HomeMy WebLinkAbout81-00728
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I'l'reM IVI I 9iv~ and beque,ath all of jewolry to my
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da\.lghter, 1!l.t.I.~l\BDlTIl ANN l3ROWN ,and my daughtor~in..laW,. B1\Rl3l\HA JEAN
PIETZ, to be.divided equally bel:ween them.
ITEM VI I give and bequeath all Of my household
furni turlll al1d'furnhhillgs, automobiles I books, pio\:urell, oh;na, sUver..
ware, weaing aPparel and all tlther likE) articles of househo1d,0%," per-
spna1 '~se or adornm~nt to my husband, JOliN R. UIreTZ, if he survives
me, or, ;if he does not, to my ohildrEjn, ROBERT J. DIETZ and I!lt.IZAl3Jl)TH
ANN BROWN, share and share alike, or to the survivor.
ITI1lM VI,
:t direot that my lllxecutor shall divide
all of my property,' real, personal and mixed, not disposed of "in the
I
preoed;ng portions of. thisWiq, into' two (2) eq\,la1 shares, and I
giVE), devise and bequeath all of such property, real, personal and
mixed, as follows I
;'0
(a) one. (1) such equal share \:0 my son , ROBERT J.
DIETZ, if he is living at my death. If my ~aidson is
no~ living at my death, then one"half (1/2) of his share
" shall go to his W~fe" if living at my deatp, and if in
the sole judgment of my Executor ,.she was, at the time
of my sonls death, living with him as his wifel tpe
other one~ha1f (1/2), or if said wife is not living at
,mY death or is not entitled to receive a one-half (1/2)
as set forth above then the Whole share, shall go to
my son's issue, per'stirpes, living at my death. If
neither my son nor any of my son'a iSSUe is living at
my death, and/llY son's wife is living at said time of
distribution and was., in the sole judgment of my Exeoutor,
Page 2 of 6 Pages
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59
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. ~iving with my son as his wi fe /.\ t my son I s death, tp~n
all ot my,sQnls share 1iI11all yo to his wife. If neither
, ..
my son no;rany' of his issue is living at my deat.h, and
mY son's wife is either not. then living or j,s not. en~
titled to any part. the:reof under the above-stated oondi-
tions, tpenal1 ,of my son I s ,share shall \10 to my daughter ,
l1lLIZABlll'l'1-I ANN ijROWN, or if she is not then living, to
,
he;rissue, per stirpes, living at my death. If at my
death none of t.he foregoing beneficiaries is living or
entitled to reoeive anY of said assets, then all of
said assets shall be distributed in equal shares to the
nephews and nieoes of myself and my husband, liVing at
my death.
(b) One (1) suoh equal share to my daughter,
lilr.t~I\BIllTl-I ANN BROWN, if she is living at my,death., If
my said daughter is ,not living at my <leath, then one:-
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~alf (1/2), of her share shall go to her husband, if
,
living at my death, and if in the sole judgment of my
'E~ecutor he was, at the time of my daughterls death,
living ~ith her as her husband, the other one-half
, (1/2), or if said husband is not living at my death
or is not entitled to ~ecieive a one-half (1/2) as
set forth above then t.he whole share, shall go to my
daughtef's issue, per stirpes, living at my death. If
neither myda~ghuer nor any of mydaughterls issue is
living at my death, and my daughter's hUSband is living
at my death.and was, in the so~.e judgment of my E)leoutor,
living with my daughter ,as her husband a\:. my daugnter,1 s
'J_
~age 3 of 6 ~ages
~
60
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daat.h, than()nG"hal~ (l(~) of my dllughter I Q shllre shdl,
, '
go to said hus~and,ana tl1eother one~half (1/2) shall ,
go to the issue, per stirpes, of my son, ndbert J.Piatz,
,
living at my' deatp, or if therCl, arE! no auoh then living
issue, then to my ac;m, ROBERT J. DIETZ. If neither my
daughter nor any of her issue is living at my death, and
my daU9hter'i!l husband is aither not" then living oris not
entitled to any part thereof under the above-stated con-
ditions, then all of my daUghter's share shall 90 to mY
sonls issue, per stirpes, living at my death, or if there
are no suoh then living issue" then to my son, ROBERT J.
DIETZ. If, at ,my death, none of the foregoJ,ng benefi~
oiaries is living or entitled to receive any of said
, assets, then all of the sdd asset!i shall be dii!l,tributed
in equal shares to the nephews and nieces of myself and
my husband, li.ving at said time of distribution.
ITEM VIII
In the settlement 'of my l!Jstaue, my ExeoU,tor
shall possess arncng otpars, the following powers I
(~) To sell either, at public or private sale and
Upon such terms and conditions as my ExeoUtor may deem
advantag'eou!i ul;) my Iilstate, any or aU real or personal
estate or interel5t therein, whether owned by me, severally
or in oon j \.\noti,on with other persons or aqquired after my
death by my Exeoutor, and to co,nsummate said !ide or
sales by sUffioiant,deeds or other instruments to the
purohaser or purcqasers, conveying a fee simple title,
,
free and olear, of all trust and Without obligation or
liability of the purohaser or purchasers to see to the
Page 4 of 6 Pages
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$aid Guardian may reoeive and administer all assets authorhed Py law
and shall have ,full authority to use such assets, poth principal and
incomElr' in any manner said Guardian shall deem advisaple for the
pest intetests of sUcll child, inclucUnlil college, uni ver.si ty I post,.
graduate or other education, without seouring court or.der. Said
GUardian s,hall have aU' tl\e r.i9hts and privileges as to the Guardian~
ship(~) ancltha assets thereof as are herein granted to my Executor
as, to my Estllte and the assets therein.
ITEM K I
--
I herepy nominate, constitute and aPpoint
my husband, JOHN R. PIETZ" to pe my ExecUtor. III the event of the
deatp 0):' resignation of my husband, JOHN n. DIIilTZ, as Executor, or llis
refUSal or inability to aot as such, I nominate, constitute and a'ppoint.
my son, ROBJl)RT J. DIETZ; and my da~ghter, ELIZABETH ANN aRO~N, to be
mY ExecutQrs, herein referred to as my Executor,. My ExeCjutor and
GUardian specifioally are relieved from the duty or obligadon of
filing any pond or other aecurity.
IN WITNESS ,WHEREOF, I have set my' hand and seal to this my
Last Will and Testament, cCllsisting of this and; the preoeding five '(5)
pages, this ~2l(day of ;-;'~ jJ~:\\,.dl'" , :~80. \
,~ ,~~'\ " \' '\ \ .- .~,
o l;\Itz
(SEAL)
)
We, the Ulldersigned, hereby certify that tllefOregoil19 Will
was sig-ned, sealed, published and declared by the above-named Testatrix
as and ,for her Last Will and Testament, in the presence of us" who,
a t her reqU~st and in her, presertce and in the presence 0:1: each other,.
have hereUnto set our ha,nds ,and seals the day and year. apove writ.ten,
and we certify that at the time of the execution thereof, the said
T tatrixwas sound and disposing mind and memory.
1!!~ SEAL) Residing atl ) '?
.~\)~_~\~f!7;/'~L (SEAr,) Re~~d~~; ~:~I
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, 1.~Jlo/~(I/{' j':X
(SEAL) Residing ,at:
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OATH OF P":RSONAI, REPR..~stNTATIVE
COMMONWBAl:.TH or PENNSYLVANIA SSI
COUNTY or CUMBERLAND
Beforo mo, tho Rogl!lor fQr the Pt9bate of Wills and lIranltng of Lellers of Admlnlsttallon In and for the Count)' of
' Cumberla'1d, personally camo~~ K~: r;J(~ t;.""" ..... · "
who, bulnll dUly /l,.Nl-t,\ '_, dl/~'deposo and ~ii~ that as_ J'>(..:'", ,( (ii
.f'h.,u\ WIII~ T~.",",.dl1~ "~ {l\, 4- .. ... .... .. .. .. ..",..Hj
, . '/'1, will wollandtruly administer II lIoads andohaltelulllhtsand orodlls of said deoeasod aooordlng to..Jaw. And
also will dlU,eolty oomply wlththe provisions of tho law relaltt!8 to.Ttansfet In!1 rilanoes, 4i"~(H a!1dsubscrlbed bofore me,
' '... i'lovembez' 20,' .0\,0" lll...!a- Cc _,''7 - ", "" .', ~
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bECREE
8e It temembeted that on the ,I'd
recprdedthe last wut and Testament of_
Camp Hill
Deceased, Lollers 'Ves tame nta ry wero granted to
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Whness ml' hand and official seal the day and Yeat aforesaid,
day of
pee ember
,A,O,,1Il...!a-, there was probated and
lalo of
Mar\! R I Dietz
,Cumbetland County, Ponnsylvanla,
John"ll. Dietz
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65 _
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Regltter
;JrLl,l 1/"'"
, OIV""'ll" i18;; . 1',* l
INHllRITANCIl TAX RETURN
(OM~!f~ ~~~~~~h:_ _ _ R~::NT DllCPDE~ Plio Numbol . :; /' ,1<' "~,, ?! r
DucodoOI'INamo(Loll, Flnt., onil Mllidlo 10111011 ~OIlOOI'1 Addloll
. JHIl'r?, HA1W 1\ . ,I ~""
peceA8DD.,....~. l. --,.,-.u.----~.---._----J . 511 Arlin!\bm Htl'oot
Soolal80oulltV Numho, 0010 of Illolh . ellmp ilL! 1, l'A 17011
_.__ __~!l.3-0 H.~JJL.m_.._____ l.1L-UfJlL_ .__ _~_.. _.
CHECK 1. O,lgloal Rolum r~ 2. 8ullplomol11al Rotum D 3, Remalmlor Rotum 0
6. FOdorol Unolo T.~ Q
RO\ll,n Requl,od,
BLOCKS C. Cecellont dlod tOllllo r.:i 7, Docodeot molololood u IIvll1gD 8, Tolol Numhlll' of 8010 n
(Attach COIIV of Willi llLl UUII (~ttoch oOPV of trult! dOllOll1 UO~08 IIwOl1lo,lod III
AIt oorlolllOl1dol1co ol1d confldol1llol to~ Info'mBllon IhoullI.hB dlroctod tOI
CORRE,
SPON DENT Nomo
APPRO.
PRIATE
==
RBCAmT,
ULATlON
AND
'TAl<
CALCU,
LATlON
-
4, Llfu P.ltalu [J
1'1\\11 11. I\hol\d8
~Iollhono No, ------------
7wo~n.3M5731 ~=-r.-------_
ROClpltulotlon
1, Rool E.,oto (Schedule A)
2, Stockl end OOl1dl (80hedule 0)
3, Clo"ly Hold 8tock/Portnonhlp I nlOloll (Schndulo C)
4, M0l100gfl ond NOlol (Schedulo 0) . ..
6, COlli & Mllcoltoneoul Ponoool Prupo"y (8chod'ulo Il)
e, jOlntlv O\'inPd Pro po, tv (&chodulo F) ,
7, Trondon (Schedulo D)
S, TOIOI DrOll AI"" (tot~1 linn 1-7)
9, Fuherol eXponlol Admlnlltrotlvo COlll/Milcellonooul
E~peo.ol (Sohndule H)
10. Oebll/Mortoogel/Llonl ($ohollule I)
11, TOlolpeduotlonl (\otellloel9 & 10)
12, Not Value 01 Elletell100 6 mloul1I0e111
13, Chorltoblo BoquolIl (Sohedulo ,II .
14, NOt Value lubllct to tuk U10e 12 mlnullloe 13)
.MdillL 410 liol'th ~rb.!J:\Lfu:.!J3J't
1'; o. BOlC 1146
Olt.
...:....llil rrisbut'u
Stalo
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Ph _liP 1710A
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( 11 - rl -
( 2)_U!!Q.,,070, 75
( 3) - 0 ':-._..
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( 6) 7", 1 ~I). 1q
( 81__,,__0_=__---"-
( 71 - 0 -
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( 81.J2JA,421'.14
( 9) ___n_LfuJllL4 ' 3 1
(1 OJ .__-1lliID....ll
(18) 181,767.64
-----
(111 12,fi'l1.'lrl
(12) 181. 767,64
(13) ..., 0'...
(14) 181.7fi7.fi4
~.O8' lrl,906.06 ~~
k,16- - 0-
(17) IO.9rlfi.rlfi
COI11Putatlon 01 To~
16. Amount ollloe 14 loxoblo at 80/0 roto
liooludo vnluOI Irom Sahedulo KI
1 B, Amouot of 1100 14 toxoble 01 1 U% roto
liocludovohlolftom Schollulo KI
17, Prloolpol ta~ duo,(odd.te~ f,om IIna 18 phlltax from 1I0e 18)
18, TOlel P,lor paymootll
(e) AmouM Paid
(bl Phil Ollcouot
(e) Mlnullotornl\ ...:-.__,___ (to)
19, Oolooco Due (lIoe 17 mloulllno 181
Moke Chook Povoblo tOI Roglltor of WillI, Agont
... PLEASe ReOHEcK MATH · · ·
(101_
(19)
1 rl t 9rl(L or.
lIndor ponoltlol of porlury, IlIoolale that I have e~amloed thll rotuJQ,locludlog ocoompoovlog 10hodul0l aod l\otomontl, and to tho bOlt of mv knowlodgo
and boltet,lt II \tuo, cOrreot, end oomploto, Docla,atlon olptBperer olhol than Ihe PurlOnBlrep,alenlotlvel1 buad on olllnloll)1utloo of whlohpreparel h"
a k wledgo . 511 ^t'l1l1f!tol1 Htl'oot . 4 J ~ .
. I lllleclItOJ: CIlI!!lLll:lJl.t PA 17011.
U Of PEAS A REPREssNTATIVE(8) . AOORESSo r; 1;-OIlW
,
IIIV,ll111M+ 1"e1l
COMMONWIALTH OP PINN8VLVAN1A
INHeRITANoe TAX RRTURN
RB81DBNTDBoeOlNT
ESTATE OP ,
SOHI!DULE "I"
DI!I3TS Of' DECEDENT,
MORTGAGeS, AND t:.IENS
MMY }\, IltW!'?"
'TEM
,NUMBER: DEBCRIPTION
1, lIo1y Sphit lloapi~a1, medical aerv:ices
AMOUNT
$ 7,136.39
926.50
24.80
185.90
104,00
62.60
139.00
470.00
7,600.00
2 Raywond Kostin, M,)l,. modied aorv:ieea
3 Ahatomic Pathology, medicul aervicea
4 F.lt.N, Asaociacea, medical servj,Cl.lB
5 Cowley Allaoc111 taa I medical: aerViC,l.lB
6 MliIdica10nco~ogYI medical alilrvicea
7 llerijhlilY Medical: Center, medic'u1 uliIrvicea
8 Grundon & Boyd, M,J)" medico1 aervicea
9 Loan from Now York (,tfe tnaurance Co. 011 rolicy No ,. .
262-B8-/i11
rOTAL (Alloenter on line 10, Reoapltuletl6n)
. 16
IIf marl IP...I. nMd.d I~'.M .ddl,lon.1,hll\lof Mm,"rel
J REV, 11147KX (IO-n) I '
tlUR~AU OF ~XAMINATION . NOTICE or INHERITANOE TAX tl'
peNNSYLVANIA llEPARTMIN.T OF RFVENue APPRAIIIM.BNT ALLOWANCE OR DnALLOW.ANC E AO.N ,a01
HARR~80B'Ur~GOXp~32J7\OS or OBOUOTlONB, AND ASSlSSMENT or TAX . . ."
tt ",,' l ' , ' ,----.r' ~__" - ~.u.:.QB"82
ESTATE or PIETZ 'MARY R PILE NO, 21. e1wone
IlMULJUAIl:LU::U,::ilL u__,,__._..~~_'u.mm_~~._,.~~_"'n"_,_~Illit.L_:,Q,UMDlllro..1\jJP -_.~
NOTE I TO INSUREPROPBR OREDIT TO YOUR ACOOUNT SUBMIT THI UPPER PORTION or THIS NOTICE WITH YOUR TAX
PAYMENT TO THE ReGISTER OF WILLS or THE ABOVE COUNTY, MAKE OHEOKS PAYAbLE TO "REGISTeR Of WILLS,
AGENT" ,
PAUL H RHOADS
410 N 3RD aT
PO BOX 1146
HBC;
1'/\ 17108
P~~ASE ReTURN THIS
PORT tON TO RtGISTeR Of
WIL~S IF .PAYMENT DUE
9Yl'AL9~9,,'(H-'~ W'{B ." ." _",.,.,._
NoTIOE OF INHERITANCE TAX APPRAISEMENT,
REV, 1lt47EX (10-Ul
1ST ATE or DIETZ MARY
.. _ _ '. _ _ _ + .. . _ ..,. _ "' n _ _ _ . ._ .. " .. .. _ "'>' ,.
ALLOWANCE OR OISALLOWANCE or DEDUOTIONS AND ASSESSMENT or TAX
R riLE NO,21 Blw072e
ACN 101
DATE 1l-08wB2
_o->_~_.""_'''''--'-~___.__''._.'''" ~'~_n'__4_.____""'.._'_"______-1'_"--,~___'~__
~,...",_ "__._. ._____...........__4"_____._n......__'__~_
..r~~,.!1ETgRN w A.!c.JJtLJ\.~c,E.l:TEll..AHll~I?,._L__L~':!.~.f\JOeD _~_,____ __.._~__~.__.._~_._
MPRAIUD VAL.UE or RnURN BA88D ONi ORIGINAL RETURN
\, Rell EiI.te (SQhe~ule AI
2, Slooka Ind Bonda ISohe~ule SI
3. Closely Held StooklPartnerahip Inle,ut (Schedule CI
4, Morrg.gu and Note. (Schedule 01
5, C81h So Mlaoelllheoua Person.1 p'opert\' (Sohedule .1
6, Joln\ly Owned Property ISohedule FI
7, T,ensfera (~cheduleOi'
8, Tolal Aneta
( 11 _~_,~_,!_QQ"",.
( 2) .u_14Q,&,'lQ.?5_,
. ( 31 .00
1M =,:===,==..00 --::
( SI__c__7_4,350.~~ __.
( 61 ._u___,_,______"";l 00 _
( 71,_~__.__...JJl~
( 81
21401 42h 14
APPROV80 DEOUCTlDNSAND IlX8MPTXONS I
9, F4ne'al a~penau/Adminialtallveo Co&\a/Mlaoell.neou.
EXPlnna ISQhedule HI
\ 0, Debta/Mortglgu/Llen. (Soha~ule II
11- To;>lel be~40tlona
\ 2, Net V'lue of Tlx Retu,n
13. ChatltablolOoye,nmenlll Sequeal. (Schedule JI
14, Nel Valua of 8mle Sybject to Tox
( 91 16,004,31
(10)_~.!?4~!..l,L
, n 11
1121
( 131
(14)
___.....E~ 3 , 5 Q...
181,757,64-
C' ,00
=--=lm.,76?64
ASSnsMQNT Or T AX I
16, Amounl of line 14 t.~lble II 6% ,ate
16, Amount of IInl 14 Ilxable 81 15% 'lie
17. Prlnclpal"x Due
TAX CR8DITS i
FPAYMENT
DATE
. 08-13w82
L L~__~____
(151 ___181., ?67_tP.1.._x.OS"--,"-,_ 10 I ~06. 06
(IS) -'-----_,OO__X,'E.~. .00
(171 __ 10,L906.06,
. IF PAID AFteR THIS DATE SEE REVERSE FORCAL.CULATION
of! ADDITIONAL INTEREST
RETAIN THIS PORTION FOR YOUR
~::::: -- - '-~~i~~~i '~(1~~~:,:::."
C 1
~---~-,-,o,,' '" """ - ---=:"O~""'8
eAL"N_~Y~~E~~~~~E _-..:=-,,:=_==_",,_: ~.~ _I
L~-.--.-!~.!_~: DUE L...-.__.__.g"o___1
(II BIII"OO bue la leu thlh & 1.00 ho plvmenl la 'eqUltedl
COMMONWEAL TH OF PE~INiVLVANIA
DEPARTMENT OF REVf.NUE
DUREAU OF COUNTY COLLCCTIONi
APPLICA nON FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*'
- - -_._-~~.-..-,-..-~,~,~..., ".,.~""_._--".,, '.''--''
__ u._.,.,,_.__ _.'2..___.......... ._~.._._~._~...,_.,~.'.._~ _ .____.._~...._ _.~..._'_.~___.,~_'.__,__.."
.A p l_~Js;AILO.M DA T E ....ill.il/Jl.L..___
TO THE PENNSYLVANIA DEPARTMENT OF REVENUEI
Application I. heteby mode lot canaant to tho tron.let 01 the lollowlng IOcurltloa 01 a Penn.ylvonlo
COtpototlon or 0 National Banking Auoclotlon locoted In Penn.ylvon/ol
(0) 400 (b) 1'1'0 Inuustdea, 1"0. , (t)~uno~
(NOTE I . In d8lctlblnp aacutltl.. enter In (a), ab Ole, elthet the number 01 Ihat.. 01 Itock or the loce amount 01
"gllt.red bond', In (bl, the nome o/lho Inulng company and In (c) th. cia.. of .tock Ot tho Itated Intetnt rote
ond motutlty date Ilf teg/.toted bond..). .,. . .
ISSUED ON ,inflll!!!X.1.h. 1979 , ond hovlng a TOTAL MAR~eT VALue OP $.].6,350. Q.O
(00'")
01 of the dote of death 01 the deced.nt, Mary R. Piotz ,on_21/15/B1
(Noml of OUldln') (1'0'" of d.o'h)
h I t f 511 ^rlingtonRoau, Canlp' Hill, Cumborland,
w 0 woe a e 0 __ ~
(i',.., and NUIPb..) (Po.t 'Or/lOll
Ponnsylvania
(Coun'y) (itotl)
The ..cutltl.. are teglltetad a. followlI Mary R. iJietz _
(Nom. or nom.. In whioh 0.,1111.0'.. 0" ,.gl.,...d)
~~Utltil~Uil'J1RRk .:tQbn...R.--11ic.t.z.. 5n 1I.r] Ing.talLRolld.t-ClUllP_Jllll,-1?.A..~] 7011
eXECUTOR )-. (Homl) (Add'lII)
NAME OF APPLICANT Jol~nR. Di~tz
COUNTY FILE NUMBER 21-Bl-728 ADDRess OF APPL.ICANT
BUREAU FILE NUMBER 21-B1-0728 SIGNATURE OF APPLICANT
NOTICEI IP YOU PAIL TO PROPERL.Y PILL. IN ANY PORTION OP THIS A I ATIOI'l,IT WILL NOT
COI'lSIOI!RI!D COMPLETE AI'lD WILL BE RBTURI'lED TO 'Iou COMPLETIOI'l.
-
COMMONWEAL THOF PENNSYLVANIA - DePARTMENT OF REVENUE AJ
fONSENT TO TRANSFER SECURITIES .. DAT~- ,.~f If/'"..J...
I hereby connnt to the tranllet 01 the ob~ve ..curltl.. now tegllfered In fhe name 01 the olotOlald / .
Decedent and wolve the/lllng 01 a cetflflcate cettlfylng to the poyment 01 the tron.fet Inhetltonce tax to which
the ptoperty 01 lold Decedent I. mode lublect purauohf to the ptovlllonl of the Act of June 20, 1919, P.L. 521,
u om ended and the. Act of June 15,1961, P,L. 373, a. amended. Thllll 0110 In occordonce with the provlllon.
01 the Aqt of April 9, 1929, P.L. 343.
Thl. Consent to Tronefer the herein ductlbed pro petty opetatOl only In refetence to the ..tole of the.
above.nomed Decedent.
'*
Signed f~,., he SectetorY,ol Revenue
.t-/. /i
B / / ~
Y . . .
/) (Sl~no' ) /J. <J~
~ ,1 j:/,~ -"
_ A~~ L..-l!).,.:.:J2d~ 'A....--2~~
"'(fi' (Coun'y)
,
I~\ \.u tr,.(,1I
COMMONWEA~ TH OF PENN$YLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUHTY CO~~ECTION$
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
-_.-'--'- --..----.-...---.------.------.--...-,.---- ...----.--,..-------------......-
Jly..Ewmlot:!
TO THE PENNSYLVANIA DePARTMeNT OF REVENUEI
Appllcotlon II hoteby mode fot conlOntto the ttonlfer of the followlno IOcurltlol of 0 Ponnlylvonlo
Cotporotlon or 0 National Banklno Alloclotlon located In P.nnlylvanlol
(a) 250 (b)~tt:Y\3burg .Nationa1 Uank (c)__ Common
(NOTE I In dncrlblno IOcurlll.. entor hi (a), ab lNO, ""het the numb.t of .har.. of Itock or the face amount of
reolst.ted bondi, In (b), th. name of the IlIuloo compony ond In (c) th. clan of Itock or the .toted Intetnt rote
ond maturity dote of teUI.tered bond.,) , .
ISSUED ON .Juna, 1~72 , and hovlno 0 rOTAL MARKET VALUE OF $_6/750 ,Jl.O..
. (POll)
01 of tho dato of deoth of the decedont,
DATE
12/22/82
l1arv H. Diet::t
(Homl 01 Dloldln,)
, on 11/15/Bl
(nolI 01 d.ol~)
who WOI late of.2.!:l~lington Hoad, Camp lii1]~ul1llJerland
($11101 ond Numbo,) (Po'l 011100)
~ennsylvania
(Counly) ($10")
Th. IOcurllln are rool.teted 01 followlI___,~ R. Diel'~
(N,oml or nom.. In whloh c",IIloo'.. 0'0 ,oOlo'or.d)
~lNtSOllU1tGlR)
EXECUTOR )
John R. D;let:t, 511 J\l'lil~ton Road, Camp Hi11.,LPJ\ 17011
(Homl) (Add....)
NAME OF APPLICANT John R. DJ.et:t
COUNTY FILE NUMBER 21-Bl-728
BUREAU FILE NUMBER 21-B1-0728 . SIGNATURE OF APPLICAN
NOTlCEI IP YQU PAIL TO PROPERLY PILL IN ANY PORTION OP THIS
CONSIDERED COMPLETE AND WILL BE RETURNED TO 'to
COMMONWEALTH," OF PENNSYL VANIA - DEPARTMENT OF REVENUE A
..., ., . CONSENT TO TRANSFER SECURITIES .. I,)AT~"';'i~/9'/"<:
I hereby conaentto the Ironlfer of the obove IOcutltln now teol.teted In the nome a/the ofor..ala
C a.!JlE..JU 11
Doc.dent and waive thi f11lno of 0 cettlflcate certlfylno to the payment o/the tronlfer Inherllance taK to which
the ptopetty of laid Decedent.11 made lublect pursuant to the ptovlllon. of, the Act of Jun. 20, 1919, P,t:', 521,
os am.nded and the Act of JUno 15, 1961, P,L, 373, 0.1 omended, This II olIO In occordoncewlth th. ~toVlllonl
of the Act of April 9, 1929, P.L, 343.
Thll Conaent 10 Ttansfer th. hetoln described propetty oporotes only In teference to the ntote of the
above-named Decedent.
*' By
COMMONWEA~ TH OP reNNSYLV,I,NI,I,
PEP,I,RTMENT OP ReVEHUE
BlIRE,I,U or COUHTY COLl.ECTIONS
APPLICA TlON FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*'
_, __._____'~__...._.....___________~~___._. ~.___"'_,____,~__._~'..___.,_,_,__~__. ___~_ ~__.~_.~_.,_..M.~~ ~_...---___
_.__,_----l_~
AP.JJ..ICA_T1Qti DATE~ 12/l.W!L_
TO THE PENNSYLVANIA DEPARTMENT OF REVeNUEI
Application ,. hetoby modo for c mnnt to tho ttanafor of tho following ncutltln of a Ponnaylvanlo
Corpototlon ot 0 NotlonolBonklng Auoclatlon locoted 'n Pennaylvanlol
(0) III; " (b) ,~j dl"StiW~~~ld-Jj,1l:\.Hltl Go (c)" ,Common
(NOT!!1 In ducrlblnp ..curl1l" enter In (a), ab Ole, elthor tho n'umber of aharn of atock or tho faco omount of
reglltored bonda, In (b), lhe nome of the Iuulng company and In (c) the clou 01 Itock or the atated Internt rate
ond moturity dote of rogllteted bond.,) , ,"
7,,440.00
ISSUED ON JUl1ul-\ry, 1973
(poll)
as of, the dot. 01 death 01 the decedont,
, ond hovlng a TOTAL MARKET VALUe OF $
Mal'Y R, Dietz
(Homl 0' Ploldlnl),
._, on 11/15/81
(Polio' dlolh)
who wal late 01
51J. At'~ngton l(Oad, ClIrnp Iii I) ,
(SIIIII ond Nombor) (Po.1 Offlol)
Cumberlal)d,
(Counly)
Pennoy1vania
(Sl~")
Tho ncutitl.. ore togllteted a. 101101'111
N'1!;V R. Pieh
(Haml 01 nom.. In which 001"'100,111 a,l 'lgl.lorld)
I\AMlffil1RRr~lti:x John R. Dietz, 511 l\l;lington Ropd,
EXECUTOR ) , (Noml)
Camp Hill, PA
(,I,dd,lu)
John R. Dietz
17011
NAME OF APPLICANT
COUNTY FILE NUMBER ,21-81-728 ADDRESS OF APPLICANT
BUREAU FILE NUMBER 21-81-0728 SIGNATURE OF APPl.lCAN
NOTICEI If YOU PAIL TO PROPER!,. Y PILI::IH ANY PORTION OP THI ,PPl.ICATION,IT WI 1::'
CONSIDI!RBDCOMPLBT'. AHDWIl.1:: Be RBTURHEO TO ., OR COMPLBTIOH,
COMMONWEALTH ,OF PENNSYLVANIA - DEPARTMENT OF REVENUE '(1
CONSENT TO TRANSFER SECURITIES,", (, / '/'d~"J
DATE / 4"~, . J? _N"'-5
I het.by cOl1aent to Ihl tranafer of the cboye locurltlea now teglltored In the ncme o,f the ofcruold
Hi 1.1
Decedent and waive the filinG 01 acettlflc,oto cottlfylnG 10 the payment 01 tht tronlfei Inheritance tox to which
" ," , '..
tho pto~ettyohold Docodent I. mode .~blect putsuant to the ptovl.lona of the Act 01 June 20, 1919,P,L.:. 521,
01 omended and the Acl 01 June 15, 1961, P:l.. 373,01 amended. This la oliO In accordortce with the ptovlslons
of tho Act of April 9, 1929, P.L, 343.
Thl. Conlont to Trqnlfet theheteln doacrlbed ~ropetty llperot81 only In r.fet.rtce to thentote of tho
obovo.nomed Decedonl.
'*
Sllln.d~t tho Secretoty 01 RevJnue
By ~' _~.€4?~./
4{".1 UXIV II) a .
,Lf;.*,~~ '.(.4'jd--6t~4R-
&1,111) (Coonly)
. ,
"',
11'1 THfl MA'r'l'Ulf OF ~'lll\ IIS'rA'l'1! 0\,'
) IN. '1'IIIG COURT ,OF OOMMON IIt.lGM of QUMIlI!R-
)LANP COUNTY, PENNSYLVANIA, ORPHANS' OOURT
) DIVllllON
,p. hI' I.. '7 ~ Fr
MARY R. PIETZ
RECtGJ:lI'r AND REI,EASE
,
l'
KNOW Al,L MIlN UY TIIEIlE IlRl\8EN~'B I
(1) Ilaoh. of the undersignocj" Robert J. ~isl:'l!l, 'Elhabltth Ann Brown,
"
lI11rbara Jean Dietz, arid John R. Dietz. legatees undllrthlt W~ll of l1ary R,
Dietl\. 'dO hereby. acknowledge that they have p,:evious;1.y reoeivsd frol1l ~oh\l R.
P~lJtz, IlIlBcutor umlar the Will..of tIlo said Mary R. Dietz. the fqllowing
desstsl
Rob\lrl: J,. Di,etz
250 shares Gettysburg National Uank
200, shar\lll 'Amerioa" T\lfephone &
Tslegraph Co.
1140 shsres PIlG Ind\1striss'
$ 6,125.00
11,975,00
20,200.00
$ 38,300.00
Elizabeth Ann Brown
200 shares AMP, Ino.
100 sllal-'es IUM Corp.
400 s.\!ares The Continsntal Corp,
465 shares Mid 8,tate Bank & Trust Co,
$ 13,400.00
;!
9,300,00
11,500.00
Total
8,661.00
$ 42,861.00
Barbara 'Jean Dietz
Jl!welry ,
$ 1.298.15
'I -,.';/6 ,~, ~,'
,JJu~ v~,[~_~ t,.)~.if~ vt?\- tAD..-
~oLE- f;/~~ 0,1 L-Pu- .A~-<"rr_~-t
~. fPu-61tM#<8'