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HomeMy WebLinkAbout81-00754 ,'1"-., """ "10, 21.8 '1 ~ '; . ,~ETI,!,I~~" ~~R<:tllT~ER~Q,F ~p,~INISTRA~I,~N ~' . IN 1111, I.H I A'I. 01 ",,,,,,,,(,I,,I.Ud,(I..(,,,,,,(/,,",,L,dl"1"""""" I)I,CI,^Hi!I), '(If) !' Ii" ,I! ,.it', iil~,,,""'" ".;,." i,.",."...".,,,,,,.,,,,;,.,,.,....,,..,,,,,,,,,,. ';",.,'''''''' ~",.., ,."",,, ......" llulllHlul' of Will>> 1'01' (\I~ 1'011111,1' of CIIIIII~I!I'IIIII", 10 III" (',','11111111111\'0111111 of I'IlIlIlH)'ll'l\lIlu, 'I'hll Pullllnll (l I' ,',,",," :,~tl.(.\,"I"''''~' -.' "I~,<,?e.~\;t""'."" "/::)' ";"""""'" ';'" CF"'" 1:/: 'J" "i:1" ,"""""'" """ ,..II t!.j1" ,.." "','."""";'" '" ,,,,,,,,,.,,.,,,,., H, 1{~llUl.~ \ fully Iillll\\:(~.I. _ .,UHlL...\('1.l.,(,~,r. Hi~f.-~,~ ,i, ,(,.r?' ,."...., y.,~~~,. f""....'". '''' \y1;~ II NIHllloIIl of ",S<.\&:t;~I<'xkyi'!.1.""""":""'''''':1 ':i)~~IH~1:n!.ClIl1l1l01'llIlId COUlIl)', Hlllt~ 1!l'l'olll\lll'l. VIIIIIII, lIiulu Cltl1.ol1 Ill' Unltod HlllluH, UII)l,;~olllll'lolllhl'tllll'll IlItllHllltl) III lho Coulltl' Ill' ,,~~.f!'f.1~l.(,t "'" "(1' """ ""f""'"'''''' '" IIlId l'ltll' 0 0 I' "",, 'lM;J.l.<):lA(~I.~:1!.rUl,1.{~, ''''~'' ";"" ~;'''''' '" "'" """" "",,, ,," ,"'"'' '" """ ()n"O<I'tk-U~~1.~1."":""""" tho ,,,,,,,,,,.,,,,,,,,)(,,,,,,,,,,:,,, M,I of ,,,..!.I.: I(;f" fd).!li":'J,".,, " " " "'"'' A, ll" lO",it...I., IIt.tho IIlfll of " "4,,,k,, Y~~'H, ,',' 0 Thl\t tho Hl\ld """",.i)i1JA{....~"'J!..~...<r:r:"..I.'f!.!:,,":':'f.'''''''''''''''' dOCIlIIHUd, loft HUI'l'll'lllll tho following nllmod widow nl' 11l16hund, hoh'H. ulld IIIlXI to 1<111, ," lit! Nllmu Holl\lIollHhl)l HIIH\clnIlClI 1<' (.J. /lJ1 J", ~11 I J. "I' 1 e IJ ~ .:::/2..... j, """,, /)11~ ".:.:f.\4:Y:l:1ll\,,,,,,r.,,(,,,,(.r~,t'(,~,,,,..,,,,,,,,,,, ,,,,,,,M!i.c-.~,(<.,,,,,,,,,,,,,,,,,,,, 1Q~i'~v:~;W,~'('~"~mM.If.j';I.f. ~"",S,(,%tPr.4l""""""""""" "'~"""'"'''''''''''''''''' "iill'~4~~~"t,.jMl.."I.,?:M:,7!..,,, ~",~...t~, ..,~"'''''''''''''''''''''' !.~~~,,,,,,,,,,,,~MiI!w1,/'/!It,,,,;,u~,,/ f)1Ja~,,,e.d, '" """,,,,,,,,,,,,,:,, ""~41kt."""".",,,,,,,,,,,, ...f,?,P",!.t/,,,1.If.:~llf!t~:!,/kt'''''''''''''1J; ~'~~'~k/~~"'"'''''''''''''''''' "~t'~'. ',~""""""''''''''''''''',' "f~~t7,~I.~~"~'J'~~\" .~(~'~W!~- , ~~:t'/c:;" "~fj')ho:t1.!.rtt!.~\,,,,,,,,,,,,,,,,,,,,,,,,,, 'K')j'i'f'l""~': ""'~'" ,~,1,r.I:': ir""i.O ~A;" ,""..,.......... ".. - lk..........".. '''j?;"I:/'' "/)l'g!i,~ _~ ,t/~!. ", ~.I.,'tpl . ,~'*,"'~~~t"....'''..II'...' "".$;t ~ . """'''''''''''''''''''''1 1,.<;;~.7..t-". 11~~'" . ,...~p ()It.f . '"""t'H''''lv.~,1,...,,,,,,,,,,,,,,,,,. ""~{.""'''''''''''''''"..,,'' , J.r.':t.~;,t,/.,,9~t, ",(~j,,&, . ,tr/"U:/ Tl\lItthORQ IIbol'U nlll110cl Includo 1111 Ilf tho noxt of Illn, HO fill' UH knnwu, ' . Tho Hlllcl dllccdol1t WI\H POHHOHHOd of pOIi~ol\nl PI'oP01'l,I: to thu ('HlIl11lltud v(\luo of,$"",SaQ",o.:p,,,,,,,,, IIIHl of HOl\II'jHtlltO, iOHH hW\llllhl'l\noo, to tho oHthlll\lncl Vl\hlU of' $""C$",Qa.;"W,,,,.,, I\H nOllr I\H ol\n .bo nRoortlllnocl, ' ~ ' """C~~:~~"~:,~;~~,~../;,\;:~,:~~~',,:~~..I,~,,~::~:~I,l,,,,~~,,,I,~',I~::~~:~I,,,~~~,,:::~~:::,~~:::::::i:~:,::::: 'fl\ol'ol'ol'o, YOUI' potltlollO\'(H) l'oRpnctl'ulh' uppl,I'(loH) fnl' l,otlnl'H ol'AdmlnlHtrl\lIo11 In lho l\bova 1lll0l0fl oRtnto,. . lllltod """"",(!a.C~~j~,/"", J\, 0" 1I1~.l SIgnature lilid Addl'llHH '* T~ ~dJ.b.h'I.<Jew. fJ.o/~_of P(jtHjolilll'(H) ~Q~ f~~~~':~::1;1 :to 1/2t., I~fj;~~ Or., S,,-liu~, ;t: Ci~.01~~tt/\.t , 0:;( ;.fi -, '~j* II.. .3';)7- 3 !if I <S" ,] . if' '" ,~;7.~dl ,.?t"" "~ :,~ f::b'~~'\J" ',"""""""'" "'" "" ,','" ,,,,,,, i()'i; {' l.k) , lIe' ,,_\ \~ 1<''''' '\J)R , ,;.."."".;",'...."",.,.,.,...."",....;,;""..'."\l.'.....i.I...".',...,;,.... ",.} {!Att'fl1 lk':~-.~]'))(}(~; /'rt , , , , , , . . , ; . . . , , , , , . . ; . i , . i , , , . , , , , ' , . , , , , ...( , , . . . . . . . , . , . , , , . . . . . . . . , , . . " t . , . ~ , ,I . . .', , , . "',"""'.......t..'...."..H'...""II.........""'H..II'.'i.ll'HII"""'HIli" \,C~.<~ COMMONWNAJ/I',H (,>I<' ',I'I':NNHYI.v 1\1'111\\ KK: 001JN1'Y Ol~ CUMIlNIII.ANI)Q , . .) (J~ ?~2 "..\""""""".,"''''',.,,,.,.,,''''',,.,'''''''~,~~~,,..,l~.,,,,:,:Jl:.:.q:~I.""'"'''''''''''''''''''''''''''''''''''!''''' ".,."'...",'." Ilnmod III tho "hovo 1I\llllll\l\UOIl holll" dlll~' ". ."lU.tJ.71.,VJ::.k,.",1"':':"'" /I(l('lIl'lllllll 1.01/1,11',' HII)' h"t thu ,fnotR RRt forth hi t.hu IIhllVU 111)(11\(\1111011 !l1'1l 1.1'11() tll lhll tlllKt lIf ,*;I~;l,..". 11l11111'11lllll'0 11111\ llOlIlIf. 1111(1 "1,IIKCI'IIIUII 1 [.((." F'" {(J (/(')1) " v- P,', "".~.."...,..t'",~...r.h"r"""'.."".,,..'iJ"""....""'""""".., before -nlO, . . "".""""""""""",."",.""""".""",,,,,""",,..",;,,,.,,,,";....11 D€Jcelllber 15 A I) III 81 ',<?/A,~~/,",',..',',.d,':\..~.,...~,'~~~~'(.~~I:!e.~~'I'K::l'O::':':::: :',',',',:'..,:::',::::::.::';:',',:::',:::::::'.::::::',:::::::::::::::',',:::::::::::::::::::::::::: t" ij'.c. '" -;1: 17 (l\1 ILI_vGi'(HC 1/ '''I~.M'1' /(1 tv/I ",f- A tlllt'l1u)': '''5'iD'r'f(,:;V;~''i3';P.'(;,~'''p)i:'i','{'~'i' "'IIII,III"""''''''''''''''''''''''''''''''''''oj""". Flleltl "ArAmh!lr'~ ' 1')13' ",tr'.H,;'.If. ,"I. ,,,.,,Tt,.1.1,..,,.,I, ,,,..11,,,,,,,:,.,..,,,.......,, 5')'2." ~I ~Z 8' OATH OF PERSONAL REPRESENTATIVE COMMONW1~ALTH OF PI'lNNSYLVANIA COUNTY OF CUMBIDRLAND ,,',,',,""" '"'' "..,,,,,,..,, ,,',,'" ".." .."" ..,.. '~:T.. ".;),~,~w..,,,, "":""" "'"'' "",."""", ,,""""',',' ,'.."", ,,". ,petltlon.e~ (s) being dUl}' "'''~Y.!':hr.''''''''''''''".,,'''''''''''' accofrlhll!' to Iljll' d9 >>~""". duposc nl1d SIlY thl\t ,II" tho lldmll1l~trll<1,h,,,,,,,,,.., of tho oBtnto of "":;ii~O:l;IMN.~"",;21""";].R4f.o/,,,,,,,'''''''''''''''''''''''';''''''''''''''",,"'''' ~~~~~~~;;' ':::::!l.;r:::::::::::" ~';;;" ;~;; "~;;;;" ~~~;;;' '~';;~; ~ ;'~~~;:' ~~ ~'~~~;;~ ';:;;~;..~ ~'~'~ ~~';~',' '~';~;; ~'~. '~~;;' ~~'~~';~~' ~f '~~;d decel\Req, IIc~ordll1g to 11\11', And 1I1Bo will dl\lgenU~' comply with tho provisions ilf the law relntlng to Trl\I1Rfor Inherltonces, } KK I iIHi...",."..H"j'~j1(H~.r.X\!t"'H"".",..".... and 8ubscr1b9d 2/ ,,/' /d /")/J -t?l'<.',-~,,' ;... ,'.-'\:.-HVI-d' 'c", ,./ . j,,, "'.,";;....', ......fI'".1t ,,,,...., "..",.;-t" ,.-.-. II H-'(~~r""" ",IIi IH '" t. (II "t(" . - . . ' "....,..."..jj".,.",...,......"'II...i'........,lI,'"""""""""".1111"1111"1' PECREE Belt remombered thnt on the ,;",..",~.?~,1.1."1"'''''' dl\Y of ......."."Ulf(.~.~m~i.~.r....!"..,,"'It. ALD., 19"~~,,, Lot' "f Adml I' tl I the t te f Samuel tJ. Kellev .' .",nrs 0 n Rl'fn on n, .. as.n 0 ..t"...,,,,,.,, .- .,.""..,..,,,.,,,,,,,,,'..,H.""I..""..;.;,,,..,,,.....hll.."i....'!IIUllll,,,,.; 11",'1 i" i';"" ,j," i..",... j"., I.'.'....". j,.,...",....,...,;.,..,,,.,.,.,. 1n to 0 f ...",.".".,.,. M ~,\~,t l,-",rn lI.t Q\l;H~\())Oln(\ J;\~'.(l. .1,... I j 1111"" Cumberllll1d County, Penl1Aylvlll1ln, docellsed, were grllnt.ed to """,QII-,I.'y,,,,M,,,,,1).\\;\.~,~ll,,,,..;,,,,,,,,,,,,,,,,,,,, ,".","...........,,,.j...;....""li"...'....."I".....,,,,.,,i........;...I"...'''''.1''...''''',......"....,,,.,,.;;1'1.....,....,,.,.,...'.''...'11'".i,IIIiIlHli!.to"","i!;,;,. Wltl10RB my hllnd lInd offlcllll lIellt the dny IInd yOllr lIfOrOB~I~' ~' ) "",,,,,,,,,,,/:-l21tl4f.,, ".f. "",a":,, ,~'" 'l/ ReglRter . t ">-~ . 4.. l'.r911"'~1...!!1!t..}.I.w...~~y.rj1 ~1\'~fil\s1. IIIIIII.nd h.r.by v.tv.., feU-IM,,,hh" ....~ ~'" lil. QurtllY .nd aU nb difiu"to i\hertc frOIl Wit., 'nd "n.b, 1'111..... . ,Qd,lurr.nd.r. to Wi', .11 .nd .v." rtlht, ol.t,., d...nd. O.UI. ol.otloll .od pr1.11,.., tnaludin~ th. rtaht to p,.titt~n for tndb. VI' tad vitb Lttt.rl of ~Qi.w tr.,lon. prl..nol, .!ti.tinlJ Ill' bohq'cl wbicb II. nOW hu or wllbb' ill 'cll. I\\tu" "'a Itlh' or oou14 ",v" in .nd to, Ind w1cb 1""1"00' to the ,atat.. ,..1 or.ptr.ooal. 01 Wif.. IW.hnd 'urtb.r covlnlncl .nd IlJ"" to and \fitll Wit. tbal: .II.IlII, ,114 oan h',rlllhlr. .1 tholllh ah, V'''I \l'I\lMrri.c1, In" whhaul:'", joladar by "u.b."d, Idl, oonVl1. tr.n.t.r,.MQrt.... or in .ny..nn.r .li.n'an4/01' 'noll~.r InY .nd .111'..1 ..t.,. .nd p.r.onll prop.rty whiah .bl nuw own. or .po......., orvhioh iQ I:b. lul:llr' .h. lIillM or .h111 own or po...... !luob.nd turthl!.' 'RrI.. ch'l: wiI. .., b, Will, ".vtI. .nd dttpo.. ot t\1l...11 .nd p'rlonal proplt'ty which .11' nilht ,lIWII or pll..... .t II... d,,'"' "1tholtt Imy 1'1.ht or privU,,' 01\ CM 1I.rt of IIl.1tb.nd to .1.ctto ,t.lt, 1,.1II1t ,ny .uoh wul ot Wi 1'.. Ruaband turth.r '~""s ,that in th. .v.nt WU. .h.ll di. tnt..t,t.. har prllparty. Qf wl\at,o,vlrldad Ind "hlre.llIvl\' licu.c:..,.hdl dllHnd CO ."d vut i" har IIdre .t uw,p.r'cma~ nprt..ntltivlI. 1I..t 01 Un. ..o1\ldln8 ""lll thl add Ru.band, I' tllou8h Wt".hld dild . ,,1,<<ow. lliUlbID4 Iho r.l.."qu1.b.d."dr.l..... .11 rtaht. Which ". ~1lht h.v. in tba lul:uft 'Q' t.Mily . or .pou..'.a11O\1'\lol or 'XIllIPticm in WU.'. eatlltl, snd III dlllt. 1:,0 ..b 'Batlln '~1di.po.it1on und'r S.ction 6111 of eh. Prob.t.. R.t.tl' Ind "tdllo1.r1.. COd, of till OolMlOn~.a1th of PI""lylv.nl., or 1I0y 1i\1l:t.hr proviatol'l af l.wo~ I:hb or an, other jurt.4tot'on "h.t'Olver. 5. PrOD' Ii):' ,e)l.d...!Lu!! ~dv.Lll1.ltUJ.. Wifl' !In.by "live", and rtlinquilb.. and "a... bardover, .1'1, ,b.r rlll!ltl ~n lillu tIiii,of, .ndlll her rlallt. tll inll.rH trOt Ilu.blnd. ',nd .h. h.re\ly r.l..... .nd .urr.n,d.... ,to lIu.b.nd 1111 .nd ....."1 riah., old_. dlMlDd. OIU.. of .~tion Indprivile,l, inalud1nR the ri.ht to c1'lIand, ol.ia, or elke.. widow" or t.",n,. ,UlI_no. Qr tllllllpUClI\ in th., ."tllea otllll.band. wU. turtllar "d..... 11.1' daM tll p.titiontor or b. VI.ttel, willll tltttrt IIf AchIf,niat:r.t:101l. pna.U,. a1d,.tin. or "l\Clllolt., vlltob the new II.. or ,tnth. future ..y lIr cou14 baw i" .qd to .lId ,nt:h rd.raao. .to c!l' I.tlt., 'r..l .nd P'1'I011I1, \lev ownl" or, po.....d 0" ""1011 i" tbe tuture may beownld or po......d by IIUlblod, 1I1f. furtb." oO'llll"'1:"."d ..r~.. to .nd ".ith Ul.Itbend that bt ay In~ cal\ htruftn, .. thoulll "..." ...nied, .."witbout h... ~oindar,..ll, oon....y, lIlClrll"al!'. trll\ftn or in ~'''r-Ir .u.la or qo'*!lbar ll8'I,. .nd ,all r..l ,or p....onal "roper1:Y vhtch hi tIow own. or po,,,,,,, In' .iob ll\t". tuture b. MY 0\tI\ 01:' po....., or in whiohh. 11I1 ba.. '''', ~.t.ru, vllat- 'ona", Ifil. turch" a.r..a tb.t HII.band \lIaY by "Ul Ii.yill. and blqu..'b a11'na1 ndpI"IOl\Il propnt,. "Uch b. mill\t own 01' po..... It th" tt.. of hi. 4..,", or ..u. '''14iapo.ttton wtlich h. car.. to.D' tllal'lof, whhollt1lQ1riaht or ptlvU..., oa 'he p.r' of Wite to t.ke 'Raina' the Will of HUlb.nd or co tt~. ...in.t lay 41,poltton ~dtr ~'IlUon 6111 otth. Prob.... P.ttat.., and "lIiduotad.. COd. of th. C~a..l1tll ot'lGn.ylvani.. or .imil.r 'Iotionl,undtl' .ildlar 1",. of thi. or .n, otll,r ~uri.di.tiOQ vt!...oeVtr. Wit. furthar IIlr... tnllt if. l\u.b.i1c1 .b.ll e1te tIlt..t.t.. "....prop."". o' wh.t.a.VlI' kind Ind ~'r.'o'VlI' .ttUltl, .h.l1 d.so.nd to Ind v..t in hi. b.ir. .t 1."1l01ud~"R bIB t~1 ..id WUI, ju.t a. thoutllI !tusb.nd hod dta4 I widow.r. ' Rlv.mo E)( + le,ell / J.. 3S? -3 . RURBAU OP Bl<JMINATIClN PBNNSVLVANIA DlPARTM1NT OP RBVBNU~ P.O, 80)( 8821 HARRI8eURO. PA 11108 Decsd'nl'l Nsmo H.sI', Flt'..lnd Mlddl, 111111ell 8 Kelley 81111\U\)1 G I ' DIOIA 10 80c 118lcur tv, Numbar -J ~ale of O~~h 162-52-0962_ 11.-1-81 .....- OlleOK I, Orlglnll R'tur~ GJ . 2, 8uppl.mantal Return 0 INHERITANoe TAX RBTURN ReSIDENT DEoeDENT Ovced,nt'l Addran 1\; ll; 1/6 'Bid ppellRhll1'g , Fllo NUlnber 21-81-75It Pu, 17257 3, Rlmslnder Re.urn 0 " 4, LIf, Blta.e 0 ' 6, Fedml lltlta Tex 0 ' , Return Rsqulrad, BLOOKS 6. Dloldlnt dl,d le.18to 7, ,Decedent malntelned a living 0 8, Numbsr of ..fadspo.1I 0 (/Ilteeh 00 of Willi .ru.. (Attseh co of trult) ,bexa.lnventcrlld ., All oorrllPOndSneland oonfldenlllltaK Infcrmatlon .heuld be dlrlcted tOI OORRe. 8PONDeNT NlmB APPRO. PRIATE ReOAr.IT' ULATION AND TAX \lALOU. LATION ., i I, I I , , I \ i I , , -......--- ~h\rk Ii! WG+!l1e T,lsohone No, n7-532-7~88 RaNPltu'at'on 1, R88\ lltlle (8.hedula Al ( 11 2, . 8td.k.'nd hod. (8chtdul. Bl (, 21 3, Clo18ly Held 8took/Par\nlrthlp Inl,re.. (Beh.dule 0) . ( 31 4, Mortoage'lnd No.a' (So\1ldule 01 ( 41 6, CBlh & Mllcallenaou. Perlcnal ProperlY (80hadule II ( 61 0, Jolnlly ()wnad Properly (Sohadule FI ( 01 7, Tranlfart (Soh.dule 01 ( 11 S, totolOtol' Alllll (.otel IInOllo71 8, fu~.rll &Kpanlel Mmlnll.rltlve Coltl/Mlloelllneou. Ixp,nlel (8oh,dul. HI ' loPI to, Oabt./Mortgloe./Llanl (Schedule II (101 11, Tolal O'duo,lonl!tot',llinll8 & 101 t2, N,t Velul of Iltal9li1ne S mlnulllne 111 13. Ollltltable Beque," (SChedule J) 14, Net I/,Iuslublaotto tlX IIInl12 mlnulllne13) _ A~dreu 81 i r t It1 nil' e ab Clt 10.qoO\pO o o o 1. 501,. 47 0; o 3,286.09 5.252.75 Oomputltloh 01 TIX 1~, Amount of line 141,xsble at l\% rltl (tSI 2,96~, 63 . Ilncludevlluel from 8chedule Kl '16, Amounl 01llna14 'mbla et 16% rll' (1S) (Include v,lue. from SchldUle KI ' 17, Prlnolp,l .IX ~ue (edd tex Ironillne 16 plullex from IInl1QI 18, Totsl Prior plymel1111 (sl ,AmountPlld (b) . ,IUI Ollcount (01 Mlnullntetlll uol 18, BOIsMe Due (line 17 mll1Ulllnel8) Mlk' Oh_ok Peycbl.tol Reollter of Will., Aoent .. .. .. PLlA8E R'CHEOK MATH" .... z i" 't'!.,,\ 00 1'."'" f':5 .-'."-,' "'ii ';;)':-1' ~ ." ,,-'# .. ., I l) i~~ _t;~C:t 1,,;1, !~ ;f'11 ,\.'1 . '0 (S)~.~(j~, 47.:;, " (111 8,538.84 (121 ? 9r,~ /\1 (13) '0 U41 2,965.63 ' ~,OS. 117.94' x,16. (171 .-J 77 .94 (191 177 . 94 , .t. ~ ~ 41 ~h' ~ bATB C ,. i '{ - '() 'L bATB IIY'IIOf,H 1"'11 .. .' .. - . . ,-' COMMONWIA\.TH OP PINNiv\.VANIA INHI"ITANQI TAl( R,ITURN RIIIOINT OIOIOINT B8TATSOP SCHeDULE /fA:' ReAL. BSTATe I' FILl NUMSUR 21~8l~ 754 DescRIPTIQN A!llleSlleD VAI.Ue OP oaATH ,.- Sllmuu1. O. KaUuy' ,own d wllh III 10' lot Iyo IhlP mo,I ". "0101 Oil . .dll.' P ,-- 1, Al.l thot oal'tlli1\111lt'cal "of lund with II I3mull dw~l1inllhoua,et;haroon, altullta in Southnmpton 1'ownahip, Cumbarllll)d County, Containil\!! 'fraet 1. and Tract II, I\ecordad jn Cl/mber1.lInd County. I\eoot'd\lr of peadl\ aHica, !looK Q29 l'ullU 393. Mortgi1ll\!i huld by commonwealth National \lanK, Shipllanabuvg, \lrnnbh, Shll'l'unaburg ,1'enlll\y1.vnnill In the amount .of $3,974;40., acoount 1141.~l9~250~0~ Sold ut pt'ivllta I\u;\.a to I\Ulldy Pa18grovu, 8ingl~ mLln. . 10,OPO.00 - 10,000.00 TOTA\. IAllo enter on line 1, Reoa Itulatlon) 1II 1lI...,,'pi..11 n,.dld In,Ot..-ddlllo",1 'h..tI 0' "Ill' ,,'..1 OOMMONWIAL'" 01' PINNSYLVANI.' 1. COUNTY Of CUMBIRLAND J "' ..m__.~.Il~)I :..~. ~~..!-_lay _._ '__~___'U_'__"_,"'" ._~__._._____.__._ ~__'__'__'._'_ belnll duly ..,sworn ____~ aocordln'ilto law, doplllel alld laYlthat ho_ is c,~-----'-,-_._....."._ _...;^c1m!n!BCrll.t.Q);._~.~~mm_..___~~._ of thoUltate 01 Slltnl/a1 O. KaUey ,~ie of _l!.tJ>',.;.l~_ '... ...... Un --...",...._______, q\lmbetland qounty. Pa" dsau,ed ,nd thet the wllhln 'I en 'nventory mac/e by ..~"h:lnL__.---....-.--.--.-.....-~ _~_._~, Ihe feld Adtnin.!aCrQcor_ 01 the enlfre OIlete 01 fO'd deaedenl, oonllltlng 01 ell tho pel'lonal prop'drly end rul 'flete,exoeptrtaIOlt.te oUh,\de Ihe Commonwulth 01 Pennlylvanla, and Ihat Ihe flllUre! oppollle oaoh Item of Ihe,'nventoryr.prOl.nt 't'I fair ve u. II 01 tho dateo.! deaec/ent'I duth, _ . Sworn co _ and Iublarlbodbolora mo, x-4~-t.-:. ~O~~ Gsry L'( KeU!y..I.. . '+'clml ,.tor 1080 Willowb l'ook llr! VII ' 'l';"'M- - .',*, d. i' 'PI' J'-d~.-:-191 ;;LJ' .~-4r If! .7JJadw.1ru 'Shl~ey A, Mlrburver, Holary Pub"e. . Ihlpp./IJ~llI9, PA, Cum~lfll"d' C.unlV M~ C\II11mlulon bplllI DIf.mb" 27, 1m .._-._--~-.. ch~mberB\>l!rg. l'a, 17201 '+'clclr." D.te ol'DeetH ._-_._L._.___._.__.._..___~_ DIV Month 1981 Vur INSTRUCTIONS I. An Inventory mUlt be IlIed wllhln t,hree monlhl ,alter appolnlment 01 perlonal ,epre"ntatlve, 2. A fupplement Invent~ry mUlt bellied wIthin thlrfY deYI 01. dlloovety of addlllona' meh. S, Addllfonallheeh may be .ttaohed 81 to perlon.lty or rully 4. See Arllele IV, Flduol.rI8l!.\ot 01 1949. ,'_J "- " lL v. ("" di! ~" 'I',~" , t:; I:t .. 0, co I ~i; i;-' '~- ~h :'t~ ,,-, li;!'-- if,jit ,1;,,), .., <.II t-~ U'ti P:I ~ I ~ ~ 1 1 ~ fl: ~ J ~ ;. 1 &Ir - j - ) ~ j 1 I ~ ~ J , Invllntory of thll r,\lal and peraon$1 elllato of Samuel '0, Kolley __"__._.~_daoaalled ...~-.--- .. commonWlilllth Nationnl lI!\nK- Retuhd for e/lrly pny-off:. of morCllnl!e J, Pal\l FOllohllnQer- \tomeoWl\er,a policy vafl/nd 314 00 ,20 00 1 i 041- 23 4 79 47, 45 l7 00 Perllon8~ property . Sold 1963 chlilv.roht 4..dOOr aedon - Sold oa j unl~ ll\tellnal Revenueo Servicli- Refund on 1981 Foderal Income 1'8X "Proradon of TaX!!,! 6~al ~atate All' that certain pllrcol, of, llInq with 1\ small dwelling house chanon, sitUl;lto :1.n SO\lchamptol\ 'l'ownshi.p, Cumbe,rland councy. containing Traot I and Traot II, Recorderrld in Cumberland CounCY Peed ~ook Q29 Pago 393. Sold at pri.vato aalo JO,OOO 00 TOTAL $ .l 504 47