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HomeMy WebLinkAbout81-00655 ()OMMONWI':AI.'f'll 01" I'Jo:NN8\'1.vANI;\ COUNTY OI~ C:UMllJ,1Hl,ANIJ I HH I ... '" ",oil. ,,,,.j,,,, D,or,ls,..J.atAl1. ;Sm,Qp.t,." ,'', ,~f".."" C~ I~~;' ,Q. ~~"'}.'..,J~, I,,, p/,!.\".". t:t, ~~ ,'l, "i" ..:.,.t '" I'" H" II" Ii uumen In tho nhovu npllllulIUOl,1 huhlll dilly ,.......lilW,9.r,Il."..,....,..,..,..,..",.. .lIl'ecll'rllJlIl tll IIIII', HIll' lhllt tlill fach .~t forth,'ln tho IIhllVOnppllcnUol1 111'11 tl'l1n tll tl1I1 I"'HI lIn~t~y,::..~kr )lI'lndllU IlIll }ullur. , "'''''"""~I;IW.Rr-I1,..,,,,,....,,:..........,....:, 1111(1 H\lhHcl'ihml' ,J,..r,\(,I,J;.. l!r.i'(?',1,;.,(", I" ,(IJ"r.1"',t.'::",,,......,,,,,,.,,,,,,,, . fJ IS ,Teun noot botore 'mo, "",,,,,,,,,,,,,.,,..,, i" ,.Hil.""'......,,,,,,,,,,,,,,,... ".,,,,,,.., "....,,,,,,, ','.." ""O.c.tllb,~li"", ..,:~,7.."...., ''''..""" A, D" Ill, ,~l", .."", f?1!}::rr:,tf:,.... ~:~7' ',..,',......,"',...,"" ,.."",..:., """ '~~Z/-~>.. '{:I ~<, . ) , ).J _ ~'. f. ,".t.-'. .,. """,.. If ,'a..t.'.:J.".. ",1..(.", "t;.:."" ,...,/..,....""..,,"."'" ""',,,',,,,,,,,,,,,,,,,,,,,,,",,,,,,,.,.,,,,,,,,,..,.,,,,,,...,"''''''''''''''I''HH , . (/ " H!'lI'IHtUl' Filed:, ,,,,J~R;~,~~.~.t,,,~.~tf,,,,+.;},~~l,,,.,,,,,,,,,,,.,.,,,,,,, A ltOl'IWY: ",~~,I~~,:r.t.M",,,.IT,.r.,~,y,.,,,,,,,,,,, ".: "..",,,,,, CbMMPNWI~.ALTII OJ~ jJj'JNNSVLV ANIA CQUNTYOI" CUMBERLAND }Hl l'i S!!! 8t!i ~~ :t~ l)] 1 ~ t1'1t:~1 ~~k:J ~1!r'? :1..; ;'-,Ir~ I"~' N ;r'I:, .'...1 ; .'~'1 I;: _ ~': '" " 0 ~. 'J<} OATH OF PERSONAL REPRESENTATIVE no"l" T"",,,Qmnn~ \) 'l "r.'? ", (;, 'r;' . /t, ("" )"<~ ~ 'Ill"), ".,,, "irtrth',"lihtf"Y""r',l7t,, , h'Ctt,IHf,r. t,; It'" " " , ""II. "',1'" ,.,., ,-"" , '"Ill''''' "Ij,.." oj """ ",,,,, ......,f",;"."""" '" ""'IIIt", pot" oner (s betn" duly '"H.llli.~>>:,Qr.T.\''''''I''''''''''''''''''''II''''' l\ocort1illg- to Inw do ,!-:,~""'" dO'lOHO nndRny fhnt fiS tho lIdllllnlstrn ~!;',t(;l..""..' ot thu ostute of "1rlM,~~tl)"~"..,AUMIR.n,,,,II.I.I~.I,P,.;,,t;..,\l!;t,~t.t~,Ai,,,M,H~,\lf),,,,'''''''','''' ItIIH'lI;~I(,~/',~,._Mr..~t",~~~.~~,~m, ,~~~,~~.~~.".. "1,"1 ,;:,,,,, '" ".',,, 1\. It' "'''''' Ii '11""" It ""'"'''''' i"" '""'Illi,,,, '-!\'+lH""'"!I"~; lilt deoellsod """:'-h,~y.",,,.., Ivlll woll !\IIdtl'uly admlnlstel' the gunrlH and ohnttels, rights IInd oredlts ot 8~ld !leoAlIsed, acoordhlg to 11111',. And IIIHO will dlllgentl)' oomply with tho provision" uf the law relntlng to Transfer inherltanoeH. ' f'7~'-~.4', I'j' IllIH}I..~.~R,~P';I'l".,...lt'''-''''''i'''H'''''' and subsorlbed lIetQre me, ,"."""QRlt9.~~,r...".g~.I'I'I"IIIl"I"'" 'A. D., 10.,~,t.. ~'~ ~' / ." 1 ~v. ,.. 1"'."'/". ,"/", ra..1r7l;'.I"~'lti'i~ " .--e,.(.('-(tt:t~ftro-;-,~""",,,, ,.ReB'ster .' (/, / ","'" "fjo'rts"re,ii:n '1~1ino'ot"}I""""j': ,., """""11 "'1' "tt "., "d2v,r(,~~.-..w.:..":Ji.,r,f1.('(/;',6..":,;""",,,....., D~CREE BEr It. remembered that on the ""'''''''II~.e;t;.,O''''di-.. day of !".",.Q.qlc)'~R,r."'""''-''''"I+'''''' A. D., -19",,~,Ail , L9tters of Admh\letrlltlon In th0'9state IIf ,L,u~itf\,A.."AUiS,(ll1."A/.~/.Ii\,l..m.\~U.f\,A""Altl~Q^""..,,,, Jl.tJ~.lJk.M1."I~"I"W.U.lAfHXl..~~J.t'iH~"''''lIIljilll''''' I. lAte of ",.M.tg.~h~.fii,~~I.r,R:<<X\~J~ H~jj"i'i Ii II' ,lIIW"" HI It Ilth....ll Cumberland County, P~nnsylvilnta, deceased, Wero ll'rllnted to "",,'p,Q:I',~~,J.fM\,^,!:\m.~I?,t...,/l,OR...Sp.I'l,~rt M. , '. . . '. ~Q IHHI""""I' 1111 \111...1 lit.. l!" 11,,,.1,,..,,,,, III" "," I. I. """ II "" " "'"'''''' ,,,,,,.,,,, ""." It"" II '-', t.., 1"1;' '"'' II.'''.....", "" tit, I""" II' It '"'' '" II II I; I WltMee my hend nnd offiolal seal the dill' IInd yonl' UfOl'OSIlI~,,"' /' / 71 ';J -- " , , """"":,,,,,, .:'" ,.,;L;:/.~;~'1~(." "(.,':"""~~<f.f:-;f.;#"":'.' , (z/'/ Register Q ,',. , ... , " C'f) ~, ' ;::11 N l!J H:' I"; ,', '"I'd !If" ~., 'I i <.!} ',r" t>t.' i,>.. ~ \. 'i"~ ., r.~ " Ihl~ I" II., I... it il ~ ~ ~ " "'"',""'" i .':, r !~; '-~, ri.. fj. ..... " " " L.. .-, " 1;1' b' ~ ~. ~. ~U 11 :>> ~' ~ 0 n . . i') & , , ,- ~ . ,ti !~ I! 0 ::1 1 ,- ,1.J '11 It, '.. po r of', r! '. ::.1, ~ l!!, R, p, n' f,' U' [' ", Pi U :i' I! 11\ P. J " t." \'" ',-1/',1.. I=f< ~- Ii ,,' ::' il; ',I (', ~~ c::t .... '\"'1 iJ ,. l ~ H~ M ~ bPI' ," I". "'I r~ 2 ". t' t,.., P I. ~. ro ',\/-' t.' d. (\) . f't, "" fl a fil I;';i ,- (" ~ n> .. [r.' :.' 0 _N' r+ I;:j fr. ~. J ~. 1.11 'i ~ c::t ~., B () :..'" I ~f H 0 ..' ("l ". ". 1,'1 . ., to CI, P7. j .., . n ~ ~'. ~~l ~-I. () (P (\) ~ c..! j.: Ci p 0 I-~ f' f' H' ~l ,s ,..., Jt t~' ,-i IJ ,.t p.. t r", 'P () ,-" 'd ;. u f-~ t.:. .t:~: ~) t~" rf, " I', ", I ~ r) ".: 0 E1l ,-, (j f,. !) (0 9 t' ,.. I.. " .. r . i ~ :, (; t:J :1 !';J ..: t:. rl' ,',I tr, ';' '" ;" ~, ". 'Jl '1 0- ... ,f ,0 . ~~ ~8~~~g~~ ~~~~tool~81-3 ~ ~ ~ ~~, tool::ll, ~ tlEl"'~UlI<"UlS <l jl>> m' 0 l"" f;:J ~ ~ M~ I;:J I;:J '~~ $:" I><: d lOti ~ Ii!; '(")1-3 ltJ~~~ , t:l8 0 trJ' IS; ~ ~~~'~~~~8 ~~ ~~&i~r;p t:l '~ot7JS~ ITJ' ~- ~ ~ ~ ~ "" I OQ H r 81 CJ1 INCOM!!l HJi:CI':JVI':/? A(,c,ounlulltH OI1I1I'J.(ll thllll1fl(~lv()H wllh tho l'oll11wIJl/.( l!1I10JlW 11I1I0\lntll l'lH'olvod: lOBI 07T.'" 20, 2lJ 20 Nov, 27 Dec, 24 1982 - 27 .Jun, ' Feb, 2 JlltOt'llHt Oil IJlluplilll /)(JpoHl t BUllll 111111 .'1' l'UHt COin IiUII~ flu villI.( H A(,coullt No, OlJ 7 O:l:H1 4 1'1'0111 Octohol' 25 to Ol!to!llll' 2fl, lOBI lntereHt Oil JJlIuphlll lJopoHlt BlIllk ,llld 'I'I'UHt ClllllJllln'y fluvlll!lH Acoou III No, 11 7 lJ2C15 (j 1'1'0111 Ol'!.o!lnl' 25 In OotobeJ' 2B, lOB 1 Inlel'~1Ht 011 COl11mollwt1l1lth Nntlollul Bunl< HIIVIIlj:(H Aocount No, IB-00IllIJ14-0 I'roll1 OcloIH;" 25 51) Ddobnt' 20, lIllJl IlltOl'oflt Oil li'IlI'l11nt'H TI'UHt COll1pUIl'y NOW A(!('oulll Inlol'llflt on li'UI'Il1111' H 'l'I'UHl COll1plln,Y NOW ^"ooulll Illtel'eal Oil ,Irlll' mo\' a 'J'l'UHt COll1pnl1,Y NOW" "counl Hefui1d, Pu, POWOl' & Llghl Co, TOTAL INCOMI'l ImCI,;IVIW DISBUHSlnMH:WrS A()COlllltUIl\fl 0111 1m cl'odl\ 1'01' tho followl"ng 1I1l10un\s flllld: H C:lglfltel' 01' Willa, LetterH 01'. Adm llllHtl'lIt lOll und 3 shot't certlfloulea Cumbel'lUlld Law .]oul'nal, UdVlH'llalllJ.( !'ottOl'a 01' Admlnla\rlltlon 'I'l1e r~vlJnlng Hl'ntlnl~l, ndVl!1'tll,!l1l1.( Lcttol'H of Admlnll-l\I'utlOI1 Bnlul1lHJ duo ]')Htlt\e of Dnllloll"I'lt1.II1I' H 0001' del' of Dum!t;, I' ot'Ol'{lll1g ft'oH ltl1d tl'l1nfll'OI' taxefl E:w lllg E!I'otlHH'fl J~l1l1el'll\ Homo, fUnlJI'HI HeI'vir-os POI1I1 Ii'uol GllH" 1110" I'lnlll bill C{Il'lLHlo Cnmmul1ll,Y ^mbllllll1l1oli'und, flcl'vlcc lIBlR:1.01 I'hi" ~:~' I. 21 , r;a I. 60 20,71 14, fl:! }fi, 84 67,63 $ 131. 44 41,00 18,00 18,00 IH13,09 47,60. 2,157,00 8,,03 35,00, Nov, 20 lflll2 :lUh, 20 20 20 20 H ncol'del' of })mJdH, I'BUHy 1I':II1Hfel' tllXlHl 70,00 1~,f,Ymol)d MOl)lHqlllh. I\(lOOUl)t 55,00 HoglallJl' of Wllll-l, fllinf,{ HopOI't 01' AHHots 1i,00 Hogll-lllll' of Wlllll, 1'lllng Dobts lint! ])orluotlOI1H Ii,OO I~ eglsh1l' 01' Wllll3, 1'11, '!'I'III1Hfol' Inhol' Itul1of~ 1'tlx 777,70 DbI' lH .Joun Smoot, Admll1lHtl'utdxl tlommlHslons ;.-, -0- Hobe!'t M, ll'l'IIY, ^dITdnIHtl'l1tol"H cOlllmlHHlons -0- Hoblll'l M. l"I'(JY, Attol'lH\ylfj I'(jo B60.64 H ollerved to 1'110 Accoul1t 116,00. TOli'AI.. nls13u[{ Sl'lMEN'l'S $4,747. f.l,2 I, lUCAPl'l'ULA 'l'ION Totnl Pl'1l1clpnl deceived $17,612, B'I 'Potnl ll)cOme Heoelved 13'1,44 Total Receipts J 7.74,4.31 .. LeBs'l'otnllJlsbI1l'SlJI11ohtB - 4,747,92 Bl1lullC e for JJlfjtr Ibutlon $12, 99B, 39 *~} .Jin LI8lK :LO~, IAI' :.uk' P Pl'f~' Ii ~ .-",.1 ,,j":, t ~.. .~ ~ ~ ~ ",,,.,ll!, nlr;.; fi?C;:) , , ~~i ::tJ ,t=-l ;'1'1 .;'1 r'-' ,I;>, ;! '0 , -, Thll doo~m.nl 11th' Nollo. r.q~lred 10 b. 9lv.n und.r S,ollon 709 of Ih. 1;'I\.rll.no. .nd &It.1I T'K Aot of 1911 1 m 1>,8, I.olion 241161, , INPOAMATION - , . :. c.. '. . " " "I/'th, ilK II p.ld Wllhln thr.. (31 'monlhe .fter the d.o.d.nt'e d'.lh. . dlecio~nt of 611 of, lh. tlX Illld II .1I0Wld, Inh,rlllnOI,T'K b.oom.. d'"nq~lm nine (9) monlhl .ft.r the dlOldlnt'l d"lth, In\er"l II oh.rg.d al th. rat. of IlK (Ill p.ro.nl p,r annum on the .mo~nl Of ~np.'d tax, (See eXAM"~e ge~OWI ' eXAMPl.e: If I bllano. Of I.x d~'of ,$2,000,00 Ie In . d'lInq~.l\t .tlt~,e from 3~3~80, and plymlnt I. madl on6~23~801 thl Imer..t II OIlO~I.ted ellndloated below: " ITIP 1 ITI~ a Oe,lI,rml,n' lherete Of M~IIIP)Y the bll.no.of Inllr,,,' from the l,bl6 b.,ow, 'tax, dU8 by Ih8 ret8 of ' Inter.II, ' Il\lIrhl from 3-30~80 to 8-23-80 FI"ulll In: ' ...', ,__ 2 Monthl. ,010 20 ()m . ;., '%'lUi ~,I' of Inl.rUt' .' , 9.I.no. Of I'K due aIle 0' IntftS'et , TeReST u,goo,oo " '338 .' 28,70 lTaP II Add th, Interul tl;Hh, b,'.n08 of tbdu" ' , , S'I.noe of t'K due $2.000,00 I>/UI Int.r8.t \0 , ---0118 Of P.vm.nl, (,;'1 0 28.70 TOTA[ t.K .nd Inllrtlt 'to 0111 of ",ym'M\ $2,026,70 ,...,..,.~,..- - - - - --~ - - - -- - - - - - - - - - - - - . --- --- - - - - - -., - -... - --., -., - - - ~-., - -- - -...- - -- 1 monlh ,008 4monlhl .020 7 monlhl .036 10 month, ,080 .2 Month. .0\0 Il monlh. ,026 8 monthl ,040 1\ monlhl ,086 3 monthl ,018 8 month, .030 9 month, ,048 12 monthl ,089 1 day ,00017 II d.y, .00 1118 2 1 d,YI ,\lOBII2 2 d'YI .00834 1 2 daYI .00203 22 daYI .00389 3, daya .00 81 13 day. ,00220 23 daya .00:188 4 d'YI ,00088 14 dlY, ,00237 24 day, ,o04i3 Il a.YI ,00088 18 d'YI ,002110 28 !;l.y. ,004 ~ 8m ,00101 16 i:/'YI ,00287 28 dlyl ,0043 7 dlVl ,0011a 1 7 d'YI ,00284 27 daye ,00484 8 d.ye ,00138 18 diY' ,00~01 28 day, ,00471 II d.ya ,00182 19 dave ,00 18 29 dlV' ,00488 ' 0 d'VI :00189 20 daVe ,00338 30 !;l.va ,00800 .. - - - - - - -" - - - --' --------------,..---------------,..-...---------------------------...,..------- AnYp~nV In Inllr,lt. Inolvdlnll Ihl ComMunw,al,It., Ind Ihl p.raor..1 r.pr'..nllllvl, nOI'"llfiedwllh Ih. 'ppr"..m.nl,.nd ....lIm.nt mly ob/,ol,Wllhln tlK'lv (1$0, d.y. Ifter r,oelPt of Ihll NOIIOI If provld.d by SIullon1001 of Ih.lnharltanc. .nd EIIII' ,T'K Aot Of 1981(72 p,S,..o. 2488 ~ 1001). , MAI(l , CHICk llR MaNIV llRDIR PAVAII~I TOI IIRIOUTlR OP Wt~~II,AQINTII OIiT ACH THE TOP POATION OF THIS FORM AND SUBMIT WITH YOUR PA YMSNT TO THe AEOISTIiR OF WIL~S POA THE COUNTY 8HOWN ON THe AeVeAse. SE~ THE INHeRITANCE TAX INSTAUCTION SOOK POA AOOASSS, IOr'V.IDOU I;~ . (U'8I1 , 'pun.AU OP BKAMINATION I'ENNBVLVANIA OBPAnTMBNT OP RBVUNUI P,O, POK aal1 ttARnIUIIURU, PA mOB , Duc!!ll.,OI'\ N,lml ILIII, PIli, Ind Mlddll nllllll Ol8ldlnt'l Add,," DBCSA8BO _1:\..lJLfl b ('\..,' ,~ R, 'D, I 0 I 8b X. .tl ' SIICIII SucurllvNiiiniii'r Ilu of Dlllh C \' I PAD \ a ~_J.1~:,p,O-J~_~~L._() -J.6 ~_ ~V" I:') 'I '1..l 1, Orlglnll "llUm IX] 2, 8l1ppllmln\11 "llurn 0 INHlIRITANOll TAX RlITURN RI!8IDBNT DlIClIDlINT ,PII. Number ~ \. 'ir 1-0/.,(f5' CHECK 3, 'Rlmllnd., Rllllrn 0 APPRO, PRIATE BLOCK8 4, Llfl EIlIII 0 8. Pldlrll Bllllu TIK 0 Rllurn Rlqul"d, 8. Olc.dlnt dill' t',IIIII 7. Oluldlnl mllnlllnld I living 0 8, Nllmblr 011111 dlpullt 0 ~IDh oPPy 01 WillI trUII (Attlch cu I a, trllltl bumlnv nturlld All currulpondlnc.lnd uunfldlntlll tlK In!Urmltlan Ihould bl dlrlclld to: CDRR!- SPONOBNT Nome, -- I>PLl"t..N\, ~ Tllephunu Nu, =-- RIUlpltuletlon ( lI_=hODO,OO 1. RIll Bit". IBchudlll1 AI 2, Blockllnd 8andl (8chedull BI I 21 3, Claluly Hlld Btack/PlrtnoJlhlp Inlollll lechodull C) I 31_~ 4, MortglU8llnd Nolul ISuhedlll1 0) (41'j m 6, Cllh & Mlluelllnluul PIJlonllPrup.rty (Sch.dulu E) 181 0) ,7 RBCAPIT, 0, Julntly Ownld Proplrty (Schldulu P) , ( 8)_ UlATIDN 7: TrlnlluJl (8chldull 01 ( 7) ANO 0, Tutll OruII AIIIII (totll II".. 1.7) 0, PunlJll SKp1n11l Admlnlllrlllve Culll/Mllc.lllnluul SKPln", (Sahudllle HI ( B) TAl( 10, Olbll/Murtglgll/Lllnl ISuhedulu II (10) 11. TOIIIOldllcllun, (tulllllnl' 9& 101 12, Not Vllulal BIl"1 IlInl B mlnlllllno 11 I CALCU, 13, ChQrltlbl1 BlqU1l1I ISchldlllu JI lATION 14, NIt Velu81llb!lct tu IlK IlIn.'2 mlnlllllnl131 21 ( S) '1111 i~~ (12)=:11 " ", 1131. ' , ' (141 ~,lo"\~\ . Cumpolltlqu u, TIK 18, Amounlolllnl14tlKlbl8lt8%rltl (16) \~I \D\iQ .'"1\ K,OS.' ~~ .5'ip IInclud. vllu8l'ram Schldull K) 10, AmollntufllnI141IK1bl'ltlS%rltl I1S)_______ K,lS. !Include vllu'I'rum Schedull K) , J 17, PrincipII IlK due (Idd ilK Irum IInl16 plUI IlK 'rum IIn118) 1171 . 2' \ ~, '510 18, TotDI P,lur plymenll: (II Amuunt Plld (bl PIIII OllOulll1t (cl , Mlnullnllrlll . (tS) lB. Oiilncl OUllllnl17 mlnuI IInl1S1 ' lIB) MIke Check PIYlbl. tu: RIglller uf WillI, Agenl · it . PLEASE REOHICK MATH. it . Undor plnlltlol of p lilY. I decllll Ihlt I hm uKlmlnld Ihl. rllllm, Including Iccamplnylng Ich.dul8llnd Itlllmlntl, Ind to thl blltuf my knuwlldg. Ind blllo!, 1111 tfllO, co I, Ind aomplltl, Olcllretlunul prepl,., alher thIn thl pUllunl1 rlPllllntltlvllI bllld un IlIlnfurmltlun uf which prep,rlr h.. Inv knuwlldgl, IVUIS) ADDRISS DAtu 'SiONATUll-J;'O.FPR m-iARER-OTHEATtIAN-i1EPflESENT A TivE It. V.."'" . .',. 1'h-"'II COMMOHWEIIL H1 Of PPHH&Yl.V"HIA Def"RTM~HT or RPveHUE THAHlPPR IHHERIT"HCE Tol\X RUIDeHT DIlCIlIlEHT 1,U)Jl'l''!'A A. ALLISON ....~~ __ -+-<-F"""..*_..._...._h-._..-.. SCHEPUL.E If A" ReAL. PROf/ERTY ~" 'w.f8!fl:f. f1~\~;'ll~ ---- -f--;;;;~;;;-- """"'" MAllKET VAI-UArlOH VAlue ((l~fIC!lII/.IIS/i ONL Y! -"''''''_''',...'V''''V "-'" . . ... ........ (/lIltrVCI/OIl' .11 RI'vv". SI,lo) OBSCRIP'TIOH . At,1. Ihut em'laln t,'/wt Orllllld'ilttt1llto 111 lV\lddl"HVl{ 'l'IlWII'llIlp, ('lIll1li'IJ'll1nd Cllllllly, l'unl1Elylvurllu, llllllndod llnrtdll,f1pl'lbnd lIH 1'011uwH; BEOlNNINO at. II poLnll1\ the CltH1tOl' 1IlW or 11\1' 1'001' 11011141' Itoud ('!:II'l'pl wldo) at the /:k>l.\lhwollltll'll l10111\8r, or 1mt No, 41i11-1 Hhnw\I nil 1111' l\"I'Ol1l1ll'll'" ,"plllhllltld 1'10.0 or f.ntlllUwODl3liltllJtWal'uly ulong Iho Nl1l'lhorll lIrll' 01' (,01 No. 40llH ahrlWIl on the herolnnrtllr .rnentlooed Plun or LotH, n dlHIUIWll nl' Two 1IIII1<1I',.'d 'l'hlrIV-lIllo (2111) reet, more or.1t!HII, to u polntnt lhu ~lllllhWI'HIIIJ'1l "ot'I1U1' 01' 1,01 No. [,':il thence N01'lhwlIl'dly'alonll tile WeHtel'1\ 1\1\11 "I' ,wid 1,(11 N'l. II:! 1I11d 11 por't1no ul' 1,(11 No, 62, 0. dlliltl\lH1tl or Seventy-five ('76) fUllt In II Ill.l1lt 11111,1' ('ul\lllr uf IhvlHIHIlIl'1I line Ill' Lllt'No. 42 IIIl ahown on the herolnnl'lel" 1110111 1(1111,11 1'11\11 01' 1,0tHI thtllll'e Westwardly thrn\lghtho 1',E!ntel'or slllrJ hot No, 4~, n 111141'111.1'1.' 01' 'l'wlIllllllllt'(.d Thlrty-orlO'(~al) foot, more or le,Hs, Il) II point I,n \110 "('1\11'1'11111) 01' I.wld 1'001' 1T00lHO ROlldl tho,lwe"ln 0. Southerly d\t'l!l't\ol1nlll,,~,tl1o 1'!'!I11q'1II1n 111' !lllld 1'001' Ih.lUI:lO, H.l.'lIId,..I.l.llllllnncle 01' Seventy-CiVil (75) I'Ullt lOll pili III , 1110 I'lnr,o nl' 111o:<I\NNINO. BElN(1 ull 01' lint No. 411lnd tho Soutl111t'n hill!' 111'1,(11 \ill, ,1:J aH HI1IIWII nn tl10 1>1l1l.. J~elrow R,evlsed I'lun of 1,ots reoorded In tho Ol'ft\'t-l of Iii" Jt(\(o(JI'dl'\'lIl' 1>01111101 In Illld rOl' CI1I1lI)l'I'lul~1 County at 0111'11.1110, l'ullll1H'/lVilllla, In 1'11\1\,11111\\\ ~i I'nUH loa. ,-" - -, UNDlllR. ANI.> Htl1l,"~C'l', neyerthellUls, to eUSOllllll1lH :11111 1'1lHtl'Ir'IIlInfol, vlfllhHl or or rueOl'd, 'l'UB uhovll dUHI'I'lblll) premlllell are "11 of tho Pl'llllltlll'H Wi" ,II Il. H. 1';""Hlol' nlld wll'e, hy dued Ihlllld April 30. l064 and rcoordt'd Ch'I,(\\I"I,,:lIl, lOlll III the Of't'II'1I ot' the It ocord Ill' of Deeusln and for CUnlbol'lllnd COIIII!.Y :1/ ('Ill'liflrf), I '~nnlJylvllnlll In \)olld HOok "I'll , Volume eo " PUMa-3U!, I-{rlllllu,i :l\llll'l1nvllyllll \(1 Wl1llnm, ' E. Al1lflon !lnt! I.uettll A, Allison, hualmnd [lnd Wtre, ','Ii.. Hnlel William W. Alllaull huvlng d hili on April 26. 1 O'7~, title to anld prom I :WI:l ralllil \ J1(J'd VI1StllC\ Iiy opfirnt tOil of luw, sol111y 'n his surviving spousel 1,uettnA. Al1liiOIl whOfIU Aelmtlllstrut.tlul:l 111'11 , the Orlll1tol'S ,11l.lreln, 1981 Assessmentl $620.00 Sold for $'71 000..00 7.000,00 TOTA\. 7. 000. 00 If additional aplite la neceuQry, use BVz"K 11" sheeta. QUESTIONS C.QNCERNINCl PROPERTY TRANSFgjlli 1, O,ld,deCudqnt, W,/t,I,I/ntwo yllntS ordonth, m(lko any,transfor of any motorial port of,hls estate without receiving ,valllable 8nd adeQuate consideration? (Arlswor "Yos" or UNo" ,j 1\1.9 , 2. ~Id deoede,I,lt, wllhlnlwo yearB of donlh,t,lI1nSfO, t prop-orty from IIlmsolfl herself to hlmself/h'orselfand anothllr party , 'or parl/es(lnoludlng a spouse) Injolnl ownorshlp? (Allswor "Yes" or "No",) J12... ,3, If the,answOt to ,ooe or two, abovo Is "Yes" and tho (ransfors aro claimed to bll nontaxable, provide .the followlog Informal/on: ' '" " a, ARO of decedent at tlmo of transfer. ,_ . b" Copy a! death certlflcnte; , ' ' c, Aft/davit by, the attsndlng PhYBIC,I,nt,llndICatlOR the s,tato of decedent's hoalth at time of transfer. d, All other Information supportloR nontaxablllty Df transfer, 4, Olddllcedoot,ln h/$/her IIfeUma, make any trans for of proporty without rocolvlnga valuable oradoquate consideration thsrefor which was tQlnke effect In possesslon,or onJoyment ,alar after hls/Ilor death? (Answer "Yes" or "No",) No ,a. Was ther8 any Posslbllltylhntthe property trnnsferrodmlght return to transferor or his/her estate or be subject to hls/hlir power of disposition? (Answer "Yes" or "No" ,) , , ' b., What was the transferee's ago attlmA of,docedent',s deeth? .. 5, Old decedent In hWher Ilfel/me nlakeanv transfer without recelvlng,a valuable aod adequate consideration therefor undsr which tran$feror expressly or Impliedly reserVes for hlslher life or any period which does In faot end before his/her death: " " " 'a, The pO$S&sslon or enjoyment of or the right to Incol116 from the proporty transferrlld? (Answor "Yes" or "No" ,) No b, The right to designate the persons 1'/110 shall possess or enjoy the propoiiy transferred Orlnconl,e therefrom? (Answer "YeS"or "No".) J:i2..... ' 6. If the answer to Ilvo b. above Is "Yes," was tho rlsht reserved In decedont alone ( ) or dece(!entand others,( )', 7, Old dQOedontln his/her llratlme make a transfer, the consideration for which was transferee's promise to pay Income to orforthe benefit or Car\! of transferor? (Answer "Yes" or "No",) No, " ' 8, Old decedent, at any tI(I1e, transferpropertYt the bll10flelal enjoyment of wlllclrwas subLect to change" ~ecause of , a reserved power to altar, amend, or revoke, or, which could revet! to decedent uryder terms of tr~nsfer or byoperallon of lew?"(Answer "Yes" or "No",) No 9.,lf the an,swer to eight above Is "Yes," was the power to alter, amend or revoke the InlOr~st ofthli beneficiary reBerved In the decedont a,lone ( ) or decadent flrlcl others ( ), IHW.41l3 alIO) 0 QOMMONWE^~TH Of PaNN8V~VANI^ , DUPAATMRNT Of ARVRNUa rRANBfM INHRAITANCB TAX RBSIDENT DEoeDBNT Estete 0 f LUl11'rTA' A. ALLISON' SCHEDULE "0" BliNePICIARl1i8 '*' (lmfrllcf/~"$ 0/1 Rovcl$o $/elo) IllINL!PIOlARles AND ADDReSSE8 RBLATIONSHIP RVIVED DATE OF , INTPRe8T OF BsNEPICIARY , DllOEDIiNT BIRTH _~~I29t' La J eU\l.lallli!~______ .. ---.....---~--~.----- -- lD44 MoCormLok St, , , . , Oteensboro, NC 27403 daughter " ves 1,00% " " , '" , , , , - "- --...- " " " , -- , .. , , , , " , , , --- " , , , , - " , , , - - - - , , , ~ , , . , , , ~- , - --............--.;.,..~-~~..~-_.....'"-._. ._~".--<~-------~~.~-.j.'- .. ,.~ u_.,_..___.~~__ ..,._._~~....__~__," ~_._.._.._~r_'__'n' _.~ ---.-------..,.---.--.- , , '- f--- ',' " - "- , - - - , ~ . " --- " ---......_..................._.._--:---.~~-.-----._-- --.-, _._.~. ~- _.......,.,.--.,..-~_. ~._----~.. ...--........-+---~ -...........~....,.--~-- "'.---~.._._-._.-~----- " .r-m.._.._____~~___~_..~__.:... ,-----.---~"".._~_.._._-,.......,..".. ~_~~..r__.____ .,--.".,...._._-,~-~~~. ---<~~_--"._ '__,__"-._~~___,,",~h,._._,.-_u._.~__..... , 1 .. , - , , , " .. , , , ' " ., .' - I, I, " -----, , ~ " , , -- ,----....-_.~.." - ...- -~- .. " .. , .. , " ~ , , , , - m~ , , , " - - , , -- .---,-- , , - , ~ .. , , , The lI~OVe bel18flolerlel 8rllllvlhb 8t this time exoept for the fol!owlngl ), I I i NAMe DATI! OF DeATH . , W!I.eYOTIONS POR OOMf~ETING SOHEDULe "E" _.. .,. _c__ .. ... .. ,__ "" S,oho~ulti"~" mustlncluQo all pr.operty, real and parsonal, owned by tho deoeQont jointly with another pmyorpartlosos Jlllnt tenants ,with right of survivorship, Bpth tangible and Ihtongl~le propertY arato bo Included. Llstrool estate first, , , ' ",", " '1, ,Desorlbe 011 reel prQperIY os Indloate,Qln the Instructions for Schedule "A," Desorlbe all personal property 08 Indicated In the Instruotlons fer Sohedule "B," Inolude the narn\l, address ond relotlohlhlp to tha deol/dant .of the oo,owner(11 and the dot\l the joint ownllrshlp wau \lstoblllhad. 2, Indloa,ta the totel markot valua ,of the jointly owned propartY, 3," Indloate the paroentege of the deoedent's Interest. 4. Indloate the merket velue of the deo\ldent's Intereut, ~ ~ ~' ~ 'g; ~ z E; ~ ~ ~ 0 p Z :.t ~ f}1 ~ \ P P 0.1 ~ Z ~ 0 p I '11 I"~ Z C;;. ." L It, e: el" ~" ('-J J\! j_I_ " :;it hl; , . 'GV;, -, UJ ~t' " ~ ~ D:. ~ I ~j " ,_~I ~.:, , WiliERAL INHERIT ANeE TAX INFOBMA TION, Unlatllfle~ Il,ablllllu Incurred by Iho docodont pilar to hls/hur doolh ora doductlble agolnlt hll/hor taxablu ufato. 'n uddltloll to debtllncurred by tho docodont or olllltO, athor 11011\1 ora clalmablo Including the COlt of odmlnlatlallon, attornoy fllel, fiduciary foes, fUMral und hurlal aKllolllOI Including Iho COlt of a burial lot, tambltano or \lravo markor and othor relal,d, burial upon"a. , All dobtl bolng claimed agalnlt an ufate aro lubloct 10 tho approval of the Reollter of Willi with whom the lnhurllance Tax Return II filed. Bvldencoto Iupport tho docodont's or tho ntato'llloblllty for the debtl bolno claimed Ihould be allached tu thlllchodule. A family eKemptlon may b., claimod bya IpOUIO of a docodent who died dallllclled In Pennlylval1la. If thare II no IPOUU, or If the IPOUIt hus forfeltod hll/her rlghtl, thel1 any child of tho decedent who II a member of tho lume household c,an claim the oxolllptlon. In the event thore II no luoh IpOUI. or child, tho eXlft11ptlon can b. claimed by a parQnf or parenta who are 1II0mber, of th. lame houaohold 01 the decodent. Th'e farnlly ox.mptlon II ullawoblo only agal,na,t aneta which pan by u will or,by tho Pennlylvanla InlOltato L.awa. ' ,NOTEI Componaatlonpald to an elitate repr8l0ntatlvel namely, an hecutar or administrator, for IOfvlc8I performed In admlnllterll1gon ,eltate II reporfable for Pennsylvania ,In com. Tax purpoilu,iThll.!aKable I,ncome , Item .hould be reportod on form PA.40.lndl,vlduallncomo Tax Roturn. ' , "~ ~ ~' 8 E; , ~ ~ ! ~ '~ ~ ~ Z i;l , , Z P 0 ,0 , z ~ p "" .' 2:' /!" r::, ,: ,. r;) (t -j.,. " tt' ,I ~ , ; (.).- .~ .',.Ii] ~',' ..,....... ~ j:,.i,'; ~ ~ ".J ~ c, INSTRUCTIONS FOR COMPLET 1, If Ihe family llKempllOn 1$ belngolalmed, Indicate the clalmant'l name, addro.. and hll/nor relotlonlhlp to the deood.nt. Enter IIfomll'y .xemptlonll In ,tho remarkl column und the amount claimed In theamount'column. 2. A..19n con,ecutlvenumbera to oach Itemlllfedl 3. Entor the dato on which' oach dobt wal Incurrod and/or paid, ,4. Bnl., ,Ih.numu of ~,uch paye,. ' 5. Provide a brief ox~lnnatlo" In, tho romarkl column lor eochdobt clulmed. 6. Bntorthe amount 0/ Bach dobt bolno claimed. ' ,7. The form mu.t be Ilgned by the porion who haa anumod tho responllblllty for paying the dobtl. IF ADDITIONAL SPACE IS NECESSARY USE aW' K 11" SHEETS.