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I. HBLI~NG. WH1TAK.I!R, of Warw1.ck Township, Cheuter county,
~~nn!lylvun~ll, declare the fonow1.ng to be my .1.aBt Will and
TEletllment,ano .l:IlVOk,Il'llnY Willa previouaJy made pyme.
FlI1STI A).l of my aBtate, 1'0111 and perBonal, whllresoeva:J;'
situate, I give, davJliB and beq\,leuth to my beloved husband, JoM .
R. Whitaker, provided he shall survive me by sixty (60) days.
SECONDI Should my husband. John R. Whi taker, predecease
me, orc;lie on ol'before th~ sixUeth (60th) day following my
,
death, I give, ,devilie and bequeath my Baid eS,tate as followBI
"
(a) I. give to Dily.ton r. ::1totJt ilnd Marya. Stout, hiB
wila, or thoSu~vivor of, them, or in the event that neither .1,11'-
vive me, then to af)Y of their children. the Bum of five thousand
($!;,OOO.oo) dllllars, and, in addition, the following Barrett and
Granlund Hema to wih needlapoint rocker, red uphOlstered plat-
form rocker, atamp collection formerly of J. Eo. Barrett, antique
Bilv~r service and t~ay, bedspread with ~skad l844~ woven therain,
and .al! flat eilver marked with tile monogram ~BII,
(b) All the rf;lst, :r;esid\,le and reniaindGr, I glvf'J,
dGvLae a~d beqUeath to my Gon, John R. Whitaker, Jr., ~nd nuth
,
L. Whitaker) his wife",ot t~a su~vivQr of them, and in the eVent
that heither ~urviv.~,~hen to their'children equallY.
THIRDI I name and appoint my huspand, John R. Whitaker,
Executor of this lilY W.iU. If he f~i1B to qualify or cea.se6 to
act, r.nama atld appoint Dayton F., Stout, or in the event that,'
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tp act, his wife, Maty p. stout,
in the event that he fuils to
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he fails to qualifY or ceases
and Jo.hn R. Whitakero"J:t: .;01'
qualify or ceases to Bct, his wife, Ruth L. Wh.itaker, in hie etaad,
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axacutors of th+& my Will. 1. direct that my personal :repree'EIl,'ltl\.tivflll
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OATH ot' Pt:RSOf\lAI, REPRESt:NTATIVE
COMMONWaALTH OF PENNSYLVANIA 881
COUNTY OF CUMBERLAND
Before me, Ihe Ro~iRler for Ihc probdlo of Wlllaand IIrantlng of LOl!ersofAdmlnl8lrallon In and for Ihe CounlY pf
~umberland, por~onally came John R,WlliCllker
who, being duly sworn'
,do ell'
deposc and Ray thaI as
Helen,G. Whicnket
Ilxeoucor
of the lasl Will and Testament of
decea.cd
ho will weiland truly administer the goods and chal!el~, rlghls and credits ofsald deceased according 10 law, ,And
also will dlllgenlly comply wllh the provisions of the lawrelallng't\l'rransfor Inherltances.sworn cOand,ubscrlbod befor,o mo.
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DECREE
,Bo It romomborodlhat on Ihe l~th day of octob~r ,1\.0.,19 81 ,Ihere WM prob~led and
rec\lrdodlho'IMtWIII'andTeslamet\lof Helen G. Whitaker late of
, Wee t Ptmnaboro Townnhi,p _, Cumborh\nd COunty, Pennsylvania,
Deceased. Leltot~ Testamenta.ry wero granted to John H. Whl taker
Wltne88..my qaod and offlcla,l seal the day and year aforesaid,
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IIEV.lDOO EX' 10,011
'OUIIEAU OP fileAMINATloN
PpNN8YLVANIA OfiPAIITMENT DP REVPNUE
P,O, BOle 8321
HAAlllp"URO, PA 17100
Ololdlnl'l Nemo (Lell, Flrsl, elld M'hhllo 1IIIIIell
DECEAseD -WllllllIWJ:....Jlu lUll ll.
Soel.1 QIOU rllY Number ~' Uttluf OI.lh
ltl6~32~1.5\13 ' ,OU~ObUI' 7, l\llll
, '. ... .' .--.----- <
CHECK 1, Orl~1I11 Relurn c:J ' 2, 6ullpl0111011181 Rolum 0
INHERITANOE TAX RETURN
RESIDENT DECEDENT
Fllo Numbnr
2lwBI~626
-
0000110111" Mdroll
11.2 tlrlloll 1l1dUll 1,1I1l1l(Houl; l'ol\nnbol'lI 'l'wl")
NlIWV 1/.\.0, \'/\ 17241
3, Romllndur R,lUrn 0
APPRO,
PRIA re
6, Podorel EllltoTI~ G) oopy nt~nohod
ROlurn Rlqullld,
BLDOK' 8, OUO,Udlnl dl.d IUII.II' , X 7, Oooodunl molnto,109d .lIvlllg 0 'B, Nllmbur oll.ft dePOII( nn
(Allloh 00 V of WillI ' trulI (AII.oh ooPY of Irultl ,bo~lllnvunlorlBd L.:..J
All oorrl,pondBnoo end oOllflllolltl.1 I.~ Inform.tioll Ihoulll bB IIlroololl 10:
CORRE. _. -
'PDNDENT N.ml I 'j 1 ()' 0 i' ._Addrolll'. O_L 1I0x 6
. Inm, tOil , nv n, l~nql1iro
Tellphono No,
4, L1fIEllftlo 0
Olt
Ncwvi 110
at.tl l'A
RtOlpllul.llon
1. Rell EllolO (Schldule Al (1) 0
2. StoOkl.lld, Pondl (Sohldulu 01 ( 21 0
3, Ololuly Hlld Blook/Portnlrlhlp Inloroll (6chldulo 01 ( 3) 0
4, Murlglgll Ind Nolol (Sehldulo 0) ( 41 0
6, Cllh & Mllcollelloolll Perlonll ProPQrty(8ehodulo HI ( 6) 17,60\1.76
REMPIT. O. Jointly Owned Proportv (SchoduleP) (01 0
ULATIDN 7, Trelllforl (scllodulo 01 ( 71~, 0
8. Totll Groll Allullltotal IInol '.7)
AND 8. FUllorel H~ponlll Admlnlllrltlve ,Ooltl/Mllcnllanloul
E~plnl8l (Schodull HI ( 91 3.323.00
TAX 10. Duhu/MortgOgll/Llonl (Schudulo II (10) ()
11. TOlelOaduollonl (lolelllnPl9 & 101
12, Not Volul of BlllIa Ulna 8 mlnulllno 111
CALCU. 13, Ohorlta~lolllquolIl (Schedulo,JI "
LATIDN 14. NOI Velua lubleot to II~ Wno 12 mlnlllllno 131
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( Bl 17,609;76
(1l) 3.323.00
1121 l4.286.76
(131 0
(141 14,286,76
Computltlon of T.x
15,' Amount of IIno14 tmblo at B% rate (16) 14 ,266.76
(lneludu valuel from SOhadulo KI
18, A'mount ofllnu 14 le~abloe\ 16% rata (191 ~-,
,(Include vIlllII from Schodulo KI
17. ,Prlnclpel ta~ duo(a~d la~ from IInl 16 pllll lex from Iillu 16)
18, Total Prior paymantll
"I Amount Peld
(bl Plul Ollooun\
(01 Mlnullntor&ll (19) ,
19. salenca Due U1nu 17mlnulllnu 'Bl
Mek,e Chaok PeVlblo 101 Roglllar of Willi, Agent
· · · PLEASE RECHECK MATH .. ·
. Undor ptnaltlol of porjury, I dacllll that,l hm o~amlnod ,thll roturll, Including BOOompenvlng lohadulol and lIatomanll, and to tha bell of my knoWljdge
and balla', It II truo, cotl'llct, and completu, Ouol.,atlcn of praparar otller than Ihe pmonal roprollnteUvo II bl"d on all Information of whleh pl'llp.ror 1111
enV'knowladOt,' ',' '
~,05~
B5 7.20
~,16'
('7)
857..20
(191
857,20
AiioREBB '." pATB
11-...., ~... H:le..~.. ~Utlo'.flli'(rv~,{"~1 Ijr'ft>-
?O' lVI {j tV (tW,' I (~;b (Jill( 1/ /p/tL
oTHEII THAN REPREBENTATIVE ' ADOREBB OATE
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I, HULl.jNG, WH!TAKllH, vf ,\Vilr.wlck Township, Cheater COUflty,
Pllnli(.ylvdlliiJ, dacl,no'tlHI follm"inlJ tu bl) my LIlBt Wql ilnd
Tdutdnwnt, ,mrJ 1'(lVO,.o <lny Willr, Pl'OVi(Jllf,]y made by mIl.
1'1 WiT I Idlu r lilY or, lill:!.', 1'(>,d ,HId pOl'f,ullid, whorou'oaver
bitUilto, 1 givn, c.Jevilio und uaque<lth to lilY beloved husband, John
I',. WId t'.i1},ul' , l'l'i.JvidlllJ III.' :.lldlJ (,lIl'vlvo IIIU by ~l.xt;y (6ll) ddYG,
:;hCUI~[); Shuuld lilY ilu!JbiJnd. Joiln H. Whit<Jkol', pr,edeceaae
lIifJ, ",1' dill un or !Jo(oro tho e.ixt.iAth (6(jth)'diJY fol'lowing my
death, J givo, doviRo iJnd boquoilth my Gaid eBlate IlR folloW81
(,I) 1 (Jivo to ()dyt.on F. Stollt. <lnd Mllry U, Stout, hiB
wHo, or thcl {;urvlVQT' QC thol1l, 1.11.' in thu avont that'neither Bur"
viv(, me', l.h(Jn to "ny ur thoil' childron, the Bum of five thousand
('b,UlJO.uu) dullars, <lnd, in additiuh, the fullowing Barrett and
Granlund iteml; tQ witl lIoedlepointrockor, red uphulstered plat..
fOl.'1O J'ocJ.;('r, lltiJlTlp cu11.0ctl.un furrnflrly uf J. E. Bilrratt., antique
dlvl1f.!;(,ll'vico iJnd tr"y, bout\pro/td wiLh "c,k~d lb44" wuven thurein,
iJnd uU [lilt r.I,lvor rn,Jrl<ad with the murwgram "ll",
(lJ) All tl1u I'05t" r06idue .11'10 l'(Jmaindol', I givo.
(jovi 110 .Hld boqueath tl)lny (,un, Juhn n. Whlt'lker, Jr., clnt:lRut'h
I.. WI1 iL.l!"vr', hi!.. w!.l'u, ur t.l1O &ul'vivOl: (,( tholn, Mid in tllu aVent
tho.lt nollhaI' r>lll'vlvu&,then to thoil' children oquallY.
THIRD I I n<ll11G ,Hid <lppuint my hll&udnd, John H. Whitaker,
L:xo<..lll:ur uf thil:. IiiI' Will. 1 f lw r"uG tu qlldlify.ur ceaSe6 to
it(,t,l 1\<11110 .HIU <J(il;uj,lll [),jytull 1'. ~:lulIl.l)l' In t1w 'iVOl\t th,lt
hn LdH, tu tjll'dify ur C;(la!H36 to '<lct, hb. wife, Mary B. Stout,
,
"lid ,John II, WhitdkeT, II'" Ill' in till) (:vonl. thdt ho Lalr, Lo
'1",lIlfl 1)1 <<'.1:;1''', I.e' If,,!, Id.. vllru, \':11\,11 L. IVld,I,""l', in hlo r,tOild,
1.,'('(;IIIu)'" uf t.Idr, tr,y Wll.1, 1 c1iruc;t th.lt my pun\unul rep1.'or.ant.cltivee.
.
STEARNS & WILLIAMS, INC.
30 wan HIGH IT"..T
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1~1:',1'1-1Flttn Jr.wnLun ^"'f(UIC-"I~ otlM rIOCIt:-T'f
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1IIW'fiUe, ,.. 1'7141
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'1'hll, Ippral.., ,II, mId. uP, Qn,' tho, 'OK,prI6Uetl' undO[il^ndlnQ betwoon Ihe oUulQmor Ind the IPpreluer, II fQIIQWl1 (I) V,AlUIl '\lIed
are the eltllllaltd oout Qf roplaoomont al retail prloeu ~Koluulve of any appllanb'll IIllC tK"pl II fQIIQWII (e) m,..,prQduotd
ertlolll end oerlaln arllolo, of forolgn menufnnlure aro velued at Iho OQII QI' Ilmilar or equlva\onlllOml relher Ihen tht CiOII Qf
eOtUa\ oUltQm.mlde reproduollonl, (;a) Oradol end welghtl Qf mQunted gemu ero npprQKlmete unle" IhlN'porl 'now' thel they
wert, removed from tholr IOttlnoi for eKamlnallan, luoh removal from IOttlngllu don. only with Ihe oKpre"od p.rmt..l!;)n of the
oUltomer, (3)lnf(lrmatlon provided her.wlth I. r~gerdlld os oonfldenllall hQwever, we reatIVe Ihe dllOrollonary r\gllIIO Illl\lu..
Ihl.lnfo,rmallQn willi any third perty who h In poal~l8lon of a oopy of Ihll .ppralaa\, (4) We alBUlllo no \lability With respeollo
any .oollon'llIol may 00 lokon on the oanle of thlB apprala.l, (5) Tho name Blaarna and Wllllon", lno" or Ihe Amer\oanOtm
Soolety mlY nol be used In oonnoollon wllh anY adverllllng of Iheae .rllolos for ..10,
coMMllNTS;
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VAI.UE
ITEM ANO OI>SCRIP'1'ION
LedJ'. w..\ '1" .. I ,,1\ ~ lIl","Jlft,. ~ Ji.u~ ~. 0.. Q~n-".~
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aUITI\,olq on t)l8 ~41', 4\Gtlt1, ~Clra:(t .blo, ,lJ.~~ w"",tllt. fJo1.vr -- 11
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au 4t=-ail1ll .. oW ~JIMIl'" -..n' Wale ........to. All t.M-'~~ ,....... .
Sa. ..... fMt\tt .to .. ..,1.\.. . *'*' tMt..... .. ~wd~ .... ,ShI ~
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~'.""'-' pl..... - kd ~ '~,lIIIId1" -t.f;" w.al& IIV,U/.J, ~,tm
21 jWl1. two MTT1"ll"r fA" ... .,. 'l.~, ,.." '.CDA\..... \law..... U 141
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~t. rill- IU~~~ ~\b,.~.".... r.... ClIIit RU )111
41' ,,-t-w, 4.0" ... '.......... .,."1l1l'1-~.un. #11 \.. "IT ll,11UlI.Jl:l.
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REV, 1147EX (1-1'1
j aURMU or- eXAMINATION NOTlOE O~ INHERITANCE 'l'AX !AssnIMENT
l'aNNSYLVANIA OEPARTMEN1 OP REveNUE APPRAllftMeNT, A~~OWANOE OR DIIA~~OWANCE CONTRC~ NO, 101
P,O ap>; aa~7 O~, DEDUOTlONa, AND ASSUSMENT o~, TAX JDA"E _ "'_
HARRISnUI1Cl. PI, 17 \ 00 I _ !!_
IITATI o~ WIix"'l'TII'~Ii1R 1lli1l,lilH 0 "--' mE-No;-2~ ~~-ge~~
llAU.llf_ll1lAl.l:1-l.O=.D 7=J1L_~_.._ _.--_ ~__~.~.__,." .._.. _..~ __._ .___.. .u.,_...:..Q1lUtlTL_hQ.UMllIllBldlliQ. "
NO'l'., '1'0 INaURI PRoPER OReDIT To YOUR AOCDUNT 'UI~IT THE UPPERPOR'I'ION O~ THIS NOTice WITH YOUR TAX
PAYMINT 'I'll THE RllIlITER O~ WI~~I or THe AIove OOUNTY ,MAK' CH.OKS PAVAI~. TO "R.lllI'l'lR O~ WI~~I,
"AlIINT, " U TAX PAVMINn ARe ~Alle Wl'l'HIN 0 MONTHS or 'l'H. OEOEDeNT'S DATE or OIA'I'H, A OIICOUNT
or lIf.. ,llr 'l'He TAX PAlo MAY II Dlouono,
'H~MI~TON C D~vIa ESQ
PO BOX 6
NE~IVIL~1ll I'll ~72,41
PLEASE RETURN THIS
PORTION TO REGISTER OP
WILLS IF PAYMENT DUE
QY't .Aj.9~!;,. 'tHJ~ .L!N.!:!. . _ .. . .. .. .. . .. . _ _ , .. _ _ _ .. .. .. .. _ .. .. , - .. _ - . _ . - .. . . .. .. .. .. .. ..., .. - .. . .. " " - .. ..
NOTlOe or INHeRITANOE TAX APPRAISEMENT, A~~OWANce OR DlSA~~D\IIANCE,Or OEllUOTlDNS AND ASSlB&MENT O~ TAX
UTAn O~ WHIT1\KER llE~EN '0 P1~E ND,2~ 81~0(j26 AClN 101 DAn 08-09'-82
_.-.,.__-...,-+------.------~,.......---~--~~~..------...-.'.---r~~~--~..-.-._"'__."....._.-,.-n_T___~;-----t..____~__---,..-.-.........T~
, 'l'AX RETURN WAS: I X ) ACCEPtED AS FILED I I CHANGED ' , '
...~_~__..~__..._...__._---._ . ,__.._~________...._._........---_L."__._._...,__ 'n_~~'_~--'-_' _~~_......~____.._n......____~_.__...__._
APPRAIsep VA~ua Dr ESTATE,
I. AUI hlltl ISohll\lul1 AI
2, Slooka .nd Bolida (Sohedule f;)
3, ,Clo$lly Held SiookIPI'lner.hIP Inle,UI ISohedule CI
4. Mortg.gea and Notea (SOhedull 0)
B, e..h & Mllolll.neoua Pereon.1 properly (SoheUule El
e,' Jolnlly Ownl~ Properly IBohedul. PI
7. Trlnaf"e (Sohedull Gl
S. Tolll GrOll'Auela "
I 11 __________..-'.,Q.12_
i 2,~~_~0_..
i 31 ~._.._~..gQ.....
(41 ' .00
iSI :--'i'7/60i:?lL~
( 61_~_,..........i.l2L.
I 7) ___~_~.&Q..~
I B) __-11,609. 76
APPRClVIP DUPUOT%ONS ANDUXEMPTIONBI
9. Funer.1 EXPtnaulAdminiWallve CollalMlaoellpneou.
hpiln..a ISohldule HI
10, l;lebtlIMor\glgeaILlena {Sohedule Il
'II. Totll Otduoliona
12, Nei V.lu. of 611.,e
13, Chtrll.bl. Bequuia (Sohedule JI
14, N.I Velue SubJeol 10 T.x
(91__1~23.00, .
110), .00
1111 _. 3 I 32 3.00
(12) _...J.it286.7fL
Ilal, _....--, '.00..
114) ~.......JdJlli&.
'Asse88MIN'I" Or'TAXI
lB, Amount of Ilnl 1.\ t....ble ., '6% rI\8
" \ e, Amouni of line 14 I...ble 1\ 1 B% rile
1 ?,PrinoIPel Tex Due
'I' AXCl~Ulll'l'S I
('6) _JA.1286....1!L.X,QS"_
I lSI ~_~_--! 00 _X, IS"
1171 _~
66'1.2Q..
100 ,
667.2.0
,
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DISCOUNT i+1 - .l--, ~;;;'UNT PAID -..-,
INtEREST 1-) , '
.00 I 657 ,,20
. LI .;~:::. ':: :::'~. -'-__ . '''::: -I
(If alllnoe Dul II leu Ihan .1.00 no Plymen, ia ,eoulredl
PAYMaNT
DAte
0'''06-62
RECEiPt
/I
'04964~
THIS ASSassMENr IS eASeD ON: ORIGINAL RE~'URN
NO tNT.RIS'!' IS OUl l~ PAlO ev 07~07";62
IF PAID APteR DAre INDICATBOSea ReVERSE FOR INSTRUCTIONS:
RETAIN THIS PORTION FOR YOUR RECORDS
,j/:$'o- 16"11
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RE~ORr,'
Iln.f I
'Bt ,nil" 11
1\11 / I
.i j'
.
,
INFORM" tlON
--<-~...._.............-...,-".,'
ThiS dooumenl' II IlIe Nollce requited to b. Diven w'der See lion 70~ 01 tho lohet".nc. .od E.\lte r., Act
of 1961172 P,S, nction 241l5),
If Ihe 11,,11 pI'd wllhln Ihr" (31 monthl liter tho deoOdenl'o death, sdlseounl of 6% of Ihe II< p.,d I. sllowed,
Inh'rll.nce rex beOomtl delinquent nine 191 moollll aftot the'decedent's dealh,inl""e' II Oll.rg.d IIlh"
r." of "x 161 p"c.nt p.r .nnum on Ih. .mounl of unPlld \8x, (SEE EXAMPLE BELOWI
EXAMP,E, If a b"lnce 01 Ilx due 01 .2,000,00 i$ In,. dellnqu."1 al.lul Hom 3-3-8q, and paymenl it tnlde
on 5-23-80, 1110 I~\ereal II calculalod as irldlc.led b.low:
Inlere$! from 3-03cSO 10 5-23-1l0
Reluhl In: --.---
,010
.:t..,.,QU.U
,0\335
'TEP ,~
MultiPly the bll.nce 01
IIX due bY Ihe r." of
Inlerell,
B,'lnee of la, due $2,000,00
B.1la...ll1..JOl.lll.L..~__"K..JlJ.a..1.lL-.
INTEREDt I, 26,70
SUP 3
Add Ih. Inle'.lt
to Ihe bll.nee of
If' due,
!lellnde of 18>. due
Plu~Tnro'nt 'lQ
Ont...,o I PIVil"nl (+)
'fO'fAL IIX,.n
Interell 10 Oat.
of Pavmenl
12,000,00
$ 26,70
$TIP 1
Oel.rmln' the r.t. 01
Inter"l frQm Ihe tlble below,
2 Monlhe .
.. ,20 Day a .
Ra" of Inler.al .
, $2,026,70
.. .. ... .. .. .. ... ~ .. .. - .. .. " - ... - - ~ " - - ~ ,. .. . - - - ,- ~ _ ~ ._ ~ _ _ .. ri _ ... ... . .. .. w _ .. .. .. - ..'-. .. - .. .. .. - .. ..-'.. .. .. .. ... ....- -
,OOG 4 'month~ ,020 monthl " ,050
1 month 7 mQnlha ,036 \0
2 monlhl ,010 6 monlhl ,026, 8 monlha ,040 \1 monthl ,055
3 monlha .015 6 monlhs ,030 9 monthS ,045 12 monlhl ,060
1 dAy ,00017 1\ dlYe ,00\86 21 dm ,00352
2 d.vs ,OD034 \ 2 davs ,00203 22 dlYI ,0031$9
3 dm ,0001l\ 13 day a ,00220 23 ,dAVO ,,003ae
4 dsyl ,00068 \ 4 dlYS ,00237 24 dm ,00403
6 dlvl ,000a5 1 6 dm ,00250 25 am ,00420
6 d.vI ,00101 16, d'VI, , ,00267 2 tl d'YI .00437
7dm ,00118 17 dlYs ,00284 27 daya .00454
B 'd.va ,00135 IS d'vI ,0030\ 2a dm ,0047 ,
9 dty& ,00162 1 9 dlV& ,00318 29 days ,004$a
10 dm ,00169 20 davs ,00335 30 dayl .00\100
.. ';" .. ... ... ___.. .. .. .. ... .. ._ ... ~ .. ... _ .. .. .. H .. .. .. _ .. .. _ .. .. .->- .. .. .. ~ :.,. .. ... .. .. ... - ... .. .. .. .. .. .. .,. '" ....... .., .. .. ~, .. .. .. .. ... r', .. ... ... - ..
Any 1*lv In Int"'81, Including the COfT1!,!,\onwesllh and IlIe pel;on.' ,epr,nnllllve, noi ..tI&fltd Willi Ine
'PPflllern.nt .nd ......menl mav obJecl wlth,n alxtv 1601 diV' aller recelpl of Ihis NOI,c. ,.a R'.ovld.~ bv
SeMI(>n 1001 of Ihe Inhenlenet Ind ~llito Tox ActQ! 196\ 172' P,S, I.e, 2466 - 10011. '
..,AK! CHUCK b~ MONaV Ol\OUR PAYA8~! TOI "RBGI$T8R OP \Il~l.', AGINT"
DETACH THE, top PORTION OUHIS FORMANO SUBMIT WITH YOUR PAYMENT ,TO tHE REGI!lTER O~, W,",S t:OI'4.
THe COUNTY SHOWN ON THe REVERse, see THE INHERITANCE TAX INSTRUCTION SOOK ~OR APORESS,' ,
J
I'll DepArtment. of l\oVlII\UO
huraAu of EXAminAtion
1'08t Offiao hox 0327
IIArrhburll,1'1I 17105
OFPICIAL NOTICE OF DETERMINATION
AND ASSESS,MENT OF peNNSYLVANIA
ESTATe TAX
lieN 01
-'---- '
TO, IIl1mUton o. OliVia
JD..lU.~-awall\!-A'{.Ill\.\"""",~
. --N"wYJ.UIl~17a41
DIITSI 001,19/02
8&TIIT& OPI ....whiUIW:~'n ().
PIl..& NOI_ 21...Bl~
COUNTY OPI cl1l1lbuilln~
DilTS OP DBATHI_....Jll 10 07
~_~~~~_~~~M~~M~MM_W_.._M__~_._____~_._~____~____MM~._..~___M~~~RM______.___"__.._M".M_"~
A. DBTBRMINIITIONi
1. Ta~ablo o~.tata buod upanl
II Tho Unlhd SIa,I" ellalo Tax Rotuw(Porm 706)
Tho o\lmmunloatlon from tho P.doral Cavtrnmanl
confirming Ihoaee.ptanco \If or chong"t, Ih.
p.doral htat. Tax R..urn
2. Amauntal ortdlt fof Stato doath taxt_ (0$ y.rlfltd) ,
3. P.nn.ylvanla ,Inherltanu tax aU'Uod
(excluding any dlmunl and/ar Int.,..t)
4. . Normollnhtrllanae taqald la ather SIal.. or
Terrltarl.. af 'ho Unlt.d Stal.' (.xcludlng
any dl loaunt and/or In'er"')
S. Tatclllnherltanottax v,.dl" (lln. Item 3 pluI Ilno".m 4)
6. Totallloblllty for Ptnn_ylvanla"tnto 'ax (lInt Itom 2
mlnul lint "om 5)
MOT III Compl.lt lint It.ml 7 and8 OM I.. Y whon d".nnll\llllon
II ba..~, on Poderal Clollng l..olter '
$ '~.
$ LOO
$
$-
$
$ .00
$
$
._------~~---~----~._----~---~~------~-----~--~~------"-----_._~--------~~.~--~---------
B. ASSeSSMeNTI
1. Pennlylvonlo Bllo't Tox re/l.otod onl
IIn. Ittm II (6),
Iln. Itom A (8)
2. 1.....' ar.dllll
.QATB OP PAYMBMT AMOUHT PAID
$
..............
INTBRBST
- ($ I,
- .tl..- )
- ($ '. )
CReDIT
,=
=
=
3; Bolana. 0/ Pehnlylvanla o"at. tax due
$
Int.r.., 'I du,' al the latt of IlK (6) p~toonl p.r annum hom
lIu.ument p"p~rtd bYi
PotOI
'0 tht da'. 0/ paym.nh
IIOKNT pan TMK COMMONWKIII.TN
SEe ReveRse SI!>E FOR IMSTRUCTIONS
fI('CoU Ir,.r.lI
~~E~I"JC.(\IJQI'!
*'
., ,.... --~--C7'-~~" ~~::k1_n_..'..-
DAT .,' W:_m,/L(.lf1/
APPLICATION FOR AND CONSENT
TO TRANSFER SeCURITIES
REGISTeRED IN THE NAME
OF A RESIOENT DECEDI:NT
COMMONWEAL TH Of PENNSUVANIA
DEPARTMENT Of REVENUE
aUREAU Of COUNTY CD\.\.ECtIONS
._~_~_,_ n_'__.n~_~~~_'_~__'~_'.--ri~~_"_""_~_~'__'__ ~
TO THE PENN$YI,.VANIA DEPA~TMENT OP REVENUI!I '. '
Application I' hereby made for cQl1lenllo Iho tronlferof the following aecurltllla of 0 Ponnaylyonla
Corporation or 0 Notlonol Banking Auoclaflon localod In Ponnlylvanlal
(0) 400 (b) At1."t:t2.J~~ohU.It\,!U!.'!'!P!,\lY ,__... _..___~_.(c)O(lI\;l\Q11
(NOTEI In ducrlbl"ll ncurlll.. entor In (a), Db 010, either the number of ahar.. of atock or the face amount of
reglsler.d bQl1ds,ln (b), Iho namo of the Inulng company and In (c) ,the clan of stock or the slat.~ Interut rate
and maturity dote of r.glaterod bondl,)
6/3/6310/13/76, ' ,
ISSUEDON_UUt.6A,llt3OtllG--, and havlng.DTOTAL MARKET VAWE OF $ l11,n~---.-~---,.~-,-
(O~t.) ,
aa of the dote'ofdeath of the ~.c.dent, 1l81lln~a._.\ibitak\u' ion Oat.', llllll
(Hum. ., D".d.n!) (Oot. 0' dooth)
who waa lat. c,f
113 QJ!.un.Jlill1llt~.JillllYiUll
(StrOlt on,d Number) (Po.t 0111..)
Jwn\lnlanL__Ji\.
(Couoty) (Stot.)
,
The ..curltl.. ore teglstered as followal.___~91\U II. __\~hL~!.kllt.~~~~j~~!o" O. Whi.1l4ko!:
(Humo or nom.. In which cortlllcot.. or. "91.torod)
John 1\. \~llit'~~!'__.c-___W~_UrJlan..Jli.l1a1ll I'lIn.., .1llIwYihs, l?A-.ll~41
(Hcmo) , " (Add....),
NAME OF APPLICANT _,_..John--l4--~ker
COUNTY FILE NUMBER 21..01..626 ._ ADDRESS OF APPLICANT. ~12' Green I~i.l!ll. Lane. N.wvi.!~!1..~\
BUREAU FILE NUMBSR , " SIGNATUR.E OF APPLICANT '/:;1;"1i~ 174;;~~~-
HOTIC!!I IFVOU P,+,IL TO PROPERLY PILL IN ANY PORTION OF THISAPpAcAJIOH, trim:i;'HOT BE
COHSlPIIlt!P COMPLETBAMP WILL BE RETURNEP TO YOU FOR COMPLETION,
, ',. " J
_". . __.~ .............~~ .~. ... '; ., . ------i
COMMONWEALTH OF, PENNSYlVA"NfA; DEPAR, TMENT OF REVENU,',E '" j'~ " "~ ...-------""11
" ,CONSENT lQlBANSPER ~eCURIT[!1 . DAT~J4l1f11
, h.reby con..nt to the Iransfer of tho above ,aecurltles now r,egIA.tered In the nome of tHe aforesaid , I
Oecedent and /laly. the filing of 0 certlflealeeorll/ylng to the p~Yl11ont of ,the Iranaler Inheritance tax. to which I
the property of saldbecedent Is made iublect pUlluant t,o tho proYlslanl of the Act of June 20, 1919, P,L, 521, I
a. amend.d and the Act of Ju'ne 15, 1961, P,L.. 373, as amended, Thla I.. also In accordance with Ihe provlslana I
i
~
EXECUTDR ' )'
of. the Act of April 9/ 19,29, P.L, 343,
This Con..nt to Trl1llafer lh,e herein deacllboclproperty operates only In relerence I~,the 051010 of tho
above.named Deced.nt,
'*'