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HomeMy WebLinkAboutOC1968-0021 - ESTATE OF DICKSON.,:i.' ,:' .~~!... ',J;:', ,.~. ~'- .' ',...I, ,/.-, ,~., ,"',~ :.:·r. .'.~ , ,,,~~.' j' ",~"" ,:U~:: (Untttmnnwraltl1 Df Jrnn5yluanta.~ss. lIIusqiugtnu C!1nuuty.) Josephine M.Douglas ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to Clifford G.Dickson administr ator credits,which were of " Ada Dickson .of all and singular th;goods '-and chattels,rights;and late of Washington County,deceased, GREETING: III the county aforesaid,lately died intestate WHEREAS,the said Canonsburg '- Ada Dickson late of (as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County, JOSEPHINE M.DOUGLAS by reas6~whereof the power of granting administration thereof doth belong to me;I therefore,confiding in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here- by committing unto you full power to administer the goods and chattels,rights and credits,which were of _said deceased within this Commonwealth,you having taken and subscribed the oath of office pre- scribed by law;requiring you to well and:;truly administer the goods and chattels,rights and credits, which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's -office,at Washington,within ninety days,and to render a just ,and true account of your administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and caused the seal of said Office to be affixed.this 24th day of----May -in the ydrof our -Lord one thousand nine hundred and Sixty-seven. COpy OF INVENTORY ~ ,.,, ,i. "'.., "' , .\ol ."'~ ,)"'',.-\' '?".". ','.,~',: ~,. ~-~ "'Ber-l\\Y{lJl~rllAWtl\mr'&~tii.tt.g~od~izntl'cj~~tt~18"rights and c~editswhiCh were·~f...,,BQp.;4.~;3/~:~b;!.:..~~~.!g.~;~~~~~lateof./;:,~.~~~~~..i..;,:.....'._'._..-._ .,.il ••+• Washington County,Pa.,takenand "!ade in conformity with the'a.ko"V,e affidavit.: .... ,..~ (. .'. \< i.. DOLLARS •CENTS .:;., ;, .;.'.'~ "". \, .I i[,;, .,t t ,.t I..~L . f I i."r '\"';I f.I..' I <: ......."it--_·'".-.:, "! r:'. .' • J •',."~'>~,"WLft: ., \..,..:":. t '~..,/'-: ---------------------------------------. \ \'. .'-'--~-'-J\To"tary Public ~-"--..-...,;,..,.-'.,".-. .,.~~ -..~.. Clifford G.Dickson ._-_.._--~. Ada Di.cks::n a/!<:./a.Ada B Dicks')n 27th. M,ay 67 ~~ 'JOSEPH SInE,1l0iARY PU3l\CCHI,RL~Rnl BOROUGH,WASlIING10H COUNlY MY COMMISSION EXPIRES JANUARY 7,1971 JJnufntnry unb ~pprat!lfmfut of the goods and chattels,rights and credits which.were Ada D;i.c!r.S(nl a/k/a Ad~B. of D.J..£.l~E.n.D late of.B..Q.r..9..y.9.h .9.;f.G.~.n:;~.nm.Q.h"~.9 . Washington County,Pa.,taken and made in conformity with the above affidavit. DOLLARS CENTS Pittsburgh National Bank,CanoAs~urg Office, Checking Account #4-777941 458 61. Pittsburgh National B~nk,CanonRbu~g Of£ic€, S.vings Account #12314 American ASSQciatiQn of R~tir.d Person,Refund Check The Toledo HdisQn Complwy ~·FH.v:i.d<:lnd Ch~ck. American Electric Powt9r Co~upanyt Inc.,1.5h<:\.I:e The Toledo Edison Company,1 share Continental Oil Company,9 shar.es; Unitecd Stat~s StElel.CQrporation,1.shll.\.re Chrysler Corporation,33 shares .8259 89 / 3 00 ~ 35 /,./' 40 12 1- ~:39 75 L 646 90 L 46 00 L 1377 75 l- \ \.\ \\\ \ TOTAL $10,872.37 \ \ '. (e).Balance for distribution per Account (f)Additional debits,not shown by Account (Itemize) (g)Additional credits,not shown by Account (Itemize)• ..•RegJ..ster of Wills,.fi.ling 'account $..1...246.•9.5... $N~m.~. l6~oo 11 In;ert.~o~rl~·jn~ti;~he~ necessary.~. If taxable state wheth- er tax has been'paid.«;lJ $.:1.6..•.00 . $..1230...95 . (h).Claim for 'exempti<;>p-h'a~~~~n made,:and'has..:...:..nat...:..:been paid. (i)'"'The 'estate'is :subject to the payment of inheritance tax to the .;-- State of Pennsylvania."_,.' (j)The estate is n~:t.subject 1:0 the payment of the county 4 mills tax. (k)The estate is no.t.·subje~.t-(to the pay~ent of Federal inheritance' tax. (1)All creditors (and other perwns who have complied with Rule II, Sec.9),of whose claims the accountant...had notice or knowledge,have ........................received actual notice of this audit;the amounts of the~r claims and whet~er·ornot they are admitted to be correct are as follows: None ~..1 11 too many for the space,annexa list there-of;if no such claims, insert the word U none!' If any creditor or other claimant has not re- ceived actual notice,that lact must be stated. Indicate such claims as I ..... may be secured or en- titled to a prOferenee,and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication,and a 5tatement of any mater- ial facts not already given.If none insert the word u none." If any share has been assigned or attachedthatfactshouldalsobe stated here. (m) ,.. -'I None ) -.... I State kind,form andcharacterofproperty composing the balanee lor distribution,and if any part "thereof is not cash,whether or not I there has been any elec- tion to take such part in kind. ,:-", (n)The bal~nce for dlstribution consists of property in kind,form and character,as follows: Cash .) .._~.~"t"\.'fol" ,.,..,--~------------------:----------------:-----------------------..., (Form where decedent died intestate) .t/.. -lin tl1r (@rp~un!i~<1lonrt .nt lIusQiugtnu mounty ., ESTATE OF No.Term,195 ,A.A. In the audit of the First and Final Account of Clifford G.Dickson I,.She was unmarried. 2...'No children,no issue thereof. 3.Heirs are all nieces and nephews. State (I)whether de- cedent was married or unmarried;(2)if mar- ried,whether a ·husband or wife survived and his or her name;(3) whether or not there was any marriage settle- ment;(4)whether or not family relation was maintained until deced- ent's death;and (5) whether the decedent left children or issue of deceased children. ...........:A.da P.t.~k§Qp.~.;. Deceased The petition of.C~ittor.d G.Dickson.,:;.. .(N·a;"e of Petitioner). respectfully represents·::. '(a)The decedent died ~~.h 25.".l997.,intestate and (Date) letters of administration on h~;r.estate were granted J1ay:2u#19..6.7 .. .(Date) as per record ther~.9Lappearing in Administration ancl·Bond·Book No..~:.. at page . Decedent was survived by .within(b)At the time of death~the decedent's domicile was w~the Com- monwealth of Pennsylvania,to-wit,at.....C.anonSbu.rg;,....P.ennsylv.ama,....JJ....S...A.... (Town or Township,State and Nation) and res idence was at....33.4...W.e.~.t....C.o.lle.ge....s..t.~.,....C.aP:9.t\~.~1J.*g"....P.e.oo~lv.an.ia ....... (Town or Township_State and Nation) (c)The names of all persons having any interest as heirs or next at"kin -.'with the names of their deceased parents,to show relationship if they take by representation are as tollows: NAMES Relationship Interest Of age,sui· juris,or not, (write yes or .no). Name of Guardian,Trustee or Committee,if any.or beneficiary,mancer and place of record of appointment and is bound suffi- cient to cover and protect share• ,.. Clifford cf.Dickson .n~phew 1/10 Yes ··None Grace D.Whitehead niece 1/10 Yes None Eva D.Croiuch niece 1/5:::Yes None., Agnes D.Athey niec.e 1/10 Yes None Mary D.Brink niece,1/10 Yes None" Edith Dickson niece 1/1.5 Yes'None Virginia D.,Welsh\niece 1/151 Yes None Elizabeth Dickson,widow of Charles Dickson who survivec ~.decedent neohew 'l/l~Yes None Robert E.•Crum ;1/50 Yes None) Walter H.Crum 1/50 Yes None).children of GlannGlennA~Crum !1/50 Yes None)Crm.n,deceasedJackL.Crum 1/,50 None)•Yes Florence Wolfgang 1/50 Yes None} Shirley Thomas ..l .1/20 ,.,)children of Margaret Helen Warcholak '1/20.)CrumBriceland,dece- ased. State exceptions,if any, giving names and dates of death and the names of their executors or administrators,or the names of their issue as the same may be mater- ial. All of said parties in interest are living,except Describe type of notice.(d)All parties having any interest have had....a~t~..notice of the filing of the account by letter. -, J -' FORM IN CASES OF INTESTACY NO.m ..2I·,·1m...l.2.d...~.......,A.A. IN THE ORPHANS'COURT. WASHINGTON COUNTY,PA. Esotate .of : :Ada...Dic.ks.Qn . Deceased. Sur 'account of Cliffor.d..G Dicks.on . PETITION SUR AUDIT In Conformity with Court Rule III, Sec.5 (B) COUNSEL FOR THE ACCOUNTANT WILL /..SUBMIT HEREWITH 0;./·The letters of administration.. ~.A copy of the inventory and ·appraisement. 3.Proof of advertisement ,of the g,rant of letters, if not filed with accountant.A'J.l.n appearance for those represented.~Inheritancetax receipts,if any.. 6.Certificate of liens in case any oJJjhefunds for distribution are der~ve~\((0...."0 l!i}\.~~~~~f~eal estat~. 7.Copy of Feder-all E~t(ite.tr~c3ceturn,If estate IS subject thereto.ONH.l4 V'...:.. 8.Signed eleg.ii.ons to take in kind,if an~.•\c'" ,';.)Bv\'\0";,'.1~_.....J ...~.Qbn ..E.~...Q9.sk~U'9J......J.~....,..·..:f \-~I I ~'IAtt\nfY:1 fo\"{\:<;,~puntant. ~-2 'f '.. l.-,y- ',. ....~'"'- , \ i f' -,~ ,. " '<" 'Are there any advance- ments by'decedent to be considered on distribu- tion and has ,any distri- bution po account been made by accountant to . any distrihuttee? (p)None I, If prior accounts have heen filed,list number and term. I (q)Give brie'f location,of any real estate sold. None (r),None Wherefore your petitioner asks that distribution of principala~d income be awarded to the persons thereunto entitled and suggests that the balance of .principal and income should be awarded respectively as follqws (shares being ;stated iii'propor~ioris but ri6fiil amounts):-. Cl~£ford G.Dickson 1/101 Gra'ce'D.Whitehead 1/10 Eva.·D.Crouch 1/5' gnes'D.Athey 1/10 MaryD.Brink 1/10 Edith Dickson 1/15 Virginia D.Walsh 1/15 Elizabeth Dickson, widow of charles Dickson who survived deced~nt lily Robert E:Cruni 1/,50" Walter H.Cnim 1/50 Glenn A-.'Crum 1/50 Jack L ..Crum .1/50 Florence Wolfgan l/SO Shirley Ihomas 1/20 Helen Waircholak 1/20\. County of Washington,ss. The above named petitioner being duly Sworn doth depose and s'1-Y that the facts set forth in the foregoing petition are true to the best of h..i.s knowledge'and·belief: it~:/::s~~;;:;l~:~~i~ :.........::..~~.,~~ ,JOSEPH SITTE.NOTARY··..·__···:_····~fi,~~~t~lsr-?o~Q~~~\Rft:?I~~~~~y\~~~~;. And your petitioner will,etc., .!J~~~.. ·..·········..···..··l..··. .~(Signature of Petitioner). Clifford G.Dickson ~?:," _i [\'larch t,1968 To t~H;Heirs At Law of Ada.DicksOll Your are hereby notified that the Orphans' court of Washil'lgton county ,pennsylv~nia will 'audit the EstatE!of.Ada n:i,ckson a/Kia..l~.da B"DicKson on Monday,Mar'en 18th.,1968 at 1;.30 o'clock P.M.The hea.ring will be '7f!the Orphans'Court Room ,on the Third F'lboT.of.the court House:!"The'c.aption of the Cc1\,se is the Estate of Ada Dickson No..en of'1968. Y01,\ma~r attend and be heard ·i.f you so desire.You have previously been furnished with a copy of the'Account. Very truly yciu.rs, John E.Cqstf;:llo JEC/pc ."'., ,, ,'; ,I .Ma:rch 1,1968 Your'are.'hereby notified tha~the Orphans', tOi.1:t'tof Washington 'County,pennsylvania will a\,1d~tt ,.the ,gs·tat€.!of Ada pickson a/k/a.Ada B.Dickso'n''on . .Monday f :March 18th.,1968 at 1;30 0'cloCk P.M.The he'liting'wi,llb~:i,n the Orphans I court Room on the. Third "Floor of'the Court House.The cq.pt;j.on Of.the caSe is the Es.tqteot Ada DicksOl1 No.'21 ~f 1963.' To the Heirs At Law,or Ada 'Dickson " ........'I' .', YO~l I!la'~;attend and-b,e h~ard if you so desire.You hav.e.·p!=eviously ,been furnished with a,0.copy.of the'Acc()unt.. ,ye-r.y truly yours, ...,..- . John E.Costello JEC/pc • ",.,,-' \ ,I IIIII<I ,,, , I I IIII I I<I I c..I ,IIII I I....I ......I I I I I ,-0 I I =:I I III •I ',." , I I ~... I ...•. "<l'I I I ,..,,:" 0')I I $.t I I ~I I t<:S , I , , I~r I I c..III I I I ::+.I r-.I I l-I Q)I I :+.,8 I I I I I I -.<I I , , I I ,I 0 I ,, ,~ I ,, , 0 I ,, ,$.t ~I I , ,::J'I ,, ,.~I I ,, ......~:, 1.+-t ,I IIoI I «,I I I ,I +>I I c..,I -~I to-,I "0 I I I I ;j I I .....It<:.I ....II I , I I tl.t IIQ), t<:S IIr-.I II,s..IIl=:,,, ., ,,~I ·1 ,......,,,. I I I I , I0II,I I ,Z I I :iJu t~r (@rp~aUBlI <!lourt of ·lIaB~iu!lton:Qlount!l In the matter of the Audit of Account in Estate Of'--r14-~~~---No.----~--------------~------Term,194-:---,A.A. L'-" TO THE AUDITING JUDGE: ~'.,.; .''.~.'.'Enter-----------~-:--.------appearance for-.:----~-----~~-------.---.---------------.- ----------------------------~-----------------------------------------------~--------------------~-------------- ~.._----------------------------------------------~--------------------~---- ..------.---'-day of----~.-~----,19l-1[" N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed. Objections to an account as filed,shall be concisely stated in a . separate paper.Counsel suggesting proper distribution shall ,file a separate concise statement in that regard. J .~ fI No..~Of ,19 ~~,A.A. In the matter of the First and "Final Account of Clifford G."Dickson, Administrator bf Estate of Ada Dickson, Dec~ased i\~jullirutinlt alt~mrrrrr Sll\I\~.:\0 B31S\~)3BON\~'i1~..\113SSf\~ J (0 :t Hd 9c~tl\1V'~13951 ~2:1\T:1 :3 G..-J .3 / .v-; ~.11«tl1t (@rpl1an5~<11nurt Df IIIU!iqtllgtnu Olounty ESTATE OF ' Ada Dickson...........................~. Deceased. No 9.L Of :,19 9.~,AA In th~matter of the f..t~§.t..:?:gg..ft.l1'?:L . Account of g.~.i!~~t~.Q.~..P~~~!?.<?.~.L ..:. Administrator ADJUDICATION AND DECREE Bafa'nce per account..:.......................................I .$.7.,.24.6'0.95. And no~:.~'!l:~~.l::_.um..u __uu m.m..~-:"?,19__9.~__,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration t~~~~0~~5 balance for distribution in the hands ?f the ~ccountan~is deter~in.ed to be $and the account IS accordingly confirmed;and It IS ordered, adjudged and decreed that the·said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and make a part hereof,unless exceptions hereto be filed s."'"eg..o,a~appeal.be token he,efrom·sec,leg,....................-5.....~...(?\ ...46'?(~7V';-' SCHEDULE OF DISTRIBUTION Additional credit asked at audit 16.00 Balance ·:. "'"," D!,!duct Clerk's Costs &Receipts :~,:. .':;.John E.Costello '.,:Attorney .. 'C lifford G.Dickson,nephew,1/15 balance, Grace D.Whitehead,niece,1/15 balance, ·28.50 480.17 480.17 .Eva D.Crouch,niece,1/15 balance,480.17 .. Agnes D ..Athey,niece,1/15 balance,480.17 Mary D.Brink,niece,1/15 balance,480.17 Edith Dickson,niece,1/15 balance,480.16 Virginia G.Walsh,niece,1/15 balance,480.16 To the Estate of Charles Dickson,nephew,now decease 1/15 balance,480.16 Robert E.,Crum,nephew,1 /15 balance,480~16 Walter H•.Crum,nephew,1/15 balance,.480.16 Glenn A ..Crum,nephew,1/15 balance,480.16 Jack L.Crum,rephew,1/15 balance,:480.16 Florence Wolfgan,niec'e,1/15 balance,480.16 .Shirley Thomas,niece,1/15 balance,.480.16 Helen Warcholak,niece,1/15 balance,480.16 No balance ~""•.'''-''CP " ,",/',''\' " 1··· t.'·~·· .' " ;.Sj1~M:10 r,.,glSHl3H ,ONlHlfl-J TI3SSfW t...,:"'.~ ,."--"'/"..-:t.l".. ~. od~rssr1-'~.'.'."'l.i·."\ LO :c. o.'*_.,'f :iL:tt:i '. ,;,. ,'.f " " f ' ",t·.......~,.=.~ .i, P " , ~! ,;~ i,':" ,,' ""I'f"'"".. "d i~~t -',,:::'1 ,,,r'..'.,~..I.:,;""",~~_.....\.I , " ,,I \:J :.'.:,'.-" " "..-'l,. ~. 1 '.. " ,',jI'., ·K•.' 'I ..,.......,4 IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. INRE:ESTATE OF ADA B.DICKSON Clifford G.Dickson, Administrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, The Register of Wills of Washington County,do acknowledge to have received from Clifford G.Dickson,Administrator,that sum alloted to me by virtue of'the Order and Adjudication of the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my claims in and to the said Estate and I acknowledge that my right,title and interes has been fully discharged. INTENDING to be legally bound hereby I have hereunto set my hand and seal this~~day of April,1968. a~/~~--o @e?0('~ (SEAL J ,-~\ ,. I '.. . ,..,~i • \ -".---...-.,,_.....-_.-,-. '".,"if) \~.' ..,..1 "~, JOHN E.COSTELLO COUNSELLOR AT LAW 418 WASHINGTON AVENUE CHARLEROI,PENNA.15022 PHONE 483-5961 April 25,1968 Mr.GUy Rogers Deputy Register of Wills Court House Washington,Pennsylvania In re:Estate 'of Ada B•.Dickson,'Dec. Dear Guy: In the above captioned estate I am enclosing herewith Receipt and Discharge Forms as follows: Clifford G.Dickson Grace D.Whitehead Eva D.Crouch Agnes D.Athey Mary D.Brink Edith Dickson Virginia Weleh Elizabeth Dickson (the estate of Charles Dickson) Robert E.Crum Florence Wolfgang Shirley Thomas Helen Warcholak Glenn A.Cr.um&~~- We hav .prev~ously sent you a check and Receipt and Discharg Form for the Clerk of.the Orphans'Court. Only the WaIte and Jack Crum Receipts are outstanding at this time.We will endeavor to get these for 'you promptly. Very truly yours; JEC/pc ",... " Po"1:;>.c::,II ...··.:>A rws~r:1L l'iJ.:W:O REG/STU OF \JiILLS ~" rn~A tx:....iam~00~0en~t'Ilr-I H0Aft.t H 0 A .,g r-I •rIJ01~~80P-4•~H~.rz1 .rs:lE-4 0~~'"E-4rIJrz1 ...~._...---".._~._--...o;:___.---....,.-, ·'. :1 II I I N THE ORPHANS I COURT OF WASHINGTON OOUNTY,PENNSYLVANIA, I II I . INRE:ESTATE OF ADA B.DICKSON a..IFFORD G.DI CKSON, Adiuinistrator RECEIPT AND DISCHARGE ,. '..J ~ KNOW ALL MEN BY THESE PRESENTS,that I,the ungersigned, ~.I ...t- 'Jbeingoneoftheheirsatlaw',of Ada.B.Dickson,deceased,do ..;o :,1 .......t-..,.acknowledge to have received from Clifford Go D:l.ckson,Acbun:l.strato ", u~.~~ that sum alloted to me by vir}~e of'the Order and A?jud~cation\o~ I the Orphans'Court of Washington County,pennsylvania.n:. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my claims in and to the said Estate and I acknowledge that my right,title and interest has been fully discharged. hand INTENDING to be legally bound hereby and seal ~his ~day of ~ie.J?, I have hereunto set my ,1968• .. f· --......-·.'-~>-.' ...,* .-. 1\)' IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA I INRE:ESTATE OF ADA B.DICKSON q..IFFORD G.DICKSON, Administrator RECEIPT AND DISCHARGE KNOW ALL MEN 'BY THESE PRESENTS,that I~the undersigned, being one of the hei'rs at law of Ada B.Dickson,deceased,do the Orphans'Court of Washington County,Pennsylvania."~~ This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my claims in and to'the said EState and I acknowledge that my right,title and interest has been,fully discharged. f' day of INTENDING to be legally bound hereby I'have hereunto set my {.Lt0A.<..~,1968.hand and 'seal thisJ1bo..,.t--- 'v1· ~----------IT~---------------~r_------------------....-j /..:', IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA ci :u 'f/9(,,1 INRE:ESTATE OF ADA B.DICKSON CLIFFORD G.DICKSON, Administrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, being one of the heirs at law of Ada B.Dickson,deceased,do acknowledge to have received from Clifford G.Dickson,Administrato~, that sum alloted to me by virtue of the Order and Adjudication of the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my claims in and to the said Estate and I acknowledge that my right,title and intexest has been fully discharged. INTENDING to be legally bound hereby I have hereunto set my hand and seal this~~'day of ~1~,1968. " .(SEAL) ~; ...',:' ".'.'.-. IN THE ORPHANS'COURT OF WASHINGTON CO,UNTY,PENNSYLVANIA\ 1 I INRE:ESTATE OF ADA B.DICKSON CLIFFORD G.DICKSON, Administrator RECEIPT AND DISCHARGE KNOW ALL.MEN BY THESE PRESENTS,that I,the undersigned, being one of the heirs at law of Ada B.Dickson,deceased,do,.. acknowledge to have received from Clifford G.Dickson,Administrato , that sum alloted to me by virtue of the Order and Adjudication of the Orphans'Court of Washington"County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all ~f my claims in and to the said Estate and I acknowledge that my right,title and interest has been fully 4is~harged. INTENDING to be legally bound hereby I have hereunto set my I I I·hand and seal this ;A 7 day of tl4wtI'ktYL ,1968. '~...JI., , I N THE'O~PHANS'CDl!RT OF WASHINGTON CDUNTY,PE~~~~L~~fi~A" \\ INRE:ESTATE OF ADA B.DICKSON CLI FFORD G.DI CKSON , Administrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned,' being one of the heirs at law of Ada B.Dickson,deceased,do laCknOWledge to have received from Clifford G.Dickson,Administrato , that sum alloted to me by virtue of the Orde~and Adjudication of the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my ~laims in and to the Isaid EState and I acknowledge that my right,title and interest has been fully discharged. I INTENDING to be legally bound hereby I have .hereunto set my ~. hand and seal this l.~day of I'7CiJ"'eh ,1968. ..... "". IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA INRE:ESTATE OF ADA B.DICKSON CLI FFORD G.DI CKSON , Administrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, being one of the heirs at law of Ada B.Dickson,deceased,do acknowledge to have received from Clifford G.Dickson,Administrato , Ithat sum alloted to me by virtue of the Order and Adjudication of the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all,of my claims in and to the said Estate and I acknowledge that my right,title and interest has been fully discharged. INTENDING to be legally bound hereby I hand'and seal this~day of ~, have hereunto set my 1968. I, I .' IN THE ORP~S,'COU,RjT OF WAS.~INGTON COUNTY,PENNSYLVANIA I \''\\ INRE:ESTATE OF ADA B.01 CKSON CLIFFORD G.DICKSON, Administrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersign,ed,-,\ being one of the heirs at law of Ada B.Dickson,deceased,do acknowledge to have received from Clifford G.Dickson,Administrato " that sum alloted to me by virtue of the Order and Adjudication of the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my claims in and to the said EState and I acknowledge that my right,title and-interest Ihas been 'fully discharged. INTENDING to be legally bound hereby I have hereunto set my hand and seal this 5c day of 7f~,1968 • .,. 'j .~. ·, ~,: .,'", IN ~Hf P~RIHAN~'OOq~T q~~ASH~N/~f~904~fr,fF~N~~LVANIA I'. . l '.I /'I : \ . INRE:ESTATE OF ADA B.DICKSON'r' CLI FFORD G.DI CKSON , Administra:tor RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, being one of the heirs at law of Ada B.Dickson,deceased,do acknowledge to have received from Clifford G.Dickson,Administrato, \ that sum allotedto me by virtue of the Order and Adjudication of/ the Orphans'Court of Washington County,Pennsylva~ia. ) This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my claims in and to the said Estate and I acknowledge that my right,title and interest has been fully discharged. INTENDING to be legally hand and seal this'~day of I have hereunto set my 1968. r b .'..:. ." IN THE ORPHANS'COURT OF WASHINGTON COUNTY,fENNSYLVANIA INRE:ESTATE OF ADA B.DICKSON' CLIFFORD G.DICKSON", AdIIlinistrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,'that I,the undersigned, being one of the ~eirs at law of Ada B.Dickson,deceased,do ~cknowledge t.o have received from Clifford G.Dickson,AdDlinistrato ,,., that s~m ~lloted to me by virtue of the Order and Adjudication of ItheOrPhansl Cour~of Washington County,Pennsylvania. This is to ascertain that I do h~reby release,reDiis.e and q~it claim to ~lifford G.Dickson all Of my claims iry andt~tne said Estate and I acknowledge th~t m)(right,title and interest. ~as been f~lly discharg~d. I NTENDI NG ~Q be legal+y bound hereby I have hefel,l."~o set ~y I ha'1d and seal this 3~day ,c>f ~.19611, ., / .,'I • INRE:ESTATE OF ADA B.DICKSON ;"CLIFFORD G.DICKSON, A~inis.trator ' RECEIPT AND DISQ-lARGE KNOW ALL MEN BY THESE PRESENTS,that I;the undersigned, being one of the heirs at law of Ada B.Dickson,deceased,do acknowledge to pave received from Clifford G.Dickson,Administrato" that sum allo,ted to me by virtue of the Order and Adjudication of the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do 'hereby release,remise and quit claim to Clifford G.Dicksqn all of my claims in and to the said EState and I acknowledge that my right,title and interest has been fully'discharged. INTENDING to be 'legally bound hereby I have hereunto set my hand and seal,this ~~day of.,~~1968.~II ,, -', 1\ l N THE ORPHANS'<X>URT OF WASHINGTON O)\,UNTY,I?ENNc;::.Y,1.vANIA I 1/I I I \'.!\!. '~I'r 1\\t \:\'\'-..'."('\\'\\... I· fN;R~:ESTATE OF ADA B.D\Iq<50N CLI FroHD G.DI CKSON ,\ Administrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, \ being one of the heirs at law of Ada B.Di~kson,deceased,do· acknowledge tp have received from Clifford G.Dickson,Administrato" that sum alloted to me by vlrtueof the Order and Adjudication of the Orphans'Court of Washington County,pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to CliffordG.Dickson all of my claims in and to the said Estate and I acknowledge that·my right,title and interest has been fUlly discharged. INTENDING to be legally bound hereby I have hereunto set my Ihand and seal this 'id day 'of ~•1968. ·,- IN THE ORP~~S'OOURT OF WASHINGTON OOUNTY,PENNSYLVANIA INRE:ESTATE OF ADA B.DICKSON CLI FFORD G.01 CKSON , Administrator RECEIPT AND DISCHARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, being one of the heirs at law of Ada B.Dickson,deceased,do acknowledge to have received from Clifford G.Dickson,Administratq , ( that sum alloted to me by virtue of the Order a.nd Adjudication of ~' the Orphans'Court of Washington County,pennsylvania. T~is is to ascertain that I do hereby release,remise and quit claim to Clifford Go Dickson all of my claims in-and to the said EState and I acknowledge that my right,title and interest has been fully discharged. I have hereunto set my hand INTENDING to be ~allY bound and seal this ~day of ~~~~~__'1968. ../ '" IN THE ORPHANS'COURT ?F WASHINGrON COUNTY,P~NNSYLVANIA lJ ESTATE OF ADA ~.DICKSON, RECEIPT AND DISCHARGE CLIFFORD G.DICKSON, Administrator INRE: ,. j; II'i II III! IId "if I! "I'III' II I I I!Ii KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, IIIlbeing one of the heirs at law of'Ada B•.Dickson,deceased,do II acknowledge to have received from Clifford G.Dic~son,Administrato , This is to ascertain that I do hereby release,remise and I IqUi t claim to Clifford G.Dickson all of my claims in and to the ',said EState and I acknowledge that my right,title and interest Ilhas been fully discharged. II INTENDING to be legally bound hereby I have hereunto set my hand and,seal this !l-day of ~1968. '. ,' .,.. IN TH~ORPHANS'COUR~OF WASHINGTpN COUNTY,PENNSYLVANIA),, INRE:ESTATE,OF ADA B!DICKSON· CLI FFORD G.DI CKSON , Administrator RECEIPT AND DISOIARGE KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned, being one of the heirs at law of Ada B.Dickson,deceased,do ,/ acknowledge t.o have received from Clifford G.Dickson,Administr\a.to\' that sum alloted to me by·virtue of the Order and Adjudica.tion of the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to ~liff9rd G•.?ickson all of my claims in and to the said EState and I acknowledge that my right,title and interest has been fully disch~rged. INT~NPIN~~Q be legally bour~hereb~\I have her~~~\o se\,~~ hand ~d seal ~h;s ~hday Qf April ,l968~ C;.I.YENNEY . Notary Public,Saginaw County,Mich. MyCommissi x ires Feb.25,197~ r C\• ~N ~B~O~f~~'POu~~o~WAS~IN~ON COUNTY,PENNSYLVAN~A \\'\\\,.. I'NRE:ESTATE OF ADA B.DICKSON'\\\\ CLI FF'ORD G.DI CKSON , Administrator RECEIPT AND DISCHARGE ", KNOW ALL MEN BY THESE PRESENTS,that I,the undersigned,\ being one of the heirs at law of Ada B.Dickson,deceased,do ~cknQwJedge t.o have received from Clifford G.Dickson,Administrato ,,. that sum alloted to me by virtue of the Order and Adjudicat~'on 0.£ " the Orphans'Court of Washington County,Pennsylvania. This is to ascertain that I do hereby release,remise and quit claim to Clifford G.Dickson all of my claims in and to the said Estate and I acknowledge that my right,title and interest has been fully discharged. INTENDING to be legally bound hereby I have hereunt?s~~-.y hand and seal this~day of ~,1968. : ,.4 -------------~,..~'.~'",- ~ ~."- A~·,. ) / ~i :-,,,¥V 1,1 .~~';"r'"':1 c, IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA • #2./r /rzt,f'4.4- o ESTATE OF ADA DICKSON DECEASED. .~..,. INRE: (J '0 1f.l8l0 PUll .l9181JNJ1J.~~,",I~ <> z<ClllI!:4:..I ~ ') Ico:cJlu.J> I ,.j 0I (,.C.r. '.-4:1.:.'...J •U0l1lJUJ.I!lli90 .I,"'00 '¥I 01 pol......I••""".,/fl,m·'/f~?"'~"'~J '-"'3rT SJi 1;;:0 j[) FIRST AND FINAL ACCOUNT OF CLIFFORD G.DICKSON,ADMIN. (- .''-'-J C-r.-. •'iii' -1 -...:f"-, : -'-I :! ..ZL..J.-.•......;.:.;-., (.)Ji...... f-, .. .;~I 'i ".l.'l ., ~"r. , r~ I.I, , ~( ~:i:r ~",-y..... ,.JOHN E.COSTELLO COUNSELLOR AT L.Aw 4'8 WASHINGTON AVENUE CHARL.EROI,PA, PHONE HUDSON 3-596' /<.f 0(-J $'/ ~.'r '.',f ~ ,•J~1;'p-. ii t ~• if t i :!~ J!~ I~:lit~!1'''i It::::s...~g...c::>~&Ia.~c:..~.s;~:~~ .:>::l E:~.:..;~~~l;:.....Q<.,..~Qj'.~~"*.~).' .~? .-;Washington County Reports ~ Washington,Pennsylvania (PUBI.ISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25).0- COUNTY OF WASHINGTON)ss STATE 0:1'PENNSYLVANIA (• Personally appeared before me,a Notary Public in and for said County and -- Commonwealth,CHARLES C.KELLER,who,being duly sworn.deposes and says';that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,publisbed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COVNTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11.1920;that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: .....~~~~~.~~.L.~.?..!~.~.~.!.. that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as t~othetime,place and ChartQacterof th~ep:>i1atioo~are true. '..(,..:)-4':{:f ~;t _.-:';'../...~;./..~;~;!i:;:::~:"=,:h,,,l~· ···/~·..&/J,N~t~;;Publi~'" ~ij~m~~·..r~R9...N,~~lJ..r¥.pp~;I~h'n t n ,yyashln tone."•.1I&..~..,9..9,,)•'f'....".9\-1,1 .1-,MifJ90m=".nn"~»lj''QS,~.WI·"'·""r04"!,-"-~"YAW..r N~'v Estate Notices The Register of Wills has granted letters, testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present ehem for settlement to the Executors or Admin- istrators or their A.ttorneys. .oe ••c ••••••••••• ·.DICKSON,ADA,Dec'd. CLate ,of Cano,nsb-i:irg;Washlfigton--ounty.Penna.. "~mlnlstrator;Clifford q.-Dickson t'Liberty Ave:.Belle .Vernon .p&'.tttorney;.John E.Costello.418 Wash.ngtt;>n Ave.,Charleroi,Pa. I ...."'.. .. IN THE ORPHANS I COURT OF WASHINGTON COUNTY,PENNSYLVANIA IN RE:ESTATE OF ADA DICKSON,DECEASED FIRST AND FINAL ACCOUNT OF CLIFFORD G.D:/:CKSON,ADMINISTRATOR John E.Costello,Esquire Attorney at Law 418 Washington Avenue Charleroi,Pennsylvania ,-. THE ACCOUNTANT IS CHARGED AS FOLWWS: Checking Account,Pittsburgh National Bank Canonsburg Office Savings Account,Pittsburgh National Bank Canonsburg_Office Refund,American Association of Retired Persons Dividend Check,Toledo Edison Company Blue Cross Refund Social Security Death Benefit 1 Share,American Electric Power Company 1 Share,U.S.Steel Corporation 1 Share,Toledo Edison Comp~y 9 Shares,Continental Oil Company 9 Rights,Continental Oil Rights 33 Shares,Ch~sler Corporation $458.61 8259.89 3.00 0.35' 16.50 91.00 37.38 44.88 36.75 610.88 6.19 1340.63 (Securities Inventoried at $2150.52)? (Securities Sold at $2076.71)I Total 10,906.06 THE ACCOUNTANT CLAmS CREDITS AS FOLW"lvS: ADMINISTRATIVE EXPENSES Josephine Douglas,Register of Wills, Letters -of Administration Josephine LOuglas,Register of Wills, Filing Inventory Josephine Douglas,Register of Wills, Short Certificate Washington County Reports,Advertising Letters Valley Independent,Advertising Letters Joseph Sitte,Notary Fees F.J.Buckley Agency,Bond Premium Clifford G.Dickson,Accountants Fees John E.Costello,Attorneys Fees Total $23.00 3.00 4.00 12.50 10.50 3.00 60.00 545.00 545.00 $1206.00 • PREFERRED DEBTS W.Leonard Griffith Funeral Home, Decedents Funeral John A.Johnston,M..D..,Medical care,last illness Canonsburg Gnera1 Hospital,hospital care,last illness Gaydos Monument COJilpany,Cutting grave marker Speer Spring cemetery COe,.care of grave perpetual TOTAL ORDINARY DEBTS Singer,Deane &Scribner,Brokerage Commission,stock sale LeRoy Stanley,backfilling,hauling, and preparation of grave site TOTAL TAXES Josephine Douglas,Register of Wills, Inheritance Tax RECAPITULATION CREDITS $1021.50 15.00 3.24 14.00 30.00 $1083.74 38.37 35.00 $73.37 $1296.00· Administrative Preferred Ordinary TOTAL Charges Credits Net before taxes Less Balance after taxes $1206.00 1083.74 73.37 $2363.11 $10,906..06 2,363.11 8,542.95 1,296.00 7,246.95 ..., COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF WASHINGTON ) Personally appeared before me,the undersigned authority, Clifford G.Dickson,who,being duly sworn according to law deposes and says that the foregoing isa true and correct copy of his first and final account. SWORN AND SUBSCRIBED before me this 4th:~c day of Novr,1967. ~0TARY P11BLIC .~ ,//"'1'<JOSEPH SITTE.nOHJIY r.\.i6::r..V CHARLEROI BOROUGH,WASIIWGTON C0:~!·;r" \-..,./MY COMMISSION EXPIRES JANUARY 1,1911 ·'Proof of Publication of Notice in The Valley Independent Under Act No.587,Ap'proved May 16,1929,P.L.1784, as amended by Act.No.51 of April 24,1931,P.L.67 State of Pennsylvania County of Westmoreland }ss: Personally appeared before me William H.Pore,Secretary of Mon Valley Newspapers,Inc.,,a Penn- syl~ania corporation,publisher of The Valley Independent,who,being duly sworn,deposes and says that The Valley Independent is a daily newspaper of general circulation in Fayette,Washington,and Westm6reland counties,Pennsylvania,and elsewhere,published in the City of Monessen,Westmoreland County,Pe~nsylvania,that it was established June 28,1902,since which date The Valley Independent' has been regularly issued in said county,and that a copy of the printed notice or publication is attached hereto exactly as the same was printed and published in the regular editions and issues of The Valley Independent on the following dates,---!Ma~yJ__.!=2_+74_'-----'1.....9,£;6"'-7~-------- June 3 and la,1967 C1~enil~~lP.LRjJg~1JICI(,l\!~ti:ry ;;~i!iic .•~,llilaassen,Westmoreland Co.,Pat My commission expires ~lrld .1t !1 7/_~~,~:;lU;:~J '.-:\'' STATEMENT Of ADVERTISING COSTS: .Jobn E.Costello.Attorney at Law day of -4J'-U-'-IJ;-.-r:~ 5;27.6;3,10 'I;]Letters of ~dml~W~tlon'on,thees-,rtate~J'f~:';J..~,DI~kson;late of Canonsburg:.Dorough,WashIngton County,deceased. ; I have geen granted bY -the Register of ;Wills,Washington County,notice Is here-by given to all,persons Indebted to saidestatetomakeImmediatepayment.andtothosehavingclaimsagainstthesametopresentthemwithoutdelaytoClif-ford G.Dickson.administrator,207 Ub-erty Ave.•'Belle Vernon.Pa.John E.Costello,Esq.,attorney,418 Washington •Ave.,CharleroI,Pa. 0~ ;.-,.....------------....,'Sworn to and subscribed b~.',, Affiant further deposes and says that he is General Manager of The Valley Independent,a daily newspaper of general circulation,and as such is authorized to verify the foregoing statement under oath,and Affiant is not interested in the subject matter of,the aforesaid notice or advertise- ment,and that all allegations in the foregoing statements as to time,place and~acter of publica- tion are true.,~==.)?t ~ COpy of NOTICE 418 Washington Avenue eha r1 ero1.Fa.15022 TO MON VALLEY NEWSpApERS!INC.,DR. For publishing the notice or advertisement attached hereto in The Valley Independent on above stated dates $10.00 /Notary ,;$.50 Total $10.50 PUBLISHER'S 'RECEIPT FOR ADVERTISING COSTS Mon Valley Newspopers,Inc.,publisher of The Valley Independent,a daily newspaper of general circulation,hereby acknowledges receipt of the aforesaid advertising and publication,costs .and certi- fies.that the same have been duly paid. MON VALLEY NEWSPAPERS,INC. By ..,Washington County Reports 6';:r<:s~r~ Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION Estate Notices The Register of Wills has granted letters, testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys. In compliance with the Newspaper Advertising Act or May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON ) STATF:0:1'PENNSYLVANIA ISS' Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,published weekly having its place of business at Washington.Washington Comity,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COVNTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania.by order of the several courts 01 said County.dated November 11,1920;that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement,'exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates:. .....:!.~~!.l.~~.~~.~~.?..L ..~.~.~.!.. that the affiant or the corporation in behalf of which he is acting is not interested' in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to the time.place and character of the publicatioo are true. Il#n c·IJ @ i~b ~~:/'t:;:I/LCC/lU1 1::1t/[VL~;~;;t;::~y'::.~,,;'h:..,~ ~&/JN~;~; M1~~.~~lf)~)··.\~la~I~·~bt~~~;ti,·~t.;19~~Y"M('OI~m&~9lJJNkt!~.if. .•'IMJ..WJ,r~1 jl&'t}..'!J DICKSON,ADA.Dec'd. CLatetOfpCanonsbUrg,WashingtonounY.enna. :administrator;Clifford G Dickson7LibertyAve.,BelIe Vernon Pa'AIttorney;John E.CostelIo,418 Wash-ngton Ave.,Charleroi,Pa. FORM RCC-4-RI TRANSFER INHEaITANCE and/or ESTATE TAX.•. RESIDENT DECEDENTS. RECEIPT· 37 ~PRcket,-_a__-"Page:--""L~~__--I.I...j.ne__l__ EstateOL.f_--,...I.AuD,uA.........U....I.....C.uK""SO'""'-"N"'--_ OFFICE OF REGISTER OF WILLS ____----"'w=A'S=~H=IN=G:..:.TO=N:.:..,"--__--'Pa. Date .....,J'-"'un~e__=l=6~,19~ SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY 15.1945.P.L.528 JOSEPHINE M.DOUGIAS Register of Wills 1201 (g).Act of April 9.1929.P.L.343.as amended. viz:-"To receive from Registers of Wills all duplicate re- ceipts ·for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterof.Wills and transmitted to the executor or administrator.whereupon it shall be a proper voucher in the selllementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills." Fill in below name and address of person to whom tax receipt is delivered: I To ATTY.JOHN E.COSTELLO 41.8 WASHING'IDN AVENUE (.- (- t::. So~t;\J :;0 ~l"TlAl )~G>C ::;._-U'j{i~(J} ;;:;~r:,~ ;.;i-f·.;--'"~J .10.3:f''''''""'~~:E •f i rz CJr-o lo~V'J 0 w ..:) ~ ~ ;. I : .;,, ,., ! ! L CHARlEROI,PENNSYLVANIA 15022 ..;.1 ,I BESIDENT DECEDENTS File No.,_ Office REGISTER OF WILLS.WASHINGTON Pa. Received from John E.Costello,.Attorney COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax ~9FormRCC-4-RI-3-66 No.909837 Date June 16,19---..!!L WASHINGTON County,ss: (of the estate o,Lf ----=AD~~~D~I~CK~S~O~N~~_ who died March 25 19~,the sum of ONE THOUSAND 'I'l.'JO HUNDRED NINETY-iSIX and DollOO Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax 1.16L..21 I , $1,296.00 $======== Balance $_ Total Total Tax $_ Less Tax Previously Paid (if any)$============ Tax on $5%$ Tax on $10%$ Tax on $2%$ Tax on $On Accolll'lt 15'7'0 $ Exemptions *$ Total Estate $ Less live per centum of tax if paid 68 21 within 3 months after date of death $• Amount of Estate Tax Assessed under the Act of May 7,1927.$_ *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June I,1957,as amended by Act No.381,approved July 11,1957,and Act No.207,19'61,Section 302. to ----_ Add interest at the rate of % "from _ l..J.'Jl;OMPLETE $,------ $,------ $. $,------ $--- Valuation Valuation $,------ $,------- Total $,------ $,------ Total Date Date Real Estate Personal Property ':.Total Gross Assets Less Debts and Expenses of ;Administration }-~ .Clear Value of Estate Valuation of Life Estates or Annuities Date 19__$,__.,....._ .19__~$======Estat~.Tax Assessments Date 19__$,_ .19__'·!:$====== NOTE:In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years,as evidenced by this receipt,it is understood that the Com- monwealth shall not be precluded <ir prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional I SEA Ltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. ®OOD@3D~£[l 37-16-1 I NOTE:To be delivered to taxpayer by Register 01 Wills MOORE BUSINESS FORMS,INC••ELMIRA.N.Y. I I