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HomeMy WebLinkAbout81-00493 OATH OF PERSONAL REPRESENTATIVE COMMONWaALTH OF paNNSYLVAN1A 5$1 COUNTY OF CUMIU~RLAND Beforo me, Iho Roalster for Iho Probllto of Wills anll srantlni of Loller,s of Admlnlstratlon In Rnd for tho Counly of Will!."m Mocullooh and Jav Mocullooh I cumberland. persoOlllly Cl\l1\O sworn who, belnalluly , ,. lJ)xeoU\:.ora . ,1I0..,......_doposo IInll say Ihal as ~na 1". MocuUooh 1I00ell$OII of Ihe IIISI W\Ilanll Tostament of , they w\ll,well anll truly IIdmlnlator Iho 800lls anllohatloll. rlshtsllnll orelllts ofslllllllooollsellaollorllln.to IIIW, Anll also wlllllUlaontly QOOlply with Iho provl,lonsof the law retall!)8 to Trlln?' Inheritances, sworn IInll su~'otlboll beforo mo. " 'S:L '" -, - 7 II I <, 0 '19' (.(..(.. c:.. '-. ,t;,A..<"t, o _ ,It . . '.._j, , 2" ),d"j, .' (_ _ - I._.--j Y .' ,,- "), -~-'). ~1( (;~ _t>f2,-,.!~/: 1 \ ~ al \ ~ ~ 0 \ a , 1 -I, I ~ -I ; ~\ -- 0 ~~... @\ ,~ ,5 l C9 . 1 ~\ i r.. ,... ~ eN ! ! ! ~ 1 130 It romomboroll thMOn llie loth ncorll,lIlho IlIsfWlllatlll Testo.motlt of DECREE lIay of' 1\h9\1st Edna F. M~cullooh Newvilla ,A,P..19Al--, thoro \liM probaloll anll late of . Cumberlanll Counly, pennsylvania, Wil1!.,am lo\oCul1ooh anClJ/i.Y lo\PC\ll1ooh , Deco!lsoll, LeI Iou '1'est;/i.ment\\ry woro sranted to Wllness my'hanll and <;offlolo.l $0111 llio III1Y anll yoar aforesaid, 314 ~ ,44,(,. . (j' ~"...J t7.~4 R.."" m.I",," 11,111 O(lMMONWIIAL TH or pllNNaVI.YANIA INHIIRITANOITA)( R&TURN RlllllPIINT DIOIDINT BOHEDUI.IHP" JOINTI. Y OWNED PROPERTY IISTATIOP .' FIl.E NUMB I' Edna 1". McCullD\1h .- or /.... Lf q (Thlllah~ull mUII.I aompll'~ If Ihe d"~lnl, "' Ihlllme 01 hit or hor .lIlh, owned .nv proPlrlY "' loin, 'enln! with Ihe rlvht q, ,urvlvor,l1lp,) Joint tonerit(lll NAME A, Jay Mccullcch B. William McculloClh Q, }olntly ownadproparty: lTIM NUMBIIR T LIITTER POI' JOINT TENANT " A'&13 ~. 1\ 3. 1\&13 4. M13 5. 1\&13 -- ADDRess RELATIONSHIP TO DeOaDENT R. D. 2 !lox 332 , Nawvi11e , VA' lion R. D. 6, ahil~panllbu):<J, 1?/1 lion oeSCRIPTION OPPROPllRTY TOTAL VAl.UE OF Asse't QI!Oa,l>IINT, 's DOLLAllVALue OP % IN'tERllS't oeoeDSNT'SINTl!REST Agway !nc.~ 20 yr. 6\ Debantures 3200.00 Agway !nc.~ 1 ahare corom 25.00 cumberland Valley Cc~Op 1\Seoo. 1 Share ciommon 10.00 cumbarland Valley cO~Op AeBOO. 46 shares prafarre 460.00 Sayings /\Clot. #2503, Fire Natl. aank,NlIwvilla, VA 69.49 33.33 50 1066.67 12.50 33.33 3,.33 33.33 153.34 33.33 23.16 "QTA~ (Allo '~tot'l:m 11~8 8 Rille It~I.\Il)n) · (II ",aflllllOl'" h....td In"rllddlll0nlllh~1 of,ol","II..1 .',qIlO.Xi.IHlI OOMMONWlIALTH OP PENNSYLVANIA INHBRITANOE TAX RI!TURN RlIelDeNT DECBDBNT ll8TATE OP SCHEDUL.E "Q" TRANSFERS Eona f. MQc~~~ooh FII-& NUMBER .:91 '" or ('"": II 'J-3. - 1, Did deoedent meka enV,lIlollmetranllor of property Without rooolylng 0 VolualJlo nnd edequnlo oonlldoretlon whloh wnl tQ teke elleot In pOllOlllon nnd onlovment nt or nlW donlh, ,or In whloh tha dooedent .relalned althor,l ,e. tho po,Ie..lon or enloymenfol or therlghl to Inoome from thoproparW trOnlferred? or, b, the right to del1unota Iho pOtlonl who,Ihell pOllellor onloy tho properwtronllerred or Illoomo; or o. 0 reYatllonerv Into reIn ......--_......._-_.~-- - _.-.-........~.~--- -- - -----_._- ~ 3, Old deoedeOt, etellVtlme, trenlfer propertv, theboneflolol enloymat1tol Whlo,h wn,Iubleot to ohenue beo,ule ofe relarved powor to eller. emend"or r.yoke,or whloh oould revort todlM1edont under terml 01 trenll" or' bV oper,tlon of lew? VE8 NO )( )( )( - )( - )( ,-. . ----------~....--..;- -~,.- _.- - - ---~- -----'""- ~. ,Old deoed.nt In hi, Ilfetlmo meke e tren,lor, Ihe oon,ldorntlon lor whloh wel trenlloreo'I proml" to peV Inoome to, or for the benefit or oore of,deoedent? . " -- -_.-- --- ~ -.-... --- -,-- ~-- -- ~ - ..-..~ - - ~ ..--- - 4. Dlddeoedentwlthln'two.yael1 of dealhtronlfor e moterlel port 01 hll or hor elta,to without reoelvlng 8 valuable end )( edequeto oonlldoretlon 1 ' ' ~ -........--"' -,..,.;- - -.~ -- ..........,..-._---- - -~_.-.--~....... --- ,- IF THllANSWBA TO ANV OP THll AllOVB QUBSTIONS IS VI8, 018C"1811 THlIPROPlIRTV81I.,OW. . . DECEDENT'8 DOI.I.AR VAl.UE ASSESSED TOTAl. VAl.Ull % OF DEoaOENT'S OIlSORIPTION OF, PROPIl\,\TY VAI-UE OF ASSET INTllRE8T INTEREST R..lllltat81 iTEM NUM13ER A, 1, 8. ,PerloOe' ProimWI 1. . III mo.. op...lo nHdtd Inlltl additional oh..1t Of elma 01.., I'tliGOH[If'i ," RITnI '8? ,IIIN 17 PI:' '" ~l~_i:q CUlil/o I'I,IIW'I;,/ I' INPORMATION Thll dOoijment 18 Ihe Nolloe reqUired to bo glvon ijndor 600110n109 of Ihe Inherlllnoe Ind emto Tax AQI of 196 I (72 P.6, 88,9110n 24eS), " If Ih' ta~ II p,~ld wl\hln thr,e (31 monthl afW tho deoedoht'~ 'dulh,adlloOijnt of 6% of the tlX paid II III owed, IMherUlnoe TOX I>ooomn delinquent n,lnl,(91 monlhl after the deoodlnt'l dooth, InW'It II oharged allhe "role of Ilx (Sl peroenl per 'Mum ,on Ihe Imount of unpold tlX, (See eXAMPLe eel.owl e)\AMP~e: If I bllanoe of Il~ due of '2,000,00 II In a'dlllnqij'nl '"tuI from 3-3MeO, and ,paymenl II mad. on' S-23-60, Iho Inlernt I' OllOijlaloU .. Indlolled boloWI In\,rnl Irom3~03~eO 10 SM23Meo R'I~I" In: 2 Monlh'. , ,010, 20 PaVe . +' ,OR\311 ~.\I of IM\8t8a\ ., ,Q 36 e.l.noo of \IX dij' BitA of IntQ,r.at INTEREST 82,000,00 . .01338 . 26.70 STlP II Add the In\8rnl to Ihe 1>.I.not of \8~ dut. Ih\anoe of \IX duo PIU~ In"ro,t, 10 ' ~t ~f p'Y:re~t (+1 , eX ,tn ' , Inl"881 10 p.le of P.ym,nl 82,000,00 . 26;70 Si'lP 1 peWrnlnl Ihe ,rile of In,*r881 fromlh. I8ble below. STIP II Mijlllply Ihe b.lll,oe of 18. due by the rete of ,1nlern\. 82,02e,70 , - . . . -~~--~-~~-~-~----------~-~~-------~-~-~------~--~~~-~----~-------~--- \ monlh ' ,006 4 ",Olilhl ,020 7 monthl .03S \0 mohlhl ,ORa a monlh. .010 It monlh. .02B e month I ' .040 1\ ",onlhl .0, II 3 monlhl .01S 6 mon\hl .030 9 monlha ,04S I 2, monlhl .080 Id'Y ,00017 " dlYI ,00186 ~ 1 dlYI ',08362 2 dIYI" ,00034 \ 2 dlYI .00203 2, dlvl .0,389 3 dtVI ,0008\ I 3 dlVl ,oouo 23 dtYI ,003$$ 4 dlYI ,000Ge I 4 daYI ,00237 24 dlVI .00403 II dIYI, .000eS 16dlVI .002S0' 2 e dlYI ,0042g 6 CI,YI ,00101 I 6 dlV' ,00267 aGdaYI ,0843 7/jaYI ,00" e I 7 dlYI ,002$4 2 ?dIYI ,0 484 e dlYI ,00136 Ie dlVl ,(;10301 2e dlYI ,00471 \1 daYI .00162 \ 9 daYI ,003 HI 29 dlVI ,oo~ae .' 0 dlya .0016,9 20 daYI ,00338 30 daye ,001l00 -------~--,---------~-~--~--~---~---------~---~------.-----~-~-~-~--~~-- AnVPlrly In Int~tea\ilhqludi"g Ihe .CdmmonwUl\h .nd Ihl perlo~11 teptl..nlltlve, nol 88,.llfled With Ihl Ipptallem,nl and ..."Imenl mlV ol>jeol wilhln Ilxly (80) 11m Ifter r,ellprof 'hi I NOlloe a~ prOYlded ~Y 8eOllon"IOOl of Ihl'Inhtrlllnco and hl.1e TI~ Ar,1 of 1981 (72 P,6, lie, 24eS M 1001), MAltl CH~CKM to\llNIV Oftlllll PAVAI~I ,.01 "111011'1'111 0' Wl~~I, AQIN'r" I).,.AOH 'tHP()P POIiTION C'~ THIS FORM ANa suaMIT WITH YOUR PAVMINT TO THI RIH!ISi'UIi OF WI~~8 FOR 'tHe COUNTY SHOWN ON ,.H. lieVel1Se, seeTHe INHeRIT ANoe TAX INSTAUCtlONeOOK 1'011 ADDRess, ' ~ t",~ -:\lm 1:'(., . '} ;'1'),'; .. litJ ;.1 td I " I:J , ~i ~ mle li1 \!l " ~ I ~ , f>< i~,~~ ~ eml! "" u~ ~ ... ~ ~ ~ rid ~ I!l ,:, llel ~u~ u~~ ~A ~ ,~ ~ ~ffil ~ 15 ~. ~ H ~ . ~~. i f:1 ~ ~ ;i ., " .. ' . , '.". \ ',' , , , , . IN .l\lll"I1lS'l'I\'1'1l 01" mPN/\ 1", MPCULLOCII, "Oepa/lSSg IN TllmCOURT 01' COMMON PLm/\S OF CUMSmRLANO COUNTY, PENNSYLV/\NI/\ OI\PlIlINa' CooR'1' lnVISION NO. ,?I ~ 'l1-<l'1~ ~982 O\i:CRmll 01" OIa'l'RISU'1'ION M~D NDW/ to wit. This ).~f;~~y of:5~rJ:::.!::,. ~982, upon pres8ntation of th8 Elstition of William M. MoCUnooh ang :fay W.MoCUllooh, by their l\ttotl1ay, Robart t.. o'sdsn/ fp!:'ths distribution ofas8~t8 ill the IlStata of Edna F. MoCullooh, IIndsr and pur~ul\nt to, 8eoti0l1 3102 of tha probata, Estl\ta anq Fiduoiaries code, IIpt ofl.972, it 1.s h8reby otdeted and dsot8ed that \:h8 followinll assats. be distribut8d put.uant to the !AatWill and 'l'est,l\ment of Edna F. Moqulloph,dUlY ptobated on IIUgUllt lO, }\lBl, in the Offio8 of the c\lmb8rlanclCoUnty Registar of Wills, as folloWSl 1, Nanoy E. MQSl,ll:n~Y', the sum of $500.00' 2. Riohard MoRea, th8 ,sum of $500.001 3. William Lee McC\llloch; the sum of $500,00, 4. qwen H. MCC\llloch, the sum of $500,001 5" 'Neal 11. MocuHoch, tha sum of $500,00, 6. Ruth linn Moculloohi tM:sum of $!lOO,OO, 7, Hale 1\. Mc~ulloch, the ~\lm of $500,00, s. Women' s Or\H~nbatiort of thtil Firat United pre~bYtarilln Ii C\}ut'oh Ill! .1olewvill.e, th8 sum of $;!~O.()QI 9. alan.ohIlE. Mcculloch, the sum of'$250.00, lOt Residuary, to wi~liam M. and JayW. MoC~ll.ooh. \: is f411ther ordi.lt'ed tl\/\\: william M. Maculloohartd/or,j ay W. Mocul1OQh be, llQr!K iO() P/,oc '7';:4 II. Evenil)\! al1nl:inal ,advart!ainll, 10/8/01 $ .n.n P., cumharland ,LaW Jourl1al, advert:iaing o. Register of W!l).a;oertifioataa And UHng fEH1S d. m9llar FUl1ara! Iloma, fUllarA1 oXPElllsa, 9/23/81' e. W~Yl1G Noss Flowers, fuheral oxpen,ser 9/23/81 f. MQM Pharmaoy, me,Uod expanaes, 9/23/01 g. GrahAm Medical C).inio, madiQa1 expenaes, 9/23/81 h. RCL Laps, medic/l1 expenaee, 9/23/81 1A.OO 30,00 1,930.00 48.76 41.89 120.00 36.25 i. 1'/1. Dept. Clf Revenue, inoome tllX 1981, 4/14/82 j. Buokley & Clever, prep. of tax raturns, 4/14/82 67,00 30.00 10. 'ren dllYs written notioe,'of the l'etitioners' .tntention to preaent this Petition ha,s hean givan ,to evary ",npll1d beneficiary, hair, orplllii1lant who has Mt, jOin.ed'ih'this'retition. W~RlIll"ORIiJ, YO\lr, petillionera reapectfu).ly request your Honorable court to entRr a dllorea of, dietr1bution under and pursuant tOI3,ection 3102 of the probata, lllstiat~ and Fid\loiariell l;'ode'i Aot of19?;! th/ltthe, foll\lwing assets be distrib~\ted pursu/lnt to " "; '.' " , L the LllS.t Wi).l and TestlU1ll!nt bf ,l!.dl)/I F . MoCl,Il!ocn, duly pl;'<:jpated on August 10, 1981, in the offiol! of the, cumberland county Ragister \If Wills, as folloWSl a. NancY~; MoBurneY, the Bum 'of $500.00 Riohai:d MO!(REl, ,the S\lm bf $500.00 b. o. William r;lIe Mocullooh, thl! aum of $500.00 Qwl!n H. MqCullooh, the sum of $500.00 Naill A. Mccu l10Qh , thl! sum of $500.00 { d. e. f, Ruth linn MoOullo<;lh, the sum of $500. 00 g, Hale 1\. MbCl,lliooh,thl! SU,m of $500.00 ~OQK :l(,l() PAC' ',iJ';,'l. ,.~ , . .:,J :ct~.... \' t." .... ~. J, '1'0 NlII10Y I~, MclllurllllY, tho HtUn elf; $lilJlh nlJ. 4, To IHohar\! MO,KElU , ehfl llUII\ of $5OO,PO, 1'0 William r,eu Moeu Hoeh, tho sum of $500,00. To ow(;n II. MO<:\lllooh, t.he Ilum of $500, (10, 5, f, , II 7, 'rO'\illal 1\. Mocu11ooh. t.he Bum of $500,00, 0, '1'0 1<\lI'h /\nil MoCul1Odh, thu 11,\111\ of: ~!lOlJ,l1l1, I). '1'0 1Il1l'u 1\, MC1~ulll1t1h, the' num \If; $!1\lO.I)I), HI.. '1'0 the Womlln' If organhati,911 of thu ht Unit uct I'rollbyl.uHan churoh of No\o!villu, tho flllm of $~\Hl.OO, ll. '\''' nlnncihe m. ,MoC\l11ooI1 for lier \lnnorO\lll C\l1d kind sorviooll, the sum (if; $~5lJ.d(1, 1"00)l'l'H, 1 cliruQt my OIlElo\ltor to sell all othor property of whlltDVer natur'g anlS whurGvor tJHUlIte and to add thlil pr9Qoedll thorllfi'anto my,rlilsiduary estate. 1'11"'I'H I, J, \lIV\l, doVialllmd blil<tUllllthllU thel'osidullry of my eatllte to lilY sO,ns, { ,lilY W.~\I'('1l11ool1 nl\ll ,WIUJllm MOClllllll'lll, In uqUA\. 11l1,\t." II , III thp evont either or 'both uf ,my nOflllPr;udElClqllaD ml!j lllwl1 ufthvlr. inc.l\vld\1111 ",h~ro I1hoH be .' . , I o,\velI1CI; rhult' rallflOClt:~\lb wiv(l":~ ,'11(1 ill tho Abllolloo of 1111.9" llurv'ivlM SpclUIlO, "uoil !l11"r\! ',hall bo dlvidoel etjually hy their rElllpeClt.JVtl children. 1l1X'I'1I T tl\,rll,ot that, any and all J.nhurJ.tllnoD, olltatu lIlId t',l'l1tll\fllr UIlOll!l1'P!;>Slld upon my liutat:o itnlll;ln\! under my wi.ll or othQt'Wi.BO, IIhall ho tIll tc.l out of, t.hO Prinoil1111 ,of my l:oulduary DJI t:JI to , '. ' , " " cdMMnN~II'lIll..'t'11 qll l'I'oNNRVlNflNYII, 'I FIn, '("QlIN't'V 0\" ,dIIMI"nfll,lIIlp I I. ' , " w'" 1,:;11101 t", MtlC'ullntlll, 't'~',~~:_~'-' /1;'(11/1:.""1, Ilnd',c"II,,,II//)l,/,:,,;r:..Iljs{':',\ Ith\'l tll~I~ll\:r III 1111,1 thn wil;l\onnof:'" l'l1Apoot.ivoly, WhORe nam\'lR at''' lli\lllOd\'othe, l'fttl:tlOllbrl' fir rnrt'l1nln'l II111trllml'nt. hntM first, dulY llworn, 110 lI~rnbv dllOll1tCl 'to ' \tho unclr.or",trrl,ml /lIlI:liorltv thnl:, tit" tOAtlltrt.1I Ri,qnod I\ndeKO<1\\tlltl thll't.net.tllllll'nt,1 ',All hl'lr In'''' wIll, nn" t:hnt: Rhn 1I,I'lllt'tl ,wil1intt),V,nnd thAt, nil" olll1lo\ltlld tlB hllr, ' f,rOll nntl Vdlt1,nt/lrv OIl I' fflr till' purpOu"Rt',Il!r.ll~n oKproellod, lind" l:,hlltOI\9" tlf the \ ,witnnll/.lOII, III l:ho,prnl1c'1\{,n nll<l Itnllrln<1 (if tho tClntlltr~II',RtttlltK1 tho, wllLall witnMnon, IIlItl th,"; \;u 111" "PilI. c,f 11I1'lr knoWl"d,,", t,ho l:nfIt.l\t:dK WaB At the I timool\lIlIPron (11ll Vt>llt'Il,nf 111]0 (if nlclor, 'of Round mint'l, I\lId undtlt' ,no i:lontltrllintl or. utlllll'" inrllltinOn,' " ' I I I ! i \ \ \ \ \ . , to : <\<Ii 11 ." ."",,, ."""" , h... """'... ... ., ..... .... ..., to '~1', 0' "..1\ .... .....,,,., ",,'''''' ., '.... '" .,.,...",oo ......th. ,;..,th... ,,' the, putp~"e of. identifioation <of wllioh boor mv flillnature ~n the margin ~ot , :" II d day ~f 4'M:1~<Jj tlliA il , ,1977, '~ l ~~Td. ..I I II Al'1l1rtl, BOllllld, Pllbliahedand doolared by the abovonamod '1'O/lt;atdK, Mnn Po Mt:tllllltloh, 119 ant'l for har laat: wi1l11nd t:eetament, in theprU8nC!o'~e 'UB, wll,?, lit. hm' fl'qdnnt, I.n hor. lIi"lht: and praoonoe.. and in thl'.! lIillllt ,and prllBanoa ofl NlrJ,h ot:,llnr, h,wO hnr.l'tunl:o IIUbROfl bnd our oamna /III witnoFiRli/l,' t. '. / ,. ':~~ , ) ,) , "f' -~I- I . ~..__._------ -...;.;......--.~~_.~ ....~ , . -......-.-...-.....--. :/ " ' ._~""""""",_l I i - - " "SW/'Irll ,11111 Hur;ner Ihllll i'tI b~rnro m" t;l\l'Jj i:i',.' rIllY of , (., " " ',I I ').1.177 ':-., -- - ,,!, , - ". ,,:-.,-,.-- - ,.-- ,. ,~: o,(~"(~I! {.;"I\.~:,1 1/.. j(ll\ ; . "'--, __.......... 'Jo-- ~ _ .. ~ ,+__t..,.~-___''''' ,~ Rnn/Ill'\ t', 1 "la:1I, Ilnl~"Y I'lIhlIO " UAft',1 'I' "", I I 1\ " 11'1 ~,llIIt:n\lIHY l,Iy cIIlMMI~,,,C" ,'"U,,'lllt: JI.:IIIIU , MOntbu"I, "" ,1,'"" "":rI.ol>;,llo'INotnfl" RIV, 1B47EX (1-82 BUREAU or E>.J\MINAIIUN NOTICE OP INHIRITANCE TAX ~..'..Io\'''1 peN!'ISY\.VANIA DePARTMENT OF REVENU. APPRAlSEMINT, . ALLOWANCE OR OlSALLOWANCE CONTROL NO" ),0)" P,O. llOX S32? OP llIDUCTIONS, AND AS&USMENT IIf TAX ' HARRISllURG, PA f 71 06 _.' _ OAT.L. QQ~lJfiMa2 ESTATE IIf MCCULLOOH liJDNII F fILE Nil, 2), Bl~0493 ~6r.L..Qfn.QIA!I:L..Qj ~l. e:-.aL--~,,,~~,--..--._..- ,,,'_"___' ~n'n. --- "".".QOUt'!.tY.. ...- C.UlllllilR\..ANIL--------- NCTEI TO INSURI PROPIR CRIOIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION Of THIS NOTICI WI1H YOUR TAX ' PAVMENT TO THE RllIUTER Of WILLS OP THE AIIIVECOUNTV, MAKE CHIOKS PAVAIILI TO "Rill 'TER OP WILLI. Alii NT ," IP TAX PAVMINTI ARI MAllE W1THIN a MONTHS OP THI OICIOENT'S DATI Of IIIATH. A 1I111;0UNT OP a% Of THI TAX PAIO.MAV II IIII1UCTIO, ROllliJRT t.. OBRIEN ESg l2BS HIINOV!>1R ST 01lRLISLlil 1'11110),3 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE CUT AI.ONG THIS LINE ~_______".~__~_________~_~_._~__u,~_____.~__~__~___.~_._,~~.....---------~--------' NOTSCI IIf INHIIUTANCI TAX APPRAUIMENT , AI,LOWANQI OR IIUALLCWANCI liP IIll1UOTloNI ANII' AIIIIIMINT Of TAX UTATE Of MCCULLOCH f1DNII F PILI NO,2), Sl~04g3 ACN 101 DATI 06~OB~B~ -_..__.__..-._~------++-'-~..'-~~_'.-""~'" __c-c._----!AX ~!l.TURN W.ASt~.L.L.6CC~!'l!E_~JJbED. .. J.lUc:tl!,NQ~P-...::J'I1\'ttl."J!!m~QIL-...~.~ APPRAIS.D VALUI Of .'TATII 1. Rut B8III.(l!Qh,d~le /II a, Slooke Ind 1l0ndl(Soh.d~l. Bl 3: CIQ.,ly H,ld &IQOkIP,t\n.rehlp I~"t..t (Sch.dyll CI 4. Morlgloh ~nd NQ". (Soh.dul. 01 II, C..h" MIIO.llln'Q~1 Pel80n.1 PrQP~rtV (SOhldUII el S, ~Qln\lY Own.d PrQ~Irty (SOM.dul. FI 7, Ttln,fe', (Soh'dul8 GI S, TQIII A' 0.. AI"" I \I "'.._...._.._.._.t..2Q._-, I 21 ,_~_...__...,_.I.PJL- ( 3) ______......19.9-__ ( 41 _.n' __"._ -_..;,QQ... ( 61 ...__.!.t!l.~.9.&tL ' leI ..:......_JL~~!!.!.QP. . ' I 71 ~ ____..._ ......tQQ..... ( 81 .n__'.1J.1~- APPROveD DIPUOTJDNS AND IX,~PTION'I ,9, Fun,ral exp.n.,IIAdmlnl-,rl\lV. CQ81"MI8Q.llln.QUI bp.n"l (Soh.dul8 I~I f O. P,lllIIMbrlgIO'IILI,nl (SohedulI II 1 \. rQIIIO.d~o\lQnl , f 2, Nfl Val~, 01 alttle 13, Chlrlllbl, ll.q~'I\8 (Sohld~l. JI 14; Nfl v~t~e SUIII.ol 10 no ( 91 _...nul".?? &.1 21! .. " (101 12, nh63"... . (, 1) (f 21 1I31 ( 141 -;-_"J'hBi~: ~~: "..__.....1.1...Q . H"__oH_ .91L _..____:'--L9.Q... Alln'M'~TO" TAXI , s, AtnQu'1i1' Of \in. 14 \lxllIll II erdlt, \ e, Amount Of IIn. f 4 II'abl.8l 1 S% illt \7, ptlnolPal TI' Due TAX CIt'DnSI Ifbl_.__.__... . Ob_..x.Oe...._--'--- ,00_ I' 61 ~........_....:..........ulQ.._.)\, I e.._ .00 (171 ."______..Jl0. 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