HomeMy WebLinkAbout06-08-09J 15056041125
REV-1500 Ex (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
PO BOX 280601 2 1 0 7 0 5 1 4
Harrisburg, PA 17126-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 8 9 0 9 4 3 6 7 0 3 0 6 2 0 0 6 0 6 0 3 1 9 1 1
Decedent's Last Name Suffix Decedent's First Name MI
J U M P E R E L I Z A p,
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
1. Original Return
4. Limited Estate
^X 6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Return
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
H A R O L D S I R W I N I I I 7 1 7 2 4 3 6 0 9 0
Firm Name (If Applicable)
I RW I N LA W O F F I C E
First line of address
6 4 S O U T H I T T S T R E E T
Second line of address
City or Post Office
C A R L I S L E
State ZIP Code
P A 1 7 0 1 3
REGISTER OF WILLS USE ~1 LY
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DA ILED Cj
Correspondent's a-mail address: Irwlnlawoffice~gmail.com
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief
ft is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATUoRE OF PE~SO,,N RESPONSIB FOR F LING RETURN DATE r/
~a ~r~~~~-~' ~ ~~~- 6/ 15 /2009
ADDRESS
389 OLA ROAD NEWVILLE PA 17241
SIG T O PREPAR O T NTATIVE DATE
6/ /2009
ADDRESS
64 SOUTH PITT CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056041125 15056D41125
15056042126
REV-1500 EX
Decedent's Social Security Number
oecedenrsName: ELIZA A. JUMPER 1 8 9 0 9 4 3 6 7
RECAPITULATION
1. Real estate (Schedule A)
................................... 1
..... 5 0 4 0 0 0
2. Stocks and Bonds (Schedule B)
............................. 2.
..... 0 0 0
3. Closely Held Corporation, Partnership orSole-Proprietorship (Schedule C) ..... 3. 0 0 0
4. Mortgages & Notes Receivable (Schedule D) ................... ..... 4. 0 0 0
5. Cash, Bank De osits 8~ Miscellaneous Personal Pro a ..
P p rty (Schedule E) .... _
5. 1 8 3 0 4 8 2
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .. ..... 6. 0 0 0
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested ..
..... 7. 0 0 0
8. Total Gross Assets (total Lines 1-7) ...................... ..... 6. 2 3 3 4 4 8 2
9. Funeral Expenses 8~ Administrative Costs (Schedule H) ........... ..... 9. 5 6 3 8 0 0
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ....... ..... 10. 0 0 0
11. Total Deductions (total Lines 9 ~ 10) ...................... ..... 11. 5 6 3 8 0 0
12. Net Value of Estate (Line 8 minus Line 11) ..................... .... 12. 1 7 7 0 6 8 2
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ..............
.... 13. 0 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) .............. .... 14. 1 ~ ~ 0 6 8 2
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
16. Amount of Line 14 taxable
at lineal rate X .045 1 7 7 0 6 8 2 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 0 0 17
18. Amount of Line 14 taxable
at collateral rate X .15 0 0 0
1 g.
19. Tax Due ................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
0 0 0
7 9 6 8 1
0 0 0
0 0 0
7 9 6 8 1
Side 2
15056042126 15056042126 J
REV-1502 EX + (8-98)
SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real ro which is ' irrt -owned with ri ht of survivorehi must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
S.5 ACRES MOUNTAIN LAND IN UPPER FRANKFORD TOWNSHIP, CUMBERLAND COUNTY
Assessed Value as on Attached Exhibit "B"
TOTAL (Also enter on line 1
5,040.00
(If more space is needed, insert addfional sheets of fhe same size)
REV-1503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. NONE
0.00
TOTAL (Also enter on line 2, Recapitulation) ~ s
0.00
(If more space is needed, insert addfional sheets of the same size)
REV-1504 EX + (8-98)
SCHEDULE C
CLOSELY-HELD CORPORATION,
COMMONWEALTH OF PENNSYLVANIA PARTNERSHIP OR
INHERITANCE TAX RETURN
RESIDENT DECEDENT SOLE•PROPRIETORSHIP
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
Schedule C-1 or C-2 (induding all supporting information) must be attached for each dosey-held oorporatioNpartnershipinterest ofthe decedent, other than a
sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
NONE
TOTAL (Also enter on line
0.00
0.00
(If more space is needed, insert additional sheets of the same size)
REV-1507 EX + (8-g8)
SCHEDULE D
COMMONWEALTH OF PENNSYLVANIA MORTGAGES & NOTES
INHERITANCE TAX RETURN RECEIVABLE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. NONE 0.00
TOTAL (Also enter on line 4, Recapitulation) ~ S 0 00
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointlyowned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. COMMONWEALTH OF PENNSYLVANIA /TREASURY DEPT !UNCLAIMED PROPERTY 50.00
Agway, Inc. and Consolidated Subs - Uncashed Checks
See letter attached as Exhibit °C"
2. COMMONWEALTH OF PENNSYLVANIA /TREASURY DEPT /UNCLAIMED PROPERTY 2,839.32
M 8 T Bank -Accrued Dividends
See letter attached as Exhibit ^C°
3. COMMONWEALTH OF PENNSYLVANIA /TREASURY DEPT /UNCLAIMED PROPERTY 15,415.50
M 8 T Bank -Cash Exchange for Stock
Bee letter attached as Exhibit "C°
TOTAL (Also enter on line 5, Recapitulation) I = 1
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX + (B-g8)
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
ff an asset was made joint within one year of the decedents date of death, it must be reported on Schedule G.
NONE
ADDRESS RELATIONSHIP TO DECEDENT
SURVNING JOINT TENANT(S) NAME
A.
JOINTLYAWNED PROPERTY:
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET 96 OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTERESI
1. A. NONE 0.00 0.00
TOTAL (Also enter on line 6, Recapitulation) I S
0 00
(If more space is needed, insert additional sheets of the same s¢e)
REV-1510 EX + (6-98)
COMMONWEALTH.OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE G
INTER-VIVOS TRANSFERS ~
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
This schedule must be completed and filed ff the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUOETHEN~MEOFTNETRANSFEREE,THEIRREUTIONSHIPTODECEOENTAND
THE DATE OF TRANSFER ATTACHACOPVOFTNEDEEDFDRREALE6TATE.
DATE OF DEATH
VALUE OF ASSET
%OFDECD'S
INTEREST
EXCLUSION
pFAPPUCAe~EI
TAXABLE
VALUE
1. NONE 0.00 0.00
TOTAL (Also enter on line 7 Recapitulation) I S 0 00
(If mon; space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES ~
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ELIZA A. JUMPER 0514
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. IHOFFMAN - ROTN FUNERAL HOME, NC. -Funeral 900.00
2. WESTMINSTER CEMETERY -Grave Opening 1,100.00
B. ADMINISTRATIVE COSTS:
~, Personal Representative's Commissions
Name of Personal Representative (s)
Soaal Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees IRWIN LAW OFFICE 3,500.00
3, family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4• Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 138.00
Probate and filing of inventory and appraisement and extra short certificate
5 Acxountant's Fees
6. I Tax Return Preparer's Fees
7
TOTAL (Also enter on line 9, Recapitulation) I S
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, 8~ LIENS
FILE NUMBER
ELIZA A. JUMPER 0514
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
NONE
0.00
TOTAL (Also enter on line 10, Recapitulation) I ; 0 00
(If more space is needed, insert addfional sheets of the same size)
REV-1513 EX + (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
EL12J- A. JUMPER o51a
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outng ~ spousal distributions, and transfers under
Sec. 9116 al 1.2
1. RONALD E. JUMPER and BARBARA JUMPER Lineal
5898 Enola Road 100% RESIDUE
Newville, PA 17241
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. NONE 0.00
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. NONE
0.00
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S
0.00
(it more space is needed, insert additional sheets of the same size)
r
+~tt~t tll ~It~ ~e~~~~It~itt
I, ELIZA A. JUMPER, of West Pennsboro Township, Cumberland
County, Pennsylvania, declare this instrument to be my last will
and testament, hereby expressly revoking all wills and codicils
heretofore made by me.
1. I direct my executor to pay all of my debts, funeral
and administrative expenses as soon as may be done conveniently
after my decease.
2. I authorize and empower my executor to sell any realty
owned by me at my death, and not specifically devised herein, at
either public or private sale, and to give good and sufficient
deeds therefor, in fee simple, as I could do if living.
3. I devise and bequeath all of my estate of every nature
and wherever situate to my husband, Credon D. Jumper, providing he
shall survive me by sixty days.
4. Should the gift in Paragraph No. 3 not take effect, I
devise and bequeath all of my estate of every nature and wherever
situate to my son; Ronald E. Jumper and my daughter-in-law;
Barbara Jumper, share and share alike, and if they are not living,
to my grandchildren, share and share alike.
5. I nominate and appoint Credon D. Jumper to be the executor
of this my last will and testament; he is to serve as such without
bond. Should he die before my death, renounce or refuse to serve
for any reason, or die leaving any of my estate unadministered, I
x
~ w
nominate and appoint Ronald E. Jumper and Barbara Jumper, as
substitute executors, also to serve as such without bond, with
the same powers as are given herein to my executor.
6. I hereby suggest that my personal representative retain
the services of Irwin, Irwin & Irwin, as attorneys in the
settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this ~~ day of February, 1985.
~ ~ ~~ ~ L,°~e~1.. ( SEAL )
ELI JU~P~ ~`
Signed, sealed, published and declared by Eliza A.
Jumper, the testatrix above named, as and for her last will and
testament, in the presence of us, who at her reauPSt_ in hPr
presence and in the presence of each other have subscribed our
names as witnesses hereto.
~/J~~
^
ACKNOWLEDGEMENT AND AFFIDAVIT
We, ELIZA A. JUMPER, BETZI A. MORRISON, SHARON L.
SCHWALM, the testatrix and the witnesses, respectively, whose
names are signed to the foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the
testatrix signed and executed the instrument as her Last Will and
that she had signed willingly, and that she executed it as her
free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the
testatrix, signed the Will as a witness and that to the best of
their knowledge the testatrix was at that time eighteen years of
age or older, of sound mind and under no undue influence.
~ , ~?
ELIZ A. JUM R
,~
A. 0 RIS~N/
~SHA'RON L. SCHW~LM~
COMMONWEALTH OF PENNSYLVANIA :
. SS:
COUNTY OF CUMBERLAND ,
Subscribed, sworn to and acknowledged before me by ELIZA
A. JUMPER, the testatrix, and subscribed and sworn to before me
by BETZI A. MORRISON and SHARON L. SCHWALM, witnesses, this '~
day of February, 1985. .- ~ ,,, r
~ ~ j (~'
.-
ROGER ~~. IRWI, NOTARY PUBLIC
CARLISLE ~RO, CUMBERLAND COUNtY
MY COMMISSION EXPIRES OCT. 3. 1988
FacetWin Screen Print for pub1ic04, from "LAMA Login" 5/9/2007 11:25:03 AM
CUMBERLAND COUNTY ASSESSMENT OFFICE 2004 BASEYEAR
NEIGHBORHOOD: 4301 CONTROL # 43000170
DISTRICT: 43 - UPPER FRANKFORD TWP SD: 1 PARCEL: 43-04-0387-007.
SPEC ID: LOT:
~~ Tback:
Short Name JUMPER, CREEDON D & WIFE ~
(LAST NAME JUMPER I I PROPERTY TYPE: L2
(FIRST NAME CREEDON D & WIFE ~ ~
IC/O NAME C/O ELIZA JUMPER I SALES
(ADDRESS( 3898 ENOLA ROAD I I DEED BK/PG.....0020C-00846
IADDRES52 I I DATE OF SALE...
(POST OFFICE: NEWVILLE I I SELLING PRICE:
~$TATE & ZIP: PA 17241 ~ ~ ~
Situs: Rr NORTH MOUNTAIN ROAD
Prop Descrip.:
LAND DESC: LAND
LAND. USE TYPE •, 100
DEEDED ACRES: 3.50
~ i i
~CURRENT VALUES -~
~ Assessed Fair Market
FMV - 5040 L - 5040
C&G - B - 0
approved? -> T - 5040
Screen 1 Enter Selection > Record: 89655
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Treasury Department
Commonwealth of Pennsylvania
Harrisburg, Pennsylvania 17120-0018
Jumper Eliza A Estate Of
C/O R Jumper And B Jumper Co Execs
3898 Enola Road
Newville, PA 17241
Re: Claim ID 99961561
Dear Ms Jumper:
May 29, 2008
-.
We are writing to you about the following property (or properties) for which you have
filed a claim:
Property ID: 1445263
Property Type: UNLASHED CHECKS
Holder: Agway Inc & Consolidated Subs
Claim Amount: $ 50.00
Owner(s) of Record: Jumper Credon D And Eliza A
Rd 3, Newville, PA 17241
Property ID: 4667712
Property Type: ~ ACCRUED I3IVIDENDS
Holder: M & T Bank /
Claim Amount: $ 2,839.32 ~/
Owner(s) of Record: Jumper Credon D
Westminster Court Box 5, Carlisle, PA 17013-
Owner(s) of Record: Jumper Eliza A
Westminster Court Box 5, Carlisle, PA 17013-
Property ID: 4667723
Property Type: CASH EXCHANGE
Holder: M & T Bank
Claim Amount: $ 15,415.50
Owner(s) of Record: Jumper Credon D
Westminster Court Box 5, Carlisle, PA 17013-
Owner(s) of Record: Jumper Eliza A
Westminster Court Box 5, Carlisle, PA 17013-
To ensure that property is returned only to its rightful owner, we carry out a thorough
review during which we look at various types of evidence. In the case of your claim,
we need the following:
Bureau of Unclaimed Property P.O. Box 630 Scranton, PA 18501-0630 Fax (570) 963-4270
MS JUMPER _ _
May 29, 2008
Page 2 _~.~--`'
• A photocopy of your signature identific lion in the form of a SIGNED Social
Security card or driver's license / ~ ~~ /~~~
Please send the evidence to us at the Bureau o nclaimed Property, P.O. Box 630,
~ranton, PA 18501-0630, along with a copy of this letter. We will then resume
claim.
-__, _ ___
e as or your patience during the claims process. Tt fa~Tces time~o`r"us to complete the
appropriate research, verification, and approvals that are so necessary, especially in view of
the increasing problems related to identity theft. Therefore, as much as we would like to
return property immediately, it may take as long as eight weeks, and sometimes longer. In the
meantime, if you have any questions, please call our office at 1-800-222-2046 from 7:30 a.m.
to 4:30 p.m. Eastern Time; or call me directly at 570-963-2102 from 8:30 a.m. to 5:00 p.m..
If you have filed your claim on our Web site at www.patreasurv.o~, you may log in to check
the status of your claim there.
Thank you for contacting the Pennsylvania Treasury Department. It is our pleasure to serve
you.
Bureau of Unclaimed Property
dantle@patreasury.org
RE613TER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate Of EL12A A. JUMPER
also known as
No. 21
Date of Death 3/6/2006
,Deceased Social Security No. 1s9-oaa3s7
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/V11e understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities.
Personal Representative: //~~ ~~ /~
Name of G~~~~ ~r~'Sfi...F-....... ~I`~~ / _
Attorney: HAROLD S. IRWIN, 111
I.D. No.: 29920 RONALD E. JUMPER and BARBARA JUMPER
Address: 64 SOUTH PITT STREET Dated JUNE 8, 2009
CARLISLE
PA 17013
Telephone: 717-243-6090
Description
3.5 ACRES VACANT MOUNTAIN LAND
Upper Frankford Township, Cumberland County, PA
COMM OF PA /TREASURY DEPT /UNCLAIMED PROPERTY
Agway, Inc and Consolidated Subs - Uncashed Checks
COMM OF PA !TREASURY DEPT /UNCLAIMED PROPERTY
M 8~ T Bank -Accrued Dividends
COMM OF PA /TREASURY DEPT /UNCLAIMED PROPERTY
M 8 T Bank -Cash Exchange for Stock
(Attach Additional Sheets if necessary)
Value
5,040.00
50.00
2,639.32
15,415.50
n
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coo _ . ~_
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_ %~ .
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C.J
Total '-'
23,344.82
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
07 0514
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