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PETITION FOR PROBA n: and GRANT OF LETTERS
d.t$tN No. ____;:>1 - qJl. - It, .3
To:
Bs/ate of Jj,,,...1
also known as
Rcglstcr of Wills for the
., Deceased, County of CUMBERLAND in the
Sodal SeclIrlty No, I'! 1 - 16 j-/ I'I Commonwealth of Pennsylvania
The petition of the l.ndersigned rcspectfully represents thllt:
Your petltloner(s), who Islllre 18 yellrs of IIge or older IIn the exeeut/ i-/ named
In the last will of the above deccdcl1l, datcd 'I tll(,/{,u.L, 19 .v y
1
and codlcll(s) dated
(Slalc relcvnnt drCIIIlHtulH:CS, C,K, renunclutlon, dcnlh of cxcculor, clc,)
Dccendent was domiciled lit dCllth In___~,'" I', I 1.,,( d , County, Pennsylvania, with
h " last family or principal reslgcncc lit -i.-i:a4' ~I ,,,." /h~,
1/(1:<..'/1.1.//, Ji,./1 '/, {~ ,!('",:, )h"J.,/".J'rf'" ,t.~A.J;/",I')
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(1I~1 Wcel, number IInd mundpnllty)
Deccndent, thell--YL-. years of IIgc, died 1'1 "r;i..' , 19 if
at r.!lfll'b~/.}/"tJ l/IIlA~_t!..I./I'((I"'l /}IO'('-. f
Except as follows, decedent did not mllrry, WIIS not divorced IInd did not have a child born or adopted
after execution of the~.tll offered for probllte; WIIS notthc victim of a killing and was never adjudicated
Incompetent: tV Ii ,_.
, Decendent at death owned property with cstlmllted vlllucs liS follows:
(If domiciled In Pa,) All pcrsonlll propcrty
(If not domiciled in I'll,) Personal propcrty in Pcnnsylvllnla
(If not domiciled In Pa.) Personlll property in County
Value of real estate In Pcnnsylvanln 1/, ," /," ". T
situated as follows: ----i:'" 7 {. 11(.1.)0 Ol~ -1...1(,' /':1, ,,'
$ :\:' I I',. '. ,.
$
$
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WHEREFORE, petitloncr(s) rcspectfully requcst(s) the probate of the last will and codlcll(s)
presented herewith IInd the grant of lellers_. TESTAMENTARY
(tC'illll11clltnI'Y; .ldI1l1nl~lrnllon C,l,a,j administration d.b.n,c.l.a.)
theron,
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OATH OF PERSONAL REPRESENTATIVE
COMMONWULTH OF PENNSYl,V ANIA }' 88
COUNT\' 011 r,UMBERLAND .
The petltioner(s) above-named swenr(s) or IIfflrm(s) thnt the statements In the foregoing petition are
true nnd correclto the best of the knowlt,dge and bcllef of petltloner(s) and that as personal represen.
tative(s) of the nbove decedent petltloner(s) will well nlld truly administer the estate according to law,
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Sworn to. o.r I.lrn~~~~ and. su. hscribcd &..LLLIJ-.:l Iy-r:-v ~
bef ~MIAe~\IS -j---.----'--- d~y 01 ----------. I
( . Mi ,-:;-t G (J!'h~ -~' ". -
l.Li:L f - 'L,Ul}). ______.
MA C. LEWIS RI'/llster \, - -___._..____ .l'J.
No 21 - 94 - 63
.
Estate of
,1AMF'C:; R. RVAN
, Deceased
DECREE OF PROBATE AND GRANT 01<' LETTERS
JANUARY 27. 94
AND NOW 19_, In consideration of Ihe petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) daled AIIr,JIC:;T L...J qR4
described therein be admitted to probate and flied of record as the last will of
,1AME.S.....B. R V AN
TFC:;TAMFNTARV
PAUL F. RYAN
and Letters
are hereby granted to
FEES
Probate, Letters, Ete, " , , . , , " S
Short Certlflcates(3) " , , , , . , " S
Rpl,lunelatlon ",..""""", S
x:.wages S (j. 00
acp 5.00
. TOTAL-,-S 220.00
Flied", JANUI.IR,Y, ,21.., .199~."""",.,.
7lJ4'd Q :11, "'~ WI- flmfj1JJiJ,tM
Reshl" of ~1I1 . 0 ,0
MARY C. LEWIS
200.00
9.00
ATTORNEY (Sup, CI, I,D, No,)
ADDRESS
PHONE
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Mailed letters and order to Executor on 1-27-94,
Thh is III n:rtily (hill IIH: ;1l(lll'llldlilllllwll' .l.dv"l1 i~ IOJIl'Ct!r ((Il'lt',lll'lll1l ,Ill Ol'i,1',III,d n'llilrrdfl' of dl'illh duly fill'd wllh 111(' Il~
l.ucalltl.'ld.lIl'M Th(, oriniUilll'l'rlifil,lll' will hl' lorwolItlt'd II' lhl' ~Llt(. Vitid 1{{'((ll'd... Clt/in'llll !,1'IIIl,Ull'lll filing.
WARNING: It Is Illegal to dupllcato this copy by photoslatl,'lr photograph,
FI'C (0,. Ihb <<,rtl(it',Ilc, $1.1111
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COMMONWIALTH OP PINNSYLVANIA' OIPAATMINT OfHIALTH . VITAL RICOROS
CERTIFIOATE OF DEATH
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LAST WILL .QL!.AMElS B. ..!!U!i
I, lAMES B. RYAN, of the Township of Hampden, County of Cumberland,
state of Pennsylvania, being in good bodily health and of sound and disposing
mind and memory and not notill{i lUld(Jr duress, menaoe, fraud, or undue Influenoe
of any pe'!'son whomsoevor, merely calling to mind the frailty of human life,
and being dusiroue of disposing of my worldly goods while I have the strength
and oapaoity so to do, I do make, publish and deolare this r~ LAST WILL and
1IDSTAMENT. I hereby revoke, oanoel and annul all my former Wills and
Testaments, inoluding oodioils thereto, by me at any time made, and deolare
this alone to be my ~T WILL and TESTAMENT.
AS TO SUCH ESTATE AS IT HAS PLEASED GOD TO ENTRUST ME WITH IN
THIS LIFE, I DISPOSE OF THE SA}rn AS FOLLOWS, VIZI
ITEM 1. I direot that my exeoutors hereinafter named pay and
disoharge all of my just debts, funeral and testamentary expenses.
ITEM 2. I order and direot that I be buried in a lot whioh I own
si tuate at the Gates of Hee.ven Cemetery, Meohaniosburg, Pennsylvania.
ITEM 3. All the rest, residue and remainder of my entire estate,
wheresoever situate, and whatsoever it may oonsist of, I give devise and
bequeath, absolutely, and in fee, to my dearly beloved Brother, PAUL F. RYAN.
In the qvent my dearly beloved Brother, PAUL F. RYAN dies with me in a
simultaneous disaster, or fails t6 survive my death by thirty (30) d~-s,
then I give devise and bequeath, my entire estate, wheresoever situate, and
whatsoever it may oonsist of, to my dearly beloved Brother, WILLIAM C. ~,
per stirpes.
lTEM 4. I nominate and appoint PAUL F. RYAN as Exeoutor of this
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my Last Will. Should the Exeoutor named fail to qualify or oease to aot as
Exeoutor, then I appoint WILLIAM C. RYAN as Exeoutor in his stead.
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",1.1.A <~. q ~-o.,.t
r J AMIDS B. RYAN
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~. I direot that my personal representatives, as well as
their suooessors, ehall not be required to give bond for the faithful
performanoe of their duties in allj' jurisdiotion.
~,'f.R~ ~o.A
OOMMOlMlALTH OF PENNSYLVANIA
OOUNTY OF OUMBERLAND
~ ss
I, JAMES B. RYAN, Testator, whose name is signed to the attaohed
or foreg,ing instrument, having been duly qualified aooording to law, do
hereby aoknowledge that I signed and exeouted the instrument as my Last WillI
that I signed it willingly I and that I signed it as my free and voluntary aot
for the purpose therein expressed.
Sworn and affi/.l~tl) an" aoknOW1~d before me by JAMES B.
the Testator, this day of ~/~~ ' 1984.
RYMI,
IW,fr:i';H l), ('('rih,'
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(..- .f /L.{...C .,./ '- Cf ~_" .(
Notary Publio I
l>V Oommission Expires I r/""..l (" l7:fY
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The preoeding instrument oonsisting of this and One (1) other
typewritten page, eaoh identified by the eignature of the Testator was on the
date thereof signed, publiehed and deolared by JAMES B. RYAX, the Testator
therein named as and for this, his Last Will and Testament, in our presenoe
ofeaoh other, have hereunto subsoribed our names as witness.
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Residing at
107 St. John's Ohuroh Road
Sui te #2
Oamo Hill. PA 17011
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. -tJ1 . Residing at 3901 Market Street
Oamo Hill. PA 17011
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JAW" 101. nAOn
AnO'UIIV AHD
COUNII!,.D.. AT LAW
101 IT. JOHN"
CHURCH flD,
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tAM'" HIL.L. l"A. ,.,011
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A F F I DA V I ,]'
OOMMONWEALTH OF PENNSYLVANIA
o OUNTY OF OUMBERLAND
~ ss
WE, JAMElS M. BAOH
and
LISA MARJE COYNE
the witnesses whose names are signed to the attaohed or foregoing instrument,
. being duly qualified aolJording to law, do depose and say that we were present
and saw the Testator/Testatrix sign and exeoute the instrument as hiS/her
Last WillI that he/She signed willingly and that he/She exeouted it as his/
her free and voluntary aot for the purpose therein expressedl that eMh of
us in the hear.ing and sight of the Testator/Testatrix signed the Will as
witnesses I and that to the best of our knowledge the !['estator/Testatrix was
at that time 16 or more years of age, of sound m.ind and under no oOllatra.int
or undue .influenoe,
Sworn or affirmed to and subsoribed to before me by
. ~ ~kzf and /4~ 7~ er
witnes~, this IJ day of ,/I~, 19!!l...
<Jj)A /;)
,:;; .vca..~ A) C':.A
Notary Publio
My Oommission Expiresl
."[1.\':1;:1>1 1). C'OYrn:
'.II} 'f 1\ H Y I' II ~ 1 Ie
'l(?O I 'A/UK!!! ~~I. 1I1rllHpdfl'1.lv,'p,}
Cl.I'AI' 1111.1., 1'/" ]/011
\\y (t!lIltlli~,lfI" hpiru~ )(111':'. }tJ, II)S:-~
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1~-135'~
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONW..""OfPfNNIilVANIA (TO BE FILED IN DUPLICATE
DfPAATMHH Of REVENUE ~ I f'1 I
"ARRIS~Jn, ~~\'):l'OOOI WITH REGISTER OF WI_LL.~ 1__ COUNTY CODE d'-. _~~AR " (
.-- "s NAM~ itAST, flR~IDOlf INITIAll . ~~ RfO~NT'S COMPLETe ADDRESS
~~;jJ CI'/:S i-I ,:(J)rj((I,II,.II11;'IIj'i:: _
(" Jrt {I . '" ~, I I 1"/ I'" , .
loCiAt- CURllyNuMm-m--------lliAtr6TDEi\ffi-----1DMrOf"~fi,--- --- d(, ..;"". (I' .'" ,1/ '/ I " II. '"
/'/1'/{' fill- 11'/.'/'1 {.Ii.)/ Coo" (;"",f,IiL,~,/j
___ _ _ _ _u_ ______________ ____.... _un _L
01. Original Relurn l] 2, Supplemenlal Relurn U 3. Remainder Relurn
(far dOl.' of dealh pr/ollo 12.13.021
[I S. Fed.,ol E'lale Tox
Relurn Required
-L 8, Talal Number of Safe Depo,1I8axe.
R!V-ISOO fl. 111"11
1. Real Ellale (Sch.dule AI ( 11 _mu__________,______
2. Slock, and 80nd, (Sch,dule B) I 21 .:dL<.L lidl.:j'!!.:J11 L!!..,,-_,
3. Cla.ely Held Slack/Parlnerlhlp Inlere.1 (Schedule Cj (31 .._____n________.___.___
4. Marlga8e' and Nale. Receivable ISchedule D) ( 41 ___mm_'_.____._
5. Ca.h, Bank Depa.II' & MllCellaneaUl Pe"anal Properly( 5) ___}2; ;;.1 ,/,_~:!.~__
(Schedule EI
6. Jalnlly Owned Properly (Schedule FI ( 6) -j~t!> -t>tl.. ,1,1
7. Tran"e" ISchedule GI (Schedule lJ ( 7) __._ 'j" I!J. '19____
A. Talal Glall Aile" (Ialallin.. 1.7)
9. Funeral Expe"e" Admlnl,lrallve Co.ll, MllCellaneaUl ( 91 .._
Expen.., ISchedulo HI
10. D.bl', Marlgage Llabllitle., lien, (Schedule II
11. T 0101 Deducllon. 110101 line. 9 & 101
12. Nel Value of Ellale IlIne 6 mint" line 111
13. Charitable and Govelnmenlal Beque," (Sch.dul. JI
14. NOI Val~__~ubleCII~ Taxlllne 12 mlnUlllne 131
15. Amaunl of line 14 laxable 01 6% role
(Include value, from Schedule K or Schedule M.)
16. Amounl of line 14 laxable 01 15% role
Ilnclude vall'o, from Schedule K or Schedule M.I
17. PrI"c1pallax due (Add lax/rom line 15 and from line 16.)
18, Credlll SpaUlal Poverly Credll Prior Paymen" Dllcounl In'ere,l
u _ ____,______ + _______.__ + _________ - ._____
19. II line 18 II grea'ellhan lI"e 17, enler Ihe difference on line 19. Thl' II Ihe OVERPAYMENT.
mo
20. II line 17 II groaler Ihan line 18, enler Ihe difference an line 20. Thl' II Ihe TAX DUE.
A. Enter Ihe Inlere.1 on Ihe balance due an line 20A.
8, hler Ihe 10101 of line 20 an~ 20A on line 208. Thl. II ,he BALANCE DUE,
Mak. Chock Payabl. tal R.gl.tor a~ Willi, Ag.nt
.... BE SUAE TO ANSWEA ALL QUESTIONS ON AEVeASE SIDE AND TO RECHECK MATH."
Under panalll.. 01 pOflury, I declare Iholl hu\'o examined Ihll relurn, Including accompanying lehe'dllles and stalemen", cnulo the bill 01 my ~nowl.dg. and bell,',
It II 'rUI, correct and complete. 1 declare Ihal all r.al '1101, hOI bean reportltd cllnlo marko' value. Declaration of preparer olher than th, perlonal '.prellnlallve II
based on all Information 01 which preparer has any knowledge.
'0 A URE Of PERSON RW6iii}BlE fOR flllNO WURN ADORESS--------- DATE ---
,I,. (,," . ,., '(, ,^ J'1';; I) .. . ,).~. ' .., ~ II
j,:d/r:,-... . /'1"'<- lIt. oj<,',' /{,/< ;/\'I(,.lell """'1 (N 'Ii'_"l )I;:> ;",{'(..o '/<1
mlNAmREofPRT'AAER 6fHlifTh.iNRHlmNfAf've----'Oo'rrs-- --------- -)----------,--- om
I!!
t&~~
02..
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oz
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.~.1\-.1.9.
., \' "I ~.
;(.'1..
.0. DATil 0' OIATH Ani' 12/31/91 CHICK HIU
I' A SPOUSAL
POVI.TV cuon II CLAIMIO 0_..
.111 NUMI..
&.3
NUMBER
[14,
[;')6.
IJ 40, Fulure InlelOll Campraml.e
(lor dale. of dealh after 12.12.821
Decedenl Died Te,lale [I 7. Decedenl Malnlalned a living Trull
(Allach copy of Will) (Allach copy of T IUIII
ALL CORRESPONDENCE AND CONPlDENTIAL TAX INfORMATION SHOULD BE DIRICTED TO.
NAM - ~ -, IM mE MAIliNG AODRESS
!iJIU"tnl C I'(t/!-7I-1 1/.:'&, 61UfN /!<",'/:'I', '~.~....-~-.1If
T l Pti~~U~ilR.;ft,c.~~!f~~L--~-------u-_- - _= 1//I:('III~,.jIG'.(, 13tl!:, GI (/~ -. I
limited Ellale
z
o
3
!
,r, 1:n '1-"
( 8) --u,') LI:J. jr
(101
(11) _ l )1J. 'fb
(12) ----1.'..2.rUJ.. ? 9
(13)
(141
(151_
/.)19fJ.. 97
_~1.7'lt.,'f9
.
x .06..
z
o
~
~
8
~
1161.__u_____________X .15..
(17)
(18)
(191 --_
Chock hOlo if you are INluc~ting tI rclllnel of your ovo'pnymcnt.
(20) --.5; '17t.. y t___._
120A) __nu.___
(20B) _______
.....--...--..-------.-----.-----.-----------.-___ -_.0__-
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w.
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II' '-j,
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'i.
PLEASE ANSWER THE FO.LLOWING QUESTIONS BY PLACING A CHECK MARK (;') IN THE
APPROPRIATE BLOCKS. . ....
VESNO
1, Old decedent make a transfer and:
a. retain the use or income of the property transferred, ....................................... X
b. retain the right to designate who shall use the property transferred or its Income, ~
I' t . "t t X
c. e Qln a reversionary In eres or ........"......"....".........""".............................
d. receive the promise for life of either payments, benefits or care? ...............,....... X
2, It 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?,..................... X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
"
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".- ';";
u 'in. ,
:~~ 1'-1 " , "
, /:'i:'
,',-,
'-; I
Kl "
..,
, r?2 , ,
"
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(, ,Ii .~J ~
0 .,J .,:;r
I\lLL: fi>
n: (,)(,)
, 'f.
,
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RIV.IlDI 11+ (j.ell
51..&\t
~
SCHEDULE B
STOCKS AND BONDS
L
FiLl NUMBER
COMMONWEALTH 0, PENN!VLVANIA
INHIRIlANCE TAl RETUIN
RESIDENT OECEDENI
mATE OF .
(All property (olntly.own,d wit'!. RighI of Su,vlvorehlp muet b, dllC~o..d on ~h,dul, F,)
ITEM I .
NUMBER I DESCRIPTION
1.
W, f. RyAtI + /I.fJr>CIa.'ft: (,
tv, ;:. lyl1N ,01 dJJU'(,dd
eM.>...8 HiP ,-I; '),11' flu/a)
{}/.m 8 ~+;(I< (;,),1111 jA.na)
VALUE AT DATE
OF DEATH
tt/II e t I V (;.
~ lI.due.
).
'., ,.
,.
"
;1'
10,
, .
,
,.
\. )1
"
,'t
", I
.-',
"
"
"
TOTAL (AlIa .nl.r on IIn. 2, Rocopllule"on)
(1/ mart 'pac. I. n..d.d, Inll" oddiliono',h.." 0' ,om. ,/re.)
s
IIV.UOIUtl1-17)
~."'1. '.Q.
-
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plla.. Print ar l I.
FilE NUMBEk
eOMMONW;"~H Of ~INNmv"Nr..
INNI.IIA el fA mUIN
UIID NT ole DINT
ESTATE OF
hr/116J' B. KV/ltI
IAII property 1t1.IIV-OW.ld with th. RI,hl If I'u,.'.o"hlp mUll bl dl"lo..d o. Schldull PI
ITIM
NUMBER
DESCRIPTION
VALUE AT
DATE Of DEATH
!
rl/1a' j:. /tlt Iltre(l"II"; r
frl(J. 6fltlf:., dIMf'/IJ/ S;"I'//,,)f' tJuJtl'!1'
/Jeer ;./(1. ;-/';'0 171 '196
;t/INer tf/ARft1' Ilt..'c r .., ~
frJd !;;t/r./ 8Ifrn/N,/1 Jj.,~fl,,.r7 edlt!.f-
lice t j~/- J~/I- 1[33
19!1 )/eUN~r C~1A1'l/' /!Mh
3; ) f'/, e'rJ
),
;.)/ I;. /..51
t (J tJ(J, (J rJ
I. ,
J.
, .,'
".',
I
'I
s 311/~.~;r1
(Alloch oddltlo.ol 81\" MIl" ,hill' If moro 'po.. II .lIdld.)
Uv.1JOt... IIUII
'*
COMMONWIALIH 01 P1NNIYLVANIA
INHUllANce lAX mURN
RUIDINI DICIDINI
IITATIO'
-r'
vlJmfL
Jolnl t..onlllll
NAMI
A, f(;uL F. RYff"
II,
C,
Jolntly-ownad praparlYI
1/
SCHEDULEF I
JOINTLY.OWNED PROPERTY
o _~ PILI NUMIIIR
^~I/:/H'
,
"
\'. I'
ADDRISS
GoP/ '"Jillll1m /)/,.
/I/f (/,{,INICd"lf~1 /;; 17&1 fa-
._---_._---~-
RILATlONSHIP TO DICIDINT
131<" 1lJd c...
ITlM LmlR DATI
'OR
NUMIIII JOINT MADI DIICRlltTlON 0' PROPlRTY TOTAL VALUI DICD'S DOLLAR VALUI 0'
TlNANT JOINT 0' ASlIT % INT, DICIDINT'IINTIRIIT
1. i'~~("I"'-y 1. ~r!.1 fe./ II r
to)'! tVllh.I'" OK, ,_
.1> . frll'ld~',j
IJ/ul,.1H'1t S "f 71) .
(tlI/PlfJ(fl f~'rJtI~ ~ If
Jo/fir (.'rltlrd"~ ()!Ith R11(,r
of Si.JH'ly~rJhil' to
rff!) t r. ((1 II ,/
,
,
-
TOTAL (AI.o .nllr on IIn. 6, Roc.pltulotlon) S })) jtJo. p"
-iVP' "" " ," ,'.
(1/ mOIl.poca I. n..d.d /01111 oddillono,.h..,. of .oma .1..)
~IY.1l10 IX. 11.11)
..
'*
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
FILE NUMIER
COMMONWIAllH 01 nNNIYlYANIA
INHIIITANCI 'AX IflUIN
IIIlDlN1' OKIDlN1'
lSTATI OF q
.r- ';J ,
.l!llIfJ 1'5, AIIIIH .
THIS SCHIDULI MUST II COMPLITIDANDyiilD IP THE ANSWER TO ANY OF THE QUESTIONS ON THI UVElSE SIDI 01' THI COViR sHiriISvi.:
111M . DESCRIPTION Of, PRC?PERTY . EXCLUSION TOTAL VALUE .\ Di~D'8?hLtc~it~Vr
NUMBER Ine/1Ido n.... 01 Ih. l,on,Io_, """ ,oIollOll,h,p 10 c/ococ/onl, dolo 011,0",,," Of ASSET , INT, I.NTE~~SL"_.,,.,..
J J: /!'Ir
fl~Jr f~J(I'.J I ;IF 1111I.'~',sI3L(e&
{!,'II17f /11// .J;;,/,!,~,yl 6tVl((~
{!11/~'/ 1111/, Ii,
3//:1. 17
I'
,.
.''._"_.".____...--~----.--;.-.----.-,,..----,- ...~_._n__"_. _TOT~~.tAlto.It\I".o.n_n~!,R!<.~pltu!~I!~n'" J,A ..?I t~Z!l......
(II more Ip<l<t II noodod, In"rt oddiflonol IhH~ oi,.... "...)
~:~
COMMONWUlTH 0' PlNNIYLVANIA
INHIRITANCe TAX R!1URN
_ R!lID!NT DeCeD!NT
ISTATI Of
.
IIV.15I1U.(7...)
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.al. Print or T .
ITEM
NUMBER
A. Funtral Exp.nl.l.
DESCRIPTION
AMOUNT
1,
111 yel?s fu*?JI !lUlle.
31 t /!l tll,.! S r.
tltetJ,.:ttllt.s.6t/f filII, t1~,j?J.'
. j;/I~~,:1
B. Admlnlltratlv. COlli I
1. Pen~nal Reprelentatlve Comml..lonl
Social Security Number of Penonal ReprelentatlVII
Year Camml..lonl paid
4.
C,
1.
2,
3.
4,
5,
6,
7,.
8,
2,
f~'ftlfl#rlll'/ ~(d~i!J
.11/"'''$ .il. ;j lIe: 1/ .
;J"). $. J/'Nfd7 11,111 rJ.~
III<'tllo7,)"" b.O',! ,;'1 1'1'J-J
Relatlonlhlp
to 0, ()(l
Attorney Feel
3,
Family Exemption
Claimant _
Addre.. of Clalmont at decedont'l dealh
Stroet Addre.. _
City
State
Zip Code
Probate Feel
,;?)tJ: pO
Mllc.llanloul Explnll..
f.Jt4? u" ,./r:. &/J it!. ~ f li~vtl!.,.1 (je,Ht Ivt111IJt'c{,,Jrha 1.,,/1 ? I &
8()(J.J/ t()t 't A71ier
f/)ol y l?e.r'tJ!/,n/~l'lr
4 9tJ ,t! (/
I ~-(J (J.P (I
I ~ I,p(J
"
I'
TOTAL IAllo enter on line 9, Recopltulatlonl S j, ;.134cJ
IIf mort Ipac. II nil did, Inlllt addlllonallhllll of lam I 111..1
~
CERTIFICATION OF NOTICE UNDER RULE 5.6(a1
-,'
Name of Decedent I . 1111'1 t=' S
Date of Deathl 14 Tilt! 10
Will No. ;'19t/.~tJtJ{, #
B. j?l/ f/ J
,I
_Admin. No,
To the Rag~Bterl
I certify that notice of beneficial interest required by
'Rule 5.6(a) of the Orphans' Court ~ules was served on or mailed to
the (allowlng beneficiaries of the above-captioned estate on
I
Name
-filii [ 11/9 tI
Address
c:.~ N uM II/wI /) R. 1)1(c/). I/z I '7(if,"",j- I
( I
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Datel
)J;1/:;II
c~. -j (d~~
Signature I
/.') ..
Name-1~1 (R~I/J"I
I
Address !:dJt)/4,), '/ /;/J/l1'I :x:.
/ . 'I
),1 t.(w/,/ (t \. f-:, v' i,~ L1 f tJ !7 iJ ,';)..,,-
Telephone(7/'Jl ;;{.'c;,c)/<l7
.
,."" .,., ",
,. r/:
., ,
r'
LI
D,
, ".
>...
,::-;
, ,
(110 ':r
Lr.: - p, , "
" :;;
ou
Capacity I
~ersonal Representative
Counsel for personal
representative
. ., '''t ,..'.... .......
,
- --:- _.- ~'-- -.-.. -.-. ..-.- .....~ .._.~. """, ..-- ..... - ..,
RECEIVED FROM,
&
ACN
ASSESSMENT r:t
CONTROL .:.1
NUMBER
AMOUNT
wu aam c. nyan
,706 Gr.elin Aor.e st.
Meohan1oeburg,Pa. 17055-4141
101
3,588.11
'OIO.HUf
:
'OIO~Uf ...,
,
ESTATE INfORMATION,
!II MiW-
ii 21.94-63
II ATE Of PAYMENtRyan
II MArl'lh 23, 1994
r.I ATE
James
B.
UNTY
,
"
,
Cumber. land
ATE Of DEAT~-
Jan. &1994
8.S.' 177-16.5184
m TOTAL AMOUNT PAID -1.t.188. 14
,RECEIVED B~l.
REMARKS
SEAL
REGISTER OF WILLS
,~~.,_.~.. .-;-... _._.. ~..... ._._. ...._ ._.., ......1, _... _.,. ...:...., ....w.
-........-.-.. ___....___..... .._..._......__ ___.._.......:..-.._....__.....o.-_-J
, I
,.
,
. .
. ...
-" .......-
...,.."..._....--:"-..',~..-~ _ rb.. .~ '.".~.\.
I ' .' '; .1
.
\
('
RIVo1607 EX AFP (1091)_
COHMOHW!ALTH Of PENNSVLVANIA
DEPARTHENT Of REVENUE
lURE AU Of INDIVIDUAL TAXES
DEPT, 110601
tIARRIIIUR1l, PA l11U-0601
ACN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATI 10-31-94
RVAN JAMES B FILl NO. 21 94- 0063
DATE OF DEATH 01-14-94 COUNTY CUMBERLAND
NOTE, TO INSU~E p~OpE~ C~EDIT TO YOU~ ACCOUNT, SUBMIT THE UppER ~O~TIOH OF THIS FO~M WITH YOU~ TAM
pAYMENT TO THE ADD~ESS SHOWN, MAKE CHECK pAYABLE AND REMIT pAYHENT TO, ,
WILLIAM C RVAN
706 GREEN ACRE ST
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount R..l ttod
J
CUT ALONG THIS LINI ~ RITAIN LOWER PORTION FOR YOUR FILES ~
R.{v:i60-i.iif.AFp..ii:.9ij.-.----.....iNHi.RiTA.NCE..fAX--STAT-EHEiif-OF--ACC-OUNT---..ii-.-.--------...---....
ISTAT! OF RVAN JAMES B FILE NO.21 94-0063 ACN 101
THIS STATEMENT IS pROVIDED TO ADVISE OF THE CURRENT SHTUS OF THE STATED ACN IN TIlE NAMED
ESTATE. SHOWN BELOW IS A SUNHARY OF THE PRINCIPAL TAM DUE, APPLICATION OF ALL PAYHENTS,
THE CU~RENT BA~ANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIOURE,
DATE 10-31-94
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 00-08-94
PRINCIPAL TAX DUE, 8,915,43
PAVMENTS (TAX CREDITS),
PAVMENT
DATE
03-23-94
10-07-94
RECEIPT
NUMBER
XA856063
MM913047
DISCOUNT (+)
INTEREST (-)
188.85
,00
AMOUNT PAID
3,588,14
5,138,44
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTeREST.
I IF TOTAL DUE IS LESS THAN al,
NO pAYMENT IS REqul~ED,
IF TOTAL DUE IS ~EFLECTED AS A "CREDIT" ICRI,
YDU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FO~M FOR INSTRUCTIONS,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTERIST
TOTAL DUI
8,915,43
.00
,00
,00
PAYlENTI
o.tlCh the top portion of thll HoUel Ind .ublJt with your PIYN", .Ide Plyllbll to thl "... and Iddr,.. prlntld
on the rlv.r.. I1de.
All PlY'''''' reclJnd .hlll Ur.' be ~p1Jed to Inv lnt.r..' which I.V b. due with Inv r...l~r appll.d to the 'I)C,
RfFUHD (CAl,
A r.'und of . title cr'dJt, which "I' not r.qullted on thl hM Atturn, II'" bl r.queUed by coapl.tlnll an
"Applloation for R.fund of Plnnlvlvantl Inh,rUlnol Ind flbt, TIIC" (RfY~n1SJ. Application. Ire Iv,l1e1. .t
thl OffSet of thl RIglltlr 0' Nllh, any 0' thl Z~ AI..,ttlUe Olltrlot Offic.., or bv 0111101 the .peoll. 24~hour
en'Wlrlno IIrvlcl nuIlberl for for.. ordarlnal NEW IN PEHHlVLYANU 1.IQO.36t.~OSO, ouhldl PMlI'Iulv.nl,
end within 'hi 10011 Hlrr !Iburg .r.. (711) 717-a09~.
RfPLY
TO.
Out.tlon. r...rdlng .rror. contllnld on thl. notlcl .hould bl Iddr",1d tOI PA Dep,r"'nt of Rlvanu., Bur..u
of {ndlyldull TIM", ATTNI Po.t A.......nt Rlvl.w Unit, DEPT. 280601, H.rrhburg, PA 17121-0601, phone
(7\71 7&7'6501,
If any tex dvt II Plld within three (S) clllndu lonth. .ft.r 1h, dlcldlnt'. dI.th, . flvl plrcent U:O dhoount
of the tlH plld I. Illow.d.
DIICOUIfTl
IHTERfIT.
Interllt II chl"gld blglMlnv wlth fir.t dlY of dlllnqulnoy, or nln. (9) lonth. and ani (1) dlY frol thl dlte of
dllth, tn thl dlte of Ply"nt. TlxlI which ble... dlllnqulnt blfor. JlnUlry 1, 1982 bllr Intlrllt It thl retl of
.IK "X) pareent per ann~ ellcuhtld It I dlUy ratio' ,000164. All tllClI which ble... dlllnctUtnt on and 'Her
Janulrv 1, 1982 will bltr Intlrllt It I rite which will vlry frol ullnder YI.r to nllndlr yl.r with thlt rite
IIMOUtKIld by the PA Dlplrt..nt 0' AIVlnue. The IPplIellbl. Intlrllt r.t.. for 1982 through 1994 1"1
'WI: Inter..t A.tl DillY Int.rl.t Flatar !!!! Interllt R.ta Dlllv Int.r..t flQtar
1911 lOX ,OOOSU 1916 lOX .000174
1915 16X ,000451 1917 9~ ,00014/
1914 'iii ,000501 1911-1991 IIX ,000501
1915 m .OOOS~6 1991 9X ,000147
1995'1994 7~ ,000191
."lnt.'lIt II CIlculltld II followlI
INTEAElT . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
....Any NoUe. luued Ifter thl talC btCOM' delinquent will r.fllot In Int.r..t CIlculltlon to ,1ft..... (11) dlW'
beyond the dlt. of the ........nt. If Plv.lnt II ..de Ifter thl IMI"lt ea.utltlon dlt. shown on thl
NotlCI, addltlonel Interllt ItUlt bt caleuhtld,
RECEIVED FROMI
i
ACN
ASSESSMENT I!'
CONTROL 1;1
NUMBER
AMOUNT
i . ' , .
_ --.. __ ..._. _.. _._ ....._ _._ __ '''_4 ~..._ ....... ,__ ._.~. ,___. "".__ .-__. ___ ....._. ._.__ ._._.. _.-~ .--.. -- ....- .- --- ""_ ~__,_ :".-..__ _
"
. . . ... ...........-.
"-r.~,__""'" ....~M...... l"'ttl_ ..,;'" \
, .
\
,
I
RIV-~547 I!X AFP (10-93*
C_Al TH Of PfHHlVLYAHIA
DfPAllTH[HT Of REYENUE
IUREAU OF IHDIYIDUAL TAKE I
DfPT, 110601
HARAJIIURQ, P" 17UI-UOl
.-
t/
NOTICE OF INHERITANCE TAM
A~~RAISEHENT. ALLOWANCE OR OISALLOWANCE
OF OEOUCTIONS. AND ASSESSHENT OF TAM
ACN 101
DATI 08-15-94
FILE NO.
DATI! OF DI!ATH 01-14-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUSHIT THE UPPER PORTION OF THIS FDRH WITH YOUR TAM
PAYHENT TO THE M~OISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER DF WILLS, AGENT"
REMIT PAVMENT TOI
WILLIAM CRYAN
706 GREEN ACRE ST
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
~_.
AMount ReMltlod
~j
CUT ALONG THIS LINE ~ RI!TAIN LOWER PORTION FOR YOUR R~Ol\RDS ....
iliV:i5'47-iic-AFP""nij:93Y"ilifficiuopuiNHEifii'A;fci"''r"A'itifP'iiRifi9i:;f!ili'~"Ai:.r6wA;fci-ifR""-_...m..m."
DISALLOWANCI! OF DEDUCTIONS AND ASSESSMENT OF TAX
ISTATI! OF RYAN JAMES B FILE NO. 21 94-0063 ACN 101 !lATE 08-15-94
TAM RETU~N WAS, ( ) ACCEPTED AS FILED ( X) CHANGED - SEE ATTACHED NOTICE
RESI!RVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, RI.l E.tot. (Sch.dul. A)
2. Stock. and Bond. (Sch.dul. B)
5. Clo,"ly H.ld Stock/Plrtn.r.hlp Int.r..t (Schodul. C)
4. Hortala../Notl' R.o.IYlbl. ISohldul. DI
5. C..h/Blnk DlpO.lt./HI.o, P.r.on.l Proplrty ISch.dul. E)
6, Jointly Ownld Prop.rty ISch.dul. f)
7. Tran.flr. ISch.dul. 0)
5, Tot.l A...t.
Il)
(2)
(5)
(4)
IS)
(6)
(7)
,00
,00
,00
,00
31. 715,8l
32.500,00
3.513,79
(5)
67,729,60
APPROVI!D DEDUCTIONS AND EXEMPTIONS I
9, Funorll E.p.n.../AdMlnl.tr.tlv. Co.t.1
HI.c.lllnlOu. E.p.n... (Schldul. H)
10, D.bt./Horta.a- LI.bllltl../LI.n. ISchedul1 II
11. Tot.l D.duotlon.
12, N.t VIIUl of T.. Roturn
15. Ch.rAtlbl./Ocv.rnMlntll B.qu..t. (Schldul. J)
14. Nit VIlu. of E.t.t. Subjlot to TI.
(9)
110)_
8.293.40
,00
lU)
1121
115)
114)
8.293,40
59,436,20
,00
59.436,20
.'-
If an a..a..mant w.. i.au.d pr.viou.ly, lin.. 14, 15 and/or 1~ and 17 will
r.fl.ct figur.. that includ. the total of ALL r.turn. .......d tD d.t..
ASSESSMENT OF TAXI
15, AMount of Llnl 14 tl.lbl. .t 6X rlt.
16. AOCUMt of Llnl 14 tl.lbl. .t l&X rlt.
17, Prlnolp.l T.. aul
NOTl!I
1151
(16)
,00 K,06 "_
~9.436,20 M.l& "
(17)
....:!i
8,915.43
8,915,43
TAX CRI!DXTSI
PAYHENT
DATE
RECEIPT
NUHBER
DlSCOUHT I')
INTEREST (.)
AHOUNT PAlO
03-23-94
856063
188,85
3,588,14
PAYMENT MUST BE MADE BY 10-14-94W.
TOTAL TAX CRI!DIT
BALANCI! OF TAX DUI!
INTlREST
TOTAL DUI!
3.776,99
5.138,(,4
,00
5,138,44
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL Due IS LESS THAN fl, NO ~AYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS,)
, ,
RlI!RYATION. E.I.I.. 01 dooodonl. dylnt on or bllor. Deotoblr II, 1911 .. II on~ lutur. Int.r"1 In IhI ..I.t. I. Iron.l.rrld
In pontlllon or enJonttnt to el,.. . (CloU.'.r,.) blneflolarllt of thl d...dtnt,.'tlr tM IlCplr,Uon of Iny ..tat. for
11'. or' for y..r., tho COIIOnwI.lth herebv IMpr...ly r...rvI, the right to .,pr.'" Ind ...... tran'f.r Inherltlno' '1ICi.
at thl llM'ul el,.. . (col1.t,re.) rat. on InV luch lutur. lnt.r..t.
_Of'
NOTICE! To fulfill the r.qultHlnt. 0' SIOtlon 21~O of thl InherltlnGl tnd Eshh 'IX loot, loot ZZ of 1"1. 7Z P.S.
Stollon mo,
PAYMENT I DelICh thl top portion of thlt Notlel end 'ubllt with your ply..nt to thl RIII,t,r 0' Will. prlntid on thl rlv.r.. .Ide.
--HIk. ._ or ....y ordor PIY...I. to. REOISTER OF HILLS, AGENT
All P'valnt, r~.lvtd .hlll ,Ir.' bt applltd to InY lnt.r..t which '.y bt due with InY r...lndtr applIed to thl t.~.
"FlIftI (CAl, Ai refW'ld 0' . tel( credit, which WI' not r.quutld on thl 'IIC R,turn, IU ~ "quuted by oOllPl,Unt In "AppllcIUon
for A,food of p.nnSVlvDnI. lnhtlrltlnOl and F..t,tl TIM" (REY"UU), Appllcatlonl erl IVll1ebl1 It thl OffiCI
of thl Attl.tlr of Will., any of the 25 Alvenue Olltrlot Offlo.., or by otllllng thl .p.olll 2~.hour
InINlrl", Ilrvlcl OUIbtr. for for'l order Inti In Ptnnlvlvenll 1"100"562.2050, outllde Ptnnlvlvlnl. end
within loc.l ",rrllbure nil (117) 717"109"', TOO' (717) 772.2252 O.rlne lap.lr.d Only).
OIJECTtOHlI Anv p.rtv In Int.r..t not Iltllflld with the .pprlll.-.nt, .llo~1nC1 or dl'lllo~IOO' of deduction., or """lent
of tl)C (Including dhoo~t or Int.r..t) .. .hewn e)O thlt Hottc. lU.t obj.ct wllhln .hctv (60' dlV' of rlo.Ipt of
thlt HQtlc. bVI
..wrlttlO protl.t to thl PA OIPlrt-.nt of A.VInO" 10lrd of App.lll, DEPT. 211021, Hlrrl.burg, PA 17128-1021, OR
.".Ilatlon to hive thl ..ttlr dlt".lnect It lUdit of th. ICCOunt of the p.runll r'Pr..lntltlvl, DR
U.,.II to the Orphll'l.1 Court.
AONIN
IIlRATlVE
CDRllECTlONI.
FlGtUtI .rror, dl,oov,rld on thl, I""I-.ot IhOUlu be Iddr"ltd In wrltlna tOI PI DIPlrt..nt of AIVInUI,
IUrllU of IncUvJdual TII(", ATTHI POlt A......."t A.vlew Unit, DEPr. 210601, Hurhburll, PI 17Ue.0601
Phone (717) 717.6501. Sit P'" 5 of thl bookl.t "In.tructlonl for InhtrltlnOl TIM Alturn for' A..ldent
Dectdlnt" (AEY"lS01) for In 'HPllnatlon of tdllnlltr.tlvlly corrlatlbl. .rror..
IHTEREIT I
If '"~ tl)c duI I. p.ld within thrlt (5) cIllnder ~thl .ft.r thl dec,dlnt', dllth, I flvl plrcent (IX) dl.count of
thl tlM Plld II Illowed.
Interl.t I. chlrged bitlnnlnG with flret dlY of d1IJnquInCY, or nlnt (,) .unthl IOd one (1) dlv fro. thl dltl of
dleth, to thl dltl of PIVllnt. TI)CI. Mhlch btc... delinquent blfor' JlOUlrv 1, 19.2 bI,r Intere.t .t thl tit. of
.IM (6X) p.rcant plr DnnUI c,lcul.tld It I d.llv rltl of .000164. All t.... which bIG... delinquent on and Iftlr
JlnUlrv I, 1082 will bI.r Intlrl.t .t I r.te which NIll vlrv frol olltndtr vI.r to c.lend.r vI.r with thlt rlt.
InnOUnOtd bv thl PA Oepertllnt of Aavenut. The "pllcabll Int.r..t ret.. for 1'12 through 1994 .r'l
OIlCOUfT I
~.!t Jnttrllt Altl ~Itlv Jntlr..t Flotor !!!! Jntlr..t Aet. DIIlv Jntlr..t Ftctor
1911 lOX ,000541 191A lOX ,OU0214
1911 \6X ,00041. 191' 9X ,00014'
19" IU ,OODSOI 1911-1991 IU ,00DlOl
1915 UX ,OOOSS' 1991 9X ,00011'
199I.ml 'X ,00019Z
....Inter..t I. c,lcul,tid "I followlI
INTEREST . SALANCE OF TAX UNPAID X NUKIER 'OF DAYS DELINqUENT X DAILY INTEREST FACTDR
".Anv Hotlcl 1..UId .fter the tlM btcOll. 6tllnquent will rlfl.ot 1M Int.rl.t a.lcul.tlon to flftlln (11) de..
bevond thl dlt, af thl ........"t. If Plvan' It ,Ide .ftlr the Interllt tJoeput.Uon dltl mown Oft thl'
Hotlct, tddltlonll Inter'lt lU.t be cllcul.ttd.
Rev, 1470 ex (O,B,!j,
INHERITANCE TAX
EXPLANATION
OF CHANGES
l;O'~MONWEALlIl or PENNSYLVANIA
DWARlMENl Of REVENUE
IURIAU OF INDIVIDUAL TAXIS
DEPT.28O/J01
HARRISBURG,PA 1712a.D601
. -
- -- --
DECEDENT'S NAME
fiLE NUMBER
J_.....~II-------
" 96-00111
ACN
..---------.
101
SCHEDULE
ITEM
NO.
~XPLANATION OF CHANc.lES
E 1,2,3 Corrected line 5 of the inherit.nee tax return.
F,O
Changed tax rate frQQ 6 percent to 15 porcent ainee brother. are e1...
"8" heir..
..,
'I. !'
"
."..
, ,
I"
or'
TAX EXAMINER:
Llvr~Qr~ 9rft'1n.y
PAGE
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