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Home My WebLink About07-17-79 * COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE LEGAL BUREAU P.O. BOX 1874 HARRISBURG, PENNSYLVANIA 17105 REV-314 (~78t July 17, 1979 Richard E. Anderson Register of Wills CUmberland County Courthouse carlisle, Pennsylvania 17013 Dear Mr. Anderson: Re: Estate of Mable J. Bitner Orphans' Court Division Please accept for filing the attached Praecipe to Discontinue the Citation issued in the above captioned estate for failure to file an inheritance tax return. No hearing was held on this matter. Thank you for your assistance. Very truly yours, ~s~ Allen s. Mengel Assistant Attorney General Legal Bureau Enclosure ASM/mj~ \ k / On A -S rY\ / ' ,).-.' cc: Mark and Weigle, Attorneye-at:-Law Form No. RCC-62 (6-70) THIS FORK REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10.000. UNDER SECTION 701 OF ACT OF JUNE 16, 1"1. EFl"EC'l:IVI: JANUARY 1. 11162, (FILE IN OUPUCATE WITH COpy OF WILL ATTACHED) '* 9) 7' ><.-/1 ~~ . OFFICE OF'THE REGISTER OF WILLS 1/11/71 County of , . .~~~~~P. . . . . , . . . . . . . . , . . . , . . . .~qq~t9-. !?.. .G~4gl:h . ~1=.., . . . . , . , , . . . , . , . .. of .527. .Edge1l1Pnt .Avenue,. L.an.sdal~,. Pa.. .19-446. . (Name) (Addr....) being duly _.___s_w:nm_n___________________._according to law, deposes and says that he is the __un_~~~~g:l;2;t;:______n____________nu__________n (Exec.. Adm., Legatee, E,c.' of the estate oL_A:f:~~_:t,_;!_!_J!J~gh_J}j,..1;:g~.g.______________ whose last residence was_____125..S..uQueen__St.._.Shippensbu~8,Pa (No.> (5,,,,,,,) n___unuhcu______u_h_..________..______nn_dect;ased, and that the whole of the estate of said decedent, who diecU.::-:29.=:18____u_____nu___ (Cay. Borough or Township) (Dare) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT. WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES. ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value NONE Personal Property The Firs t National B.<Ink nf ~hi .1 _ a",".....~~ .. . .~ ~a ~n1.C 111-15696-6 Interest to date of death 77.~ - - ~ TOTAL ~q 17q .af. NOTE: You may expedite the processing of this return by filing with it, and as a part of the return, letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the decedent as of the date of death. Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account. account number and the exact name or names in x ...'"'~ n,", 4-1-."", .. roron11n+ ; Q ""PO'; ~tP,.P.rl Jointly Held Property Estimated Value NONE ~_.__._-_.~._._-----------------~--~--_.._._-~~.._--_.-----_._---_._-~--- ~---/.......-_---~._---- - -------_._-_.._-~----_._-_._--------~-_.~._--_.__._- ~--_._- Transfers within TWO YEARS Prior to Death I -t-- , NONE ----------+-------------- I --------t-----. ----- ------------t---------------- I I ! ---.~______r_._--~~-.--- .~-_._----- That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as aJ<ent or deputy, with the ex<:eption of the following:- _._----_._----~-----_. .~.__._-------- -_..'~---'- -~-~-_.~-_._-----,_.__._------- - - -;;;';,;:;~;;;;:~,~~~~~~~%~~~~ ~T:':~,~~~~~~;- r ~H~~,~~~~~;p~:;~:.;:;;:':m~ __~ ':;~:~;~~~~'~,":~~;L -------------- t--------------------------- ---------;.--__________.._ ~---------------- ------- -t--------------- --- j --------- I I -_._-~_._~- -----.._------------ ------"-- _.---- - ---- -- --------- -.--- BENEFICIARIES Page 1 RELA TIONSHIP SURVIVED I AGE OF LIFE BENEFICIARIES AND ADDRESSES (I f step-children or DECEDENT TENANTS OR (State full names of all and their addresses who have illegitimate children STATE YES I ANNUITANTS an interest. vested, contingent or otherwise. in estate.) are involved, set AT DEATH OF forth this fact.) I OR NO I DECEDENT I Husband ! I Harvey T ...... i I I 26 S. Queen Street I I [ I Shippensburg. Pa. 17257 , i ! ---i Donald Clugh ~nn r--- . R. I I I i rr------------- INTEREST OF . BENEFICIARY i IN ESTATE I ---t--------- -------- : I t I I --t--- I -+ I I I ~-------- I i I ----t------+--- ! i -r I __ 532~Mar~Dri ve North Charleston, South caro~ 29405 I I Son I I I I l Richard P. Clugh. Sr. 527 Edgemont Avenue Lans dale. Pennsvlvania ,Q441i i Lee Clugh- Deceased RrlrH 0 . T. (11..,.,.1-. Gr -"- ~ I 337 Hood St. I I I I- I I Chambersburg, ~ 17201 I- I I I I -- +---------- --+------ ----+------------ I I ~- I L- I t I I 1-------- RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE: LIst first five items in the spaces so provided, observe notations thereon, and instructions. DEBT OR CLAIM NATURE OF SAME --~,,"al oxp,n.., paid i THIS COLUMN . EGISTER ON:LY $ $ OTHER DEBTS AN I Family exemption (will not be allowed unless -< I decedent died residing with a spouse or children.) I i t I I i l Administration Expenses · I I I Counsel fees · I I I I I Fiduciary commission · I t I D CLAn,yS [ (. ) See Note below i I I I I I I , I I I I I I I t I I I I i I t I Total I L-- Note: The estate agrees to advise the Register of W ills if the amount actually paid in settlement of any fee, commission or debt is greater or less than the estimated amount claimed and allowed. Subscnbcd and SWll/'D to before me this. . . . . . . X4~~~i~).--._._-_._.. .~??~4g~~Q1;l~ .~:V:~J+~~........................ (St;'eet Number) . ...//d.... . day of 9.ul7... ..... ,1977 ~~~q_.._q._. ShWe..... '1 Cun*rUn4 County ..,0....'" .... lI.u.... =>>#"-"'2 Lansdale, Pa. 19446 (City or Town and State) -...--. --~.~------- Having been duly swom aceol-ding to law, I do hereby certify that the above appraisement is made in confol'mity with law on this . . . . . . . . . day of . . . . . . . . . . . . . . . . . ., 19. . . . . ApprRiser In the event that any futuI'e intel'est in this estate is transfened in possession or enjoyment to collateral heirs of the decedent after the expil'ation of any est::te for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transferinheri- tance taxes at the lawful collate,'al I'ate on any such future interest. REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for. . . . . . . . . . . . . . . . . . . . . . . . . . .. County, Pennsylvania, do respectfully report that I have allowed debts and d(eductions 111 the amounts claimed by deponent, except as to those items where a greater or lesser amount IS Slit forth in the last column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction. ~)at.ed' ., Register of Wills -----,-------"._.._--_..."_.._-----~.~----_.~_._--------~_.--_.__.__.. I - -------------f----.----- That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy-ot' another, or in decedent's individual name, with right of a('cess by anoth('r as al("pn~ or deputy, with the ex('eption of the following:- -'--_________"'____"'_________,~'=__=_7_-'C='=7~'-7'==~====___==='~-cc-T'"C-". ----=----=,~"-c- "-~==_=--=~,.,.-m-:C,.'-=, '--'T=o,"-' - -""' - - '"" -' NAME AND ADDRESS OF BANK OR OTHER INSTITUTION J- THIS SAFE DEPOSIT BOX RENTED I RELATIONSHIP OF' JOINT IN WlilCH DEcr.vENT RENTt:O A SAFE Df:POSIT BOX IN NAME OR NAMES Of' ! HOLDERS TO DF:CEOENT -, - ,----- ---------------------.-+--- ---,,-- , I ____"'________"-_______"_ -___,,__._,_ ,_.____,__,_______._h.__ ,- ".-' " . -' ---- ---,--,--- ---"'''"" ---t--.---.--'------------'------------ i , ---------+---------- i ----,._--,._,--+---_.~_._- ---_._..,.-.-~-,-~-- - ! '---t------------------ ---- I I t I ~,.---.;:7,~.._:' '~":'...,~~.~"..,~-:_, ~~:~~,~,._ -.." ".....,_.. ~-;:::::-:-".C':"~~;:'::":".~ _._.._..'--~----_._-,._._.._-_.~._'- "-"-'""._._~- ....-- -,,--..~ ,--.. . .. . "-- -... ...~ ...'"". - ~ .... ". ....... .. ...." ___ J.._... BENEf'ICIARIES ____________________________ __,____~O't_!:I:_~NU~~__~_c:l.g~__L__________ BENEFICIARIES AND ADDR~SS~-;-- -~~.~L:;~-~~~~~I~r - 5~~~b~~i?T*~~~OJTkI;;~1 (State full names of all and their addresses who have illegitimate children STATE YES I ANNUITANTS I an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF forth t~iS fact.) . I DECEDENT 1 ~~~.~L---~______ C.randdangh.t.r__ r~-- - .-+---- ::e:::::g, Fa. 17201 ___ --t----+- ----------- ---------.------- ------------ _________Granddaugh..ter ... r' ------- - ---t-- -.-------------+---. ---2.80 - S. --Main-Stw----------------------------i------------t---------- f I I I ;;~~:=~=~~=jGr~A~~--~~---~~J= -- -- -.-. -- INTEREST OF BENEFICIARY IN ESTATE ~'. ~ 780 Northwest Fir lade Dr. Bremerton, Washington 98310 __) ! David C1ul?;~___________.______+g-~~ds 0_11_____________ -----------t---------,,-------- R. D. #4 1 - - -~ -->--- --1== I -:~~;~::r-~:--==t '_~::.'. .. ...~~F=~~~t=~~ _- i I ! ._,_.._..~___..-.....L-___.__~_______ : That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of accl'ss by another as. aKl'n\ or dpputy, with the ex:c<>ptwn of the following:- . -~;;:~~~~~~S~~~~::~~~~FO~ .~.r.-;~'~~~~:::r~:0~~~~:;:~:=.p:2~:;;':~i'E~~~ _______.__.___..... ...__.___.. ....___.___.._.._________. \-...---.-........ ...---.--. --.-----.-..--.--..---t-----.-..----- ~---+--_.~~_.. ..~--=~------~==~~'_.____---- -. .- -----t-------..-- -. -- I -L_-:-::::--:-::~~~.~._:-~-::-::~~~~~=-_. .. BENEFICIARIES Webster,...Iexa.s 77598 ..__-..-C!lli'UNJlliJL--~g~-3...-. RELATIONSHIP SURVIVED! AGE OF LIFE (If step-children or DECEDENT I TENANTS OR illegItimate children ST ATE YES I ANNUITANTS are involved, set OR 'NO' AT DEATH OF _________ ....~.r:~__t_~~__f~_c:..!__._ __ _____ _.____~..<:::-D E N~._ -~;:~son i.......J-- ._-~~ --.--.t----.-------t- GEandson=__~L .T ---.---'--"- ------t------- G aru1daughter ~ Conneaut, Ohio 44030 ---t-- ~ - --- ---------- -- ------.-.--....-t-.- ---I :;:~l~a:~U:~. ---.-- I JkqIHlsOfi_____ ------r-.---.----t-- ----- ::~::::~:~:::::o::---=r-=~~=- f .---- __n-----:j 1..--..--.-.......-....---. +.---------;--- i I I BENEFICIARIES AND ADDRESSES (State full names of all and their addresses who have an interest, vested, contingent or otherwise, in estate.) INTEREST OF BENEFICIARY IN ESTATE ___fI@k.. G1J..lgIL::..J3.~~~~.$e.!t._.... Frank B. C1ugh ~'- 17238 Texas Avenue .Robert CJ..ugh. 616 State St. Conneaut, Ohio 44030 # Suzie Humphrey Mrs 141 Evergreen St. -- ----+----------------- i ! That at the time or death there was no safe deposit box registered ih decedent's individual name, 01' jointly with, ot alJ agent or deputy of another, or in decedent's individual name, with right of access by another as a~e~t or deputy, with the ex('eptlof\ of the following:- . - N~-lof-;-~~~-~~~;s_;~;;~-~"~-~~'-~~~~~ ;;:;~~~~~;;);=c--,~Tcc'-,~~~-~ ~~;c~ -~E;~~~; ~~~-,=~~~~~;~.-c-"- --T~~~A~IONS~-;~~~;;OINT- IN WHICH DECWENT RENTED A SAFE DEPOSIT BOX -I--- IN NAME OR NAMES Of" I HOLDERS TO DF-CEDENT -------.-....-------. --..-..-....-------- ..-----------~-.--.- -.----==~- [..... -~---=------------=-.=-.----.-- .--L---~.-..-.-..-..--.== =------==~.==.=~--- d_--=--..:~= ...- --- .-1-------- -- I I .. -:-,:~,-.:.~'":~--_:::__:::_:_":':_:':_:':_::_:__~"-:_:_:_:~__:__:~--L"_"::::--~::___:""~:::",.--":::-:,:--::-::--.-~__::_:::_':~~_:__~:.~:::~"7::.~=::_:::::::.~_~ _..___0_-.________________._____ -..........---_.._-- ...........--_...-.-_.. . -Cam.q:tl--Clug 322.-Jeffex.Rop. Conneaut. Ohio BENEFICIARIES _ CO~!.!~.!:!.?D _~~ge___~________ RELA TIONSHIP ,;-;rAGE OF LIFE (If step-children or Sl..;RVIVEI.i- I T~NANTS OR INTEREST OF illegitimate children DECEDENT ANNUITANTS BENEFICIARY are involved, set ST A TE YES I AT DEATH OF I IN ESTATE forth this fact.) OR NO I DECEDENT+- ----------.--..-- .---......------+------ --....-.---.---.--- 44030------- G:dd:ghter t=:~-j I =r 1- I Gr an.daoll..-------------r-----t- i ----.-.---t------i ~ ----: . .... .l--~ ----r~- ----- f----'- ~~~~~;~"t-;~-"-=!lec."""-<L- -~~:d~~u~t~r.l_::.. -1--- ---t-- :~a: ~~e::~ ;~sconSi: 54102 --t----~ ----- +- _~~l:~C ~~::~;:~?~~.. ... ____=l~:ands:==.:l-=:==r=- -~~-:":~P' __T~~""__~=- ___ -il -..... ---.--.--.-.-..--.-----.....-t----.-~-. l BENEFICIARIES AND ADDRESSES (State full nantes of all and their addresses who have an interest, vested, contingent or otherwise, in estate.) ~,~- James Clugh 322 Jefferson Conne~~ Ohio 4403..9___._ I .__.____._______.____.._____._.... .....-.--..-.-----.----.--.---..-.--------.--.---------------t------- I ! ---_._-~--_._._--_.__._---'---_._-------_._----- ---.. -- ._._---,---~~---~-......._---- That at the time of death there was no safe deposit box registered ih decedent's mdividual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of a('cpss by another as agpn,t or deputy, with the exeeption of the fllllowing:- ~';;::~~~t~~~~:~~~2~~~~~:~~~~~:~~:~~~.... ......;~~,~;~;~:l:;~:~~~F;~~~;~~:~~f,~;;E~i; t. .-.-.--.-.- - ----,''''..-- "'- ..-.t---:-...------.-.--..---.--.-.. -~ -----~-~--------=:.-~=1==~= ..---~~-~-- ..~ .-_._~-~:::-.:---.._------~-- BENEFICIARIES __._____CO:~.'~J;~y..E;~1'_~~__5 P.ELATfoNsmp 1]--:- AGE-'OF LIFE BENEFICIARIES AND ADDRESSES (H step-children or S~ R~:)VE~ l'EN ANTS OR INTEREST OF (State full names of all and their addreut's who have IllegItImate children ~T iTE ~~S ANNU IT ANTS BENEFICI ARY an interest, vested, contingent or otherWise, an estate.) are Involved, set OR NO' AT DEATH OF I IN ESTATE forth thIS fact.) +-_ _____+ECEDENT 1______ :~~g~l~;:=~- ....._.~____~__.J;=d.Ol\-- .r--tl. -"---"-"-'~'-~-- ~,< _ ~~~l~~~~:~:r~_~=~:=-=.= ~~Ji~da~~ ~- ~~~i-~---._+--- Yoakum, Texas 77885 ----=~=-+~~==_~-1\ Connl~ Koehler -------.::r~-G~:;~~:~w- -T R.D. 112 _Box 149 ~~2 ---------.------+----------.-.-------.--t---- Bastrop. Texas 78602 . I I I Granddaughter R. D. #2 Box .JJt.9__E:=2_______._._..__..___j...._..___...___ ~ -...---.-~-'----'-' ---------....--.--------- I I ------- ---t---------- -..----- Churc1Lof the I;ia~arene .____+... -.---.--- _~~~~~p~~:~:g~t~:~t 1725T--~-------t.--...- .,. Frankie L. Koehler Bastrop, Texas 78602 I --~ t- ---.~.'".--"...-.".-. .-..r---- -------- REV-5IB (3-79) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS P. o. BOX 2970 HARRISBURG 17105 IN YOUR REPLY PLEASE REFER TO I nvestigation Division NOTICE OF FILING OF APPRAISEMENT Richard C1ugh, Sr. 527 Edgemont Avenue Lansdale, PA 19446 (Executor or Administrator) In Re: Estate of Mabel J. C1ugh Bitner Cumberland County - File No. 21-78-0606 Dear Mr. C1ugh: You are hereby notified that the original appraisement in the estate of Mabel J. Clugh Bitner has been filed in the office of the Register of Wills of Cumberland County on August 29 ,19--.12 Said appraisement reflects the following valuations: Real Estate Personal Property Transfers Jointly Owned Total None 9,379.46 None None $9,379.46 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 Estate Tax Act of 1961, 72 P. S. 2485.1001. P. L. 373. Date August 29, 1979 I . Signed 1'..,.41112 d~, aJ tL{.jt~ {YL'- .l .! c/ Title Appraiser NOTE: This is not a bill. RCC-39 (S-n) County, Number and Name 21 21-78-0606 01/29/78 - Cumberland SUMMARY File Number Date of Death Estate Name BITNER, (LAST NAME) Mabel J. C1ugh (FIRST NAME) (INITIAL) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT REPORT OF Il'lHERIT ANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", liB", "C", and "E". Cumberland ._~-/j t1-.(Z d l t'- \ / 'y/l t-~ t ~ "J . II f l Dated: August 29, 1979 INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for County, Pennsylvania, do respect- fully report that I hove allowed deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesse!" amount represents the sum allowed (IS a deduction. Dated: REGISTER OF WILLS TOT Less De (S kODE ADJUSTMENTS ' INVENTORY VALUE AS APPRAISED (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE operty (Schedule A) $ None 00+ 92+ I Property (Schedule B) 9.379 46 10+ eld Property (Schedule E) None 20+ rs (Schedule Cl None 30+ AL GROSS ASSETS 9.379 46 bts and Deductions 40- 93- CHEDULE F) VALUE OF ESTATE Real Pr Persona Joint-H Transfe CLEAR t= VALUE CODE PRINCIPLE FACTOR Valuation of life -estates or ~ annuities.................."'.. $ t= ESTATE TAX ASSESSMENTS _ $ FOR USE OF REGISTER ONLY CODE COMPUTATION OF TAX Tax on $ Tax on $ Tax on $ Tax on $ Tax on $ Exemptions Total Estate $ $ $ $ $ 2% 6% 15% TOTAL TAX $ (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5% of tax if paid within 3 months after death $ $ t= $ BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% from to AMOUNT OF ESTATE TAX ASSESSED Estate tax poid $ $ t= $ $ BALANCE DUE $ $ TOT AL TAX BALANCE $ PAID $ Add interest at rate of 6% from to Supplemental Codes: (FOR USE IN HARRISBURG ONL Y) 48-Adiustment 49+Adjustment 56-Annuity 6O-Life Estate 92+Remainder Appraisal 93-Remainder Deduction 93C-Charity 94-Remainder Residue 96-Successive Life Estate FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. REV-457 (S-78) DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS P.O. BOX 2970 HARRISBURG, PENNA. 17105 COMMONWEALTH OF PENNSYlV?,;.HA RESIDENT INHERITANCE TAX APPRAISEMENT LMil:.. August 29, 1979 COUNTY _ Cumberland FILE NO 21-78-0606 ~..""-"""""""'--~- Whereas, Mabel J. Clugh Bitner late of Shippem:hllrg in the County of Cumberland Commonwealth of Pennsylvania, having died on the 29th day of January 19 E.., seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, Sandra L. Stone , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of aU annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the eXPiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any suCh future interest. DESCRIPTION OF ASSET UNIT Appraisement VALUES Made for I nnerltance Tax PUI poses Real Property None Personal Prooertv $ 9,379 6 i Joint-Held Property 1\1"...." Transfers None I TOTAL ASSETS 9.379 4n I --I I I I -l I , I - I ~ i I i I Have been duly sworn accoPi~ to law, I do hereby certify that the above Xppraisement is made in conformity with thE! law on this day of / rl Ug::::dt" I 19 7L. "-/121 n. 't ct-. . ,,' (n Q. ' " Apprais€( (Number and Street) Harrisburg (Post Office) . penrA. -""~