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HomeMy WebLinkAbout08-03-10~~~a~~ ~~ a _-- _-,...,, ~ _ ......~.. ~F ~E rr~~ r~ 4.~,,~._ mi F~ OtA(]~i04D~ ~M1~ ~I 1. V1~~s„ ~ ~R , l ' ~~ .. "..~ 1R~tl1 ~ ~... ~. ~~,~ - -3 , ~~.~ ~3 ~ ~y ~~~ ~ ~ ~.~ '~ `i6 f'IO~M pi9011i1E1i ~ ~1 {#i Q. W ; ~ ~~ ~ ~ ~ r ~ , ~'7 ~ ~,w ~ ~ ~ ~ 4~ # ~ n :*~ C ~ ~ ' . ~ ~:. CTS 'Y1 - r ! -_• j ~e~~~ ~ ~9,32~Q0 ~' ~ `:~' ~' ~i _..::: . _ ~ _.. tiuc atMf!'Cra~dilA; >. ~oYl tunrJp na a. a ~.r#,,,,r cam a.fMfr , .~..~.~...,... a+ A:gidaf~+t ~ ~cuea{n+f-+C) ~ a ~, MaMptlttftt A. NMIYrt ~ Ci, ttYrMQt th Te1H Ydwsg7MMfltl i p • E f. ~ '~ 4. YRY~ax11', ~{YM1 tilM/~MMM tM11AlIaNYt~ '1111titlr- YMMh~M1~I1N901-1Nd.IN11MIMIMw f~ ~- S. fitkMf+ yilpraeMlfthaalku3,rra~rtxdMYpfenot tM-bflM OIA, SSJ r~-~,.,...,.~ Ai~wN+M ehMWtrlYa cea} C3 R6ldttki Nth'tMBstA.7Q'sirrfYiILAMCROMHL (~i,..._.~,..,...,....._ f: tM41f lIIE1fAgYftadMll~tOK't01M .«.,~.,..~._...~.... a.' 'MYIF.. 'r1f~'dlarYd-tliM~..~ ..:.,,,(~ 9. 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It-41~ fnr dwl d Aw of a star Jirr. t, qdk '.Ft Mt. nat nmatl0 an fNaN w rrw~n ~u y la t» W d Yr t~~1 ~0pwOFM ff2P.Q. ~/49tf1{(1.5f~T1M~/4YfM ,i9lIYF!(bafiLr'AxQ 100utt fCra b,~arlYi~-lttlibryryiwwtr~Fri'wdo~ndtwthfrMikplYrt?Mftr4rlFR 1'iNY~-IrWrrrirgtPWM , kt+rarrryYtr Fdrtl1W d 0tilr fA of attar Aft t, 2G4a, ~ to rtb imptled oa Iht atl talta Gab 1 dorxtMl dr41 to d+qt a yaYwtr rd etaA b 6r Ya lrt rill ffi t nt1aW aalY11, aep/1w Ntdall~df~ Wlht (~1iL}wmd t~r , gtta~lMt~l1 _~I~ iMlM rtY lrM!faMffa eN ntt,w9~tdbwMeger tr dttYWaCMfi/M1~rtt ~tMu~l'lalF t-1~itlrltte,e~epi as aCMO i~ T7 -.3 X1116 (r}tf1+[7t 1!S. pltf(, III 6pl to ~It fMl 11 etl Ydw of daftleri m a b Yar iNft # Yr otorOM~ft ~ s +2 ~1Rlnt {TJ'P.10. }~ttd~(1:5~ A tl6ltp it a~Orre over ttutinR H~2 tc rYrnr~nidYrl r~ra Aa LL k~ l~ ~uta in won 1Ya Wadfrt MMdif /yMeodN REtG1P~'i ~ ~~~~ TIL'li ill ~s ~j a ~~ ~ G~ ~ +?+ ~Il~.~' I'4f ~' P~it# must inciuda ai ttsn~iars at real a~s~te anQ ~~N~- PrreQAal ~ ~ Pali ii ONLY v~ tli1- prppgili~ltati trMWtod of b ~aw 1te ~ swK3 ariuwr !o r wax roads ene th~6r dame anct ~ ,pt ~e ~rana~aree. This scttects~ inns ~ thraig~ 4 vn tter rrvarev ais~ of ttha R1~1737 sh~st le ~, ~r++s~aFtM~ra~ Jf~ s ~F ~kr ~aad ea iMMr a #sg1K, t~tiE talF 13E1tih~ X of pGCtEJ91DM M~ltll~0iA09HT 7. ~sd at 2:i6 AMe-xls~le ~, l.+xrrerA~lMt f~t,t5S0.[MO SA! 3,t 73YJ25,Ai- T +~ ~. Tex Fhsres113•1~068 1 ~ntat+a~ wes ~ tiia F~tarry. T. t~,p~ ~. X110 ( ~ taac~a~s+aamant add ~~'~~3 ~s.~.a~ - ~ .~~. ,w~w .. 7' P`rl 13-23-QdCJ~6~4 D~~ 'CT~IS b~.E© +s mec~c the ~~;, day of + C , 2~~ by an~f ben~rn Lt?tlrlf,~~,, ~'"~. farxt~er tsrrn~+wn as LO#IISE' X AFL a widow caf L,o~ver Al,tea~ bra Gr~unty} Penns~+lvmii~, and MARRY T. RENS~L, ter span, ntt a~l~tt iundivichaad ~e Via, her~ftcr (thc "'tirsntors'"~, ~ NatRRY 7":1~1~TEL, a~ ac3trtt rr~divdua~a~~c~f n. V irpinia, hrrfZer the "'E;raatee~, ~ Wl"l~IE~SETt~i, tit tt+~ Gr~ntt~ for and itt et~~idt~tiott a~!"C)PV>+r At~1tf t1~(l~ {~~.ll Ltd, la+~~i'r~i mc~n~}r of the Unite 5rat~~ of Amcries. m t3te Csrarttoas in hand welt and truly by,t~ (irttntc~c, at ar t~efare thr s~raling dc~ivar}, o#' ~ its, the r~cei~t wvi~rc~-f es by ~ckwlend and the trantcsss bung therer~th fn1fY ~atisfiai, do by thcsc g~rt:sent~ grant ` tl and ~.~ un~ the Grantee forev+ex thy: pccmises &nawn ax 2~E Atl~e Wat ~ in Aden Township, Cumberland Ccuatty, P~nnsylvanizi (tl~e "Premis+ts";), mvrc ecifiral~~t 'taec! ht~reina#~cr, to bald hel+eir in CCra~ttcc`s sale name: AI. TRAT ~IrR't'A1N lot az tract+of laud siwatr ~n the Township of t<.o~r Gillen, ~ ctf , auci C4manvvealth of Fcvlti~artia, rncxe particularly bounded as•rd dribc~d ads Cdl ws~; +GINNtI'~G at the Prir-t of itttcrscctaa cif tlia wem tine of Adlerxfalc ~`ay, the , of ~jaincr t~etv~ees Lats'l~as~ X22 ~ 3 cam the her+eeicutft+er mc~tit~xctl i #f lots, tl~erc~ Nart#i 8S dew 9 trrinu~s R7est by sal line of ad~aizter 1 l a.$5 feet tts a Poitrtti t~~e+c How ~ ~ ~~ rninut~es2~ seconds 1aist 14S feet to a ptiin#; tl~C~ N~ 72 d ~#1 cninut~ 2~ seconds east 77.7? feet to a Phi ctn the w~ 1~e c~fe~414rr~dale Way; then is aa~Ehcrty direetiost an a ~urtratlRg~'-t ', ~+rith a ra~r~s ol` 65~.t1S fc~ far a +~ rtf ta0: fact ts+ post ahd ~[a of ~l~P~~l'tdi~ BI~I~G l.at Ato, cxn the T'l~n of ~cctc~x 7 ul' ~1llrtut~lr, xs rd~d in tie Ceunbcrlaa~d Ccrttn~r Rar~rder's OfTi,Cc in flan FktotC 14, tie ~~#.i-lamming thao~zr ~Iert a ~weg ta~vix~ as ?34 AI~r~C Way. Blll~ ~ ~A.11 FI~EI~QSw1a~e~ Lauisr ~C. l~HU, [arrn~ ttw~s ~s ` aG lC. Rom„ by }~ deed datcct J~ l7, ~p(37, t~+ard~ on Janus t9, 2t~7, in 1 of l (~fhce +af Cu~nnd Court, Ptrutsvtvazua> irn I7~ced ltc X75, Pa~,e 23 get snd cnn~feyr.~ cmta Laus~c ~. Hartman. and Harry "1'. l~esatet, tnathcr an~i sort, as jt-iat rera~n~c wt~ , ~o~'stm~i~+at~ship, the Crrantnr herein. "~~ ~ tV)~Y~+~1NCF IS lslC~Mt?" 1" t*"Rtl41~i Pl~Nri5~S'li„~A,]+11A I~tEAL~°Y L~R'TA~.~ AS a4, C'i31~TYL"YAN~CIE i~ ROM A PtiVTHFR' Ail'+tl) `.z~W `1('U S+f?l'~ , ', ____.~~ .~~__~_..m._.. _. ~ __.~.;._ ~,...,.__._~ ._m~. T~t1~ it De~dl~ t~=/~ ~. '.yet,~`i~eEa~i~s,?~d-23-2~-~1t~-~6~.... $~~t~ RBS~i~S ~~ Pc`i~'C~1 ~.~-~5-dQl~-~~. t11 ~!G ~~' TAX ~~ "'til ~ 13 E~+dtdbd,~ ~ 13-25-a01t?-~68. Z36 X11 - l6l~t~.Ltt~~ELt~~#?~1 kL,~~~ ~WtfAwY ~~~ *` ~~'~~~ ^~ ~~~~~ i~~ .33 „ 1 1 2+Q 'M!1` ~ 2't10913'~71 Y ~~~ ~ Olf2Z,/,z'O10 ~~~ Q ~ tit 1 7/~E810 1:2:43 Pit ....-- _,_ _ _ _ _ _ I ttEK1737-0 ~ (B-08) Pennsylvania NONRES1plNT I~ClptNT DEPARTMENT OF PEVENUE AFI~~pAVIT OF pOMiCiLE aoX ~$o6oi SBURG, PA i~iza-o6oi his affidavit must be completed and sworn to by a person having personal knows ge of these facts, preferaLbtly,~b/y a surviving spou~sfe oar m+embeer oaf t/he decedent's famy . Name nt/~ ~-~71~' V ~s IV~C I m ~7 /V ~ Dad of Legal ss at Time of~~B'']~a//th/~:[~ /~ ~ , °~~ ~}+ Stree ~P ~i~'~~ ~~i~ ~-~--f y~ ~~v v/ h ~' r ~Ql~ `"~-f©~ he following information is submitted in support of the statement that the above in ivic~ual was not domiciled in the Commonwealth of Pennaytvania at the date of death.'' 1. and addressee of the decedent's surviving spouse and members of hialher immediate family: Name ~ t ~l~~S~'L-. ~0 Street a~ o~o~e~-. L.1o.,~. ~~B°~-'~iz~/_ _ ~,~ S~ ~~~-la1 Name Street Addre City(Borough State T _ ZIP Code Name and R atio to 1)ec~dent Street CitylBorough State IP Code 2. Did decedent ever live in Pennsylvania? Yes ^ No If yes, wring what periods? ~ Q ~ ~ _,___, ~ ~^ 3. Did decedent spend time In Pennsylvania during the flue years preceding death ? Yes ^ No If yes, wring ~t p~god~ pat what~d _es~ 2~3 ~ ~~~b9~ ~ ~m ~/~~- l ~~A ~~ ~o~~ 4, What the nature of deeedeM's place(s) of residence du ng the five years tmnrodiat~~tyy preceding death? Indite whether decedent resided in a house or partrnent and whether it was rented or ownedby the decedent, andlor whether ~eaedent resided in a hotel or home of relatives or friends. ~s~ ~~~r-~ ~~ ~~r~ ~ J 5. Was th dsrxdsM during the flue ysan receding death? ^ Yss No If yes, li t the name(s) an address(es) of empbyer(s~ ~~~/~G 6. Did the leave a Trill? Yes ^ No If yes, a the court that admitted the will to probate and the date admitted, and attach a (including all codials) and a c$rY~fidate of issuance of letters t tamerltary. 7. N the rrt did not leave a will, has an administrator of the estate been appointed? ^ Yes ^ No N yes, Fe the court that appointed the admi~nistrjato/r and the date of appointment, and attach a certificate of the issuance of letters of aldministradon. / v 8. At arty during tM last five years dhi the decedent execute a will, codicil, trust in ,mortgage, lease or any o meat in whkh tfre was described ss a resident of Penrlsyh-ania? Yes ^ No If yes, such dormment. ~~~~ .~ 'NON sl@!NT @!Ct@tNT AFFI@AYIt OF @OMICILE (continued) 9. Did decedent pay a tax,on income or on irnangible property to arty state, county o aality durin~the test five~ri If where and when was dpaid? / /~~/ Y~es~ J~ No 10. To deaNr? office of the Internal Revenue Service did the decedent forward his federal/income tax retuma d i death ~11) l ~ 41/1f l l9 11. At tNrrs of~yN+~ the decedent own, individually or jointly, arty interest In roal PropQ y, ir-duding No ' or r If yes, describe the property in detail Page 2 years P~»rh- In business activities was the decedent engaged durirr~ the last flue years preceding oeam-r I whether decedent was emdo~d or othervnse engad m the twsiness, and state the names and the addresses of the ~ersOns, firms or corpore- tions which the decedent had .such business affiliations cept for employer listed in #5). 6~~~~~ 13. what i the estimated gross value of tl~e decedents , exciusNaAOf`real Property and tangible property located outsldei,ot ~erinsyivania~r lv~~~ 14. At the a» of death, did the decedent own or operate an automobile? Yes ^ No If yes, ' which state was it registered? ~~ 15. At the of death, was tM decedent a member of a church or any other organizatlon ? Yes ^ No If yes, the name and address of the church or any other organization. ti 16. State purpose or mason the decedent owned real property in Pennsylv~ania/. / 1 r' 17. Include oUier information you wleh to submit in support of the contention that the individual was not domictied in P ns Ivania at the time of deaf I more space is needed, use additional sheets of paper of same size. I~Jgmp - Relationship t0 Decedent SlreetAddr~a ~ City State ZI .Code nder cities of perjury, I declare that based on my personal knowledge of the decradelnt, the inform provi ed on this form is true, correct and complete. Stgnakue of oats ~( ~~ ~~C1 ,..._... _T _ i ..c.-sw cn ~wva) 3 4 6 0 0 0 9101 ESTATE INRORMATION SHEET pennSylvania FOR REGISTER'S OFF~ZCE USE ONLY OEMIITMENT OF REVENUE County Code Year Flle Number DE DENT INFORMATION: Enter daq as R will appear on sll D is `'al~Security Numbe~r~ Date of Deat/h~/~f ~ Da/te of Birth ~ // q /~ ~ Last am ` ~ Suffix First Name MI /4/eT/~11aN ~ L-~UI S~ TYP FILING: Fill i val to indicate the nature of the return to ba filed with the department. ', O robate Retum Joint Assets Only ONon-probate Assets Only O Litigation Purposes (no other sets) L ERS GRANTED: Fill in oval to Indicaq the nature of the proceedings at the Register of Wills Office. (Attach additional sheeq explanation Is necessary.) ', O estamentary O Administration No Letters O Other (Please Explain.) ATT RNEY/CORRESPONDENT INFORMATION: Eimer ail intormation for the attorney or individual to e~qx information and correspondence. Last ame First Name MI X41-r~-~3,Q~ ~ ~ipR~/'~ h'~ Sup a Court LD. # Telephone Number First 'ne of Address ~ 3 ~~`-~e ~ ~ ~ Sern Line of Address City Post Office State ZIP Code /Q~l S /~ l~i~~ ~ l PE NAL REPRESENTATIVE INFORMAITON: Eller all IMonnation for the personal representative(s) the estate Exe authorized by the Register of Wills. for/Administrator Socia Security Number Telephone Number ~3~s63~B ~D3 ~~~~~8~ Last ame /~ `p Suffix First N ~ I M.i ~ First ne of Address I ! OFFICIAL US ~/ i//Y " ' ~- ""+v • ' " ONLY ~ ! ~ ~ Sewn r „ Line of Address TRANSACTION COUNT City o Post Office State ZIP Code C.om general esgq Information questions and indigq additional personal represengtives on reverse Nda. PLEASE USE ORIGINAL FORM ONLY Side 1 3460009101 34600091011 ~,I J ~~ 3460009201 REV-348 EX (03-09) f1 _ Decefde~nts Soci/al Security Number Dead nt's Name: ~-.~L/'C~ G ~ ~l' /9''~ ~ mi~ ~ ~CJ~~< ~ •w~~ iyo-E orator/Administrator Soria Security Nu r Telephone Number L Last ame Suffix First Name Ml i _. First 'ne of Address Seco Line of Address City o Post Office State ZIP Code Co- orator/Administrator Social Security Num ~ Telephone Number Last N me Suffx First Name MI First a of Address Sewn Une of Address City a Post Office State ZIP Code This The with sent oral for c d instructions: m should be filed with the Register of Wllls of the county of which the decedent was a resident at death.'. be aware the correspondent identified will receive aA correspondence from the department. It is the respon$ibility of the rl representative to notify the department if the correspondent contact information changes. aartment is authorized by law, 42 U.S.C. §405 (c)(2)(C)(i), to require disclosure of Social Security numb rs i connection (ministering state tax laws. The department uses the Social Security number to identify the decedent an pe~sonal repre- res of the estate. The commonwealth may also use the information in exchange-of-tax-information agr mehts with fed- d local taxing authorities. State law prohibits commonwealth personnel from disclosing confidential tax in orrriation except :ial purposes. 3460009201 Side 2 3460009201 __ -__ i_.