m' P.:ItSONAI. R.:PRf:S.:NTATIVf;
COMMoNWBALTl1 or PBNNSYLVANIA SM
COVNTY OF CUMBERLAND
Defore me, the Register for tho prohnte of Wills nnd srnnllns of Letters (If Admlnlstrllllon In and for the county of
mugene, s. Shadle
Cumberlnnd,personnlly clime
who, bel,ns dilly
sworn ,do
depose and say thnt ns Ij)II"'rlll1;n,.
Blanohe M. Shadle
deceased
Of the last WlII and Testament of
he ~wlll welllllld trllly !ldmlnlster tho soods!lnd chattels, rlahts nnd oredlts of said deceased accordlnato law. And
, 'ilnd subs~rlbed boforo mo,
also wlU dlllsently comply with tho provisions of the law rolatlns to Transfer Inhorltancos,
July , 1'1 1\,0" 19-_~.L
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bEOREE
no It r~membered thaI on. the
15tn
day of July
Blanohe M. Shadle
81
,A.D,.19
, there W'ilS probated and
reoorded ,the last Will and Testament of
BOrough of West FairView
Il\to tlf
Deceased. Letters. Testamentary were granted to
WI.tness my'hahd and pfflclnl senltHe day and year nforesald, '
,57
, Cumborland county. Pennsylvania.
!nugena S. Shadle
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EUGENE S SHADLE OR
JOHN J Sl1ADLE
41e 3P,O Sl
W~ST FAlkVllW I'A 1102~
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. .' S'TA+EM'~N',',T 'SAVINGS sTATtiM~NTi... . ,; ,I:,~":''J" ~,::~?... \
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'<COON"'--- cim5If5~ -;-"'-'~l)['ilTf$~~'~- -:~'~SlA1tM6NT..,. " ~
11P1. AGCO~Nl~u0~~~ .!:~~VIO~~pAlMCli N~'AMOu\!L-imMilt[\=---i-"'ou!li,~- ":;"PA,lAN~,'ic!' l ,~ '
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ACCOUNl ACTIVITY ;, ,. ';.1 " i '
.'S~'V---* --'5TA lE'M i-N-i''"'SA V ING SACCDU NT _U_ '32:6i2~i3::i-'-- · · '. ~
BAI.ANCE, ,
4131.10
43b7.59
4131.10
4!>28.10
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2b5b.6B
2690.1.2 '
SAY
32 ~b22 33-3
05/05 DEPOSIT . . .
os/oe DEPOSIT . · .
Of/Ill DEPOSIT REVERSAl.
Ob/210EPOSIT · · .
06/04 DEPOSIT · · ·
06/15 WITHDRAWAL · .
07101 .*. INTEREST ...
. . . . .
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4131.10+
23/;>.49i'
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397.00+
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33.44+
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INTEREST TO DATE FOR 1981
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QUESTIONS CQNCgRNING PROPERTV TRANSFERS
t: Old <loco<lonl, within lwo yeors Ol,dOlllh, '1lIl1ko ony Irllnsfor of any mlltorla,lporl of h,ls oslolo without rocolvlM
voluoblo fIIld odoQuoloC\1f1sldOlollon? (Answor "Vos" or "No",) Ye. '
2, Old dace, tlonl, wllhln tV/(l yoms of d01\1I1, Irllnsfor proporty from hlmsolf/hor801l10 hlmsolf/horsolf and anothor porly
or partlos (In(:ludloR 0 spouso) Inlolnl ownors/,i1l? (AnswQt"Vos" or "No",) ,.1!!,' ' .,
3, If tho onsWer 10 ono or two, above ,Is "Vos" IInd tho trollsfors oro clolmod to bo nontaxable, IHovldo Ihe following
Informllllon:
0, ARe ofdecodent III tlmo of transfer,
b, Copy of dOAlh cerllflcale, .
c. ,AffidAvit by lI)e Attending physician Indicating Ihe stolo 0, f docodent's health at lime of transfer,
d. All other Infoll1111110n supporllng nonloxoblllty of transfer.
4, Old decedent,ln hls/hor Ilfellmo, make onYlransfor of proporty without receiving n valuohlecr adeqllata conSlderatlOI\q
therefor,whlch was to take effect In possosslon or onjoymenl at or allor his/her doolh? (Answer "V os" or "No";) 0
a. Was there any possibility ,thot the properly tronsferrod might return 10 trallsferoror his/her estate or be subject
10 hls/hor poworof dlsposlllon?(Answer "V os" or "No",) NO,
bi WhAt WAS \he transferoo's ago 11111010 of decedent's death?
5, DI~.decodenlln.hls/her Ilfellme make any transfol without rocolvlnga VAluable and adoquO\6 consl~oraUonther9jor
under which Iransferorexpressly or Impllodly reservos for hls/hor life or any perlcd which does In fact end be.lore his/her
death:
a, The possession or enjoyment of or tho rlnhtlo Incomo from the property transferred? (Answer "Vos" or "No" ,) No
b, The rlRht ,\0 doslRnate tho persons who shall possoss or onjoy the properly lransferred or Income thorofrOln?
(Answer "Vas" or "No",)I'lp
'6. If the answor to live b, llbove Is "Vos," was tho right reservod in decodentalol1o ( ) or decedent .wl olhers ( ),
, 7, Old decodenlln hls/llor lifetime mako a transfer, Ihe conslderaUon for which WAS ltansferee's promlsA 10 pay Income
to or for the bOneflt or core of transferor? (Answer "Ves" or "No",) No " .
8,Dlddecodont:at any Ume, transfer property, the bB1eflclal enjoyment of which was sUblecl,to change, because of
a reserved power 10 aller, amend, or revoke, or.whlch could rovertto,decedont under lermsef transfer or by operaUo.n of
law? (Answer "Ves" or "No",) No , "
9. If Ihe ansWor to eight above Is "Ves," WAS tho power to alter, amend or revoke tho Interest of the beneficiary re40rved
In the decedent alono ( lor decedent anti others ( ), .,'
Illi:V.4tJJ n(i (10.80)
COMMONWEAL Tti OP I>ENN8Y,LVANIA
ORPAATMRNT 01' ARVENLJe
TRANBPelllNliEAITANCB TAl<
AR81CENT lleCBD8NT
Eltnto of BX;ANOlll1l f~. SIIAPt.lll
SCHEOl)l.E "0"
IlENllFlolAf1IES
(l1/tlmet/UIIS Oil HOVllrSl1 Slr/o)
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BIlNEPlOlARl1l8 AND ADPRE881l8 RELATION8HIP 8urWlVED DA'fIl OF INTHRH8T OP 8&NllFICIARV
DECEDENT IlIRTH
Yvonne 'l'ay 10 t' _~__...............-<-'..__....._u ".!1I;1ID\1!;111\.lgh,t.I.-':" .~~.XU._,_ '_.._~.n_ $200.qP
.
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Janet M. Sto~ --plluqh~tet' ~_ r' Yos of
I.lanc.1, FLA ~
TfU'W:II
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John J. Shadle Ron Yas 1/3 of r.l1l1ue
R. P. III " ' ' "
,
Bottle Run Road ,
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Wl111""'lIpor.t , VA , . ,
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Bugane S. Shadle Son .- YeB ih of nsidue
-
418 Third Stroot
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W..t rairview, l'A 17020
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The above beneflclarlel Wllre living at tho time cf the dooodont'. doatho)(oopt for tho following:
NAMIl
If additional Ipaoo II neoellery, UIO O%" x '1" Ihooll,
DATE OF OPATH
~CTIOt'J~ POR COMf,LI~TING BCHEPU.L~
Soh.~l\JIe "E" mUHt Inolll~o till property, real ond pmol1hl, uWlio(l bvthe dooodenllolntlv with onother
perty or p/lrtl~HaH joint 10nonU with rloht of Hurvlvorahlp, Both tOl1oll>la ond Inlonglble property are to be
Inoh,ldeej, I.IHt raal eatote first, ' ,
1. OeHorlbe all real property oslndlooted In the InHtr~otlons for Sohodule "A." Oooorlbo ollpor&onol property
eslndlcated In the Instr~otlbns for Sohodule "B," Include Iho 110mo,eddro8H and relatlonHhlp to the
deoeql!nt of the co,ownerls) 'ond tho duta thaloll1t ownorshlp wos astabllHhod, '
2.' IndlOllta the total morket value of the Jointly ownod property,
3, IndlOl!te tho peroentageof the dooodent'H IntoreHt,
4. Indloate the market value of the deoedal1t'H Intorest,
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INHERITANCE TAX SUMMARY SHEET
(13UREAU USE_ONL.Yl
Dot. 01 D.ath __
June 8, lUU1
~ OrIginal
o Suppl.menlal
o R.malnd.r
PI I. NU",b.r ____'__._,_..~._21:U1~:.'l.I!~..ll..._.__,_.___.___
E N Ulanohe M. fJhlldlo
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Soc;lal S.ourlty Number
18'1-12-1550
REPORT OF INHERITANCE TAX APPRAISER
I, th. und.rll,ned duly appointed InherllanGl Tox Appralllr In ond far the County of Cumberland _,
Pennlylvanla, da relpeotfully report lhat I have approllld the real and perianal proper 01 reported In the fo,.goln~
relUm otthe value. lit IIlrth opPolllelOoh lIem In thelolt oolumn to the rlg~ In $ohe I "A", "B", "C", ond I I"
Datedl _!,OVClmber 6, 1981 ....
INVINTORV
Real Property (hhedule A)
Per.anal Property (hhedul. B)
JolnhHeld Property (Iohedule I)
T.on.fm (Iohedule C)
TOTAL OROII AII1T5
I.... Oebl. ond Oeduetlen.
(ICHIOUI.I P)
CI.IM! VAI.UI OP ISTA18
OLlie l!atate
D Annuity
V...LUI .... ",PPR...IIID COOl "'OJU'T~INTI RIM...IHDIR ",PpR...1IIMINT COOl
(H...RRIIIUM un OH~V)
24 500 ,00 00+ .
3,205 2,2 10+
487 85 JIIH
,155 68 10+
33 360 75
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!!!II P"'CTOM PRINCIPI.I! VAI.UI COOl
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COMPUT~TION OP TAX
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AMOUNT P...IO OISCOUNT
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BALANCI!
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q~~ERAl..lJi~ERITANce TAX,INFORMATION
Una~tlsfiod II~billtloa Incurred by tho docedont prior to hls/hor de~th aro doducllble agolnst hi a/her taKable
ost~te. In addltlo" wdobts Incurro,d by the docodent or O5lato, athor Itoms aro claimable Including tho cott of,
admlr,lslratlan, Ql19mey looa, fiduciary feea, lunoral and burl~1 oxpenaos Including lho caat 01 a burial lot, tombstllne
, or urave markor and othor related burial oxpensos,
All debts being claimed against M "tate aro aubiectta tho approval ~I the Reglater 01 Wille wlth'whom Ihe
Inheritance Tax Return 1$ filed. Evidence ,to support the decedent's or tho "tatO'1 liability lor the debl,' being
claimed should be att<lchedto lhls schedule.
A lamily exemption may be claimed by a spOu18 01 a decedonl who died domiciled In Pennsylvania. \flhere Is
no apoulO, or If tho SPOUIO ~aslorfelted hls/hor rights, then any child ellhe decedent who Is a member 01 tho aame
housohold can claim the eumptlon. In the event thore IS,na such spaulO or child, the extm1ptlan can be clolmed by
a perenl ar poronts who are members of the lame housohllld a. the decedenl. The f~mlly exemption Is allowable only
agolnst auets which pan by a will or by the POlin sylvania Intostato L,awI.
NOTE I 'Campenaallan pold to an eslllte representatlvel namely, an executar or admlnlsttalor, lor services
perfarmed In admlniaterlnll an estate Is repartablo for Pennsylvania InClame Tax pUl.pases. This taxable Income
Item ahould boreported on lorm PA.40.lndlvlduallncome Tax Return. .
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iNSTRUCTIONS FOR COMPLETING SC!t5.DULIL::.f"
1. II the lamlly eKomptlon Is being clalmed,)ndlcate ,the c1~lmant,'s namo, address and hla/herl.olallonahlp to
the decodont. Enter "Iamlly exemptlon"ln Ihe remarks column and the amount claimed In the amount column.
2. "..Ign consecutive numbers to each Item listed.
3. Enler the date Iln which eaah debt was Incurred and/or paid.
4. Bnler, the nomos of each payee.
5. Provlda a brlo( explanotlon In the remarks clllumn lor each debt claimed.
6. Enter the amount al each debt being claimed.
7. Tho lorm must bo signed by the person who has assumed tho respanslblllty lor poylng the debts.
IF ADDITIONAL SPACE IS NECESSARY USE BYz" x 11" SHEETS.