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HomeMy WebLinkAbout81-00643 ~j ! : ' f" ;! j - ~ ,. " / , ~ -<,' " " " 'if " I ~ -", P' " " " ",' " -I' ''', .,,' " " .,1._- , f' " -',. I ." .' III " " '" ,,~ , '~ "j' , , , , J . " " .' " " '" " I! '., " ," .. , ,-". ." L ,/ " " ," ,1. I' i, ,'" I: '" ','/ ~ t "i',:, :; "~to ",_J_ " " , " " ,I', " " " 'I. .,' " , , :';1<', I, r:t HKV",rdv.I(+I"IO) COMMONWlAL T~O~ PBNNIYL VANIA DBPARTM T O~ RIVINUB TRANI~BR 1 HBRITANC8 TAX RUIDINT OICePINT Dllat. of LOll addr... Dot. of D.oth INHERITANce TAX RETURN FOR INSOI. VENT eST A TES (Inltructlonlon Rovar.. Sid.) COUHTV HO, IT^TI HO, {,lroyd U ,\11l1'Y ,13 't!, '1)1"'01'1 IITAflUll ( ) Bxu, ( ) Adm, ;~J.l.f'vtvlnJ; tJJ.H,Juno ,Other Hame H1t t;il tJ. !.'.roPy BL. So~lal Securltv No, i'l (J-lC'~!I(')17 i' l~ouhf1nlOHh\l.l\j~1 PI'f~tPl. 1 'ln~':~ ~ IclTYI 18UTal I~IPI ~ 1\]'1'11 ;,;?, 1,)nl ~ ~ CBTnlHtTl 1""ld!lvll (j,d)1I)'I.;, 1'1'lInl1, l'(O)~ ICITYI IITATUI 11IPI Unllor p,n81\18' at p8'lurv, I dool... Ihlt I h.", ...mlnlCl Ihl. relurn !nd 10 Ih. b811 01 mv knuwl.dg~ .nd b.II.11I I. \ru', oorr.o\ lnd camplll8, j" "1 ~ . Add,... ~ , ,). 111'1)(;11 ::;t. 500101 Seourlty No. 210..;;2~B~:!J.7 TVPI O~ Assn ,. of Itlducl., plI' DePARTMeNT VAI.UATION O~~ICIALUU ONLy) DeSCRIPTION UTIMATID MA KIT VALUI i; I)()~;. no P~:rn onn 1 t; -" 19'/~; P1 i]1l1nI11; \ \ ~,~nd II t1 i\ \ II', otHCth L"1 n ; O'PlCIAL U'I ONLY DATI ~ I i e Cl O"ICIAL U'I ONLY " ~ ~..)f I ~,~ -, 'r (11(.""') i',." f;;'> !. ~t:l fit lI' ~l ::1'1'; , ' " . '. !'~ I 1'" , " I", , N ,"-.? ..!- , N \ " ; " or) ''> c, TOTAL . above 0..111 w.r. opprol.. /' ~ ().fl NAMe OP PAVle NATURI O~ C~AIM AMOUN T CL^IMeD :.1:1(1P:) 1;'11001"11'\ ".0'1((1, 37 i'~t !Ijfi.'ln :Jt., ).1pohnnLon';' 11l.\P!';, fin. Hllbl'\ ,T. \"!tr'y Ilol; I.fI[."" ur \'lll'l1J PUt'l01IU:l l';;qH:~non:J r"lll\\l.1:r (\;:1 (Jc~" ,,) j':x"!rlpL'l 'IX' lilll1ng I'nhn!lll:.pnr:o 'Pox \:'OL\lPr\ ('(Ir' ' ','I' I 11, r::J1:~d,ot I, 1 ()('2 . ')0 '," 2000.00 S.O() " )')(,7.')0 ',I TOTAL ~r;(, 1, 9p __ DIOutTloNI ALLOWk