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HomeMy WebLinkAbout81-00734 . . " ,j, .. , -, ~ " . ,.' , ,. " ,,"~ " I " . , .' . i I :i ,. of- " ~ J -', HI' V_fl1\l hKi 0-1\01 COMMOHW~AI. TH or r~HHSY~VANIA DHPARTMf,NT Of RaveHue TRAHSfER INIURITAHCB TAX R~IIDEHT DBCeOEHT INHERIT IINCE TAX REJUI~N FOR It'lSOL VENT eSTATES (Instructions 011 Rovorso Sido) COUHTY HO. ::::( J ...,ff'I- 73;/ . stATe HO, Ihtal" of 8'1'1'1111:. V. JACOBY L.a.t addr... -t49 A Uen Rand IHfHq',n ( ) lhac, () Adm, Oth.r nn\lllhtQt' Homo IlVflI.VN I~, GINTI1R Social fiocurl1y Ho, 200-QIJ-2292 Addro.. R. n, 6, Uox 25L.. (!lT1\HLT) ... ! o:l .. ~ o ::l o Ii: CarHll1~~,__ PA __.1.?Q13 ICITY) (OTATnl (1.1"1 Dolo of D.ath Nov. 15 1..-1.~~L--. Social S.curlty Ho, ~67.50.89IJl .ll!!YJJ ale PAl 7013 (CITY) . t~IT"Tlll t1-IPI Undnr pOllnlWl1 ollllHlury, I doc::luro '"nt I huve o~Bmlnud thlt futUro and to thu bolt af my knoWlpdgu and boll(tf It 't tHld, carrUtH and canwl(Jtct, ' C i . /1)' (I.'. " - '- ~. f/r _"J~J L,~._LJ _( 12. 03. 81 51 itllllli'O! F1duclllfY oalo .--.-......- TYPE Of ASIn DeSCRIPTION enlMA teD MARKB r VAkUf. Gk. Ace t , balance int.erest Farmers Natl. ~k" Newville, CVS&L, Acct.ff138l46 including to 12/3/81 Cash 504.13 1,636,26 9.50 < 0';- 1:; ~:I ;~~~ :;: i,l_ll; " ~ O...CIAL UII ONLY TOTA~ 2,14IJ,89 o heroby. eartlfy Ihq\ the abOVlI ....h were apprall.d In aecordance wll "~'/k' . . ~<,.~ ~P""~~~~ . DAtE NAME OP PAYer. NATURE Of e~AIM g ,5 & '" o:l , ~ .. '" '" DOl'othy n. Shenk, daught lioffman-RothPUneral Hom EbyGrnnite ~orkll Register of Wills James R. Humer r, j49 Al10n Road, Carlisle, Family nx. emp.)tion.. ' , Inc., Servi,ces 4ettering Memorial Filing Insolvent Tax Return Attorney Fell TOTAL. OEPARTMBHT VA~UA liON (or PiC A~ usa OH~Y) .;:,' o! ",'" ~ l"'1r4 '"' In(;''l i':!'i u.,::t! , ~-, " I , .no. " 1::: .. 2,000,00 .2,303,00 35.00 5.00 50,00 1" _.'. , , PAY TO THE C;>API~ 01' - J~ot':rnll\ )1..Roth T<'t\n~ l'A 1 H111.1~ ... '"._lifl!"'~4''';~':~'..,' ,),'~iI'IW'-.~.'.. ~._'..,~ /._~~;"~ ..' IJ1~j.".,..J~ '1'_1,1 E ,1-,\ 1\ \ \ l-Il ,~" ~,_'.-I'll)~-:AI, IIAI,l\- I~)r' IW\I\,1111I,-,-ifII\,\Sl,\,'OH 39045 DATI' Dec. n, lPAl !lQ.:.1I.lIJ1 313 " . - "-' '" , I j I. t-' It I . ' .. ,_ t f.- ~ .' , N 1111". ,:l'jl'" /I i I 'II.~" .I~ '.. '. Ii. I" "In, .., I" I I 'J .. II' c., I.,',,' I... ,,~ il I: '. , I,' C:no..13 " ',CASHIER'S CHECK J;la1.t Ethel V. Jnooby . Oheok1ns .. ,,1:0:1 nOf/B 351: .~, . ...~ ~. -,- .-, '-'.- .. ......- ~-- '..P.-;':,.toi-*4r',;" ,W$,' ,,,,,"~'!~N"~i~'r~'" ,f .:'~~"'~':':~_~: .r '-, -:' - '<.'- -U." . ')1 J ~ '. .....J . :': ," ..101" ..,., ,,- ~"./l~il,"" " ~#.,-.t....-t..-'~--"_ "_ . .- Ji'nT'th'e..'tli'ilfte~c . - , ;~oo::,~",,,":ri_""'"1""'11\i'*,.~'~~,,~~~~~'''~_~ .2:L....~~. -rJ:. ~~ ~ r-'''' --..'C' !~ ,.~.._,...,.w....,___;--'_'.....~._"- --1 i CWMEHtRI..AND VAl.l.ltV SAVINOIS ANO L.OAN ASSOCIATION 110 WI':BT HIOIH ElT~tIl;T I..... ,>,1, ~I '( :./H 142902 ("" .., t, ".'; i . t. '. . (:., J- 'I ' __ I __ II, ".i-\'..Jt..J.....: I" , a.;~63 ji ,i Ii l I. I'HIIHIl"'. IIII/lH \,IIM' II.'"" !If l'I'M'tlIll'llllII litn1tlU1llfUh "A, OARL.IElL.I!:, F'A, 17Clli1 __... n'__~__'___"'iI..___ ,. liUI')ii,Vf\I.,!..f.'{ It' /:";-/"tlj": .r"'",;' "J'.,. Ill~MM1,636.26"~M ----..f:~...,.:.-{n'.-(:;-';.j;J.lj,J..I,!,).:.....I,!;;. IJ ,:::.t(,~v-l, ~.-~ PcL.L.AR&l . '1 Hoffman..Roth Funeral Home, Aocoutlt of Ethel V . Jaooby (Estate) Aocount #138J46 PAY TO THE ORDER OF . II- ~lt 2l:jO ell- ':Olt aOO~lt a 51: ~Oll' It ~O ~ 511- - I' , - .' , . ._, _.'-_.~~"---'-'- .....-_... ."" . --.- - .-- ( NAMe ____~..__, , .. i Account No, ---.1;:361"6 .."'-; ~-_. , .__._._..u~ ,,___-",+ OATE MaMO p,\YMaNTiANO UARNINGI -- --.~_..'~,..-. ,~~~-~._- RUPUROHAeUlOR BALANCS WITHoAAWALe ,"'__~__~__~ _._g_.__~______________--l._ ocr Ii, OJ 1 H.~ 0 1.3 17.2 2 CV2B 1,: ;1,:\ ( ,1,,1; ~ fJ.f.i1 i::V3fl 1H,OO 1.!i 8 20S 2 CV2E1 L.(, S (,,2 (, CVHJ 1.,(/ :\6,2 Ii ,00 (;'.,12 n m;pl,4,OJ '1:IC:Tn,Oj. :1,2 0;\ () 1. NU '[)E.C S,O:L U