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HomeMy WebLinkAbout95-0060'. ~ .... ..: I !/'~- ~ - i -- `;~~ ~~~~'i'I'I®N ~'~~ PR~~A'I'E end ANT ®~'QLE'T"TER~ ,.state of _ °?~` ~~ K k YL. No. ~~" 7~ ~® .~ also known as ~ ~~~~ ~-~ To: __ _ Register of Wills for the J Deceased. County of ~~~} !.~1~~ in the Sc~cir.! Security AJo. ~ - ~-~~_ .Commonwealth of Pennsylvania T`.e pcNtie't of the undersigned respectfully represents that: 'i our petitioner(s), who is/are 18 years of age or older ar, the execut~~~ ~? - __ named in tree last v~ill of the above decedent, dated J ~- ~ ~J ~~ `~ , 1~---- a;.d cou~icii(s) dated {state relevant circumstances, e.g. renunciation, death of executor, etc.) ~ecendent was domiciled at death in ~r ~ County, Pennsylvania, with ;~t~~(, last fatni/iy or prin/c~ipal residence at .~~~ t~~/t/4i?' ST-. A (list strzet, ncatnber and muncipality) I;tcencient, then ~ years of age, died ~ ~ ~ ~ ~ , 19~~_, at ~E<, i_ ;~~ t~. ~ ~ - its _~„~~ ~,_~ p ~ t.+~ v > E:ccept as (allows, decedent did n t marry, was not divorced an did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompeten~:: Decendent at death owned property with es±imated values as fellows: ilf domiciled in Pa.) All personal property $ ?, & 6 °. ° a ~Tf not domiciled in Pa.) Personal property in Pennsylvania $ (T~.,ot d~~rniciled in Pa.) Persorai property in County $ ~Ial~~:e of real estate in Pennsylvania $ ~~-^ rte' ~ a ~ situated as follows: 1+ouSt= ? ; ~ J ~`}'~ `t W,4t_ a trt 7' S 1' VJYEF,Eh'C)RE, peutioner(s) respectfully requests the probate of the last will and codicil(s) presented herewith and the grant of letters TES7AMENTNRY (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) Cheran. J CI ~ /~'~ 7 .... V 1 ~; v W -- ®A~'~I ~~' I'ERS®Nt~I, It~EI'1~SEN~'~'TIVE ~~fv~~eP~N~~/EAL'~"H ®L k'ENPVSYLVAlo1IA ~~1/tl°~'~'~' d~F CUMBERLAND } as The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal r•-presen- tative(s) of the above decedent petitioner{s) will well and truly administe- the estate according to law. S•:aorn to or affirme,{I4T~nd subscribed ,~ _ ~ ..~'' before ft~:~ U L hi d • of 1~,f ~~5. LEl~II~S p' Register -. ~r, z~ - 55 - so ,;`.;';~~' ;~`~_ ~iAPY BFlcR a/fc/a ~~t~P,Y S: ~AKcR s ~~~~~ j ~ ^, -~ r :,•"•, t`'~~i 1~. '•,''~TM, ~' ,~t„~S; rap"'+, •-t'^A p. m ~p1~' g ,t;.+~~7y .... . ,.'s .~ <.x`. '.?.,mac, rid ~,. 5 f :~'.t 7 t~ ~`t' ~%_X,x.~ .i•~'~k i:~ `~i^'~ l;.,r~:~.e: 1€ P~;.e.C.°t„~ ~~a~~~~.~ ?~:~,~~;,, JA~4~J~~~V 24~, 95 Y9 , inn canxidcr~iion of ine pet;tion on . ,., .~~:<:.r:~n c, :.' f-:<a:ev, satisfac;ora ~rooa fiavi.r.~, b~~n pr:.~nbe~x bci'are Esc, Y~A' ;s; ~:< .... ... ? .~cE a S1.rLt II1-°.:aF~..y rµt~,~._. C~C~. ~~'i~'i Fil ~~ s. ~ ~~~. c :.,~..,.,.-..... _. ,..:~ : ~ ~~nx~i~tt~~r to ;~rc~usic ~:n~~ ~i~.~~ of reyarcl as t~"zr, list ~ei11 of .-__.__ 'i!~.R'r ~,,~C~R a/~,~a ~1A.R'~ S ~~,iC~R I _------___.-.--.__..___~'i y p1 _ g~S . _ .u9... ~;.1~~,-i tc~ V ~ ~-;N~! c S CH~RR" d/k /~ Ci~IjR,-fir ~ u>'-~'~-e~~, ! - ~ 4 ~~ ~~ ~~ ~ ~~. ~~ IZe~ster of Lyitls h1RRY C. LEIdIS ~,-.-~ a h:. short i~rZzc,t~.s'3) .......... $ 9.00 n,•r-roxra~~r ss:~~. cc. x.D. tva.t .AB•BR~S j I PHONE a _ - °' yr +=~ .. • - i. • J . ~~ (11 r ~. ~ "~ [~ t ri ../ ~~I..« Ca ! K`~ q ~ -_ ~ . !~. 1;., ~. ~, ~i~~ ~7~yi 'J Fes,: nl~ Vrl `~.YV~i~i~t Vli 1.~~..~~«•.P .J• ~~. . ~~. y^ ~4r 1 "~+-. F;."Tl M~'A+'~",5~'~i`hr~J N~'~(ry li{~/F.,yypµ-.~i~~r . ~ ~ _. _ n ; 1 +1", .Yetjr si. ~ ~~ : - _. .. -~ .. Y'.:~..'er.,}~., :I, is i~ ~~ ~~ :.a ~., ~r~~> 19~r"~~~, of Camp Z~ill, Cusaberlane~ County, pennQylv~ania, ,_ being of sati~~~ and disposing mind, memory and understanding, do hereby make, publiF;~. anal. declare tl"_is my Last Will and Testament, hereby ':?` revokA.y.g •a:~y ~r.d aa_1 prior gills and. codicils thereto by me at any time ~~.~..`~ :: diseM{.: ~~~zat all zny just debts and the expenses of my last illness ~; R and Luneras shall be paid from thr~ assets of my estate as soon as prac'~i^a.b].e af'~er ruy decease. l G.u`;ru~, ia;e xay persona3 representative to expend funds from my ~~. estate, ~n vuch anounts as :ny personal representative shall consider ; necessary ~az'td desirable, for the purchase, erection and inscription of a suitable r~~axker for ray grave. `' ~ ~ .S. ~'.~~ '~ T e~ ive as~ci bequeath ~che follotaing items of personal property as ^'~~ f of lOt~;; . ~ ~ ~ ~ :~ c~icpe and bequeath to my granddaughter, Susan Regan, aty two '~ U ~ i. ~ d ~ a»?oncl rings. -~;;; ,- . . ~ 2) l gi~°e and bequeath to gay great-granddaughter, Maurer Regan, my ~ ' papal cocktail ring. , , ~;~ 3; I gav~a and bequeath to William Regan my dress watch. ~ >, I dive and be Bath qu tom y grandson, Revin Cherry, my Railroad "`;: ..; i;,, ~ r. .:,. 4~ arcia. r ,. t ~ - E`r` r rl .~.'y'~G~ and LA , • -- gt.eath to tay son-in-law, Charxas Cherry, my ".r ~ r,. : ' ~ ~5's ~,idw GyZ'~s8 ~aatch. , '_-t` ~~ F 4 ''- ti k ~,: ~, Ah s Th ,., .~ . ig . Y . ;~ „a'~Y,i"IK'i^cna..r.~"~:"~,, '-gip, - _ ;i+.-. .._ . ,.: ~. * _y _, '-~r~~r ~.e:.~~~ t~f ~a~rsana~ ~z•a~rerty reraa~.ning ~.n my e.~stat~a ~~ayF at the o~.~ ~~ cr ~~~ ~,.y~ ~:~:~=.cazf:or, b~* sols~ and tee. xaade a dart of the residue of my .~,~,~ .: :.~~.,~":~;~, c?e-~ise grad be~~eath the residue of aay estate, of every n;;.'~~u~ .xr.,+~: ;>°~~~~~ever si•Luate, as f4~.~otaso '_, __ ~i,,e and berruea h fi.f~~ ercent y ~ (50~) of the r._r~idue of any tw~{:.r.;~ce to ray daughter Joanne Cherry end her huslbmaad Charles M:~~ carry . 2; ~. give and bequeath twenty five percent {25$) of the residue c:;: my estate to my granddaughter Susan Regan. ?; ": ~sive and bequeath twenty five percent (25~) of the rsr~idue t~ ~ far (es ~ ;i"1 n.4 ~9~r" d.'St.'itc? '~.Q ~sy grandc~ra~lKevin Cherr~r. ~ ~• `%~ I ~~~1 ?~~"~, ~z-ir~cipal and income, until actual distribution to the "-," ~rw~±t~`~~=-~~~~ ~~~sA s~~all Sae f?°ee of the debta, contracts, as.m~,c~nments, "! '-.~'~~;r.?.^~'. ~ aa~d ant~.cipationa of any ben€~ficiar-y, and the awe shall n©t tir ~~ :~a~b_;c~,t to any levy, attachment, execution oz sequestxation. ~'a ~.~ y ~< :,: ~i_-.~c:i that ali taxes th~,• ~a~y be assessed in canseq~:emce of m~~ ry dea~p~, o -r,ha'~ever nature as~d by ~-*hatc~ver jurisdiction impos~sd, shalA be -0q r • ~_ aaa~_u `r^;9 ;.~y residuary estate as a pa:.t of the exZraenses fli' the _`3 a~~:.a :is~:~~•~~.~:.r, ref the estate. 2 ~~; ~~ s _ N.„': `+?" ~~ ;Rid, p~~~s~~~<:~i. x~:pr~esantative shall have the following, powert~ in Ldc~i~~ic:n to ~,~c~se.• veeted in him by law and 3~y other pravis~.ons of this ~it~.: .. "`^ ~..,v:`ax°t any or all a:sr~ets of my estate, real or personal, ~ -_~ . O ~ 1 4` A ~ e~ard to any princi~s~.e of diversificat~.ozt, risk or /ry nn ryry ~ v e . YY~uug y jJ~v V'X M4tZ V +L Ly Imo. To in~~.7nst in all forms of property without as my fiduciary aaay c?ee~ proper, without regard to any principle of d ~~.-er:~_~fication, risk or productivity. ~, ~°a y~aarchase invest~uents at a premium or discount. ~. Tt.~ ex:~ercise all rights of a security holder or shareholder in rare, csorpo?°~.tion; to give proxies; to join in any merger, consolidation, reorganization, voting trust plan, or other co.~~ce:rted action of security holders; and to delegate ,~~~~ ~ discreticnary duties witY°. respect thereto. x.. °'z'c~ sell at public or private sale, to exchangs or to lease, for any period of tune, any real or personal property, and t® g;_ut, ~~ptions for sales, exchanges or leases, for such ~arices and axpon such terms or conditions as any fiduciary 3a~ems ptiGver. ~, To ~:~l:locate receipts and expenses to principal or income, or pr:rtl;~ to each. ~. ~+~ 3~ax°rcw Honey Eton my corporate fiduciary or others and to r.{;~rt~a~.ge or pledge any real ox personal property as security T't~;._.<'.i':'C);~e, in Lly fiduciary°$ cola di6cretion. 3 " =+y~°fro r ~;u• ate, ' -'~ 7 .' ~a 1 " ,K., ,~~ ~~ .,. -~, _ _ _ ,... ~. ,u.; ,.~.. ~~ _ ~ ~:. To ccampromise any claim or contraveray without order oP court cr wcarasent o¢ any beneficiary. -~A °~'c exercise any option, right or privil®ge granted in i~:s'~~'ax?ce gaolicies or arising from oTanership of investments. ~-~ ~ to a~a~,e any distribution herein provided for in cash, in kind, or p,~r~.ly in each, at valuations fixed by my personal ~-e_p~•esentative at the tiiae of distribution. ~~1~7h'~TN , •Sl'VTE/v7-7Crvr~-c~c( orat r~~~),] mkt I appoin ~ Say son-in-law, cHRaRLES c~[E'RRY of Salisbury Maryland as Executor, of th:i.s, my Last Will and Testament. Should my son-in-law, predecease me o:~ for any reason fail to qualify as such E~tecutor, or having qualii':~_:~d, fail to serve as such Executor, then I nominate, canstr i Aa~t,~ anr:~ appoint my daughter, JOSE may, ®f Salisbury ~';=';'-°1' =ant, E:~e~V~~~.ri.r, of this ~:y Last Wi11 arad Testament. ~T E/V77--f ~! fl/T~~'z/T7Urv ~- c t- t~ Ui~t ~ jT ~ ~a~ ELEVEN'T'H r`z`• E:Y;e~'i:.fio:~ shall net be required to poati security in. any T~ ~'7ZT~IESS WHEREOF, I have hereunto set my hand and seal to this, my Lati Wild. aa~d Testament, consisting of four (4) typewritten pages, the f?.~°"`~ ~-h?='e~ (3) of khich bear my signature in the ~~rc~in for the puurpose oY ode ata.facation, this // ~~~daJl of .~°~~(/dC `ZQ ~; 1994. Y H1~1C T BT~-'3'~ 4 t ':~:~ n~hl.~~~6~8~~~ ~'•L•'+l.s~ !ie ~.• 3 h":iL ~."4 ~ LS..I ~ ~".'~. n'.;•NSL im~~ ti.~ ~:~i i'~ ~e.2aG'~. A. ~.~: 5a~`~ J1~fi~3~. 6d ~. ~.i. '~~:d d~~°'l.n~~apl~~ad ~*:{ ~~~ ~eJ ~d~~ ~~~ z~r~s~-~^~~ 5~~' '~; ^, *.:~~ea, ~•~ ;air r~~.;e~'~, iz~ der ~~.z~ht ~~~ ~re,s~~.c~: ~n~ ~n 'i`-'•?s~'. ?AC3^~'~ ^X;''1 ~',~}:"~~~:~2C:~. p~' ~ df'.1'1 rJ~:~lt3~', P7tr1L74.' t'1E"'~`~".IYl'~Q 61A~JF3CP~AJff!~C~l ~911k' Ytd'~ZA@!g l~.w .Y .~.. •+.. F•~'. Y.~'r..~ ~j ~. r _ ~~~.`;~ar,,~._..~..~~f ~i~--{ C.~ ~Addr~s~p( /?. -s~`~~j`~r<cvc-c.vttvt.~ ti- ~~~ .4~ ti ~`~~._ "~ ~`\.._ r ~/ ~ ~ / /' ~".A~.r~a5•~ir'-y 1... J~~ wil. ~_ ~,~~~L. j,~F{ `. /~{/~1/''~ ' ' ~? ~ \ a~i~tL ~'JY; KK.~_ ~... vY`.:' y 9 f bs C~a'~~"??v?~?^r~±:~ri', JF -'E.~~,~J S`~I,y'r~3~'I~ ) .~ -~'J.~:Jq R~ ;,;fe A'1~,m4~ TXT iF''i psi 1.'e.7 ~~i'STiS.~.A, P981~S1G iL.[~tl~ .LS e.7~4117 &e8d Tv TLYE S../iiGW 16~G .tP~S"iPCi;~i°~?~''i`~. :5i4T~~?II~G EEC i?ULY QL~.~LIFIED ACCDPDING T4 LIiW, DK3 F~EREBF "~Gf.~i~.:T~'?~~~G~ w~.rz.~~~?' 7. S%G:~FED a~i''~k~ E~GEG:ZTTED Ti~E I2dST~tLI~fEAbT A.S MY LAST." W%LL AATD 3 ES1'i3it~?~~:~'; ~~r.~~''% I SIG3tiTED IT [alILLINGLY; a~A1D TH1~T % SIGNED IT k~S P'IY FREE ,e'?iii`~ '~zc??R~iA~~l.,;sr .~C~I FOR T~;E P"JRP~?SES T~IFRr.IN EXPRESSED. ~,~T s_ e "•.: 'fi'x ~'~'~.iEi} °?'~ c~.adD ~CY.PdGi~LECtGEi~ BEFDPE ~~E B~ ~a~aE?~" '~:~, THE ~Mal.r :c ., a ~ ~z a ~O'~8rV Pld~3]. ~ C :~:r~°~'°??~~~,r?~;"..:.,'~:- %'a' P~;:v'NSYL~I.F~I~rIA ) ~Notariai Seai ;'~ . ~ ~ . ~ S a : s Csmp F1iU Sa on Cumbe~rlantd Co by t.irs173~~+ ~:' ~:~ _ - - -~~''''"'~ ?~y Commisa~an ~xpirea Juna 18, i996 ~, Ponr~y~vania Aca„:set!on of Notaries. `~` a?~ b~-I~'t•~. SuEr.~ 6~Tr~~7SE IdAE~ES APE SIGh~E~? TC~ TItE F®REGCSI~IG INSrRU3+dE~TT, I~EING ~~,L`~ Qu?~.T~,.%.rTEJ A~'^OPDING TO LAW, DEPOSE ,AFdD SPsX TNRT 6aE WERE PRESENa AND SFi~•at n'r-~ ' ?~e~f~'~ E:~~~IT.3 TESTATFcIX SIGN Ai3D EXECUTE THa g?7STi~U?~IENT AS F~ER LAST i'?I?~~.. ~'.~?L~ ^.''^.'a`~.'."ai~FN'3.'; ^tI-~~T SfIS SIGNED WILLINGLY' A.YJi3 THA%° SgIE EXECUTED IT ,AS t£ ~`? ~'+<r E _?tt~T:? '°.rQ~T"ARX r~CT FOR T:iE FLPRPCSES '.A.':3EPEIAT EXPRESSED; T~iRT EACH ~~' 7"L -r„',; d'rti.ss rlrst~.r ING AND SIG~£T f3F' Ta~E TESTP~.T?2I-: SIGNED THE Tt7ILL .~S *`i~'x~?`•: ~'~;~~"; .7.`'k' %'~%~,`3.' T~""99kr~iIE7~tL'~EStpT C~:yF Ch7R F~~pi~~t~'LE~1D~LG+E T^i•~i?E9C~T;:~pS~T7~.TAR'A":2I~}q~'y~'S~~p1p^ay~.y~~T~'/E~ ~1~, .i.f :'~ ~ b «'i ~ 1 ~j S yT'; J'd1 J.L\i:a i. ~~il~~.R~~.". i/F F'iy.sE, Vd' nN~SJ U1V is 31.[. •e iJ ~'9 J.~ VEB Ld"+a~l ~6/ ~: 5+~~~'~T `?R .~"F~':~R~EI~ a4? .AND SUBSC~?]CBED Tt~ SE~'GRE ~E, T~l~CS ~1 ~'} £it,~~ ~~. ~= ~`,e~cs--gf~~.r' ~ 3.94. f ? ~~ ,~ ~ r ~~ .~_ . .~ gr~ tn~~s cr ~z,~.,1,.,,.---.,.,_ notary Pu1~Yi~ ! l~~o;erial seal Deh~rAh L. 8rernoman, f~o:ery F'utNlc ' ' C2mp Filli Bore" Cum~ri~tnc' County -' ~y Ccmmlaslan Exnlrec,{«ne 18, ~@a,,,~ j ~'- lV~r~rr*_+er~ Porgy ,~r~3µ~,g~p~,' t~ ofP6~att~ FLL .,. ., ., ... .. :. . .'t s, -ti.. S~ ~ _.. < . ,r.4~, ~. .. i I-.~ --s4y,G~ ~;_ ti. ,f,-~~~."~ ~ ~/~ ~ ~ being ~ ~~~a~:i~~~3 ~h~~ician fear. F,a~~-~._ i~~.C~si; ~~?~:~r_ i~g Mar hosgi~.~~iza~iare ~~ F~oly~linic ~iedica7l ~en"tc~r dt~rinq ~~~C.:,:;'^:~~~', :~.^:~~ d ~a harel~}.r cer~i~y th~~ she: is of sound end di:spasing mind ;r~~ ~,., y~:. _ c..;~~ ~nr~ c?~y,~s:~ia. ~s~ i~.S34A~3.c~~'~~I:C3.i?'%!~V' the g+z'cviaian~a of her Fx'~s~ rdi'i .;...._ _w:~~~<az°nn~ ~ahickt uk~a it €~~ac~.~:.ng ~~ais Z~.~tt c~a~ ®~~ T~a~cexnbe,x', ;wdt3_:;". 'yL~ ~i~~~, CLj:~SC~'aA~t~. ~l@~OiG :~1~ ;us,__~ ~::i^'_ :'a.";Lr l_'a't_ ~~cG.'.~fi~~T. '994_ _ _ " d .+ - REV-1500 EX+ (7-sai ,r c ~~. " COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, ANC z O U 0 W ~- YQN V s ][ v =oo ~' a m a a ,~ y W yZj ~o mz 00 vy F ~~~ee~~ ~vvvv,~v~ v~~U- FOR DATES OF DEATH AFTER 12!31191 CHECK HERE INHERITANCE TAX RETURN 1F A SPOUSAL ~ RESIDENT DECEDENT ~ POVERTY CREDIT IS CLAIMED ^ _ (TO BE FILtD IN DUPLICATE WITH REGISTER OF WILLS) IN FILE NUMBER ~~l_ ~~ C?~~d COUNTY CODE YEAR NUMBER >F DEAT ATE OF BIRTH Cs/~ /yi F' /~'~~~-L~ ~/~ ~ ~ ~ / ~ i 7 / - a j ~ 3 Z-9~ iy L 9~i~ ~' ~ ~ ~ a 7 co~~l llF APiIICABLEI SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) SOCIAL SSE/CURITyY~ N~ UMBER N/~ /' ~ / r ^'~1. Original Return ^ 2. Supplemental Return ^ 4. `invited Estate ^ 4a. Future Interest Compromise (for dates of death after 12-12-82) Decedent Died Testate ^ 7. Decedent Maintained a Living Trust (Attach copy of Will) (Attach copy of Trust) 7AJ( INFaR~lAAT10N SHOULD BE.DIRECTED: S a) ~'~L_ ~7~3 z 0 a a z z 0 d 0 v x 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages and Notes Receivable (Schedule D) 5. Cash, Bank Deposits 8 Miscellaneous Personal Property chedule E)t~. -- _~ 6. Jc~~,nt~jE Owned,TP,~operty ,~~ctfedule F) 7. TYrgslers (Sch~dule G) (Schedule L) r~ 8 ~oYd)~=Gross Ads (total Line's 1-7) 9 ftQheral Expenses, Admlmstrative Costs, Miscellaneous ,rp~nses (Sole H) 10 Q~b~s,,Mortgag Liabilities,;,liens (Schedule I) }: 1 1. ~t~Deductimh3 (total tine~'9 8 10) Q~ ~!? -_ 12. Net Value of Estate (Li~~ninus line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 15. Spoisal Transfers (for dates of death aher 6-30-94) (11) - 1 (13) ee nstrudlons for Applicable Percentage on Reverse (15 Side. (Include values from Schedule K or Schedule M ) ) x' -_ . 16. Amount of Line 14 taxable at b% rate (16) `j"~. /~~ ~/ (Include values from Schedule K or Schedule M ) x ~1 \' ° ~ 3 ut-S-~T - oG.. . 17. Amount of Line 14 taxable at 15% rate (17) x (Include values from Schedule K or Schedule M ) x .15 , 18. Principal tax due (Add tax from Lines 15, 16 and 17.) (18) c5-~ ~, 19. Credits Spousal Poverty Credit Prior Payments Discount Interest + + _ (19) 20. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT. (20) 21. If Line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE. (21) ~~ ~j ~S 2 , A. Enter the interest on the balance due on Line 21A . B Enter the t t l f l (21A) O . o a o ine 21 and 21 A on Line 21 B. This is the BALANCE DUE. (21 B) S Z 3 /`_ Make Cheek Payable fo: Register of Wills, Agsnf , ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND T aer penalties of perjury, I declare that I hove examined this return, including accompanying schedules and staOtemeCHEacK MAe best<m`nowledge and belief, c true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal representative is red on all information of which preparer has any knowledge. NATURE-OF PERSON RESPONSIBLE FOR FILING RETURN ann°ccc n (1) C/D GOO v (2) (3) (4) (s) s; TI 3 (6) ^ 3. Remainder Return (for dates of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes n~f (7) , ~/ 1g) ~~ ~7~y~ (l0) - /7~ ~cf~ ,~ 3~ x^'79 e4ry, /~~7~~,4w UNT RECEIVED (SE~ElwSTRUnCTIONS / V ~/ ~ ,? DATE ~~ l ~ /'~'/L-/)// ! /2 .S/¢L/ S /0 / /-'7 D 2" f ~C`, ~ '~~/ q ey ADDR SS ~/ ` / ! ~~ DATE Act #48 of 1994 provides for the reduction of the tax rates imposed on the net value of transfers to or for the use of the spouse. The rates as prescribed by the statute will be: • 3% (.03) will be applicable for estates of decedents dying on or after 7/1 /94 and before 1 /1 /96 • 2% (.02j will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 1% (.O1j will be applicable for estates of decedents dying on or after 1/1/97 and before 1/1/98 • Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (,~j IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: a. retain the use or income of the property transferred ~ b. retain the right to designate who shall use the property transferred or its income, . .............. ~ c. retain a reversionary interest; or .................................................................... ............... d. receive the promise for life of either payments, benefits or care$ ....................................... ~ 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration$ If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving ,/ adequate consideration$ ................................................................................................... 3. Did decedent own an 'in trust for'. bank account at his or her death$ ...................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN . REV-1502 EX+ (12-85~ ~ r• '~~~` ~ SC/H~ EDUTLE TA COMMONWEALTH OF PENNSYLVANIA REAL ES 1 A 1 E INHERITANCE TAX RETURN ', RESIDENT DECEDENT ESTATE OF FILE NUMBER (Property jointly-owned with Right Survivorship must be disclosed on Sche ule F) All real estate should be reported at fair market value which is defined as the price at which property would be exchanoed between a willinn 6.,..v~ .,.,.1 ., ..,:u:.... aue. __:.L__ L_:__ __-_ -Iled _..__._ _. ......~ ..~~c.~ REV-1508 EX+ (2-8~~ ~ ~ s~ . '~- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY RESIDENT DECEDENT i ~ Please Print or Type ESTATE OF FILE NUMBER (All property lomt y owned with the Right of Survivorship must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH -~/su~h/~ ~~poa.r.~f ~~r~/~ v~v ,® ~X Z96i e~. ~QpCsiTS T~~~n / o/SLpj ~/' i~ i z-~Z` /may G/7//~'le-J l'~~yil~ Che~ri~ i,-r'e c. ~ c~ ryT,c N~ r.r~ ~i7 ~ hut~~h /~~ ~A~iSIBc/2tj /y) l~ ~-/F~/ Cs7/fr/r-1 /i Cj'lrrrr ,~ c o, c~ d ~a 39F /x.'/.1/1 fir, z-/y/~J ~~.I sgu~ y, ~r,p ~, Tro/ 3. i cu :. C~:~p ryj o nc~ /- `7~. / ~ r'Cc' /~7c'r1 ~S ~C/g /~c.ficj ~/ L u d 6. t~7,/`s C hl c~ u s c~ h o l~ l -~.c ~ n i' ~ u t G~i a o v c TOTAL (Also enter on line 5, Recapitulation) $ ~~ 3. ~ ~~ (Attach additional BYs" x 11" sheets if more spoce is needed.) REV-1511 EX+ p-lI81 ~ s COMMONWEALTH OF PENNSYL'/ANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES S Please Print or Type J-. D 6 U E p AMOUNT ITEM ' NUMBER DESCRIPTION A• Funeral Expenses: l . /liGj L L ~ c./ iv /;. i2 /; ~ ~ a ~ G ~~fu! /~7/9rkc~ S~f~ ~~ / C c- J c~ r ~r (C .4 ~j l~c- f s ~ ~ ~`/~ /~~/~ch~c=~trposL~ /~Ed~~d'IALS B• Administrative Costs: 1• Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address Cit y State Zip Code 4• Probate Fees ~L 6, u o C• Miscellaneous Expenses: l . 1,,,-} ~ (r~ ~ c s ~ t,~. R i ~ 12 fc G'1 ~ I ~ ~~ , l.u A s f ~ !~r-~, C' A b/ c ''7~ L ~. 2 b T . ~/ ~Y G J / ~/! i' G I7- U ~~~ ~ /' /Q J G ~ t G o . C. /'~~n C h~ r f. G ~ 1 0 ~, 5. ~~ / C h/J-r />- ~ ~. Chc r.-.~ .S- o e . v d b. / /~ . /'y7 a i- Cf /4 h 6 0~ r ~ ,~ ~ ~) / / ° f' U d ~. EX {;- ~ .Y, h ~ u~ ~ s ~ ice ~J~•Oc~ Z~,L ?. ~ c TOTAL (Also enter on line 9, Recapitulation) $ J .~ 3Q ~~ (If more space is needed, insert additional sheets of same size.) REV-1512 E%+ (1-93) -` CSMMONWEAITN OF PENNSYLVANIA INHERITANCE TA% RETURN RESIDENT DECEDENT MATE OF ~~~ ~~ ~~~ ITEM SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS NUMBER ~J DESCRIPTION 1 • r~S ~'~z'rIC aa. .i7~uPt~~r/ t~~~'o.t~T ~~/LK ~ U. ~ i,~ y ~ ~ a 3j j/ ~~ oZ. ~ It /7'7 /P/.L-'/.~ `~ N J l: b /~4C(/ f /~/6' ~ ~C ~~ i f y- N: %~~4N a v ~ e't. S i TOTAL (Also enter on line 10 Recapitulation) S (If more space is needed, ~hserf additional sheets of same size.) Please Print or Type NUMBER /%4`J ' - G G G C- AMOUNT i c j, 7 ~ it /• 7 6 ~~/• 7~ /.z, 9~ ~ ~ REV.1513 EX+ (2-87~ :OMMONWEAITH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: 557 to /~1 f . /~~: /-n~ a ~ ~' h cr r~ ~a! 3. ~ u 1,g n~ /C~ . /c'~~L// G'.q ~v /~ / ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable-and Governmental Bequests: 1. FILE NUMBER / °~J-- c: o D L~ G RELATIONSHIP I AMOUNT OR SHARE OF ESTATE Sri - j~ - /ra v/ ~I rR/'Id-t s h ~rAn~+;Juy~~~ 1 c ~i- AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13 Recapitulation) $ (If more space is needed, insert additional sheets of same size) 4 :.% .-._~ '~ a P" ~ ~° ~. - - ~ .. -- .. - ~p REV-1500 Ex. p.9a! I FOR DATES OF DEATH AFTER 14131 f91 CHECK MERE G••~ INHERIT~4NCE TAX RETURN i FF A SPOU3Al , ' ~~ ~ RESIDENT DECEDENT I POVERTY CREDIT F3 CLAIMED ' (TO BE FILED IN DUPLICATE 'FILE NUMEER CCMMONWEALJH Of PENNSYLYANIA i I ,.)Q/~ DEPARTMENT OF REVENUE I WITH REGISTER OF WiLLSj ~ (/ (O _HARRIS3DUER G. PAD~128-6601 I YEAR /~ NUMBER _ (COUNTY CODE aI 7 DECE D:NT'S NAME (LAST, FIRST, AND MIDDLE INITIAL( DECEDENT'S COMPLETE ADD ESS ,~/ti L S /l ~ 3~'~r~ Gcl/j~ha~ ~51~~7'r«f w iFSOC;AL SECURITY UMBER DATE Of DEATH ATE OF BIRTH Gam- r~ Q /a~/L L~ / // ~ ~ ~ ~ / 0 u ~ ~ / / - o i , 31`74' /y .~ G y''`f /~ ~~ ~ a 7 co„~t a ,,, c7< < ,4 n: ~ ~, o ~!n Arr; ~cnele su,rviNC slousf s NAM', (LAS}. Flgli 4ND MIDDLE INIiIAII SOCIAL SECURITY NUMBER AMOUNT RECErvED (SEE INSTRUCTIONS; _ ~t//r? N/ ~1- ~/ / /~- ~~~ Original Return ^ 2. Supplemental Return ^ 3. Remainder Return ~'~*~ ~ r^ (for dotes of death prior to 12.13-82J _ ~ ~ i l_; ~. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tox Return Required ~,~~ ;' (For dates of death after 12-12.82) ~; I ~I~,'7i. Decedent Died Testate ^ 7. Decedent Maintained o Living Trust _ 8. Total Number of Sofe Deposit Boxes ~ (Attach copy of lNill) (Attach copy of Trust) f-iL GG+RRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: - ' v. ~ ~ tv AM`s COMPLETE MAILING ADDRESS ~0. ITEIEFHGNE NU~ BE~"i L." /73.~ ~ ~~ ~/S /~C/~ L/~ GjI~ 2- I ~T'' 1, Real Estate (Schedule A) (1) dT0 G d O . 2. Stocks and Bonds (Schedule B) (2) , 3. Closely Held StocklPannership Interest (Schedule C) (3 ) 4. Mortgages and Notes Receivable (Schedule D) (4 J j 5. Cush, Bank Doposits & Miscellaneous Personal Property (5) __~, "/ / 3• i (Schedul® E) o E. Jointly Owned Property (Schedule F) (6 ) g 7_ ?rarsfors (Schedule G) (Schedule L) (7 ) Q 8. Total Gross. Assets (totcl lines 1-7) (8) ~~ ~ 7S ~(f w ( 9: Furerci Expenses, Administrative Costs, Miscellaneous (9) ~~1 3~ ~ E-Menses (Schedule ff) 10. Dt•bts, Mortgage Liabilities, Liens (Schedule I) (10) ~ 7g +~~9 11. Tote' Deductions (total Linos 9 F~ 10) (11) `3~'J `~~9 12. Net Value of Estate (Line B minus Line '.1) (12) _~~ /~j. 13. Chcrisable and Governmental Bequests (Schedule J) (13) I14. Net `/glue Subject to Tax (line 12 minus Line 13) (14) ~ ~9 L~l 13. ~S~ousai Transf$Fs (for o'erlYba-bf death after 6.30.94) She Fmstructions Par APPpGcabre Percentage on Reverse (15) x __ Sis1s:;(lncludevblues froth Schedule K or Schedule M.) .p I lb. Amcunt of Lire 14 taxable ai 6% rate (lb) ~~ /~. ~~ y x .06 = 3 s~~ (lnclftde values~com Schedule K or Schedule M.) ~ 17. Amount of Lino~'4 taxable at 1546 rate (17) x .15 z I {include valuet~'r-om Schedule K or Schedule M.) ' ~ 119. PFfngppl tax d~~e (Add tax From lines 15, 16 and 17.) (18) ~ t~-~h ~,.. o i 19. ~dd{ts Sptauscl Poverty Lredit Prior Payments Discount Interest X20. If Una 19 ix greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT. (20) L~ 21. !f ! inft 1t is grouter than Lrne 19, enter the difference on line 21. This is the TAX DUE. (yl) ~ /` ~,S ~. . :+. Enter tho interest on the balance due on Line 21A. (21 A) ~ B. Enter the total of line 21 and 21A on line 21B. This is the BALANCE DUE. (218) 3 SJC- Z Make Chock Payable to: Reyfster of Wills, Apent A' BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH 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, it is true, correct and complete. I declare that all real estate ha: been reported at true market value. Declaration of preporer other than fh~ p~rsonol r~pras~ntotive is based on all information of which preporer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE c~lau.~e-,v ~. $'i~i ~ ~f~`~A ~2 Sr~Lis ~3,n.y r~~ i f~a ~ ••yl,~/y~~ .. SIGNATURE Of PREPARER OTHER THAN REPRESEN VE ADDR SS t DATE ~.. .~.'~-nCwahr: :~ ,•wryYC~;`"n?YYi N'*F`;- - o •5,t,' rrn--. ..... .. -., ,. .. ~i~ ~ .. ~ n. - 'v „. , '- ~~~' ~_~^ -~s `i ~s ~ ~r~t's~~2 ~a~r ~~ r,~et!®~s ®f t!» issx rat~$ a:°r±~ro~ed an t~aae net val~o@ of transfers to dr $or tcs~ ate ;~$ Faze ~s,~ase,~. 'ft~s~ rats~~ ~~ pr~aacribed bg• t$ss! s?xa?wte ~~ri!! ba. ~ ~~ 5.~~~ ~i:~i ~~r6leab3o .;~ e~tatars of ddenta dy6s~g on or after 7/i/4'4 and before i/i/96 ~ ~®,~ ~.~.~ <~t~9 ~.~ cs~~„!<<~;~sbt~ for e~tffiteg of sfe~ed~+r~~ o"yirs~ ose or after 1/ifAb and before i/i/97 Fn vr~ ~.~e~~ ~•~i~ ! :.& ~~;~?ic~#da~ $or 3t~4ss o$ ds~r~ dgri~g on os ssi9•~ar i/i/97 and before i/i/~8 ~;e~~u~~' ta~s~~r~css•~ ~:~~as~d~,~ ova or rs$tsr i/i/9g Zvi!! ba uxaaapt $roen inlxsritonc~+ tax. ~o~,~~ s' 4.~a2 n ~I~~la TAE ~,1,~~1~~~ +~~'1'I~Id~ ?. did t`~t~ds~;~t a~s~cz~ °s ti•r~;.naF-~r o~ad: a. r~tait~ °he ~~a~ ~r ir:ec!~?e rf the property transf~rrtsd, ................................................. Lz. r~i'~iE~ fi,e r~~?~t t~ ~~+~i~r~atA wha shaBi a;soa th® praporty transf~+rr®d or its iaacortae . ............... S. r4~~?rt LT L'~Vr":rviC's~E~y' iva?'r~rl~~t; iir ................................................................................... d. rr.~i°ra ti:a p'~ral~li~F3 i;ar 9i;~s~ of eithmr paymonts, ~a~n®fits cr ccare~ ................. 2. 9F ~f4.~?i: oscurr-ed o~ ~-~; b®'eora l3~n:~sr 12, i~g2, did d®cedent within two years preceding do®F~C tro~ovf~ar prc~s~rt}r witfiaut r~caivi,~g ad®gorate consid®ration~ !f death occurred after l~s.s~;~~~~r ?2, ~~:~>, cfid o'ocede~t transf®r property within on® ear of death rsithout receiving ~. `~~°~ °~,~'`'",~ ~.'~ ~ ~,; °';~ ~r;~st ~or`.~or~k s~ccouPet cst hie car hasr derczth~' ......................... ~~ T ~~~S~~~E T~ ~~Y ~~ TAE A~®1/E QUESTIt~IVS IS YESr Y~~~ ~ r~2~~~F~ ~~~~~ ~ ~~~E~I~L~ AI~® PILE IT ~S PAST OF Ti~E ttE'1'~J~RI. ~\ 4~ ~- i *. s ~~' ~ .ice `l,a. '+}` ~ r~vg°~^'~,-.at,,s.^.~Ye'0~`•'~rY':~.+°u a .~,•'Lr~.~,~'Sy„ -~. .._t. -~ e-i rr ~.~ s~~.,~aa„~, y4. :~,'St~ •"~:1Y~w`^t~",~c~S~d.~~ ~ ,~T, t ~'~~ r •::. ~ ~ r., fi y`;l:i r M A [ .. ~ ~. jr: n b'r+ A ~ ~e~' °d, Z as S. c. Jd C575e w," 4'6Q.~ Q~~~{~Y~~. ~ . ~~ s~ .tom. ~ra*,L i __J~ ~ ~~ ~, c~ ~~,'~ r°`~`'9-+_"- ~~ ,G ~i` C% {,r_,, ~ .~, , rss _ .- ..<a}. ., e ..~arx:,~rai}iia r~vaf 3tia c~.a~im3, d ~n .~'ie5^~'~a~a F) aAPi r~.a3 r.a:~!tu ehe~rQ~ ~ rs~cretaa 2-£rlc m~ar'aaR vnlvre va ..:~~~: ?,s .:i~~r r;?:, :: ,f„ .-5~,. ;. ,..~,.a.~~;s +~~a~':?~ i?•r .;x t;,~.~,~ti~u3~.rti4-r.~rv,vn ~. ~.viii3^~~ ~a.,~+~r: r~n,.i a ayaidin~a .AQiQr, nai?~?~r Qnminn~ ~~rn~sc6iard y`.n p~.;ei t ,.., j.,, i~.ti Qii,vM1.;.7E' ~'..~ C±7rf ,(:;; . 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