HomeMy WebLinkAbout81-00638
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tlOommonFund" 0(' I:he ml,(] THill HAHfll'SEtn'tG NAinONAr, '6ANKANP 'l'RUST OOt-ll'ANY,
and \:0 oollout 11.1.1 thll nBt lnOOlnl! I).l'\nlrw \,hllt'ol'T'OlH ,and dtl'll;!'tputll the
pt1ln6lpnl' nod loooma nf! horatn pI'OVl1iO(!.
I dlt'llot my,Blll,d 'ritUS'l'illi~ to T)ny '\;ho not \.noomo ,Ilt lalla\:.
qUl\rtel'-o.onua111, tr\ suoh popHaM Ill'! \.\;muy ctetol'ml,(la I ..tn tl<llllbao1u\:.e
dtsClI'etlon,' Clhll.r:rp;tn~ sale1 Tll'Opol1t\'0l'lR from tlmEl to'Hmo, ,to any or all
t11' the followtng\ my wU'e, M. Ohll.t'lotto Dto\!aOn,mlT son, Jllmu A.
D~o\{sOI'l, my son's wlf<.l, Ruth R. DtCl\(son, aI' be o.pplled for thlluae and
biman\:. of mY' sat,d ,sonia ohtldt'on. ot' any of them, or fot' the uaa and
paoent of the taeuo of hla dooeuflod oh\.ldt'on, If any.
I fur,',thl'H' dtreot my sald TftUS'l'lil\1.\, .tn tts abaolute dlsotia'tton,
to pay to my wlfe, M. Ohar:Lotta Dtoke,on, auah oums from the prlnotpal
of ths ,TR11 S'l' llleTATID, (l,fl wUl parmtt hflr to mlltntatn a ,standsI'd l,)1',ltvtng
oomparabla to thllt enjoyed by her dul'lng myl.lfettma,I tnol\ldlngm\ldtoe.1
oare, at. home or tn 11 hosp\.tal or othel' LnAt~tut\.on, or ,otharw\.s,e 1'01'
har genl'll'al welf,are.
In ltka manner, 1. dtreotmy sate\.. TRU$TE~, tl'l tts sa1adtsarec
Hon, to TJay to, or aPply the sama ror tho tr use 'and bena flU, 'suoh swns
flt'olll the prtno \.pal of the TRUST lllSTATl1l, for the use and benefJt 01' my
satd eon, hts wHet or thet!' ohndren.. 0\' any of t,hSm, or the tasus of
deoeased ohtldren, tf any, for' suppor't .and matntenanaa, eduoaHQI'lI
tn,olud~nf; hlgher eduoatton at speolal f1ohoolll or ..at,the college 'o~
untvel"stty level, or for medloal, tnstttuttonal oars, burtal or other-
;' ' '
wtsa,tn tts dtsot'etlon, fot' thatr best tntel"Gst or welfare.
At the dubhoi'my tllitd Wtre, M. Oharlotte D\.oktlon, I dtrsct
that wtth reRpeot to her, ths TRUST \.1'1 her faVOr shall te,rmtnatlll or
In the event my, satd wtfe, M. Charlotte Dtokaon, should predeoease me
~ 2 -
, "~56
ther~by ~endsrtn~ ~ TRUST tn h,r favor UhnaQessary" I h,raby revoke
the TUUST tn her favor.
In e I, the I' cnsa. I d 1.1'0 ct my 'l'{Wfl'rllllll or my her e tna1'ter name d
1Jlxeoutol'S to pay to my aon. ,lrmell A. VtOIIBOrl. Camp HU1, Pennoylvantll.,
pne~halr (1/2) or the net 1'1' tnotpll.l or rematndsl' \ihel'eo~'. Rathe oaae
m~y be, together wtth Bny undtatrtbuted tn(lOme t\1erlHm.
In th\, event nlY satd wtfe. M,. Cbal'lotte Dtoltllon., aUl'vtved
me and 'the TRUST heretnbefol'l) referred to had bean establtahed, I
dtraot that ona~halr (J./2) of the ramll.Lntng not prtnotpll,l shall be
retatned by my sald TRUST>>llilundar the terma and oondlttone hereto set
forth, ahd the net tnoome patd at laMt qual'ter~ann11ally, tn 8~oh porttons
as my TRUSTmm ~ay datal'mtna. tn tts absolute dtsoretton, changtng utd
propol'tt on s 1'1' omt tma to t tme ,to any or al). of, the followtns I " my soh.
James A,. Dtokllon, my Bon's wtfe. lhlth H. DtoltsOI\, or be applled for ,the
use ann benertt of my satd son's 6htldren or I1ny of.' them. Or for the
Ulla and benern of the taBue or hta deoeased ohtldron. tf /lonY'.
In the event my Batd wtra, M,. Oharlo~ta Dtokllon, shall, nO,t'
~Ut'vtva me and the TRUST hllll'etnbet'orereferredto haanotbeeneahb-
. :\;.lshad,I gtv'a. devtse al'ld bequtlath therematntng one~half'(1/2) or,
mY net e,stata toTHID HARRISBURG NATIONAL BANK AND TRUS'l' COMPANY,
HlIrrtsbut'g, hnnsylvanta, t'ol.th", uses and purpoBU aet 1'opth tn the
ppeoedtng paragraph, and ~nder the samEl tllrtllll Ilnd oondtttons also
heretnabove set forth.
In the event mY Bald son. James A. Dtoltson, shQuld also pre""
deoBase me, I dtract t\1!l.t\ the one-half (1/2) pOl'ttonof thE! ,restdue
here tngtven t,o h tm shall hllsa and ahall be added t,o and ba(lotitepa~t
of thB general ('Elstd\ill oI' my esl',ata and added to tIJa other one~hal!' (1/2)
PQrtton and held and uaad for ltka purposes.
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At suah tlmeas eaoh of' the ob lldL't)n or the LSQuf.l Of c.1eooaflod
ohLldl'en of' my f1l1td non, Jumeo A, nt,l!ulOn, 11h/11'\ I'QlfJpncLtvoJy atlaln "he
ngQ 0,1' twenby-onB (21) YCiaru, I llul;hor'll',e my Anld 'mtTlJ'I'Hllll, tn It/J cHIl-
oretlon, to mal<e PlIyrnenl;s of' lnooml;l or tnvlloed pt'LnoLpal. dlreat1.y to
suoh beneflotary ano the reoelpt of the benoflol.ary fot' tho Aalllll shall
dlsohargll my TnUST&11ll f'.t'om any i'ut'thoro obltgnttor. to sea to the appltoa-
Hon of suoh funds by suoh bont3 rlolnroy. PdOl' to th at t; Lilla, Eiuoh fUnds
may be pald to the pel'son or othol' sRonoy wlth Whom the mtnor r'utde",
wlthout the lnterventlon of a guardtan, and the l'eoeLpt of such Tlerson
shall release my Aatd TRtJS'l'llllJl.
At suoh Hme as eaoh of tho ohlldt'en of my son, Jnmes A. Dlokaon,
shall respeatlvely attstn the age of twent;r-!'lve (2!.5) years, the TRUST,
" ,. "
wl th ,re ape 0 t to suoh bone rto lat'y, sh a,l1 term llll1 te, and I d tre 0 t my sa ld
TRUS TIllHl, to pay to suoh beneflo lary any unpald tnoome awarded to suoh
beneflol'ary as hereln provtded, and II pt'oportlonate pel' oaplta share of
the balanoe of the net prlnoLpal,
In the e vent any of DUOI1 oh Lldren havt ng eur v.t ved me I 'shaul d
c.1te bef,ore reaohlng the age of tWllnty-flve (25) yenrs, as set forth
hereln, leavtng' a ohUd or oh lldren to survlve, I dtreot that the per
oarth share or portlon to be glven to suoh d606ased ohtld shall. be
glven to s\l.o,h ohtld or ohLldren per stlrpes; shari. and shar$ allk& and
under the' same, terms and oond l tlons of the 'rH US 'l' , e ltoept that' the TRUST
~lth ~espeot to suoh benefLotarLss shall termLnat6 when and aa eaoh
of them shall respeottvaly reaoh the age of', twent,y-one (21) years, and
at'suoh tltne I dlreot my saLd 'l'IWSTIilIJl to pay to suoh beriofLotary all
unpald tneome, If' eny, and the baJ,anoo of hts or her proportlona~e share
of the prtnolpa1 of the TRUST, as set forth hereln, and the TRUST ter-
mlnsted. However, I.n the eVent thore nhould be no nuoh ahlld or ohtldren
,"
- 4 -
.,156
QA'r.. OF Pt:I(SONAI, RRPRt;S";NTATIVt~
COMMONWBAI..TI'I aI' PUNNSYLVANIA BNI
COUNTY OF CUMnURI..AND
noforo me, t,ho Roglslor for Iho Probate of Wills and srantlng of 1.011ers or Admlnlstrallonln and for the County of
II] ,
Cumberland, personallY oamo Jamll8 'A. 01 c,k8on and Lol a 6. Cope1 and, Tru8 t Mgr., COllmOI1WeR I th, -
" sworn, NatIonal BanK
who, belns dulY .1" ,do c1cposonnd 8ay that a8 Exocutor8
I
of the la8t Will and TORtamol1t bf~
they
Robart A. oick80h
dOOO\lsed
also will dlllgelltly oomply with tho provisions \If the law rel,atlng to Tral1sfo;,lnhe Il,n~es!
,. 'j, ~ "I! ' I I l ,;,.--.c,-:,,,, ",/,t'J'(
, o~b"r ~O,' >\,0" 19 81, ' 'C
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'Mil woll and truly admlnlsler the soods and ohaltols, rlshls andorodll8 of 8ald decoa8od aoeordlnsto law, And
SWoI'n ' , I
to ~nd 8ubsorlbed liofore mo.
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DECREE
1 .
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II
recorded the last Will and Te8tamen( of
aOROUGH OF MECHANICSaURG
Oocoaaod. l..etlorsTeshmentar.v w~r~~~a~fi\b
Witness Illy hand and OffIcial soal the day~nd year,nforosald,
Robar t A.
81
,'\,0,,19
01 ~k$on
I Ihore Wlla prob~lOd and
late of
Be It rel1lombered lhft\ on tho 20TH
day of
Octob$r
, Cumberland County, Pennsylvania.
Dio~sol'l' and . ..' " ,
ommonwe~lth Natipnala~nk
'I .;-
!(61.
L9;~,/!q!(I, ~~J
., ., ,,7. ' lleglsler
ftj~~JPtl Conversions (continued)
"'ltI2~/el 202 ih.resU, ,5,< 5te.1 Corp, I common
Account Val ue $ 5, ~02. 60'
P'rloce~9s, 61182,6t
12/23/81 396," shares U, ni,t~d Techno 1 ogl as . common
Account Vlll.ue $ la.2111,38
Proceeds ' lUll!,41
l'
1~/24/81 468 shares 'Rockwell Intorna~ional Corp,t
C9.mrnilh .'
, Acciiluht Val ue $ 14,999, 80
Prnc,ellds14. 689 j M
, ," "" 'L ,: , -'
01/18/82 $1.,700 Am~r.1qan Airlines' Inc" S,2!i%,
dUe Jul.Y1 , ,1998 ...,. . ,
Ac.count Val ue $ 1,011,60
Proceeds ' " 826. 60
"
12/24/81
12124/81
12/24/61
12124/81
Ii
880.11
......
."'..
1.627,97
266,shares American Airl1/J,es. COmmon
AccQunt Value ..' $" ,MOSi 60
Procellds 3,113,.:21
, ,
100, shares AmpcoMP1'thburllh, common
Account Value ,. , $1,768.76
Pr9Ceed$' 1,6,03, 94
60 shares Canadfan Paci fir; Ltd., $6,
preferred
ACcount Value $ 2,186.25
PrOQeeds 2,074.13
400 shdres'Pan American Wqrld A,irwa'ys, '
common.,.,
Account V",lue $ 1,200,00
Proceeds' 1,163.96
MMM
691.56
".,."
264.U
-....
112.12
,'.......
36.04
MOM
. 309,,66
OM_
186,00
noD AI11.rl can 're lllphone"ahcl TlllQgre'pl1
00",'8,76%, due 06/16/00
" AC.cQunt Val ue $ 316.89
Prolleens;, , '300.00
$700 United Techn9Iqgie~.Corp., 4,5*,
due 08l1S/98.. ,
Acao4nt ValUll $ 391.56
Proceeds' '364. QO
....
16.8a
,,--Ill
27,66
LI~Lft .:IQli P4UE '788
6
"
"
frjnoip.l Conv~rsion8 (oontin~ed)
01/~e/82 $ units Corporate Income Fund, 8th
preferred stoo,k series'
Aocount Value $1,689,85
Proceeds 1.680,64
98.79
-..
01/18/82 6 units Corporate Income Fund, 68"month '
payment series $ 3,349,68
Account Yalue
Proceeds 3.622,68 273,00 .......
01/18/82 4 units Corpor~te Income.Fund, 86"month
pa~rilentseri e6 $ 2,444.28
p , dcount Va lue
ProceedG 2,666.48 222,20 .--
01118/82 5 units Corporate Income Fund, 96-month
payment series $ 3,412.60
Account Value
Proceeds 3.697,95 286, 35 -..-
02/02/82' $1,000 Pan American World Air, 4,25%.
dUe 01/16/84
Account ValUe $ 697,50
Proceeds. . 685, 00 87,60 -.-
.
TOTALS $ 3,389,16 $ 7,001.~7
NET LOSS AS SHOWN ON SUMMARY SHEET 3,612.82
..
~ 7.001,97 .$ 7,001,9Z
,
PRINC~PAL OISBURSEMENT~
10/20/81 i R~gister 'of Wills. ten short certificates ,.
10/27/8~ Myers-Hall Funeral Home, '. Inc, ". ~unera 1 expenses
~O/27181" CumberlanaLew Journal - legal advertising
10/27181 Register of WiJls . thirty short.certificetes
~0/28/81 stan ey C. Fellows, Attorney. reimbursemElnt of.
prob te eXpenses "
\
10/30/61 Bell of PennsYlvania. phone services
$ 20,00
1,872.00
18,00
60.00
128.00
1~!31
llb~" ii.K~ "'.Ot 789
7
) RIV, I1471X (1-801
BUREAU OF EXAMINATION \ NOTICIOP INHIRITIINcl TIIX
PENNSVLVIINI~,ge~~~T~iN OF ReveNUE, IIPPIIIIl8IMINT ,IILLOWIINCI OR OlSmOWIINCI IICN ~Ol
HARRISBURO, PA,17_'051 OP DeDUCTIoNS, _"NO ASSUIMINT CP TIIX ,
" ,", ' ,,' , ' 1.~9.B3..
UTATE OP DICKSON ~08n:R~ A n,~e tlO, n B1-0638
WI OP glAtl;t ,,10!:.O~..8f ___._.___,,--9.lllitj]i_~Q.U.IWR,"l1ND.......--
NOTII To INIURI PlloPIR CR.DITTo YCUR IIccoUNT IU8MIT THI UPPIR PORTiON or THII NOTICI WITH YOUR TAX
PIIYMlNT TO THI RIlUSTlR PP WILLS OP THe 1180ve CCUNTY, MIIKI CHICKS PAYIIILI TO "RIIUSTIR OP, WILLI,
IIoeNT". . .
COKHoNwmALTH NAT10NAL 8K
,10 S MARKET SQ
HSO PA 17108
p~eASE RETURN THIS
PORT ION TO REGISTE# OF
WILLS IF PAYMENT OUE
OUT AI.ONG TMISL.INB ", '
_ _................. ~... ..,........... _ _ _ _'.. _ r'...... _.... - - - - - -...... -~.... - -"...... ",'1',," '"':-.. -.. ..'.... ~,,,,,,,,,,,,,,, ..,..
NOTlol oP INHeRITllNO, TIIX APPRAIseMINT, ALLOWIINOIOR OISIILLOW/lNCI OP oeDUOTIONS IINO IIsses.MINT OP TAX
Rev, 11471X (10-12) .
IITAn OP OICKSON RoamR'!' A, PILe NO,21 Bl"063B IICN, 101 olin 01"19..93
,
, T AX ReTURN W ASI I X ) Acs;ePTeD AS FILeD I cHANoeo
B.IIIRVIITION CONCllININO FUTURI INT.RIIl...:...-U.UWB.1l
IIPPRAmO VALUI OP RETURN 811110 oN I 1 SUPPLEMl!JN'!'IIL RllTURN
" R..I elllte IS';hed~le Al ( 11..:.....~_ .00
2, StoOkl ,nd IlOhd.' (Soh,d~le BI ( 21 .....i.9.L
3, Closely Held Stock/P.rtn,rlhlp In""sl (Schedul, C) ( 3) . 00
A,MorlQ,ges Ind Notes (Soh,dulo 0) ( 4) . 00
5, C..h e., Mllc,ll,n.ous Person,1 Properly (Schld~l, E) ( 5) 2',602.94
6,JoihllY Owned ,ProperlY (Sohedull F) 1 61 ~_ .00
" Tr,n,ters(Soh.dul, 01 (11 ' .00
a, Tolll A..,II ( 81
2,602.94
IIPPROVIQ OIOUCTIONS /\NO IXIMPTIONII
'9, Fun', r.1 e~"enselIAdmihlsttlliva CoJlIIMIICIII,n,oul
e~pon"llSch,dul' HI ( 91 ',00
10, D.btJIMortg,glll""nl ISdhodule I) ( 1 01_--" . 00
11: 'tOI,1 Deductlohs (\\1
\2, 1'1" Vllul of TIX'R,turh (\21
\3, Ch$tl\lblliOovernhlentJl Baq~es\$ (Soh.dula J) (13)
1A, N.IVI,'ue ot eSI,tt!lUbioOI toTI. , ' 11A)
NClTII If.n ......mtn,t "'" pr.v\0\l.1Y ,1I1,I.d, 111'1," U, I. .l'Id,/,\lr "" Il'Id, 17 Will
r,".ot flll\lr.. thlt II1ll\\ldl thl t\ltl1 of.all r.tl,lrn. .......el t,\l dlt.,
AIBISIMsNT 0' TAXI
15, Amount ot IIn' \ 4 tl..ble II eo/, rl"
16, Ahlo~ht ot line 14 tl..ble It 1 eo/, rill
11, PtlnOip.' TI. Due
TAX,oRlonSI
PAYMeNT
OllTe
01-04-B~
05-25-a2
07MO~-9~
.00
2,602.94
.00
266,9~1.74
(181 266,921.74
(\81__ .00
x,oe-
x, \5"
111)
15,41.5.31
,00
15,415.3Q...
ReceiPT
N
---T----~-~-J~--
D,I8,C,OUNT (+), " AMOU,NT PA,IO
INTeReST H . , . ,
633"OOJ 12,027,00
,00 2,699,12
.O~ 166,19
069916
049610
049638
.
TOT AL TAX CREOIT
SALIINCS or T IIX pus .00
INTlRIST 0
TOTII~ OUE ,00
(1IIhllhc, Duo IS I,u Jhln $\,00 no p.ymehl I. requitedl
* IF PAlO AFTER THIS oATe See REVERSE FOR CALCULATION
OF IIOOITIONAL INTeFleST
RITAIN THIS POIITION POR YOUR RaaOROS
'0,*,'-11.
"'iI"MONWfAL TlI OF I'VtltllVl.V^IH^
1""^'ll MfiNl 01' fH;V~IHJV
1\,'f,fI,1/ ,," CD\lIlTY COI.I.I'(1101l1
'API'l,ICATlON I'OJ< AI1DCON5gt~1
10 T~ANSFER SECUJIITIES
J~I!GISTgrIED II~ TilE H^,,\E
or II 1H:5IDEIH I)ECELtl:tr(
~}~p~
I ~ ,I,ih '\
,~~.~..rJ/.~'~.
AeP~ICAT~ (MUST BE FILED IN 1H1PI.ICA1E)
TO TIlE PF.NNSYLV(lNIA [)EPl\lm,II:NT of rWVENIJl;:" ',' "
, (lllplic(,lIol1 Is hUluhy 11.1/111" ,101 CUi!il!lIllo 11t\, tlUlldUI 01 t1wlullowinu hl'l.\lIl1ios 01 u POlln~ylvuniu
COlllolotlonor a Nutlunol Bunking Assotlulion loculod ill Punllf,ylvullio:
[)ATE..1Z":'~&L."....
(u),J~O,all~ .,,,,,(h) ,rannsy1 vania E 1 ectr,1 C Co " (c) '9% cumpfd S~.rl:~8 ~
(NOTE: IlIdoSCliulllU 'socltlifloh 011101 III hi), U\, 010, Ultltul Ihl! numhul ofshull's of slock 01 Iho luca Olnoollt, of
100ls10rod uOllds, In (u), tho,'uulIlo of tho ,1650111.0 cOlllpunyund In(c) tlto CIUfoS of stoel, or Iho stutod In.!orostlulo
ondmuturlly duta 01 rO\lislurud hptlds,) ,
ISSUED ON.~~.L74_...~~_,_..~"ond hnvlno uTOTAL MARKI:T V(I'LUE OF $..j~~~~l~~u~,t!il,~.llL.....L
(Dnlo)
as 01 tliodato of doath ,ollho docodenl" .___,Il?bt3J:t,A',DJckf,ol1 ,onlo.,:,!!~,~l~,~_,_.___.
(N(III\Ilcd Dl!uodttrlt) (PU'~ of dCHJfh)
who wns'lnlo of __~65.-!!.IJ1~ny.J>r:.LY~~__
UlfUllt ~'nd H\lI11l,ul)
_. ._J:l13~c!la nJ~,sb~I:9,
(rn.' OHI~~I)
CU,mb.ol'Jond
(Cuullly)
Penna
- - .....,--_.......,~~......-.-.-~~...-...........
(It"ln)
Tho socorltios ora rOlllslorod o~ lollows!.,
. RDbert A. 01 ckaon
(NUIItl! ,,' Ilill1lll!, Iii whlrh rllrtllh'tltll"llh' 1O\1I1,luIIIII)
...,;1__ u____
James A. Dl ckson and ' '
A,M~16~)fM"Rl(lXlL.CQJJITIQDW~~,],' ,thNlltJ9.QliL.hnk, l!i 10. G~,tlaLCU.f.(..D.rJy~,"CamrLJil\J_I..PennlL", ,..,
E'XE'CUTOR) 01.,,,,,) (A,huW)
,,' j,lM,\E OF (lPPLIC(IIn .,-cr' Sec., ^BOV~ '. _
, ' J,: rl r17, ,'J1t "'-'-
COUNTY rILl: NUl.laE~,.~,a,:el';"93L..- ADDRESS OF APPl..lC(IlH...,and ,__._dd'_"""'__'"
, ' corm~on eal,th Nat~., nal (l~k , #
BUREAU F.lLF. NUMI3ER,_," , " T_~SIGHATLJI<E OF AP~L1CANT ,BY . ~ ~.. "~
NOTICE: IF, YOU FA,IL TO PfWrOHLY FILL IN ^Ih PORTION OF THIS At'I'LICA ION, IT WILL NO Il,E
CONSIPIlREP COMPLETE AND VIlLI. liE RETURNED TO YOU FOR COMP,LETIOH, '
,COMMONW'i:AL TH OFP'ENNS"YC\'Ai~IA~DEPAR''''MENT'OF''R'EVE~NUE'~, ~~_..._,n
" , ' " Co.N~~~.lTO_TR,~J'I~fJR_~SE~.LJ.RtT!~j... DATIE, ',.. _11'//
I horoby conscnt to tho 11011.5 for of tho obovo sccurlt.lwllow roolstorod In tho 1111111001 tho olor,s<ild
'j', -------.~
_.._.n__'~"'__~__'.'.'_ . ....__.~.~_~'_'" .~.. '-.'-' ~..__.~______._.___~T--'-.~"___..
, .' ' ,.. ,
Dococlonl alld wolvo Iho Iillng of 'u corllllcolo cortlly,11I1I to tho pnYf'nonl ollhb trans/or Inhorltonce tox to ,which
, ' " , , ,,' , , "
th,' property 01 sold Daco\lonl Is modo ~uhioct pursuullt.to tho provisiOnS .01 tho Act.ol JUliO,. 20, 1919, P,L/ 521,
ns omondod o'\'d tho Act 01. June 15, 1961, 1",1.,.373, os IIlllonlloll, This Is 0150 In 'accordnnca with th,o provisions
of tho Act of Apt119, 1929, P.L, 343,
This ton8~h.i toTrnnsfor tho horoln.ducrluod proporty ollorolos only In tof~ronco tO,tho oSlote of tho
nuovo.nomad Decodont,
", I't.,
~1.ff.~Ql
I . \t:j. ~;"
':I;t~,.tli~,~~t:,',t
("iH\/'iII/\\'1 ,\1 111111, 1'1 WI'" I "^Ill^
I'll ^i<lMlIll (11' 1\1'I'IHlIl
'1\lIU ^" or COllin v ('nil I nlnll"
AI'I'I leA' 1<\111' <1\ Mill COH,I,H'
'ILl II,AH,III: "ClJl\lIIU
l\lie,1' II 1,1',1' ItjlllE HAMI'
Of A I\I'.~,I[)E If I DI,CEill:IH
, l\\,X~~.,~l'
'li?,i, h \I~,l, \f',l~'\
1.0.", . i,,\lt/l
iI\'",~ ' :/'.....,\:.
I)A Tr:J~..1~-9L~m
bPPLICAT.J.QJ:! (MUST BE FILED IN TRIPLICATE)
.' ., , ' " '
TO THE PENNSYLVAl~I^ DEPARTMIHH qf IIEV(,IHIE,
Appllcallol1 Is horuuy l11udo fOI ~ ~1I'~'11I 10 ,ho 111I1I~lol af Iho followll1y'noclJtilios ofo pOl1l1sylvonla
Corporation or,a Natlonoll3ol1klng Auoclollol1 loclllod 111 POl1l1r,ylvlIl1lu:, '
(a) _.l.Q.Q...p,h!___ (b)_T/lf!1.e!l.~.P Jt~.a_bu,~m~I1, ~~I'P",.~n_'_.". ' ,__'U". .Om" (c) .,,',...,_.c~111~n__._."-~~~_
(NOTEI Il1dosc!lull1g,$oclIrltlos anW In (II), oh 010, 01t11Ot Iho I1lJll1hol of shlltos of &Iockor Iho IlIco olnoul1lof
roglstotocl hOl1ds, 111 (h), tho 110,1,110 01 tho luull1g COlllplll1Y IIl1d 111 (c) Iho cllIss 01 slock or tho ~Ialod Il1tor061 rolo
ond m,oturlty doto o( roglsloroduoods,)
ISSlJED ON 11...1,~,:29 &,1.-30::-81, al1c1 havll1g II TOTAL MARkET VAtU!: OF $'n!J}~~..7.L.n-'--'~F-.pm
(00'0) ,
as ~( tho data 01 cloolh ~f tho docodol1l, __p,_, .. R<1pert A'"b,i ck"s,ol1. ' ,011", ,l,O~2~61 ,~-,,,,"
(NilITIf! (If Dlliudi1l11)
(0010 of do. ,It)
who woa 1010 0/_. 4f1L-BethaDr.Dr1 ve ,--'}lec_b!ln_lc:~!?y.r\)__..,,_'m,S~i!l.b..e.!:J!l.':1~_H~- P!ll'..~,~-,-.___.
(Slto.' ood flumb..) iPo"Ollleo) (Cuullly) iSI.I.)
Tho !locurllloa OtO rogiM'orod os /ollowal___._,"J1CJ.~Elr.t"n~._Dl.c,kll'?!'l_.""~H-"P- _..'~.."n._'..~"_,__~_":'_'_
(Hum" Of IHlrtln\lfl which c;'cl,Ii'OChIU. uro ruuhtotud)
James A. 01 ckson and
~~~X~~ Commonwealth National Bank, 1610 Cedar Cliff Dr., Camp Hill, Pa,
ItX ECUTOR) --.-'IN;";~)--"~~'--'-_._""_..'~-"--:~"~( ^dcl;;~)_n_-~---"--'--_.
.' " ,NAMEOF APPLICANTJ.;i:. ~ [);.."<~E-E...!\Bo.~E_,,._.,_..__~_
COUNTY F'ILENUME\eR-~l-~t:..~~,,,.- ADDRESS OF ^PPI.lCANT~t:I~' .2""..u,;."J('"'t'.,~:!~~..-
_,' ..oiiil1~Hwaa Th "~~lFan,,
BUREAU FILE NUMBER n~"."~,,m"" ..." SIGNA Tlj~ E OF APPLICAlH By '...-.""""'-
HOTICEI IF YOU FAIl.. TO P~OPERl..Y FIl..l..IN MjYPOIlTIONOF TillS APPLICATION, IT WIl..l.. NOT "Ii
C;ONSIOa~EO COMPl.;nE AHOWll..I.. BE RETURHEOTO YOU FOR"COMPl..ETIOH, .
, '
.___...T.------.___.._._,'_..,.._..._+~. .L~___~~.._' .____,_.u,. ."_ _ ,._.,__ _,~ --"--,.--'-"" . 'r~~.---.,....._--'~------...~.~._.._--
~--- COMMONWEAl. T~o~:J~~~Y~1;~~~f~~~T OFREVE:~:k~
I hereby cel\solllto tho trans for 01 tho.ouevo socurlllos 110W roglslorod In Iho nOl11o,of Iho %tosold
"
Docadonl and walv~ Iho, (illng of a corlll1colo cottilylllQlo Iho IH1Yll10l1t of thattonslor'll1horllanca tax 'to whl'ch
the proporty of sold Doc~dont Is ,h1aclo aubloct pur$uul1t to Iho ptovlslollS of Iho Acl of Juno 20, l'i19,P"L.,S21,
asomended and.the Act of Jurio lS, 1961, ~,L, ~73, as alllondocl, This Is also 111 occordo~~o wllh the provisions
pf tho ActolApril 9, 1929', P,L. 343,
'This COI1$onl to 'rrol1sfor tho horoin ~oscrlbod prollorl~ ollorulos only I,n roloronco to tho ostolool tho
above'nomo!! Docodol1l.
~~~~~'
!'r:;<Jir: t\
'. . ;i'liJ!~!gl.
Slgnod (?-I he Socrotory of Rev~~~..... )
By . _ _ .e,~..'4.d
:2 !d~~
(CbU"'Y)
I 11"",11 III\\'I "1111111 1'llllI'!'1 "AIH^
PII'^I< I MIIlI P' HII'IIIIII
IIUIII ^U 01 ({lIl1n \' C:Cll,ur Ilnll~
Ai'I'IICA'IIClIi I 'Ii Mill c'1l1l!,1'111
III IliAII~III~~.J \ lllillll ~I
lil'(;I~II;lirlJ IHIIII' IIAME
01' ^ 1\E511)Eli I UI,CI,lJliIH
, ,~
~'b \.!")~?
I ,\1,:" '\
.;~!;)WJ(0~
6PPLICATIO~ (MUST13e ,FILED IN TI~IPLICATI:)
TO THE PENNSYLVANIA OEPMTMENT OF REVENUE,
Al1pllcnllall In horolly modo fOl C,\\15PIII to thOlrllll,Kfol olllw lol\nl'(lnn ~bcurltl08 of 0 PpnnsylvlIl1ll1
Corporlltll1ll11t II NlltlunlllBunklno ASHar.lllllon I(Jelltodlll Pllnn~ylvllnj(1: '
()ATEJ?_~?_"!iL..
(oLJQ...!llL___^,(IIL,~e.[ln~YJ~n!!'U-oWI3r."Lt\!ht, Co .... ,___,(c)..JJ'.~~~Er..9"'_"H'.__."'"
(NOTEI In dbsc'rlblno socurltlos ontol II) (0), nb (l{O, olthor Iho numhor of shuros of stock or 11.0 luco onloul11 01
roglstorod Ilonds, In (b), tho noma 01 tho Isauthn comllllny ,undlil (c) tho clots of stock or tho stotodlnlorost IlIto '
and 111l1luIlty doloollogl~lolod honds,)
ISSUI:D ON ._~lLl~~_----~-, and hnvlno a TOT AL MARK I:T V HUE 01' L,~~9.:,9Q...m_~'-H_.__..'_'m'"
(Doto)
os of tho dnlo of doaih ollho docodolll, ____..RQP9.rt ,A. ,Dickson
(N!1mu of !JiICtidtltlt)
on " 1 o-~-8l '
_ _'_ I " ,T"~_" _ .,,__0_ ,._,,"__~.'_h'" .~.
(PIllu of dUlllh)'
who wqs loto oL~6S BathanyDJ:i Va ___~~.~!!rrj~.~Ur9_-."
(~lrout Ulid NUlllbut) (flp..OHlco)
._..,,~.mb~e.t:l~mL~__,~..___J~_~n!11L__~--
,(Cou"Ir) (SIlIiU)
Tho Hcurltllls lliO rO\llsllltoclos follows:,
Robert AI Dickson
(t~UIllU 01 11fl/lltJi III which cOlllllculOI nfl1lUuhlurod)
.,..., ._.n_.__.n_..~~'"_
, Jalnes A. Oi ckson and
mIl1Mlm~MnH~ COIllTIonwGalth National.Bank.1Sl0 Cedar Cliff Dr" Camp Hj\l,r,~..:_.._.._,"
EXECUTOR) (I~!,,,",) , (^oIo1..,,,)
HAME 01= APPLICAtH_.,,,..-. ~.,},) _.,SE,,~,.,~BOV.~_..__._'"_._
,./tI4... I Y I .I t,.. --:-
COUNTY FIL~NUMBER...f.b.61~61L"- ADDRESS OF APPLlCAHT..'!11SL._____, _..~-_.
, COlllllonwea 1 thNa t i ona 1 Bank
BUREAU FILE NUMBER__,-___':"__..,_._SIGNATURE OF APPLICANT..!l)'.4~."--.~o#f'a... ~-
NOTICEI IF YOU FAI~ TO PROPERLY FILL IN AtlY PORTION OFTHIS APPLICATION, IT WILL HIfT BE
cONSIPEREb COMPt.,ETe AHQ,WILL BE RETURNEDiTO YOU FOR COMPLETIoN, .
__,,_.~~__,..'_"n_'_~_" '.....,__--'..,.u _ __" 'c ...'____.__,...,.__.~'_..,._.'~_~~__ "'r_~~......_..________.-.-.-'-_--
------COMMI'HMBAL f~~~lH~~~~t~:~~i~~~i~T:;~1fIiFiiiii~:~~~~~ I.
,\ hoioby colISO!l1 to tho tronsfor of tho olloYo SOCUllllo& !lOW 10\llsIQrotl 111 tho n0l\10 01 Ihe oforosl1ld
Docodol11 ond WlllYO ,Iho Iilll1u 010 cOltlflcl1lo cctlifyllHjlo 11.0 puyillol1t of Iho !rol1sfot IlIhorllciilco ,tux 'to which
thr propotty 01 sold Docodenl 1$ modo fiuhlocll'ulSU{lI1t to tho I'lovlsions of thQ Act of JUlio 20'" 1919, ,P,L. 521,
as ol110lHlodulld 11.0 Act of Juno 15, 1961,1",1.,373, US OI11ondod, This Is olso In uccoltlunco with tho provisions
ef tho Act of April 9, 1929, P,L. 343,
This COllsontto Trunslot Ihohololn dllSCtlbod proporly OPOI{ltOfi only In roforonco to tho ostoto of Iho
obovll'nomod Por-odont,
\'.
~~'lit~~{4I
, 1\\'r"'Ur''''
~ qtfl::fl'
.,!"..lZJjl1.E\v,
("MMD/iWr.A~ 111 Or- f'~HH\Y~V^,lIA
HI'AIIJMl'tn (Jf' Ur-VI'llIJI:
ilL' I All 01' ~()lJlnY tOI.I.r-CTlOII\
I. I"J/'LICATIO'~ l'Of( AHD COI~SEln
TD m^,~srTI~ SI:ClJl~ITlES
I I~I:GISTEIH:D IH TIIri tlAME
OF A IWSIDEHT DEcr:DE'H'
~t~!,~.
fH'. f
I. .;.' \"1,1"1 \
. "'!"lW:l.J;:.
,
,
~ (MUST BE Fll~D ,IN TRIPLICATE)
TO THE PENNSYI.VANIADEPARTMENT OF REVENUE: .
Application 15 horohy lTludo lor ctJlsonllo Ih" IIunslor of Iho fullowln!l socurllios 01 U Punnsylvonlo'
Corporation or u Nallonall3unklna Assor.lulion lor.utadln PonnsylvlInlu:
1M TE,12.~~.::~L __..:..__
(aLl.1i..~~._._(b)..:.e!'olJD.~YJY!n.!lLPo.!'!!lLQ.._U g!lLC9" ... n..'. . '0'" (cL.. ....ConJOon .,.._on'..._
(NOTE: In eloscrlbln(J sacurltloa onlor In (u)/ 'ob (NO, oilhor Iha numhar 01 sllllros 01 stock or tho ItICU umounl 01
roglslarod hands, in (h), tho nillM of tho IUlIlnl1 cOlllpnny ul1clll1 (c) tho c1uLS of slack or tho stuladlntarasl rata
anelmalurlfy dqto ql ragislarod bonds.)
1:1(15(1./9, Li/21/59
ISSUED ON _J!n.~...Y2.11!6.L_.... / and huvll1u u TOTAl. MARK ET V HU r: 01= L.3,~0210(L..___._......_.
(()ntll)
oa of tho dolo of douth of tho docodont, _.... n..!~()J?Qn At ..DJ.cl-;eQn
(Hum!! of DUtf.;JuIlt)
.. ... / on ....1 0"5..81........_.....--'......_..
(Dull! of d,luth)
.. wha ~aalate of _..~65..!l.!1_~~~_~y..._O'.t:j~~..._ ..MClr:ha~J~~b.u.!a.._..__, . C_Ulnge.r:J~[1.d. ... .p'_eflnl!..~_..~_~_..__
(5".". and Hu",~.') (Po.t 0111.0) (C"unty) (Sto.o)
The socurltlas ora raulsloroll os fallows: ......
.. . _Ro.bortA. Di ck,sol1..
James'A, Djckson and
~~~~ COIll11Qnwealth National Bank, 1510 Cedar Cliff Dr., Cemp Hill, ~en.~.a..,.__._...
EXECUTOR r~""-"--'" . IN..",,,) ....... . .. "(A,i,,,,;,,) .
NAME OF APPLICANT, ,,' , SEE ABOVE
,'k.-'!.?' .iJr'~ . - ~..
'COUNTY FilE NUMBER.21.,:,Ol.:,63.0 ADDRESS or APPLlCMH and .d, ....._..__
. . . Comnonwea 1 th Na t i onal Balik
BUREAU FILE NUMBER '. . . SIGNATURE OF APPLICANT By Y.t..-U 1.1, v:;...i4<<",tL.
NOTICel IP YOU PAIL TO PROpeRLY FILL IN AllY POlmON OF TillS APPI.IEA'r'ioN, IT WILL Ndf Ill! '.
CONSIDIlRIID COMPI-Ere MHl WILL Ill! IlnUllNEO 10 yOU f'OR COMPI-IiTION.
(Hulllu 01 IIUIIW" It'! whlrhctl,llflcnlu" J1ttJ flluliloto'd)
...'T-""----.-,~-..-......-,-....-.... m___"
...--.--.....---....-.. ...~.COMMOt~WEAlT~o~~t~El~kYi~;~J~F-R~~~~HJ~T OF REVE:~~~; ~;I'
I horohy cans ant to the trunsfor af tho l1havo soculillas now roylstoroelln tho nmnoof Iho of ares old
Decodont and Wl1lvo tho 1IIInl1 01 n raltilicnlo rt'rlllylnl1ln Ih(. ,,"yrlll'nl of Iho transfor InhorllOllCa t(IX ta which
,thoproporty alsald 'Dacodont Is nll~da huhlor.t pursul1nlto tho provisions 01 tho Act af Juno 20, 1919/ P.L. S~',
aa olTlandad and tha Acl of Juna IS, 1961/ .P.L. 373, us 1111l0ndod. Thi~ Is olsa III accardonco with tha. provisions
of tho Act a/ April 9, 1929, P.l. 3~3.
Thl. Conaont t,oTransfor tho horoln doscrlbad proporty oporatos only In rolaranco to tho ostato of tho.
abovo-nol11od Docadont. '
\~
:tJ1,,~t~
"~-'I "
V'"' .\
- :I,~:,?.lfi:,.~~t:,i.
,Siunod)';:iIH' Soclt'illry~' R2:.~;,)
.."-2~~"-';~'77"" ~- .
"?~, ,I.V' r.;:uj?~~
'/}l") ,1("''''''11.,.
(OJ.\J.\ONWlAI. Tli or f'1'NHSYLVAHIA
lltl AlnMr.m or lIevr-NU~
IHJl<tAIJ 01' lOlJln Y CO~I. r-,f,lIUIII
I
I
., I
APPl.lCA TIOt~ I'(J/( AI4D CON5EI~1
TO TI~At~SPER SECURITIES
REGISTERED IN THE NAME
. or ^ RESIL)EIH DECEDEHT
~~~~'
lilfW '\
~~..~~~~\, .
AfELICATION(MU~T B6 FILED I,N TRIPLIC~TE)
TO TltgpENNm.VAN1A pgPARTMENTOF REVEtmr::
Apl'llcut,lon Is horvby Illude lurc tJl~l!1I1 10 Ihotll,lIlsf.UI of tilt' followllllll,oclIrllios 01 uPer,I"yIVlll1lo
CilrpelatlClll or u Natlolloll3qnkll1g A~seclulloll loculod 111 r'onn~ylvonlu:
I)A TE m.U."2~.?,L.
(a).J36.._l\hL._..(hL.G\.ll.LQ.U.c.orp"'-H~C-- . _h'" .w...,~,. (c)_.. .cQfI1110n",_,,,__,,"h
. (NOT!:: In do~qlbil1\l ~ocutllles olllor In (11)/ db 010, ollhol Iho "'Jlnlm ul ~hllros ,01 stock or ,110 luco UillOllrlt (If
loglsterad hohds, I,n (b), tho narno of Iho luulng eQlllpuny IInd In (e) tho cluu 01 stock or Ihe stateellntarq$l rate
ond molurlly dulo of rogislored honds.)
ISSUED DN.J.o.:.~~"~~.1_12"3!:!?and hovlng u TOTAL MARKET VAtUE OIl L,...~1838At....-.'--____._~.n
IPo'o) .
os of tho dote of delllh olt"o docodenl, _....._...+~<:Jb.(JX.L~._Q!cbs()I1..__n.._..__ I on ......._..J.Q~bJlJ~.__....
(Hultltl ul r)I/(I,dUI1I) (Pnlct of duoth)
who was IlItool 1.f6~ aeth~1!L~!iY.l!..~Y~~,~~nJ.'?J~.uJ:.9_~ .______C.f'lrn.!?!!t.1!.lJf:l___..._...f..!!n!Jjl........;...~__...
(~ttllllt Cllle! Humhllt) (Pu" OfficI') (COUI'ly) (Sllllil)
Tho ~ocurl'loR ore rO(liRtoro~ (IS follows: .....B.(;l,b.er..L".. .o.i~.~..s.ol1 .. . .....--..-........ ..,.__...~---_.._-~...
, (HUtJIll llt'nur'u'ps In which l:urllfh:lIlu. t1,,-, luUI;;IPrtld)
" .Ja'mll~ A. Oi cl<son and
m~~~x~~~ COlTT11onwealth National Banl<, 1510 Cedal' Cl iff.Dr,,, Cllmp Hill, Pat .
EXECUTOR r-~---.---..'..I-I~";;;~) d"'~:"'~_~' -. . .- -.-...'i^;id,;;;)....~~-E ..Aaova-......----.......
N~Ir\r: OF APPLICAtH .ur-=r'A. .,,' ........ ....-........"...
,-/;' rr' "'..r~---_
COUNTY FILENUI.\BER.__.U-:~l-(,:JL- ADDRESS OF APPLICANLIlIJCL,. .. ,+.'....-.---".--
, . Conmonwea1th National Bank ~
~~~I~~~ F ~;Ey~~ ~~I~ R':(ip~oP'E'RLy'r.i"L ZII~N t~,U~(~I< ~;ot~~L~~,~NA~pf;i(~i1w\LL~: .P~r ,
COt-lSIDERIlO COMPI-Illa AND WII-l. IlE, RETURHEPTO,yOU FOI~ COMPI.EtIOH.
. .COMMciHw-EI' ~o~\:jf~~y~~~ii;~'lfct~l~~iti'~tiii~:~~~;1
I hctoby consont to tho tronsfor of tho (thovo sQcurltlasnow roglsteraddh.tho nall1e qf.the al.oraaold
:Qocodoht ond widvo tlto Jillny \11 0 cott.lllcolocortllylny 10 IhdHlyrucnlof Ihon~f\slor inlJClilllnCO tct~ to which'
.t"o propor,IY'of.saill Docodontls Inado subject pUrSUllnlto tho provisions 01 tho Aclof Juno 20/ 19l9,P.L,S21.
0& all1ondod ond tho Act 01 June 15/ 19611 P.L. 373, os omonded. This 'I" also In a'ccoteluncowlth Iho,provlalons
_....+_____._,-n.~.___" ,.___._,~_ n._.T'___."2'C .;,-,_.. ,,-. ...
_ __ ~,_. .___ ._..." n'___..~_~. _.__._._....i-'___.._u..........;.._..;.;___... ... ----
of tho Act 01 April 9, 1929, P.L. 34~.
This ConsOlit to Trnnsfor Iho horoln doscrlbo(1 properly oporotos only Inrofaronc~ to tho ostato of tho
obova.;'omod Doeedant.
.~. .,..
,~,'f.~/~. .\
v"'f- l,) ,j"
.iJ,",."J~i;'/-,,;..<il.
,S,lgnQd,fO" r 10 SoeretalY of R,7~vonu,
'. /' ti,/)
By ."~-..... ~
All,.."'" A~
'r'iJi (C"'''''y\
'.
, ),
"
'.. "
!" ,;.i;,
If'
.;. 0
I\' .1',
I ." "l' '.;','
\;)1 ";, ,
I flT, I
" " ~; i ,::
td >..:
~." ~ t'\I.1
tr:~ ~;~p
W U'~ .
It!' lC t~n
"
I "'1/'""",1 AI 111111 1'1 HIlI I VAtIl^
PII'AIlI M"'~ I or tnVI, HII.
1111111 hll 111 ((lll1n y rOI.l 1 r:11I1I1\
'I 0 III^II~II!: ~LCUI\IIILS
RI~(~lql'III'11 111'111(; IIAMI'
OF ^ IIESIIlUfI lllTl'lJUfl
!
.6.PI'I.ICATIO~ (MUST Ill: FILIW II~ 'rrllrLICATl~)
TO TIt!:! l'et~N5YI_VANI^ 1)r:rARTMI1NT 01= J~EVEHII~:
Ajll)llcallolll~ hOloliy miltlo lurct>Hiullllu tl,ollullblullllthp follllWill(J soculillu~ 01 \1 P'ulIlIsylvOllio
CurjlMutlun or u Nutlollul BonklllQ A"oclut,lolI laculad III PUllnsylvunlpl '
\)A TE .._IZ..2!l'.6L_........
(u) ....al.LaJ1&c-_--;-,(Ii) __..~.htll!~\!dRbjlt.l.l!tl<trj.9__ C~L,.....,...... ..,.. - ,-"... (c) "..l;wri.n~O...._...~__n.__"'~-
(NOTE: III' dosqllilllgsocodtlo& 011 lor In (0), u,b 00'0, oflhor Ihu nUlllbul 01 SllDrOS of slock or thol.llco Cill1aUIII of
raglslorod bonds, In (b), Iho lIal\lO 01 tho Issuing comf1ollY olld ill (c) tho cluss 01 stuck or till'> slulad IlIlarost rutu
ondmaturlty dolo 01 raglslorod bOIHls.)
ISSUED,ON....!lb9i~.0 ~J.~L1.2lZ}, and having 0 TOTAL MA,RKET VA-LUEOI: $_....!.t\l20..P.Q._-'-~___~
(00"') ,
, os of. tho dutoul, doolh 01 tho, docodollt, __~?~~~LL~!_QJ..c.k.!!c>'ln _ .....__._ / on" to"?"(l~___~__
(UUIIlO (.If OfJ~ull"lll) (Dalo 01 doalh)
WhO~IIS Iota of...1.f6t!~thanY Dri Va ,._..--,~f;l.C..~~_~!~~':~r.!.,.._.__-,!.U:l!~_,:!,~a!l~,_.._._...!enn~--~----
(~".olood Homb..) IPo.IOIO,o) (Co,ial,l ($1010)
Tho sucurlllus lIro to(Jlslarod as,lall'o\Ysl"__'_'_"..n_...~.__..Rctb.erJ .A PJQ~.~,cm",_"'...m,_"m.._~_~~'~'__'"
. (Namo or nOIlIU' In whlr.1i c(t,UllcnltlJ(1ltliuyI1lutocl)
James A. D j ckaon an.d
l\~~II~~15l<:~~....~.g[fl1onw.~..~.,~tL!'l.!EJ..on~J..~.<lI1..k.,L.ll LQ_C~c!.~!_.fUf.L Rt'LCamp-.tt..!J.!.L pa ·
EXECUTOR) (Homo)' ,,(Add/...)
'NAME OF APPLICANT ,.,.,.."o"c" .~' .-1....,......... SE,L~9.Y.K._",._..;.....
, .....,,.--... 7~" ,,/ ....~_
COUNTY FILE NUMI3ER.Jl~.!lL~9.~!L_-.. ADDRESS OF ,APPLICANT_JimL..."..___-.. "".--~'-"'--'.---'--
Coomonweal,~h N.ational, Bank
'~~~I~~~ F 1;; ~uu ~~I~Rl:oi' Rei,; ~R~Y"Fi'~ CII~N^AH~U~~ll ~io~Po~L~~I~NA;!:rfc("T;_iN,~wl~f~~ : t-;~ ,/
CONSID~R~D COMrLaT~ AND WILL B~ RETu;mED TO YOU rOil COMllLEtION,
. . ..".._.__~~~__ _.__.__~_<__...~....u_~._ .... ,.. ,.~._ _____4'~.~_ ..____'". . _.~~- .-~~~. ~-.--~..~
-,-"'~'''~'---"- COMl.iONW"l:A"LfifO';:'PENNs'i'C'VANIA--;(:lEI'ARTMENT'OF REV"ENUE," A1" ,.. .,.....,
, ',' ,~O~~NT. T9.. T~~.~,~E.~R....sgC.Y~lIJEj ". DA TE~_~fl?
I hotohy consonl to Iho Irol1slor ollho abovo soclltlllos now roglslorod In tho llama of "tho oloruuld
Pocut!o'llIUl1llwnlvl' tho IIIII111nl n ccrHllcat/l c1lrlilyinll In'lho IinYlllclll ollltb If(lIl!;/or hlhorl,lllIlca Iux,to which
tho prapody o,f sold Ooc:odol11 ia lltade sublo~t pUt$Ul1l1t to tho provisions ollho Act of JUI10 20,'1919/ P.L. $21,
. '
as orn~ndod end the A~t, 01 JUno 1$; 1961/ P,L. ~73, oS OInended. This Is al~o In accatdlll1CO with thepravlalona
\'
of tho Acl 01 Alltll 9/1929, P.L. 343.
, Thla COl1sont 10 'rra~alor tho.,horoln dOBcdhed property Olllirlltos ol1ly 111. raloronca 10 tho of.tula of tho
obOVO.rHlIlIod Dueodont.
I~~t~pr$,
lb;;~}1ijlf\i~cl~
1/
IlIV.U01llC-t ".'11
SCHI!DULE "B"
STOCl<S AND BONDS
COMMONWEALTH Of PIINN8VLVANIA
INHIIRITANOII TAl< RITURN
REal DINT DIIOIDBNT
ESTATE OF
m.e NUMBSR
~1.81.638
,
Robert ^. D1 ck50n
(1\11 ,oponv 'olnllv-owned with III hi of eurvlv.rj~lp mull bl ol,oln,ed on e.hedull II,,,)
ITEM
NUMBER
1.
2
3
4
6
6
7
8
9
10
11
12
13
14
16
16
17
18
19
20
21
22
23
24
26
26
27
28
29
30
31
32
33
34
35
36
37
38
39
oeSCRIPTION
32 shs. All1ed Chem1cal Corp.. common. NYSE (j1 41:4375
258 shs. l\J11er1canMrl1nes. Inc.. con~110n, NYSE @ 14.76
1605hs. l\J11er1can Telephone and Telegraph Co.. COIlI11on,
NYSE @ 69.26 '
100 shs. I\J11pco.Pittsburgh, Corp.. commont NYSE @ 17,6875
913 shs. Boe1ng Company, common. NYSE @ 24.3125
60 shs. Canad1an Pac1f1c ~td,. ,common. NYSE @ 36.4376
180 shs. Cont1nentalGroup; Inc., cOll1110nNySE @ 32,376
90 shs. E.I. DuPont deNemours. common. NYSE @ 39,lB76
328 shs. Exxon corp., COI1111on, NYSE @ 31. 00
180 s hs. General Motors Corp.. common. t1YSE @ 46.00
13B ahs. Gulf 011 Corp.. common. NYSE @ 35.0625
400 ahs, Pan l\J11erican World A1rways. common. NYSE @ 3,00
130 shs. Pennsylvan1a Electric Company. Series L, 9%.
cum. pfd. N,L. @ 11.375
216 shs. Pennsylvania PowEll" &'L1ght Co..commont NYSE @ l(i.76
10 shs. PennsYlvania power & L1ght Co. ..,9.24%. pfd. N.L. @ 66. 0
80 shs,' Phlladelph1a Electric CO.t commont NYSE @ 12.76
468shs. Rockwell Internat10nal Corp.. common. NYSE @ 32.75
1,85 ahs., Sperry Rand Corp.. common. NYSE @ 33,'00
~02 shs. U,S. Steel Corp., common., NYSE @ 26.25 '
395 shs. U,nlted ,TeChnolOg1es Corp.. cOll1ll1on.NYSE @ 46,125
3 unl ts Corpurate Income Fund ,ath pfd. @ 529.95
Accrued 1 nterest on 1 tam ,21 to 10/5/81
4 un1ts Corporate Income Fund. 86 month payment ser1es
@ 011.07 '
Accrued 1nterest on 1tem ~3 to 10/5/81 ,
6 un1 ts Corporate Income Fund 96 month payment ser1es @ 6U2. 52
Accrued 1nterast on 1tem 25 to 10/5/Bl . '
6 u~i ts C:orporate Income Fund 68 month payment ser1es @ 558,28
Accrued1nterest on item 27 to 10/5/81
1.700, .Amer1can A1r11ne,s Inc.. 5.25%. due 7/1/98. NYBF. @ (i9,.50
Accrued 1nterest on Hem 29 to 10/5/81 '
600 .Amer1c,~n Telephone and Telegraph Co., 8.7&%. dua 5/15/00.
NYBE @ 63.375
Accrued 1,nterest on item 31 to 10/6/81
'1.000 Pan Amer1can World All', 4.5%. due 1/15/04. NYBE @ 59.75
Intet'est accrued on 1 tem 33 to 10/5/81
700 Un1ted Technolog1es Corp., 4.60%. due 8/15/88, N.L.@ 55.93 5
Interest accrued on 1tem 35 to 10/5/81
10.000 United States Treasury Note. 9,25%. due 5/15/84.
O.T.C. @,a7.0625
Interest accrued on Hem 37 to 10/5/81
Un1 tad Stat\lS Treasury Ser1 es IIEII Bonds
3.000 dated Januat'y,,1948 9.0qa.40
2.000 dated August, 1948 6.851.20
2.000 dated December. 1949 5,798,40
TOrAL (Allo enter on line 2. Recapitulation)
IIf m... .n..' II nlodld 1~'Ir\ oooltlonol,hoot. .t ..mo .1,,1
VAWS AT DATE
OF DeATH '
1.326.00
3,806.60
9,480.00,
1.76Bi76
22t197.31
,2.186.25
6,827.60
3t62G.88
10,168.00
,8.280.00
4.830:63
1.200.00
1.478,76
3,386.25
680,00
1.020',00
14,999.60
G.I06.00
5.302.50
18.219.38
1.689.86
11. 34
2.444.28
126.20
3.412.60
197.65
3.349.68
176.04
1,011.50
~3.30
316.a8
17.01
597.60
7.87
391.66
6,73
0.706.26
369.72
. CONTt NUED
1I(",-I'OlI I_I '~11l
COMMONWSI\L TH OP PSNNev\. VANIA
INHIIRITANOS TAX RIlTURN '
RS81DIINT DSOSDIINT
ESTATE OP
SCHEDULE "a"
CASH AND MIIICELLANIWUS
PERSONAL PROPERTY
--'-"';;';:..,~-';:::~ -.
..._;-
FlhENUMDIIR
Robllrt A. D1ckson 21-131.638 '
. - fAIIIJ'OfJ!!!XJalntl oCJ nld with thl ~Iuh' of 8mvi~D~ mutt hi ;jr,~'iu.a~~Q,iti~hidUi.~'------""
ITIlM -.----
NUMBER DIISCRjp;~ION
1-
2
3
4
6
6
7
8
9
10
11
12
13
14
16
16
17
18
19
20
21
22
23
24
25
26
27
28
,29
30
31
3?
Cash'
Check1ng acc,ountno. 112-302006.7 with The Convnonwealth
Na t1 ona 1 Dank '
Interest accrued on 1tem 2 to 10/6/81
Sav1ngs Account no. 26-0040244-7 w1th The' Commonwealth
Nat10nal Bank '
Cert1f1c;ate pf Deposit no. 16.3497 w1th The COII'l11onwealth
Nat10nal Bank at 16.201%, due 3/9/84
Interest accrued on 1tem 6 to 10/6/81
Cert1f1cate'of Depos1t no. 16.2679 w1th The Commonwealth
Nat10nal Dank at 12.328%, due 10/1/81
Cert1f1cate of Depos1t no. 16"3441 w1th The Commonwealth
Nat10nal Bbnk, at 11.76%, due 12/18/83
Interest accrued on item 8 to 10/6/81
Cert1f1cate of Deposit no, 16,"3130 with The Commonwealth
Nat10nal Bank, at 10.60%, due 11/13/82
Interest al.crued on 1tem 10 to 10/6/81
NOW Account no. 00021-32322 w1th CCNB
Interest accrued on 1tem 12 to 10/6/81
Cert1f1cate of Depos1t no. 22519 w1th CCND at 16.261t
due 3/10/84
Interes't accrued on item 14 to 10/6/81
Cert1f1cate of Depos1t no. 132663 w1th CCNB at 11.76%,
due 12/17183
Interest, accrued on 1 tam 16 to 10/6/81
Cert1f1cate of Deposit no. 30228 w1th CCNBat 12.624%,
due 9/29/81
Interest accrued on 1tem 18 to 10/6/81
Cert1f1cate of Depos1t no. 20381 with CCNB at 10.51,
due 11/16/82 '
Interest accrued on item 20 to 10/5181
, Cflrt1 f1 cate of Depos it no. 36.33002288 w1 th Dauph1 n Depos 1 t
Bank at 11.76%, Que 10/1/82 '
Interest accrued on 1 tem 22 to 10/5/81
Cert1f1cate of Depos1t no. 5.15.816633 w1th Harr1s Sav1ngs
Assoc1at10n at 15.896% due 3/4/82
Interest accrued On 1tem 24 to 10/5/81
Sav1ngs cert1f1cate no. .002-19.06749 with State Cap1tal
Savings and Loan Associat10n at 15.896%, due 3/4/82
Interest accrued on 1tem 26 to 10/5/81
Household goods. appraisal attached
HOusehold goods . sold at
Automob11e, 1974 Omega. appra1sal attached
Cla1m payment from Med1care
September Soc1al Secur1ty benef1ts
TOTAl. (AI,\o onter on Uno ,6. Rooepltulotlonl
Of mot. IPiGl It "..dld Inlt" addltlonll 'h'.11 of 11m. 11,*1
VAI-UIl AT
DATE OF DIlATH
20.1,4
1,225.11
2.26
6.31
5,000.00
56.37
15,000.00
6,000.00
217.30
2,700.00
43.66
1,682.07
9,19
5,000.00
58.68
3,000.00
108.14
11,000.00
696.47
1,000.00
41.13
3,600.00
4.57
10,000.00
22.08
10,000.00
17,66
272.00
661.90
600,00
120.00
38p ,1 0
. CONTI HUED
, .
2. The docodont \1as d1n\lctly llalllo to ,lis In rospoct of loans, M,coptancos. Qtc",at the
closo of Iluslness on th.lt. dato In tho, tntal amount of $ NonQ I as: followSI
-
Date of Loan
Amount or D1scOllllt Duo Oatil
~ -
Doscr11lt1on of Liabl1lty, Collateral,
to Socurlty Intorosts,Lions,. Endol'sers. Et.c.
-.....
3. The decedent was contingontly 11alllo as llndorser of notes discounted andlor as
gUarantor at tho close of bus1ness on that data In the total amount of $ None.
at .follows:
Amount, Name of, Naker Datu of Noto Due Date RClrnarks
~
-
None
9, S,' ocur,1tY,' a, groo, rnants undor th,e Un1 fOl'm Commel'ci a 1 Codo 0, I' any 9the, I' agreem, , e nts, Pt'ov, 1 dl ng
fOl'rest17,ll.~t1onslnot notod allova. lieI'll as ,follows (If off1clallyrecorded, 1ndicate date
and office In which filed): , ," "." , '" , ' .', :,
' None '
6. The dacedent d1d/didnot, rnalntaina Safedoposl~ box with ourlnstltutlon.
NQ11/;!
7. Thef,o !lowing accounts of tho 'd\lcedent wel'o closed with I n three yaa rs of da tQ (11' dea th.
,. " Nono
Reqistored Owner(s) Date Account
Account Number Typo of. Account 'And Oll,to Es talll f Shed Cl ased ' Comments
"
Data
llovemher i8 ,
19 81
-
Yours tt'Uly, (Ballk) o,cNn Bank, iliA,
" ,'I
BYli~~ .
.
,
4P28
1fI/.1I1I1J(. C"'II
OOMMONW.AI.TH 01' ~'NN8VLVANIA
fNHIAITANql TAX "ITURN
"III DINT DIOIDINT
18TA.,., p
Robert A. Dickson
SOHBDUI.& "J"
BENePICIARles
PIL8 NUMlllln
2t:a~",63Q "
.
.lrlM
NUMBeR
--
NAMII AND ADDRISS OF llllNIiFIOfARV
Rlll.ATIONSHIP
AMQUNT
"
A, Ta~~ble aequo""
.James A. Dickson
240 Green Lane Drive
Camp Hl1lt PA 17011
Robert A. ~1r.k~on" II
44, Dorothy Road .
ArHnuton, Ma4s. 02174
James Arthur Dickson
502 Chris Mar Drive
G,rand JUnetfon. CO El1aOl
Carl Dickson
240 Green Lane Drl ve
C~mp Hf11, PA 17011
Barbara R. Dickson
3201 Wee~lng Wf110w Court
SI1\',er Spri ngs. MD 20906
,
Granddaughte 1/0 'of, resIdue
.~
Son
1/2 oJ res 1 dUe
2.
"~I'
Grandson
1/8 of re~,ldue,
3.
Grandson
lIe res1d,ue1h Trust
unt 11 age 26
4.,
Grandson
1/8 of res1due 111
rust until age 25
6.
1:tIiM "
NUMsBR
NAMIl AND AOORESS OP B&NllflICIARV
AMOUNT
"
s. 6herIUl~le llequetUI
TOTAl. OHAAITASl.l!ll&QU&8TS IAI.o eMet on 111'1.13, ReqtPltulatlon) .
lllll\ot. 1,....,1 nHdtd InMtt .ddltfonlllhiMt. of Mll\' "101
Ill'V.lhnn EM t ('Hill II ~~f{\/3t)- -I J
rr.NNUy~~l~:'I~'~~~;I~:'tXJ~7~~~nVnNlJr. INtlanlTANr:" TAX nnTUrlN
P,O, nox om RIlRlDllN r PEonPllNT
HAnnlulIUllo, M 1'/100 Fila Nllmhar ~~-0~-63B
-. 'nocodanl'l NI;o~;i::I:r.i;;':';11 Mill:II;;WII;)- ---=t' Uoc:I;;;AddrOIl
IlECEA8En _W~:iQD.I...R!lllm..fu1"--"---'-- 4M66 l3ot1'hany Drlv10 1 1
8oolal8uollllly Nllmhor Uutu of !loalil ochan csburg I 'onnsy van a
170-01-6370 10-6-01
--~- --_.....~~-~ ~-----------~....--_............-..
OORRE'
SPONDENT Nama
tha C0l1l11onwealth National
Telo~honu No, '
(717) 760"3141
Undor ,,0Mlllol of purlury, Illoolato thaI r havu oxamlned Ihll toturn,lnoludlng ftQoompenylng lohadulol and Italements, and to Ihe belt of my knoWlodgo
and belief, It II true, oorreot, and oomplolo. Iloolorellon of proparor othor than Ihe panonal rtptel8nlatlva II hmd on all Information of Which proparer hOI
any knowledga.
The Commonwealth National)Bank. Co-Executor
810NATURb pe SON~ l'EPRE",SON'''',AfiVoISI ADDRess
BY.L ~ fl.. .~lAJI Vice President & Tax Manager
~.. W.j)/;;(.cc?:.. -<
r.tGNATlmr. or rl1!:rAIlEn OTHPn TIlM.nr.rnronWT.\TtVI!
CIlSCK
APPRO.
PRIATE
PLUCKS
,
REOAPIT'
ULATION
ANI)
TAX
CALOU.
LATION
17065
1.0rlglnnl lIulum [1
2, 8u(lll18mOnlll lIutllro [X]
3, Romalnder lIatulll 0
~. Lifo Eltnlo 0 6, Federal Eltale Tax I1J
. , , , 1I0011rn fiaqulred,
B, Daoodont diad tOIlate rv 7. neoodent rllllntelneli,llIvlng 0 8, Nllmber of II.e depallt 0
(Alleoh copy of WI!!!....b;.d.._____.. ttUll (AUeoh conof trllu). bomlnv,nlorl.d
AlloorrOIPOlldenoe and oonlhlellllel IIX Information lllould be directed t~1
Bank
Add rOll
10 !;ollth MAI"~At SQI/Al"fl
RaoaplMation
1, 'lIoal EUote(Sohodulc A)
2. 81uckllnd BondI (80lledllle 0)
3. Clmly Held Slonk/Portllenhlp InterDlt (Bohedlllo C)
4, Mortgeg!1 ond Nolo' (Bohedllle 01
B. Calh & MlloolI.onaPl15 Porsolllll'roperty (Bohedule E)
0, Jointly Ownod Propnrty (Soheliulo F)
7. Trlnlfall (sohodlllo 01
8, TOIII DrOll Assel,llotllll.llol H)
B, FUlleral EXllonlDl Admlnl,ttatlvl Odm/MllOOllenOoul
aXpenlQl IBohedlllo III
10, Oebu/Mnrtllaoes/Llelll (Sohodulo I)
11, TotQI OOductlonl hotnlllool P & 101
'12. Nol Vohln of Eltato (111108 mllllllllno 111
13. Oherlllhla UoquelU (80hodulu JI
14. Nat VOlllllllhloot to lox (line 12 mlnllllllle 13)
"~;;a
,....!lJ
(11_
( 21
(3)_
( 4)
( 6)
( BI
( 7)
I
'.:J\ J
,
"
2.602.94
fJ
~
2,602.94
( Bl
( sl_
(fa)
(f1l
(12)
(13)
(14)
2.602.911
2.602.94
OompullllulI of Tax
16. Amount ulllllo 14 toxubleol 81ltoto (16) 2.602.94
(locludo vehlol from 80hodule Kl
10, Amount of IIno 14 texoblo et 16% rlto (f0)
IInohldo unluol franl'Sohedul1 Kl
17. Prlnolpal tox due (odd tax from line 18 plullax from 11110 IBI
lB, Total Prior peymonlll
la) Amollot Peld
(hi PIUIOlloolIlI1
(tl Mlllllllnloroit (f81
lB. O,lanooOllo Ulno 17mlnuIII.ll0 lB)
MekcOlieck' Peyeble tal lIeglller of WillI, Aoent
· · · PLEASE REOIlECK MATH' · ·
x,OB-
166.18
x.1B"
(17)
166,'16
(19)
166.11,l
PATe
tb ,.?'J.J'ij
--^Ol1l1rnR
I1An
f ~.1:: :~~!\':f .," ',l-.f~2.:"~' .
:,', ,',.' ", ~p~; , ~ ,,1::-, _.
..,.. ,~:'>>.+ ,(""'" ,t~,., .'
.".\tj,_.~I')";,',,,,,::c:;J.l~j':. :-.
;;.It'j", t.. ..,~,;,;I,~'"
'....~f_L~~1~W"j'1_
, ~~_~.,'(''l~\.I',~H ~~. ,- :. ~-- ~~tl':\~,,__ h
',j, '-"'- \ " -~.. -;.. .; ,'" j '-,
\P.'<',::: :'.;:):_ "'::~;:'i'A::~;__:':'~
, J;lit\,\!:";;;~\~','i'I~\'4,i
:~~;,:\~::(X:';;r.:<~}:1:;: ' .
tj'~'<~i" \\ii.""",-"""" ,--.,
'I I ,,,'~' , ,
, \"i.,< ,j, '.."
1'" II. ., 'II' . ,.
t tft,,"'; ,I "., ~ lr\, \~~",; \ I ! 1" ','" "l /1 'll . .'
1:)twprrl..._n7.J!~~~'t~r. ',.Jh1tJ"'~
': -'iCY" .. '.. -: " "",tf-,'.','- ~;:,'l '-.,,~' -'" I", '
,-,.
".~;ll~~i~
"
,,;,,""",.'v ";:;:'~'!";1'.::~\;'"" .. _ "., ',.\ '-.,', 'il
'N~~,'~.4ii"(I_H:li"I~1~'i,ll'\:'\*"N~\ ~;.~~~\'t'i'j'1<<I,~1~N
,~,.I,~~,:/;y:\.;";',::,:~:: '. ,.;;:.:::~;:: .:.;
,.'!ot~4.!o-.)~V(\~\.ft~"'t~---,(f!'\';":""i'-,"': -1,/ ;.' - ~"":. .-.
"1' . ;""'-."iHJf4'~"/l\I..)"f'\~'!\.l ~." : \""'.1~"\'; -. .':'.)
If 'br";;:,'!)."k'!"~\~l';/~M,"'''I,~.;:-;. \\ 1/lj;F.V.v.J'-
.- ,~.H'~J"I"'}.::/i":~"'~"i! ;':,fLl/j";;' :;.'...'.o~,. .~(~~>~
,'~."t,',., "".....,., /!iii,."..11 '.'1'" '", '. ,,!, ',,'.r.' \''<-
." Il<w'., ,,\ . '..~.~ " '~"~r. ,.....'. I
~-.'.fI.~ -"iHi~~'{;~ ~t~ " :'t ,f','jJ't'J I. ~~.:",~'....-wy!. ,~Y,:i..{,~:{,
\ i;-'-:;;~!.VlIt\'Wi"lo;",,_:.t.':'f5rlo.'J" .>',0;1:' ':'_~
'i :~:'~'t';'f')'~,,',J':'.\'~"~':;;';'I'~~,_. ..'_'0>""',- " ..;~,;"(,,,';:"I
':"P~"'~.""!'''''''''~i;;.-iA'rF\' ,'I,' <"'~:_~1,,~,(V,' \'1
';:~~~~~:~17;i{:r~;:i~;;:.~\?':,:, :::~:,:-;:~::';::':'\i~
':~J.;,':(~';.?,r.~:\'--~~\'~/;!:d:{~'\"'" 'V;',l'\
,0''':.- '" . '\~..
,.j '0 ".......
tJ.~U"~}j"~T1"';Y(.<~)n" , -~. r; :'lr~
- .~.:II_\,,:',:. .,;, ..' ;,,:;_ .,.\-.,'
""~'!"'_!"""I'Y"""',.I';"-:;, ..-_ .
-rt~*r';~'li.i'fi:f(~4_~.:~~,...:-,._. . ....,..,;\.,!., ~..
.t~~~):if;~'~~~)'t':~'''I1,):1,'H.\)i,';''-,i:,' '.'
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l.hd Oounty, Pnnnay1vanl., bollia of' .OUl1d mInd, mOmOl'y and IIndor~t~nd.
Ins, horoby roVOklng ony rot'mor 'ItHo by m. h.r.tof'Q!'o mad., do horolly
m.kn, ~ub1tan and ,cloolDra tn la my I,.ot \1111 .nt' TaHamont In m~nl1or'QQ
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I dt.roat my illxooutor. h.rotn.f'tor Mmod to ~Dy all my JU.t
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~.bt., f'Unor.l .nd burl.l .xp.na.... loon .tto~ mY d.oo.~. aa oraabt.
..blo, and to p.y all Sta t. .nd 1'. dot'.l t.x.a asso,Hod .sa t na t my
'. ta to or on &ny o tn or propot'ty p083Itl;' by ~iln.on of' my d. a tn , aa re.r t
of' tho 00. ta or admtnl'.tratton;
I glvo and boquo. th .],1 or my tang tPlo po I' aonalp,'oPOHy,
Inoludtng my automobIle al1d tnaUl'nno. poltoloa thar.on, ,to mYlollt.,
11. OhorloH. Dlokoon, ~n tho ..ant of' hor prlol' dooth, I Slv. and
bnquilOth tho aomo to my '0/1" Jam.. A. DlokRon, Orimp IInl, PennoYl.anla,
or to h to he 11'., ohal'. and .hM. .llke,
I (II.., da.l.. ,and baqu..th all tho rnt ~..t,'I'oalduq .n,d
r.m.lnd.r 01' lilY a.tnt." 1'..1, pOl'oonol and mlx.d, brWhR.OOOvor obrt'
and IoIhor.aoo Vol' bltuotd, to Tilm IIAnnISBlT.10 NA'J'IOIIAI, BAlli' AND TIlt1S'J'
OoflPAII\" llart.toburf., rannnY1vonln, III 'mUsT, tIlCV!l'l'l1f~L!lsa, to hold,
manana, lnvaat .nd raln\'ant, tha prtnalPnl In nuah tnvnot,mohLll 8S In
tho dlsaroLlon or my nald Ir;lUS1'm~, mny bo clo,''''od oar. ood donll'lIblo,
bOlltrloa thono danl~hotarl Ly 111101 fOI' ~'11UA'1' p'II'ponn"l InalUdlnn tho
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mXo.lltol'o to poy ,to my oon, Jnm"" A, Dlol,oon, Oamp UIlI, Pnnnoy~v~nl.,
on'-~o~1' (l/~) or tho' nol: prlnolpol or romolnd." I:ho\'jJ.r, on tho OABO
mo~ bo, I:orothor lilth any uIldlatl'\butod lnoom. thHoon.
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I,n tho llvont my o.ld wlra, Yo. Ohorlot(,o Dlolllon, IUI',vlvod
m. ond thoT~llST horo!nbo 1'01'0 1'01'01',1'0 d to hod bo on on t.l11\ oho d, I
d,,'aot thot ona-haH (1/2) of tho I'omnlnlng not prlnoll'lil oholl bo
rotolriodby my Ba!d T~USTEE undol' tho tol'm. tlnd .ondlnon. horoln aot
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ro,'th, ond tllo not !noolllo I,nldnt la..t qUtll't.I'.onnUnUy, In euoh po\'tlono
00 my TRllS1'oEIOoy dotorm!"O, In lto ol1IJoll1t. dloorotlon, ohonelM .old
Pl'opol'tlonn l'l't>m'tlm. to tl"lo, to ony 01' all or tho roHowlng,1 my 001'1,
Jamolt A, DloMoon, my oon'o wlfo, Rllth R, ~Hol(aont 'or b~ Ot,pllad 1'0\1, tho
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Uoo t\nd bon.rlt or tho lo.u. of hlo dMooqad ohLldron, If onll.
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aurv!v. mo and ~no TRUS~'horo!nboforo ral'or1'od ~o h~B not boon ootnb-
110hod, 1. nlvq, dovl.oo and b.qllooththo romolnlng oM.ho11' (1/2) or
my not ooloth to Tlln: llARlnHl\l7:11J~^TIONAL EAlnl AND TRU8T oOHPAlI\',
no!'rtRbu,'g, 'Ponnoylvonlo, 1'0" th, \loo. oM pUI'.OOO. oUl ro\'th In I:ho
pro 00 d 1M po.' ogl'onh. nnd undo r tho oomo tOI'mn ondoondlll onO .100
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In tho oVOI,t IOY oold non, Jam.. A, Dlek.on, nhollld 0100 PI'.-
,dooooso mu"I d'b'oot thot'\'h. ono"holf. (1/2) pOI'l\on or I:ho I'oold\lo
hOI'o!n Illvon to h lm ahnll lop.. .nd hnoll b.' added to nnd boo'omo port
or tho nonorol ".oldu'> or m:t ..lolo nnd onno" to tho othor ono-holr 0/2)
portIon ond h.ld and ,uootl 1'01' 1\". pUI'por.,'..
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.l1lllil'lln nl' my nnld oon, ,Tomoo ^. \'Jl()\~oon, nhall ,'.nnootlvnly nttl1ln tl1.
n~o 01' l\lonl:y-onn (21) YOM., T nubl1o!'\I'" 10' _old 'I',11lnTroil, lil ltl dl.-
ol'.tlon, to 1001'0 pnymontn oC lnoom. 01' lnvndod pl'll1Olpal dlreotly to
n\IO'1 u~nonolnl'Y And ~he I'ooolpt ,or tho bonof'lolnr'y l'c:r tho nue ohl\ll
dloohnl'(\o l11y 'rIlU1l1'rom rl'~111 nny rurthol' obllentlon to 100 to ~ho npplloa.
tlon, or 0\1.11 cundo by ouoll bonon.lory, 1'rtOl' to tl1l\l; ttme, ouol1 rundo
moy"o nold to t;110 poroon or ot;I1OI' nllency wltl1 1<\10m the IOtncr r08ld.a,
without tho lntol'ventlon or a IIUal'dlon, and tho I'acelpt or ouch, poraon
.holl 1'01.... my oold TRU81'lle,
Houch t;1", 00 oaoh or tho ohlldl'on or my oon, Jn~,oa A. plo\lnol),
oholl' I'oopootlvaly oHeln tl10 oge oC twanty-ClI'. (25) yonr., thO TRUS1>
wl~11 renpclot to a\loh boneClolal'y, ahnll terminate, ond I dlroot; my sald
'I'ilU8TElElto Poy to .uol1 u.llOflolary any UI1Pnld lnool1'.. a\lorqod to' ouoh
ponortolory oa 1101,.ln provldod, and nl','oport;lonoto pOl' 'oo?ll,a al1oro oC
tho bnlnnco oC tho nat; prlnolpnl.
'.
In tl1a ovont; any or auch ohll,\rou l1avln" nurvl.vod 100, ahould
dlo bororo ranOhlng tho ngo oC tWenty-fly. (25) ~onro, 08 aat rorth
horoln, loavlng 0 ohlld or ohlldr'on to aUl'vlve, 1 dlraot; that tho par
oOl\lto ahoro or portlon to boslvon to .uoh do.oooed oh\1d aholl,b.
,Blvon to ouoh ol1\1d or ohl1dran por at\l'l'o., Ihnre and snaro ,oHko and
undo I' tho OOMO torm. and oondlUonn or tile TRUST, exeopt that t;ho TRUST
'WIth reopoot to ouoh benoClolol'loa ohnll tormln.towhnn I1nd 00 eooh
or thnm ohnll I'napootlvely I'enoh tho ngo or twonty-onn (21) tonI's" ond
nt, .uel1 tl"1OI dll'oot my nald TI1U8TlUlil to pay to ouol1 uanoflolol'y all
unpald lnoo,"" If MY, nnd tl10 balano. or hl.a ~r hol' pr<,portlollRte ohare
of ~h. prll10lpal or lhO THUST, nn Bot rorth 1)$I'oln. nnd thO TI1US:r lor-
'n1lllato<l, I/OW.VOI'/ III tho ol/UnL thol'o IIhould be 1\0 ouoh Ohl.d 01' ohlldren
,- 4 -
.
'Inv.ntory of th. real and p.tlonal 'Itot. 01
.J19E~.!:.t..A..~.Pi c k!o.r_..... __. _~._...__.____"":QOCIQ 'Id,
-~~.tt;:'-T~'~~~'
...~._...
,RealJs.tate
NOne '
Tangible Personal Property
I. Household goods I appraised at
2. Household goods I sold at
3. Automoblle, 1974 Omega I appraised at
TOTAl. TANGIBLE PERSONAL PROPERTY
Jntangible Personal Property
4. 32Shar,es Allied Corporation, common, NYSE, 41.4376
5. 258 Shares American Airlines. Inc" common. NYSE, 14.7600
,6. 160 Shares Amer1can Telephone and Te 1 egraph Company, common. NYSE, 69.2600
7. 10,0 Sha res Ampco.Pi ~tsb4rgh corporation, common, NYSE, 17.6875
8. 913 Shares Boein9Company. common, NYSE, 24.3126
9. 60 Shares Canad1anPac1f1Q, Ltd" common" NYSE, 36.4376
10. ,180 Shares Continental Group. Inc., common, NYSE, 32,376
11. 90 Sha res E. 1. ,Dupont deNemours, common, NYSE. 39.1876
12. 328 Shares Exxon Corporation. coml1)on, NYSE. 31.0000
13. 180 Shares General Motors Corporation. common. NYSE, 46.0000
,14.' 138 Shares Gulf 011 corporation, common, NYSE, 36.0626
16. 400 Shares Pan American World Airways. common, NYSE, 3.000
16. 130 Shares Pennsylvania Electric Company, Series ,L. 9%, Cum. Pfd., N.L..
11.376
17. 215 Shares Pennsylvania Power and Light Company, common, NYSE. 15.7600
272 00
661 90
600 0
,I 43
-
1,326 00
3.806 60
9.480 00
1,768 75
22,197 31
2.186 26
5.827 60
3,626 88
10 .168 00
8,280 00
4,838 63
1,200 00
1,478, 76
3,386 26
COMMONW'ALTH OP PIHNSYLVANIA l.
COUNTY QP CUMIIRLAND J
Jamee A. pickeon and t,he Commonweal th National Ilank
,...D.Y..J9JLL,-Cope 1 an<;!...d~\lJli or.. Trus_LQ.ff.t9Itr.'~__~____H___~'_-'--___'_"'_
b.'n~ duly sworn ..._ eooordln'g lolew, dQPolII end, "VI thet ' h. ._.. CQ.Executor.L......_,.,.,-_
~_...:......_~_..........c.-._~._-,-_...". 01 Iho ell.I. 01 Rob~Jj A. Dickson
lei. QI the Borough of M\lchan1csb\lrg ',__' Oumberlend Oounly, Pe., dooouod end thel the
withIn" en Inv,nlorym,dQby .,mJ~1l!es ....~...P.!~~!E.~.. and.~~he...~g~\gR~'~UI1Ii"tho "Id~ Co"~xeC\lvors
.1 th. ,ntlrQ "I,el. 01 Itld docodonl, .onllltlng 01,11 Iho porlonel prop'~rly end r.el "ltlo, e..epl 10,1 "hi, ouhld.
the Oommonwoelllul Ponnlylvenl" end thet the figural oppolllo oAoh 110m of Iho Inventory roprQ\Gnt It'l lelr velu.
II 01 fhe det. 01 de~Qdont'I dQelh.
I"
_!i.Wlr~ end lublorlbed beloro me/
-.S..e~~.~~~~t: -'1" ',,' 19J12:-
y?, !l'\\i: ~' .
'"G'l1lAlci~' " :a. J
, , lINn~ M MclAUGHLIN, NOTARY B~I,
IfARRlee~RO, DAUPHIN, COUNTY , ,
MY COMMISSION EXPIRES tEB,IS,' leBS
M,,~bll. PonOlilv~nl~ AIIOclllion '01 Nolltlel
L J~ .,I1.A",,-.~--.
James A. Dickson
"-~nifwe~:~a~~1~- '
Co. Executors
\)nl. "I I)..th ____~IL_..._
D.y
October
Month
1981 .'
Vu,
INSTRUCTIONS
I, An Inv.ntory mu'I be fII.d withIn Ihrllemonlhl' ell.r eppolnlm.nl 01 perianal repr.untetlv"
2. A lupplom,nt Inventory mUll be IlIed wllhln Ihlrly dey. 01 dllQOVory 01 eddltlQn.1 e".h.
3, Addltlonellheehmey b. ette.h.d e' 10 pmonellY or reelty
4" S.. Artlol. IV, Itlducl.rl81 Act 011949;
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c;,'--; , tv)
Ct. ,... t: r! ~
It'"
"il-'
~~' .Q
llf~!j 11\
lI.!'" u
fle; ....
S
.c ]
"'~ i ~ ~
4-
fa ~ ~. to C)
.i::
I I ~ lis 5 0\ i
'"" ~ I 11\ ::5
~ 'tj e j
\'oJ ~ is cS
. j! t/lo
<
1:: +-' )
1l '0
~, ~ ~
l-
.Q
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l-
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i
t ~
III
J ~ 'e
" I~ventory
Robart A, Dlckson
pa ge 2
,18, 10 Shares Penns,vlvanla Power andLlghtCompany, 9.24%, Pfd.,
N. L., 6B. 00
19. 80 Shares Phl1ndelphia Electric Comp~ny. ~ommon, NYSE, 12.7600
20, 46B Shares Rockwe11 International Corporation. cOI1lll~n, NYSE,
32,7600' " '
'21, 186 Share,s Sperry Rand corporation, cOl1l11on, NVSE,33.0000
22. 202 Shares u.s. Steel Corporiltlon, common, NYSE. 26.2600
23. 396 Shares Unlted Technologles Corporation. c:ol1lmon. NV5E. 46,126
24. '$1.700 American Alrllnes, Inc., 6.26% due July I, 199B, NYaE,
69.6000
26. Accr~~d lnterest on Item #24
26. $600 Amerlc~n Telephone and Tlllegraph Company, 8.76% ,due May 16t 2000,
NVBE. 63.376' " ,
27. Accrued lnterest on Item #26
28. $1,000 Pan American WorldA1r. 4.25% due January 15, 1984,
NVBE, ~9.7500 , " .,
29. Accrued interest on Item #2B
30. $7ClO United TeChnologies corporation. 4,60%, August 16. 19B8,'
N.J.. 66.9375 ',' ,
31. Accrued interest on Item #30
32. $10,000 Unlted States Treasury Note, 9.26% due May 15. 19~4,
0.T,C.,87,0625 '
33. Accrued interest on Item #32
34. 3 Un1ts Corporate Income Fund, Bth preferred Stock Serles, 629.96
36. Accrued lnterest on Item #34
36. 4 Uni ts corporate Income FUnd, 86-month payment Series. 6i 1,07
,
37. Accrued interest 6n Item #36
$ 680.00
1,020.00
"
14,999.60
6.106.00
6.302,60
16,219,38
1,011.60
23.30
316.BB
17.01
697,50
7.B7
391.66
6.73
"
8.706125
369.72
1.689.85
11.34
2.444.28
125.20
"
'" Invehtory
Robart A. Dlckson
Page 4
61. ,Cert1flcate of peposit #30228 w1th Cumberland County Nat10nal
Bank. . . "
62. Accrued 1nterest on Item #6l
63. Ge.rt1f1cate of Depos1t #20381 w1th Cumberland County Nat10nal
Bank .'
64. Accrued 1nterest on Item #63
66. Cert1flcate of Depos1t #35~33~002288 w1th Oauphin Depos1t
Bank' and Trus t Company "
66. Accrued 1nterest on Item #65
67. Sav1ngs cert1f1cate #5~16"816633 with Harr1s Savlngs Assoclat10n
68, Accrued 1 nterest on Item #67
69. s,a, v1ngs Certif1cate #002"19-06749 with State capital Sav1ngs &
Loan Assoc1atlon '
70. Accrued 1nterest on Item #69
71. StatementSav1ngs Account #26"0040244~7 with the COl1111onwealth
Nat10nal Bank " '
72. NOW Account.,#00021.323?2 wlthCumberlal1d County Natlonal Bank
73. Accrued 1ntllres t on Item #72 ,
74, Checklng AC,count #112-302005-7 w1th the COl1111onwealth Na,tlonal
Bank' .
76, Accrued 1nterest on,Item #7,4
76. September Soclal Securl ty ,benefl ts
77. $ottiement 9heok from the Boelng Company for .Bond Defa,u1t
'7B. Cla1m payment'from Medlcare
79, 'Cash
Uncashed ohecks held at date of death I
80, Amer1.oan "el~phone & Telegraph Co., dated 10/1/81
. .
81" conmonwealth Natlonal Bank dated 10/1/81
82, corporate Income Fund 8 dated iO/l/Bl
$ 11,000.00
696,47
,1,000.00
41.13
3,600,00
4.67,
10,000,00
22,.08
10,000.00
~7,66
6,31
1,662,07
9.19
1,226,11
2.26
380.10
2,602.94
120,00
20.14
216.00
934,86
20.46
j RBV, 1U78X (l-U)
BUREAI/ or ,EXAMINATION JI NOTlCB or INHIRITANCB TAX IAIIBIIMINT'
PENNeV~VANlA DEPARTMENT or REVENUE AP,PRAIUMBNT ALLOWANoe OR OISALLQWANCB" CONTROL NO, 101
, P,O BOY, en? '..,
HARRlllBIJ~O, PA ~~~06 . _~ oBOUCTlONS, A~~~..BNT cr TAX,.jOATI 09-~Q.,e2
UTATB or DICY-SON R01311RT" FILB NO, 21 81.,0638
WUU1UTH 10"0Ji:'".0l.._ _'_ ___._...._ __.__..,.__...._ ". ,_.....,..."._...... o.QIINU.-,--QV_t1Df<R~lIH P_.__._~~
NOTBI TO INSURI PROPBR CRBCIT TC YOUR ACCCUNT SUIMIT THe UPPBR PORTION or THIS NOTloe WITH YOUR TAX
PAVMBNT TO THe RBQIlTER or WILLS or TliB AIove COUN1'Y, MAKB CHBCKS PAVAILe TO "RBOunR or WILLS,
AGINT," I' TAX PAVMINTI ARe MAOI WITHIN a MONTHS or THI lllClllBNT /S OATI or llIATH. A 1lll00UNT
'or III or THI TAX PAIll MAY II llIIlUCTlll, '
.......
OOHHONWn:"'JTH NATIONAl, BY-
10 S HARKn:T SQ ,
BBG PA 17106
PLEASE RETURN THIS
PORT/ON TO REGISTER OF
WILLS IF PAYMENT DUE
Ql"I1: ..A.L9~!.3.. THJ~ _L!~a, . ,. , , , . , . ,. , .
NOTICI or INHIRITANce TAX APPRAiseMeNT,
ALLOWANCE OR OISALLOWANce OF lllCUCTIONS AND ASSllaMINT OF TAX
IITATI OF DXOKsolI
ROBllr~T
" FILE NO,21 81-0638
ACN 101
DATI 09~20"82
___--..____.__._._.._~..~._.___.._.__.~~..______..__ _. '__'_.'__~"'."__'_'_~____~"~~________~_Hn'__'___'_~ .._.__._______.,_._
T A> RETURN WAS: I X I ACCEPTED AS FILED I ) CHANGED
._____~_~~__~.._____.._.._____.~._.c.~._.....___..____.__.__~_________...~_.__.____..._..__._
APPRAIsec VALue OF IBTATe,
1. R..I Eal,II0 (e~hUdUlo AI
2, Slocks ,and Bond& ISchodul. BI
3, Clonlv HeldSlock/~"'ne/lhlo Inlll'ell (Sohodule CI
4, Morlglgn, Ind No'.a (Sohadul. DI
6, Clah a. Mlto.llan.ouI p.,aonIIP,op.rlV ISch.dul. EI
6, JOllllly Own.d,ProoeflvlSchedule F)
?, Tranlfe.. (Schedule G)
B, TOIII Groa. Aa,,"
I 11,_____,_ .0IL_
I 21..__n?O~,.587.J85 __
I 3) ________1.00 _
I 4)____..-'-~
( 61 80,L536.4L.
I 61 _______&Q....__
I ?1____.___._&9-
I 91 _..~83 / 12B\L
APPRoveD oeDuCT10Na ANO ~xeMPTIONS,
g, Funerll E.p."a../Admlnlll"live Coala/MI.cellaneou.
a"P.naea (Sohedule HI
I 0, D.b,./Morlglg../~lon. (Schadule II
I 1, Tolll D.duolion.
12, Net Vllu. of a".'e
13, Chl""L>I. Baqueall (Schedule J)
14, Net V,luo Subject II> T."
I 91
110)
27 / 531, 5g".:...,
1_~?3. 85_
1111
1121
, 1131
1141
28,805.48
__ 264.,318.BO
-J.9.Q...
254/318.80
A.<IlMINT or TAX I
16, Amounl of IIn. 14 1..lble 1\ e'(,,,,O
Ie, Amoun' of I'''' 14 I...bl. "' 16% ",.
I?: PrinCIPII T.r Duo
TAX CRIOITS I
\, ,PAYMENT:
OATS
116) _..)241118. 80 ..~X,06- 15.2159.13
1161 .00 X16- .00
, '-----117) __...1UI59,12 ,
RECEIPT
#
l---------Oiscoooj:;)--.i
I INTEREST 1-) !
'-----1 1
I 533. OOi
I .00 '
I .00 'I
AMOUN~ PA~--l
12/027.~~ I
2/599.12 ,
1156.18
01"04"82 069916
'06.25.82 I 049610
07~02"82 049638
, ,
-~
THIS ASSaSSMENT IS BASED ON: ORIGINAL llETURN
NO INTlRIIT IS OUt IF PAID IV 07"00-82
IF pAID AFTeR DATE INDICATED SEe ReVERSE FOR INSTRUCTION$,
~AL T~EDIT 1&,4;1.15.30 ;1
IALANOI or TAX oue 156.190R i
----+ ...._-.--~~.-
III elll"O' Duo 'Ia Ie.. 'ha" ., ,00 "0 Pavm,n, II ,ooUlred)
RETAIN THIS POIHlON For, YOUR RECORDS
ftEcopr,; I'
,llff',I,I"
'BI SIP'H) p,~
I; '"''''''
INFORMATION
'_R'._"_'_'_~___
ThlQ documonl la Iho Nolloe "qWOel 10 bO given undo' SOollOn 709 of Iho Il1hotl"noo .nd Eal'" T.. Acl
of 19~ 1 172 P,S, 'Oollon 248,.),
II Iha "X la P.ld Wllhin Ih'n (3) monlhe .flet Ih. eloeodenr. el.alh, a dlaoounl pf 5% 0\ Ih. ". P.ld la allowad,
Inh.'".no. Ta" booom.. d.llnquonl nine 191 monlha a\\Or Ihe elooodo"I'e do,lh, InIO'''' la Ohargod II Iho
teto o\elx (6) p"oonl,po, Innum on \~O .mounl of unp.ld I.., ISEE EXAMP~E BE~OW) ,
EXAMP~E: If. blllhce of Ilk duo 'of $2,000,00 Ie In 'a' dollnquenl el.lue from 3"3-80, .nel PIvm,nl Ie mlde
on '6-23~a~, ,Iho Inle'e" Ie oaloulaleel.. 'ndloalod bolow,
In\.'851 t,om 3-03"80 10 6,-23-80
Rnulle In:
2 Monlh.. ,0\0
, ,,20 Pm ." ,0.0336.
R'J. of Inlornl . ,01335
STlP 2
MuIlIPI\ Ih. bMle"oa 0\
IIX, elu. bV Ih. '010 of
Ihlo'O,.I,
Balahoo 0\ ll",duo $2,000,00
Ibl....Q.1 Inlo'~.L-~t.a.~
INTEREST 8 26,70
sTlP 0
Add Iho Inlerell
10 'Iho bel.nee ole
"" dUI' '
STlP ,1
OOle'tIllno Ih. tllo 0\
Inl8'." from Ih. teblO b~IOW,
aalanoo of "X 'duo
Plu. Inlo,oel 10
.....Qm 0, f Pav(11onl (..)
TOT A~ II. Ind '
Ih\Oro81 10 Pete
tit P.vmon\
$2,000:00
$ 26,70.
$U2e,70
.. . ,.. _ .. .. .. .. . .. .. .. ... ... "' _ ~ .. _ '0- .. .. ... .. ... .. ... ... .. .. ... .. .. .. _ ... .. ... .. .. ~ .. .. .. ,., .. ... '- .. .. .. ... .. "" .. Or ... ..... _ .. .. _ .. .. .. ... - ..
" monlh ,006 4 monlh. ,020 ,7 IlIonlhe ,036 10 monlh6 ,060
2 monlhQ ,010 6 manilla ,026 B mOhlh. ,040 I' mOhlh. ,06e
3 mOhlhe ,0'6 6 monlhl ,03,0 9 mOhlh. ,045 12 monlha ,OSO
r dlV ,00017 II deve ,00186 21 dive ,00362,
2 daVI ,00034 12 dlve ,00203 22 dava ,00389
3 daVI ,0006,' 13 dav. ,00220 23 day. ,00386
4 dm "oooe8 14 dav. ,00237 24 day6 ,00403
6 dave ,00086 \ 6 daye ,00250 25 daYI ,00420
6 daYI ,0010,1 \6 a.ys ,0021\7 26 dlVI ,00437,
7 aSVI ,00118 17 aeye ,00284 2'7 dl\'1 ,004a4
8 day. ,00135 18 dIVe ,00301 28 dlVI ,0047 \
9 daya ' ,00162 l\ldaYI ,00318 211 a'VI ,004813
1 0 a'VI ,OO1e9 20 alVa ,00335 30 d'VI ,ooaoo
.. .. ~... ... .. .. ... --. ... .. "." . .. .. .. ... - - ... ... .. - .. .. - .. .. .. .. .. .- .. ... - - "- - ... - ... .. ~ .. -. ... .. .. .. ... .. ... .. .. .. ... ... ... .. ;.; ... - .. "'.... ... ...
Any partv Ih Inl.tl.I, Inoludlng Iho CommOhw..!lh 'nd lho p.tlonal 'OP'oUhllllvo, nOI Ulllfled with tho
.Ppt,IUmlnl Ind ......menl m.y Qbjool wllhln, el"tv (601 d,ve 1ft.' too.,pl Of Ihll Nollco uprOVldtdby
Se~llon lOOt ol,lho Inhe,lt'hC. Ind 11\110 t.. Act Qf 1961 (72 P,S, .ec, 2486 - 10011.
MAKIQHlCK Ol!, MONIV OI\O~R PAYAILeTOt "RIOllTaR OF WlLLI. AGeNT"
oet'ACH Tl;le TOP PORTION OF THIS ~bRM AND SUBMIT WitH YOUR PAYMENT TO THe RSGISTeR OF WILLS 'FOR
THE"COUNTY SHOWN ON THI REVERSE, SEE THE INHERitANcE TAX INsTRUCTION aOOK FOR ADDRESS,
p~nne~~~.ni. DeV.r~ment of Revenue
Bureau of BKamination "
p,O, BoX 8327
Hllrrisburll,lIA 17105
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENHSYLVANIA
ESTATE TAX
('
vi
-J....;.
TOlThe C~Wllalth National Bank
10Squth Market SaUa~q
H.Ulll1lura. 1111 17109-,
\>ATEI 1o/2F.l/a2
II$TATEOI'I ~ oiokllon, Robet'l:A,
PILE HO, 21"01..0639
C;OUHTY 01'1 . cumberland'
PATP 01' PEATHI.........!!! 1006
--r--.... -.. -- ...."'..........-...........--"" ......'" ,.....-..--...........-... ......."'....... _..-..~_.......... ...........- --- --...... -,....; '....... "".,.--..........."'" """"_... -....
A. PIITBIlMIHATIOHI
1. T,~xablo .Uat,'boo,~ ~poril
X Tho Ualt,d$tat.o lotat. Tax R.t~II\'(Porm 706)
Tho 'Qmm'~nl'atloa from tho I'.doral Oov.rnmoat
eoafllmlag tho ocaoptaaoo of or ohoa9u ta the
Podoral !!atat. Tax RoI~ia
2. Amoua' of a,,~1t for Stat. d.ath toKn (ao vorlll.d)
3. ".Moylvaala Inh.rltan". tax oson,.d
('Kal~~la9 aay dlsco~at ,and/ar lat.rnt)
4. Honnallah.rltaao.toK paid to oth.r Slat., 'or
TOllltorl., of the Unlt.d Statos (.xoludlng
any dlo,oouat ond/or"later.ot)
5. TOlallah.,ltaaoo t,OM crodl" (IIn. 110m 3 pluo lIa. it.m 4)
"6. . Total liability lor ".""sylvanla ..tat. lox (lIa. '.\t.m 2
mlnUo Il,ao 110m 6)
HOTS I, Compl,I. lIa.lt.m, 7 alld 8'ONLY wh.ad.I.rmlnatlon
10 balOd,on,l'.d.rol Cla"lng I..".r
$ 292,376,00
$ 3,4,17,00
$ 14/626.00:
$ ,DO
$ 14,625,00
$ .00
7.
,
Amoual of P.anoy!vanla .0101. lax a......d on ,d.I.rmlnatlon
dal.d
Addlllan (r.ductlon) to Penaoylvoala utal. tox (1In.lt.m 6
mla~o Ila. It.m 7) "
$
$
8.
Pot~rmlnatloa pr.por.d byl
Pal.1
..~~___M___"~~"~_._"'_"__"'''_~____~_~~_~''______________________.....____~.~-_~~~~-~.~M""-~---
B. A$SII$SMIlHTI
1. P,nnsylvonla E,l.al. TaM l.fI.ated Oal
l1a. It.m A (6) ,
l1a. It.m A (8)
2. L... or.dltl!
pAn 01' PAYMIl~r AMOUNT PAIP
$'
""-""........
, IHTIlRBST ,
- ($ )
($ I
($ I
CRBPIT
=
=
=
3. Balana~ 0/ P.na'ylvonIO ..tot. la~ duo
$
In'OI..t I, dueOI the ral. of ,.Ix (6) pero,al pel annum fla,m
A.....m.al prepllr.d byl
Pat.1
10 Ih. dol. 0/ povm.nt.
AOENT POR 'tHtI: COMM9NWH"L"~
SEE ReVE~SE SIDE PORIHSTRUCTIONS
,~ "I
INSTRU~JIONS
, : To Inluro prOllor crodlt to your aCCount, tho nama 01 tho,Qstato and 1110 number ahould be
clearly printed on tho chel1k or monoy ardor, , ' "
.'I'hldotermlnotlun and anoumont la modo In accordanco with Soctlan 421 and Sootlon 732
of tho Inherltanoo and Eatato TaK ,Act 01 1961, 72 P. S. 2485-421, 732,
Tho 0.1010 tOK Impasodby Soctlon 4211. duo at tlw doto III Ihe dllcedo"t'. doath but shall
not bOclln,o dellnquontuntil the eKplratlon of olghloon (18) mantha altar dacodont's doath provided
thafany estoto taK,occoalonad br a linal' chango In tho Fodorol 'roturn or ,01 the tOKdua th,relln
shall not bocomodollnquont untltho oKplratlan91 ann (1) month altar tho paraon lIablo to pay
tho ta,K recelvoi flnlll notlca of tho Increaae. Calculate Intorost from tho dolh\quont dato ahown
on the fac'o of thl. form to tho dato of paYlnont ualng tholallowlng Intoroat !ob'ol
, '
-..- _ ......!"',-....- """-~- -_...----- --- _ -- -~ - -- -- --- -- - --...- --....- ---,":" -- -- - -......--- - --- -- -- - -- --- --.
1 moth ;005 4 month a ,020 7 months .035 10 months ,050
2 months .010 5 montha .025 8 months .040 11 months .055
3 montha .015 6 months .030 9 months ,045 12mllnths .060
...........,--_.~-_......-..--
1 day ,00017 11 daya .00186 21 daya ,U0352
2 days ,00034 12 days ,00203 22 days ' ,00369
3 daya .00051 13 day II ,00220 23 day s .00386
4 daya tOO068 14 day a ,00237 "24 days ,00403
5 days ;00085 15 day. ,00250 25 daya .00420
6 daya, .00101 16 days ,00267 26 daya " .00437
7, day. ,00118 17 daya ,00284 27 day a .00454
8 days ,00135 18 daya .00301 28 daya .00471
9 days ,00152 19 day a ,00318 'l9dllYs ,00488
10 days .00169 20 days ;00335 30 doy. .00500
,----------~-----~--"----------------------~~---------~--~~~----------~-~~---------
Any party In Intorest, Including' thoC;ommonwoalth OIId the porsonal roproaentatlve, nllt
aqllsliod with the auoaamont may Ilblocfthorot~, within alKty (60) days aftor receipt of thla
Mtlce os provided by Section 100101 tho,lnhorltarico and Estato TaK Act of 1961 (72,P,S,
6 2485.,.1001)
Make check or monoy ordor paYllblo tOI
"Roglaloral WllIs, Agant"
Mall to tho address listed balaWI
"
o
,
I,;"
<l..e,;
,.,., ,
",ili.
(.)L-/
hl~-
Irt;.
~:
~
...
, ,
,I"
Ponnsylvllnh Popartmon\:. of IleVanUu
nuro~u of EKQmination
P.Ot lloK 0327
IIllrr111b~r<J' 1'/1 17105
OFFICIAL. NOTICE O~ OtrrERMINATION
AND ASSeSSMl%NT OFPENNSYL.VAHIA
eSTATE TAX
-...-..-..---,-_."
TOI,!!.hLqp~!l\2Dwoll1th Nlltionlll ll~n!!..-
U,.I&\\t:h 'Mal\~lJt SqUIHI!__..........
!I Au1l1l\W4..flL.J119..L
DATSI
, SITATS OPr
PIl.S HOI
COUHTY OPI
OATS 01' DSATHI
1 0/28/82
DioksoUt. Robort /I.
21"81"0639
Cumborlllnd
81 10 05
-
_....-, ....,..,....... .....~- .-....... ....-......,... ....-..... ..,- .....'" ...... ----.. _.............- --""........,,,.. -.. ---- ..."". ......- ...----..- ......."'.....---"" ..-- - -...
A, DI!'rSRMII'lATIOHI
1. To~obl. ..tol, blll.d uponl
l( Tho Unlt.d Stal.. llalalo TaM ROIurn (Patm 706)
l.~o oommunloolion ,'ral1l Ih. P.dorol GovO!nm.nl
oanllrmlng thuouplono, alar ,honG" to Ih.
P.d.ral ,htat.TCl~ Roturn
'2, Amount 01 erodlt lor SIOI' dealh lo~U (e' vO/llI.d)
3, Pann,ylvanlo Inh.r1tonq. 10M ouuud '
('Moludln; any dl,seaunt ond/or Int"..t)
4, Harmallnh"IIonaelaMpald to olhO! Sial" ot
T.rrltorl.. 01 Ih. Unlt.d Sial.. (oMoludln;
any dl'oounl ond/or Inl".,t)
$, T alallnhOlllonDO 10M orodl", (II n. II.m,3 plu, IIn,lt.m 4)
6, TalQI, liability lor F.nn'ylvanIQ .otot. laM (IIn. II.m 2
ml nu a'lI n. It.m 6)
HOrBl co,.", pl.t. 1,ln.I"I1I' 7 and 8 0, HLY wh.n d.t.rmlnotlan
Is, !loud an P.dtlOl CI..lng, L.ttO!
Amaunl 01 p.nnaylvanlo ..tot. taM au,sud, on d'''r~lnotlon
dol.d ' ,
AddlllM (roduotlon)10 P,"n~ylvonlo .alal. lall (IIn' 11'111 6
mlnu. IIn. It'm 7)
., '3,479.M
$
$ 14,626.00
$ .00
$ 14,626.00
$ .00
7,
Q,
$
$
D.t.rmlnatlon proporod byl
DQI.I
._~..-----_.....--:"----_....--_....~~--~-----~---~~~"..-~-------~---~_.--_.~~---~--"..~.._--_..._----
EI,ASSIlSsMIlHT,
l,.. Ponn'ylvonlo 1I,!ol' .lax r,/IocI"d ani
IIn. It.m A (6)
'IIn.lt.m A ,(8)
2. 1.0" or.dllll
t>ATlQEJ!AYM~~.! ~.M9Ptl!l',t<J.\?
$
_...........-
-,~~~".._....'_.-
_!HTBRBST '-'
- ($ I
- Ti-:-'-'-.~.r'
($, )
.~Jl_SDIT '
. .-.---.-....,..........---..--.-
1, .BQI~.~o'. ot F!'~"~~i~nlo "i~t.-Ia~-du..--.
...--0.>-...
$
'nttl..I i, due qt Ih. ral' 01 ,1M (6) p.runl pOI annum lral1l,
io Ih. dolt 01 paym.n',
,I
A".um"nt prepor.d bYI
AGENt tton tHH eOMMONWIIAl.TH
Dottl .__ '
see REveRSE SIDE FOR IHSTRUCTIONS