HomeMy WebLinkAbout07-31-06
-.J
15056051047
REV-1500 EX (06-05)
PA Department of Revenue .
Bureau of Individual Taxes
PO BOX 280601
_ Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
'\, \ ('-
'j \ '~--...,~
. File Number
, ' (
C \1.l( (
Date of Birth
~07 I03;{5'/
Decedent's Last Name
,/OCo.:tOO'-/-
0303 19 /5
Suffix
Decedent's First Name
MI
(;-D-/ I O-_~ h, e_('
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
G-- a. I I 0.- if 0 e... ('
Spouse's Social Security Number
) U Lj- 30 4J~o
E: cLuj CL .. eX-
~
Suffix
Spouse's First Name
MI
ICLY"") e
E
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WllLlS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Return
c:::>
2. Supplemental Return
c:::>
c:::>
4. Limited Estate
c:::>
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c:::>
c:::> 4a. Future Interest Compromise (date of
death after 12-12-82)
c:::> 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c:::> 10. Spousal Poverty Credit (date of death c:::> 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
~
J O-m t:.- 5 E
G-CLI I o.a-h e.'-
Firm Name (If Applicable)
REGISTER Of WILL~; USE ONLY
First line of address
/4 S
f) 0 r +~
Itr
11\3+0'1
tt-ve
Second line of address
City or Post Office
IJ 0-- r r " .s b lA-" (f
State
ZIP Code
DATE fiLED
'fA
17/09/3
03
Correspondent's e-mail address:
Under penalties of perjury. I declare that I have examined this return. including accompanying schedules and statements. a 0 the best of my knowledge and belief,
it is true. correct and complete. Declaration of preparer other than the personal representative is based on all informatio of which preparer has any knowledge.
SiGNATURE O. F PERSON RESPONSIBLE FOR FILING ~lfRNl t1~-' - /~-../. _. / o,ATE. __ _
_:To. r-'0 es E. &a. 110...8 her.,; /tLf/iA -1 t / ----------L!.)(,__ lc:~ ~_Z/-Lt; /n..tz
ADDRESS I'" " --p' f-L-~
_J.i_~_Jkr -++\ At I, (~+D rj if-u e jJCJ..r r I oS b u_r~ tf/ __L~{L9=i.~63 ____________
SIGNATURE OF PREPARER OTHER AN REPRESENTATIVE DATE
~jUU~tr'A a'-l~}Q: (){)l1 Cf4 ___________ '7//3/ cJ 6D~_____
ADDRESS 11 -" - - ') r, I ;)
__llj'___'-~-(t!l--bon+ ~f / D. ~Y-- 7~ /0 ~ f-eeJ~_r) -~_1_-.!__2!.~~________
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051047
].5056051047
--.J
...J
15056052048
REV-1500 EX
Decedent's Name:
&i_wa teL t G-a-L~ h if
RECAPITULATION
1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) c;:) Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c;:) Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . .. .. . . . . ... . . . . . . . . .. . .. . .. .. . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) .. . . . . . . . . . . . . . . . . . . . . . . 14.
Decedent's Social Security Number
;~ 0 7 / () 3~ ~ /
.
.
.
';?/000.00
.
4- 7 '"J. 4- ~ .0 0
(,SCf oct 1.00
7'i7 3 33.~
/ 0 I 7 / .00
.
I 0 I 1 I .00
777 /~;). .00
.
7 7.1__L!! ~. _00_
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .o-'L
16. Amount of Line 14 taxable
at lineal rate X.O ~
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
{ I ~ 0 7 / · 00
uS 9 0 q f . 00
15.
16.
.
17.
18.
.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056052048
-0 -.
'"'-9 (;59./0
.
.
d-9~5q.10
c;:)
115056052048
---1
REV-1500 EX Page 3
File Number
Decedent's Complete Address:
DECEDE T'S NAME
war cL C-.
STREET ADDRESS -...
4 ~e+hCln
he/
CITY
m e CJ'-l CUI I' c:;; JJ Lt r- c.
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
STATE
?,t
ZIP
/ 7 t; tJ-S-
(1 )
;)7 u59, It)
Total Credits ( A + B + C ) (2)
-0-
3. InteresUPenalty if applicable
D. Interest
E. Penalty
TotallnteresUPenalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in avalon Page 2, Line 20 to request a refund. (4)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5)
(5A)
(58)
2-9 i..P:J"q. /0
1'i11.~'S
3 J 470. 3'S'
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 ~
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 I8J
c. retain a reversionary interest; or.......................................................................................................................... 0 ~
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 l8J
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 l8J
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 1.81 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 IX]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE iG AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for thEl use of the surviving spouse is zero (0) percent
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 99116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-iSO? EX+ (6-98).
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
ESTATE OF &wa (0- c.... G-a-L A e../'"" FILE NUMBER
All property jOintl~ed with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
J.
DESCRIPTION
fl 0 f- e 1; ecei r/CL-b I e.. - .T QJn e s E. Go- U~rf e,/
VALUE AT DATE
OF DEATH
;g "if 1000 .
TOTAL (Also enter on line 4, Recapitulation) $ ? I 0 00.
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX + (6-98)
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF t FILE NUMBER
d W;;.; ;;.;, ... ~d' JOI~~,Lo~i ~I ~~'''d'''' d.~ 01 d"th. it m,ot b. "po",d " .oh.d,l. G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
'-1&1 i3ef'f(a.n ~I i tJ~
{f)eLha/1 ,c.~bug j74 1765S
<."
..;,)f (JI,( S e
A .JQn~ t G-cdLUVhef
B.
C.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATIE OF DEATH DECO'S VAL UE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTL Y.HELD REAL ESTATE VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1 A. ~~'O e. 'To fY\ ert' I I IT' '-~ )i eJc.€- Fe.n(\ e.r If :;00;0
JI\'"' \ .Iq~o qLf.tf'd+ If> 47 Z4-2.
~ $rn;P,
A"CL-+ '67 Z. - ~57 8'7
TOTAL (Also enter on line 6, R1ecapitulation) $ Li7~'-/-~
(If more space is needed, insert additional sheets of the same size)
REV-,510 EX+ (6-98.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
~clD..tLrcL- t..,. Go- L L~1h e/
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER
1.
DESCRIPTION OF PROPERTY
INCLUOE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
DATE OF DEATH % OF DECO'S EXCLUSION
VALUE OF ASSET INTEREST (IF APPLICABlE)
I 't 9 0 V f)cu e:;, If) / i 0:1- I ( 1;51) ~a. /) 1::.
J (a n ~ Fe ( () 'I 6ecJ: I-I
J o..m e.) t (::rO- nC'"fJ h <? (' II J t1
..:Ju)/O- ~ &CLI(c~8hef /13 '7 cl1;Jdre'1 G76~1
D; CtJJe l 4cr; 113
t)
dI
() c/.f5D S roJC'S CO I~ M <:... - ? oJ ",0 Ii v ~ Co
\(4.-(\ sf'e r 0 n '<;) f.DJ:::. ~
..::h In e ~ E G-~ I L.t;)h er 1/.)
JLLLCt If lSo.,Ia.8hQ( //3 c}J:rdfe'1
)/0 n t. L fief' /3
/57 ~ho.( e 5 Ge I) e.rc..j) IfJofvl S (Dr p
\
--T (CLn 5 S; e f 0 rOo Ij ecJ:~
T.., '{' ~ f '- (-.." (:-0. I Ja-i] h e. r
~;"J vI I -./ ~ ,.,.,) -..... 0
;:J L-t./I c{. A G(......II D-8he (
L';:J I c.. 1\ C LAc ( "
0250
/ J ~ PI 00
3
,/ <. -',
-'
I};:, 'r~; blrc:i
1/3;
Lf
~60 ';)nQre5 [c L: I J <-1 ~ Co
, [
-r rG. n s~ te r 0 r) ~ ea.--L OJ_
..:ro.. ()\ e S f (seA- /lO<-Sh er 1/.3 ;;
-J (). (,' Ct 4 G cc Ilag her 1/3JL~;h1le1
~/(1ne L. I1cr' 1/)
Lj 51 CD :
s
if ~,-t :s hcu e 5 rruc, hnOf\ci~ 0VU &(~:Lrc.
J '( Cl n f c.[ () r-, I ~ eo..xh
J 0 (rl e S F Gc<- I La-O h el'" 1/3'f
~ ul, "- I) GCL I ~h e { '13 ?C'h:l:l/r<]
b,..1 G.- n 12_ L. ~'c ( I J~
3l, I :;; )
/ DO 10
IOcP;O
J DO 0/0
J CO 0;0
I DC) 1)/0
TOTAL (Also enter on line 7 Recapitulation) $
(If more space IS needed, insert additional sheets of the same size)
TAXABLE
VALUE
~(P?~gl.
/I ;<. ;;LOO.
(p;), 50
4-5900.
37, I 3 /
;(fJ9/f..,;;<,
REV-1510 EX+ (6-98l.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
ESTATE OF
8 d We\. r cl e.5.:i . ;:''11':' o/~
This schedule must be completed and filed lf the answer to any of questions 1 through 4 on the reverse side of the REV -1500 COVER SHEET is yes.
ITEM
NUMBER
io
1
DESCRIPTION OF PROPERTY
INCLUOE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO OECEDENT AND
THE OATE OF TRANSFER. ATTACH A COPY OF THE OEEO FOR REAL ESTATE.
G, 3'-1 ?, 90 7 .:;lw e S ~IY\. r; '-"-'l &/ao<e<;(J=ol - 4
T (Ci...f1s~e (' en) ~.e.o..tt-)
",' . 1/3
.:JCl I'D I? s., i:. (seL Lto.'8f\ er (
..:r eLl .. Cl 4 (, c,,( (ctS' h .;>j- I J "5 C-h ~ Id ( €.'1
~;C< rl(~. L 4c.r i I)~
DATE OF DEATH % OF DECO'S EXCLUSION
VALUE OF ASSET INTEREST (IF APPLICABLE)
TAXABLE
VALUE
J I <-t- 508
I at/to
jj
J J t.f50 '2
3290,Cf13 ;S/x;.IE S 4I'filer'cQY) 4-m(la..p hu7.d...-A
-- .r j,or_..I.1.r.
I (OJ, 5 ,EI 0 n ~ \: ~J I
Jum e s ~ &0...1 (aSh e ('"
StL-L ; c{ A U-Ct-L l08Y\ Qr
b/une, L AL';
"
/1 )
) .I
I
1/3 r~"IJ(U)
1/3; )
S~lll
lOoCfo
59;J}
'g
3D aq J:: II..:sra / es ftrnerlCD-r) CCf' +~ u.;of/ d..
b-r D uJ+-r, ~I L () co 1/'1 e Fa nei " 4
\
-,t' 0 n :; fc (' 0 1\ I,;; e.D.-.k. t'l
..J::,. f0 e s E Gcd (c-s? "- (" ,: 3 tch I IJ r ~')
-J\v.l I c~ 4 6 ~ LCo.g \I2J- y 13 I
~ j'c( n e.., L. If c r I ~ )
Zz. SGT. t)'zs ~rales /her; cali Ocr' f:J) Irwn~
J3 (,.L II cd e (" 1= ~' rt.cJ,. - 4
~-T (U,,'1 5 .fe (' 0 '1 ~ €A-t-I, '/
,JCl..r<\Q$. E G-D.-llA8h~( 3
-1' u...L i c...... 4- GeLJ lAg 1-, Qj' II J C.h Il:* r e t)
~I'Q n e L 4.c. r /' 'I ~
I ( toto J ~
/00010
J/&G,) ~
lCO eft I
J DO Yo
ID0091
~.
To +-~ .h- 6fn ~ e..- I sc.J"\ of? d 1.1..1 e G-
'I
,-
,
TOTAL (Also enter on line 7 !Recapitulation) $
(If more space is needed, insert additional sheets of the same sizd)
REV-1511 EX+ (12-99) ~.
_Slji~. -~
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
&ward. C.-
&CL-(~he(
ebts of decedent must be reported on Schedule I.
FILE NUMBER
ITEM
NUMBER DESCRIPTION AMOUNT
A FUNERAL EXPENSES:
1. Wi ec!ema...n FLLt1 e.J~ /.{-fYYLL.
-if.
3$7 $0 ~l1a ;;t-r(!ei q 13 I, (JD
SI--ee I f-O/) t; tf I 7 ":3
L I..J.J) cJ1 e C> f) - 1.(0 ss ':;, $-b.aL 1d,'i1..(./~
61 G-e.rt1(,;,bb-rS ):kc... __ .3 S- () tJO
?+ noS ~
(n e c-h-CLfI IC.s DU- (?t
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State _Zip
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State _Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees :.rCO. C5D
6_ Tax Return Preparer's Fees
7. ~ 0 ti +=;. C~, 0 ilS /9060
TOTAL (Also enter on line B, Recapitulation) $ I 0, I 7 I ,?O
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF f'd J/,>( /"'J /J
L Wu-- VL L (5a.i...-Laqhe/
v
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
3Ct.() e... ( Go.. C CD-.~I'r:' r
'-I CJJ L., de.. t-I::'1 r'1. c -.CJ r J r/~
rn ech 0. rj ; (s &r...l ( 't- 14 1/055-
J"ct.fn e 5 E G-ec U4-8h e..r
I <.j $" I) 0 r+h A,-r ( { ~ fon fttJ e...n I..L ~
'/JC,A..(/ I :,QU (&- p~- 17JD1
S u_L I c... 4 G-CL L LcLg h e. r
LlC [,)() 1(11 V(1\ fleet.... (~I ,j
I tv ,,~, I ' ~ "I
J...J.O'ft; r"J +OW nl m 4 OI7'--J-?,
~'Ic<-ne.. L A-cr;
J I 0 Wor.:d.- ':5ff e. e..+-
J.Jcur,sbu.Jt ?4- /7/09
FILE NUMBER
RELATIONSHIP TO DECEDENT
Do Not List Tlrustee(s)
AMOUNT OR SHARE
OF ESTATE
s >ouse..
3
/I ~{)7 /
,:) 0 f)
;t
~lq.~q7
~CL~h-l e(~
;t c219.~c,7
~ D-uSh + cr
# e:2 J '7./..//1 7
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
L!.LST iiILI,AND TI>:~Tl'.?T:'i T'l' OF 1-;s,IYL~'..Rr C.. G/\.LI.J:'.GI-P~P..
I, CL':,yf'.......- c. (\/\r..J..lAGII::~~R,. of i.J~Y)C):" .!\lle:n TO\'111shiT), ~:url.:'K~.J,"'10,ncJ
';ount~7, D2.nns:7'1v;:u1.ic.,
.'.:~claJ:c-' th:rs instr'l.F:":.e.nt to be -'y Jj.~:l,St '-~':lJ
~J.ncl '-L'C.:::)t~1Li.(?:nt, in ':-l2nn2r ~.nc1 ::O~~~:'. ~ollo\!in''":
L. 1J<--:~-'eby exr)1:"'e.S21~,:r re'/ol:e 8.J_1 "'rj_11s and Cocl.5.cils :1Crc.to-
(Y,---'C ~tGcle. by '-'C~.
?. } hereb~T ci_rcct T",1Y E::c;.clltri:-~ to T:'AY'" ':111 "C",y jvst de;YLS,
;:1~~ncr,'11 ~',Ylc-l [.1(i.~-.'~inistr2,ti'\T,:; e.x'-;,enS2S 011.t of
\: 2stt\te, 88 soon ;.8
~)J:",~ct"fcnble. c.fter ""~y (;::::nt1.;..
'L
'~~h0111(1 !:'rv ''1i_:''-::, Jr:'.np.
81..11::"'vi"',"'2. "~D for rl
-:'2.11
De 1'5.0(1
of ninet;7'
FolJ.coin7
c1 a:7s
C~2r~t1-.;" ,
I c!cviE:e
and
h~(""!ll.E~ t'tLl.
\.l.
thE). '''',,",~';1.inc:?r of
~1 estate to J~ne '~. GaJ.larher.
L'. '-.~~L()~'lc~ r"\.:,7 ':'7i::2., Jane ~. Ge,112:~h~r, Dredece8.sc "'2. or (":-; (~
,)T1 Ol.... 1;e:'.:OJ:"'2 t~!.e. ninc.tiE~th c1ny ~~ollo':7inr'- "uy c!0tlth, T d2\7ise end
hc.(".'eath the re"'lllinctel' of my este.te to my issue livinc' on th.e
ninetv-first day follo\'nnrr -'-'y dec,th, Der stirpes.
"
J.
-r nO:'Jinste ancl 2::)Yioint }!aunhin i'Qf)Osit '__'.'r"\.lst
or ,,,any,
Harrisburg, ~ennsylv8.ni8., trv.stee. of the. sb.are of '-"lIlY bcneficial"S'
~j7:~IO
o.y lx, " ""Clinol'.
The L:lcoc,e nnd/or n:dnc:D,"l 8f s,~1ic' trust
'"'"\:7 )(: 2cc~.Jrt'.'.1<"ted or c;.,,:-r'c.:1c1cc; ";~Ol'-' "the. .~:::intC-:'.n?nc2., e.('~lc;-\.tjon 2nd
S'.T!l'~'O~,~"t or S'L'.C~'J ;'~?ne:~";.C'i.t'.r"':.r ,~.G '~~'V tr~"1s tee. in :Lt s sole c1"is crc.t~: on
r~ ......"r
ctc1.--::ine.; ancl
y t: rllstee) in t"e C_:",:lX'.n c1 i t1,lTe: of i_nco:'~(~. ;:Tl C\ / or
",'-:iJ C". "p 1
or such 7J11r-:-'0SeE:, '~p"=,", c:t its (l.iscr2~ti_on! t-lT)Dl"t L:~'}e s;-:r
rl~~.Y"ectly 1,!it:l'J.out the. int(~.l'""\;:?r.t:i.on of 2< >---l.~;? lv~j.['n or ).:}'\7> "cee :=:)r'~'~)e to
:~r:.,7 ~'!'?:::'2on l1c:..vin.'''~
the C2.r(~ or control ()f
. -
,:..; fl}C
""'_"- r-.~~: C --' (~l "'.,. 01..... ,\T:! th
,\7Cl.O'- the ben(:.fi.ciar~7 re.sides, ~-7ithout duty on the T)~rt oE the
tr ;~.;t2,2 to sUDe.~(,,\..7isQ or inc:.Jire into th.2_ aDD1.ic2ti OIL 0
th(~ :;:'pnc: s
by 8T}';.7 leY'son to \..-rho'" ;~Iny T')cl.:lf':,.:::.nt is so ':'~~1c.. ~ll1.-le o::11arlc'2: 8f ::311Ch
incor'.2 ,~).'L'~.(~/.::-:<c )"j.:.-.inc:::'.Del sh.8.11 T),::,ic: to such bcne.f<.ci.nry ~1'-'~:;OL-~
I'c~cl1,in'--' "-t?:orJ.ty,
.....Y'to s:'1ch "":'0T'1.C:'.~~icj'~~r'\.~'s cstnte
.,,..,
i.l
tn(: '~~vc.nt of
(:C:ilt(~-lrioj'" tLc:reto.
l
-
,.".
Ii
I!<'
J
f). Y nOL:inate anc~ p..~)point TJ1Y \:Ii::::2, JAne." !?allEl--::;her, E:S
-:;:ccutri~: of this -;-:1Y T,":'cst ':Ti11 ['~n(} ;l'C'.st a'-''-',e.n t; 2nd as Sll!")S'C i.tl.:"tc-
~>-:('(,;Jt()l"'S I non_i.Tl.~,l_te nnc1 8ppoint in orc1e.r of D''''efcre.ncc, ~:'ir~~t,
:7 son, (:l."-:C~8- -!.~. 1';?~11,qr'her~ r~nd Sc.COli.ct, '-:':7 C!8"L:_=:~~htcr, Julia -\.
,r.-pll c~.(";1::.e r.
7. T clir0-.ct th[l_t ny ne.rso"(12.1 L-'er),l:-'eS,?r~"tsj:iv(: e..n(' tl..,,~.stce, flS
,.~C}
t~.,--c jy' E;::CC~2E;~: ^)-::'::~,
s~-,2_11 rwc:
l."'ec1u i:ced
to :i:il e bond or
see;,,_' :~...";_t~:7' in i~ n:7 iu riscl ict~ on.
Tn 'rr.TI,":",'-:'0 Tr;r:::".~r~nT:'
! he_\]::-:~ llcI"cnnto se.t: ~~y h2.nc' ,3nd seal
I~.-",is
iJ
" --
v
del;' 0" Sc.:;te"1!lSr, 1971_.
Lv
(8"'>_L)
=<:. ~-~ned, sC.CJ.led, nr:hlished 2nd (:.eclc~re.c: by th~~ above nEL1C(}.
,'28 ~~or, ~cl~J2r( C
n" 1
,,?s STIC: 'for his ;.?_St: \!i~Ll and
'-:: \='. S .,- p,- ~(~_T' .::
J.E ...y'n.... ~~'re_80.nCE:, -:;"Lo, in h is ~~rQse.ncc, 2t his re.quest,
and in the ~reserLce 0
e.:--1C:j ot:~I-::: "''', h""~ C' he.reunto subscribe.d our
\l.n'--'c:s
2ttC',E;t
';.6t -r .E:.S ,~1c:.,S.
\ru~
,
I,d.
B~t;41<
~ , \:IvY'->~<e.L..
~.
r0
'--'
)CJsr_. .~ r
',' ,i.
_ '- ~jL-___