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Will No. 21-78-279
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COURT OF COMMoN PLEAS OF CUMBERLAND COUNTY
PENNSYLVANIA ORPHANS' COURT DIVISION
NO.
Estate'of ELLA M. MILLER, 'Deceased
Late of Carlisle
FIRST AND FINAL ACCOUNT OF
CHARLES J. EUSEY, EXECUTOR
,
Date of Death: April 25, 1978
, Letters Granted: May 31, 1978
First Complete 'Advertisement of Grant 'of Letters:
Account Stated to October 31, 1978
June 16, 1978
SUMMARY & INDEX
PRINCIPAL
Pages
Receipts
Net Gain or (Loss) on Conversions
3 $29,248.37
00.00
Adjusted, Balance
Less Disbursements
29,248.37,
3 - 4 -3,402.58
Balance before Distributions
Distributions'to Beneficiar,ies
Investments
Capital changes
25,845.79
-22,850.00
00.00
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Principal, Balance Remaining
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INCOME
Receipts ,
Less Disbursements
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I' 98.99
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Balance Before Distributions
Distribution to Ben~fis.ia~~^es":~. .~ (:" It" ~
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$2,995.71
98.99
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98.99
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,Income Balance Remaining
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COMBINED.BALANCE REMAINING
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COMPOSITION OF NET BALANCES'
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PRINCIPAL
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PERSONAL PROPERTY
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Furniture
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CASH
Trust Account with ~Farmer's Trust:~'" .,,,:~.
'Company, -Carlisle_, Pennsylvania _'
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"27,645.57
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Life insurance po~icy. payabl<; to the ... ('.. __ .
'. est~t.e with ~he'. prud.e~t,~.;l Insurance: .t. \ J _.~.~t-; _ .i '.'
Company of Amen.ca\, PO~.1.cy No.,.616:}'/........J'~, .::_:
79538; .'f . . , . 1,131.16
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Medicare' payment
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'TOTAL PRINCIPAL
29,096'.93
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INCOME
CASH
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Trust Account with Farmer's Trust
C~mpany, Carlisle, 'Pennsylvania
98.99
Total Income
98.99
TOTAL PRINCIPAL AND INCOME
29,195.92
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UBER . 92 P^,CE ..' 842
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,,7-:-13-78
7-20-.78
6-22-78
6-22-78
6-22-78
6~22-78
6-22-78
7-3';'78
7-3-78
7-11-78..
7-11-78
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7-13-78
7-14-78
7-14-78
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PRINCIPAL RECEIPTS
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Inventory Filed
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$29,195.92
Per Copy of Inventory.Attached
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Subsequent Receipts
'Capital'Blue Cross
, Belvedere Medical Corp, Refund
TOTAL PRINCIPAL RECEIPTS
.'
PRINCIPAL DISBURSEMENTS
. Irwin, Irwin & Irwin, legal services
Kennet~ R, Guistwite, 'M.D., medical services
Belvedere Medical Corp, , medical services
Ewing Brothers Funeral' Home, funeral bill
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The Pennsylvania Cbnference Association of
Seventh-day Adventists, Inc. , advance for
probate fees
.
Cumberland Publishers., Inc. ,. legal advertis.ement:.
Cumberland' Law Journal, legal advertisement
The Penns.ylv,ania Conference As.8ociati'on of
Seventh-day Adventists., Inc!, advance for'
If' ,
legal advertisement t . fi\ 1,. ·
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.Ken"~eth R. Guistwite, medical~{serYi'ces.
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.Vital Statistics, death certificates .
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Register of Wills, filing'fee .for ihventory, debts
and deductions.and Sta'te "inher{tance~ tax' form
7,45
45.00
29,248.37
75.00
46.50
55.00
2,368.00
32,00
16.65
8.00
10.00
.48.00
6.00
9.00.
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. Pa. inh.ehtan..c.e-;tax'I-,grosS.\:$1.98..;9.8t~'.'I' ( "l""."/,:' ~
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Register of Wills
Filing Account
TOTAL PRINCIPAL DISBURSEMENTS
PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES
Pauline W. Alspaugh
Cash bequest advance
,
Carlisle Seventh-day Adventist Church
Cash bequest advance
General Conference of Seventh-day
Cash bequest advance
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Adventists
TOTAL PRINCIPAL DISTRIBUTIONS
INCOME RECEIPTS"
Farmer's Tr;st.Company
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TOTAL INCOME RECEIPTS
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2,000.00
20,000.00
$22,850.00
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COMMONWEALTH OF PENNSYI:;VANIA
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COUNTY',OF;;BERKS
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"CHARLES J. ESUEY, EXECUTOR, being duly sworn
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,according to law, deposes and:says that the Account as stated is true
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and correct and that the Grant of Letters and the first complete
occurred more than four (4) months before the riling
advertisement thereof
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of the Account.
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".:.','," \'~:~;;;~..'i~tQZ and Subscribed :)1. 'l ,', ." LJi.!' \ t If ":'.'
"., tv' ::'~'f~f.e?, ~ this. 17th 'day' .- -, ' ~ .
~~,/;.~." ....A:t'~.~~~ A.D., 1978. ' :
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'\~?:t;i~~~:'~~tn expires July 19,. 1978 "
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STATE OF PENNSYLBANIA ).,
)SS:
coUNTY OF BERKS
I hereby certify that on. this /"Jf16 r.'_ f)- day of October, 1978,
before me, the subscribed, a Notary Public in and for the said State and
County, personally appeared CHARLES J, EUSEY, Executor of the ESTATE' OF.
ELLA M. 'MILLER, who being duly swori\ according 'to law, deposes and says
that the foregoing is a 'true.and correct account of all -the rights, goods,
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chattels and 'credits which came into hi; hands 'or possession, or into the
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hands or possession of any other person
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~~~'per$ons for
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himself as executor.
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The affiant further says' that nO'person.c1aiming to be interested
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in said estate, whether as' creditor, legatee, next of kin or otherwise, gave
written notice of
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such;Qlaim to. said Executor ~ ,
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p''''.' .::Jll1fr.'~.(#~~. ~ t.hiS .J.lt.h day
.&(!l:,.;/j'f':~q~~, 1978.
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July 19, 1980
Pennsylvania
Exhibited into the Office of the Register of Wills in and for' the
County of Cumberland this
day of October, 1978, by
CHARLES J. EUSEY,
Executor of the E~tate of Ella M. Miller,
deceased.
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IN THE COURT .OF COMMON PLEAS
.OF CUMBERLAND'COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
FILE NO. '271-78~0279
IN THE ESTATE OF ELLA M. MILLER
SCHEDULE OF DISTRIBUTION
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Balance for Distribution as per account'
Consisting of:
1. Cash -'Checking Account American Bank
No. 705~5587
DISTRIBUTION
~eneral Conference of Seventh-day Adventists
1. Cash
Carlisle Seventh-day Adventist Church
1. Cash
Pauline.W. Alspaugh.
1. . Cash
TOTAL' TO BE.DISTRIBUTED
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$2,995~ 71
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584.57
442.29
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Charles J. Eu~ey, 'ES~~~~
Executor
1978.
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I hereby ,certify that the foregoing Schedule of Distrib,ution
is true and correct and is in accordance with the Laws of the Commonwealth
of Pennsyl~ania.
Date:,
October
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CERTIFICATION
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late of.~__._CllrY~le..___.__ __ ,__.__~___._'~_ Cumberlan~ County, Pa.,deceased and thatth. .
';ithin is an i;,~entory made by . CHARLES J. EUSEY ., the said.
of .the .enlire estate of said decedenl,..consistingof all the personal pro'party.and real estate, except real estate outside
the Commonwealth 'of Pennsylvania,. and that the figures opposite each item of the lriventoryrepresent it's fair value
. as:'ofthe date of decedent's death.. . .. .. .. -. . .
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. COMMONWEALTH' OF PENNSYLVANIA
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COUNTY OF CUMBERLAND.
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CHARLES J',' 1lUSEY
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is the
; being duly
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sworn
:.according to law, deposes and says that he
of the Estate. of ELLA N.
MILLER
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. Sworn ..
. and subscribed. before me,
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720 Museum. Road
Reading, Pa. 19611
Addreu
1978
Date of Death ----'---
25
. April
Month
Yeer
D.ay
INSTRUCTIONS
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An inventory .must. be filed within three months after appointment of personal repre.entative.
. . . ,
. A supplement inventorymusl be filedwilhin thirty days of discovery of additional assets.
_Additional. sh.eels maybe attached. as to. personalty or realty
.. .
.S~eArticle IV, Fiduciaries Act of 1949.
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_"tory of the reol ond personol estote of .
. .
ELLA M. MILLER
deceosed.
1. Trust Account with Farmer's Trust Company, Carlisle, Pennsylvania.
2. Life Insurance Policy payable to the Estate with The Prudential
Insurance Company of America, Policy No. 61679538
3. Furniture stored at home of nephew, WILLIAM ALSPAUGH, 36 I Street,
Carlisle, Pennslylvania--
Chest of drawers - $30.00; desk - $40.00; and cloth covered chair $15.0
4, Medicare payment.
27,744. 6
1,131..6
85. 0
235. 0
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/~~ .li$;9;195.bz
(g$ I: :1.
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I.. :entory of the real llno personal estate of
ELLA M. MILLER
2
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deceasep. . .
1. Trust Account with Farmer's Trust Company, Carlisle, Pennsylvania.
2. Life Insurance Policy payable to the Estate with The Prudential
Insurance Company of America, Policy No. 61679538
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3. . Furniture stored at home of nephew,
Carlisle, Pennslylvania--
Chest of drawers - $30.00; desk -
4, Medicare payment.
WILLIAM ALSPAUGH, 36 I Street,
27,744.6
1,131. 6
$40.00; and cloth covered chair $15.0 85. 0
10
235. 0
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COMMONWEAL TH OF PENNSYL V ANI~)
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
, .
RCC-B 1 (6-73)
IN YOUR REPL Y PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING or APPRAISEMENT
ChnrlCls J. r.USl!lY
720 HuscUtl Rd.
t._:./li.r. r.'l..:l'.::;. .19611
(Executor or Xaministrator) .
------------ ---........-.-
In Re:
Estate of
tl:';1 ~t. :~fl1c:
Co.lt"::'<3rlall-l
County ~'Fi Ie No.
:'1"1~~79
Dear
You are hereby notified that the l'lT:let"..l"
appraisement in the estate of t<11" M. UHl1....
'has been filed in the office of the Register of Wills of c."""''''''..nA
County an 13 S~tCl'lbar, 19~, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
Nonti
29.195.92
~!onll
~~onQ
29,195.92
As to such tax that is paid within three months from date of death, a five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22,1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest, who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
EstateTaxActafI96I,72P.S.2485-1001,P.L37\j . (J,IJ.
Date 13 5GI'l:ember 18 Signed ~ a _ J(, .61~
.
Title eM.sf ".pjlr~lMt
\..... \ F
Nate: This is not a bill.
II 11 --
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i~ RCC4-\2!77) . . -. C.ONWEALTH OF PENNSYLVA.
l.~ No.H 025973 DEPARTMENT OF REVENUE
:~ " OfFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATl: TAX
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'Ii;. RECEIVED
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l~ :~od:ess 720 Museum Road
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03/100-. ------.---~- d.11
. - " oars
representing Pennsylvania Inherito."ce or
Estate Tax due hom the following ~st(]te:
--------~-----------ONE HUNDRED EIGHTY-NINE &
.,
Reading,Pa.
196n
! 21-78-279
File No.
Dote of Death
4-25-1978
;.
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July 19,1978.
ELLA M. MIL~
Dote of Poyment
Name of Decedent
County
Cumberland
Remarks:
@ 00 ~ 00 ~ [Kjffi ~
SEAL
NOTE:" To be dellver8~ to tltXpIIYeI'
2%Tax on
$
$
6% Tax on
$
$
15'fc lax on
$
$
% Tax on S
,- .-Estate -Tax.'Actof~~
Moy 7, 1927
$
$
TOTAL TAX CREDIT
less five percenturn of to:< if
paid within 'hree. months after
dote of death
Plus interest 01 the rate of
_%from
to
$
$
$
TOTAL AMOUNT PAl
$
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,Received by
NOTE: In (J~~epllflg the \fonsfer Inheritance tax on future estates, prior to the deoth 01 the life
tenont or tenant for years, os evidenced by this receipt, II is understood that the Commonweolth sholl
not be predlJded or prevented from hereafter assessing additional inheritance tax 'at the ,dealh 01 the
l1fe tenant' or tenanl for years whenever It appears that such additional tax may be legol,ly due and
collectible for any reason whatsoever.' ,
RichardSI~;'tuA%ders
Register of Wills
(Title)
;
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198.98. .
9.95
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COMMONWEAL TH Of= PENNSY L VAtllA
. DEPARTMENT OF REV"ENU.6
~UREAU OF COUNTY COLLECTIONS
APPLICATION FOR CH/d"TABLE EXEMPTION l'~__
FROM PENNSYLVANIA TRANSFER INHERITAN AX
(.1 Mol' 28, 1956, P L 1/51, oad A<t 01 J,oe '.61, .
P L 373, {]o; IJIIlr"nded)
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Application is :hereby filed for the approval
of (In.exen.,pti~~ from Pennsylvania Transfer
Il1heritance"Tox on the transfer of the 'property
1. BurcQu .FilL'
21-78-279
April 25, 1978 _. ,SEP 22 1978
~__.3.1 r-' -'l '1-l'------ __ _. _._ __ _ _
. . Ella M. Miller '
4. Nome o"f Deccd,'n t _
2. Do Ie of Dca th
dl.'Hribc.d below:
3. Dote of Approval
The Commonweolth.'~ ~ppraiscd value of the property for ~hich an exemption is claimed is $ 10% of the residue
(Note: Where the prop.erty is other thon" a specified amount of cash, the exemption cannot be opp~oved until the yalue of
the property,has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift
or bequest repre~cnts _a stated fractional or percentage portion of the entire estote or the entire residue. In those 'cases
enter such fractional or percentage amount above),
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. ; 6. Check th~ mo'nner in which the transfer was
:J ,,;_such material. ~as been.prt~Y.iou.s!y~fjled.
f . .'~~~-~~~7,,~1~-d'" -->_.--..s--___~-_-~.-
effected and submit a copy of the document authorizing the transfer, unle:s.s
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SURVIVORSHIP [7;
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OTH ER L7;
....
Will 'X';
DEED L7;
TRUST INDENTURE ,'-';
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(If other,' .xplain) ._.:....~_______....___
Correct Business Nome arid Address of Charitable Oigonization receiYing property:
N AM E .: .Sal-,lisl~.-,-~eventl1::<I"y._Ad'yen tis t_(;hurch
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ADDRESL..!Q..BelVeder~e~.t:','~"I],~,,;t.e., Pa, .1}0l3
LJ See listin9 on reverse side lor odditjonal charitable arganiwlions covered.
I certify. that. the .nformatian cantoined h71 I"~ 10 the best 01 m: kaOn~~ belief,
. .Signature 01 Applicant ~~~~~_
truc and corr~ct.
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I . Official Titl._~~-""-sur".l',_.~arli,,le. Seventh-day. Date __ __June ,K, 3 .___~~~.~~_
j Adventist Church
,Th" lu"" m,,' b'-,ompl.'ud '" ',;p'"o'e e"d all "m"> <up'" dn',,,,,,/ ,;, .hc~R'>9'''e' 01 W.rl.lo, ,he Coun'Y;'; whicl. ,h,' d."cJea'
IluSiJcd, or in which letters ~:CrL' iSsiJed for u non_ro.:sidull,t del:...d"nt's (,':;I~II.:. If the Jel.:cdenl was a lIOn_resident qf PCllnsylvn,nio and
I Ictlt.'rs were nol issued hy 0 Pennsylvanin Reuisft:r of Wi lis. d,!livl~r 011 d'lee COI.i..,,> to the Director; Buteau 01 County Collections,
! PClln{J; Dt.'pa~t~~mt of Revenue, 265. 4th Street, Hnrrisbur.u' P".
~-- ------------._-~-_._--
___I... ..--_._,___ __~~E.~~.. ~!.i!~'._?,~I~_?"'!._.!.I~~,~_~_~!~_,:_: "f_~!....9!.~i.:.i_~_1 Use Only
( '.
A~PROVED:, For the Secret9'Y of Revenue
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! . (Signotu~e of ~~::s~r af WiI~
i' RiCHARO"l!. AROmllll1
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f C(ICifU'h't~y.) ,COUUlt l .
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. . R.D. #6, Box 252 A. Carlisle, Pat 17013
Address_ of Applicant __________. _. __ __._,~_____~..._____~_._.._._n.
~EFERRED to Burl..'ou ttl'odquurtcrs
Approved 0
For
Sc~retary of Revenue
Denied" 0
(Initi(lls of Regi!;Ic.,'r of Will!>)
(ALitrorized Signature)
(COUilty)
(Title)
(Dote of Approval)
(Date of I~efl.'rful)
(Dq.e of Action)
* See reverse side for rcosons
M'UIT BE FILED 'N TR'PLlCATE
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Headquarters only when the application for exemption has been denied.
.'!~!_~.~!ction _~-t11 he .cQmp( ete~ Bureau
Date:
The application for exemption contained on the face of this form has been denied because
N.ote~ Any party in interest, including the Commonwealth, aggrie....ed by this action may within sixty (60) days after
the datC!t of fhis notice exercise their rights of Protest, Notice, or Appeal in accordance with the provi sians of applicable
Pennsylvania Inheritance and Estate Tax Acts.
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCiIif'X
(A.May.28, 1956, P,L. 1757, and Act Df June 1~1,
P.L. 373, as amended) .
RCC- 3 (1-69)
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OMMONWE-AL T~ OF PENNSYLVANIA
DEPARTMENT OF REVENUE"
UREAU OF CO.UNTY COL~LECTlONS
1. Bureau File #
21-78-279
SEP2~bg
~PfJli~ation is hereby filed for the approval
of an exemptio~ from Per'!nsylvanio Transfer
I~.herit~'nce Tax on the transfer_of th~ property
described .belaw:
2. Date 01 Death
And1 25. 1978
~d. ( , I ~ ') 0'
Ella M.Miller
3. Date 01 Approval
4. Nome- of Decedent
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ Ali t!hA 'i"'DoA"dtl~ .
,
(t-l~te: Wh~re the property is other than a specified amount of cash, the exemption can~ot be app~oved until the value -of
the prop~rty has been established by apprais~1 by the Commonwealth, except in those cases where the amount of the gift
or 'bequest represents a stated fra~tional or percentage porti~n of the entire estate or the entire r~sidue. In those cases'
enter such frac~{anal or percent~ge amount above).
16.
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~heck the manner in which the transfer was effected and submit a copy of ille document authorizin"g the tr~nsfer, unless
such material has be~n ~_revi?usl)' Hied.
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WILL ci(
TRUST INDENTURE 17;
DEED 0;
SURVIVORSHIP 0;
OTHER 0;_
(lJ other, explain)
C~rre~t Business Name and Address of Charitable Organi:tation receiving property:
NAME GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS
ADDR~40 Eastern Ave., N.W... Washington, D. C. 20012
I .certily that the information contained herein is, to the best of my knowledge and belief, true and corred.
, ;"..,.,..."",,,", Ff~
Address ~I Applicant 6840 Eastern Ave.. N. W.. t~aBh:l.nflton. D. C. 20012
.2P
Pres:l.dent
Date June
, 1978
Official Title
r . -. . .
+ Thjs_formmustLbe._c~mpleted..ln tri~licate_Qnd ell I three copies delivered to the Register of Wills for :the County in which the decedent
resided~' or i~ which letters were Is-~~ei far -~ na';~'r~sldent d'e-ced~~t'~h,-:-If the dece-dent was a'" non_resident of Penniy'lvania a~d _~-
letters were nof issued by a Pennsylvania Register of Wills, deliver all three copies to the Dlrecfor, Bureau of County .Collectlons,
Penna. 'Department of Revenue, 26 S. 4th Stre~t, Harrisburg, Pa. '
00 not write be-low this line - For Official Use Only
Approved: For the Secretary of Revenue:
Referred to Bureau t1eadquarters
,Approved 0
~or Secretary of Revenue
Denied' f7
(Signature 01 Register 01 Wi
RICWlRDI!. .PJl1l~~
C~'~BtR('Gw..~W'j1ta
(Initio's 01 Register of Wills)
(Authorized Signature).
(County)
(Title)
(Date 01 Relerral)
(Date of Action)
* See reverse side for reasons
it
MUST BE FILED IN TRIPLICATE
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This section will be, campi eted by Bureau Headquarters only when the application for exemption has been denied.
Date:
The application for exemption contained on .he face of this form has been denied because
Note: Any party in interest, including the Commonwealth, aggrieved by Ihis aclion may within sixty (60) days alter
the dote of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of applicable
Pennsylvania Inheritance and Estate Tax Acts.
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State of Penneylvanla..11
County ot Cumberland. J
BB:
Proof of Publication
Jamie Morrison, clerk
Copy of Notice of Fublication
gr" .- EXECUTOR'S NOTICE ',I
,,-Lebers testamentary on lhe Estale of Ella
~M.~,:MiI~r ',~te. OI,~.~~1t,OI Carlisfe:
.....cJmberland.J County,. Penna., deceased,
t~e been g~t~ lottu; \ii1~ersjl1ned:""
~Al[ 'persons_ knowing' Ihems~s to ',be
...Indebted tO,sald estate will make "payment
~m}t1edial'i'I~:' Ind. those haVing c!ainr! WIlli
tpiesenllhemlof'etlletnOnllO :.f J
t..!.;..;. ...1;. '-. fJI,qharfe~J.'E~sey!
.. . , I:~ ',," EXECUTOR '
.. ~ ...~, ",...' .
r'~ ~ \". ,,71 :.c, 1" 120 Museum Road I
E:. t .1' t; i,,' ~ ~.\~, Reading, Psj, '
!:Clrarle,J, Eu" , \' .
..At,TORNEY , , ,
... ~. -.". . ',-.. . -
June 6,
OCT 3 1 1978
. .
13, 20,
1978
Affiant further deposes that he :8 not interested In the subject matter of tbe afore-
Ba1dnotlce or advertIsement. and tbat ~n ,~lle~atJoDB in the' foregoing statement as to
time. pla-ce and character or publication are true.
~~~
Sworn to and subscribed before me tblS................JRt.lJ,............dar of
October 78
........................ .19......
, ,
My commission expires:
/v\AR.ETTA FiCKEL, Notary Public ~
Carlisle, Cumberland (0.,' Pa.
. - My Commission Expires Dec..' 5; 19BO
15
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.rr..J.0.h-M1~~.~.".,
Notary Publlc '
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. . - JUl 3 ' 1978
'ProOf of PublIcation of Notice In Cllnbeliand Law Joomal '
(Under Act No. l58'T, Approved May 18, 1929). P. L. 1784
State of PelUllYlvlUIla }.:
Count)' of Cumberland
James R. Humer, Esquire, one of the Editors ot the Cumberland Law
Journal. of the County and State lforeAlcl, being duly sworn, according to law, depolel and
Ill)'II that the Cumberland Law Journal. a legal periodIcal published In the Borough of ear-
lIa1e In the County and State Iforel&ld, was established January 2,1952, and deslgnated by
the local courta as the otftdal legal periodIcal tor the publlcattonot all legal noUcet, and hu
s1nce January 2, 1952, been regularly Issued weekly In sald County, and that the printed no-
tice or publication attached hereto Is exactly the same as was printed In the reauIar edl-
tions and Issues of the said Cumberland Law Journal on the fOllowltJg dates, v1z:
'(f/16. '23. ~O/78
Affiant further depoSes that he Is authorized to verify this statement by the CUmberland
Law Journal, a legal periodical of general circulation, and that he is not interested In the
subject matter of the liforesaid not1~ or advertisement, and that all allegations In the fore-
going statements as to time, place and character of ubllcation are true. '
, --:-~-" , --;;' ~ ~ ~-, ,
Mdler, Ella M., dec d. ,,' , ,
Late of the Borough of" Car- '
lisle, to and subscribed before me this 30th
Executor: Charles J. Eusey,
720 Museum Road, Reading,
Pa, 19611. . 19~
Attorney: Charles J. Eusey,
RY PUBUC
n Expires July 14. 1981 /
Cumberland CounlV
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WARNING: It is illegal to duplicate this copy by photostat or photograph.
LiJ~-r:2JJ~197S
. ?f/?T' Date Ii'/!:-
"'0/< \..-
~.:: ,r
This is to ceriif}' )b3t~this ~ a trf.-e copy of the record ~hich is on file in the Pennsylvania
Departli1ent.-of"~H,e'~ltli;:in.accordance with Act 66. P. L. 304. approved by the General
- , .~ 1:-,'J - ,
AssemblY. JU'ne29.;1'9,5:3. ..t~,
....:. .-'::~\2~'-:;--;::~-~' ~ ,
C ~~~:... ~ J:,.:... ;::
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(Fee for thifcertificate. S2.00),''''
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No.
t~ \D~a
Leonard Bachman. M.D.
Secretary of Healtb
Harrisburg. Pennsylvania
LdC. REQ. NO.
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PR'IMARY CIST. NO.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
VITALSTATfSTlCS
CERTIFICATE OF OEATH
0155i'4
~_ \ [")(~, \ __ ,,~~'"t,
STATE' FILE NO.
iName of deceued
;
",
Race ~ (e.g., White, BlacK. Age last birthday
I AmerIcan rndlen..etc.) {Yrs.1
'4, Hhi te SA. 77
iCltv. Bora, or Twp. of death
I Carlisle
'79. .
";518t6 of birth (If-not USA County of Birth
\~~~o Country) F..t\ 8~umberland,
Citizen of Iflo'hl!lt country? Wasdecedent....er In 0 YilIl
\' DC A u.s. Am'led Fotces? ID No
1 ~J Setl.1 Number
ill. 12.
if\e~idenc.e Stille County
liSA, FA ,s~umberland
I'Father's Mme (First) (Middle)
Oliver
1'6.
jlnformtlnt'S name (Type or Print)'
h8A,Vlilliam N. Alspaugh
\ :fJ Burial 0 Removal
.19A. 0 CremtltlonOOther
r:net~ro & /nerlll director end lice
'Regin~!sSioneture
I, ('0,~'~ ""
~ :>- To the best of my knowledge, death occu
C; g' c: and due to the cause(s' stated.
0.>.0
E:'.: C
8 t ,~
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c,cn,f
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24.
26.
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Part
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(Middle)
Nay
(Last)
Alspaugh
(Firstl
Edna
Couoty of death
Cumberland
Under 1 Yr. Under 1 Day Date of birth (Mo. DIlV. Yr.)
os. ays ours I Min. Feb. 2, 1901
I 5C. 6.
Hos~ital or Institution (If not in either. give street addressJ
125 E. Louther st.
7A,
.)
58,
asp. or l"St. In ICllto . . .
OP/Emr Rm, Inpatient(specifyl
Surviving Spouse (If wife, give maiden namel
Marital Status
.w id OW
City. Sora, or Twp, of birth
8C. Goodyear
10.
Usual Occupation lKind of .....ork done dur- K;nd cf business or industry
inQ'most at working life)
Housewife
14A.
"f'Z')n'E;~m'rout~ler st.
,5D, ~((,J!.v,{.L 1'(01.3 1S<, Xl Ve. 0 No
Socilll Security Number
174-05-1998
13.
City, Bora or Twp.
Carlisle
15C_
Inside City limits
Mother's name
(First)
j\largaret
(Middle)
(Last}
Harris
(Last)
Thumma
l7.
(Street or AFO No.J
st., Carlifule.
(State)
(Zip Code;
Mailing address
36 1.
(City or To.....n)
PA 17013
Garde ~o'Ni~n 1.j idltte"eo:rtw"fwp.
umberland Co.
(Statel
'88.
f'4Ime of cellJeterv E r cremq.~ry i 1
VJeSl;m:LnS"er l'lemor a
c,
190.
N'lme eo eo re",O \,lmH8 4!~te. \'!< men.
Hoffman Funeral Home
~~~1~slg~~xef7~f)
01034J
L
carV'"---
208
d a~lhe time, date, aod place
M,D.
-=.
,,-,>,
E_ T
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On the basis of exsminllticn end/or investigation. in my opinion. death occurred
at the time, dllte a""d place .lInd due to the c8use(s) ftated.
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N<IIrne..a:nd AddreSS of ce~ifier (Physician, Medical Exllminer or Coroner) (print or type)
A.M.
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22A. Signature and title
Date Signed (Mo. Dav. Yr.l
Houfot
Oeat'"
23C.
HOUfOf
Death
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238.
228
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use per line for fAl (Bland Ie)
IlnteTV,!I1 betwoen
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i Interval between
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D.ue to, or IlS a consequence of:
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Part II. Other Significent Cotldi~ions _ Co~ditions ccntributi(\g to death but not fela.ted to cl'll.lse given in Pllrt I \8)
,
WascDserei"rredtoM
Examiner or Coroner?
28. DVes ~
Autopsy
DVes
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Injury at work?
In v.... DNa'
Date ct injury!Mo., Day, Vr_) Hour of
Injury
29B. :29C.
Place of Injury (At home. l..rrn, street, etc.)
T Describe how jf'\jury occurred
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Locat,on IS',eet or AFO NO.1
(City, 80ro, or Twp.J
State)
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RECEIPT, RELEASE AND REFUNDING AGREEMENT
ELLA M. MILLER ESTATE
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KNOW ALL MEN by these present, that I, ROBERT H. PIERSON,
as
President of the General Conference of Seventh-day Adventists, 'of 6840
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Eastern Avenue, N.W., Washington, D. C. 20012, herein called "legatee,"
am held and firmly bound unto CHARLES J. EUSEY, Executor, on behalf of the
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General Conference
of Seventh-day Adventists, unde{the will of ELLA M.
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the sum of Twenty.Thousiind Dollars ,~_($20, 000. 00),' '"to'.)
- l'V",.:i:--t... Ai.. ~ r !""!;,ui;. '
MILLER,' deceased, in
be paid to the said executor as ~for~sai~., his survivo; or survivors, I o~
,,_rt..l.h.....,i ~ ;'n.-' ,. '1:::-"( Cot .;;.ev~ f.'ttl. ,!-,".y ~ ,~'< ~..l~ i,r;.t:1.
his successors or assigns, for which payment, well and truly to be made, I
do bind the General Conference of Seventh-day Adventists, its successors
and assigns by these presents.
\n~';,L.,,, . Signed and sealed with my seal this
. 710
/'1-
day of August,
1978.
'y. WH~REAS ,~LLA M. .,~ILLER, ',deceased, by her will dated August 2,
::l _ ;,..-.....\.-"" ~~ ..L.._, _~""- ""'_ .
1976, beque~thed to the legatee a legacy of her entire estate.
.........
,Now the condition,of ,this obligation is such that, if the legacy,
or any part thereof, shall at any time be necessary to discharge any debt,
liability, or legacy, which the executor shall not have other assets to pay,
then, and in 'such case, if the legatee, its successors or assigns shall
return the legacy, or such part thereof, as shall appear to be necessary for
the payment of such debts or liabilities, or for payment of a proportionate
part of, such legacies, and the costs and charges, if there be any, incurred
by reason of "the payment of the'legacy to the legatee, or if the decree of
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probate of the will of the decedent be revoked Or the will be declared in-
I
valid or inoperative in whole or as to such legacy,J then, and in such case,
,
I
if the legatee shall return the whole of the legacy!, with interest, to the
h . i h 1
executor, is survivors, or his successors or asslgns, then t is ob igation
is to be void; otherwise, to remain in full force.
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. KNOW ALL. M,EN by these present, that I; ,CONSTANCE DlMEMMO,as
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Treasurer of the Carlisle 'Seventh~day Adventist Church'of 10. Belvedere
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Pe')ns>:lvan,ia 17013, he,rein caHedj."legatee," 'am. held and,
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'firmly" bound,mto CHARLES, J . EUSEY , Executor ,on behalf of, th,eCar-lisle.
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,~ Seventh~dayAdven'tist Chu'r,Ch, "'~'nder. tI,e win of ELLA M. MILLER, deceased,
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in .'the sum of Two Thousand Dollars; ($2,000,'00); 'to lbe' paid ..to the. said
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,ExeGutor as afore"said:, ':his' survivor or:. ,survivors ,~. ot ~i~ .~U'~c~~sors or 1
assigns ~'fo/which paymen t ,:ell an~ '~r'.;~y, ~o be,~at; 'i,do' bind' the Cariisle I
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Seventh":d~y :AdVentis{:Ch~rch ;its'sui:ce~sors and assigns' by '~'i:hese presents.'
~.~~~ -. '.~ .~. .' "-:~-~~-_.,"~- " . ,':"-.r.-.' ,t-, (:1- ,".
. .', ~igned. and sea~e~' I!'~th:my' se",l' ;hiS .' o(:;.k~y 'o'~':igus{,~ 1978.
>,"' ,.. .. .. -:, .", . ": . ::..,..-.. " .' f.... " ".r;:::. .' '1 .
: ...":-. .' , " ., .,~'.i":",.J:;:~". ."'''' ..., ',- ,~: '. :-.......;::._.:.:. >=-+.. .'if-:-: -",or.,
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WHEREAS' ELLA M.!1ILLER,:deeeas,~d<~ byher.lW1l1 dated Ai1gyst 2; 1976,
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. bequeathed to the legatee a~legacYiof.i'en (10%). percent of her .estate,
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, .', . N6,. the condition of "this obligat'iort,. is' sllch . that, iif.' the, legacy; .
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:l~~-~r~, an:y-~pa~~~ ~~~if:;;f~l sh~ir ~~~'k~n'y,..t"tti7rl~, he '~e~~e~s~ry liD di.ssha~ge "'an~ debt:'
.i;..~i-',-lO-'J. ','-,\,(.-~:J!:.\_:.~_~.i:~~-:- \"'\.,),'iA.~~~~..,Jt'.","..".. . . -',l'~ '"..
-".: ....' ", - , --,' ....,,' '. ....' . .,; ~, . - , ~-< if, t' '!'r,'>l':(i; ~v ,_
liability;' or-' legacy,) which the' Ex~cutor,'siiall'rii5t' Jiave other, assets '.to' pay,
I".~~ :.1."~' ~ l~ .'~ "\ r.," t""".->->r~'<;.:.~l i:-<- "~;-~.'. "". t'-',~~~. t '7 '.. ,- :,' ~.,:' ,~. ,':::; . t .;-~~ '. - \~ . -':, - .'
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"'then;~_and'\in"'sucli'case,' if the,' legatee, its suc,cessors.' or a'ssigns, shall.
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return the legacy; .ot such part'. ther~of>'as shaila~pear -to' be~necessary for
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,the payment of;such debts or liabilities, or 'for the p~yri1ent o'f'a pro-'
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. '. ,~ 'I:. .' . ,. .. . . j. '. ' -t' ~
l;ortionate'part, of such legacies, and the costs,and charges, if there be'
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. .~. '. -.;;"' ' 'ji..-..~~ -- ~>if~'"-' ''.l;-- "i'j,tm~:7'-~~''''' -' .,--",~--~/,:,.;~., -: -,:-1' ~- .-:- ~ \....,...;~~'~''"-.'~'.: 'j ,(
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valid orinoperatfve,in whole or ';s .to .such .legacy;th'",o,ilndin silcl{ case,'
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,if the legatee, shall return the'whole of the legacy,( wltli interest', :tci the
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RECEIPT, RELEASE AND
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REFUNDING'AGREEMENT
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'ELLA M'.'MniER ESTATE
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'these.preseri1;, thatl, PAUL;rNE,W...ALSPAUGH, here-,
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-'KNOW ALL MEN by
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am held a;>d,firruy bound, unto, CHARLES' j;' EUSEY;' Exe~utor;
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under ,the' will of, ELLA M." MILLER; 'dece'ased, ,irithe'suin of Eight hundred ,and
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'fifty dollars'" ($850;,00), ~to bepaid'<t? the said, Executor as 'aforesaid, his
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survivor or survivors; or h~s.,succe.ssors or assigns,., for" which paiment;'. we:il
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,t'o be made, !,do',bind'l1iyself, m)!' heirs and f.ssigns:, by 'these ~resents,
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WfiEREAS"ELLAM.MILLER, 'by her win datedA'ugust'61 1976, bequeath-
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in' calle.d ".legatee,"
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,and truly
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Signed and sealed'withmy s~al this
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e'd to ,til'e legatee ,,, leg'acy, of, five' (5)'" percent
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.~ ~~N..2'Lth~pndition o,f_~~~s.obligation,is 'su:ftha~;;i~"th~.~egacy', Y'';''
or ;'~ypa~t thereof, shal'l' at,~ny ti'!'ebe, nece!,sary to di~ch1rge any :debt ,.
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_ }~abi1ity! ,or' lega~y, which' :he exectuor' ,sh,ail;n~: ,~ar.other "as:rt~ .,to' pay, ,
9ier; .a~d ,dp.~ '~~~h' case, if' the l~'ga~fee, its s~~ce~~i?,~~f,~r :..~s.si~ns'.;~~~\~~~ -, 1?~tli~n
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the legacy " or such part, thereo~, as ~haH' ~pp~ar~:t~"be 'u~cessary f~r ,the
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payment of such debts or lial5'ilitie,s:, or,f~r' the payinentof, a: ,prOportionate
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part "ofsuch legacies, c.and ,the 'c'ost's "and charges"if there, be,al\y, :incurred by
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reason of the. 'payment, of, the 'legacy to the legatee, or,if the decree, o'f
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~robate - of;"~h: will of, the' dec.e~dent be n,vok~d ~~,'t~:[Wi1~ be'd~dared invalid
<?'r. :f~l'operati ve ~n w~ole. ?r:.a~~ ~o_ su'ch: lega~y, . then, and' in su~h c~~e ~ ;.if', . the
iega~ee shaH ret~rri the whole ,'of the legacx ,w~thin~erest, -to' the Executor',
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,his .survivors,' o'i- his'_.successdrs' c;:>r' 'ass.igns, ;t"he,n ~this "o1)ligaeiol1;" . is" to"be'
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WITNESSES:
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WITNESS WHEREOF; .I~have set
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