HomeMy WebLinkAbout81-00690
No. 21-81
PETITION FOR PROBATE OF,WILL AND LETTliRS TliSTAMENTARV
,I'n(l
~ ".t
Inlhe e.I.leol /y) / /' ! (l/I') I{
h"'/71/V6'f(
,deoe.eed,
To,R,glll.fof Wills lor Ihe Oo\lntyof Oymberland, In the Oom.monweallh OfPenns.~lv',nl.,
p.lIUOner~ls (1r6) Ihe execYI 6') r named In the Laat Will and Tealamenl of
!YJ/ r/1::7/f! f< )] r T1 IVr;> r dated, \ FJ N 9,) G '7 .::>
Deoedent was 'll oltlzan of the Unlled States and a resident of C .rJ;~/i 1" ),) I ~ t
~'P (l;loroygh), O,YcT/t~~a1~?ooYn'y, oO,~mon~ealth of Pennaylvanla.
Deoedent ~Ied on ~"Y"P:,'f)r . Iho ? 14, day 01 (j r r, A.D,19 ~. / Iln Ih.
.Clount~C/( C (1 )\11)'(" /" J.. ft,A) }:.),. ',Slate 01 .J? I::; allhuge 01 :z.~ yeer..
Oeoedllnt-M1l (hall noll.been married and.Rn (hae not) had ohildren born to him (her) 8.lnoe Ihe eK'
eoUllon of.lhe,above described Will. . 11 J- ' , ,
Dooadanl WeB poesesssd of pereonal properly 10 tho valoe of ,\ (". e, c.' "
.nd 01 real ealale to the value of D
a. near a. 0." be ascertained: said real eetate allui:lled aa follows
IV /7-
Therefore, your pellllonerlll rsepeoUully IPpl(l(lea) for Ihe probale of the eald Lasl Will and ,Teal"
menl and for LeUera Tealamenlary theron. ,
O.Ied ~)cT ' .2 ),' 'i cr '6 I
, . "
Name and addrsu
of Pelltloner(a)
~~lJ<ir /I tile/' /~'Z,:,;{;(L"h~
/ 9' c~ ~ dJ.P-t.r~~/( ~1'7J J)"L;
"') ... ' .'. ,')
( '~7/;;) /q~<<.. #"L" '/?cI / /
."
,
OOMMONWEAL TH OF PENNSYW ANIA
OOUNTY Ofl!OllMBERLAND
[)/),N/94D C
} aa
l) I T T/L)t' , 'r
n,,,,,edlnabove,' applloatlon, being duly,S (0 (!)~~y';
,Iatementasel torth In thlll petition are_lt~e .to the besl of
.!;(Jpe!-lv a,nd aU~SQrlbed before.> ).'D-'{(f~ 1(/ (?
, me. Q' e -'I.., 19'6 I
'f
" .
aoo~rdlng to law say(a) thaI the
h J c'", ". knowledge and belief"
//:?' .
(/ . .{??f;;~
.
Flied: NQvembel' 13, 1981
1/" .3;j .;j"L:L
" f.) ,
,-/ffr~< ~'.~)4~';;
AUorney 111"1' ('/30'6 ()J'C~ ,.
F,;',;.;:,,:,> '/1 X3'1 ")./'3:2..
kAS'l')'!l!:lL ,\N P 'l'IJill'l'AMillN '/' O~' NIl/HAM K 11JI1"l'~~r~
.,. .
f, Miriam K.Bittner, reniding at 129 Arlington Street,
in the 8,orough of Southmont, Oounty of Cambria and Stateot
Pennsylvania, being of Round mind, mamol'y t!nd under!ltllnding, do
, make, pUbl1Rh nnd deolllre' this to he my Last Wi.ll Ilnd 'relltament,
hereby revoking nnd making null and void any Wills by me hereto-
forEl made.
I direot the payment of all my just debta and funeral
. e~penses as Boon as mayoonveniantly be done after my deoease.
All the rest, residue and remainder of my eatute of whatM
soever lihe same may oonsiet and wheresoever situntedat the time"
of my death, I give, devise nnd bequeath unto my husband, Olyde
E.Bitthl\r.
In the event my huaband, Clyde E.Bittner, should predeoease
me, I then'~ive, devise and bequeath all the rest, residue and
.,remainder of my erltate unto my two o~ildren, Delores Jean Pringle
and Donald O.Bittner, in equal shares.
I hereby nominate, aonatitute and appoint my huaband, Olyde
It.Bittner, Blxeoutor of thin my Last Will and Testament, but in the
.event'he should predeoetl Ae me, I then' nomi n'l te, constitute and
appoint Donald~.Bittner and Delores Jean pringle, Itx~autorB
hereof. My exe outors shall serve without bond.
Iij WI'rNESS WI1E:RI!:OF, I, Miriam K . Bittner , te statrix above
nemed, hav~ to this, my Last Will and Testament, Bet my hand and
'!leal, this 9th day ,of January, 197).
II/teL.:"'".' )(, U,:tt;l-C/~/ SltAL
8igned, Be~led, published and deolared by Miriam K.aittner,
the testatrix named as and for her Last Will ,'lnd Testament, in our
presenoe, who, in h~r presenoe, at her re~ueBtl Indin the presenoe
of eaoh other, hAve hel'I'unto subscribed our nt\maB a$ attesting .-
witnellll9B.
-- ~ (
, ~(....'1' f/,.':"',:;;:;k.,i,,-"c.:-r.., /
I
J Ii /~ 1 / I
) . ~ ':~, )
,:- c) II' l'li:B:i.
9aH
OATH OF NON.SU"SCRIBING WITNESS
OOMMONWEALTH OFPENNBYLVANIA Y 8S:
004NTY OF CUMBERLAND
,
This, th\,! ~,-~._~,__":_~n,__u_'nm~_,,J}~ll.,~-,c_., . m~----'-'~--"--'-'~~"- oay of
~llli29XJtl{XX~1<JOLN9-'l,eml2.~r_,--_c_"A.D. 19 r;,:L, bafore ma, Raglsterfor tha
Probate of Wills and Granting Letters of AOmlnls\ratlon In ahO for the county of
cumbarland, In the Commonwealth of Pennsylvania, personally came....L1Za/v'.,:.;7'~
, ,..y
So LIlY t'Lb.!__-",,,,",,,jL.JJ,,d\tl.J),,,,bl) .l~L:'U:Iie: rz who being duly
C:::' (,) Clu::!-,--,--- accorOlng to laW deposeO and say that 'they are wall acqualnte,o with
th~handwrltlng 01 ~"..l~.21j'l F/ /)I_,._l{_,,~_/},L[J__l.)e {" -
"
whose name Isatlached as -I (' 5; illl:1.~X. to an Instrument of writing
purported to ba ~_ I~f:t~v~-,-,------'cc---'--~ thl'! Laet Will and Testamant of
_-J]JJJ:'JJ;iUXLJ1._-.i3 ( r JIVe V'
late of .-:-j'?) C't_p__,lLC....1\ c;, l (:' ,,:2;.r1r.:.....-dr / l" ,decealled
and that the said signature Is true andgenull1e, and that the said -1JJ r .(/ p) /v(
1< fl)f. 1"1 /veY:~,,-,,- Is now deceased, e-r-absen~
c
,=>J( ) c>j!:.L\) and Bubscrlbed before me.
thle ,,~13j;.lL_____,,___ ~ day of
,. _____~__J9v~mb~L-m:'''-----'-A,D, 1911L
3J(~yg ,~;;,-~
""'....._<t .~-'
.',',/",~'_J "
.- . .. - -'-. ,
/".... ,. _ ._'1 I \, """:' /,.
.......,.r~' j - "'-",
per ~..__.,,____..__,_,._.~.,,-"c--"""-~---""---'''~''~
- Deputy Register '
oas
.
r41. Y.4411 '.'01
CbMMOHWIII\.TH 0' PINHJV\.VAHIII
DIPIIRTMIHT OP RlVIHUI
TRIINJPU INHIRITIINCR TIIX
RIIIDIHT DlelDINT
AFPIDAVITOF
FIDUCIARY
(Inlt,uctlonl Qn Rov.,,, Sid.)
*'
.--=-1:S.~1.7'A"'-i;tl/.",.'"
....
..........-~r~ .~~~~~~"1O=:=~~~....
E.tale of -M.U:.j.am--K.,_lUt.t:.Ol1I.~_,_._.._.__,__
L.a'l Add".. 190p__].,ljl'!:'CJ1H~IC?E!:h.J?E,!. va ""~",,,
_ Camp.HilJ../..J'',!LJ2011_.__,
1l~IlVI tQ1All,-1 (111'1
Dolo of Dood! --'lct:.obaj:_~,7,_.1.!l.fil____.",. ,,,,,,
Social Socurlly No. ,-l,7rl..~O...l6.\l5~-_.,,--, ,...,,,
Duroou Fllo No, ___~"_,.~,_"'''~_,~"----'",,.,,'~, ...._'.
County File No. ,,.,;....2L;,j!l:.J..,_2C,2_,..,,,.. "'H
I. O.c.d.nt dl.d:
( ) Int..llIt. (without a will)
( X) Teatal. (I.ovlng a last will--copv olloched)
2. I. lh. filing of a Foderal Eslalo Tax Relurn roqulrod for Ihls estate? Yas __.._ No ...11-
3. (x ) Ex.culor/Ex.culrlx ) Adnllnlstrotor/Adl1\lnl'lt,alrlx
Name Dnll I'll Q C. BIt: tn.ax-._~._,..__._.._..._";
Addr... 1906 Letohwor!;'~U?_;:~,Y~__"'~n_,,__
~amp Ijill" 1'1\ 17011,______."
CCIT'I'I (OTATE) 11\111
4. All corrupond.nc. shouldbo 11\(lIle'd 10 (x') Attorney
5. Ifan allornev I. ropresonllng Iho esloto, Indicate!
) Flduclory,
r> ~
(..,r.- "l~
.: _, I ~ I
'T/ "i-!
:a I:'!(
r ',1.;11
" , (l:1
'H I
t-" ,
, ,
"
.~
."
Nome
Addroll
ThQmas h.Jmn~EIlCJ\.lllJl..
Wix, Wanger & Weidner
5 0 8~,~th_,l3e~d~lit.r~t ,__~, n______
P. O. Dox 845
HU~ i 81;1I.1~---l2aAn.IW-lv~nj,a--J..1,1-08-
(CIT ) .. , TrrJi.'frH-" fi.lt'J
LI.t all .01. depqlltboxes regllteredln Ihe decodepl's Indlvlduql ,nomohor jointly with, or as o~ ago,,1 Uf doput)
of onoth.r, or In dec.dent'. Indlvldualnamo with rlghl of occeaS by onol er os ogenl or ~eputv. Inr.lude Ih,,! nun'l:
ond Ilddres. of the honk or other Institution whore the saft deposit box Is Iqcatoll, tho namo (5) In which the bo(
II IOgl.ter.d and the relallonlhlp ollhe lolnt holders to tho docodent.
-.o::,l.,~ ;...,.'-Uf'--'---.u
HAMI IINa IIaaRln OP bliNK OR OTHRR INlTITuYIOH N^Ma OR NAMas IN WHiclt
IN WHICN DlceDeHT MIIIHTIIINID II SIIPI OOPOIIT nox SAt'O OEPOSIT nox IS REalSTEROD
_.. _._M ==::.:~~. .~-- ~
RaLA TIOItSIHP OP JOINT
HOLORRS TO O~~~:l_,,,"_;
None
---------. _._-".---.......__._~..~....;,--_.
Under penalties 01 perlury, I doclolO 'that I hnvo examlnod this return, Including accompanying schodulos ond
.tat.m.nt., and. to the but of mv knowlod~o and belief It 15 lruo, cor,oct und cen'rlote,
( , ,/ ,/)
, /,' / /,/ /f /....... ~:/ '.."__"
---A:--~~74j-' (:;-i'_\..-t:!-~'i~r~-;'~~ ~)
SIONATuRe OF l'IOuCIARV
'/' ',:
)./,),.<// ,,I
-~ ~....._,.
(lATE
,
----.--.---.,-1
i
I
--,-.,.. -I
,
I
....-1
I
I
"
~
, .
'LAST WILL AND TESTAMEN'J' OF MIRIAM K,B:rT'rNmi
, , ,
, ,
!.,,-:_,~;j-'
'r '
II' Miriam K.B:l.ttner, rllR~ding at 129 A~lingtonStreet,
. -". ' ,
in the ~~,~lll~gh ,Of S,Ou,yhtl\ont, ,Qounty OfQI1!'1~t'~aand:Stat.~'Qfcl!\~:Ji~j~~
Penneylv_nia, being 01' Bound mind, ~emory andunderabanding, do
mal(ll, publieh and deolare this to be Ojy l'-ll-st WHl and ,Testament I
hereby retoklng and making nuU and vo.id any Wills by Ine hereto,:"
fore ml'1del
,I ~,it'eot the paYment of all my just debt.s and funeral
, ,
Iilxpensee.s soon as may oonvenient~y be done at'termy deoeaBe.
I', _ _ ' ,I .:, _ _ .
All the rest,' rlilsidueand remal nder of my e state of what..
, 'N.-
''''f''''''
;' .,(,',,~\: ~
'.1".1';1
:..;.;:/\ ,.'~,
,:'_:~lfl"d
II'!ot -",
';(::'i: ,',
,.
.:- '<'r,.",1
, . 'i
1'l0eVer'thlil Sll-me may pons:l.at ~nd wheresoever ,situllted at the time "Iii' Ji
0.1' my death" I gi VIII deviSe and bequeath untorny husband, olra'i':"::;:~".'i:
." :t~J\h~;
E.Blttner. ,'1'i'I";?
'_,' '_, _ _ _ _ _ _ _ _ _ _ _ ,.; i'_ _.' '/f\ . \.'rf
iI~:! t,n~"'ii~:r~nr:,~~li"ih,~;~,~Ml,,Otr.c;l~,,~,~~,~,~rye.l'l., Sh9.~t~,l),~~M'~~~~'~I\i,i\':ll:;.J;fiM~::
me, I then give, deVi~e. and be9ueath all the, ~eBt, r~sidUe and
~emain~er of my estate unto my two oh~ldt'en, Delores'Jean Pringle
and Donald O,.BittMr, in equal shat'e s."
!,hereby:nomlriate "o6nlltitu'te and appoint my hUllbandlO:LYl:1ei'.'
lD.BittnElt';, EXeoutor of this my Last Will a.nd Teotament,but in the
l'l,vent he should. predeoease me, I t.hen nominf.lte, (lonstit\iteand
",' 'I,
'j
appo~.nt
'. ' hereof'.
Donald C.Bl~tnet' and Delores Jean Pringle,Exeoutorll ,
.
My Bx~outorll shall serva without bond.
IN \~ITNE.SS w,HER~OF, I I Mi riam 1<. Bittnet' , te statt'ix above
nemed, haVe to th'is I, my La,llt Willllnd Testament '- :~et.,_mt handali.d
i I,
RAoUl, chiLe 9th oaS' of J antlat'y ,'197).
" ., IlJ~~./ X. B..:-~),'\~l!l,A~',
" hI", ,
,J1<'~":\' ,
,'{ ,
;SigMd, seahdl pubU\!lhed ,and deola'red by Miriam l<.aittn~r"
the teetatri>t named, as and' for he't' Last Will IlndTestamentl in;:ollt'
pl'allenoe, who I in her,.p~~senoe, at her request ,and in theprUlno. .
Of each other, have Mrlunto subsoribed.our n.ames as attestil'li 'I'
w~tnessell. ,"
....;....~'-~.,. Af? ..,/1. l . ('
\ "\~ J(,);~..i,-,~.., J/ .' j' h. ,. 11-1/ hILlH'~*;'). !,,;Jiitil'l~";'
~J~'ft';
-,-_...---~...........,~-~-'_'__'---""
I
~! M
.~! M
~ ~ 0
! i:l' r-
~, tl M
.~ 1<111
~I ~
0 j:Q
,~ i.l M
4JI .-i
~: 'M
~ ! I ltI
~ ~,
~ 0
e "',
.-II
~ ~ iJ" iJ" d
0 Vl 0 z d
~, Vl ~ r-o d
Z ~ ~ z Z
>-l d = P .r, ~ t5 ~
,..l ;r, ~ ;or. I~ Cl P Z
Ii Vl ~ 8 .,. ::1
k~ p;
......-...---___--._..__.~-------~.------,"T'.
'IBOJ91UI 8.1UOPOOOP aliI 10 al1IO^ 1a~J~W 041 8100lPUI ''V
,
'ISOJ01UIB,1UOpooilp 04110 060\uoojad 041 '1l10(lIPU\ "€
'^lJodoJdpOllMO ^lluloI 04110 01110^ 10~JOW 1010(041 a~~oIPUI ~!:
'pallsllqOlsa saM dlllSJOUMO IUIOI alll Olep Olll pUll (8) JOUMO'oo a4110 lUlIpooap
a~ll 01 tll4tuOllblaJp~IU S90Jppa :awuu oqlopnlolll '"EI" olllpaqos JOI BlIOI10nJ1BUI 041 ul pOloolP41 BO
'A!JodoJd 10UOBJod 110 OqpoBOQ '"1;/,, olnpallos JOI SU011011,I\BlIl 941111 POlaolPUI BO ^IJ~doJtJ 109J 119 oqlJOBeQ . ~
" 'IBJII 9101sol09J I'll 'pepnlOUI
Oq 01 9J9 ^1JodOJCl0lqlDulllUI nllo alql6u~1 1I10S 'df49JMI^J1\B 10 lqDIJ 41lM 9lUOU911U10! BY SallJod JO^IJlld
,I0410UIl 411M ^llulolluapOOOP 0111 ^q PflUMO 'Iououad pliO 109J '^IJodoJd 110 epl110UI1BI1W "B" 91np8408
"11,, 91naaHoB DNI.L91dWOO I:lOd"sNOI.LOnl:l.LsliJl
.
'Ilqop 0416UIAOU JOI AlIllqlluoUloJe41 plllUnllo ID4mtM UOIJOU aliI All paullll Oil llnullUJOI o4.L 'L
, ' 'POUIIDIOllU\1l1111l0P qoao 10 1\lnOwU 041 J9\UB '9
'poullolo lqoP 4000 JOI uwnloQ Il\J9UIOJ aliI ul UO\loUOlclxo 10PC\ 0 OPI^OJd '9
'ooAuuqooo 10 SOWUU 041 JOlUB '\1
'PiaU JO/puo pOJJI10UI SliM lC\aP 4000 1I0lqM uo ol8P 041 JQlUB 'E
'pollllluoll 400001 IJequmu O^\lnOOluoo u6111\1 '1:
'uwnloo wnowIl,041 ul pOWlolO lunowo 041 puo uwnloo Il\JOWOJ 0\11 UI"uolldwoXO A\lwul" J01Un'IUOPOOOP
04101 0141UQI10IOJ J84/114 puo $I0JppO'O\UDU l,lUoWIOlo 041 oloolPUI'\loUllolo lluloq IluolldwoxO AIIWOI 041 II '~
-
"d" il1nOBHOSElN1U1dWOO \:IOd SNOI.LOn\:l.LSNI
\ ~ r-i
'~ r-i
~ ~ 0
~ j:\ ....
r-i ,('1 ~
S t i _~,f~_ ;,,~
1--1,:'
.~ l!_l(')
t:Jq
~ ~ :q ,<,,:IJ
j:Q , 't:J ,(';1
~ . I , d~~
, r-i ~ ....~
::> l<i S r-i 1"
I ~ 'pj X!l
.'
~ '" ~
0 ,)
0'\ ,."'
.-I U
..... i l.!< ~ 0
0 ~ :z 0
~ i ~ 0
:z :z
i i' g ~ ~ ~ ~
~' ~
, 'OMO,8mSlllUI 0IUO^IAIUuod941Aq JO \11M 0 Aqssod4014M 1\91101lUI060 AIUO olquMOllu
91 UOlldwoxo AllwUI 04.1. 'lU9pBOOP uql IU Ploq91n04 owuleql 10 IJoqwuw OJU O.qM IIU9JUO JO IU9Jod U Aq poWIUIO
9q uuo uO\ldwoxo 841 'P\l40 JO 98nod840nlOU 81 8J941 IUM9 041 ul 'uolldW9XO 8111 WlolO uuo P10498noqOlUII8 oql
10 JBqWOW B 91 oqr,quopooap 04\10 Pll40Auo u941'8\461J Joq/B14 p91191JOI6U4 oBnod8 9qll\ JO '09nool oU.81'oJ,0411l
'oIUU^IA8UUBelUI PBllolwoP lJ9\P oqM lUBpoOBp 9 10 91nodl 0 Aq pOWlolO 9q Aow OOO'~$ 10 UOlldW9X9 A\lWOI V
, ,. '8lnpBqoB BI41 01 p9qOOl\O 8q PlnoqB
poWlulO 6uloq 81qBp 041 JOI Allllqoll 8,8101IB B41 jo B,IU9POOOP 8ql lJoddnl 01 oOUBPI^B 'P9\1PI UlnlB\:ll<B.L oouoW8quI
841 \l.l04M 41.IM 81\1M 10 Jolt168\:l B4110 IU^oJodu B41 Olloo!qnl OJo 0luI18 UO 18UIB60 PB\l.lIUlo 6Uloq 8\q8p \IV
'Jol\J,OW lMOJ6 JO ouOUqW01'101lUIJI1q B 10 1100 B41llUIpnlOUI 80lU8dx8 181mq puu IUJ8unl 'IU81 AJOIOnPll'sool A8UJOllu
'UO\lUJ1IIUIWpo 10 1800 8q16ulpn\oUI 0lqDWIUI08J8 8W81lJoqlQ '8m19 J01U9P80BP a41 Aq p9JJnouI nq8p 01 uOI1IPPu ul
'818118 elQllx81 Jell/8111 181,11868 BIQ\lonp8p 8JIl qlD8p J8q/114 01 JOIJd l,U8pe08p oql Aq poJJnoUllol11lIQ8\1 pOl1811lltUn
~ '. I I
~)
I~'.'
:: .: ;': ~,
\'",.
1".-
Il
I
R'J
...
~1 '"
'1
r.~
1'"
,,,""
i."~
tt)t,
!,;:'O
,'.'.:1
'1
,~
"
INFORMATION
Thll dooumlnl II Ihl No\iol ,equlrtd 10 bl glvln und" Slollon 700 Of Ihl Inh"lI~nel and Ealllll TI~ AOI
of '981 17~ P,S, lIelion ~48al, '
If Ihl II~ It plld wllhln Wet 13) monlh, IfI" Ihl d.oldenl'I dulh, I dlleeunl of 8'1' of Ihl II. plld II ellowld,
, 'Inlll,l"nol TI~ beeomll dallnqu.nl nlnl (9) monlh, afla' Ih. d.e.dlnl'I, dllllh, Inl"all II ohtr9ld It Ihl
1111 of II~ 181 p,erolnl PI' Innum on Ihl Imounl of unplld II., ' (See eXAMP~6 ee~owl ,
EXAMP~e: If I blllnol of \tiC dUI,of .2,000,00 I' In I dlllnquenl IIIIUI f,om,3-3-80, and pevmlnt It mid.
on !!:!3-80, Ihe Inl"llI II elloulll.d II Indlollled bllow: -, ,
ITIP 1
Oel.rmln. Ihl rile of
, Inl,,"i from Ih. IIbl. b.low,
ITIP a
MulllPlv Ihl blllne. of
II~ dUI by Ihe "" of
Inlerlll,
ITIP B
Add Ihl Inl.rlll
to Ihl blllnee of
II. dUI,
Inle'"1 from 3-30-80 Ie 8-23-80
AIIUlll In: ,-
, 2 Monlhl. ;0 10
20 OaVI . + ,%Om
RI,e Of In\tr'll . ,1
elllnee of II' due
Rile of Inlr~~~EST
.2,000,00
. ,0~~3B
. ,70
alllnee of II. due
~luI In\trlll 10
.DI1~;\ienl (t)
TOT7iI:'lii\in .
In I. rill 10 Dlte
of PIvm.nl
t2,OOO,OO
. 28,70
t2,028,70
---------~------------------------~-------'---------------------------
, menlh ,008 4 monlhl ,O~O 7 menlhl ,038 '0 monlhl ,080
2 monlhl ,010 8 monlhl ,028 8 menlhl .040 , 1 tnonlhl ,088
3 monlhl ,018 8 monlhl ,030 9 menlhl ,048 1 ~ monlhl ,080
1 dav ,00017 1 I dlvI ,00188 2' dlvI ,00382
, ~ dlVI ,00034 1 ~ dlV' ,0~203 U dlVI .00389
3 dlVI ,00081 1 3 daVI ,0 220 23 dlVI .00388
4 dlVI ,00088 14 dlVI ,0~23? ~4 'dm ,00403
8 dlVI ,00088 18 dlvI ,0 280 ~6 dlVI ,004 ~O
8 dlye ,00101 1 8 dlVI ,00287 ~ 8 dlVI ,00437
7 dlVI ,00118 17 dlvI ,00284 ~ 7 d'vI '80484
8 dlV' ,001315 18 dlVI ,00301 ~8 d'VI " 8471
9 d~VI ,0016~ 19 dlvI ,00318 ~ 9 dlVI ,0 488
1 0 dlVI ,00189 ~ 0 dlvI ,00338 30 dive ,001500
---------------------------------------------------------------------
, Anv pmv In ,nterlll, Inoludlng Ihl Commonw..Uh Ind Ihe P"IOI"I t,p""n\tllv,, nOI ,,,IIIfl.d Wllh Ihl
IPpr.lllm.nl'lnd ..Ialsmenl mlV obl.el wllhln II.IV 180) d.V' .1\11 ,eoelpl' 01 Ihll Nollel II provldld by
_.OIlOn 1001 Of lhl Inh.rltlnoe Ind EII'le Ta~ AoI Of 1981 (72 P,S, 110, 24815 - 1001l.
MAJ<I CHICK 011 MDNIV 0110111 PAVAI~I Tol "RIDlITeIl O~ WI~~I, ADINT"
" DBTACH THE TOP libATION ,OF THIS FORM AND SuaMIT WITH YOUR PAVMENT TO THE REGI8TeA OF WILLS FOR
THE COUNTY SI:lOWN ON THE REVSR8E, SeE tHE INHERITANCE TAX INstRUCTION EOOK POR ADOAess,