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'I I II , ' I, 1'1 ,I, I' "III I I '{I, f '" I , I ' I I,,', I"~ I , I', ' "I' (, " I "I J), I I" I r il , 'I I ,I ~', ' " , " , ' I , 'I " ,: "" " ", . I', ' " " "'''I''" , , , , ': : i I :: ' : "'/lt1 "IL ~kl I ~ ,11- " , ,J ,i:I, 1'1 I' , , I I i , i , I I i I I , , , 0....... '. MrlQll. " lh. ':~"'!\l!\"Oa.. "111. OOUhli.v. ~OOOll,YlVanl11, bot OR,' of sOUnd ! m oct and Undo~8t..ndlne do make , , I / I I I th1s my last W.ill tUld Testament. F'IRST t I ,j.", .r """'0> ....""".. ,..., '0 P'T all " "1>. J... ,.... on, "'on." ,~ 100...... .. '00' .. ". be ,dOns afte~ my death. 'Q:t>We shall both be dead and I my lIa1 d Wife daes natSUl'Y:1ve shall Ill$. be deemed the Il u~vi YO~, r give, '''1..."" b"'u",, ." or " "t... '0 .,t".. ""," ""'" "'on... 1 b hI , au. '. '. · 'b,o,,,,,,, I ''POl., J". W, Bh..". ',flb>o"... 1 "'1.., ,r Bhl>oo.." 0,"" '0 b. 8"".,.. or ". "'" 00 ''''' "" t. or ' or "ld"" .M ."hO>I" .Od "p,... hI. " u.. 'h. ,,,,,,,,, .Od/"" 0>1 "'p., or.., ".'. ..to t~ r OJ. 'h..,u""" .Od We""". or 0, Said /lan, in his diso~etion and WithO"t any aocaUnting. F'OU1/'l'H: In the eVent that I in a oamlllon disaster bath Illy wife ." '0, ... "", I 8"., "".. '" b"".'h "1 or m, '.,.,. '0 '." ., Bh.". '" 8hl",,, M, '''''d,>, hI. 'Ir,. '0 .. ''''', abSOlutely. }<' IF']J II: 1 ".,..1. ." '''01,. '''' O. Bh.,.. '0 b" 'h........ '0, or ",. ., '111 I, .... OW "f, 'oo. 'ot ''''1., ... l> O"'Nl\lls WIllllBo'. r, 'h. '"', OHo\liLE., o. LA,,",". ha.. h..... unto SElt lilY haOcl l'11'ld '1 t th ...., "., la., 0", .M T......", '''". .... 1 .. iiwUb J! iGt k,v': 2/-/(197-1-{1 1 p, J~ RENUNCIATION In Re B'l.19 of ~ C;-j II R. L, ft-5 vJ )..Au.. 1'J.5 r:; ~d, The under~igned C (...( IYl be 12. I fiN j) ____~ County, Ponnlylvanla. 6,.><. IE:CUTOr2- . or fI C k'-CJ SHADc-i2.. of To t~e l\ogl41Or of Willi 01 tho abov,o decedetlt, hereby ronounce(s) It,e rlghl to administer Ihe C~lale and retpecttuJly ask(i) lhat \Allen '- ~--'-- be Illued to WITNESS hand this day of _.19_. (]/Y/1~I//.~ ~-L-ISI'""U;.) 3'6'1.i() ~, crv . _ ~~<.... ~!~ ;CJ.u 1'7//; (Addr,") (SIrna,.!,) ~. --' (^ddr...) - t':'~ ,,0 :r~~.'" t-'" O~ (:) \() , , ,_... I ($I~UI.) ~, L'. ~ ~-"I 0 ~ ;0 UJ '8 ct: W;,' """....- 0 (,I"d~rlil) " ( 1,(IIHC'JJ'iAr,il) Register of Wills of Dal.:lphfn County, Pennsylvania INVENTORY Esta\e of CHARLES W. LAUNSE _....-._-----"----.---_.~~ 2197-0411 No, n.._~_,.._____.____1 DOr.UClsod Dato of Doalll _l.IP'Ii!!~__~_~_Ll~9} Social SflCurily No,~.~o._:?~:-.}_83 L_ also known as -,._--~----_._.._~-.. -- _.._.._.__._--_...----_....~--"._.--~_.~-_._-_._-.-._--- Personal Raprosenlativo(s) of tho lllHIVO Estill!}, dllllflHROd, vorify lhllt tho HornA Ilppnnrin~1 III tho folluwlng invfllltory includn 011 of the porsOnnl-D1H161H whorevor SI\utllo unci /111 of tho roul o"lnto in thu ComrnuI1Wllll1th of PflnnHvlvllnlll of flllld DIHiodunt, Ihilt tho valualion plnood oppositft oach iwm 01 ~iilid Involllory rnprOHontl-l lis lcdt veluo fiR 01 tho <lntu of tho Dooodnnt'!-j duulh, 11m] thai Dooodont owned no r(tAI 611tnte outsldo of tho ('omrllonwoalth of Ponnsylvanlll O)(Oopt thut whioh npponra ill II nlOnlOrundllnl at the ond 01 this invonttJry. I/Wo verify thllt tho HlfllOmonttl mlldn in thia Involltory IIfU trllt' find COHoet. I/WIl llndnt!llllncllhHl !OIRO statomants harain oro nwdo Rubjnol to thu ponfllli09 of 10 PlI. C.S, Sootian 4904 rnlutiny to LJnti'/Jorn fuIHifwull"n 10 flllthoritio!l, Nl1mn o~ Attornev: RICHARD C. RUBEN PO,"ol",1 R"I""""''''''V''; _~. ~ ~4~t7~/f-l'C-._ I.D. No,; 27767 ._.____"______ _.__.....___.__..._ ___.__~. _n...___.~_""__~_'_"_' 113 LOCUST STREET DlOlolI._Ji-:L :5 Cj] Address: -1iARlUSBURG, ..PA__171.0 1~141_0_-__... T.,oPhono_~~~L_2_~~__::. ~?~_.n__ ___.. __~____ 5. 1985 CHEVEROLET TITLE /I 37557333102 Villw) $ 60,000.00 48,194.71 94,030.85 880.00 (")(J 595.00 r:: ,;"' \.6 ~n 2-43.00 [.0 C.71 -, en ., \...1 0, 1. nEAL pnOPERTY - 1~'~~tLIAM PENN DRIVE CAMP HILL, PA 17011 2. HARRIS SAVINGS BANK ACCT 0 31-01409185 3. PNC BANK ACCT.' 51-4003-6921 4 . CASH 6. RETIREMENT CHECK (MORGAN PRODUCTS L.T.D) TOlal: $203,943.64 (Attach Adfiitlonal Shonts if Hccl1ssaryl Non; Hw Mornurlllulllfll 01 fO,ll onlillu olll~ldll tlw CnrlllHO!lI'lUllllh III f'IIlIIlSylvllIlliI Illili' al 11m /llm:llUlllllllll' PI.I:;OIlJ1llllIHII!WlllllIiVll. im:llIdj, Ow vnhw Qj f'/l/:Il ilOI1l, hUI such 1JlPIfI'S ~hOll!!llll" ho II\l!Indnd 1(\10 !tIn tollll (If 1110 hWt!llllllV nw-o ,", I '\ ~f.oJ.I.~OO e:<+ p,eM) I 'OR OATIS 0' DIA1H A"IR 12/31/91 CHICKHIRI I" A SPOUSAL POVIRlY CRIDIT IS CLAIMID I I rill NUMln I :j.,\rr, - o' / I( COUNlY COOL YEAR NUMBER -1\~~~~~~~~[1i~"~~~ ~ -\\~. ;V~-_.._- E"'"fC.l".4'0~\''' W(}. AMOUNI "(~"o I'" """iI(~O"'1 I] 3. Remalndor ~ehJm (for doleu of death prior Ie. 12.13.82) Futuro InIon,,' Comproml~o ! J5 Fedoral EUale To/'; Rnlurn Roq'Jirod (1M duros of deClth ahar 12.12.82) Decodont Died Toslole I 7 Ooroc/onl M(llntCllnad 0 living Trud _L 8 Total Number olASafe Doposl'~oxos ("!loch copy of Will) IA!loch copy of Tru'l) ::r,',""oI..H\-t::.r':.~.J"\tVl~~ ALL CORiiSPONDINCEANO-CON"fiDENTIAlTAXINPORMATlON SHOULD BE DiR!CTlD iO~---'-'-'-- ---- ---- ~;~~~~ r&-'c. .-~ - 'Q-- - COM/LI''-1A''''t~~~~~;~+-.-~~~~~* -. IfLm'ONTNUM"';;;-:, _ . .~..1.,t,J /./;:Jrr; "'\;"J..ir~ I ~A , '1101 .)~~J".X._..".-.....~~,".. ".J ...-- . .=.r=o";=.c........==~=."'.. (d:) Ict:::O. " , . , :71 -Q'- -0-' :1 ;~g4~ ,(~/-C :-0- -0- I Q )~~LLj 1:<1. 5.1._ PO) .(1'1~. :'2:>~ ~'.ti.9. ff'. , ...., I " .,) 11/ ( I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) lilffi "''' "'2 8i: 2 .. ~ ~ '" w '" 2 " ~ ." => .. lE 8 S COMMONWEALTH Of PENN5VLVMlIA DEPARTMENT OF REVENUE DEPT,2&0601 HARP Sal,JRO, PA 11l28.0hOl -.. '" 7 ~~='."2~~i;-~;IA~~ u~, ffi IAt SECURITY NUM&ER .., Fit 0' (It "III lOA\! (Jf AI~!H ~ \f)"i$..a~L:. 3?i':)~ 1"1" o.(~' 9~1 II. "I'd'! _..-=_._ "__~_ .:v..~"m:v" ",,,,,,,,, ,,,,, "I', ",','" , ",." I""'" \I""'" ""'"'' ~ t& 1, Original Return [ I 2, 5upplomontul Roturn .."'''' lrl if 11 [] 4. lImlled Ellole [ I 40 :00 f.Jg:~ ~ ~6 1. Real E.lole ISchedule AI 2, Slock. and Bond. (Schedule B) 3, Closely Held Slock/Partnershlp l"tlllrO$1 (Schedulo q 4, Mortgoges and Noles Receivablo (Schedule 0) 5. Cosh, Bonk Deposits & MhcollollOOUS Personal Property ISchedule EI 6. Jointly Owned Properly 15chodule F) 7, TronAf... ISchedule GI (Schedule LI 8, Tolol Gron Antlu 110101 Lines 1.7) 9. Funeral Expe",el, Admlnhtrativo COlh, Mlscelluneous Expen... ISchedule HI 10. oebll, MO.lgoge lIoblllll.., lie" (Schedule II 11. TOlol oed"'llo" 110101 line. Q & 101 '12, Net Valuo of Eslole (lIno 8 minus Line 11) 13, Chorlloble and Gove.omenlol BequOlI'ISchedule JI (13) ......_~.~_...::{).7._. 14, Nel,'/olue Subjecllo lox lline 12 mlnutllne 131 (14) J.<JI.f ~.d..~, __.~~~._._,__.__..._~___._.____~___..._._______.______._____,___i____..._.. 15, Spousal Transferslfor dales of dfath aher 6.30.941 See Inslrucllons for Ar,pllcable Percentage on Reverse Side. Ilnclude values rom Schedule K or Schedule M,l 16. Amount of Lltlll 14 taxable 01 6% role Ilnclude values from Schedule K or Schedule M,l 17. Amount of Line 14 taxable 01 15% rote Ilncludo values from Schedule K or Schodule M.l 18, Principal tax due (Add tOI( Irom tines 15, 16 and 17.) lQ. Credits Spousal Poverly Cradll Prior Patments Dhcount m-Q - + /OJyJQ .no + :SCl(,Q.'>,' 20. If Line 19 is greoter Ihnn line 16, onter tho difference on Line 20. This is Ih6 OVERPAYMENT, Ill] Chcclt he,e if you cuo l'IHfuosting 0 refund of your qvorpnvmenl ' (II (21 . (3) (4 ) (5 I L_i :-) (6 ) 17) 18 ) f)Q3r-9.'i_~.J~:/i 011"1 ?'<.l (II) ___1-1...____.:_'mn (12Il(~~~()..s> .?,o '60 (151 _"..-_~-":::"Q-= p6InLf~8:).l.'a'Qnn ._..-0:-..., ...__-0 -_ /1/(" c<~ q_..5.::; n~=Q - II ,CQ.'gq. S S . _______~... X, ___~ n X .06 CI (17) ._ )( .15 :r:l (181 Intore~1 -0- IIQ) 120) IO~:S0'~), ?..I _- 0-_ l1Co3. 0..'-1 -O- n (,,'~, :.)'-1 21. If tine 18 I, greo!or thurl lina 14, ontor thlt d;Herollco 011 lino 21. This Is the TAX DUE, A, Enler Ihe InlMinl on lho b(lklnto duo on line 21A 121) PiAl 12181 B. Entor Ihe lotol 01 line 21 cIne! 21 A on lino 2 \ B. This is lho BALANCE DUE, Mak. Ch.c~. Pavable t(\1 R_~~I.t.r of WIII'I Agent ---- --- __.__.. . :::::-j.__j.-BE~URE-TO"NSW~RALi.QUESTIONS'ON REVERSE SIDE AND TO- RECHECK-'^"TH-:;('~'------ .... Und'lr penalties of perjury, I declare thot I hmo oMlmined th'is rolurn, Including (lccomponying ~cllOdule~ ond sICl!omonH, -~~cr to' 'he- b~st ~(~y-k~ow'lodgo on(rb~li~j, il is true, corroct nnd complElto. I declaro thot 011 rool Olt(ltO hm boon roported ClI truo market volvo_ Onclorolion 01 proporer other Ihan Ihe personal representative is basod on olllnlormCltion of which prflporllr 11m Oily knowlod~Ju SIC;~~-5J,~?fD~.RSO~IRf"~P()~j5Iila fOR f.llir-i(\ ririlJ~fI M10RfS..' . .'. ". '.. . ,-' ii,;lf- -~-~- 0 . qUk.?LJf~-~'<' /7 >U( JO{;'i LII-'''\~')OwP ~!.~.:~ ~,'in f{;,rri.,\:".rq I \)A rfILo;:Yi3 17 ~~tUR7NP'RE"'R~. CJ hl~ _II AfSf~if'tffvt - ^\()DRf'i~ ,_ I 0 D.HE I ~ >/) ~".. " L". ,.- / . j("f/"Lu--=-'-- . 1/3 I.,KU:)t ~)ht.-".1JI'\i)JT\"L\.A~9A /'!LOI 0//3';)] Poge____L. of --I. I SAFE DEPOSIT BOX INVENTORY I t.I$r.~Q'ctl(:)NS -- n --.____-.===~. (1) Co.h, Reporl 10101 only. (2) Slack" li.t In dllloll every common or preferrod cortiflcate, warranl or olher righl. found in bOl<, Slock. ora 10 be de.lgnaled by namo of company, cortiflcole number, dole of cerllficate, nome in which .tock I. reglllered, and number of Ihore. and clt", of "ock. (3) Obligollon. of U. S, Governmenl, Number of Iloml, dole of IlIue, face value, nome I In which registered and type of owne"hlp, 1.0., joinlly held, payable on death, etc, (4) Bond" Oe.lgnole by noma, amounl, Ie rial number, or other delignation, (Searer Sandi) (5) Bonk and Saving. "nd Loon Pa..book" Stolo name of depolitor, numb.r of boak, lalt date appearing in book, nome of bank and branch, and balance. (6) Jewelry, Coin., Slamp., Monu.crlpts, .ICI li.t and delcrlbe 01 fully 01 pOllible, (7) Deed.. Ma,lgoge., Currenl In.uronce Pollcl.. or other evidence. of Indebtedne.., lilt and describe al fully 01 pallible. (8) All other content., ITEM ITEM DESCAIPIION NO. _.i___ -: P.~~]~rJk -~M:!'l\~s.:_.~CQ~'^l - JjfJ.,.rJ~=, ~~lIj~R~ g,,,k:~: .----------it~Mj rt. .lJ~ -1-- C/~1/85" /J~"k:tt:z. I'S_S.~ C:J..-Z6"jC- ...h.. .--..C>W4-fC- C AMk:.t. (,,) ta....I'Sf _____ -_.-.._-.-.~,g- e"+4_~:L.Z6-'1b ~--.!:L' 7b1. Zt, .__z __.}\efJ:'+b ~r()fJ;-~~r II//~I/.. /~p \ ---~;LL~~~. _CAarlt'(' (/oJ tgc<ns~ -~ --Q.YJ //J'l-/~ bt ~e:J.f!rellL'( (5""Je.5Z0 ASf-. (,1- /9R,\ aelJrd/el- \9J1J, };'-jletA~' 15" . 9<1 ').'1:Je# 375S73S3/C!2.. II -- 03)') __.t.. ___~J:S c --- ---, ,'iiiniFY-UNDER-'ALTY OF PEAJURYTHAT1;iiEABOVEREC"OAD IS PERSON RECEIVING COPY OF -----.-. ~g~fjE.fRTr~" lET!..!.o TI!! mT_OF ~Y.l(NO'!'!~DG~.t:t!D BElI~, ~~~~le~~!! BO~I.t!~NTORY!_.__.___.____.___.____ _ ;",NjNAM(4.C-----.h.l._.~ "'-""---""'N AM"~NO H c,~t.f,(r.~;ffi5~""='-~- "'NIO'" .f.$rial\__!12._BeQ.ll'\n "'m_____._ CH~(J;MJ-,L /!1A.tfhew ~~..5c:::._ ~ F... C IT r;Jhlculor(lrilll - Ad",I~UtaIOf\lrill) ---~- ---:------.-,---.~ .______'..~ _Q~~!P!.!.~~~~~~._~lJoin, O~~!.~~,~~!..~!.P_~'i~ ~~Il Illy U\;l~' (1 'Jl1 ~i~ SAFE DEPOSIT BOX INVENTORY .. \- COMMONWIAlHl or nNN$VIY'-'NI^ O('AA1MINT Of A~VfNl.If INHUUTA,Nl;' fAX OIVISION om,1'0601 .C".~~=.~~~~\lU:O, '^ ,,"'0"" . .~.._..___,~=,. Ple.~.e Prh,l Q' Type MUST 81' COMPLETED \,{ RfPRESENIATIVE Of flNANCIAllNSlITUTION WHf:RE SAFE DEPOSIT BOX IS lOCATED AND RETURNED 10 ABOVE ADDRESS COUNTY cO~----~liiNUMBER-'------~OCIAL SECURlTV OR DEATH CERlIFlG~E NUMBif--' 7.02 ~7-~ - )'<!;3'5 DECft5ENT'sNAMEjlASi:-"'i~~'OOl'I-" --'-.' ~.-.-. ." _.M ...-.-.---u.t5AtE'64:A2q..~~~.l.-- .. ---.... ._ . (../J.Y-J1Se . _...C),.(L( )...S__~._LJ----_----L---- -------- ADDRESS OF DECEDEtl~ 1'1''''1 ~ j) ICy,! ISIA"I IlIP COO" ) L__W.J ll.;'o~ _ J?V1YL .C__ ._____ - wk.?' ;.-p_JL)J----- f.A - ..I1.2}.1 NAME At/,,)DDRESS O~ ~ERSON REQUE TING'THE OPENING OF THE SAFE DEPOSIT BOX IfJAM'li(~C1<l!L.J2J1C IL_-~._._..._-------'''---'--''---'---''- I!.TRHT ADDRESSI (CllV) (stAlEl (liP COOEl ..-__.-.__...._S~e...-..L~-.---------.-~--.. NA,.,,~,,~DRIi.S~ ANDRELA!~ON.S.H.IPJiF."NVI TO DEC~D..E':l!o...O~SONIS~ESEN! AT THE BO,l(~ING ..----------------- . Il. (NAMf.) (RelATIONSHIP} _ (.1~L"-....Jl1. _.~B..~.t\S~'--_..----A~-t:cA::---..-- -_...~- .- If>TREf\'AODRESSl J 0 ..11: (CllY) I ) I- 1 (STA? (lIP (DOE) ...20!:0.._L;..rd f,l;-,pli)LL_ f\'d. 3in _J:JPfL'--~V.(6-n.---L1!I..C> b, (NAM'I J/. c.\ R. 1 IRE'ATlONS;;1p\ _iJ'J_dMfLJ LN _ fJA 8.ikm.r+ ---...----- (SlRHT I.ODRHS) / + s;: .t f1 b 1 ICIlYI fit l"A1E\ 11IP COO'I _.......JJ 'S l. ~ C (,<. s _ _ V - /110+-- . ,. INAM'\ t' IRElATlONSHIPI ._-_._~..._.-~- (5TREEl J,DORESS} IClTY\ ISTAlEl IZIP cOO'1 NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED (NAM'I PNC i5TReTfADORFSSI . . ~ ~ ICITYI' G IITAIEI IZIP COD'I . ..____C;;.m,,~L1::l~H.--~_OPf- ;"JLfu..ill---ufi ~--lil 11,'.1LLJt.J1.P.JL ~ :A:~~:f!..~~NJ;~INJ:;TENTR~L}_z.._._~___ _.I DA~ ~jt~1~AST ENtRV / 1..1 ~ .- DATE OF CONTRACT YO RENT B~~ NUMBER OF BOX --erTlT~ UNDER WHICH BOX IS REGISTERED ___ $-IQ..:.]J__I_._R'L_-L- !wll's tAl /"v.n$-l'_ NAME AND ADDRESS OF PERSON(5) HAVING ACCESS TO BOX -ci:-1NAME1--.'-------~~ "J.~,rF/ fsiREET~'~ ~----_.. b,INAM'1 ISTmTADO'EIII I(I1Y\ '-"-TiTAI'1 (liP COOEI ICIlVI (ITATEI 11IP CODEI NAMEAND TITLE OF EMPlOYETAKING THE INVENTORV _.__.JJ..!~ a(~.uJJ _ Bf.c!""_,_J1f-- c I} WAS A WILL IN HIE BOX'/ liVES ~ If V.,, a. Dat..f will, --------. b. Name and add,... of p'''l;Jnal ,.prt.lntallvll If named In ,"'. will INAMEI i"5t"ii:ulADDiESS\-.-----..-------.-~ . ICIlVI 1\ii~ IIIP coDii"- (, N-;;;-;;{~dd~~fatt~;".y, Ifc;y.---- (NAMEI i5tREfi-.AD-o"Afs.51~..-.-.--.-.-.-.. .-~._.~~~---._------.----~yl -~fA~illP-c6oiT-.- SAFE DEPOSIT BOX INVENTORY INSr~IJ(II()NS (1) Ca.h I Roporl 10101 only, (2) Stack., li., In delail ovary co,nman '" proforrod <o,,!flcolo, warranl or olhol' rlghll found In box. Slack. ora 10 UO do"gnolod by noma of company, r.orliflwlo numuor, dol. 01 cerlificalo, nome In which .Iack I. regl,'.r.d, and numuol of .har.. and clOII of ,'ack, (3) Obligation. of U, S. Government, Number of It.m., dol. of iIlU., foc. volu., name. In which r.gl,'.r.d and Iyp. at ownership, I..., joinlly hold, poyoblo on death, .'t. (4) Bond" Do.lgnole by n<lIM, amounl, .orlol numhor, or olher d..lgnallon. (Seorer Bonds) (5) Bank and SllVlngs and Loan Passbook" 51010 nomo of dopo.llor. number 01 book, 10.' dole appearing In book, nomf"J of bonk and bronchi and bolonco. (6) Jew.lry, Coins, Stamps. Manuscripts, etc: 1.1., and doserlb. as fully a. ponlble. (7) Oe.ds, Mortgages, Cutrent Insurance Pollcl.s or oth.r evidence. of indebtedn.", li., and describe as lully no possible. (8) All other contents. Pogo. / of ! ITEM NO. I ITEM DESCRIPTION ..... Pq;;~b;~l-_~:S.~~~~;~~'.'...1r~~ L~I\ l--.-~_~~JJ~;Li~=~J1 i~ . ~F=~:.=~ Af'C"I.H\.:L~._3L.::_L~u<{Q2j8r !J~()k iF Z~.0.s.IA~l..._ ..:...U,.:..1'-..___._ . nC~W1\'f .__.C~M.h....JAL.._4~"s...~c-____'__._'. ...L(/,s ~JL-,,-LZ6-::2b Sa/ante._ '-It; M Z& ~i .:=~~ r' ~ 1 0 ~:L.4-J~ c~ f;[ ;'" ~lJfL.L1!L~L I ~ \ ---..-- - .-... --.- ~~.1,. &>~I\ 7-~-.---fJd~-{h.~rlf.LQ-iA 1.<,,$ e -- .-'/)LL_J1:.l:.UZ:_~___.jju~ 12~-&Lf.11'L_d~"k .sZo P~e. b'G-- _~_ - -.:r...JJL_12____/ 9Er.a_eu~~ ,9JIJ, 1;'1/ B tA f6 ---CJ'1i2t.d0_-_.W.....-Lo.-""'~\..se.___0i1____..J_Ll5...:.J.:L_........_.____.____ !/;:A.J I G) &JG9 H )(~.l/..J!103''1 f;}/.fJt 37S-C;7 Tn 102- _-n.L~'1i~_Q_~~~-_~E~L~e o^ 17, '~"_t<._,.,-,"",-~ ...._~,t_........._.~.._ li;ERYIF"'-UNOER~~ALTv'i)F PERJURY THAiTHTAiloiii'riEi:OR~ PERSON RECeiVING COPY Of - ---.- ~~~ff'~RTI.~.L~EJ2..!HE B~Y~~~~~L.EDGE...A~.D_B~L!~' ~~~:r;2~O~ INVEIiIO.~X'. ....-..-~_.... ..-. PRIN' N^Mf:~~~l~. -~-i5;::- .. . P"Nl1t~~~7~~:~~~~:;~~ PklNl1l111 ' (HECI( mf6PRIAff 6vX {.; F A' , ~- ")(lle(IJtor(ltllI) Admi~i\lrnl0r\trlll) V\..-r' C _J_r_~l.~~.e ~~flr~lltfll(]ll\'.1l [ll~in' .owntH!l1 \Clltl..d~polit.l~oll BOOK...t 20 PAGE 62 m~ta irr~ . Mnd. tho rW(,., 'Y' jj("-"'f- dllY "f ono lhou..nd nino hundrd nnd sixty-two (Hl6~) BolWotn MAR lLYN J. MILLlm, now intermarried with Charles W. Launse and known as MARILYN J. T.J\1JNSF. AND CHARLES W. LAUNSE, her husband, and VIOLET M. MILI.T.;R, widow, of Lower Allen Township, Oumberland Oounty, Pennsylvania, Grantors AND November I" tho yo.. CflAntEs W. IAUNSg AND MARILYN J. LA.1JNSE, his wU'e;~of the same place aforesaid, Grantees, Witnomtl" thn' in <on.idera,lol\ of One ($1.00) Dollar and ot her good anIl.. valun ble ,file ., in hand paid, the receipt whereof is hcrdl~' aLknowledg~"C th(~ satd Grantor S do hereby grant alld convey to the Mdd Grllnter, S : AU. that certain piece or parcel of land situate in Lower Allen Township, County of Cumberlo.nd, State of Pennsylvania, more particularly bounded and described as follows, to wit:- BEGlNNIN Cl at a stake, said s take bel np: on the north side of WilHam Penn Driv(l and on the division line between Lot No. 17 and Lot here- in conveyed; thence by the north side of William Penn Drive a distan.ce' of sIxty (60) feet to a stake on the dlvision Une between Lot No. 19; thence by the line d: Lot No. 19 a distance of one hundred twenty (120) :feet to a stake at the corner of Lot No. l~ and Lot No. 13; thence by tbe line of Lot No. 13 a distance of sIxty (60) feet to a stake on the line of Lot No. 16; thence by the line of tot No. 16 and Lot No. 17, a distance of one hundred twenty (120) feet to a stake, the Place of Beginning. ' BEINa Lot No. 18, Block "A", Tract 2-A, Cumberland Pe.rk Plan surveyed for A.llen Park Development Corp., and filed of record 1.n the Office of the Recorder of Deeds for Cumberland County at Ce.rll.sla, Pennsyl- vania, on Aup,ust 23, 1950, and of record in Plan Book 5, tn ge 2? SUBJECT to re str1.ctl ons as set forth in the hereinafter red tad deed. , BEING the Bame premises whIch Clarence M. Richter, at ux., by their deed dated the 13 day of June, 1\)57, and recorded in Dauphin County Recorder's Office.in Deed Book It It, Volume , page ,p'ranted and conveyed unto Marilyn J. Miller and Violet M. Miller, her mother, two of the Gran tOIlS he reIn. THEREON erected is a dwelling house known as No. 12 William Penn Drive. Violet M. Miller is the mother of Marilyn J. LaunBe. " ,.. ", ". . '. I IN WITNESS WHIlRlJOF, the ..Id GuntorS h. ve lhe doy And yur firor .hov. wduen, AND Ihe ..Id Grantor a Will Warrant llenerally the property horeby conveyed. h.rounto .er t he i r hand 8 .nd ..a1 a Signed, Sealed and D,ellvorod ). .. ... ......, in thtl prtllencr of -. ....... ~. '~",/Jg-" ?~:~~~:'~ )\').QA",~/""l ~Yl':"U,:; Mal'1l1nJ; M~}llll''''':''' '" (SEAL) ~J,,:..t.h' \ 7XM.v~. (SEAL) .. .......".. ~f'1~n IJ .~O'\lnsll ' """. ;(.<<. .. td, .. .......... . (SEAL) .."" ,hll.l' as W. !lUnBa" ' P'.4..t,-6,,/ 7n, 771...2:&..." "Violet M;MUler (SEAL) ... (SEAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF On this. the Dauphin . .2/41'- 15S1 November A. D. 19 62 before me th. undersigned officer, personally .ppeared MARII.YN .r. MILl.ER, now MARILYN .r. LAUNSE AND CHARLES W. "LAUNSE, her hUAband and VIOLET M. MILLF~R widow, known to me, (o~.....l~la'~r~!ly pllOven) to be ti,e person S who.e nameS arll .ub.crlbed to the within ,.i~~~rie~t".",l\~" \, acknowledlled that t he y executed the ..me for the purpo.e. therein contained. l "/...t>"~.}JV:J. \fo ~, IN WITNESS WHEREOF, I heteunto .et my hond and official .e.1. A:. i ;: .r ,,~, '. . '-E& 4~7/hIJ( ~~.. .(ii/;,'j.. . ( // _~,. . ... .r::~~ 1-,(f' f"); '4w...:- ....??/:..:: ~ ~. ~..a ,"/.<..?i1'rJ'r:~ ' . -N(>>..c~" i;;;i~"';" r I' C '" '" ".,.,.. .... . ilY crn,,,r,)+~I,:1'N ' , " Title .1 Officer, 'b n'll " ,am. life, 1)1, '" U..lIfJ',1I11 I, I HERB BY CBR'rIPY, that the prod.e relld.nce of the Grante. . / 7.. tv vU f' Q, rftr ~::::::h..i;fifI:(.fi,c:e.~;c_ d.y 01 t1' . ~ ~ aJ l> .., . OJ ~ H i ,.. i or! >0 eo ~ ~ '" C\I Ql o, .., ~ \0 ,.. ~ ... Ql . 0> . Po< :E M o,..J ~. <>: r-t 0 a ..J ' .., CIl ,0. ~ fiI . (\) oj ~ 0. " 6 ...:l CIl ~ ~ H f3 . ~ t " ... ~ go, 0 I~ :oil or! 0 r-l! o, - It !;;1 j ..c: 0 orl' m ~ ... . ,.. . ~I Po< ~ ~ ... 0 =a aJ r-l o t . . fiI ~ *' ~I 'tl t< " ~ oc CIl c Jil <." 13 Ql . t ~ . ~ lI.I I> 0 . a ~1 j 0 'g H H ~ ~ G Q) H :> 1 ~ ~ ; ~ . '" >0 .., ~ .. ~ " ~ t) d (l ~ t) " "1 ';J ',~', (" 1'1 ~ ~~J 1M ~ ~I OJ c' . \ "",\11 .. I'"' ." ~,.\ '" ." .. 7.'1,' <.> "" \ ~'f;. ,Dr "" Co COMMONWIlAL11i OF PBNNS~IA . ;;"<'7'. ,11\" '" '" ( , ~" ,'" 0 SS. , :i <;j ... ~~ .~ COUNTY OF ~.... ~c I/o '" ..J-, ~ .~ A. D~ 191.t, the Recorded .n thl. )J day of 7J.;v- . Recorder'. Office of the ..Id County in Oe.d Book ~ Volume ,).(1 Pille 11.2. Given under my hand and the .e.1 of the ..Id Offlee, the d.t. above written, RECORDw,orrICE Of THE RECORDER Dr DEtDS 1./ D/) / l 'V-~-~l-"'- , I ~ ".""""~.".."",,.,,., "..."".."",..".."... """......."................".."."..."".""."..". R_det .:. : I ,r ,P. /'1. CUMn[~IM/fl GIIIIHTV pU"~YI VM/lfo David B. Smolizcr, ABR, CI~S Associate Broker 3425 Market Street Camp Hill, I'A 170 II 717-730-5576 800-659.630 I -BUSINESS ACIIIEV.:MENTS -1997 PROFESSIONAL MERIT AWARI> of the Greater Harrisburg Association of Realtors in recognition of REALTOR professionalism through education, cummunity service, and Association participation. '1996 RE/MAX INTERNATlONAL-H.n of Fame Award 'WHO'S WHO in Residential Real Estate in North America 'ACCREl>ln:1> BlIYER REPR.;SlcNTATIV.;, ABR .cERTIFIED RESIDENTIAL SPECIALIST, CRS '100% CLUB nwarded by IU1IMAX Internationnl for having attained high production within the RErMAX system. 'PAR EXCELLENCE GOLI> A W ARI>, awarded by the Pennsylvania of Realtors@1'or having attained the highest degree of success In listing and selling real estate and Ii" active participation In the community. as well as national, state and local associations. '1993 SALES ASSOCIAn.: OF TilE YEAR awarded hy the 1200 member Greater Barrisburg Association of REALTORS. This award is presented annunlly to the realtor who not only exhibits high principles within the real estate industlY, has high production volume, and is very involved in the Association and community activities, '1992 SI'EClAL RECOGNITION AWARI> presented by Greater Harrisburg Association of Realtors for outstanding service as Chairman of the Community Service Committee (1990.1991) in establishing the Greater Ilarrisburg AssociatiOlo of Realtor Foundation to assist the community homeless and poor. .WaNNERS CIRCU;, Top 5%1 Greater Harrisburg Association of Realtors 'MANAGER OF TilE YEAR, Better Homes and Gardens Real Estate, 1983 .SALES MANAGER, I1etter Homes and Gardens Real Estale, 1981-1984 -PROHSSIONAL AND COMMIJNITY QIJALlFlCATIONS National Association of Realtors West Shore YMCA Board of Directors Pennsylvania Association of Realtors Chairman (1996,1997) Metro Harrisburg lIollle Builders Association Executive Vice-Chairperson (1995) pennsylvania Home Builders Association Treasurer ( 1993-1994) National Association of Home Builders Executive Committee Member Secretary, Greater Harrisburg Association Harrisburg Realtors Foundation of Realtors President, 1996 East Pennsboro Board of Recreation Secretary/Treasurer (1993-1995) 'GREAn:R HARRISHlIR(l ASSOCIATION OF REALTORS COMMITTEE MEMBERS (Past and Pres",nt Memberships) Chairman. Equal OpPol1unity Chairman, Blood Bank; Community Vice Chairnlan, Public Relations Vice Chairman. Membershl~ Recruitment Realtors Care, Strategic Planning, Lender Liaison Thanksgiving Food Drive Speakers Bureau, Nominating, Professional Standards 'EDlICATlON LaSalle University, Philadelphia. Pennsylvania B, S,. Business Administration !.' ~ --.... ~ \j.. ~ ~ ~, I ~. t\, ~ " " ~. ." ~ S' . I ~ (,~ ~ ~ '~~ 'l' ~, ~ ~ ~ ~ -/' ~, ~ . ~l\)'~ ~. '\t ~ " " " ,~~~. ~ \. .'Q I'ls"~ ~ . ':i1 \!) ,~ ~ :i: ~., ~ ~ ~. ~.~ ..... ~ ~ ~'v :\ '- ~ ~0 . {~~ '-.J ~ ' , " I' JACk W. SIIAUER, SR, ......ICHtNT-<:Hlt:' .UCVT1V1 <WnC"" 111((- ~.lJ" rPrI',,/r //" ;<'_ ('1111"1 i'/(ff' !,"'Yflr'l' , r-" ~ !/(N ~ (/;1.' ') -, '1 /'>1'1. II/ f'I'.,I'"YI'NI' ~ .,L/~ ~r ,-U, ;OLJr- /. r IT, fir" r '/1'1'1" 7l.i141c. 9r/' . (~""RRI8___ , L.B. S:\ltTlI HAMIL.TON lANK twV!1IlIl,IAO, PA 81).1$04 -"113 L.B. Smith Ford, Inc. MIlfkel Stlflel ~I Tw.lflh . UmO'(Oft, PennsyNanla 11043 ... IEIlI!!a .. 024541 III .... AMOUNT C24 ~41 07/17/97 AL 1001 $695.0(' ... SIX HUNDRED NINETY-FIVE AND 00/100 DOLLARS lOIlC 0'"'' ~ ." CI1ARLf;S 1'1 LAUllSE ESTATE --44J~= L.6. SMlTtl FOOl:l,Ino. ~O~~5~~~ ~03~OOOO~~~ 5~ O~~~~~~ ._~___._ .__. __n _ ....__.., LO. SMITH FORO Inc. . lEMOVNE M 170.43 Of.TM1ltnrr(llIrllrf'()!lI\!'lt1 1\10 OOllOO~7~ 086776 AMOUNT DISC/MEMO DESC . AL 07/17/97 C24541 07/17/97 09:41 695.00 0367'l6 HARRISBURG AUTI) AUCT!OIl ';1." COlIT~OI, .PEF'BR lion:: PROCEEDS FROM BALE OF 85 CAPRICE DflAl;I4'DCHtDl" '~Y....rn ".nUN ~f ItlllWIIw:HI. .lNOOMIOf 1II11.M.....11u.n Al,tfMTIOHI 9.J~'~ SCHEDULE H I ~:,fJIj;!' FUNERAL EXPENSES, I COMMONwr MI" m ''''NIllv'N'' ADMINISTRATIVE COSTS AND I INHf.Rlr~N(f TAX RUlJIH4 MISCELLANEOUS EX N 'ESloY".,IO"""''' . . . PE SES Plea.. Print or T e ~ST:~~.' 1~\~~~~-~~--:_u ~.."---~-------_.---".r:~B~~' ......... ...YP. . ........ _..,ljlL_.. ITEM NUMBER .-._._.~... ...- --_....---_.~_..._--.--.~ A. IHV.11111_, (/.U81 DESCRIPTION 1. Funeral Expenlwl! (YI y<i!..\'".'j f'v.AI'l.Tn\ \-\or""~ B. Admlnllt,atlve COltll 4, C. 1. 2, 3, 4. 5. 6, 1. Personal Representallve CommlssloOl ' Social Security Number of Personal Representative, ...:. Year Commissions paid 2. Attorney Fees R\c...y.,~,.& c.. ~.J..I..'oQJ01 [~9' 3. Family Exemption Clalmqnt _.t:J-I-A... Relationship Address of Claimant at daced.nt's death Slreet Addre" __.__._.. City ___.~._. State __ Zip Code PlObal. Fees GLJ..I"<"'\W\o >..>& Cou.-t-.sht Mllcellaneoul Expen.." I (.In. ~\ 'D~ Gu-tiP;..;te., ~O'" (Y\9t'/ ~t0 u,~~>-Q...'-.~~*,J..J toeA. .fK &\le.N!'-Q.<, to,",1nc.LJ..SY\fUJr- -r,.:>t-J'i.I'<'\;-\\f.>>\ \r'1c.X1-;>'~~ C. f..Jt:>~,,-, E:.~>9' - ~\['I\"ous-(>R. r'or -:L")-"l~-o}..\c..L C)\J Ile<J 'b::;~a"-e... 'f-L/fnA'f I RlL'lHa A'5:,~;rrte.5:" ,'1lJc" , A~~CJ's'i1\ cF- I',). WI\\lilffl ~/~JJt-J or,~ (Yl()t~a I<.J ~n!u.C-~ L 1l)- \?.dus /J <"Jt ?e,/o..)()\O"-' ~Ql'~J"'<<N1: Re..,,;<!SIH.- ~;'r Fill'';''\- -b~ ~'e.-\v,)t0 aNc\ \....'k 1--X> 1="1.~'5 ~,,,,,R cd.(\.rtl~l0a\ ?t,~,\;;\v c.cnh i'> ___._,__L_,_~.._._._ 7, 8. TOTAL (Also enter an Iin. 9, Recapltulatlonl (If more .paco I. n.eded, Inoert additional .hee" of .ome .1...) --.-.:..;,.-......:; AMOUNT ~ o.~(o , YO I tJ!A ~ooo- ()C) "-'Iff ~'is. (')0 ".00 1'6,O(:J qo. O<J I '5 d . 00 fJ.<I~. O~ :;;_<:::0. CO s.-: ) <.../ /. <'1'6 POLICV NO, I l f 'I G A' G\ '" ' E Ii - DONEGAL COMPANIb;; -- \ \g~ filv&r Ilnl\d . ro O(\~ 30:> . MllIIOIlJl. PO!\(\WI"IlIlI~ \ 7547.0302 11\/) 42G.lIDl DONEGAL MUTUAL INSURANCE COMPANY 06/18/97 LAPSE NOTICE 0004155 G 0842554 1505 HOMEOWNERS BRIGHTBILL-PERKINS INS AGY INC A 1300 MARKET ST SUITE 6 GpO BOX 17 E LEMOYNE PA 17043-1420 N T 1.1111I111.1111.1111I111.1.1.1.1111.1111..11111111111111..11.1 WE REGRET TO INFORM YOU THAT YOUR POLICY PREMIUM DUE ON 06/13/97 HAS NOT BEEN PAID. THEREFORE, WE DO NOT HAVE ANY ALTERNATIVE Bu'r 'ra LAPSE THE COVERAGE AS OF 06/13/97. YOU ARE A VALUED CUSTOMER AND WE WILL OFFER TO REINSTATE YOUR COVERAGE IF PAYMENT IS RECEIVED BY 06/29/97. IF PRE~UM HAS BEEN PAID, PLEASE DISREGARD THIS NOTICE. -----=-- - -- ----- *** IMPORTANT__~Oilm=:.,---==--:"::::"':"~ ~- T r.- .... - ~=._~:-=--~--=~ , 0' o C RUBE.N . "W OffiCES OF RIC\-IAR . ~ OffiCE ACCOUNT fIiliI'if!fft LA USi SiREET <I/IifiIIII/'" 113 LO~URO PA' \7101 " ~\ARR\~S' ~~__ ~,'\OJ6liD[1\_~ ~ ~~~or'C>> '/-- - @Jfl~~ "~ 1 ~ ~!.,~~~~~n\( /i7t ~ cL~ i1 . 1;'~~}\<:',tllS- ~~ "Sr:l,,,qcl.CjIl" ~-~ I. c('" "'~:t.-L:----- "\. 000'" < -. ==-~-==- fllllt?'Jo .t:f.Yf--J,2J,L . ,'0:\ j, ':\008 < .1. ~="",=--', . . . .. . . 01.1''''.... 'OOioSloSII . -~=-=-- II ~~-=---- _--=--=----..;o--~-~---_.- ~- DUl> DATE ' LAUNSE, CHARLES W. TYPE OF ORM' . Jn~Al'!>~__~()_TJC;~---~-_.J-------------_.- G 0842554 15 [I ADDRESS CHANGED? ~ PLEASE MAKE CHECKS PAYABLE TO DONE:GAL MUTUAL 1195 RIVER RD MARl ETTA PA INS. CO. PO BOX 300 17547-0300 PLEASE SHOW ADDRESS CHANGE ON THE BACK OF THIS STUB L 0005 GZZ0842554 15 0004155 HPZ 00000009000 970b29 00000017200 b LUWIJI AU,LN WWNc;/IW 1\193' HUMMEl AVENUE CA'-' ',!ILL, f'A 17011 11 r I!t.JNL 11111J1,:),.,~nl IIll-lINn PUIIOlJ PHOP LOCAl ION !lllllNG llATf , I ..., .:' t,. '} / -f 111<\,1;11,. Ii', Ii,' I" lJJUJ(,,~\ 1'1 (,Ii.) iii,' ;.1;','<;.,1/(/"/ r:'(iY c,r.u~:;~., ('~I 11,\' 11-l.IF, 1)"( 01:li(J'j . ' ACCOUNT NO ' ""I I ~ ' , , " , ,I I,ll' ".11,\ " , "J{I <,,:. , " '" \ ',', I ." iiI, I \ 1':,1 , ,,' , , " ,I',' " q, " " " I (I I 1',11.. 1)'.11 (.(, I " " (" \'\' , " . , Af\REARS . PENALTY CURRENT . NET, BIL~ GROSS I' Hf~,F;:1. r ~:' t,1 I. ,f,,! 11'1''01,:' I,:' 1.J11.I.'I,,',,1') I'[/'JI' l'W I' ('tr11;' 1'1,,11..1. I'., :1 ';~ (I ~l -~I PI EASE RETURN TOP COPY WIHI PAYMENT THANK YOU' , A 10% PENA1.TY ON Se,WER AND A 10% PENALTY ON REFUSE IS ADDED IF FU~~f~'f~!'!:lT IS N()T "!t-!)E WITHIN 30 DAYS OF DILLING DATE 108 CHARLES W. LAUNSE ESTATE r'2 60.1238/2313 11^T1I"/~1 I/;. d.J1'Z- l~\)WBJ" 2;t"u'-eJt t1L4(... /2t~~_ .-I $ 1,,;. ~o ~-If~ L-- ~ ~ ~.() ()()ll~RSmii!i,i:\~':::" qHARRIS SAVINGS \lANK ~. At, MUIIIlIM(J, r.\ 111n, ~/ ') EO';O~':.:1' /7fj, .1CJ() ,/ . ~()() --_.~~. _.~ I: ~:I ~:l7 ~ :18 71:0 ~OOO 5 70 5 711' 0 we 141>f'11 Ol\o\flI..uIO J ' @Bell Atlantic I',l!)" I oj ti /1/13/ \l~~\4' D,,4 :JOY --- - ..__.._-,...---~,.,~"~'~...._-_.""-_.,..".,,." [:l\la~!,_Il\ilk(U]ilYIII,,"Llo Bvll Atlantic..!'A .Junl' 1, 1ml/ anc.l ,'cturn. this pil')l' wi th YOUI' l'ilYIl1l'1l1 DUll frolll lest bi II ,.,...,.......,.... Du" Dill" Juno 30. 1!ID7"...,....... lO\.id Du" -............... -,-- !,1 :>.'.lO '1(i. n . ~,31.,G3 - -- Fill in Amollnt Paid !ill $ Q0.\GfiJ Q-Wl.lES .. LAlJNSE '~,. .~ ~~ <"'-P; -;:JIll- .'ID-;rtIo.. ~ COMMONWEALTH OF PEHNSYLVANl~ DEPARTMENT OF REVENUE /5 - / J f '/ BUREAU Of INOIVIDUAL TAXES IHHERllAHCr TAl( 11IVllHOM Dlfll. lftOitOI tIARHlSBUHU, pl\ l1UlHI601 c~ NOTICE Of INIIf.RITANCr T~K APPRAISEMENT, ~Ll,OWANCr OR OISM LOW~NCE OF OEOUCTIONS AND ~S~f.SSnENT Of TAK IlATE ESTATE OF IlATE OF IlEATH FILe, NUMBER COUNTY ACN 12-01-97 LAUNSE 04-29-97 21 97-0411 CUMBERLAND 101 l:'~'CA~~=\_~~=..\Ee:~:~:~~] MAKE CHECK PAYABLE ANIl REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORIlS .... ii"E Ii': iS47. EX" APP" i oif: 97Y" NOT i or "OF - "iNHER i;: ANc E" "fAx - ii P PFt-"- i SF.i~EN:r,"" ^ i:C oWANc E - OR" -. -". -."...........".. IlISALLOWANCE OF DEIlUCTImlS AND ASSESSMENT OF TAX CHARLES W FILE NO. 21 97-0411 ACN 101 --...-- APPROVED D~DUCTIONS AND EXEMPTIONS: 9. funaral EXp'lOsas/Adlll' Costs/ttisc. Expal\US ISehedula Hl 10. Debts/Hortg.ga Liabilities/Liens (Schedule Il 11. 10ta10ftductlons 12. Mat Value of Tax Return 13, Ch.rltobl./GOvern~'I\\a1 BO.U"~S; Non-elechd 9Il3 Trusts ISchedule J) 14. H.t Value of eat.te subject to Tax If an assessment was issued praviouslY, lines 14, 15 and/or 1&, 17 and 18 will reflect figureU that include the total of AL~ returns assessed to date. ASSESSMENT OF TAX: 15. A~ount of Line 14 16. A~ount of LIne 14 17. Amount of Lina 14 18. Princip~l 13X Due RiCHARD C RUBER 113 LOCUST ST HBtl PA 171Ql ESTATE OF LAUNSE TAK RETURN W~S: I X) ~CCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE - .---- APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. RRft1 ~st.t. (Schedule Al 2. stocks and Bonds (Schedul8 B) 3, ClosalY Held stock/Pt",tnarshiP Interest (SehDdula C) 4. Hartg_gas/Notas Raceivable (Schedule D) S. Cash/Bank naposits/Hisc, PQrsona1 Property (Schedule E) 6. Jointly Owl't6lld PropMrty IScheduU n 1. lr.n~i.r' (Schedul. Gl 8. Tot.l Ass.ts NOTEI ) CHANGEO III t21 (~l_ 141 IS) (0) (7) 60.000,00 .00 ,00 .00 143.943.6~ ,09 .00 ~~ ~~ 11;_1,;/11'" 101-HI CHAR L E S W (9) \101 8,141.48 976.36 (11) \12) \15) \141 IlATE 12-01-97 NotE: To insure proper credit to your account, submit the upp.r portion oi th11 iorM with your tax pay",.n t . (8) 203,943.64 - q , 1 U...lI!L., 194.825,80 ,00 194.825,80 .t Spousal -bxabl. .t taxabl. at rat. Lin..l/Cl.ss A ret. CollaterB1/C181$ 8 rat. \IS) ,00 K'OO, ,00 \10)-194,825.80 K.06, 11,689,55 - - -- - \171 .00K,15, ,00 \18)- 11,689,55 .- TAX CREDITS I ------ .~-_._----~~ PAVMENT RECEIPT DATE NUM8ER 07-17-97 AAiills53 -- 08-14-97 AA211641 OISCOUNT I +l INTEREST/PEN PAID 1-) --' 526,32 ,00 AMOUNT PAID 10,000,00 1,163,24 TOTAL TAX CRED~!l' 'l~ 11,689,56 BALANCE OF TAX DUE ,01CR INTEREST AND PEN. ,00 -------- TOTAL DUE .01CR ------~ ----------- IF TOTAL OUE IS LESS THAN tl. NO PAVMENT IS REQUIREO, IF TOTAL DUE IS REFLECTEO AS A "CREOn" ICR), VOU MAV 8E DUE A REFUNO, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) ----- . IF PAID AFTER OATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTE~EST, MEsEHVATION, E.tata. of dlClllldanh d~Anlil on or b.for. DfiQ,lIlber 12, J9ol12 u _If any flltur. Jnhrl,t An the ,.tat, 'h,rinff.rr,a In .......l.n 'r'.nj.,..nt '0 CI... B (ooll.t.rol) b.n.lloJorJ.. .1 tho ."...n, ol'.r tho o,.lr.tJ.n.1 .n, ..t.t. 11ft .r f.r ,..f.. tho t....n...lth hor.b, .,.r...I, r".r,.. tho rJ'ht ,. o..rol.. .nd ...... tr.n".r lnh.,Jt.n.. at th, l'irffu1 Cl.11 a (ClCll1a~8ral) rut. on any Iluch futur. Intlrut. for 18;1(11 PURPOSE OF HOnCEl To lu1l111 tha requlromllnts of Siletlon 2140 of t"l Inhllrlhnoe and Estate Tal< Aot, Aot 21 of 1995. 02 P,S, Slctlon 9140), PAVHENTI . ~.-! D.taoh tho to. .ortlono'f"d,h Notl,. .n. ,vb.lt "lth your .ay..nt to tho R.,I.t" of With .rlnt.. on lh. r.,.r.. .J... "-Hake check or money orclnr p8yabln tOl REGISTER or HILLS, AdENT RffUtlD "0): · r.fund of . to< 'ro.lt, .hl'h ... not ro.u..to. on tho T., '."orn, .oy b. r..u..t.. by ,0m.l.U". .n "...ll..tl.n for Refund of Pellnsyll,1snJn Inheritance lInd Eslllte Tal<" (REV-13U). AppllcatJOl19 <'Ire llvalhlbh. ot the Offloll of the Reglltor of Wills, any o( the Z3 Revenue Olstrlct Officos, or by calling thl speolai Z4~hour nnlwerlng IIrvice nU/llhers for fortls orderlnGz In PennsYlvania 1~1\00<~6Z-Z050. outsldo PennlYlvanla and wlthJn local Harrhburg orn (717) 787-8094, TOD. (17) 772.ZZ5Z OIClRrJng Impalr'd Only), OBJECTIONS, 'ny ..rty In lnt.r..t not .'tl.fl.. .Ith tho 'P.r'l....nt, .Il."n.. 'r .1..II'..n,. 01 ...u'tl.n., .r ........nt of tal< (Includinll tlhoolmt or In\urutJ 8$ shOl," on this NoUc. 'lllst objtct within siltty (60) daYIl of rlo.Jpt of thh Notice by: _'N ISTRMIYE CORR(CTIONS: --written protut to thll PA Department of Revenue, BOllrd of Appeals, Dept, ZlIIOZI, Harrlsbu,-g, PA 171i!'a-l021. OR ~-elDctlon to have the Illothlr dlterlll"e" lit audit of the account of the per'onal representatlvll, OR -~apPllal to the Orphans' Court, DISCOUNT; factual errors dlscovel'ed un thJs osSe$SMent shouid be addressed In writing to: PA Depart.ent of RIV'~U', 8ureau of Individual Tal<es, ATTN: Post ASSQ5Smeflt Review Unit, Oept, Z80601, ~larrhburg, PA \7126-0601 Phon. (17) 787-6505, S... page 5 of thQ book lot "In$lr'uctlon. for Inherltanoe hll< Rntur-n for a RlIIJdllnt v.oedent" <REV-ISOI) for an el<plsnntlon of ndmlnlstratlVllly correctable erforl. PENAL TV: If any t81< due II raid within thl'U 0) ca18ndfW months after th5 deoedent'. death, It flv. percent (5%) dhoount of thw t.1< paid II allowed, INTERESTI The IS% (.))( ftlllnOltll non-participation ,'enolty Is cOlllPuted on the totftl of thlll tllx IInd Interlllt aUelled, and not paid bllfore .January 18, 1996, the Hrst day after the ond of tho tax alllnuty Pltr lod, nd~ non-partiCipation penn 1 ty h appealable in thll taM. ",tmnllr and In the the 9tlU t IllIe per lod ~5 YOU would IlIPPllIal the tax MtI Inter.1t thn~ hal beln aUllulld 81 lndicated on this flotica. Int.rut 1& charged belllnnlng with flr~t (lay of delinquency, or fllno (9) Ilonths and one I'l) day froll'l the date of death, to the dltta of paYMent, Tal<as which beCallle dOllnquent bofore January 1, 198Z blttr Interut at the rete of III< (6%) p.rcent Jlltr annum ealclllatud /:It a daily rate of ,000164, All hll<es which be-:all8 dellnqu.nt on and aU.,. January I, 198Z wJlI boar Jnterut at a rtlte t.Jhich will vllry frolll clllfmdar YAar to ci!llIlndar yur with that rat. !lnnOunced b~ th. PA Deparhllitnt of Rovenull, The applioElbl1 IntArut ratell for 198Z thrtJugh 1997 flr.1 ~ Interast Rattt palty llltorlllt "actor- t.!!!! Intllrllst Rat. DailY lnblrllt Factor I98Z lOX ,OOO!i48 1987 9% ,000Z47 1983 16% ,000438 1988-1991 11% ,GOnOI 19~4 11% ,GOO301 Iq9Z 9% ,OOOZ47 1985 13% ,0(10156 1993~1994 1% ,00019Z 1986 10% .000274 1995-\997 9% .001)247 --Inhr"t Is cftlClIlatad .. folluWll INTEREST 0 BALANCE Dr TAX UNPAID X NUNBER or DAYS DELINQUENT X DAILY INTEREST rACTOR --Any Hottele Jllulld afhr the hI< becO..1 dllllnquent will refllllot an Interlllt olllcuht1on to flft.,n ClS) dlY. beYond the dot. of the alL'lUUllnt, If paYlllInt II "ad" aft., the Jnt.rut cOllpuhUan det, thown on tl1a Hotlce, IIddltJonll1 interelt MUlt b. oahluiatAd. "i ,-.,......-."...-- \,