HomeMy WebLinkAbout81-00459
No, 21-81
PETITION FOR PROBATE OF WILL AND Ll!TTl!RSTE8TAMeNTAAY
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To Register of Wills ,for the C9unty of Cumbllrland, In tho commonwelllth <If PlInneylvanla.
Petltlaner(s) Is (are) the e~eoulQll.___ named In the LaetWllland Testament 01.
_____.9.J.\J<Q.....JL,.J!Qx.ganfroi, ,. _. dated l!'obl:ua~6, 1977
DeCledent waSil citizen of thll \Jnlted States and a resident of maa t 1'onnal:>ol:o
Township (Bol'Otllln-l. Oumberland County, Commonwealth of Pannsylvanla. '
Daoedent died on __'l'l.Iosday the ...lO..tlL. day of JIJrieA.D. ,19.ll.l-,ln the
, , " BonnsYlvania
County of _..R.Mlphin , .__.~, State Of ~___ at the ago of....lUL. yaare,
Deoedent has (ha~ ,nail been marrlsd and has (has no\) had ohlldren born to him (her) slnoe Ihe e~.
eoutlon of the above described Will.
Deoedent was p08sessed of personal property to the value of __.-.Ji200, (loQ. 00
and of real estate to the vslue of
Noho
8S near aB oan be asoertalned; ssld real estate situated as fOllOWS
Therefotl;l, your pelltlonllr(s) respeotfully apply(les) forlhe probate of the said Last Will and Testll' '
ment and for Letters Testamentary theron.
Dated
July -1.5-4 1981
Name and adcHees
of (>etltloner(s)
,)
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Lucy
// J~'1' .'. i'" c.'
,
K. Sorgenfrei '
t_
485 Fairway orive
COMMONWEALTH OF PENNSYLVANIA },
OOUNTY OF CUMBERLAND
LuoyI<.!~~Jlorgen~~!li .~~~ Lois B.
Camp Hill, FA 17011
'~ tL~~A..d
ommonwealtn N 10nal B~nk
ss Market Square
Harrisburg, FA 1,7108" .
Copeland, Trust Officer of commonwealth
Nadonalnat'llt
~D~
named In above applloatlon, being duly. sworn aooordlng to law eaY(s) Ihal lhe.
atatementst;let forth In this petition aretru8 to Ihe best of their" knOWledge and belief.
.Swo,J::n,--- and subsorlbed before. _
me, /1Yn;_l5-,~~__.c- 19 _8_~._. ._._~-~ ~. '~~ ,'.~ ~A;//1
. <1!tr1f!.. .",j,,' "-"-"'f d ''', r " 'f"" .
Flied: July 24 j , 1981
Attorney
Howell C. Mette
sheari:lr, ,Mette ~ W<;lo!is ide
1601 N. Front Stre~~
Hartisburg, PA 17108
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N/ilW Orleans, Leuiaiana ,and MARY 1\LIOE: HELMS, af Pes l\tl.linas,
Illinois, in equal shares, te be dividod ~a they shall agraa,If
either of my sAid ohildron IlhaJ.l predeoease me leaving iSflue ta
survive, his er her share in said property shall be diatributed te
iluch issue par stir-pes by r.GpresentaUon and net per e/.lpita <1n,l the
surviving lUxeouter shall represent any miners in suoh divisien.
Should the persons interested fail. te agl:oe td thl'! divisien, suoh
preperty shllll be divided ameng them by the surviving Executer in
an equitabla manner with apprepriate oensidel:ation fer tl:1e pereonal
preferenoes of any surviving child.
!.:F EM I II ,
If my wife, I,UCY l~, SORGENFRElI,
shall survive me, I give, devise and bequeath to the COMMONWEALTH
NATXON1\L I31\Nl~, ef Harrisburg, Pel)nsylvania, and my wife" LUCY K.'
SORGENFRElI, as Trustees, an ameunt free af all taxes equal to the'
maximum marital deduotion allewable te my estate for Federal estate
tax purposes, less the aggregate marital deduotiol) allewable for
Fedex-al estate tax purpeses fer praperty or interests thereih which
pass or have pass'ed te my wife Qther thelll under the terms of this
previsien, ahd less the amount, if any, needed to inorease my
taxable estate to the largest amount that, after allowing f.or the
unified oredit and other credits available to my estate, wil'l
,
result in no Federal estate, tax, IN TRUqT NEVERTHELESS, for "the
fellowing uses and purposes,
(a) The Trustees shall have, held, manage, .
invest and reinvest the same, oolleot the inoome,
arid, beginning at.n\y death, pay Over the net inoeme
,
in quarterly installments to my wife, LUCY K. SORGENFREI,
during the lifetime of my wife.
The Trustee shall
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Paga 2 of 10 pages.
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I'r~111 VII
In the discretion of said
corporate Trustee, it may use as much of the ,principal of the '1'ruats
established under ITEMS III and IV of this Will as it shall
,
determine neoeseary to s~\pplement aU of hel: income to provide for
the support and maintenance of my wif,e, LUC';{ K. SO RGlnNli'REI ,
including medical, hospital, nUl:sing or nursing home oare, on a
standard'of living oomparable,to our standard of living at the time
of my death. Provided, however, that 110 pax't of the ~)rinoipal of
the Trust established under I'rEM IV shelll be invaded for such
purposes until the principal of ,the Trust established under ITEM III
shall have been exhausted.
ITEM VII.
No part of the inoome or prinoipal
of the property held under any TX'ust oreated hereunder shall be
subjeot to attaohment, levy or seizure by any creditor, spoUse,
assignee or trustee or reoeiver in bankruptcy of any beneficiary
prior to his or her actual reoeipt thereof. Said Trustees or said
Corporate Trustee, as appropriaj:e, ehall pay over the net inoome
and the principal to the parties hereindesignateCl, as their
interests may appear without regard to any attempted antioipation;
ptedge or assignment by any benefioiary under any Trustoreated
hereunder, and without regard to any claim thereto oX' attempted
levy, attachment, seizure or other preoess against said beneficiary~
:tTmM VIIII
In the settlement of my Estate and
during the cont!nual1oe o,f any of the foregoing Trusts, the ~)(eo\ltors
and the 'J!rustees" of each '1'rust shall possess, among Qthers, the
following poweral
(a) To retainl;\ny invel!itmel'lts I may haVe at
my death so long as said Executors or
lrrust,ees may
t.'j:(
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Page 6 of 10 pagae.
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OATH m' pnRSONAI,IU:PRt:!n:NTATln:
COMMONWaA\..TII OF PONNSytVANIA ss:
COUNTY OF CUMlIBRl,AND
UMore Ole, the ReglstlW for thol'robate of Wills and grunting of tellers of Administration In and for the county of
Cumberland, ,personally came
whe, being dulY---llWqrn
LMoyK. 8orQ,qer~i and Lois B. CQPA1.n~,T1:'UB~Offin,~
Commqnwealth N/.\tiqnal Bank
,do_~"\lepose and say that as Exeoutors
qf the last Will and Testament of
Otto ~. 80rQenfrei
deccased
_ t.heY
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will well and truly admlhlstcr tiie goods and ehallels, rights and credits of said dcceased according to law. 'Alld
also will dlllgentiy comply with theprovlslousof the law relatins to Transferlnherltances,l2.\,!orn and subscribed beforeme.
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Be It tcmell\bered thnt Oil the 24th .dnyof
recQrded the IlIst Will and Testament of
__~t. Penfisboro Township
Deceased, Lellers Tea tamentary were granted to
Wltlless my hand and official Seal the daY and year aforesaid,
OECRJ<:E
Jul.y
,A,0..1981 ,there was \lrobated and
n~~n'F. Rn~gRnfrA~
late of
188
, cumberland County. Pennsylvania,
Lucy'K. SOl:'gehfl:'eiand commonwealth
~.~ .' Nat,i.ona~l lI/.\~k
b "kt2 -' . d. , ' . ". I~;J
. "l", .', ' Resister
COMMONWeA~ TH OP PENHSnV,I,HI,I,
DEP,I,RTMEHT Op REvEHue
nURe,l,U OF COUHTY co~~eCTIOHS ,
APPLICA TION FOR AND CONSENT
TO. TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
__-'-__~'''''';'''''''-~_''''_'___'___''''''''~'''''''-'-'_'_",_L_''__'~J_ ~_"-",.......~_..___....'.~_~._.__~_~~___,~_ _ . ____ _ '_'_T ._. .~.,_..-,..~.__
~ (MUST BE PILED IN TRIPLICATE)
TO THE peNNSYI.VANIA DEPARTMENT OF REVENUEI
Application II harobymndo for caU,ont to tho transfor of tho following ncurltlos ala 'Ponnlylvanla
Corporotlon or a Nallanal Banking Association lacatod In Ponnsylvanlal
DA TE _.~_~ug.':~.~.. a~L!J.~.~
(a)..1l1hOOO, 00 Jb)__~rJllJ!J:r9J]g,~GQ(~,GQL~.... .......m ....,_............ (c) ~,L MaLlh.122~.,c-__'_'.
(NOTEI In dOlcrlblng IOcurltlos on tor In (0); 01J'o.-0, ollhor thonombor of shorn of slack or tho facoarnounlof
reglslered bonds, In (b), the nomo ,Ilf tho Issuing company and In (e) tho clan of slock or tho statod Interoai ralo
and maturity dato al rogllterodbands,)
ISSUED ON JunQ 7, 1971 , and having a TOTAL MARKET VA'LUE OF L~t~?~.~!l____.-,____.__
. (Oq'.) ','
as 01 Ihe dat,nl death b,f tho docedont.-2 ~.t:.~_~~._~I.\t?~~~':.!.".___.._...__~__, an_.".~~nQ _~1l~_19~!......._
(Nom. of On..d,,,U) (a.,. .r d.o'h)
who was 1010 01
485 Fairway Or. ..~amP.2!..1..'2___.,___....~__..~.~I!~.fl..r:.l!_nd._.____~Pa~...._~~_
(S"..' and HUlnh.r) (Po.' 01/1..) (Coun,'V) (S'o'.)
Th. securlll.. Ilt. loglstdred ~s followSI._........,.._Q_~t.l?..J..!.. SorJl~fSol______
. (Homa or floltiOl In whlc:h.c.ttlflcQt.. cu. ragIA.ored)
.~IMH~Iil~IR~
eXECUTOR s )
Lucv K, Sorgenf.rei and COlllnonw()alt/1 National Ilank '
',J....--.~.'""-.~n..._.__.__.~_~._..-.-~___ __ ._.~~_._~~__._., ____ __"_____........____...__. _...~-;..........--.-~--.-~-~"
(Holno) (Add,ou)
NAM~ OF APPLICANT _..s.l!o..a.b.c:>Y-~!......n___...__.__
COUNTY FIl.E NUMBER-ll:81 "L159 AODRE,SS OF APPLICANT _,-,!2.!..,~,_~-e:..~!~.:G!~ ~U!, ~~m~, ,Hi I l_~..Pa
yI"'.. ',.1/ i{ 1 lit. r/_,~ .-.{
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BUREAU FILE NUMBER .SIGNA TURE OF APPLICANT .d:z<......~..i... /. ' __
NOTICEI IP you ,PAlqO PROPERLY PILL It~ ,ANY PORTION OF THIS APPLICATION, IT WIL NOTBE
, CONSIDERED COMPLETIl ANDW'Il.L BE RETURNED TO YOU POR COMPLETION,
-"~-----";-"--"""-~+---1:~~-':~'~<.-n, ~- --.-
OAT
I hereby consonl'lo the transfor'af the above socurltlos nnw roglatorod In tho name ohlle 0
COMMONWEALTH OF PENN,SYLVANIA - DEPARTMENT OF REVENUe
C,ONSENT TO TRANSe.t;.!~jECURI.TIES
1$'1
oaald 7
Decedent and \'Iolv,e the 1II,Ing,IlI a eertlfleatoeortlfylng to tho Ilaymont o/the't'ransforlnherltanco lox to which
the proporty 01 aald Qecodonl Is made subl,oet pursuant t,o tho provisions of tho Act of June 20,1919"P,,\..,~21,
as amended and Ihll AC,t of June 1$~ 1961(: P.L. 373, os ~mended.
01 tho Act alApril 9, 1929, P.L.. 343,
This Is, also In aceordoneo with the provlalans
I '
Thla Consent ,to Tranal,or tho horoln doscrlbo~ proporty ol)orolo$ only In'reforonce to the oalato ~f the
obove.nomed Decedont,
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SI,'J.,n"o, "d.;}.'P ,', ,h,d socro.'tOtY.OI, R,~ 0 ,v, 0,..",,' :~",',4. J,', ',,',
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APPLICATlml FOR AND CONSENT
TO TRANSFER SECURITIES
REGIS'rERED IN THE NAME
OF A RESIDEN T DECEDENT
'*
COMMONWDA~ TIi OF PD"lNSvt.VANIA
DEPARTMENT OP RDVUNUE
BURDAU OP COUNTY CO~~ECTION5
- -,~~--,--"-,..~-"""",..,----~_._~------~,....--.'''''''''".' ~
DA Tel J!!.Q1.!.U_tltLJ.2~L
~ (M~ST el! PILEDfN TRIPLICATE)
TO THE PENNSYl.VANIA DEPARTMENT OF'REV8~'Ue:
Appli~ntlo" I, iwahy modo lor ~alSont to tho Ilunnlat ollho following so~urltlos of i1 Pennsylvan'la
Corporation or a Notional Banking Auaoln! Ion lo~otod III Ponn,yl,vulllol
(a)~' 000.00 _(h)~~_at~_ClP'~,1_~"t"~t~~9~~~n_nCo '..,u.--n- (cL_t1L~! Oct. 1 L-l~2L-
(NOTEI In de.crlblng seoutltlas"onlar In (a), uU 0/0, althal tho numhor 01 shuros 01 sta~k or the faeeamount of.
registered bonds, In (b), the nalnt 01 the luulll9 COl11pony und In (c) tho class 01 stook or the statad Intere.t rate
and maturity date of reglst.redbands,) .
ISSUEP ON Oct. 1, 196, 7 ,and having a TOTAL MARK ET V AW E OF $.?L~M, 00___
. '
. (0.,.) .
as of tho date 01 deqlh 01 the doeedont,__,~Y..!.?_..!'.~__~~~~!3nr:r<lt
(~l1mp pf ()Of-flllnnl)
_n..-__'_' on_l~~30.t...l2.fll-...:.:..-
(0.,. .f d..thi
,. who was lat., of ~8'c.~_l.!:.~~L.~r-,.____~,.~a~1E Hil.1
($"..t .lId Nu",b.,) '(po.t Of II,,,),
n~uln~"~J:Ll!DcL__.____J'.!b...-
(C,ullly) (51",.)
Th. ucurltlea ~re reglstored 01 lal,!ows: ~_.._,_~.. . ?tto, F i. Sorgo.n~r~Ln._'_u__________~-'--
0-401110 or ,n'illn/I' In whlr.h cdttlflcQtn tHo ,,,gl_tlred) "
A'mllN~nlR) ~ucy K.Sorgenfrai and COfllTlonwealth National Bank
EXECUTORS )--~-~(H~;;'~l--d"._.~'..-- .',.".,,' """,.n~_~_.. (Add"..) ----"
NAME OF APPLICANT__..~Sa~A~QVe_..c._-'___.-
COUNTY FILE NUMI3ER 21~81~4'L_ ADDRESS OF APPLlCANT..;;;:l~(~ ~!cq~LR~,i,r(~~9X~:1:,c~mE~11lt.... Pa.
BUREAU FILE NUMBER...,-__.__.__.._SIGNATURE OF. APPLICANT ~:.zt:{..(A-&.+/~~ ~
NOTICSI IPYOU FAIl. TO PROPllRI. Y PI 1.1. IN ANY PORTlml Of" Tim APPt.ICA TION, IT WiC""{H"OTBE ,
eON$IPllREO COMPI.ETll AND WI I.\:. Bll RE,TURNEO, TO, YOU FORCOMPI.ETION.
~COMM-Ot:rVrEAL.rH O-PPENNSV LVnANTA-~De'PARTMeN fop-~eijE~iuT---"-'-"----
CONSENT TO TRANSFER SECURITIES "
__._____.......~n_'--..'...- DA T
I her.by consant to tho trans lor .01 tho abovo ~ocllrltlo5 now loglstorod In tho nome, of tho
Pecedent ond wolve tho II ling of a certllloalo cortllyln~1 to tho paymont ol,tho tlnnlfar Inherltonce, to~ to which
tho property olaaldDooadont Is modo .ubiaCl pUlsuont 10 tho provisions of tho Acl 01 June 2Q, 1919, P.L. 521,
ai amended and tho Act of Juno 15, 1961, P.L, 373,05 OIMndod. This 15 dl$oln accordanco with tho prQvlalons
--------_.----+----.-
...~...__.~..._...,__u~_~..~~-"..-...-..r....''''..-.~--.~' -~.--_. <-,--,-------~._~~.~-.~~ ..~. .----..---.-----------.....-----.
al theAot 01 April 9, 1929, p,l., 343.
This Con~ailt to TrOlls/at thaho,roln dascrlbod proporty oporot05 ol1lyln rolorance to the'estate 01 tho
abovo'nnn1ed Decadent,
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SlgIIO(~Or tho Socrotory ol~evo uo
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By . 'd',' t2, .. ~~"--
M.' (~I"n',#U ~lt.&~~
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ncr..a (V'681
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
COMMONWfiilL TH Of PENNSYLVANIA
OfiPilRTMENT Of REVENUE
BUREAU Of COUNTY COLLECTIONS
----.-...~..._----_..__.- .-.-....__....-~..~ .,; .- _.~",
D AT e _~~P~u.~~..~I~d_~f3.1.._
~ (MUST QE FIL.ED IN TRIPLICATE)
TO THE PENNSYL.VANIA DEPARTMENT OF REVENUE:
Appllaatlon Is horoby mado lor callonllo Iho Iron510r of Iho following socurltios al a Ponnsylvanla
Corporation or a Natfonal Qanklng Ae~,oclallon localod In Ponnlylvcwllll
~~o;~t OO~n'~~lcrl~~O ,::};ttir~l~;;~:~r;(~):-~b;~, 'oiil,o;' ij;~,;umb~;~ f sh~-;~'s( c;l~i~~f~'il;:Yf:~;L!;;;~;;tt~~-
regllter.d bondi, In (b), the namo of tho luulng company and In (c) tho closs of slock or tho etatod Int.rnt rota
and maturlly dal. of r.glstor.d bonda.)
ISSUED ON Aug. 12, 197~__, and hovlng 0 TOTAL. MARKET VA'LUE OF S-!:tL908.ZL~_._.___":_._...__
(Dali)
01 of the da/Illf death of tho docodont, 0 t tQF, So~.n!.~~1.
(Nomo of Doriorlont)
,..._.' oLJ_Unl!..JQ.L_~.L-.__
(Onlo .f doalh)
who wa. lot. of ~_li~~ rwar~.r.~......._..c.~~p_'iUl___..
(S"oet ond Numbo,) (Po,IOffleo)
Cumberland Pa,
. .-- ..__.-_...--.~.~. -_._-----_.__..,..-~-
(Counly) (Stoto)
Th. murltl.. are roglstorod os folloYlsl_",--?::o.F.'mS.~r~o~fr~f.- . ,.,"'-- ...--..-.--.-----.------
(Homo or nnnHlI In wh I ell cortlflc:atol aro toglt'.rnd)
AOM~IS(JlRAAlOa) .. Lucy K. Sqrgonfrei and Cotrlnohweal th National Bank '
EXECUTORS )---.-----(Non~;)--..- .__.....H . ....... ,'... -- ..,... .. ..iAd;I;;.;~-,..---.......-...
NAME OF APPLICANT ..~I~(3a~OV9 L_ .. ....._......
COUNTY FIL.I! NUMBER_.ll':'~~.!1'-~L_.ADDRESS OF APPLICANT JHO.Ced?,.@r~f.!.J.Jr.O..r./' ,;-;C,IiJII] Hi 13"-.fJl.
. . . "~I f' I -, ~/,tfL.~~
BUREAU FIL.E NUMBER.______........._._,SIGNATURE OF APPLICANT..':/'M-4.4LL1Jl.dl- - ..
HOTICel IP YOU PAIL TO PROPERLY FILL. IN ANY PORTION OF THIS APP"LitATION, IT WIL-L'HOT BE
COHSIP&RBDCOMPLIlTE AND WILL BE RETURNIlP TO YOU FOR COMPLETION.
. ..... _.. _~_~_.__..___.______~_..__ .__~.m'~~_"'_~'...___'_'_"_"_-".~._-'________._'_______
, COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE '
, CONS~~lIQ..IRA~~~BJ~CU!m_IE~ DAT~~lf/1
, I hereby consent to the Iron~for of tho obovo ucurl!ies now roglstorod In Ihe nome of t~~reaald' '
Decadent ond walvo the filing of o. cortlflcllto cnrtlfylng 10 tho noymonl of tho transfor Inhoritanco taK to which
the property of sold Docodont Is mode subjecl nursuunl t~ Ihn nrovlslons of tho Act of June 20, 1919, P.L, 521,
. 01 amendod and tho Act of June IS, 1961, P.'\.. 373, os omended. This Is also In accordance with Ihe provisions
.._~_..~--_.-........,,--.._--_.- ....... ----..-...---- _.._~~._----
of Ihe Act of April 9, 1929, P.L. 343,
This Consont I~ Tronsfor tho horoln doscrlbod nroporly ollorotos only In rolerence to tho ostote 01 the
ubQvo.nol1lod Docodent.
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COMMONWEA~ HI OF PENNSYI,VANI/\
OEPARTMENT OF ReVENue
eUREAU OF COUNTY COI-I.ecTIONs
APPLICA nON FOR AND CONSENT
TO T.RANSPER SeCURlTle~
REGISTERED IN THE NAME
O~ A RESIDENT DECEDENT
'*
Aef.I.~ (MlJST BE FII.:ED INTRIPLICA TE)
TO THE PENNSYLVANIA,DEPARTMENT OF REVENUE: ' , . .
, Application Ishoreby mode lor callont 10 tho tr\lIl11lor oltho following socurltlos 01 0 Ponnsylvanla
Corporollon or II Nlltlonal B(lnklng Assoclatlanlocolod In Ponnsylvanlo:
(II) $10, 000.00 (u)~Pe~na ',}\:lIYe..r.&._~Jg!l.LC~'u...w...mC._. (C).L2/~Jl~Ih.J'-hQQL-
(NOTE, 'In doscrlblng~ocurlllos onlor In (0), ab 0/0, olthor tho numbor 01 shqros of slock or Iho foco amounl 01
reglalered bonda, In (b), tho nomo of tho Issuing cOl1lptlny nnd In (c) tho class 01 slo,ck or tho stotod Inloresl ralo
Ilnd mlllurlty dlllo 01 fOgl~lorod bonds,)
---., '.I'-.-.-..----,-"<--,---.--<,.-'".~.~"----,-+--~-.~~~~
DA TE __._~l!.9':l!.L~~!.L.!.9.~.1
ISSUED ON Feb. 29,1972 . _, and havlr'lI a TOTAL MARKET VAtUE OF $.~JIQQ..g.<L.m....m_.._._~._._
, (pntel.
a~ 0/ tho dolo 0/ doath 0/ thodocodonl, -. Ott~ F. Sorge~]fr:.c:L_.:......._....~__, o'LJ~I.I1~ 30-,-1281
(Nonie of ,Du..dunt) (Pato 01 doath)
, who wa!llat, oL_"}86 Fa! rway Or,
(Str.et ond Humb..)
C!.I11e.. H!l.!......_.____mu~~mbe!.l!n.~._.~.-...-.Pa,
(Po"Offl.o) (County) (State)
Tho IOcuritl.. aro roglslerod as /01l0ws,._......Jl..!:.!.o...J!~?r9,e.n(r.et.._.~.__~~.__....
(Hal1lo or'names In whlch,c:artlflcatuaro rnulstar.d)
L UCL~.!...... Sprgen (r~i~.sL COOYlll)nl:ll\la.l ,t.h.N~~J~I]~J..~_~.n~"n~."~__"~
(Home) (Add,...)
NAME OF APPLICANT _.m~~~~~.Q9Y~L.... ~.._.""._._..~..~"____
COUNTY FIL.!: NUMaEILtl':'.81-~SL~~_ ADD~ESS OF APPLICANLHJ:O.C!;1QarJ;JHLllrt..c.all1lLIi!ll~.l'a.
'I' - -', iJ ,'.-",' --, ' ., /.;-; c-
".~.; 'I '"
BUREAU FIL.a NUMBEIL___"_.L..-.__SIGNATURE Or APPLICANT '"/,'j...::...C.~ U~L-~
MOTICEI IP YoU PAIL ,TO ~ROPERLY FILL IN AMY PORTION OF THIS A[fiiC CATION, IT WILL Nt; BE
. 'COMSIDIlRED COMPLIlTE AND WILL BIl RETURNED TO YOV FOR COMPLETION,
MlIO~~AAXm)
EXECUTOR S )
COMMONweALTH OF'.PENNSYLVANIA -'pi{P-A~TMENT:O-F REVENUE m._...._.
. GONSENT TOTRANSf"ERjECU~ITJ.Ej DAT~.l~/
, I h,,,h, "",,.1'1, Ih. ",..f" ,/'th, .hm "'"",,.. "'W ""..,,,,.,. ,h. 'Om' "I~'J!"",,'j ,
Oocodonl and wolvo tho II ling 01 a cor'llIc~to cortllylngtp tho paymont 01 tho.\r0l16/or Inhorltbnc.o tOM to,\'Ihlch
tho proporty 01 .ald Docedonl Is modosublocl pursuant to tho provisions of the Acl 01 Juno 20, 1919, P.L. 521,
asamondodand Iho Acl of Juno 15,1961, P,L, 373, as omondod, This Is 0150 In accordohCO wll.h tho ptovl~lona
01 tho Act of April 9, 1929, P,L. 343,
This Consont to Trails/or thohoraln doscrlbodproflorty oporatos only In roloronco to tho osloto 0/ th,
,
abovo.nomod OOcodont,
,"
'j 1:-
,I.,.,.i:l.," ,
','"\1;' --'"~ '! .. '
'I' ,"", ,u..( '\
if. ",.)t I",..'
__ \__". _"_ t_ _
.,,,. ...,. "J)
:ti,,-,;-.tl.;~/'_;:-~,'_-
Flee.a 1';1'1)01
COMMONWP.A~ TH or PENNsnVANIA
DePARTMeNT OP ReVENue
BUREAU OP COUNTY COL~eCTIONs
APPLICATION POR AND CONSENT
TO TftANSFER SECURITIES
REGISTERED IN THe NAME
OF A RESIDENT DECEDENT
'*
"~-----""""______~'""L-r"____"'___ ________..__. __'.nU"L..- __"-_._ ,"-' ""'__,~__._..-__
" n____.___ -._.~~,.- ,_. _ _. ..-._____.---',__ C"F'&'~_~_n""''-+~_'''''''~~__''___L'___~__'_''
. ~ (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA OEpARTMENT.OF REVENUE:
Application Is horoby modo forcCllsont to tho Irans/or 0/ tho following socurltlos of Q Ponnlylvanla
'Corporation ora National Banking Association locnlod In POllllaylvanlal
, (a) $5, 000,00 (bL.J!.~..~Jenn...~~I'!.~I:E~~ LU'uH._._u _~_____.. (cL1Zl~.1_J!HJ.LLL 1999
(NOTE, In doscrlblng s'ocurltlos on tor In (a), ab 010, oithor tho nllmbnr of aharos or stock or tho faco amounl 01
reglltered bClldl, In (b), tho, nama 01 tho Isaulng compony and In (cl tho class or .,tock or tho Itatod Intorest rata
ond maturity data ol/oglslOrod bands,)
DA T e,_~U9~s L~~LJ1~L
ISSUED ON ~Uly ..SI~.J2.9!J__._~, and having tl TOTAL MARKEr VA'lUE OF$..l.,9i!J,J.O.Q.__~m_'~4'~_"__
' (Palo)
as'allho dot, 01 doathof tho dacodont, _---ElE_o F. $O!9~nf.'~~L_m__._____, an....-J.une...JQ,_u12.~J....~_____
(Nomo of O..od.",) (Do'. .f doat!.)
who waslato 01 485 FaIrway Or,
(5"001 Olld Namber)
Camp Hi 11 Cumber] and Pa.
--~----"'---"'--""""'-'--'------------~'''_&L~---:---_-------r-__----''''~-;--------,,__ "'~-r'._"~u__~_~
.(Po,' Offlco) . (Coanly) (S'olO)
Th, loculltles ar~ loglstotedas fallows'.~~~~~~L;__Sor~<:..nJ'.r~J.~,_..~._..__...u__.~__...._________~_
(Non\o at humu ", whlc;h litutl(lcuU... ard rO\1I.t.r.d)
~~mn:~R) Lucy K. Sbrgenf'rof and COlllllonwoal th National Bank .
EXeCUTOR S r"---~~(No;;Y--""':--_-..___m- ...,_.u "..._'~_m_-(Add...;)--'---"._.~._-~-
NAME OF APPL/CANr -H--~~~.!!~.'l""\1L"......_~~............_...__~~_
COUNTY FILE NUMBER-..?.1-81 ,::459 ADORESS OF APPLICANT .~,~!.~!.El~llr"'WM}~'!..~~lnp. H~~lL.fa.
BUREAU FILE NUMBER_ ,SIGNATURE OF APPLICANT ~../5-.L~,/J.;:id!~'?t:'!&'-__..
NOTICHI IP YOU PAIL TO PROPBRLY PIl.l.,IN ANY PORTION OF THIS AP'PLI15A'TION, IT WILL flOTBB
CONSIPBRBo COMPLIlTllANP WILl. BE RETURNED TO YOU PORCOMPl.IlTION.
.--.-._....----.~~LL._.___._....... _
DAT
I.hor~by content tathe trans,for' of the auovo socurltles now reglslorod In tho naill'" 01 tho
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUe
CON~~T T9..lIRA~_~rER..~gf_lLRIT.JES
'" .',~&I
rosald
l)~cedont and walvo the flllng'af 0 cortlflcato cortlfying 10 tho paymont of tholransler Inherl,lance lux 10 whIch
th, proPQtly 'of sold D,oceriont Ismadosuuloct pursuant to the provisions or tho Act of. June 20. 1919"P,L, 521,
as,amendod and tho AC,t 0/ Juno .15, \.~61, 'P,L. 373,05 emanded. This la also In.accordanco with the proV,lslons
o/Ihe Act 01 Aptll,9,1929, P,L, 3,13.
'rhls Cansant to rrnnafor.tho heroin ,doscrlbod property oporatos only In tolerance to tho estato olthe
abave.nallled Decodon t.
~~j~
11, 1,'1; 0
1J!.,t~\(\\iD,~'
H""\....l'-Ihtl.~
''i''':'''-lii~1"' "";~-~
SlgnN~!.oj',II~" sue, rQtafY,O ,f~, QVe" ve
By_..L:tll~, e. ~ ~~~_.
~/ , '.Siq",,'IO' /d,', /1".", /J ',',' A ., ' ,
., ~ t.::t{.r)(~
TI (J) (Loonlyj
IH.t:-" lV.(l1I
COMMOHWEII~ Tli OF PEHNSnVAHIA
OBFARTMeNT OF ReVENUE
BUReAU OF COUNTY co~~eCTIONS
, APPLICATION FOR AND CONSENT
TO ,.RANSFER SECURITIES
REGISTEREDdN THE NAME
OF A RESIDENT DECEDENT
'*
.__n~~-----._._.....~.~--.._..._... .".'.Cc>_~' _~_.. ~..."".._ "
"
_'m~'_'__._u__.__c'._"
. .DATe.~=.~~,~"~~'C.2il;~':i?~.1_
~ (MUn Be PiLED IN TRIPLiCATE)
TO THlrPENNSYL.VANIA DEPARTMF.NT OF ReVENUE, ,
Application 1$ horoby modo for cauont to tho tron$for of tho following aocurltlos of a Pann$ylyonlo
Corporallon or a Notlona,l Banking Anoclatloo loco tad In PonllRylvonlor
!~oi~~ S~~ rd::crl ~~ ~g;;~~~;t;;o;~1~7~~~.~(~5,~~b'~.~; '~lij;~;.th';;~~';';b;;r~~T~h~;;.s( ~{~%~f:l~;.'tl~~-i~~;'~m~;;;l-t'~i"
roglltorod bond., In (bl, tho noma allho Iuulng company and In (\1) tho clou ofatock ouho stalad Intoroat rato
and maturltY1 ,a~o/gL togl_tarod bonds,) ,..,.
ISSUED ON 6/S/7~ "_n' , and ilavlng.a TOTAL MARKET VALUe OF $.J!...~.o6.~S~_.,.._.___,._~._~u~
(04'0) '.
01 of tho dato of daothof tho docodonl, O~~O F. Sc;>.~J!.~flfr~__~._,..,_~__.. on.Jun~.1~.L.!J61 __ .u..
(N4mo 0' O....loot). (Oot. .f d..th)
who 1'10_1010 of 485 FOIl rway Dr,.."..____ Camp._~~_._.~_.._.~_~umbc:r1.~n_d____.___._~_~._.__.._ .
(SIt.ot ood Number) (P..t 0/11..) (C'uoty). (5tuto)
Th. mv;itloa or. roglstorod os followal_~::o_!.~.S.."r.g,~~~~',o,lH ..._n_._._."__~__.'_~_~_'~_
(Nornil ,otntlllllll In which c,HtlflcQ!..aro loglt,orad)
J(IilNltlttnR~lll Lucy K. Sorgen frol and Comnonwea 1 tl) Na t1 ona 1 Bank
EXECUTORS r--,--_u".-."(Nom;)"~------;~~n_~..wm ~_~'..'C'_._' -(lIrld;;;-;)"u.....n. .
NAMe OF, APPLICANTun~!!..e_.~.~~v_o.!._._._n~_~n. ......._..___....,_
cOUNTY PIL.E NUMBER_;U.:81 ~452.._~ ADDRESS OF APPLICANT Y(~~;.~~~d.~f"fJ+H,~Pj;~~~7-~1,U.L !.~'
aUREAU PILE NUMBER......,-'.___SIGNATURE OF APPLICANT ~t....I4-..t!.4.~~!:~-.
NOTice, IF yOU FAIL TO PROPERLY FILL IN ANY PORTION OP THIS APP!:'tA T10H" IT WILl: NOT Be'
(;OHSID&R&D COMPLeTe AND WILl., BE RBTURNeD TO YOU FOR COMPLeTION,
. 'COMMoNWEAL THOF PI:NNSYl.VAI~IA :-DEPARiME-N.T'QF-Rev-ENljE-.....-n-+--n-~...
CO~~FNTJ:O T~ANS.EERSECURITII:S" ' DAt4~$(
.I hereby conson"'o tho tro,nsfor of thoabovo socurltlos now raglsterod In tho noma of th~rosa'd '7 i
Docodent and walvo tho filing of a certlflcato corti/ylng 10 tho paymont of tho trans for Inhorltonco lox to which .
. thoproportnf 'old,~ecedonlls modo sublect pursuant to the provisions of the Act of Juno 20, 1919, P,L.. 521,
as qmondod and Iho Act of June 15, 1961,1',1., 3n, as amondod, This la also In accordanco wllh tho provisions
of tho Act of April 9, 1929, P,L. 343,
This Consont to,Transfor tho horoln doscrlbod proporty oporatos only In lolaronco 10 Ihooatoto of tho
abovo.namod Oocodont,
.~ \~') 1!0
'~'~L .~~'
.'~~r'il
18.,~~, \/~~;~'J'
IL,"';" ~i"...,t:.';'(,:
Slgn;,~~~)i,.t,I,IO soc,roto~y O~f Rov I 1~il, ,.,.,',
By-~;7/" ". ~ , .,8.n,- .', ~"",,~e.."',
/' (.SIUO, ',"I, ;:;: ;)'", ~A ", ./"... ". /J ,
.' ~) c!:a-~~
!T (O.unty)
/,
"
I~ ~.l;'1i1: I V'Uftl
COMMONWEAL TH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BURBAU OF COUNTY r.OLLECTIONS
APPLICATION FOR AND CONSENT
"0. TRANSFER SECURITIES
REGISTERED IN THE NAME
OP A RESIDEN,. DECEDENT
*'
o.<-__............~___..
u,_......--..c-+-~._u..~_~_
._<m,_u'''<-_<~~~~_~~~'~__~'-,~'_''_'''~-;T>' _, .~ ,_ ~_~ .
,
.h. ~.-".DATen.A~.~~~..~.~;h 19~C
~ (MUST BE FII.,ED IN TRIPLICAte)
TO THE peNNSYI.,VANIA DEPARTMBNTOF ReVENUEI
Application 10 horoby modo lor ClJ180nt I~ tho Irona,for' of tlu1 (allowing 8Ocurlllos ora Pllnnaylvanla
Corporation or a National Banking Auoclnllon lacutod In POl1l1sylvanlal
(oL!lO' Shtlr~(bL1PQ.-'-D.tf~.a.E.rJ.?~_L,J ~~c_',._n'~b~_. ......h.......__ (c)..2:>!!!'J?_~~~n..,-.__.__._.
(NOTEI In describing socurltloa ol1tor In (a), Qb 010, ollhor tho numbor 01 sharos of slock orlhe foco amount of
reglltorod bondi, In (b), tho name of Iheluulng company al1d In (c) tho clau of Itack or tho statod Inloreat role
and maturll>;;NW6n: nWWtd bQnd_,)", . .
ISSUED ON , 7/22/77____~., al1d haVing a TOTAL MARKET VAtUE OF $J,642.DD..,....,...~______.__
(llul.) 8
' 01 of the date 01 death 01 'the decedollt 0 t to F. Sorganfl'ef on Jl,lne" 3D!.. 19 1
. , --~------~'"'----~'''''----~.~~'--''--''~~'''~-'''' -, ~._~~........_- -...,......~~
(N.m" 0' P..odunl) (D.,o .f d..'h)
~ho waa lole ol~ 48S .faf rway Dr,._.... C~~lP.~f.~!._.__m.._,_.,~~~~~s~.~n_d.~...,._______pa~,~....__.__
($"0" .nd Numb..) (Po" Olfl..) (Counly) (S1o',)
Tho amrltlu are taglatarad as fall,owll...~_~".~_O_~~.~_F.,-S_~~~Cl~~'~~~__.._____~_.n_~___".:................__.___
' . 'CHalnD or Matno, In whlc;h c::ettlfloatu arn rcJgl.lorCld)
i(17\IIlI4mM~Pl) ~llCY K. SOl'gonfrel and Corrmol1woa I th Na t f ona I ,Bank
EXECUTOR S )~'---~--(N~;,;;;j"-'---".- --~"","---' '''--'-'~.'--''(Aild-;;;~~-''-'~
.. NAME OF APPLICANT .._ SGe..~~Cl~?""_~,,,_~___~,___,
COUNTY FILE NUMBER_?J....8l:.4SL_ ADDRESSOF APPl.ICANT -Lf~? ,~ed;r_~~?~7~~~ca~~ .,~f.,!.4--.~~'
BUReAU FILE NUMBERj__~_____,_SIONA TURe OF APPl.ICANT r;~~ "', ~(C&.tt&
. HOTICEI IF YOU FAI,L TO PROPERL Y P1L,L IN ANY PORTION OF THIS APi5L?c;'A-TION, IT WILL H T 8ft ..
CQNSIDSRBD COMPLETll AND WILL. BIl RETURNED TO YOU FOR COMPLETION, '
.. COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE. '--._-~'-'''.'
CONsr;~T TO T~AN.SFg,fiseCURIIleS DAT~61f1'1
I hereby Qonsallllo tho tfanalar of tho abovo IOcurltlos now roglstoroq In Ih~ngmo ilftherres;Id" .
Decedent and wolvo tho IIIIn9 of aC,orllllr.alo corllfYlng 10 tho paymonl of Iho trans for InhorllanQe laX to whlQh,
the propotty 01 laid Doc~dellt \s-I1lade sublo~t pursuant 10 tho provisions oltho AQt 01 Juno 20, 1919, P,L, 5n
aa' amende,cj and tho Act 01 Juna 'IS, .1961, P.L, 373, os amendod, This 18 0110 In aocordanco with fho pt'ovlslons
of Iho Acl of April 9, 1929, P,L. 343.
Th.l_ ConUnt.to TrcJn$fortho 11Or,oln doscrlbod IHaporly opolalol only in reforonca ,to Iho eslato 01 the
abovo.nalllod Doc'odanl,
~ii~rk"",(.)
r \(7\1'r'1;.,
~":",,,i(.;4r(;~
" <1,/11'1(;;,;
Signad J1l(>,t~o,socr,e, tory Of~,,'~evo uo
By__~~~,~a.,_, , ~~d'~
~::/" 0~gf1 't /d'/ I J~
'Ifil) .,~.
'fI:r.'71 l'i'OII
COMMONWEAL TH Of "ENNSYLVANIA
OEPARTMENT Of REVENue
BUREAU Of COUNTY COI.LECTIONS
APPLICA TlON FOR AND CONSENT
TO-TRANSFER SECURITIES
REGISTERED IN TI1E NAME
OF A RESIDENT DECEDENT
'*,
~.........._~-~.., --_._--"._....,.......~__,e-_--+....~_r ,,"," ~.~"",..."_, __'. r._,......~~~. .~~_....----'-_.~.~__n~_.~u.~___.~.,__~.u_..,_._.~~_.._
~ (MUST BE FII.EO IN "~IPLlCATe) .
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Appllc~llon la horoby modo for calsont to tho tronsfor of Iho following ao~uritlos of 0 Pennsylv~nlo
Corporation or a National Banking Assoclallon locatod In POllnaylvanlo:
" fl
itlOi~, s h~nr::Hrl ~~ ~g a ~~u~i,T:;:ni~q'~t (~)~ 'ab";;~:-~lih-~;-ih~.~;';~b'~;-~r"h~r-~~( Cjr;f~~ . or S;I~~'I~:/amoun ,;f-
reglalered bond., In (b), the nomo of the Issuing company ~nd In (c) tho class of slack or tho atalod Il1torost ralo
and maturity doto of reglstored banda.) .
DA TL_A'd!ll:!.!.t 21tLl.lli
IssueD ON ..J.Y.'1/69 , and having a TOTAL MARKET VAWE OF $1~7,~~O._,...____..____~_",-
(Dato) '.. 30 1981
aa 01 tho dolo of dealh of t,ho doced, anI . 0 t to F. Sorgen fn'll on June ," " _
. .' '. . , - "~.~--~~-,--_.-...-~.__...; ----_.~.--..---_-~-, "-
(Nn..o 0/ Do"donl) (Dnto .f dnath)
.,who was late qf' 1t8, Fal rWlIY Dr.
(Slteet and Nutnb.,)
The ucurltlu ore reglatored os followsl_
___~!1.'P Hill
(Poot Offl,.)
Otto F. Sorganfrel
Cumbaralnd
Pa.
~._---:--""'--"""--~~,-.-.,.,~ ..._----...--..-.._~_.......--------.
(County) (SI~to)
.... .,.~..._~--.._...._~,.~.. .~.._. -~~__~~_T_"_~+---____________
(Hamo,or nomtlll In,whlc:h,Cl.ftrtlflcotu aro rogl.l~t.d)
ll'OWN4.l!:ftIMlfl)~) Lucy K. Sorgenfral and C4mnonweal th National Bank ,
EX ECUTOR S' )--~'-(N.,'~;.)--"---'-~..' -., .__.m_____ .--.JA7d-;~-;;)--:-~~
NAM!: OF APPLICANT ~~_~-:_~~_~~.__..___
COUNTY Flt-E NUMBER 21-81 ~4,59 ---... ADDRESS OF APPLICANL~;c~~.~~~r..~-lfr.: ~.r :"C~:",!~l,.1..~I_~.a.
BUREAU FILe NUMBER..:....- " SIGNATURE OF APPLICANT~' ~~ 4 / ~"/~t1".~
NOTICS. IF you PAIL TO ~ROPBRLY FIL,L IN ANY PORTION OF nlls APPtlC TION, IT WILL NOT BB ", ,
CONSID.eRBDCOMPLSTB AND WILL Be RBTURNBD TO YOU FORCOMPLSTION. '
__ I'
-
COMMONWEAL TH OF PEN,NSYI.VANIA - DEPARTMENT OF REVENUE
.' CONSENT TO TRANSFeR SECURITIES
~--- - OAT
I hereby cOIl88nl ,to the transler o'(the obovo socvrltlos nowre~lstered Inlhe name 01 the"
7/.#1
rosald
Decedent and walvo tho Wlngof 0 c~rllflcato cortlfYlhq to tho paymont of tll8,lransfer Inhorltance tax 10 which
,he properly 01 said ,Decedenlla nlade subjoct pursuant to Iho provisions of tho Act of Juno 20,1919, P.!.;', 521,
as amondod and the Act of Juno 15, 1961, P.L. 373, as ~inonded. This Is also In 'accordance with the provisions
0( IIHl Act of'April9, 1929"P.L. 34.3.
Thla Consent to Transferlhe horoln do,scrlbod proporly opo;otos only In rofotan!:o 10'Ihooslalo of tho
above'nomed Decedont,
-----~~_._"'__~>_+___~~ ~.,u'- --+~_~__ ~"'., <-,.. ___~__
APPl..ICA TION POR AND CONSENT
TOTRANSr-ER SI!CURITII:S
REGISTERED IN THE NAME
OF,A ReSIDENT DECEOEN1'
'*
COMMONWEAL TH OF peNNSYLVANIA
DePARTMeNT OF ReVeNue
BUReAU Of COUNTY COl.l.eCTIONS
~, (MUST BE FIL,eO.lN TRIPI..ICA tel
TO THE! PENNSYl.. VANIA DEPARTMENT OF REVENUE:
Appllllatlan Is horoby modo far ~allill\t to thd trurufor of tho fallowlno sacurlllos of a Pdnnaylvanla
Carparotla~ or a Natlanal Brinklng Auaclnllol1 locntud In POllluylvnllll\!
(0)800 Sharos (bL.~P~[1!1~uP()W(lI' Ii L1QI~\:Co. " ",.,',' .,",..'u~u (cL~~I:n.l.~.~_.~_.._.__._._._
(NorEI In ducrlblng 8Ocurltl08 lIlItor III (a), nb 01'.0, olih~r Iho 1I\lllIhor 01 sharos 01 .to~k or tho faco amount af
rogl.torod bOl1~S, In (b), tho nalno of tho 1-.111,I1Q camplluy and In (ll tho clan af $lock or tho stated Intorut. rota
and maturity date al1glllllorod bOl1d.,)
, 1971, !:I ~,
ISSUED oN..!.2.L~_t.1J.~".F' alld hllvlng u TOTAl.. MARKI!T VM\.JEOF L~!.~?-9~~__.~.
IOn'.) 'B
os 01 tho dato of doath of tho douodon'. _.Plt/!.". Sdl'UG!!f'rof ,..c__._...__., an_~~_~~-Y_<0..~J 1
(Mum,,"' OIl..tttln'l!) (Out. of dOQth)
DA TE...':'UPll.~~.~~!..~98.1..
VI.howa. loto aL_'.!BLfJ!J.':I,'(~~u Ol.',f
n"..1 nn~ Nun'h.l)
~lIl1ip 1ft II
"'n.IOfflce)
o no 1'. Sorgon f"oJ
Cumborland
Pe.
"- ---- --._-~ '~'~~'_'.____"'~~____n
--.......<+>-~"ri__.~.
(Cnun'Y)
(Stnte)
The IOcurlllol are roulstorod 111 followsl
A<~~Wt~R>>iIJl()R)' LUt:y K.Stlrg1mf'l'oi alld CI~llIlonWoal th National Bank
eXBCUTOR S r~" (Nn""" 'mmm.b"J.j~;..)-~- ._~~--~_.<--
NAME OF APPL,ICANT .,"S_13.o_a._o_V':m__,_~__
COUNty FILE NUMaeR__.U-::OJ:-ML... ADDRBSS OP APPLICANT mJiLQ._~~d~r...~Eff Or. Ca!1lp ~i 11, ~a.
./ ,', .' ,,' . 'I v' , .r.' '/t.i.. ,
BURBAU PILe NUMBE;R___.._.,.__...._ SIGNA TUR E! OF APPLICANT~~ -&.....Lr/w'~~
NOTIC~I IF YOU PAIL TO PROPBRLY FILl. IHAHY PORTION or THIS APfiL,(CATiOH, IT WIl.L~OT BIl
, COHSIDeReD COMPl.eUAHD WILL Be RBTUIlHl!D TO YOU rOR COMPl.IlTION,
It~llIll" Qr ""11I(1' In which totllflc:atu ara rDglltotad)
,
.------.~...____~~_~_~.._r__~___
--"'-----... ---"---....-....--
.-'-COMMONWEA'Cri'(OFPENN'S \iCv';N.i A-:'DEPAR T MEN"TOF 'R eVEN U E
. CONSBNT TO.TRANSFER SeCURITIES
-,--.-. .q~_~.'__""'"".ri.' -,--..-.---- OAT
I heroby COllI on 1 tb tho Iran. for af tho ahoyo securl/los now roglstored In tho nomo 01 tho
" "',~, ~"'-,..--__-_ .~-~~ 0 ~~.., '.;-"~ -.,~_..-_.~u,~~~_.,.,nL'U~'_____~_______._~-----""",_~,,,,,,,__~___--,__~
I"
[)ocodon' and walvo Ih(l rlllllu cfo co'lIllcnto cortlrylnoto' tho poymont of tho tronsfor 'nhorltanoo tax ,to which
the property af laid Oocedanlll mode IUbloct pl/rsuJlnl to tho plovlslon~ of Iho Act 01 Juno 20, 1919, PoL,S21,
as amondod and IheAcl of JUno 15/ 1961, P,I.." 373, JlI alllondod, This Is also In accordance wllh Iho provl410ns
01 t,ho Act al April 9, 1929. PoL. 343,
Thl.Cansonf to TrllnG'Or tha hOloln ./o~qlhod propolly aporatas ollly In loforonco 10 tho ostato of tho
abovo.namod Oocodon t 0
\l~
~'~. , r,~"\19
II ' '['i/O"
~r,~''4;:rl~',~
Si9nO, ~J~r th,e socroltltya7 Rov nuo
/'zt.~ '{;'''~''
(,/. / p'//
[ly_,Z~", v." +, um'. , .....u.+.
~.., ,.(SIO, "11 Lf.., ,,#,. L
I '-~. ",' "U:-u-?~
. ( .) (County)
(
IH;C~1Z Iv.oel
COMMONWEAL TH OP PENNSYLVANIA
DePARTMENT OF ReVENUE
BUREAU OP COUNTY COLI.ECTIONS
APPLICATION FOR AND I.UN~IiNT
TO 'TRANSFi:R SECURiTIES
REGI.$TeRED IN THE NAME
OF A RESIDENT DECEDENT
'*
--.. -~----'-~~--~~-,---_.______u -_mOA.Tc, -A~\just:i~.!:=l~a.-l-n...
~ (MUST I!E FIL.ED IN TRIPL.ICATE) "
TO THEPElNNSYLVANIA DePARTMENT OF REVENUE:
Application Is horoby modo for canent to the tronsfer of the f9"owlng securltlu of 0 Pennsylvanlo
Corporation or a Nollonoll3onklngAssocldllan located In Ponnsylvonlol " ,
(0)50 Shares (b) Metr.9PcMtan Edi ~O'1-.fE.o._m_~__~_~_____ (cL.ffd ~_.tf. ('" ~.t
(NOTEI In describing securities ontor In (0), db (1(0, either the number afshoros of stock or tho foco amount of
roolslorod ~C)f1ds, in (b), tho name 0.1 the Issuing company ond In (c) the closs of stock or tho statod Inlor,st rato
and maturity do to 'of, reglstorod bonds.) , "
ISSt)ED ON--!.l/2/73 I ond having a TOTAL. MARKET VMUeOF L~~~O,6,2n_
(OM.), i J ne 30 1961
Ils of the dale of dooth of tho de,codant,~Otto F~~~orgen~re_~~_____, on~__!.. ,
(Num. 0' Oo..dont) (P.'o .Idooth)
Camp Hill Cumberland Pat
48, Fairway Or,
who w.as 1010 of
(s".,i <lnd Numb,!')
------~--..-........_--
(Po,t OHio.)
(County)
(Stot.)
Tho socurllluaro registered as follows: ._..__~~~c:J_~_~orge~~.:!!.___ ,
; (Name or nCHnn. In which cerUflcutu cu. r.gl.t4tt"d)
A~~~~~R) ~Ucl..~~9.!:.gen!rei afl~LCo!1!1!o~~~~~EJ.~na l_~~n~
EXeCUTOR s) (Nomo) (Addro..)
NAME OF APPLICANT ___S~~I!P~~~_",----,-____
COUNTY FILE .NUMBeR~ 1 ~81.::~51__ ADDRESS OF APPLICANT 1 !II 0 C9daL~..fli.L1lr, Cg HiLLL.e.a.
',' " " ","_/".- ""f'... /( . .,;) (I t \-,-.. ,., ',' -J. ~_ l.;
. , ... . '." ,. :< '.,- ".", '. '0" -" - J.
~~~I~~~ FII~~tuU~:liRTOPROPER~Y FI~CII~N:N~U~O~~~~~~L~~,~NA~fL.1t:;I~N, ~ wl~~16t:t~-l!dd_- ,
CONSII>BREI> COMPLETIl AND WILl. BE RIlTURNEP TO YOU POR COMPLETION,
COMMONWEAL TH OF PENNSYl,. VANIA.,. DEPARTMENT OF REVENl,JE .
CONSENT TO tRANSFER SECURITIES'
- - -~ OAT
I horeby consent t,a the transler of the above Sllcurltles nowreglslered In tho name of the
,. - ,. - ..
Decedent and waive the filIng a( 0 certlflcata certifying to tho payment of the transfer inheritance lax te which
the property ahald Do!;odent Is made subject pursuant to the provisions of the Acl of Juno 20, 1919, P,I.,521,
as amended and the Act of June 15,1961, P,L.. 373, os amended, ThIs Is also In accordance with the provisions
of the ACI,ofAprll 9, 1929, P.L, 343,
This Consent to Transfer the herein das~rlbed propdrty oporates only In roference to tho oslo,to of the
above.namad Decodent.
J~~{Ia
. 'J~" :;.y
r'''' . (
,.A, w/~,
1~' till v,~J
Slgnod for the SacrotMY ofRe"~
~'-~:0-i:~
!i-~4.., '" ',.,', """"". ,"" , "
"~.7'l (COunty) ,
ncr.." 1I1<eal
APPI.ICA nON FOR AND CONSENT
TO "I~ANSFBR SECURITIES
REOISTERED IN THE NAME
or A RESIDENT DRCEDENT
'*
COMMONWBAl. Tl1 OF PUINlnvANtA
DEPARTMENT OF ReVBNUB
BUREAU DF COUNty cOl.l-BCTIONI
",~~~,,,,~'_'=="""~'~'''_''_'''O'_
\
,
~<_. ~_,"_.._~,_"",c.---.-----+~__._'_'~"""_' ",,___.u - ---.~..!
DA TL~~u.~~~.~~..~.9.~~ '
~ (MUn U~ rU.I!D IN TRIPL.ICATE)
TO THE PI!HNSVl.VANIA ORPARTM~NTOI~ REVP-NUl!:
Application I. halthy modo lor C I;1I$onl 10 tho'tronsfor of tho lollowlng socurltlos 01 a Ponnsylvanla
Corporallon or 0 NIJtlOI.llllllllll~II1U Awsnclullul1 Incntol! In Ponnsylvonlul
(Q)..:llL~JL~l:ql.~jh).Mll!I'uprJl i ltH1,Eut ,soil ~o'__n,._' ",.~_u_,._~.(c)~!~.' ~', 3.:~ '/, , "
(NOTel Inducrlblngueurlllu ontol In (0), ob lYO, ollhor tho numbor 01 shorol 01 stock or"tho loco amount of
"glllo"d bOl1dl, In (b)" tho ,ndlllO of Iho luulna company olld In (c) tho closs 01 $,tock or tho atotod IntO/"I roto
qrid maturity dot. 01 r.gllto,.d, banda,)
ISSUeD ON...J_~LY!t72"..~._...., (lnd havlna 0 TOTAL. MARKeT VA'lUF. OF $.~_1090.~k~,...~,----"~-,
. (P.',) .
a. of the dot. of death 01 tho docodont, .L.".,JHlt! L.Jotil!!n,!'roLm.__ ___.__.,., on__J_u_~~J1~~~.-.
(Numo uf f)ti:c:tHluIH) (Out. of doath) ,
Tht loeurltl.. art rOlllattrod o. followl:
Camp IIi ,II
(p..IOffl.o)
Otto F, SOl'gGnfrol
CumboI'I and Pa';
~..~~_~~~~._........______._---.i-...,..~--+l"'-+~--
(County) (5101.)
who wollal' oL...Jt~tfIlIJtl!!Y..QI'.!
(lI,ul .,,,1 Humh..)
- - ~c~--~"'--r"-'-~-~---_.~"'~"';''' .~.....,..,..,,;,;,,,---,-,---,--~,,,-,-----'"
(Hnme at "amn'l" which c:_rtlfltdtol,c,to f.ghtD'r'~d)
lU>tiUH'~"R) Lu~y K. SOl'90nfrol and ConmonwMl th National Ban~
EXeCUTOR 5" r.~..c...n._.fti~;;;;r-.'._._"-''''_._-''''---~-.._.-~']Add';'-;)- -.--
NAME OF APPLICANl ~oo abo.~a..~_..
COUNTY flll.1i NUMBflR_21 '!~ 1~H59 ApDRESS OF APPL.ICANT _~~ ~ 'l~e~:1-~~~~~' 0;' )&m~1 H}1,1 ~_.':.a.
BUREAU flll.Ii, NUMaEiR.__~._._._.c.c..'''_h' SIONA TUR,E OF APPLICANT' ':Pttk:Lt!-..{1~, ~_&e~<-.t!-.
MOTICI., II' YOU PAIL TO p~OPIl~L Y FILL IHAHY PORTlpH OF THIS AfMA TIOH, IT WILL OT 1111 ", '
CON$lDI~BD COMPLBTIl AND WILL BH RIlTlIRllllD TO YOU FOR COMPLIlTIOH. '
.......,.".~--.-..........____..--,~,___;-n~~...~.___..,....----:--..~-~~,..<-------~""--------..,-',.~....<-..,'--'..,1" !.-.,,---.<-.-...--~""..--. .
-'-h----~.n_.'..--COMMONVreA.CTH OF PENNSVCVMIIA-:'QEPARTMENt OF REVENUE~
. (:ONSENTTO TRANSFER SECURITIES "
_____e_, -.--.-- OAT
I hetoby ~onaont to tho tronafor of tho nbovo &oelJrltlOl now roglstored In tho nqrne of Ihe
Ooe.dont and wolvo tho /IIlng 01 0 eoHlflcotn cortlt~'lng to tho pnymoniof tho,fionsfor inherltoncO loX 16 which
'i
th,e property ohold Docodont II lI1odo .ubloet pursuant to tho provisions of tho Aet,of Jun~, 20, 1919, P.L..S21,
, ,.' "i
Q~ nnlUndod ondtllO Act of Juno IS, 1961, p,L, 3n, os onlondod, "hls Isolauln occordonco wltli tho prOVisions
of, tho Acl of April 9,1929, P,L, 343,
.Thla Consont 10 Tronslor tho horeln doscrlhod proporly oporates only In rolnrellct to tho ostolO oHho
obovo.homod bocotlont,
~~"~~~~"
r, ~~y'l ,\
'~;rl,....~" .",j
..!t".','>J,/tl ~I'-'
S I Q nUq;d 10"" Jh,OS",o,e,r 0 I o",r" y ~,. f R,'O V.' oD!), 'uo"" "..',' '
1-/111' . /jJ' ~J~
BY-'/T.i~~~.'.~/-;--;."
A~" .t.JIJ.&tjf,.~
I'I(TI oj (County)
f'
I.
;.l
!tee-a \~.UI
APPl.lCA TION FOR AND CONSENT
TO'TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
COMMONWaAl. TH or raNN$Yl.VANIA
DePARTMeNT or ReveNue
BUReAU Dr COUNTY COl.l.eCTIONS
____~_.- _ ________ .___,......__._.'._,..._"-.. _-..... "m""_'.'_ dL.............
~ (MUST ,nll.eD I.~ rOIPCIC,rel D,r' ...""~~'~~.
TO THe PE!'lNSYl. VANIA DEPARTMeNT OF ReVENUE:
Application Is hereby modo lor Q enlOnllo the transfer ol,lho follawlng &aourlllol al a Pennsylvania-
Corporation or a Notional Banking Alloclallon loco led In Pannsylvanla:
(aU2._..Shares (b)__Phll ~e! phi a_.E_l.ectrl c.~~..__..__.,....'___.____~._.___ (c)__lf:!L1~
(t-lOTE, In ducrlblng securlllea onler In (a), ab /Nell elthar tho number of shorn of stack or the lace omount 01
reglller.d bends, In (b), the nom. 01 the IlIulng company and In (0) the class al .tock or tho slMod Inttr.., rato
and moturlly date 01 reglllo"d bonds,) , .
ISSUED Ol'l 2/24/196~__.._, ond havlnQ a TOTAL MARKET VALUe OI"L~.!.?-~?~.?P_----"._......---
alai Ihe ,dol' 01 d(~~:h) 01 the decedent, Otto F--'..1.o~~_<:~r-~.~-_-..-__-..--, on_June 30, )981
(Nam. uf o....,nl) (Oat. .f d.ath)
wholva.,loleoL 48, Fairway Dr.
(s"..t .nd Humb.r)
Camp Hill Cumberland PII.
...--'_......-.-.....-.............---.-----.~..n_--'...-'--_.--.-,..---.............,-~-...~
(Poll Offl..) (County) ($ta")
'Th. murltln or. rtgt.toted 01 followll____~::~!~~-~~ge~frql__----..
(Hoo" or lianll)' In' whl~h ca't1lflc:atu ar. ,.gl,ter.d)
~~rt~~~R~~uC~ K~H~~:,gonfro~nd.. C~3_~wealt~.N~~.~n~:^,~I~:_~)
., ' NAM!; OF APPLICM~T_.d._~l)e_.a~()~~._,__""'___. ,..,-
C9U~rv FILe ~UMoao 21-81-451 'DDO'" 0 F APPCIC'~T ~~~~"D;:)~P'c~'" !!..!.'.
BURJ;AU FILE !'lUMBaR ' SIGNA TURE OF APPl.ICANT,.?' yl " /LJIt",,~...L__
HOTICB! IP yOU PAIL TO PROPERLY FILl. IH AHY PORTIOH or THIS APPL A TIOH, IT w'ICL.-KOT \~B ..
COHS10llRlID COMPLIITIl AHD WILl. BIl RI!TURHBPTO you FOR tOMPLI!TIOH,
....--------~~------
COMMONWEAL.TH OF PJ;NNSYLVAN1A - DEPARTMJ;NT OF.RliV15NUE
. CONSENT TO TRANSFER SeCURITIES
--~..-~- OAT
I heruby conlont to tho Iranafor of the abovq 10aurltl05 now reglsterod In the nome of Ihe
D.codent and wolvo Ihe fllIl1g ala certificate cortllylng to tho payment 01 tho'trnnalorlnherltonae ta~ to, which
the proporly 0.1 laid De~edenlllluade .ublootpurluon,t to tho provl.lon.ol tho Act 01 June 20,1919, p,L, 521,
01 amendodand Ihe, Act oUune 15, 1961, P,L.. 373~ 01 onlondod. This Is olso In aOaordanoq wl\h tho provlslona
ollhe Act 01 April ,9, 1929, P,L. 343,
thla Consent 10 Tranelor the horeln doscrlhedprapoHY oporatos only In reloroneate) tho ostate 01 tho
above.namod Decedent,
r,'~a\11"" .f')
1"G,rt-tO"',
!\.,,';I,..,l,\h
':r;""~"I.tll'~,"
Signed far Iho Sacrotary 01 Revenue
'i-71tJ1h!1"~L
. ,~. .~ J '.e-"J rJa;~tbt,t:ue(fl-
-(Tit ) (Cuvnly)
{,
fll.'.'/olI'l'ltlll
COMMONWfA~ TIt or peNN~YLVANIA
DePARTMeNT or ReveNue
IlUREAU or COUNTY co~\.eCTloNS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
ReGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'.
---.-........-----.---.-........-..~---~-~.- ..-..
~ (MUST BE FII.ED IN,TRIPL.ICATE)
TO THE PENNSYI.VANIA DEPARTMENT OF REVENUE,
Appllcal,lon II horob~ modo lor callonlto tho translor &f tho lollawlng locurltloa 01 a Pennlylvanla
Corporation or a National Banking Anoclallan lacatod 1,1 PonnsylvClniu: ,
(a L..iQ.Jhll r_~_L_(b)..ll!i.l!~_olJ>~ta._fil.oct.ri. cCo. ,. m_ . ... _.._. '. u (cL!~d~._.,':~-',.I~~~j.__. _...
(NOTe, In describing 10curlll0l onlor In (0), oil Oie, oither tho number 01 sharoa of stock or the loco amaunl 01
r.glll.red bondi, In (b), th, namo 01 the Issuing company and In (c) tho closs 01 stor.k or tholtatod Int,rnlralo
and malurlty dole QI reglll.red bondl,) ,
ISSUED ON 8/12/1970___, \lnd having 0 TOTAl. MARKET VAtUE OF $.t.!~.Qg-,.~O.._.._u.___.__.......
(Oa'o) , '.,
01 QI the dole 01 dealh 01 Ihe decedenl, ___ Ot t~__~!.g~!:l~~!.,..__.._~._ ..._. , on~_J.~!~e_~O.~..-.!..9~]____
(Namo af Oatadonl) (Ou'a .1 do.th)
DA TE._Aug~~Ut-,-,
who wal 1010 Qf 485 Fal ,'way Dr.
(S"IO' and Numb..)
___ CameJiJ_l_~. __._._____Su'~~~:_l.~_~._ _n_____.. ~~____
(P..t Offlto)
(County)
(Stata) ,
The lOCurltlu are reglllered 01 10Ilawll--3~.:~~,_~~.':~~nfr.~~..__,_..____._____._,
(Hame or namuI 'n which cort!flculo. CUlt raulltfreld)
J(~Mllt1nR~R) LLlcy K. Sorgen f.1~el and Coornonwea 1 th Na t I ona 1 Bank
eXECUTOR s r._-w---fNamo) ------..-.---..-~,., --. ----..(A;J~;~~';i-..--.-.----.--
NAME OF APPLICANT _.s.~eu-'lPQ"e. '__,_
--'...1..~'-~..-.._~ I
COUNTY FILE NUMBER_21-81-459 ADDRESS OF APPL.ICANT.~51~-co~.a7--0.~fr-.~~.'. ~a,mp:,,~~.!!.~.
BUREAU FIL.E NUMBER, SIGNATURE OF APPL.ICAN~ _ ;>r;~~fi.~:_a~/;/.6~tf..e.:,-
MOTICEI IF YOU PAIl. TO PRl,lPIIRl.Y FIl.l. 1M AMY PORTIQN or THIS APPtI AT ION, IT WILl. NoT BII '
CONSIDER liD COMPl.IITII AND WIl.l. BII RIITURMED TO YOU FOR COMP~IlTION,
"
...--. -- _..._~._..~_._._--_._,_.,. -
COMMONWEAL. TH OF PENNSYL.VANIA - DEPARTMENT OF REVENUE
, " " CONSENT TO TRANSE.ER SECURITIES " D~T,.a,<lut.~~~
Ihereby consonll,o the trans,'er 01 the above s,ecurllles nqw reglltered In the nom' QI th~Qrnald
Docodont and wolve tho /lllng 01 0 corti/lcate certllylng to the paymont 01 the translerlnherltancolax to which
Iho properly 01 sold Docodont Is modo subjocl pursuanl tQ tho provlllons 01 tho Act 01 Juno 20, 1919, P,L., 521,
,
01 amonded ond tho Act 01 Juno 15, 1961, P.L, 373, us amondod, This Is also In accordance with the provlalQns
01 th, Act 01 April 9, 1929, P,L., 343,
" This Consent to Trans/er the horoln doscilb,od property oporalos only In roloronco to tho ostat. ,9' the
abave.named Decedont,
~.. )~"'.)
.I'" f'jVr. '.~
r, ,,_",r"
'if:" ,..,.,...)
'-~,-.,' ~l,.'" !~,r.
Signed 10J tho Socrotary 01 R~venu
!/')/ /, "I :; .'
B'~~~, ,,1'., ~,'- .,..-
A:L.J':_~' f.2VjT~A!.-
, '1[1"-;- '(Countv). .' "
I
,
COMMONW~"1. TII OF flEtjNSYI.VANIA j
OePARTM~NT OF R~VeNue
BURBAU OF COUNTY ClJ~l.~CTlON'
-~-~- -- - -<.~ ~ .
a_~~~.~o,_n,_"'-._~_~,_c"-~u,_~___~~ n
InC:.1I19'fllll
APPLICA TION FOf~ AND CONSENT
TO TIMNSFER SECURITIES
ReGISTERED IN THE NAME
OF A RESIDENT DECEDENT
.u", "~,.~~"
.. .r ,
. ~
~(MUST 131; PIL.EDIN TRIf'LICATEl)
TO THBPENNSYLVANIA DBPI\RTMENT OF REVENUE:
Application Is huroby lIlado lor eotlBollt to Iho hails for ol.lho (ollowlnu sotlnllloso! 0 Ponnsylvahla
Corporation, or a National Banking Auoelatlon lonatoc! In POlHuylvOI\lt11 '.
l~lot~~' ~i: r;:scrl~~~r,;~~~~~~t~~!11;~\:~{~):~~r~.:, ~.(tj;~~" i1;~.I1~.n;b~; ~r;hu-r~s( r~(!'~~.~'i(,~'lf;~;";;;ount of
registered b\lf1ds, In (b), tho ,no",o of tho luulngcollipOllY alldln (c) tho closs of stoo~ or tho stated Intorost rata
and ",oturlty d~t!l of roglltorod bOllds,).
ISSUED,ON.9/4/1972 ...__.m..,...' a~d having a TOTAL MARKET VA'LUE OF $!:f.t.911!~O~~."n_.~___."___.
. (Pall) . .
Os of th.. date of dooth 01 the decedlmt, Otto, F ,Sor9..lill.f1:<!.L__._._._.._~~, on____..JuolL3Q1-19.8L.:__
(Namlal p..ad.,,!) (Oat. .1 d..,il)
DA TEA~g~~ t....211!,_.1.~~L.
who was lato of 485 Fa1 rway Or,
($trllt .nd Hvmber)
Cllrnp..J:lill__.___.,._ ,,__.__J..ldmQg,r Lll.o.Il,_---~P-il~..-_.
(P.., 0111..) (C.vn'y) (5'.'.)
Th....ourlll.. ar. roglstored a' fallow8l.____---.!~tt0~~orgG-nfr.G1 ~~____'
(Nomo or naOlu..ln which cartlflcnlu CUD -regllt.red)
woo~nm~
EXECUTORS )
~\.lcy K. SorgenfrG1 and COl\l110nWllal tl1 Nat10nalBank
(Hqml) .~-~-.-- -". ..-- '--'.--(Add;;;-;).." .'''--'--'-
NAME OF, APPLICANT ...~~~ap9\1':'!" m_~_..~'.__
COUNTY FILE NUMBER_ 21-S1-4iL,- ADDRESS OF APPLlCANTl~~~~.~~~~7/;11fri,D.rr:~~~~,J{.1;1~,,,pa.
BURE".u FI!..E NVM~ER_----, , ~~IGN^ TURE OF APPLICANT~~,i..<4.).i,__c,.~.:':1.d~a..........L
MOTICEI IFYOU PAIL TO PRO~ERLYPII"LIN ANY PORTION OP THIS AP~!.T10N, IT WIL.L !'fOT BE
, C;OMSIP&RilP COMPLeTE AND WILL BIlRETURMED TO YOU PORcoMpLETION,
COMMONWEAl. TH OF pENNSYLVANIA - O'EPARTMENTOF REVENUE
,'" ',' CO, NSENT T, OT,RAN, SF, ER,SECUR,ITI"ES ,~','. ", ,.t?~)'
, . . . --.- ~-- DATE" ..u~./#"I
(. hereby COnsent to thelran,fer of tho above socurltl,'s now roglstorod In tho nClmo of thea osa,ld,
Deced.nt and w~lve th,ollllng of a cortiflculo cortifylng 'to tho poymant of thatronsfar Inherllonce laX 10 which
,,'
the property of sold Decedent,ls made subloct p~rsuont to tho provlslolls oltho ,Act of JU110 20, 1919, P,t:., 521,
, '
as amended ond tho Act oUune 15, 1?61, P.L, 373, as,a",ondod. This Is also In accordance with the provisions
of tho Acl of April 9, 1929, P,I.,,343.
This Con..nt., toTrons/or tho hotell1 doser,lbod proporty operatos only In roforonee to tho 'estato, of tho,
above'nolned Doeodonl,
~'
'^~' .~..",I,\
l;\:t ,jjt'..:rj't'l
",I Hf" '
lit, ''''.ld~'
',1~~,~.;~;~\~.-.u\v.J
Slgnod for tho Socrotaty 01 RevenlJO
BY'-,,{I1J&1.-~<!_ 4h,...;V....._"j~ '_,.
~a rt;'n.) /l. ~~-:
~~ <c!~,",'".,~~
T::f'l, (C."nty)
Uf;r;.n (U-fifll
COMMONWBA~ TH OF PBNN5V~VANIA
DEPARTMeNT OF RBVeNUe
PU,RBAU or COUNTY tO~I.CCTION5 '
APPL.ICA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDeNT DeC;EDENT
'*
~(MUST BE piLED IN TRIPL.ICATe)
T.O TliE PENNSYL.VANIA DEPARTMENT OF ReYENUE;
'Aprilloatlon 1,1 horo~y made for omlClnl 10 tho transfor 01 tho lollowlno s'll,curltlu 01 0 f'ennsylvQl1lo
Corporation or a Nollonal, Banking Auoclollan locatod In POllllsylvonlol '
1u~~J d:~:r~~ ~~ ~::Jr~~r~~~8Nng~!)/~~~t;';Cl./Olih~r. tl;81;~lI1bCl;~ l;hClr~'s( ~r~i~~:'Ih~~.i~~o o~;~~To ,-
roglstorodbClfld., In (bl, the namo 01 Iho IlIulno r.ol1lpany and In (c) tho closs of sltlck or tho statod Intoro,I rote
and m~turlty date Qf roglstered bonds.)
" ISSUED ON_y',rl~L___~___, and havlno u TOTAl. MARKET VAWE OF $.ftl~P!.t~L.._._u.~.. _,_._~._...
(Oat.) ,
qs ollho dato 01 doalh of Ihe dmdont, 0_ Ot~,J..!~'!!J'nn,l. .,_. u,'..' ,., n 'n , on... JU!'!!.,.~~L!pa1
(Hclllul'of Pnc"d",,!) (Pule of daath)
DATE'!l.tLt9~!1!1
, .
_'___~_~__._'__"'_H__'~'"~~_'''U'~'''_''''
,
----~-,-.--.---..---------~.~.~...~..-...~ -~-'-~~-~ ~~--.---_.~~.._-=~<- ~~~"~._'--,,"~-~~._"'
wholva. 1010 of 48' ~.!j rw.t.Y-..!I!.fv.'nnm.m. C.~...H,!lL~, ,"...'
(5t,..t dnd Number) (Pail Offl..)
ClIllb,rllnd "I.
__ _ ..._"_."___,_..,,"u>.'.m,.,.._n'_~""_'___"~_R"----'''____~'''''''
(CO"nty) (Stat.)
'rho 'mutltl.. aro roglstored as 101l0wsl_..9-tt!.!...~8!rlltr\f!ltLu. ","c,. mmH_-c'__~~__"_"._
j (HaMill 0' nqmOb 'In whlQh Qortlflcuhl. (HD roqhIDl'od). '
1.10 C,dir clIff Dr.
~~_ LU~t._~!.~~N~r.!!rr.~. Ind COl\illO_~"Lth,~"_~'-~t~~~.~),..cc... HI II ,'I. 1J01t
. . NAME OF APPLICANT ,____..'.__'n'..._~'__._,~,..__.....:.:.__,-
COUNty FIL.E NUMBER~~.a1..4'~~ ADDRE$S OF APPLICANT_~~;~;1';'~-:~~'Y~' ,--
BUREAUPIL.E NUMBER__ __SIGNATURE OF APPL.ICANTrc~~4h , , _ , ..
HOTICE;I,F YOU PAt\' TO PROPER\.Y FI\.\. IH AHY PORTION OF THI$ AP~~ATIOH, IT WI NOT fU
COH$IDEREDCOMP\.ETE AND WII.\. BERETURHED TOYOUFOR COMP\.ETION,
..-.-. ___ ~.~ ,...~,~_.._'..r'._'___,__~__.~_~~,-'--._'_'~_~"--'--'--+-++-~'__-""'-"'___......_..........-..-~,______
_~..___.~_;_'"'_"_.nm._.'_'''_'---'-n_~...,:.'-__.,--.-n_~..;_._,...--........---_~~'"--___.......-------...
C6MMONWEAC-nloF-~p~NNSYL.VANIA - DEPARTMENT OF REVENUE'
CONseNT TO ,TRANSFeRSF.CURITIES
,..~..--"._, , DAT
I heroby OOh~entto Ihe Iranslorof Ihe ab6vo, securltlos now roglstered In tho nome 01 Ih
bocodent on~ walvotho IIIIn901 a oertlllcatooertllYlng to:the paymeniol Ihe transfer InherltanoelqX t,o which'
the pr,qpetly ~f sold Deoedent Is mode sublect pursuant to the provlslohS 01 Ihe Act 01 June 20, 1919/ p,L" 52'/
\" Jt ." _ '.. '. . '
as amondodondthe Aot of Junll 15, 1961, P;L., 373, as amen~ed, This Is olso I" o~cordonoe vllth Iho provl,lons
of Ihe Aclo.l APril 9, 1929/ P.L.,,343,
This Consont to ,Transfer tho horolndes,~r1bed pr6perty opernios only In relerence to Ihe ..tat. of Ih,
abovo~named Decedont.
,Lw, ,~ '. "~, .,\~ "
W~
SlgJ18d /.II .tho Secretory Ol~ Rve 0 ,
/ ' ,;)
,;/1, /~ '
By_. _ ~--'- ' _
2. (&IQna ) ~~
... UCOl om -~__
( III ounly'
COMMONWEAL lU OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION I"OIl AND CONSem
TO TRANSn~fl SECURITIES
REGISTeRlm IN THE'. I~AME
or' A flESIDENT DECEDENT
'*
~ (MUST ,l3a~ILED IN TRIPLICATE)
TO THE PENNSYLVANIA DePARTMENT OF I~EVfiNUE:
AppllcBlIon Is horoby 11ICido lor CQ180nllo th" truusfnrof thof()llowlull socl/rltlos of II Ponn8ylvnnla
Corporallan or a National BonKlno A88,lIclollon luculo,111\ Ponn;lylvllul(l: '
. DATI:
a.,t,.'o..,",
(o)......-1.QQ...lI1.tI.6bL..~...GulfOt \..Corp. '. .' ,(e) . C.pt ,.1-, mc~--".
(NOTE, In describing socvrlllos ontor In (n), (,IHlIO, olthor Iho IIU,,,IHlI 01 shuru of slock or tho Inco alllount III
reglltered b\?lld8, In (b), tho 11011I0 of tho Issulno compo"y Clnd 111 (e) Iho duss ul sto(:k or thll stutad Intor081 ta'te
and ,",oturlly data of regl~tored blinds,)
ISSUED ON_.410161.t~1O/JlL4'nd hCivlno CiTOTAL MARKET VMUEOF $.
(PUI.)
as Ilf the dllte II/death ,Ilf tl10 docodent,__~OUo.f'._Jol'g.nfr.t .'
(Htln\O-Clf DUf.fHlollt)
)",a.'o.-.-,,,~-~.
'(P~~oU~j;~~ld*,-.-
~., OIL.,
whll wos lote of___!t8L.F-Jtl'W.~:Dl'tv.---._ CIqIHill
(51/.., UI1d Numbe,) (Po.IOffloo)
CUlIIb.rl.nd .----.--Jl..,--".
. (County) (51010)
The $Ocurllln ote reglstored as followsl.
Otto F. lorg,nfr.t .
m-MI".L",.~ K.a.r,,,,f,.t ,-TIMnnbvthol-lnt',,' t'.,---
(Nnmn tH 11\1!1\n., lnwf'"lr:h caH,lflcutfJJ "'P foUr,loru'tO "
. ,', ' ,,' UlQc,dlr tll ff priv.
~~~~L\.IGV-~~;,!~rg"'t'I"L.nd. COCl4"I\O/lI..1 th,N.tf~b,~~.,*,..C"-K'l1.,~'JIa.-"-"~H
. NAME OF APPLICANT ..' ,. ., ........_.e,_''---__..--'-
C,OU, NTY F,ILE N U, MBeR-__-:-.ll~el'!ltJt ADDRESS OF APPLICA,N T,.,.J.~,..,...!;.,~_,V~~.1~;;..~A~ . "'"/
I1tUREAU PILE NUMBER__.._.....~..SIGNATURE OF APPLlCANT_ ~ I~.__ d~ .
HOTICE, . IF YOU FAIl.. TO PROPERLY FILL 1101 ANY PORTIO/lOP THIS API AT ION, IT WIl.L OT BE
COHslDB,RBD CO.MPLBTE AHD WILL BE RETURHED TO YOU FOR,COMPI..ETIOH. ..
_~_,.~~_."_~~..~.._ ..~_.__~_.~____.~~.___" ",.' ".".'U _ _ ___...._,~.....,'-..._:.,.
__ "II,.... _.~___.~~.,__ "_~~'T__ ____.__~_____ __q .':......... ----, --'___' T_ -.'" ".----.-.-- n___."" r__ .. "c'--.-.- ':-._-"-~-_.~'''''~~'_._.'-
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE .
CONSENT TO TRANSFER SECURITIES
__~_~_nn..'.""U""""" 'u_..____...., OAT.
, Ihereby consent to the Irol\sfor of the ubovo socurltios nowroYistor~d In tho name of the oruold
Decedent arid wolve the IlIlno of a corllflcnto cortlfylnll to tho pCiymont of the trCinsfor Inhorltonce 10x'Io which
",. (
,he properly af,aald Dece~enl Is mode subloct pursl/ont to tho provisions of the Ac, 01 Juno 20/ 1919, P,L. 521,
. os amendod and tho.Act of June 15/ 1961,P.L. 373, Ci,S amondod, This Is Cilso In oecordunce with theprovl~lon$
of the Act of April 9, 1929, P,L, 343,
Thla,Cons,ent to Translor the horoln doscrlbod proporty aporuto~ only In roloroncoto tho Ilstote 01 the
above.nomed Decedent.
.~~~~
'~~&~
519, ",U("I, !)lr tl1,o, Soclat.ory 01 ~e,',v",e, u,o,
(:;;)1~" /J '~' ,.,'. /
ay~.7/~~ ,,~L:._. ,ik~,c -,'
Q .Slgn 0)" a. , , , '
'J'r , m:t-llttf?l4,tL.-
'lTlll ) (Counly)' ,
"
'.:. .
,;2/.. 5'/ ~ //s1
, Invlntgry gf thl regl gndporto"al IItgtll of
Otto F. sorgenfra1
. __....__~_~___..________.__~. doe,a'ed,
..,....;. .....,---~..!.=-"..,..:=:=;;:":-
i'~;
_,,,,:~:::-n_
-- ,............------......
-~~---
1.626' 00
1.126 or)
1.99ti B8
3,806 ?6
" I 136 00
3.076 ' 00
108 00
2.&62 50
6.S25 00
21090 63
104 00
2~090 63
104 00
,6.640 00
13.650 00
448 00
5,661 61
182 21
OOMMoNW.A~TH 01' PI'NNIVLVANIA I
COUNTY 01' CUMIIRI,AND J
'"
. '
_.bY91', Kr. SQrgenl.cgJ... .!IOg,.th.lLC.QJ1UlIQnl'tQPJth.JliLU9111LLllP.nK.yyJ..pJ..s....O..l..J&J1lUtltKlJr:1.IJ.t..~MIl.t1A.gl'lr
-- " I
being d~IV _.. sworn .,..._-c',.,- 40nnrdlng to law, dopolol and laYI that ho ....__wcutllr...L_._., ---,_
_;_.___._.__-,-~__~:__..._._._......_.._,.. 01 tho eihto 01 ._...-O.ttILE......sor.Qllnfr.lli ___ .
lot, 01 .. Borough of Camp fllll ._.,..-.__, Cumborland Countv, Po" doo041Od and that th, .
within" anlnvtntory modo by ....c.tluL.C.onll1onwllaltlLll.a.t.1 onaLBanL.....__, tho,lald _....,ex~Ql'..!.L_
01 the onll,ro ,ltMo O/lOl(j d, oO,od.nh oonlhllng 01 all tho ponon,1 prop'~rty ond rul "toto, o~oopt realutato OUh,'do
tho Oommonwealth 01 Pnnnlylvanl., and thot tho./Iguroloppollto oaoh Itom 01 tho Invontory roprnlOnt II'1/41r volue
01 0/ tho dato 01 dooodent'l ,doath, "
Lucy K, Sorgllnfrel and the Commonwealth
~~;4!6'~L01S B,' C\lpelalld. Tru~t Mgr,
E" ulor. d",Inhlr.lor ..
~-t/;~~~.. fNlt ~In,,",,,
~~ Hl11, PEl 17011
Add.."
, " ~"""I'~ to .1 ,. .I -, t
,<,_, I,....~/.._,...._ ,....._...,... b'l~ .UuHll'ltJ$~ IoIU ore me,
, . .. -.,
, "b"", -b.' " "
~",~,',' "'?r, '.-:,', ',' ',' 19-:-.._
.. ...w, .~~.~
, - "
1,01. ^" Oton. Ho!mv I'l,Ihlll;'
LowIf Allen TW"I,_Culi,l.J~rhitld tJ{jllll\J J"
Mv Comtnl~ltl(lQ EXlJUn 1uly &, lllst
Dato 0/ Death
30
D;y
Juno
Month -
1981
Vu,
INSTRUCTIONS
I, A~,lovantllry mUlt bo fIIad within thrn monthl ollar appolntm.nt olp.rlohal r.pruonlatlvo,
2, fro. lupplilmont Invontory mUI\qo iliad within thirty daYI 01 dlloovory'ohddltlonal.olloh,
3, Addltlon~1 ,huh may bo allaohad u to perlOoalty or rulty
" 4, st. Arllo,la IV, FI~Uol.rlu Aot o/194~,
...
... 1
'.....
i ~ :%:
e ~ '~ ~ ! j t Q)
,,.. ,~ I
QJ
i l5 ~ 't; ,i L
~.,~ ~ c:
f> "" !
r~ en
0 ::s ...
- f.(> 0 ~
!.. lit
, ciil
w.. l
0
""' ~
""'
0 :5 ~ ...
J
~'~".~~..
I~;r,,~~i~~~r,:;~
,,-'P"~
Pou on I" Nimo (LIII, Flrll, In I
~'
tlru
DeCEA8ED SOOlllS80 IY Nu m
~_~j1:.~~ielA..--
. CHECl< 1. Orlglnll RotUrn []J .
INHIlRITANOI! TAX RETURN
lt~~NT , ~a:DI!N File Numbor ~ I ~'X \ . 01:\ 2S
PlOodonl'l Addiell
1.\-'86" -~C\.',...wa.,,/ ~'('V.t.
lp..aD''i1L__~~e.._~~J.~JA- ,''10\ \
~. sunplemelllll ROlurnO "3,Romllndlr Returo 0
APPRO.
PRIATE4, Lllo'elllt8 [Xl 6, Fodornl ElIeloTIK D
R81urn Required.
BLQCKS 0, Oeoodinldlod loltllo 0 7, Oeoodonl mllnlllllld I living 0 B. Totol Numbor of 1810 0
(AlllOh oOPY 01 \Y!!!L..... IrulI (Allloh ouny of trulI) _dopa,11 baKU! Inventnrlod
All oorrolnnlldOnoe,GlldOOnfldenllll tnK Inlormltlon ihould be dlrootod Wi
CORRB.
..."" ::~""' Mo, ~ loin. t. -rQl< t%,~~~~ !\l~\'Q ~,-
Ol~l " Slllo Zip
-.... ~- ~-- -'-
AND
.Rlotpllullllon
1. ROIl EIIIII (8ohodule AI
~, . 8tookl elld SOlidI (80hedule 01
" '3. Ololllv~eld Stook/Plrtnenhlp Inturell (Sohedule 01
4, MortglUlllnd NOlel (8ohedule 01
6. Oulh & "'lloolllneoul P,otlonll Pronortv (80holrule EI
8, Jointly Ownod,Pronortv (80h811Ulo FI
7, Trlnlfort (8uhodull 0)
B, TOIIIOroll AIIOIIltoll1 IInll 1-7)
9.,' FUneral EKPonlol Admlnlllr,tlvo COII1/Mlloalllnoou,
. EKPonm (80hodulo HI
10/ O~bl1/MortgIUol/Lleo' (Sohodulo II
11, Totolllodtiotlonl (1011111"110 & 101
12, Net VllUo ol,Ellltllllne 8 mhlul tine 111
'13, ' clWltlhie PequOItl (Sohedule J)
14. NOI Vllullub!eOl 10 10K (line 1~ mlnu,lIno 13)
( 11___-':"""""--
( ~I
( 3)
(41 "_
l~l 3~1~~r~: ,~ -
In " " " .
(8),.31-\31'&'" ~\.D
ReCAPIT.
ULATION
TAX
( 9)__
(10)
(lIl ~Ol~
(121 i~tI) . " ,'," F'
(13)
(14) .;} lDo)36~. 'B9
CALOU,
LATlON
Oompullllon of TIK
16. 'Amo~OI of line 1411KObl0 II B% rlto
(lnolUdl vol~el from 80hodule KI
18. Amount of IIn814 IIKlble 1\ 16%'rl\e
(ii\uludo veluOl from Suhodulo K)
17. prloolnlllO~dUO (O~d ilK trom IIno 161l,IuI tol( frol11 1100 18)
18, Tolol Prior poVmenll1
(I) Amount Plld.
'(bl Plu, DIIOOUllt _
{el Mlnullntoroll
19. Palonoo Ou~(IIn8 11 mlnu, 11110 18)
Moke Chouk PIVlble 101 Roglllor 01 Will" Auent
· .. PLEAOE "ECHEnK MATH · · '.
(16) ___.
k,08-
(lB)
1<.16-
(171
--
(lB) _
(101
Undor ponlltlOl 01 porl4fY, I deollre,lhlll hovo mmlnod thll relurn,lnoludlng IQoomplnvlng lohedule, end 1I0lemlnll,lnd to Iho bOil olt1)V knoWlodgl
end hell,f,lt II,truo, rreol, ondoomploto. Olollrlllon 01 preplrer other Iholllhl nenonll reprellnllllvoll bmd ollllllnlotmltlQn of whloh pre purer hOl
ony knowledge; , _ 1/ II ~/g~
SIGNATURE 0 AOORESS"7 ' f Oi',TB
.----,
SIONATlJRE O-P PRrlPARER OT~eR THAN REPAeseNTATlve
AIJOAEHS
OATE
e~&J.tlill,RITANCE TAX GENERAL INFO~MATION
l. fj;RSONS,RESPONSI13LE FOR RETURN
Socii on 701 of .tho, In her linn co and Estnlo Tn~ Act of 1961provldos lhnllho lollowlng porsons shnllpropmo "nd flio
A rolurn;, '" .
'al Iho porsonnl reprasonlntlVo of 11)0 osl,ote of the docodont ns 10 proporty 01 tho rlocodonlndmlnlslorod by him
nndsuch additional proporty which Is or llIay bo subjocl to Inhorltanco Ta~ of which holsho sllull hnvo or
a~qulre knowledgoi '
b. The linnsforeo of prollerty Upon 1110 transfor of which IlIhorltnncoTa~ Is or may bo Imposod by 1110 1961 StolutO,
Includlllll a lrusloeo, properly transforrod In trust, IHovldod thai nO SOil male return nood be IIInde by lho lrAnsferoe
of property Included In tho relurn of a porsonal reprosenlnllvo, .'
.
2. PLAOEFOR FiliNG
. Tho rolurn Is to b& fIIod In d,ullllcale with lho Roglslor of Wills of lhe county wherein lhe docedont roslded,
3, TIME FQR FiliNG
The roturn Is duo I1ll1e mohths altor the docedenl's doolh, Unloss nn e~tonslon for flllnll has be on applied for and
granted by lho Socretory of Rovonue within \110 nlne~lIIonth porlod.
'4. W!::lJBE TO fiLE RETURN
Seclion 791 of lhe 1961 Statuto provides thai" , . ,any porson wllO willfullY falls to file a rolurnorothor roport
roqulred of him. ' ',sholl bo porsonally liable.. .to a penalty of 25% of lhe tMultlmalely found to be due or $1,000
whlohoVllr Isthe,losser to be riJcovored by lhe Doparlmonl of Rovenue as debts of like amount arll rocoverable by
law,'" "
5,JAX RATU
,.lnhorltance Tax Is payable at the rate of 6% on transfers 10 lineal descendanls, such,as falher, mother, husband, wife,
son, daughter, grandchildren, Rrandparent, son-In-law and daughter-In-law and at Ihe toto of,.15% as to all others,
,,6.?AYMEN.T OF TAX
rhe tax assessed on the transfer of property'reporlod In the return Is duo 9 months after thl\decedent's death. lntmost
al tho rate 016% per annulII accrues thereafter un\11 payment Is made, All payments ropalved are first applied to any
l,nte,reSI which may be due, with any remainder applied to lhe lax. I,F TAX IS PAID WITHIN 3 MONTHS AFTER THE
PECEDENT'S DEATH, A DISOOUNT OF 5% Of THE TAX PAYMENTIS ALLOWED. ,
All checks Should ,be made payable to,lhe Register of WII,ls'of the county whoreilitho decedenl rllslded and are
received sublelit tothQflnal determination of ,lho Department of Revenue, . ,
7, te1LUR~ 10 P~Y
Tho taxes Impo,Sed,lOget,hor wllh al1ylnlerost lhereon, are a lien upon real, pr,operty; which Il,en rehl,alns In effect until
the taxes and Interest have been paid In lull. The ta~es may bo sued for against any'roal property In,ll1e decedent's
",estate or against any property UelonlllnR 10 a ltansfereo liable for the tax,
8. FILING OF ,FALSE RETURN
.. Any person who wll,lfullY makes a false return or ro\lorl requlrod of I1ln'1 shall, In accordanCe with Sectlon.793 of the
19!11 Statute, be guilty of a misdemeanor and, on convlcl\on thereof, shall bo sentenced to pay a f1nenotllxcoedlng
$1,000 or undergo Imprisonment not exceedlnll one year or both.
tJ.IlI.E:Colllllensatlonpald 10 au ostate representAtive; nOlhely, nn execulor Qr,adllllnlslrator,forsarvices porforllled
III adlllltllstorlng an eslale Is reportable for Pennsylvania InC01l1e Ta~ purposes, This taxablo Incolllo, Item shollld be
reported on form P A.40-lndlvlduallncollle Ta~ Rellltl1,. '
, I : ,"
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meUCTIONS rOR COMPLETING SO~~ .
Schedule "E" must Include all proporty, roal ond porsonal, owned by the deoodentlolntly wlt~ 11l1other
party,or partlos as lolnt tenants with right of survivorship, Both tangible and Intanglblo proparty are to be '
Inoludod, List roal ostate, first,
'1. DU6orlbe"ell reel proporty as Iilt1loated In t,lw Instructions for SohadUlo!'A." Descrlbo ell personal property
as Indicated In the If\struQtlons for SohedUle "a," InolUde tho name, addresI and relationship to the
: decedent of Ihe co.owner[s! and Ihe dete the Joint ownership was e8tabllshed.
2. Indloato tho tolal markot value onhe Jointly ownad property,
3, Indl~ato thollercontage of tile decedent's Intor08t,
4, Indicate Iho market value of the qeoedent's Interest,
...---
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Sohedule "ft" mUlllnolude allproperty, reel endpersonel, owned by tho deoedent Jointly with enother
party or Partlol e, Joint lenentl with right of lurvlvorlhlp, Both tenglble end IntonOlele property ere to be
Inoluded. Lilt real 0lt8tO flrlt, .
1. OOlol'lbo all,I'081 proporty aelr"lIootod ,111\ho Inltruotlol1s for ~ohodule "A," Desorlbe 011 poreonol property
tl8lndloaWl1n the Instruot/onl for S,ohedule "a," Inoludo the neme, address and rslotlol1lhlp to 'tho
dO\1adanl of tha oo'ownOr Isl and the doto tho lolnt ownorlhlp WOI estoblllhod. .
2. Il1dlonto tho totoll11orkot volue of tho jointly owned proporty.
3, Il1dloate the porool1togo 'of the deoedent'l Interelt,
4, I ndloete the mark at value of the dooedent's Interest,
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LWJRUOTI9NB poOR OOMPL.ETING BCHI'D~JL.l!ilE"
~~hpdule "E" must Inoludo allproparty, reel end porsonal, oWnod bv't1w dococlen1lolntlywlth another
porty qr'por11PB oslolnt tenontr With rl{lht 01 survivorship, llothtan{llhle and Intangible proPerty ore to he
Inoluded, L.I8t reel ostato.flret, .
1, Op$qrlbo all 1'001 proPerty 08 IncJlcetocllntho Instructions lor Schedule "A," De80rlbe 011 personel property
"OS IncllOftted In tho Instrucllonsfor Sohodulo "B," Inclllcle tlio name, ecldress end roletlOl1ahlp 10 the
.deoedent 01 \1111 oo.ownerlsl ond thl! deto thl!loln\ ownorship Wl!S estubllshtid.
, . . .. .
2. Indlco\e the lotel market valuo of the jointly owned property,
3., Indloa\o the perqel1tage 01 the deoedont's Intorost,
4, Indloete the merket velueol the dooeden\'s Interost.
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LN,VTRUQTIONS.P'pR cOMPbeTINGSCHGOUL.E "E"
SIlMdulellli" mllst Inclllllo 011 propeny, 1'001 und 110raonol, ownud by thl) dooutlon! JolnllY with onother
paftY or parties osloln\ lunanla with right of 8urvlvorahll1, BOlh \qtlolble oncl IntunlJlblu proporty Ute to be
Inolud~d, \.Iat 1'001 oSlO to Ilrat, .
1, Desorlbo 011 reall1roporty os Indl9atod Inlho Inslrllotlol18 lor Schodule "A..,' buaorlbo 011 porsqnoll1roperty
o81ndloatod In the Instruotlons for Gchodulu "a." Inoludo tho nomo, address ond rolotlonshlp ,to the
decadent oHilo CP'OWI1orlS! .ontl tho dAlethu )olnt ownership W08 ostabllshud.
2, Indloato the totoltnorket vallie 01 the jointly owned property"
3, Indldato the peroenlagool tho decedont's Intorest,
4, Indicate the milrket valllo of the deoedont's 1t1tereat,
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IMPROVEME~1'S
81111Jlu ~'(\H1Uy I1mwh OWol1iI1<J witH MtoQhod 2 Cur GarAge,
Lot !I~o ,i8~,:,l.JHa:lIllICM!lrU~lIonl hhllnoX ,...."".,,,,,..... Propo!od.""""""......,,,
Llvlno unll! . .one. ConltMllorl, Ill"! Q ~ ,~ I"r umr.! . ",,,,,,,.,,,"" 810rli", "Qn\l...."<fIllo,,,2~......,
~0!omont",~qlC9'l\In}\;n. J1J\eQl1l1111t, ,~O~ . qrOIYI. Q!lUI;1I!', Jl.dqk.,OJ,9V1Il!;1Q."Jn""b,fi\.l1J.llur""t.....,,,,,,,..,..,..
.."",,,,,,,,....,,...,,,,,;,.....,,...,,,,,,,,,,,,,,
p""""""""" ".;.".-.,;,.,,-,;,,'-,,.'-;.'"
,L, DR 1
.."., OR
..,. OR
K ...,). ", uR
K ' . ',. .",.' DR
K8R
, J '" clo!oll
, ClololI
Cloloh
" 7. " , Dolh
Dalh
80th
,/.. '" olhor ",l!'cY,filr.'i,,,,II,cu,el111a,,.in
,,,' Olhor ....,." ,,,,..,,,,,..,,,,,,,,,..,..."....,,..,,,....,,...
'''' Olhor.." "',,",,..,....''',....,.., """",......",.."....",
porch,
ht, floorl LR
2nd floon lR
311d (lOOn LR
TYpe OP 'PLUMBINO, (a) lltithroom ' cn...Gqrllln1Q tJl(j wlJJnggQtlnu ,~nQ.Qr". ..t1 ),lltl\ll"..MhP,\'lllr.,..,..,(l)
.99!1),b,9!.."tI,lILJl nrL ,1l!JOwot I, (J,. L Jill,lt t,~Jn ' Vfln 1 !';Y. ,,' "",,,,..,..,,,,,,,,,, ..,,,,,,........,..,,,,,,......,..,,..,,,,..'.......
", (b) ,Kllchon ,\,1.r1'?<19Q!?Jnetllr"f<;>mloA. 99yntertQp"PL.P..,I:I/Sllttik I, ..~U.l,1po~lill.,...
,111~b,W~,~IJ\lr,r..J7\\U"k:Jn,(j,l.eQHJ9,..rM\1!l',~ \1V(jJ) I " exlwlJl!. t ...fAQ kJ:U,?,g",'vJnyl, ',Jl,Q9r,QQY,!I,dl)\J.
INTCRI9RI Walll - Plallor ..,..JL,:..",,,,,,..Dry ,... ",......" . .." Olher..""", .",......,..'",',',.., '''''' " ".., ':........." "........,,,,, ,','....'Uivin II RiT
floorl ...,'''"",!J'a~.rl,w9g,C!, ""''',.' ".."....' "",.. Woodwork ..,Nn!l...,,,,,;,,,,,,, Natural Plt<1p.la~l\(g1d;jd9,K::&.,,13llOemf.lr
BASeMeNT, Poul1dtiilon ,Cpnq~'.o,telllQQk",Ploor" ' ..cQnQu.~Q"..,"'".."excavalod "....",'"......,..,~,O,.....'1Ii
Hoatlng, Typo ......,~~Q~..Qpa"JI9t IIle"", ,,,..Pue!., .. Otl"",,,....,,Alr COllditlonll111,,,C,ent;,lI,l.....IIJ'
Wator heater ..,~:l..q(\Uql1,l'll"'QtJJQ ",Waler lollonor ,.,NplViL" "......,,,,,,,Laundty trayl......;,X,~lt......,,,"'''''''''''',..
ROOf; Typo ,,,,,,Ml?hpJ.\; .I111111\1+(I.', ,...,condltlon ,. Fair. ",Oullerl and dowmpoull....,,,,...,,,1I.1Iolml.nYI1l..,....,,
MISCaLLANeOUS, IIi!uloll~n ",Walla .and.. Qeilin~f.l,." "..Storn" ..,....100,..% Scr..nl,..,.,..l.,O.O....,%
CONDITION, (<I) extorlor ,OriCl~,,~!,rt1~le7aO(lC!"""""'T ,.." " .... ,..,Romalnlng ulo(ul IIfo 01 building,
(b) Inlertor ".l?~!I~..beFI3Cl,Pait\tCldlll1d/o~ P"t~Cl,~,El~-, ooo,Cl".." ,.. ......, ..,,,,1~..................,....,,,..,......, ,", ',"
GARAOe, COllllrucilon, "..,...!;j~,i9~,,~ J1rl'!J11.\l." ",.,,, "" ,,:..., Roo( ".."Ml?,hI'!U..lHlJ 11'il ,1"Q" ,,,,,No,' o( carl,.,......"''',..,..~..,:
SilO ..,..,~:l..',.."K..,:l,1.1."..,',..,,:,.,..~pe of doorl ...,QyQ.~hqf\cl"" m.l.J1Cl.l...,.. ...., DrlVowoy ,..",,,,,..,JI1'!9,i\qi\,I1\..,,..,,.,,,....,......,,,,,,,...,....,,,..,..,...
OTHCR QUllPINOS, ,~Cl~,\lQn\l.... :ID"..r,(WI...PCl~.(lh,., ....~!1)!l;tl.. !\1'i'~1l1. "!I,~,\lt!lllq,...q.h,qcl"...","',...."....,"',.,''''..,..,,..,....,',..",\"
. \,lTllITleS, Sower ,......,gf!,~Ug"" Wdler .."I,'\t1?U9, 001 "J:!QnCl"..,,,,,..,,,,eloctrlc ",r,\!,!?,u,YJ..,;:....,......
,. Wall ......,.,..,....",,,,JI9!1',9,,,"'........,,,,,,,,,,,,... .,..",:"",,, ",,,.',.,.Sopllc 'lank..,J:j,9IJ,e ,,,..,,,..5110 ...~,:::,,,....,,,,.......,,""""",,.
STREET IMPROVeMeNTSI Walk! ..,~9!1':'..,..,.. Pavlllli",~1t19IlJI!'\!1L."C, and GUllor i..9.9ng,~ll,~,ll,.....Alloy ""..J1.Cl,I1'q,:",..,....,,,...."'..
1'AXeS, Currunt, gonoral ;,..""" .,In,?,..~,9,, """.Spo~lal 'dllonmontl 9I.\,~,~~ClE,J"Y... ,!!,!I,~1,et,..q,Cl,~.Y,!,O',~,;,9.,h~,HI,Cl,,~,
COMMeNT! Nelohborhood trond .."..."~Clai51ll,I\,~t~1~...~I.nl't,,v,~I'l'il ...., .,.,.",.."".,.,...,..,....,,,.., ..,.,... m..". "....'.."......."'"..,..., , "......',..,,"'...
Typo Ilruclurol ,m,/'Ung l..I,1,..,!\ellj,gl,1 ntt~.~.",l"I,\'le 11.1 ng~,..,.,.."..,.,",..:,Condlllon ,...QQ,\?r,l.,....,............."".."Age "..~,..:::,.."~~",,,:,,,..
Any aroa do'iotlmon/al Influon~o" ' None
Thll proporty could ront for $",~Q,Q", ..,.... ,.,...."..por 1\10nlh.
Tho markotoblllty or Ihll propotlY 11 ..,,,,,,,,qgp\J,,,..,,,,,,,,,,,,,,,,........,,,,,,,,,,,,,,,,,,,,.....,,...,,..,,.......,,,,,
Rocommondod oocOlla'ryropaltl and poulblo COlli
Dwolling ia in, good condition with oxcopb,j.on of tho roof which h in fair
oohcl i bion,
Plol Plan lkylch and/dr perlmotor dtowlng of buUdl~_~.;._~ 99'
,
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14-.- 2" -It---" ;~,_-'t-Il "r-a'-+l
CALCULA'l'10NS
OwalHnll TItan
411' II 27' ~
,5' iI 20' "
12' II 17' "
1,2968q,l!t.
100 " JI
. 20~. " "
1,600 sq. Ct,
I\Ol'll\oomant Cout.. Naw
!Jwa 11 i n\1
1,600 aq;Ct, @ $32.00
240 aq,ft.
Oa~alla
528 aq,ft, @ $12,00
.. $51,200
.. 4,000
.. 2,500
.. 1,020
.. _~336
$65,956
2'Pi~ap1noaB
Contral ~ir Conditioning
,!lo~BenBd-ln poroh
. 12' II 11'" 20~
3' 1112' ~ 36
aq,ft,
" 11
Roreeneu-in I'otoh
240, oq. ft. '@ $0,00
OIl~II\la
22' II 24' " 520 aq.Ct,
Loaa Oep~aci"tion
1'hyoical 15%
(~9o & defarted maintenance)
FU'nctiona1 -0-
lloonomio -0-
~
15%
.. .:.JI,093
$511,063
Depreciatod Vallis of ImL'~oVamsnto
Lal1dacllping, driveway & ohed
.. 2,r.OO
Land
~o Lot
.. 16,500
675,063
Comparable Properties
. Add,o.' Dato Solo Prleo Sq. Ft, ~ot 61zo
No.1, ~90 F!l itwt\y Dr 1 Va, Cl\mp \1111, 1'1\. ,4/00 ..' $0.0 d)oo).,l~O,."..l.OQ,.'.,JI.., 200 !
, (7 ,Rooms" 3 bed~ooma, 2batha ,fi~oplace, oenttnl al~oonditiqnin\l" ."..2.car ,r;Jarll\la.)
No, 2 406 Rpringl1ollao Rone1, Camp lIill,P~ . 1(01 $75,000 .., ,1,504 ,100 ',,!11M'
(6 ROO,\"a,.,) bGl\lroolns,2lj bat;hs,. ,contra~ "'i r cqntUt;ionin9' 2 9i1L\l!\~.!\\l.o.~L
No, 3 53). FaltvllW pr1VIil,Camp,ml1, 1'1\.6/01$65,900. . .1,516. .?Ol" II 120!
(6 1\00.,"9, ~. l)edrOOI~B ,l.~b,atha,) ~r'11)1<.iao, 1, C,argari\ge;)
VALue hV MARKH APPROACH
$ 75,000
" '
7/7-IS4..."8'
.IIfWI1 At. 'W~
A~ tIJ AH~ ~ ;b~t ~~
1919~tf(J1~~ S~
~~, ~4, 17104
^UO\l'~ 3,1981
to Whoa ~t ~ay'oonaetnl
I ' I '
I I the'lund_reigne\!, apprahed the tollowing it.... in tit.
..t_te ot O~to F. soroentrei,485 Fairway Qt, to the bel~
ot .y lIbiUty and have no inter'I~,:l.n ea.. wh.tloe".~.' ,
, .
, ,'.
co~onw.alth National B~nk..Co-BX'o\ltot
l.IVINQR~1
,table t" chai'rl
TV '
tetd~.t~~ot
contentl\ ot o\lb.
ret't'10etator
whi~eCl\b.
, lawn.ower
edoer
hdder
aut. 'hand ~()oll
<;lI\RAGB
$ 25.00
40.00
20.00
all.CO
25.00
20.00
30,'00
:1.5,0.0
100.00
10,00
10.00
15.00
lU.OO
30.00
15.00
20.00'
135.00
35,00
10;bo
300,00
50.00
110,00
100.00
15.00
, 50,00
. 3,00
lIS . 00
10.00
10.00
15.00 !
Iota
Pl'. .nd table. ~20
pt. lal'lpll @10
ootl.. table
Iwivel rooket
I.. drop leat ~able
10\lng.
floor lallp
Ipinning wheel
tlowered tocket
blUe, laap
\lphl, Chait
TV
ang1e,1a"p
o",..n ohair
book raok
....t. piot.
o\!dl ,& .h<\1I
"
PIN I NOROOM
'1'\1"
DR luite
KIte-IBN
, ,
1(1: V.4fH,! rX1 (3./101
caMMoNWEAL TH Of peNNSYLVANIA
DEPARTMeNT OP ReVINue
TnANSPSA INHIRITANce TAX
RESIDeNT DeCIDeNT
" ,
aCHIiDULE "F"
QTATIlMF.NT OF OEBTQ
AND DEDUilTlQNQ
.
- ..._.~
E8tU\A of__.QU.!L F , sorgeufrei ,I)oto of Death _6/ 30fll.L._~ Fllu Nu, _',' 21.:81- 4 ~_~,
WHEN CI.AIMING THeFM1,ILYJiXEMPTION, COMPLeTE THE FOLLOWINGI
CI/lII1H/l1\ Lucy X, sorgenfrel 11011l11011sl1lp III ['!(!wdOnl Spouse
"
CIIIIIll/lI1I's Mllio," 01,111110 of O/lcodonl'a Donttt 486, Fairway Dri ve , Camp Hi 11, Pennsylvani a
NAMI OP PAVU '
RIMARKS
AMOUNT
"
/I
"
/I
" /I
Au
/I
10 /I
..1L /I
12 /I
13 /I
14 "
16 /I
"
"
"
"
State Withho]j.ing Tax__
Propate Costs and Short Certificates
Estate Notice
Checking Account Servic! Charge
Certificate COPY,of Will
Professional Services
Funeral
Funeral
,~
12,00
100.00
18.00
3,00
2,00
240.00
3,066,00
1.170,70
Title Transfer for Automobiles
Appra i sa 1
r isal of'PersohalPro ert
1980 Income Tax I Penalty and Interes
Pl edge for Special Gifts '
Pledge
Short Certificates
Estate Notice
Sta,tement
Professional Services
Servi ces "
38,00
126,00
-
40.00
2.263.48
1,433,63
600,00
15.00
63,12
93.29
-
80.00
61,00
408. 10
125.00
4.00
Sta tement
P ofessional SerVices
Inheritance Tax Waivers
TOTAL Continued
1 heroby certlfY,th8t to tha best .of my knowlodge8tid belief thefotegolng Is aJust and truo statement of dobts, fqnaral
expenses and expenses of admlnlBtratlonsubmltted t.o the estate as deductl.ons for Inherltanco Tux pUrp08a~. "
o t':
DEBTS AND DeDUCTIONS AIlIl ALLOWED INTHllSUMoi= $
AT
% TAX RATE
'\ttQIST~R of WILLS
I)An
.....
Ql!N~RAL t~HERITANCE TAX INFORMATION
Unlotl,fltd lio~llltl" Incvrrod by the dooodont prior to hla/hor doath oro doductlblil agalnl' hll/~ort<lxQble
utate, In addition to dehtl Incurrod by tho deoadent or eatato, other Itom,6 nre olal'nnblo,lncludlng tho coat of ,
admlnlatratlon, attorney loe., flduclqry fOOl"lunernl and hurlnl expenaoa Inclvdlng,the COlt of aburlollat;,tambatone
or ~rova mark.r and othor related burlnl oxponsoa, '
All debt. bolng clalmod agalnat ,nn utate ora sublect to tho aplHovolol tho Reglater of Willa with whliinthe
Inherltanoe Tax Retulnla fllod. Evldenco ,10 support tho decedont'. or the oatote'a Iloblllty fot the debt. being
claimed should be ottoohod to thll achodulo,
. ... ~
A family oX(tmpilon inoy be claimed by a spOuSe of a decedent wl1a dloddol)1lciled In Pennsylvanlo, ,If ,thero I~
no IPOUIO, or Wthe apouae hal forfeited hl~/hor rlghll, than onY child of the decedqnt who la 0 member of the aome
houaohold can claim the exemption, ,In tho ovont tholo, Is no such apoulo or child, tho exemption oan be clolmedby
o parent IIr parent. who are members of lho lamo housohold as tho docedent, Tho family exenlpt,lon Iii Qllo\'ioblo only
ogolnat os,eta which lIon by a will or by tho Pon'1Sylvanla Intollato Law.. ,
NOTEI Compensation paid to oh estalo representativel namely, an executor or administrator, for servlceil
performed In bdmlnlsterlng an aatate Is reportable for Penl1aylvanla Incomo Tax purpoaea. Thlataxablolncome
Iten\ahouldbe roported on form PA.40.lndlvlduallncome Tax Return,
.. "
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INSTRUCTIONS FOR COMPLIHINGSC~"
1.. If the famil,y oXemptlon Is beln'~,clolmed, Indicate tho clalmant'anomo, addroas and hl./her ;,Iationshlp to
the decedent, Enter "family exel11ptlO,n" In tho remarks column and the amount claimed In the an\aul1t column.
2, AS$lgl1,cOhsocutlve numbers to each Item listed,
3. Enter the date on wHich each debtwaa Incurred and/or paid,
4. Enler the,namoa of each payee,
5. Provide a btle( explanation 111 tho romatks column for oach dobt claimed,
6, Entor tho amount of each debt being olalmed,
7, The form must beslgnea by, thbporson who hasauumed Iho rosPoI\slblllty Ibt paylnglhedehts,
IF ADDITIONAL SPACE IS NECESSARY USE aW' x 11" SHEETS.
RIV, ,147IX (1.18> -"
BUReAU OP eXAMINATION NOTlOI OP INHIRITANOI TAX A"I"MINT
paNN~VLVANIA oePARTMINT OF RaveNue APPMI"MINT, ALLO\lAt<!OI OR PIIALLOWANCI CONTROL NO, 101
HARR)S~'ung~p~32?1105 oP PIPUOTlONI, ANP A"mMINT DPTAX PATe
I'TATI O~ SORIJlDNl"RIIlI 0'1"1'0 F PILI NO, i.U ~1~045e
QAT. OP ,PlAT'" Oe>-30~~~ ____~--._- OIllm.!L..-mJIDUUBLAND
NOTII To,IN'URI P,ROPIR C,RIPI1 TO VOUR AOOOUNT ,UIMIT THI UPPIR PORTION oP THII'NoTlol WITHVOUR TAX
PAVMINT TP THI ReOIlTIR,oP WILLI OP THe AlaVI OoU,NTV, MAKI OHICK' PAVAILI TO "I'IIOIITIR OP, WILLI,
AoeNT;" IP TAX PAYMINT. Ai'll MApl WITHIN a MONTHI op' THI PICIPINT'I PATI OP PlATH, A PIIOOUNT
OP 1% OP THI TAX PAID MAV II PIPUOTIP,
JOijN GARRY
COMMONWEALTH NATL BK
10 S MARKET SQ
HBG J?A 17108
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
CUT AI.ONO THIS loiNS " .
~_~~~_______________~_~._~_~.__.____.______~_~~_____.__.~___...~w__~...__~._____~_"'___.
NOTloe OP INHIRITANoe TAX APPRAIIIMINT, ALLOWANOI OR OllALLOWANOI OF PIOUCT10NI ANP A,II'IMINT OP TAX
UTATI OP SORGIllNFREI
,
OTTO F PILI NO, 21 81"0459 AON 101 PATI 06~oa"D2
.........-.~~...-.-- -*............-_---------........--......,~_....~-~.-
TAX ,RBTURN WAS: I X ) ~,CC!l':'!!Q. AS PILeD
) CHANGED. .__~._.._~__.
---.........
APPRAII.P,VALUI OF IITATI:
1. R'" 0""11 (Sohidull Ai
2, Stooki Ind Bondi (Sch,dul, e) ,
3, Clollly H,ldSlock/Pi,lno"hlp Inlo,UI (Schedule C)
, 4, MorlgigU Ind NOl.. (Sch,dul, D)
5. cnh s. Mlloolllneou, Perlonll P,operly ISohedulo E)
a, JOlnliy Owned properly (Soh,dulo PI
1. Tr'nlf,rl ISchedul. a)
s, Tol,l atoll Aueli
( \) -------L9.Q.~
1 21 _____........LQiL-.
1 3) _~_..__. .00
1 4) ____~___!.9L
( 5) --....l,Q.:t-L180 ~iL
I BI __AAJ~19, 51
1 71__h_____H~.__.l...QQ___
( 5)
343,8e9~
APPROVIO PIPUOT10NS AND IX8MPTXPNSI
9, Punerll S~o,ni,"/Mmlnll\r"llvO Coul/Mlioelllnooul
bo.n.... (Soh.dul. HI
10.' Q.bt./MorlQig,"/Llonl (Sohedule I)
11, Totll Doduotloni
12. N" Vlluo of BillIe
'3, Chitlllbl' B'QU.lti ISoh.duleJ)
, 4, N.t Vilue Sub lecl 10 Ta.
( 9) __ 83 d~19..LQ_:L.
1101_.__' ,00
1'0
1'21
(131
(141
83,545.07
260 ,353" 8e
, ,00
250,353.89
A.....MINt OP TAXI
HI, Amount of, line 14 11.lblb IIB% rile
HI, Amounl of I,h, 14 I","bl, II' 5\\ ~."
11. PrlnoiPl1 TI. Du.
TAX OlllPITS I
PAtirfeNT ~__n~rl -"-1-~~~~~~~1 i~i , -. ~..
"."." \ "O~, -l .00.
THIS AsseSSMeNT IS BAseD ON: ORIGINAT..' RmTURN
NQ ,INtlRI.t la ,dUI lP PAID BV 03"30-82
IP PAlO AFTSR OA Tll INDICATeD SEE REveRse POR INSTRUCTIONS,
1'5)__._
116)~___.
.00
.00
x,oa-
X,16-
(17)
.QO
tM._
.00
AMOUNT PAID
9,069.41
TOTAL TAX CReDIT 9' 051.1.41
,.ALANel OF TAX I)ul' 9, Me. 41CR
lit Blllhct Du, II i'ii IhinH,OO no oaVment Ii required)
RET AIN THIS PORTION FOR YOUR RECORDS
RIWOflP'
/lI.GI'
'AI' ,JlJI,1 17 Wi I,
at "'," !:'"
"WI-,ll
INFORMATION
-~'--~
This d~~umenns the No\l~e required to be given under Se~tlon 709 ~I the Inhetlt.n~e snd ast.le Tax Aot
of 1961 (72 P.S, aeotlon 2486),
If Ih6 t.x II P.ld Within three (31 months .fter Ihe deoedent'. death. . discount of, 511 0,1 Ihe IIX plld II IlIowed,
Inherltlnoe Tlx bee~mes delinquent nine (9) months Ifter the deoedent's deslh, Intere.1 I. oharged It the
~It. 01 atx (e) peroent p,er ennum on the .mount of unpsld tsx. (See"EXAMPLe aELOW). '
EXAMPLE' If. blllnce of tax due of $2.000,00 Is In I delinquent ,stlM Irom 3-3-80. and plyment is mad.
", on 6-23-80, the Int.rest Is c_lcullled .. indic.ted below, -~
STIP 1
Determine the r.te of
Intetest from the tlble below,
STEP 2
Multiply Ih. blllnce of
tsx due by the rlto of
intersst,
STlP $
Add thelnl.reat
to the bllln~e of
tlX due.
allsnee of Ilx due $2,000,00
prurrr;firelt to
Dlte of P.vment 1+) ....l-)~
tOTAL t.x Ind
Intere.t to' Olte
01 Plyment $2,026,70
Inlerestlrom 3-03-130 to 6-23-80
R.sur" In, , .~---
2, Monlhs. ,010
, 20 D.y. · .t...'O'll335
Rite 01 Interest . .QT33ll
alllnoe of tlX due $2.000,00
B.I.L.IU.JnlItUl~_~..,llla3Jl..., _
, INteReST $ 2S,70
-- ....;-.- ....~-'............ - - -.... -- -...... - -',- - - - -...... .....,-- - -- -- - - ...'- -- - -- -. - - -....... -.... ....,-.... _........ ---- -...- -- -.....- ;..-
1 m~nth ,005 4 months ,020 7 months .035 10 monlh. ,050,
2 monlh. .010 6 months ,0213 8 Inonthl ,040 11 molllhs .056
3 months .016 6 months ,030 9 months ,04e 12 months ,060
1 day ,000\7 11 daya ,00186 21 davs ,00352
2 dlVI .00034 12 dlYs .00203 22 dlVs .00369
3, daVI . ,00051 13 days .00220 23 dsys ,00388
4 dlV' ,0006a ' 14 d'Ys .00231 24 dlYS .00403
5 davs, .00085 1 5 davB ,00260 25 dlv. .00420
6 dlYS .00101 16 dlYI ,00261 26 dlYI .00437
7 day. .00\ 18 17 daVI ,/)0284 21 dlYI .0041;4
8 dlYS ,00136 18 dlYI ,00301 28 daVa ,00471
9 dlY' :00162 19 dlYs :00318 29 dSYI ,OO~8a
10 dlya .00169 20 dsys ,00336 30 dsy. ,00600
---~----._--------------_.~--------------------------------~-~---------
AnV P.tty In Inte'etii"lnoIUdlng the CommonwOBllh end, the per.Onlltep,esentltlve. not 8I11.fled With the
appr.lsement .nd ....BBm~~t mlV Qbjlot within sixty ISOI alYI Iftet reollpt Q( this Nollee IS provided bV
Stollon 1001 01 the InherltlhO. Ind htlle Tlx Aot of 1961 172 I>,S, 110, 2486 - lOOn
MAKI QHICK ,O~ MONa V ORDER PAVADl.a TOI. lI~aOUtaR OP \IlL"., AOKNT"
DetACH tHe TOP I>O~tION OF THIS FORM AND SUe,MIT WITH YOUR PAYMENt to tHE ~EalSteR OF WILLS FOR
tHE COUNty SHOWN ON THE REVERSE, SEE THE INHeRITANce TAX INStRUCTION aOOK FOR ADDRess, '
RIY'1147 IX API' 10..941*
~ g..==\Tll,\e::t:nVAHJ~ NOmJ liP INHlmANOI rAM
'''''IAU or lND1V1OU~( mEt APPRAUIHENT ,A~~OWANCI OR OllA~~OWANOE
. =i,:=~lp~ 17UNm. "pPO"OUOTlONI AND AlmlNINT OP TAK DATI 02.06-98
D~=T31l0SIA/JRB~~~gg!81 . . " '" , . '. ~i~~T~Ot CUMBHML ND
NOTlI TO INII,IRB PROPU CRIOlT ro YPUIl ACIlO\lNT, IUIIIIT Till UPPIR PORTION OP TIlIl PO,," WITH YOUR TAK
PAYHINT TO Till RlellTU OP WI~~I, HAKI IlIlICK PAYAI~I TO "RIOIITU OP WlL~I, AIINT"
RIM%T PAVMINT TOI
AON
loa
MELLON BANK NA
AIM 181 0536
PO. BOX 1010
HBG PA 17108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
l
At RI~'"
lllTATI 01' SORGIlNFREI OTTO F PILI NO. 21 Bl"0489
TAKRITI,IRN WAil (X) ACtlPTlO AI PILIO
"..IlR~ATlONCONO!~~INO pUtUAI I~TlRIIT. III RIYIRII
APPRA lID YALUll 01' AITURN BAIID aNI REMAINDER
1, Raal latata (lok~la A)
a, Stook. .nd 8~da (loh'd~l. II
I, 1l10..1~ 1lI1d St.ok/P.rtnar'h1p tnt_ra.t (Ioh'd~i_ C)
~, Hort,.a.,/Not.. Rao.lv.bla (Soh'd~l. 0)
S, C..h/l~k O.po.lt./HI.o, 'P.r.on.1 Prop.rty (Soh.dul. I)
6. Jointly Own.d ProPlrtylhh,'Nl. PI'
7, Tr.n.f.ra (Sokldul. 01
I, Tot.l A.~.t.
AaN
( ) CIlANOIO
102
DATIl 02"06"98
UI
(E)
(II
(~)
(I)
(6) .
(71
219,4t12:~~
. DO '
.00
i 00
.~
.00
(II
219.402,94
APPRaYIO DIDUaTIaNI AND IXIMPTlaN'1
,. punar.l Ixp.n.../Ada, CII.h/Hilo. IxPOM'" (Soh.dul. III (9)
10.. OabtllHort,llp, L.1.bUiU../~i.n. (Soh_dull 11 UOI .00
u. Tot.l O.d\IDUllna .' Ul1 AD .on
12. Nat Val~.of T.x Ii.turn UII 1119,582.94
11. Ch.rttlblt1!klv.rnlllnt.l I.qu..to (Ioh.dul. Jl (11)1' ,&,,' op
1~. Holt V.llla Of IIt.t. lub~"t to T.x U~l . l! 9,S!'2.94
;, . -- -.' , ,-' -. . ,
NOTlI If."" ""'"R"''''1: 1'1", iI.Uld pr, ',\':1.01.1111,1/,', Un.. 14, 11 Ind/or,,16,' 1,7 lln,d 18 W:l.U
r.fllRt f:l.gurl. 1:".1: :I.nolud. th, tot,l of ~ r'~urn. ......od tod.t.t
AISl88HINT a~ TA~I
U, AllClUlTt Of ~ln. l~ at illlou..l r.t. UII ,00 K' 00..00
16. AlIOUnt of Lina lq t..ilbl. .t Lina.lIC1... A rata 116) 219. 58!! , 9~ IC ,06. 13,l~L 18~:
17, A...~tof ~ln. h t.xlbl..t CoU.tlrallCl... I r.ta U.71 .00 K . lB. 1~",,09
11. Prlnolp.l T.x~ . (ill 11.161.18
,.All CRIDnl, .
PAYHENT RIIlUPT
DATI NUHIER
6
50,00
OIICOUNT (t)
INTERUT (") ,
AHOUHT PAID
TOTAL TAll CRIDXT
IALANQI all TAll DUI
INTlR.,,.
TOTAL DUll
U,161.18
.00
. DO,
.00
.. IF PAID APTER om INOICAreD. lilelleVIIMae
FOR CA~CU~ATION OP ADOtTIONA~ INTeREIT,
( IP TOTA~ buE ta ~EII THAN .1. HO PAYHENT II REqUIRIO.
IF TOTA~ ~UE ra REFLilcrao AI A "CREDlT" (CRI, you HAY BI oue
A 'REFUND. BEl REVIRII 1101 OF THIS PORH FOR INITRUCTIONS.J
\0 \;~,;(
.... ::J n..
,~ .. ()
() :~ "'I I
", 1':C
;F"
0') c-,
1
\~~ "t
;0 ,,)
,,' , . ()
(.),'fi' \9- \'8
0" <U
~a: 0
RmnVATIONI
E.,.,.. ~f d~.~I. dvln"on or b.f.,. n......' 12. 19'2 .; If onv f.I.,. Inl.r.,1 In Ih. ..1,1. I. ,I.on'f.r,.d
In po.....ton or ,"JOY",,' to Cl... . (onlht,r.U b.n.flatlrl.. af thl dlCld,"t aU,r ,the 'MPlr,Uoh ,of ,mv IIt.t. for
11f,or, for ~..r', thl Ca..onw..lth hlr.bv IMpr'.'Jvr...t'v,. \h. rtgh~ to npprat".,nd ...... treo'f,r tnhtrltano. tIX"
It thl 1.,w,ul Cl." . (OQUltlrll) rat. on illW suoh 'future Int.rltt I '
PllllPOIE 01'
NOll:! I
T. fulfill Ih' ,.qul,...nl. of '.ollon 2140 If Ih.inhl.II.... ond E,lo,. T.. All, 101 22 .f 1991. 12 p,',
...lIon U40, '
O'I..h lho I.P potllon of Ihl. ~II.. ond 'ublll .llh vo., poV.tnl 10 Ih. ~.gl'I," .f~I((' p,lnl.d on Ih. ,.v.r,. ,Id.,
'-HIll. .h... .. .0nlV o,dor PIVIIII. 1., RBallTn OF "U~I, ADSNT ' ' .
'AU Plv..nttnollvld m.11 flrU b. epPUld to .MV lntlrt.t which ..v b. du, wlthlM1V 't..,lnd.,. IPpU,d tel thl tllih
PIVI4fIrr,
.' . . , .
RefUND (CRJI A-refund ofl tIM'or.d't, "hlch wa. not.requl.ttd an thl TIM R.turn; I.V bl r~.tld by oo.,l.tlnl .n "Applloltlon
for Rifund ofP~.vlY~I. lnherltanol and e.t.t. TIM" (REY~l!lS), Appllcltlon..rt ~v'llablt It thl Offlo.
of Ih. Rtlltlor ~f WU,.. onv of 'Ih. IS ~.y...., OUIrI.1 Dfflo... ., bv ..lllng Ih. ''''0111 24-hlY' '
on.w.,lng ..rVI., n~" f., f~'" o,ij..lnll,ln Ponn,Ylyonl. 1-600.162-2010, 1YI,Ido Ponnlvlvonl. .nd
.lIhl~ l~..( 1I."U....'.'or.. 11111 111"1094, TOOl (1111 712-2111 Ut..,lnl '....Irod D"l.l.
AnV plrtv 1n lnt.r..t not .,tl.flad with thtappral...tnt; allowance Qr dl."lo"~' of dl~tlon., nr .......ent
of t'M(lnalUdlng dl.oount or Inttrl.t) .. thow" an thl. ~otlol .Ult obJtGt within .t~\V (60) dlV' of r~ol'pt of
Ihl., N.U.. bV' '
DtJl!CTlOHlI
AONIN
lITRlTlYl
CIIRR!CtJOHII
--.'III.n pr~I..llolho P~ 0....'1."'1 ., R"....., h.,~ of ~pp..lI, QtPT. 2'IOU, 11."1.....'1. F~ I1\U-UI1, 0"
",IIICJt1on to hlv, thIL..tt.r dlteralntd It audit of thl Daaount of thtl Plr.onal rtprl..nbtlvI, OR
.",,"pIII to thl orphWl" r.ourtf ' '
IH"hl!1l1
F..~I .r,o,. dl,~ov..Od on Ihl. ....t."'"1 thould bI odd'....ij In w.llln. 101 R~ O....'I...I.f R.ylhUl,
'~ro!lll of Indlyldll.( ,.",. ~tTN' POll 1....t....1 ~'yl.. unll. DEFT, ta060l, Ilor'''....'Vi. P~ 11111"0101
PhOnI 1'1'11".610'. 10' P'" . of Ih. bOOkI.1 "In,I,..Ilon. for Inn.rll.... ,.. R,lU'n fO.. M..ldonl
Dto'dtnt~ (RlY~1.01) for In IKPlinltlon Of idilnl.tr,tIYlly oorreotlbll trrore,
If MY I.. dIl. I. p.ld wllhln Ih... III ..Ii'nd., ..nlh. .ftor Ih. ~..odonl" d..lh, . fly. p.rollhl II~f~".DUI\I ~f
Ih, I.. p.ld 11 .UIIWI\I, '
Inlo,.'1 I. .h."Od blglnnl", wllh 11..1 d.V ~I d.(lnqutno., or nln. 191 IOnlh. ond oriO III d.. I,~. lho ij.l. .f
dlllh! 10.lho dll.~! p.....I. T...' ""I~h boo... dollnquanl b.f.,. J~,v I, 19.2 b,.r Int.,.,1 .1 IhO ..I..f
.1. 16_1 por.onl P" ...... ~.Io.(ol.d .1 . d.llv rol. of ,OU(64. III I..uwhl.h b..... d.llnl1l/..1 on IIhCI .ft"
JOhUo,v'l, 19" will b... Inl....1 .1 . ,.1. whl~h will v.rv f,~' o.lond.'.v.., I~ 'ol.nd.r v..'wllh,lh.1 ,.1.
_.Od bV lho.,,~ O..,,"onl of r..yonu.. .Th. "",,11011>11 Inl....1 ,~I.. f~r 1912 In,ough (99' orll
OUCOUNT!
U!t 1n""'" Rtt~ a_fht Xnhrllt',F.otor
1912 1O~ ,.00014'
19.. 16X ,00061'
1914 lU .00om
19" I.~ .000..1
1.66 lOX ,000114
..lnl"..I I, ..I..l'lld ., fOlio."
IHTF~BlT. IA~AHOB OF TAK UNPAID K NUKIS" OF DAYI DS~INQUSNT K OAILY INTI"SIT FACTOR
."MV HIll.. 11_ .,11, I,",I'M b...... dl\I_1 wlU r.noOl In Inll,..1 ..lOul.llon ,I' {1'1I1", (Ul d.V'
btvMdtht d.tl of \h. ........,t, If Piy,,,,t ,. IIde .ft,,. thl lntere.t oo"",tlUon dltl .hown OIithl
HIli... Iddlllon.1 Inl"..1 ....1 ho ..1I.11l1d, '
lntlrllt Rat.
D"UV,lntlrllt p~tar
W!'
1m
(911-1991
1.,./
(99S-1994
(991
9X
IU
9~
"7X
9X
.000241
.ooom
.000241
.0OU91
,000241