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~Aar WILL AND TESTAMENT
OF
JOHN H. WITTEA
, ItWClh,hM.Wlthr, of Me..lah VI Illoe, MechanlClburg, QOUl'lty of
Oumb.r and, Ind Oommo,nwlalth of Plnnlylvlnh, bllng of eound and
d tePOt I no mind, memory, and und.retandlng, do h,r'by"mlk., pub II.h,
and decllr. th I II Ind for my ~..t,WIII .nd Tlltlmlnt, h.r,by
rlvoklng Iny and a"wllla and (lodlcllt by mt It Iny t m. hlrttofort
. mldt. ' ,
lIEILl... I dlrtct that .11 mY ,JUtt dlbh .nd fun-I'll tlCP,ln...
bl PITCrii""ioon II conv,nl,ntl y po"lbl'.
., .uLJ...L. All the reat, ruldul, and .remalnder of myuht., of.
,whatl9tver nature or k'"d, rIal, Plreonll, or,mlxed, or wherteoev,r
tht elm. ~Iybe tltUltt, l olve, dIVI.t, and beqUtath unto my
dIUOhhr"Ma,rIO", ~'" oruU"nd"",, upon O,ondltlo,n that ehl ba, Itvl"O at
thl .xplra,tlon of'thlrty ~30' daye from thl date of mY duthi Shoul d
mY uld dayghhr prldecl..I,me or dll prIor to tht explrltlon of
thIrty (:5Q,dlye,f'rom the date of my death, thIn Ind.l" lu~h',eVtnt"
I gIve" dlvl'l, Ind blqueath a',1 ,the lTeet, r..ldUt, andrlmalndlr
'of',.my ..tate, unto my oranddlUQhtr, Joy O. Qrutttndtn.
Ir~M 01. I htrlby dlrtct thlt, any and all Fldtr.' Eltltl or
$t.hTrlnlftr ,Inherltanol Tax.. plyablt by 1'1,,01'101 my duth Ihlll
bt Plldoutof my rl.lduary 18tatl. ' .
ITEM ,IV. I hlr.by nomlnat., constitute, and appoInt my daughter,
...arlon It. cruthndln,.. EXtcutrlx of' thte, my Lut WI II Ind TuUmlnt.
Should my d.ugh~tr, Marlon E. Ourttlndtn, be unlb~.'~or any r..aon
Whlteo~vlr t.o eer;ve III EXlo\./tr I x I thIn Ind , I n that 'VI"t t I"htl'tby
I' nomlnlt" conltltuh, and appoln't my Hgrlnddl'ullhtlr, JOY, c. Oruthndtn,
al eu~.ttut_ EXlcutrlx.
IN WITNESS WHltAEOF, I h.rl~1, ,eet my hand It'ld ,eeal, t,othl'1 m, y
Lut WIll Ind Tt,ahment, thle .i.:Lt!J., dlY o~;;-;:J4It.tc!.et.11 ' A.D. 196,.,1.9$1.
" /_,/1~Ff;l~/II/..--lj)j;f4r.~BEA~),
alqntd, "Illd, pUb' hh'''''; ~nd dlclared by the abov...namtd '
t..tetor. JOhn H. whter, u /andf I' h" I.a"t WI " and Tut.am.nt. In
O,UI;f)rt..n,QI. who. 1,1'1 hll prtUtl ,and at hit, ruu ~'"d In the "
preetnQt of .aoh other, hay. ~.rlu"to ., Ie Ibed 0 . ~.. I'
wI tn..... thereto. a. " "'n~_ '
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245
OATti 011 Jlt:RIlONAI, RF.I'Rl\st;NTATIVE
COMMONWr.lAI;rH OF PUNNSYL,VANIA SSI
COUNTY OF CUMIlBRLANI)
Doforo mo, thoRolllstorror Iho Probnto of Wills ~nd aranlllll! or Loltors of Administration In nnd for the County of
, '
Cumborland, personnlly cnme Mad~n. E. Crutcendel'l
whllibolna duly sworn t do~--,-dopllse ane\ sny thnt as E))(ecutri~
of lho hut Will and Teslamentof John H. Wi teer __de~o"sod
she will well and truly administer tho goods and ehaltels, rlghls and orodlts of said doooased aOQordlnglo law, And
and subsorlbed beforemo.
alsll Will dlllaontiy eomply with Iho provlslllnsof the law relallna to Transfor Inherltaneos,
Daoemper 29th . >\.0., 19-1l..
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DECREE
Belt romembered Ihal on Iho 2gth day of December
recordod Iho IMI Will and Tutament of John H. Wi.t:~er
,A,P"I? 81 ,tllorowaa probalod and'
lalo of
Upper Allen Township
, Cumberland County, Pennsylvania,
HariQn JjJ'.Cruttenden
.
J}eeeasfod, Lettors testimentary wore granted to
Wllncssmy hand and offlelal se,al tho day and yoar aforesaid.
Of' _ _"
241
~ ~
/ ~4 ~{l ~ '.,/~
. rp ROlllster
I\"-V'J.~UU t.:.^ t \\I'd!! J /.." 8&,&,-..:3
. QUREAU OP IXAMINATlON
, PENNSVLVANIA DEPARTMENT OP AEl/aNUS
P.O. 00)( 0327
HAARISOURO, PA 17106
Omdlnt'l Nomu ILllt, flrll,and Mlddlu Inlllul)
Wi tter John Il.
OECEAQElI Socl,I,8uuurlty Numbur
202-'10-5932
1. Original Ruturn G
CORRE,
QPONDENT Nlml James A. Ulsh, Esq. "
, earer lolette & Woodside
Tolaphonl NO'(717) 232 -6 70 1
CHECK
APPRD.
PRIATE
BLDCK8
RECAPIT,
uLATIDN
AND
TAX
CALCU.
LATIDN
INHERITANCE TAX RETURN
RESIDENT OECEDENT
Fila Number c:; / - ~ I - '7 :?!j
Ducodont'l Addrlll
Messiah Village
Mechanigsbu~g, VA
17055
Dati of Dllth
12/26/Bl
2. Suppllmuntll RI,urn 0
3, Rlmolndar Rsturn 0
,4, Lila EmIl 0 6. Fadlrl181tatlTlx 0 '
Raturn Rlqulrld,
8, DBCldinl diad tallOtu 7, Daclduntmalntllnldlllvlng 0 " S. Numbl(of..fodIPllllt 0
IAtllch copy of Will) X Itull (Attluh oopV of Iruld ' boxlllnvantorlld '
All corrllpnndlnls end uonlldentlel lex Information IhOllld bl dlraclId tOI
1601 N. J)'rontSt.
V. O. Box
Olt larrisbur
8tetll?A
RI~pltlllltlpn
1, Rill Emu (Schedule A)
2, Stocklend Bondi (Schodull B)
3, Clollly HeldStook/Pertnanhln InuroU (Sohodulu 01'
4, MOrlQeQOIlnd NolOI (Schedulu D)
6, Oelh &MllcallenBoul puroonel Propsrty (Sohudule S)
8, Jointly OWnBd Property (Schsdull pI ' '
7, Tnnlfun ISchoduli 01
,,6, Totel DrOll AIIUtlltotal IIn" HI
D. Punllll Expln"l Admlnlltrallva Oolll/Mllclllenaoul
Expen'" (Schldull HI
10. Plbtl/MortQIQS,l/Llsnl (Schsdulo II
1', Totel Olducllonl(lotalllnOl8& 101
12, Nit Velul 01 Ellstelllna 8 mlnul,lInlll)
13, OharltobloBlqllol\l (8ohudula JI '
14, Net V8Iuo IlIbluct to teKtllno U mlnulllnl 13)
Oomputatlon ofTIX
16, Amount of Ilno 14 tlKlblut 8% rute 1161 29. B90. 2B
Uncludo veluOl from Schodula KI
10. Amount 01 line 14 toxablut '611 lito 1101 -0-
IIn,~ludo ve/ulllrom Schedulo K)
11. Prlnclpel tlX duo (odd tu from IIno 18 plul t1X from IInu 101
10. Total Prior peymen\ll
. (I) Amount Pold - 0 -
(b) Plul blloount 89 , 6 7
101 Mlnullnlorou -0 - (181 a 9.67
19, 9111nco Dus (line l1mlnulllho 101
Mlko Chook Plvobll tOI 'Reglltor of Willi, AQont
- -,_ P18AU ,ReCIl~C~ MATH" - -
( 11 -0-
(21. 9,859.42
(31 -u-
(.4) -0-
(61 2.885.18
(0) 10,089.12
(7) lnrn~(1.1.3
r.
(81-12 ,922.85
(81 1. 759. 00
1101_1.265,57
1111 3,024.57
(\2) 29,890,28
..(131 "'0.
(14) 29,890.28 .'
.
X,OO. 1,793.42
x,n. ,.jO~
-
(17) 1,793,4,2
(18\
1,703,75
Undsr plnaitlil 01 lIorlurv, I doolors Ihlt I hevu OKemlnedlhll rOlUrn, lneludlnQ mompanylnQ IOhodlllollnd ItallmOntl, Indlo the btl. ilf my knowlldgl
end bellof,lt II truu, corllot' end cqmploll, Oacler,tlon ef prepOlOl othur thon tho pOrlonalIIprOlOnlotlvlII bOled on elllnformltlon 01 wl1lch properor hi'
ny,oWlldDI: ' 'j,? ?U. . ,:..(.', /, ''81 ?;: ~ t;1t?/ff <3/~~ /6'.:(
SIGNAT Ae OP PERSONAL RBPRESINTATIVelSI /;l 'J,,\DPR~S!;1 / I', !), "",,';1/1 /7cJ// . OATE
1.:.~c,},19~ ,,''r!...t:~.e- /" r
r . --'
~'" u-L,..,o.., 6c, y ') do 0, II ~, e u II I (:1 '\
ATUR OP PRBPARIR OTHSR THAN'RBPRsseNTATll/S AD RISS
3J s / ~~
OATS
"VdlOl\hl"lI
COMMONweALTH O~ PIlNN8VLVANIA
INHBRITANCB TAXRBTURN
RUltlBNT ,DBClltl8NT
II11TATB OF
SOHlIDULe "B"
8TOCKSAND BONDS
Jphn fl. W1t,ter
IAII ,oP"tv IPIn\IY"Wn.~wlth "Iohl oleulvlvo..hIP mull Of ~11"O'lI<l on eOh.~ul' "0"1
ITIlM
NUMIlBR
1,
2 .
I 3,
DGSCRIPTION
Tho, Greyhound corporat1on " 100 Shares
Va 1 ue " 15', per share .
philadelPh1a Electric Company" 282 Shares
Value ~ 13 3/4 per ohare
T e Investm~nt Company of Ameri ca . 608,248 Shares
V lue " 8.72 per share
I'
TOTAL (AIIO ~nter on line, 2, ~so8plt"'8t1onl
(If mOti tp.lI.l. nttd.d lnun 'ddltlo",al 'hU" of "mUlti'
PILBNUMBIlR
"
. VALUB AT OATil
OP DBATH
$1 . 660 . 00
$3,877.60
$4,431,92
$.,9,86,9,42
'.1/,"'''''+ 11111
COMMONweALTH OP PIlNNIYCVANIA
INHBAITANCI TAX AIlTUAN
RBBIPIlNT PIlCIlPIlNT
e~TATll op.'J,'o'hn
H ,W 1 He r
ITaM
NUMIlIlR
1. Mess1eh Vl11age
2 . Dr, Pe u 1 Kese. M.D,
3 . Pha'rmecy Bll1
1;
SOHeDULE "I"
DBBTS OP DeCBDENT;
MORTGAGBS, AND LIBNS
11tlf Nu~lR
-
.--
PIlSCRIPTION
!l'OTAL '(Alia enlOr on 11M 10,RQciipltula\lon)
Of mOt. 'P.ot I' hiid.Ci-lnun addUlOl1llth.IU of ..",. .,..)
-
AMOUNT
$l,20B,79
12.00
44.7B
$ 1 j 2 6~ . 67
uv.,."."... (...11
SOHEOULE 'fJ"
BENEPIOIARIES
OOMMONWBAI.TH Of PBNNSVLVANIA
INHBRITANOB TAX RU'1'URN
RUBIDUNT DaoeDBNT
,usTATliOf John H. wnter
PII.I;i NUMBER,
-
ITeM
NUMaUR
RUI.ATIONSHIP
AMOUNT
NAMU AND ADOMBS Of BeNeflOIARY
I,
A, Texeble BoQuQll11
Ma~ton E. Cruttenden
33~ N, 24
C~mp H111, PA 17011
Daughter
100% Res1dus
ITeM
NUMBER
NAME AND AOOReSs Of BENEflOIARV
AMOUNT
S, Oherlteble l1equQlUI
I,
,I'
TQTAI.,OHARITABI.E BEQUeBTS (Allo enter on line 13, Recapltuletlon)
-0-
IIf m~rllPlelll nll\l~d 1",lrIlddluon.llhlltl of 11m. '1111
~AaT WI~~ ANO TESTAMENT
r:F
JOHN H. WITUA
, ,!
'ItJOhhH.Wltter, of Messiah Village, MeOhahloaburo, Oountyof
Oumber and, and 'Oommonwealth of Penney I vanh, being of sound and
dlapoalng mlndt memory, and understandIng, do hereby maKe, publleh,
and decl,are th 18 as and for my 1.,1l8t WI II and Tutamant thereby
rovoKlng any and all wIlla and oodloils by'm. at any tIme heretofore
ma de.
" lIElLlt. I d,l rsot, that a II my Just debts llnd tuner.' el<pilnue
be peTriiBoon as conveniently poaelble. ,
.wt1-!.L. ,All ,the reat, realdl,Ae, and remainder of my .etate, of
Whatsoever nature or Kind, real, personal, or,mll<ed, or whereeolver
the eamll maybe' situate, I give, devlee, end bequeath unto my ,
del,Aghter, Marlon E. Orl,Attenden, upon oonditlon that, ehe,be lIving at
the,tl<plratlon of thirty (}O) days frOm, the, date of, my d8.th. Shoul d
my saId daughter predeceaae me or die prior to the ..,Iratlonof
thIrty (30) days 1'rom,the datil 01 my death, then and In such event,
I glve,devlell" and bequeath all the rut, residue, ,and re,malndlr
of my eat ate unto my oranddaUgher, Joy O. Oruttenden.,
ITEM III. I hereby dlreot thaf anY and all Federal Eetate or ,
,st'tetrBn.1'~r InherItance Tal<ee payable by ~e'80n of my death ehall
be paId O,\.It of my residuary utat.. " ,
ITEM IV. I hereby nominate, oonatlt\.lte, end aPpoInt my daughter
MarlonE. Cruttenden, 88 ,Executrix of, thle, my ~88t Will and Teetemeht.
BhouldmydQughter, Marlon E., ourttenden, bll unable for any reuon '
whatsoever to ~erv~8e El<ecutrll<~ then and In that eventt ,I hereby
nom I nate toonat I tute, and appol nt. my granddaUghter, Joy o. crutt.enden,
lllI ,SubstItute El<eoutrh. " '
,
,
IN WITNESS WHEREOF, I here~1..~.t my hand and aea' to th'~~ my
~ut wll I ,and Teatament, thle .L:I..f/J.. da~ O~~?tt<!,,d.~-(I. ,A.D. 19Sr.I?~ I
, A4~11 if,--(j);J;IifJaEA~)
signed, sealed publlahe,d~ aM/deolared by ,thll above..n"aMed.
teatator, JohnH. witter, 88 land ~,(jr h la l.ut WI II. and Tellt,ament In
cLlrpreaence,who, In hI_ pr'~.!!\C8, and at his requ a and In the
pr,aeno8 ofeaoh other, have ~ereunto au c Ibed 0 n ea aa
wltneaB8e thereto. ' .
AMERICAN FUNDS SERVIOE COMPANY , P.O. BOX 60B29 TERMINAL ANNEX ' LOS ANGELES, CA. 900BO
WHAntUOJ,.,DEM ACCOUNT NUMBER
JOHN WliTEIl
0.0.
00
4233~3138-04
CITY .rill-----WO-
, Plonuo chock thO box lor Iho fund 0" lunda In which you
WOlllto Invost nnd ontol _lho'fl!llQUnt 10 bo InvOR!od in each. Mnko'chDCk payablo 10 \110 luntJ
(If, II 1110ro ltWfi oliO l\ln<L. to Amoflcnn >':UI10$ 801vlOo Company,
"I' ' I(J !"j 1\'1rjc~ttIU!lt ,.,1'i\" < "
;\'\ ' ~...:.. ~,<_.'p1 Y!},,:'-':'!l_L'_:,_i.'-~' ,
IJ Incomo Fund 01 Amor. $
o Growlh Fund 01 Amor., $'
D Invoolmonl Co, 01 Amor. $
D Now poroPocllvOFund $
CJ Tox.Exompl Bond fund $ .:..--
l'J Wnol1ingloh Muluollnv. $
Il AMCAP Fuml
l] Aloor, BoL Fund
I] Amoro MullH11 Fund
IJ Oond Fund 01 Arnor,
CJ Cooh MOl, Truol
[') Fundomonlollnv"
$
$
$~---
$-.--
$-
$-----
,
plonso show 11O~/~d(jrossl;lllow'
nAIlT
oo:-;T-----r--
--- rnr-"-
I'
fIU>/llIJolHlf
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIE:S
REGISTERED IN THE NAME
OF A ,RESIDENT DECEDENT
,
*'
COMMONWEAL TH OF PENNSYLVANIA
DI!I'ARTMENT OF REVENue
BUREAU OF COUNTY COLLeCTIoNS
~ (MUST BE FILeD IN TRIPLI~ATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE, '
Application la hereby made lor 0 onIOn I to thotranaler 01 tho lollowlng soc~r1tloa 01 a Pennsylvania
Corporation or a Nallonal Banking Anoclallon located In Pennaylvunla'
n, n~"~"DATEq;lt4C'Z0~,If' J";<
~__,_____.___.~. ..., 'n." _~~_.. ~_ _~_,~.,__~.._...,.,. .._-o_~
(a), 26~ (b)...:flli4.d,gJJl.I1H E1 ect~.ic...,'c'lW\~~,~__._._..(o).-,-C.o.lI1ID.ll..n--.. -
(NOTEI In deaorlblng 'aqcurltiOlonter In (a), ob OIe,oither tho n~mber 01 ahorOl 01 atook or the !.oeoamount 01
reglsterod bonds, In (b), the no'me ollho IlIulng company ~nd In (c) the alan 01 atook or the atalod InlorOlt rato
clld maturity llr6oJngl~t{2o~NI~da,) ",' '
ISSUED ON_-,~_~..___.__, Gnd having a ,TOTAL MARKET VA'LUE OF $.J_t,671. 60_._~_~
(P.tol ,
QS 01 the date 01 death 01 thedecodent" John H~Wltter ,on Decemblilr 26, 196!
(Nam. 01 O...dontl (P.t. .1 duth)
who wa a I ate ol.-JlltU_laJLVjJJ.u.L_.-..l!I!1.&.MniU.lUI.t.9.~.
(5"..' and Numb.,1 (Po.t 0.111..)
C U ro b e r 1 ~ luL___...Plt
, (Counlvl (5'.'.)
The ncurltlea aro relllstorod aa follows:__~.!1.Ji.!Y te r . ._--'______
(Nam. .r n.m.. In which ..'tlll.at..'.'. ,.gl.t.,.d)
, , '331 N. 24
,llBll\tNt~!ftA-R'fG1 xRt.....J1.l!.1...LlJ..o..lL-Cr.\LH.S!.nien.., Camp B 111. P.A.__llQ..1,t___~.~_
EXECUTIlI" B~am.) '" <Add....)
NAME OF APPLICANT Mar1o!'._t~.r.utte!1den
COUNTY FILE NUMBERt~ / ."f/. 7~:S ADDR~SS OF APPLICANT -'~P~H.~riU....--Il.A~-W~;.l "
BUReAU FILE NUMBER ' __SIGNATURE OF APPLICANf??Jdh'-~I--'~lf~~~u',--,
NOTICEI IPYOU PA,IL TO PROPIlRLY PILL IN ANY PORTION OP THIS APPLICATION, IT WILl. NOT ae
, CO.MSIDIlRIlD COMPLI!TI! AND WILL all RIlTURNIlD TO YOU POR COMPLIlTlON,
C,OMMONWEAL TH OF PENNSYLVANIA ~ DEPARTMENT OF REVENUE > "
"~' ,
" CONSENT TO TRANSFER SECURITIES , DATE' /~y"Zflr.'
I horeby oonaent to the ,t.ransler 01 the above securitles,now re~latered In the name of the al resold
"
Decedent and wolve tho II ling 01 a oertlflcotnertlfylng,to the payment of/he tronsfer Inheritance tax to which
the property 01 said De~edent la madesublect pursuant ,to the provlslona al the Aet of Juno 20, 1919, P.L. 521,
aa amende'd,and the AC,t 01 J,une 15, 1961, P.L, 373, aa ame\,ded. This Is alao Inaocordance with the provisions
of tho Act 01 April 9( 1929/ P.L. 343,
Thla C,onaent taTranafer the haroln doscrlbed 'property opetlites only In reference to tho eatate af the
aboyq.namod Deoedent.
.
, Si9nOdfof;thoS,ecretarY;f R~ev, en. e " , ,
Byt fJld.~t.t, ,e .!_,' ..fl?,r.::.r:4/'_
--::n:,n. '0) , ') , ,) .. .
4" ' /(1 "", t
'~_,~ ,-;e,:/...J .f-d.,(."ji,t}-(jt.td.:?~ ' -
( d ICiJunl'i)
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INPORMATION
Thll daoum.nf II Ih. Nolloe rUqulr.d 10 b. given under S.ollan 108 01 Ih. Inherlt.noe .nd 611111 T.~ Aol
of, lee 11?2P.s, ,nollon 24851.
II Ih. I'~ I! Mid wllhln Ih~~. (31 monlHI .ller Ih. d.oedenl'! dulh. . dlloounl 01 51'0, of Ihe I.~ P.ld'll .1I0w.d,
Inherlllne. ,..~ b.oom.. dellnquenl nino (9) manlhl .lter the dooedenl'e d8llh, Ilile"ll 18 oherg.d II Ih.
rei., 01 .I~ 161 p~ro.nl per .nnum, on Ih. Il)1ouhl of, unp.ld I.~, (SBB eXAMPLe BSLOW) ,
BxAMPLB' II. balano. 01 t'~ due of 82,000.00 Ie In I d.llnqu.nl el.lu8 Irom,3-3-80. .nd p'Vm.nl II mid.
on 5-23-S0, Ih. Inter8l1 Ie o.loullled u Indlo'led b.low: ,"
STlP 1
Dele,mln. 'Ihe 'rllepf
In\erhl Irom Ih. Ilbl.'boloW,
STep 2
MulllplV Ihe blllno. of
II~ due bV, Ih. ..I. 01
Inh.,..I, '
ITIP B
Add the Inter..1
10 Ihe bll.noe: 01
II~ due,
Inl,re,11 from 3-03-80 10 11-23-aO
Ruult. In:
2 Monlhl. ,010
20 Dive . + ,%03~
Rile ollnler..1 . , 13
Slllno. of, I'~ due
R.I. of InliN~~\ResT
$2,000,00 I
~ ,0133B
I 26,10
BlllnO. of II~ due
1'fUi:Tn\er.. I 10
~tbf p.v~.nl ,(+1
I.~ .n
In\er..1 10 Oet.
01 Plvmenl
$2,000,00
$ 26,10
12.026,10
. - - . - ' - . - ' .
............... -.. ...-~...... ........... -........ -..... ..,................ -........ -.... ....... -.................. ..;,.............................
, mpnlh ',0011 4 monthe ,020 1 monlhl ,0311 1 0 monlhl ,0110
2 monlh! ,010 5 monlhl ,0211 8 monlhl ,040 11 monlhl ,0116
3 monlh. ,0111 6 monlHI ,030 9 monlhl ,0411 12 monthl ,080
ld.v ,00017 11 dive ',00186 21 d.ve ,003112
2 d.ve ,00034, 1 2 dlYl ,00203 " j'" 2 2 dlVI ,00369
,3 dm ,000111" 1 3 dlVI ,00220 , 23 dive ,00386
4 d'vI ,0006a 14 dlVI ,00231 24 d'VI .00403
6 d.ve ,0008S III dlYl .002110 211 dlYI ,00420
6 dive ,00101 1 6 diva ,00261 26 dlYI ,00431
1 dive .00118 11 dive ,00284 21 dive ,004114
a d'VI '801311 IS dlV' ' ,00301 28 d.ve ,00411
9 dlV' , 01112 1 9 dlVI ,00318 29 dlVI .00488
'0 dive .00169 20 dlvl ,003311 30 dive ,0pllOO
__~,,_____~___"~__.r"'~_"___"'.____""_"__"___~_______"__-----....~-..-~----
, AnVPlrlV In l,n\e,..I. In~ludlng Ihe Commonwullh.nd Ihe Pe..Onll"pr...hl.lIv.. nOI elUelled wllh thl
'PPrelnmlnl .nd .uUlmenl mav obJeol Within el~lv (60) dave .tt',r reo.lpl of Ihle NQ\loe u prOVided bV
"SeoUon 1001 01 the Inherll.no. an~SII'le T.~ Ao\ 01 1,961 (72 P.S, e'9, 2486 - 10011,
MAKa CHeCK DR MONllV OROIR PAVAll~S TO, "l\aQUTUR ,OP WI~~', ~llINT"
, peTAcH THB TOPI'ORTION OF THIS FORM ANp SUOMIT WITH YOUR PAvMsNT TOTHS RSGISTeR OF WIL~S FOR
THe COUNTVSHOWN ONTHS REveRse, !lEE THe INHERIT ANceT Ax INSTRUCTION BOOK POR ADDRess,
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