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HomeMy WebLinkAbout81-00460 lJOMMONWI';AJ.'I'H ew II' NNf.n 1\ ANltI I COUNTY 01" ClJM rum L~ ~:J ' '. I, ilK: '1)1 ('//A 'C{ I) /) (l Y ,.1.,;',.,;-"',.1-,',1,..1",:,'""".",,, ''''1I''''''''''(.~' 1"-,1,j,,,{,I.'r'fI".,,,,.,,,/~.,,.,c,,,,, .. Hi;" ..", ." ,.., ,.""."",",,,,,,,,,,,, ,.".,j"",,, "'''11''''','1. 'nnmoct In,thuilhllvo IIPllllufI\.lon Iwltlll dill)' ,,,,,.(;,,kti.,;r.,,:\;..',~~:,,,,.,,,,,,,,, IWI'I)l'dhlll to rill\', Kill' thllt tho fllutH ,liut _' ",_ _ ., -- .._' t< forth(;I~1 tho IIhevu 1I11(1lhmlh.n III'" ll'II(! (II (Ill! I1I'Ht III' (,~:J.i<hi'\.." 'klloll'llullIlllllld ilollol'. 1I""..~.~r,ik-,~(;',k.\;:~:,~;"""",,,, """"""" nlld 'liuhHC1'tIlUd ] hefMe mo, ......,z!/)~r,~........8:"......"....,:J." A, 1l)0..8('.. "....,..Zl;ltl4f1..."(l,,:,,, <ttrt::,?r~~~",,,,,,,,,,,,,,, , {/ '7" HllgIH(lll' f4~'led I "" II It,' ,~.t,~,~l." ~,~ .,.., .;,~~*, ;,."""."".""."."" .,.""". >fj"" q,: 'J~9 '."".'" :-.,,,. 'i-r~r"""" '/~J;;r"'" ",' :' "," ,,,',, " U\:."),, 1,'ui"(' 1)\ fill /l:hJ~,., ,.,,,,., ,....', """t,//"",,,,,,, ""'~~"'<;<:;i""t. ,;"".,." III., ''''1''01111'' "".,.,,,,,,,.,.,,,,,.....,,,,.,,...,,,,,,,,,"''''''1'....'...,,,, . , , , ~ , , , , , , , , . . . , , , , , , , , ; i . , , " , i , , , . , . , , . . , ; '. , , . , , . , . , ; , . ; ; . . . \ , ; , , " , . , , '" , , A tlOl'lllI.\': ""N ,n,nf1...=,q""'~lh;"".."e!'..""'~~.. ~ ~n (1"1 . r, ;,~; t;'.I ,r~,.J '*- l";~ ':.,_,...1 ~_ _"_~~I j~:f.i; I'll '1~'.-}! f'..) t,_' r:-,.. .c.. ("J , l~' 'ft ~'! ';\li OATH OF PERSONAL REPRESENTATIVE COMMoNwmALTll Ol~ 1'1'1NNSYLV ANIA , ,} HS I ,--} ") " ........ " '. .~ COIJNTrOl~qJMijmHLAND ,,,,,.,,,,,R;~~,.,,,,.~.~,,, ".. ..,,, ....,..,...."..,'''''''''''1:'''''''',..,'''''''''',....,....,....,'''',..,.."",,'. l\otltloller~ being duly",....""",,,,,,,,,,..,,,,......,,,,,,,..,,,,,,,..,,,,, IIccordlllll' to rllw do '!frr'jp' depose lintl sny thllt 118 the .!ldll\lnlstrll .Itr.!."..".. of tho Ulltllto ~lf '..'...):f.kM,..../t~.e.~.."~"'''''''''''''''''"....,,,..,,,,:.,,,,..,,,....,'' ~'~i~~~~~'~;' '::::.' .'~.': :":," .~~ .;;;" ~'~'I';' 'tj;;l'~'" ~.~~; ~;., ':lj;;~; ~~ ~~t'.~~:' ~~~' ~~~.~~~';~ ~~~~. ~~ ~',~'~~'~';~:' jt:~;~ ~'~ "t~'l~'~;' ~~'~~'I'~~' ~~';~~~~i dOQOIl80d, ,nccordltl11' to .iIlW, And IIlao will cllllgentl.v compl~' wlththll provlslollH of tho' IlIw rellltinli' tlJ.TranKfor Inherltnnooll. ill""..;;;...iiq~W.Q~"'.,"''',.......,''''!.... und MUbHcl'lbed beforo me. ".."'..,iT.j.!..J;lIi'....Q~..'''~'''''..~ " A"O,,}lO.~,l.., ... .. ?.:It.t.~,{;,,,,,,,, ,.aar!........,,,..,,,, Roli' 8~r f "..,..~..,..~ , , ' ..;....""."..,'..."",."j..""I,,'...'.IIIII.II........i.,'...,,""'.ji.lillii'iiiil' DECREE Bo .ltl rotnemhored thllt Oll the ";"",~#.kX\,.""";,,,,, day of ."".".i....MMJ.~II'''li''''''''ljj''Ii' A'( tl1t 19j,,6;t,1I Letters oC' Adminlstrntlon In 'tho"oRtnto of ..",,,....M~J:~,.JJ.~;h;J.:.~~It.J;J;Q~'''lHl..It'';'''';''''''''~'';'''''''''''''11I'....~";;.i. 11\i'I".'.i,.j....,.,.....,.,..-,..".."...."...,....,.'....lil.....'....II;'..' ,,' '" luto of ....,.... ,-,'. ,. ,jQ.~mp.,ja~.J"l,..,.... ,......'''11. ,'iilltlll. 'l"i,i""'1I' were gtnnte4. .to ,.;.....i.~.+.~.\l~t.~.i.R,(?,:rIII'J:lIR.~~;...lllt,i,!I";,'11,; Cull\q~rllllld,CoUnly, l'onnHylvl\lIla, dflceaRod, ItllI'''i.i.iill.j'""U;"'....'''i!....,...,....,,,...;j'.I;..,,,,,,...."""..""",,,....,,. ...."..."I"'ii'....i~!........"."i..It,,,;..;.'.'.:.III..jl\...""i..""I1Hlt....'ttj Wltnesll my hand amI officllLl 80al the dlLY ILnd YOllr IIfor~Jl~;- / ,........"..,~4pd/1..a..i. NO, 21 ~81 " IN :I~J~~~~~~ (~I?,~..~~~,~Jj~(~~,~~I~J~~,~~~:~~~~)I), To,::,,~,,:,::r;!,""'"''/...,(1~''''''''''''''''''''''''''''.''''''',,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,, 'Rollllltor of WIIIII 1'01' qUi ('1ll!1'~)' of, (JlII\!.IJl'I'Ir\l\l~ )11 ~I' ('OI1l1ll01l11'Ollllh of 1'01l1l1lyll'unlll, 1'ho I'otition of,,,.,,,,,,,,:,,R+.~,,,,,,t.S,?}f.,,,/~"""""""""""'"''J~X''''''''''' "':',.1" ;,...;.."'HI" ",,',,"""",,",,","'''''''''''''''''''''''''''''''' ,'ollpuclflllly HhO\I'l'lh 111111 "'~.1-''''~r1"U:1"", ""'" :m""""""", W II t I' /l . A/t\~U_d!t 11'II\\'lIl1hlp, (:1111111",1'1111111 (~Ol,111I,", Hl,llte III' Penllllv\. . 118 II rOil (Nl (l """""~"';r.""I..r.(/;;t.""",,,,,,, ""Ilol'olll(h ' ., , I'lInlll, II\W lIylllzon of Onlled AtlltllH, nt~ rlOlllll'torl I hili IIfll IntetUlltu 111 tho COllnty ill' .".."..,:,,,,,,,..,....,,, ,pw.,,~~,.., 111111 Stille of "",..t'.&~1':~~"......"'''U''''..,..'''';'';.''''',,'',',jl''''HI'';;IIIlU'' on ,,'];r.'rl'r, '"'''''''''''' ",," the ",,,,,,..,,'/:,,,,/t.t..,,,,,.,,,, dill' IIf .""J?~1:r.&~..,,,,,,,,,,, A" p" l\l,,$.'~1I lit tho IIKO of "",,,<<,0'8,,, YOIlI'II,. /. L/. uP- J/' , 'I'h"ttho IIl1ld ..""",\~""I.,('~:fr"'Q;'!."",~""" ducclllIOlI. 101'1 1I(II'l'll'lnl( tho followhllC nil mod widow 01' hllllhlllld, 1I01rlilll1(1 nllKI \0 kilt, to wI(: 1.,',1 /.-' . , NlIlliO. ,,,,,,~,vIr,,"'~fl..,,,!.6&, Holllllol1l1hlp 1\01lldonoo "",,,.i...,,,,,'.\,,,,,...,,,,...,/!,,,;;.,,,,,,,.,,,,,,....,,' ',,"H'"'''''''''''''''''''''''''''''''''' .",2,!,.;t"",1.~,tdriI1.,~;"~:~,, ",C1f.i1?"", ,~? ,1.:.-1r.,." , r:'.. ?,~r./ """,;7:.f;,~.(",,,~~,,\,,..2.lt.'1~""~h';'1 '" ,," ",~,,,,,,4t..,',,,,r...r.,f..R.~ .~. '.....,.....,,,,,,,.<1,.,,,,..,,,,,,,,,,,,,, ""'!li"'''ii,;""...,'''';lI''''.:'.''''''''''''''''''''''~Z'' ,,,,,ar~,,,~l"~,,M:,,~,, .."."",;......"",.".."""""""... "".,:.,.,..~~,,,,,,,,,,,,..... !; ,1',.,1, j j., ,,,,;.,! I'" ,.~""".".""""",.".""",.". ....,,,,,..,.,,,,oj.,,,,,.,,,,,,,,,,,,,,"" ,....,...',,,,,,.,,.,.,,,...,,,,,,,,,.,,..,,.'."".1...""11..' '""'''"'''"""",,,,,,,,,,,,,.,,,,,,,,,'.......,,..,,''''',. '"'"'''11';''''''''''''''''''''''.''''''''' , . , ~ ' , , , , , , , , , , ' , , I . , , , , , , . , , , . . I , , I , . . , , , , ;, I . , , , II . , , . , 'I , ; , , , ";111",,,,,"""'"111''''''''''''''''''''''''''''''''''''''' '"''lOll'''''''''';''''''''''''''''''''''''' ",.",.....,'''i,'''II''''''''''',.."",."..'''..'l1''';'"H. 1111'....i"'";''''.'''''".;'....,..".''.''.'''"'I.''''''''' "..,i."",,,,,,.,,,,,,,,,,,,,,,...""IoI,, .",."""",",.."q'''''''''".'"I'..i'''i'''.''"'.II..''....... '...."'I'.....II"..".".,.,,,,,,,,,;...,,,,..,,,,,,,,,,.;,,j'.,, ,,,',,,,,,,,,,,,,1,,,,,,,,,,,,.,,,,,,,,,,..,,,, ""!'''I''I,,,,,,,,,,...I''!l''''iI.;..'''''lillj,,,.,,,,.,,,.. Thnt,lhono'llho\'u llllmod Ill0\Urlo 1111 of tho'lloxt of \(\11, III' fill' as known, Tho IIIi1rl rlooudont WIIS pOIlHossod of pOl'SOlllll PI'OPlll'tl' (0 tho 0ll,lImnto(11'1I1uo of $",;;r,;i?yi...f!..'\~"~I'U IIml of HOIII'I'111\1I\0, 10RH InCllllihl'alwo, (0 tho '.'IIf1mll\o(1 valuo or $"",~'''''''''' 118 nOliI' 118 oiln be a800ttlllnorl, Thllt the IIl1ld HUIII 1':,1111110 In so fill' 011 III knoIVn III 100lltOll III """,.J?,.,,r.:,,,,d,,.,,,.,,(.~),,,,,,:' I .. , . , , , , , , , , . , , . , , ~ ' , . , . , , , , '. ' , , . , , , . ' , , , , . . , , , , , . . , , , . , '. . , , , , , , , , , , '. , ,. ". " , , , , , , , , . , , , .. , , , , , . , " , , , , , . , , , . , . , . i ~ ' , , , , , i , , . ' , . , \ ' , -' . , , , , . , . . i . , , 'I j i ! j . II i . I; , . . III .- , , I , I . I , -' , , , , I , . ThOl'oforo, :-'0\\1' poUUonor l'!l,l IIl1lliod .olltato, Ul\ted ..:""",>>(,/:kf,/"&.,,,,,,,'i,..,,,,,,..,,,, A, lJ" l\l.,!~l Signature lIad Addl'O~R l'oR!ltlotfully IIpp1t (hls) 1'01' 1.0ttlll:1I of Admlnlntr!ltton In t~o above of P"tillllllod'll,\: "~~,,..,&1..~, """"",."",,,,,,, "''''''~'''~''');'H,t1<!"qf~;,r.''':&''''I''~iiii';i1 """"i~"""~"",.t:!.1~,,,,/,.?~;,(,{.,' ;",,,..,,,,...,,,,.,,,,,,,.,.,,-.."I,,,,,,,,,,,...,j,,,,,,,"''''I!ji.;'''i"",-",'j'I,1I ".." ,'" , .~ f RECAPITULATION '^pprAleod VAllloot poreonal ProporlY """,,,.,,,,,,..,".',,,,.,,,,,,,,,,,,,,,,,,,,,,,.,,.,,",,,,.,,... · ~,H,t,,4.4,P,....~.~ , Appraised value or rOIl oatatu IIll1illlt'''IHltllltflHltltl;IIIIlI'lltltlllllUIII''fI''I'ltllI'IIII''U...t,t . Ilftlt:,;.Q,7'1t1f1l1 Total apptalBud value ltllllttllt"HOlllllllltllllllill""'"llllltltllfllllll""l1tflllllltlflfl'tt'ltHItU . ~ft'l"A,419."A,~ AFFIDAVIT OF PERSONAL REPRESENTAflVE COllnl)' of Dallphln '.1 111111111111111 IIII j Iii ,.1 tij~,t,~t'/}~'~Hfii' 111~tl~~~1 ~ II i 1" ~.lll f " t IIIIII I '1"lllIll'lll' tt III .:" H' II fll tilt' 'lflll ,;,-,.. If ,1'11111 ~~~~~J\\< of the Rstatu n"'I'llil.Mlhn~IIIUmMMVJ.\llllU.oJ$.~"I..~ltlllllttilllljltlftllllllll1l111''';'t1i'llllllli , d9CC"80di bclt,R' duIY""llft~Q.hX\II"-,,u.tltllll""""'''H''tll'H'''''''IIi' nccordtmc to IRW, d,"POBO I\nd aaYlhat the 110m a IppoBrlngln Ihe Inventory, Include all 01 tho poraoual aaaotl WhBrovor eltlllto and II of tho .' roaroalBto hI the Commonwealth or Pennaylvanla or aald deeodenll thaI tho valllltlonpllcod opposlt. eRl'h Itom 01 said Inventory represonts III lair value as of tho dalB of th, docodont'l doethland Ihat docedent 'ownod no roal oelato onulde Iho Comll1onlVoallh 01. Ponn'ylvanle c/Cc.pl that which appoara ,I,n.~ mt,~10ral1llnll1 at tho onll 01 tho Invcntory, '-, /f) 'M.If: '1I"II~f7,VI1"t1t1t1ltlllll~1 f\nd 8ubecrlbed1 A.A ~e. (k~ . . ~ II' ,. tll, '1 '2.. ( q... . d' .' : f '''< 'I' .",11 1I'it'(.'il.'(Itfll'"'Itll\ts-.U1Ilt'.I!'.',HII,11II'IIIIIIIIIIIHlltltI U~ ore me. ,,,,,"I,,pn'~'"I1,,,jUlllUIII' ay 0 Ia.eoutar .)fa)IMnWWlWfl( "y I" ,>,,,, 383 North 28th Street '1II1i,.~t~, 'Il"-(\':r~"II.~"",,~,, ''',',''"11 A, D, 19,Y,h'f" "Am" T.l~" nll. t7.n11 .....-::'. ._' l j ..c I.LI.r-v'\t/\ "WM U'II'f'\ mn'1'f.r"..t"i'J:. rllly,It,l'flltIIlHIIUlillllllllllll"1I11'f 1I11~~H~,"rn. I I xYt~rlt"'ttl""ii" ,~r... 5T,,1ii u.vCv,-,n,-i;I\!' i'''- ... .\\ INSTRUOTIONS (vn" ILI;,t',-.. /.ii, :\,-j!,-' 'f 1, An Inventor, mUII,1I1 Blld wtlhln (htla moMb.aftar sppolnllllln( 01 peraonal tlprauot.atln, t, A I"pplomonlal Invontorf must hI Blod ",Ilhlii lhlrt, dJlYI at dlloovory at aadltlonal au.tl" . a. Additional Ihooll I11IY bo atlaohld alIa parlonalt, 'or rOllI" 4, s&e ArllolllV, JI'l411DI.rll. Aot of U", i"" h::~~:; ,"", ' u" ,~ '~ ~ !<v, ((\ t ~ ~I ~, ~ ~ l'~ ,Q l": m r-l I ~ il Ii!l I I J t:l 'a -l .a, ~ i ] I ~ '1 lil 0 j ~ 0 i H r-l i s ~ .a ~~! ' m a .a ' .s i .a !Jh ,l\ '1) ~ ! " ~ 't3 ,1; "0...... . I ' .... "w., , , INVENTORY OF RIAL AND PERSONAL ESTATE . , In t~,- ",U,f JJrl~' 11I11.. dr..",..ffl:\fiX"H1PH.~t~,fil,ng}$'~'littll.....tlttnltH"i'ffl"''''IU! h . Cumberland, ' " latl lit lR.MmlH,t.t.+."~?F.RH:iT"";"",,,,,,,,,,,,,...ln tho CoUnl)' olllll~ Stat. 01 P.nna" dlCoaHd. Jntl'lIfllru of tho r.al and p.r.ona' eatat. which Wet. 01 th.abov..nallled III I;'"~ n'lfiM1H}XIt.J~VJ\~ti~n.,,}J.Q,~~ "',, Ij"'I"ttlltllttll~'f1'HHlflllll 'Uti Hit decuaed, T.ken and '-'ppr.l.ed ~ ' , " the ..HIIIIH.llltll; day of """.ttlllllltltllllll,,..19 (Date of death 1l1~~t:'14't~o.ttll""I) 1t Me,rri11 Lynoh Pieroe ~enner & Smith . _ Ready Assets Fund - Aoott #063-07226295-1 2. 400 Sht\l.'aS -, Philadelphia ,lTIleotrlo comp~~y ': Common stook, 12. ,5 per share 3. 400 Shares - Virginia Eleotrio company - Common Stock, 10.375 per share 21,290. 48 5,000. 00 4,150. 00 ....... TOTAL 30,440. 4,8 RIV, IU7!K (0-83) \ BUREAU OF ACCOUNTS SETT~EMENT :l NOTlCI OP INHIRITANOI TAM PENNSYLVANIA DEPARTMENT OF REVENue ',APPRAIIIMINT A~~OWANOI OR OIIA~L.OWANOI ACN HARR~~U~gXp~OB~7'OB pP OIOUOTIONI, ANO AIIIBIMINT OP TAK I . QAIL 08..29-83 _ UTAT! oP HOKS: MARY II PI~I NO, 21 Bl-0460 WUI' .JlIA.tt:Ll2-04-BQ . .__...._~___-+~_ggIlNTL-c.UHamRJ"f1ltll.__ NOTBI TO IN.URI PROPIR ORIOIT TO yOUR ACOOUNT IUBMIT THI UPPIR PORTION OP THla NOTIOI WlTH' YOUR TAM PAyMINT TO THI RI~I'TIR pP WI~L.I Of THI ABOVI COUNTy, MAKI CHIOKI PAYA'~I TO "RIGIBTIR OP WIL.L.I, AGINT", ' , 101 .. JoamPII 1\ LAYMAN JR mag 216-21B PINm aT flO 1l0X BB6 HIlCl PA 1 nOB PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE Q~1 ~"~9~~.'I::I1.IS .L!t!E.. _.. .-:-. .R~TAI~.~C1V'!II.F!. !"9!'lTI9~.~~R. Y9LJ!'l-'!B.c9.R!?~ .-:-,........ _. _... . __ NOTIOI,Of INHIRITANCI TAX APPRAIIIMINT, AL.LOWANCI OR OrIAL.L.OWANCI OP OIOUCTIONI ANO AISIIIMINT OP TAM RIV, 114TIM (0-10) UTAT! Of HOKm MARY H fIL.l NO,21 Bl-0460 ACN 101 OATI OB-29-B3 --...--------,---_.._._----~---.........-._~.._-_.. " TAX RETURN WAS: (X) ACCEPTED AS FILED . ( I CHANCED ,iiiWYAIlQruo.HQIRNINCl rUTUl!.l.lHIl8m~JtiJ!gyl8.li-'--..-~.....-. APPRAISIO VALUI Of RITURN BAlBO ONI ORIClINAL RIIlTURN 1. Rea' Eliala (Sohedule AI ( 1) ;..____.--!.OO_ 2, Slookl end Bondi (Sohedul& B) ( 21 __._.2.I)~Q.L ~, Clolaly Hald Slock/Plrlnorlhlp Intorell (Schedule C) ( 31, ~.QQ.~ 4, MOrlgag.. and NOI.. (Sohedule D) ( 4) ___ ' .00 6, Cllh & Mllollllneoua Perlonll Properly (Sohodule E) ( 0) ___~_Lg~.Qj~._ 6, , Jolnlly Owl1ild Properly (Schedule F) ( 61 ____ ,00 7, Tranafera (Schedule Q) ( 7) _. 896,26 8, TOIII Anal. ( 8) 31',336,74 I, " APPROVIO.OIPUOTIONI ANO BXIMPTIONSI 9, Funerll hpenlel/Admlnlllrallve COIIIIMI.colllneoul ( 91 4,461.'19 Explnu. (Schedule HI ... 1 0, Dabll/Mortglgol/~Ienl (Sohedule I) 11 0) ~...J.t.?!l.L1L- , 1. TOil' Deducllonl . (11) 12, Nel Vllul ofT.. Return (12) 13, Chl"lablllGovernmental 8equel" (Schadule JI (131 14, Net Velul of E.tate SUbJ,ol to T.. (14)' NOTlI If an ....".ment wa. pr.vlo~aly t..~ad, l1n.. 14, II ancl/o,r 18 .lId IT 11111 I"IfllOt ,ftll~"II. that'inolude the total of:.l:1.L r.turne .......d to d.t., AISI.'MINT OP TAXI 18, Amounl of line 14 IIXlbl, II a% ralo 16, Amounl of line 14 t..ablo II 16% rale 17, PrlnclP.1 T.. Due TAX ORIOITSI PAyMENT DATE 04-H-83 07-25-83 11,745.40 25.690.34 .00 25.890.34 (161 (161 25.690,34 tOO '.x,oa._ ' _KIll. ( 17) 1.535,42 ,00 1,536t42, RECEIPT # DISCOUNT (+) INTHREST H AMOUNT PAID 070727 097177 147.06- 7.45- 1,250.00 296,42 ,---------.... INTIIlREST IS CHAR~Eb'FROM 07-26-S3 '1'0 09-13-B3 AT THE RATES APPLIOABLE AS OUTLINEO.ON THm RIIlVERSm SIOS: OF THIS FORM... . IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST TOT AL TAX CREDIT -BALANCI Of, TAX DUe INTSRUT TOTAL. PUI 11515.79 (If Balence Du, I' la.. then HOO no pivm.nt II t.~ulrad) RIV, 1..7EX (a-8a) SURF,AU OF ACCOUNTS SETT~~MeNT NOTICI or INHeRITANCE TAX cl:'CN' PENNSYLVANIA DePARTMeNT OF ReveNuE APPRAl8,eMENT ,AL L.OWANOE OR 018 ALL. ow ANoe, · P,O, sOX 2066 'U M NT P TAX HARRISBURG, PA '''06 OP oeo onONS, AND A8B188 EO,. ~ t__ p~~2~.a3 IITATe OP !lOKIil MARY Ii PIL.I NO, . 21 81"9460 JM.u....ll~2=.O.1,e6.L --'-'-',_"';;...._.__~,.__.._._.,~.....QQl/Ii'U...-QllJilll1lBLAND NOTE I TO INIURI PRopeR CRIOIT To YOUR,ACOOUNT SU8MIT THe UPPIR PORTION OP THII NoTIOI WITH yOUR TAX PAYMeNT ro THe REClISTBROP WIL.L.8 OP THE ABOVE COUNTy, MAKE CHI oKs PAyAIL.e To,"RI(,l!qTlR OP Wl~L.', ACleNT", ' , 101' 1- JOSEPIi A LAYMAN JR ESQ 2l6~21e PINIl; ST PO sox sse IIBG PA 1 n08 'II'" ,," , ,t, ,:; 11M PL~ASE RETURN THIS' .. PORTION TO'R~GISTEROF WILLS IF PAYMENT DUE 9Y't ,Aj.9~~ _ 'tl1!l! J-!tiJI. , . _ .~. .R~T~It'l.~Q.vtIlR_ P98TI9t'l):Q.R. Y91:l8 "fta99f\~' ::c_ - . - - . , . - - . . . - , NoTIOE,OP INHIRITANoe TAX,APPRAIBeMeNT, AL.~oWANce ,OR DISAL.~OWANOE (lP oeoUOTlONS ANO AlIueaMENT OP TAX Rev, lU71X (a-sa) . . "TATI OF !lOKll MARY!l PIl"I NIl. 21 81~0460 AON 101 DATU OS..:JSl..SS TAX R~'TURN WAS, I X ) ACCEPTeoAS FILEO I ) CHA~ !,e,eRvmQtJ. co~(je~liIml!JJTURE.:iHrg.Bi'ii . jii~Bg'am_ APPRAISeD VAL.Ue op. RBTURN BA8EP oNI ORIGINAL RETURN 1. ROil ellllelSohodljlo AI 2, Slookl ~nd Bondi (Schedule 131 3, Clo..ly Held Slock/Plrlnerlhlp InlerBlI ISehedule Cl 4, MorlglgU and NolM (Sohedulo 01 6, CI.h a. Mlecellaneoul PetlOnal Properly' (Schedule EI 6, Jolnllv Owned PtoperlY (Schedule FI 7, Ttlnllerl(Sohedule Gl , 8, Toial Allell ( ,,____....00 _ ( 21 9,150,00 _ ( 31_._--1-~ ( 41 .00 (11)_ 21,290.M- ( 61 _ ...Q.L ( 71 896.26 ( 81 31,335.74 APPRuveOOEpUOTIONS ANP axe~PTIONSI 9, Funetal nxpenlO~/AdmlnI8\"IIVe C0818/MllcellaneouI E.pen..1 (Schedule Hl ( 9)~4,461.151 10, OablalMotlgegBl/Llena (Schedule I! (, 01 1,284.21 I I, Tplel.Oeduc\lcnl (I'll 12, Net Value ol,Ta. Return ('21 '3. CharlllblelGovetnmentl1 BequOlII (Schedule J) (131' , 4, Nal Value 01 e~l81e SubJecl 10 Tax ' '( 14) '".NOnl ~f.n ......fMInt I%a pravlo\.llly lellu.d,I In.. 14, 18 and/o,r 18 Inli 17wU 1 ra"aot fl11ur.. th,t lnolud. th. total of .lll. raturn' a.....ad tel data, ASlaS8M'NT 'OP TAXI 16; Amount 01 line 14 IIxablea, 6% rale 16, Amourlt. of line 14 laxable tl 16% tile 17, Ptlnolpal Tax, O~e TAX ORIOnS I PAYMENT DAre 04..11-83 07-21H13 ~745.40.. 25,590l34. .00 25, 69ljlo 34 <,,61'--:"25, 6~0. ;!LX,06- (16) .00 X.I6- (17) 1.535.42 .00 1.1\ 3lh4l. ReCEIPT " " ~~, DISCOUNT (+) INTEREST H AMOUNT PAID '070727 097177 147t06~ 7.45" 1,250.00 285.42 IN'l'EREST ISCliARt'lEO F~OK 07"26-1.13'1'0 09~13-S3 ~'l' 'l'!lt RA'l'ES APPLICABLIl;,~S OUTLINEb ON THE REVERSE SlOE OF TillS FORM.- a IP PAID APTeR THIS OATE SBe AeVERSE PaR CALCU~ATION OF ADDITIONAL INTEREST TOTAL TAX CAePIT _0-'--'-'-" BAL.ANDa OF TAX DUB INTERBIIT TOTAL. Due 155.7S (If aalenoe Duelllell Ihan noo no paymanl II t,qulradl