HomeMy WebLinkAboutOC1968-0123 - ESTATE OF MOORE•
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Jllllasl1ittgtntt «lnuuty. ss.
W·hereas, at Washington, m the County aforesaid
or: the 68 A. D. 19 , before me,
Ruesell iMar.ino , Register for the Probate of Wills and Granting
------Letters of Admin~stration !nand for the County of Washington, in the Commonwealth of Pennsylvania,
th:: ·l.:st Will and Testament of Charles Daniel Moore
lafle d. Chartlers· in the County aforesaid, deceased,
(a tr J~ copy whe:reof is ·.o these presents annexed), was duly admitted to pre-bate; and
Kathryn Belle Moore
. rix
the becutm n: said Will and. ·Testament named, having appeared. before 1r e and taken and subscribed
the. o.;.th of office ::>rescribd by law;
..
NOW, THE:E:.EFORE~ I, Russell Marino , Register as aforesaid:, do
gr:nt these LETTERS TESTAMENTARY, unto. the said ,
Kathryn Belle Moore
~i .. if.
:o':m tting unto ' the administration of all c.nd singular the goods and .
::hc-tte:s, rights an-1 credits which were of said deceased, and; requiring .b.er
:o exl:ibit a true .and per-.ect inventory thereof into the Register's Offi·oe, at W a•shington, within ninety
:lays irom the date hereof, and to render a just and true a~count of said administration at the expiration
)f :;ix months from the do:te hereof, and to regard and .comply with the provisions of the laws of this
::::ommonwealth rdating to inheritance taxes.
I:'-J TESTIMONY WHEREOF, I have hereunto set, my hand and the seal
of sao Office at Washington, this lOth
day d January .... in the year <>f our Lord one thousand
nine lundred and Sixty Eight
........ '!?-.: .. " ... "~./-~·-····~··----·············--·:····--····----······--.. ~ Register
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and ,)tf;te c1' f'eEnsyl'![!nia,'!)El1l1G Of SOUnd .. m:l.nd. S.l1C :::.el'!10I'J?,:·jo
hc:rt3by make ,publi'sh and c'i.ec lare .this to t.;E;. my Lt:.o:.:_;: ·o,'IL:., anc'Jo
S."E:~ ~-:'lLJc;FJ:l in manner and form follO'H5.ng ,!1.ereby re '\:ok~.nt-: any
"'· 1 n . Or -~r-•L] 1 S 1") 8 lo'e t Of Ore '1)" de "t-~T me .v~ ·-:L ~~. • ..J-.J. • • ~ •• c;;A. • • ; .) .... :.. •
l~'ir::t.I direct that· all my j'1...1St del:1ts and funeral e.xr-en.ses be,
fully i_;aic: and satisfied.,as soon us conveniently ;m:ty be,
a:"'ter ;n~: .cJ.ecease.
;}ec'cn..::. • ..A.ll o? ir::'-J :c;stat.e,real,personaJ. and ::iizec1 of v;b::.tsoever
kind snd wheresover s·ituate I give,d.evise and "bequeath
.-:.o my-brother Joseph and. HJ.Y sister Kathryn ·Jelle \Ioore,
share and sh.are alil-;:e.
predeCease
Third • .Sbould either Jc'seph or Kathryn :_=;i=~ me :"Ln d-e8t~1,or
d.iu· at same ti!!le as myself ,I deslre tbBt Bll cf E.:.ltate,
:real ,personal and mlxed of whEttsoever ~:.~no s 1"Jall go to
tl~e surv'i vor. .
Fourtr_.: hereby ~omj_nat.e and .ap:poj_:::-lt my brot:~wr Jose~~l and my
::ister :£C9.t::-:.J:7ll Belle 2Joore,to .bejexectl.trix of t.hls,my
h'ill ,anct ! direct that they be permit ted to qw.l:lfy as
such without the glvlng of a bond br other security,in
any jurisdiction.
IJ , 0
In ·~7itr.ess wher-eof,I,Char].es Daniel Moore,the Testeotor above
nanl3d ,r.a ve he:r~:;unto subscribed my name and a.f:'fixed my sefil,
this tr.e •• / ::~/~ .•• c"~oay of .>1··{,·-.··.<.o:.-A.()....-:.,(~AlJ 1951.
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::>~e;r:ed,seHled,and declar·ed by the above named Char>les Dan:i.el Moore
a.s and for his Last VJ:Uol and Testament. in tl::.e pr9sence of' us,·who
ha 1.;e hereunto sul;scr:i.becl our names t:l. t hJ.s re que e. t. eos w~i. tne sse s
t;her·eto,ln the presence·oof tbe sE::id s:estator and of esch otber •.
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.Affi~nuit ®f fxr.rutnr ®r 1\~ministrntnr
.&ta:r nf Jrnnsylnania. f s.s·
C!:nmtty nf 'llaslfingtnn ( ·
Personally before me, the undersigned authority, a ........ N.O.t.9..-.r.y. ... Pu.b.lic. ...................................... in and for said
Oou:J.ty and State, appeared .... .KA.T.H.R.Y.N ... BE.LL.E .... MQO.B...E ................................................................... who, being duly
sworn ac::ording to law, deposes and says that he is the executor or administrator of the estate of
.... .C.HARL.E . .S ... P.A.NIE.L ... M.OQJ.lE ..................................................... deceased, that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of...C.h9.-:.:rl~§ .... P..~.DJ.~.l .. M9..9.X.~ .............. ,
deceued, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item
o: real •a:J.d personal estate in the foregoing schedules are determined and stated by the undersigned to
be tre fa.r value of said items as of the date of the decedent's death, based upon a just appraisement of each
item mace by the above named Executor Administrator.
sw~21_nd su~scribed before me this ...... ;il2~ } . . . . .
~rz:ff55r::;,;.~~~:-;NST~~~~;;~~~f~~~;~
1. .\n ~ory Afust bl fired within three months after appointment of personal representative.
2. .\ su?plemental inventory must be filed within thirty days of discovery of additional assets.
3. . Or.ginal ~u:d 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over
$10,(()0, inCluding Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, including Copy
of \Vill a11d copy of Federal Estate Tax Return.
--==---
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2
J!ttttrntnrg an~ .2\ppraisrmrnt of the goods and chattels, rights and credits which '[(Jere
of .......... Ch:a.r.les ... D.anieLMo.or.e .................................................. .late of ............. C. .. h.?.-.r..t.t~r..~ ... T.9Y:!..D-.§h:!P. .................................... _
WasF.ingt.,n County, Pa., taken and made in conformity with the above affidavit.
DOLLARS CENTS
Final Pensicn Check -National Transit ·
REAL ESTATE
.An undidded one-half interest in and to all that certain piece
or lot o:ll gro .. mdl situate in Chartiers Township, Washington County,
Pennsyl-.rania, bounded and described as follows, to-wit:
Beginnir_g at a point in the middle of the old Washington and
Pittsburgh Turr.pike'; thence, North 33° East 266 feet to a post; thence
by land of Scuthwest Pennsylvania Pipe Lines Co., South 56° 35' East
209 feet ·to a stcke in the middle of Chartiers Creek; thence, by other
lands of Rob=rt Wilson, South 19° 45' West, 282 feet to a stake; thenc I'
by other lands cf the said Robert Wilson, North 54° 50' West 274 feet o
a point in the mlddle of the said Washington and Pittsburgh Turnpike,
the place of oeglnning.
Contc..ini::lg 1. 49 acres.
Being th~ same property which was conveyed by Robert Wilso
unmarried tc· W :Uiam S. Moore and by his last Will and Testament
dated the 151h d3.y of July, 1929, and of record in Will Book 46, page
273, de·visedl the same to his widow, Orpha Moore; the said Orpha
Moore b~ing seized thereof by her last.Will and Testament dated the
4th day of FebrLary, 1933, and of record in Will Book 58, page 170,
devised an undh'ided one-half interest therein to Joseph Moore, a on·.
fourth interest to Charles D. Moore, and a one-fourth interest to
Kathryn B. Moore; Joseph Moore being seized of an undivided one-
half interest therein by his last Will and Testament dated the 14th day
of February, 1933, and of record in Will Book 79, page 467, devised
a one-fourth interest to Charles D. Moore, the decedent, and a one-
fourth interest tn Kathryn B. Moore, the Executrix;, by reason of all
of which Cna-::-les D. Moore a/K/ a Charles Daniel Moore, at the time
of his death vas the owner of an undivided one-half interest ..
Total
16 00
6, 000 00
6, 016' 00
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IP3-t,8-IL8
Inventory and· Appraisement
IN THE ESTATE OF
Char 1 e s Dan1.§~.~ .. .M.o.ar..e ...... __ _ ··----------------·-·--·--·--······h---.-··-·····
}'iled ................ , ............................................... -.:.. .......... , 19 .. __
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PAGE 104
-:.;f!;.:i::t<;f~ -G~JUIJl.fl, i:J!J'.
,! 1o certify th11.t I hflue git;en !eqal notioe to all pert~on'
,.,,er;:•ed cf ,:,~e (;;'ir.o vf the tdthin account in the manner pre-
.• tfJr-ti O:f S't,:;t,;U-? .<r.d flu!e of Court. as euidenofld by prooft"
,. ·:r-;o;· ji;e·:i L1 No. ~ 3--lo?-6 0 D
W,"tness my !~t::nd and cj!cial seal this .. ~$..-:!:.__ .. day
i -~--·19 f!J.
~~-~:~~-
11.1c;icter of Will$
II 6.3-68-12.3
ESTATE OF
CHARLES DANIEL MOORE
r; 6? tne withtn ao~:~~~~;~;;;;·;;;··;;; .. o;;~
,., .,,nftrrttatton.
~a2..~!.:Yl.
ilrlflhltfl!r q,tJ f!IM'k (). n
FIRST AND FlNAL ACCOUNT OF
.
Katb17n Belle Moore
FILED
~~11tr
--'*¥!4.11Jl·Jl~ \.~{ "~
ATI'QRNEI: JOHN R. n4VIJISCtl
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IN THE ORPHANS COURT OF WASHINGTON COUNTY, PENNSYLVANIA
ESTATE OF CHARLES DANIEL MOORE, DECEASED
FIEST AND FINAL ACCOUNT OF KATHRYN BELLE MOORE, EXECUTRIX
Date of Death:
Dam of Letters:
December 1, 1967
January 10, 1968
Date of Advertising: January 25, and Febrouary 1 & 8, 1968
SUMMARY
************"'"'
Prbcipal -Personalty, See Schedule "A"
Receipts
Disbursements
Balance
$ 396.00
6, 873. 00
-($6, 477. 00)
· Inccme -Personalty, See Schedule 11 B"
None
Principal -Realty, See Schedule 11 C 1
Receipts
Disbursements
Balance
-0-
$6,000.00
-0-
$6,000.00
Total Balance
. '
... '"'Ii;. .I .,.
-($6, 477. 00)
-0-
6;000.00
-($ 477. 00)
1969
1968.
1968
1967
1/68
1/68
1/68
1/68
4/69
4/69
PRINCIPAL -PERSONALTY
SCHEDULE II A"
RECEIPTS.
Inventory and Appraisement
Bears Club Death Benefit
Social Security Death Benefit
DISBURSEMENTS
Expenses of last illness and funerail:
Robert C. Gordon Funeral Home
Expenses of Administration:
Russell Marino, Reg. of Wills,
Letters Testamentary & Short
Certificates
Observer -Reported Publishing Cc.
Advertising
Washington County Reports
Advertising
J.VIary Ward, Registrar's Cert. (5)
John H. Davidson, Esquire,
Counsel Fees qy Agreement
Russell Marino, Reg. of Wills and
Agent for the Commonwealth,
Pennsylvania Inheritance Tax
Total
--·
$ 16. 00
125.00
255.00
$ 396.00
2,275.00
18.00
12.50
12. 50
5.00
1,250.00
3, 300~00
$6,873.00
Note: Bulk of Funds contributed by Residuary Beneficiary.
INCOME -PERSONALTY
SCHEDULE "B"
RECEIPTS
''NONE''
-2-
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PRINCIPAL -REALTY
SCHEDULE II C"
RECEIPTS
An undivided one-half interest in and to
.all that eertain piece or lot of ground situate in Chartiers
Township, Washington County, Pennsylvania, bounded
and described as follows, to-wit:
Beginning at a point in the middle of the old.
.;-
Washington and Pittsburgh Turnpike; thence, North 33° East 266
feet to a post; thence, by land of Southwest Pennsylvania
Pipe Lines Co., South 56° 35' East 209 feet to a stake in the
:niddle of Chartiers Creek; thence, by other lands of
.Robert Wilson, South 19° 45' West, 282 feet to a stake}. thence,
:)y other lands of the said Robert Wilson, North 54° 50' West
.~74 feet to a point in the middle of the said Washington and
Pittsb.1rgh Turnpike, the place of beginning.
Containing 1. 49 acres.
Being the same property which was conveyed
by Rot-ert Wilson, unmarried, to William S. Moore, and
by his last Will and Testament dated the 15th day of July,
1929, :~.nd of record in Will Book 46, page 273, devised the
same 1o his widow, Orpha Moore; the said Orpha Moore
being seized thereof by. her last Will and Testament dated
the 4th day of February, 1933, and of record in Will Book
E8, pa,~e 170, devised an undivided one-half interest therein
b Joseph Moore, a one-fourth interest to Charles D. Moore,
and a C•ne-fourth interest to Kathryn B. Moore; Joseph
Moore being seized of an undivided ~:me-half' interest therein
by his Last Will and Testament dated the 14th day of February,
1933, and of record in Will Book 79, page 467, devised a
one-fourth interest to Charles D. Moore, the decedent, and
a one-lourth interest to Kathryn B. Moore, the Executrix,
hy reasori of all of which Charles D. Moore a/ k/ a Charles . . I:·aniel Moore, at the time of his death was the owner of an
u::1divided one-half interest. $6, 000. 00
DISBURSEMENTS
"NONE" -0-
Total $6,000.00
-3-
Observer -Reporter
WASHINGTON, PENNSYLVANIA
PROOF OF PUBLICATION
In :::ompliance with the Newspaper Advertising Act of 16 May, 1929,
· P .. L. 1''84, as amended.
Ccmmc·nwealth of Pennsylvania, County of Washington, SS: ........... .
Pei"sonally appea!"ed before m•e, a Notary Public in and for said County
a~:.d State, ..... ~J-~.h-~-~Q .... § .. ~ ..... QQW.~~---················· who beiDJg duly sworn
a•::cording to law, deposes .and says that he is the ... ~.e.c .. !.y ...... &. ... T.t:e.asj"
o·: the: Obse-rver Publishing Company, a Pennsylvania corporation, and its ,
agent in thi-s behalf; that the said Company is the owner and publisher of
t"le O:>server-Reporter, sucC'essor to The Washington Observer, established ~eptember 18, 1871, and The Washington Reporter, established August 15,--
1'808, :a daily news•pap•ecr of general dl"culation, printed and published and ;
laving its place of busines•s at Washington, Washington County, Pennsyl-
rania, where it or its predecessors have been established and p-ublished
::ontinuousiy for more than six months• prior to the publication of the notice
n-ereto attached; that the printed notice or advertisement hereto attached
iis a copy of an official advertisement, of-ficial notice, legal notice or legal
:advertisement, exactly as printed or published in the Ob'Sierver-Reporter in
its Degular editions on -the following date or dates; ........................................... :
........................... ~r~n.~-~-rY .... ~.;?-~ .. ---P.~P..r~-~-~.Y. ... J ..... ~P4 .... §..,.J.9..9JL, ... ,
that neither th-e affiant noT the Observer Publishing Company is interested
in the subjecfmatter of said notice or advertising and that all of the allega-
tioLs' of this affidavit as to the ti-me, place and character of publication
are: tru-E!,. .......................... £.~ ... / .. ~
> ~··. E~ECUTRIX' NOTICE .
1 Estate of Charles 'Daniel Moore de·
1 ceased, late of Chartiers Township,
Washington County, Penna. • •· ' , . Letters_ Testamentary upon the al;>ove estate haying · been granted I to 1 the undersigned, notice is he,reby ·I given • to· those indebted thereto to , make immediate .payment, and to • those having claims or demands to
present them for settlement. Kathryn Belle Moore
Box 187 '-Meadowlands,' Pennsylvania
1 • Executrix _ '
"1 John H. Davidson, Attorney • 231 Washington .Trust Bldg, I Washington, Pennsylvania
I.
15301 t... •• _; , , 6821-Thurs.·3t; ,· --· __ ..._ _ _.. ____ _.
"
S-worn to and subs~ed before me this ... .JL.day of.. .. ~-~-QJ'J~~-n·~-1968
-.1. 26782 ~8~~~~~
WASHINGTON, WASHINGTON -~~liE:
MY CO~:;.ISSION EXPIRES MAY 6, 1968
Washington County Reports
Washington, PeDBSJivania
(PUBLISHED B/1' WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In ccmplianoe wit:l the Newspaper Advertising Act of May 16, 1929, P._ L.
1784 Sec. 3. paragr;.phs •_3) and (25).
CofJNTY OF W ASHI•CTOH)
STATE OF PBNNSYLVANti. ( ss.
Perscnally aopear~d :>efore me, a Notary Public in and for 8aid County and
Commonwealth, CHAR:;..E:; C. KELLER, who, being duly sworn, deposes and
says: that he is ~he Editor of the WASHINGTON COUNTY REPORTS, the
official leg:;l perioc!ical i:or said Washington County, publis'hed weekly having its
place of bLsiness at Washington; Washington County, Pennsylvania, and is act-
ing as its agent in bis behalf; that the said WASHINGTON COl..'NTY
REPORTS. was eetablis.'led on March 31, 1920, and was designated as the official
legal publi-:ation :ior Wasl:.ington County, Pennsylvania, by order of the several
courts ol nid Comty, c:lato:d November 11, 1920; that the printed notice or adver-
tisement attached beret,) ie a copy of a notice or advertisement, exactly as printed
or publishd, whi6 app:::ar=d in the said legal periodical in its regular issues on the
following eates:
KATHERINE c._ YARD N t U/ F.. r 0 ary eras .Jngton, Wast.ington Co.
l1y Commissi tn Exp;1188' Nov~ber 1, 1969
January 25, 1968 ......................................... ;········,·············-················--········
......... .F..e.b.r.u.a.z:y .... 1 ..... 8. ..... 1968. _____________________ __
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 !:!hem
for settlement to the Executors or Admin-
istrators or their Attorneys.
e • • • • • • • • o • • • • • • •
MOORE, CHARLES DANIEL, Dec'd.
Late of Chartiers Township, Wash-ington County, Penna. Executrix: Kathryn Belle Moore, Box 187, Meadowlands, Pa. · ·
Attorney: John H. Davidson, 231 Washington Trust Bldg., Washing-ton, Pa. 15301
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STATE OF PENNSYLVANIA )
( SS:
COUNTY OF WASHINGTON )
KATHRYN BELLE MOORE, the above-named accountant, being duly sworn
according to law, says that the above account is just and true, both as to items of
charge and discharge.
/( aif-..1::::::::. /J.e./!fl.. ),7t.e--c~-
Kathryn?'Belle Moore, Executrix
Sworn to and subscribed this
.£/'• '" ~ • .79 ~--d~y ~! t k
19.{?9. . ' . --,;. '~--
~· R~ ':c=·'?X 7 ..4.2c:/.J:o~-./L Py=<
:: 1\.T~-1-~-.. -r><.l-..1;~~ ~ , Notary':' pu.uu.... ~ "'·-~---·-~-~2 :~ My Commission Expires: ~-(-/2 7 ~
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.. ·.
ESTATE
OF
C :IARLES DANIEL MOORE,
a/k/a
CHARLEE D. MOORE,
DECEASED.
)
(
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(
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(
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(
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No. &.d-!o Y -/,)_,_:J Term, 19__t£_.
ELECTION TO TAKE IN KIND
ThE· undersigned beneficiary under the Will of Cr_arles Daniel Moore,
atk/ a Charles D. Moore, does hereby elect to take in k:.nd, real estate of
the decedent described at length with a recital in the Inventory.
WC'NESS the due execution hereof intending to b€ legally binding
hereby thi~: I I 1\ day o~, l969.
WJTNESSES: _...LA~( at::.:..t:..:..~.:_""J¥~=-.:/.J.;_._bt'~_~_-_b.._,._-u_~_-_____ (SEAL)
Kathryrf' Belle Moore
[../
Testate Form
PETITION SUR AUDIT
IN THE ORPHANS' COURT OF WASHINGTON COUNTY.
Estate of .... Q.@JU_, .. :g;_S .. P..ANJE.L .. M.QQRE ....... ~---······ .. No .................................................................. .
~l.k/.g __ C.HARLES...D .... MOO.RE>··································· Fiduciary ... K~tb.n~n...a~n.~ .. MR.QX.~---················· ..
Deceased
Dote of Date of.
Decedent':s death ... J2~.c.emb.er .. l... .. l.9.6.1 ........................ Grant of Letters.J:anuary .. l.O.~ .. l.9.6B ............................. .
Trois is the.Eir.si.a.nd . .FinaL .. , ....................................... account filed in this estate
If .there -hav~ b~e~ f~rrrier q~counts fil_ed in. this estate, list fil~ n~~b~r ~r _n~mb~! ~~d te_~ni·:-~·~..---NJA ... ..:·············-
Eloction to take Date Election Place of;
Urder or Against will. (cross out one) N/A Filed ................................... Record .............................. .
Nane :>f surviving s::Jouse .... P.~.<;!.~.9-~P.JJJ.n._:JP.~-~~~~~---······························." .............................................................. .
Lis·~-issue. ~her~ _r:natwial: None
I
Did decedEnt marry after execution of will? (indicate) :¥n. No. Any children born after execution of will? (indicate)
-' . """. . -/
x~ Nc. I= answer ye;, name them ... NJA.~ ....... :-...... : ......... : ....... : ......... :.:~.?.. ...... : ......... : ........ .' ....................................... .
' ' ---·---------------------------·------·---·--------------------------------------------------------------------------------------------'!'·----------·-;··-----------·---·----·----------·----·
Leg.ctees Relationship Interest Fiduciary, if deceased or not. sui juris
Kathry::1. JBelle Moore Sister Entire Residue
List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause:
.None
If partial imestacy·, gi....e facts:
None
Notic~ to inlerested pades. Have all parties, having either vested or contingent interests and all crediors entitled
to notice l(rurt Rule Nc. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account
:and o= cal o= audit? Yes. ~
If anr ex·:epion give CJuse: ............................................. .
File cc,py cf Hotice
and cbte of mailing .. A.:.l.knaw.n .. creditor.=s.hav:e.been . .paid.a.nd .. th.e.o.nl;Y .. par.ty.o..f.in.ter,est~is.the ..... .
Accountant.
'
Is estate subject to the filing of a Feder-al Estate Tax~Ret~:~rn? ...... ~.,No ........ ~.:-............... ".'"·········:-:.;.r'·'··:-· ... : .. : ...... , .. -,. ... . · . Tax nterest
Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $.3.,.2.6.1:~ •. 1.4: ....... -....... $..3.5 .... ~.6 ............ .
If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant .... None. ....... .
·····----·----------------------·-----------------····------------------------------------···--·-----··------·!-:------··--··--------------------------·--·-------------------------········
Give Names :and addresses_ of all unpaid creditors who are legally entitled to notice, togetf-.er with. the amounts
of such clai~s; state whether they are admitted to be correct; arid whether the claim is denied1.
None
Give reference to such ports of the will as require interpretation by the Court; a referena:e to all questions re-
quiring adjudication, and a statement of any other facts deemed necessary for the preparati::m of the adjudication:
None
-· .·
Balance for distribution per account,
Itemize any additional debits not shown by account: ( $ .. 4.7.7 ... 00.) .................. .
To conform this record with the increased valuation of real estate
by Transfer inheritance Tax Division
Total additional debits (Add)
Itemize any additional credits not shown by
Filing Inventory, Russell Marino
Filing Account; Russell Marino
Death Certificates (5)
Total additional credits (SubtraCt)=--
Balance for distribution
account:
4.00
19.00
5.00
$1.~.50.0 ... 00 ................. .
$ ....... 2.8. .. 0.0 .. : .............. .
$.1.,.4.7-2 •. 0.0. ... _. ............ .
If balance for distribution is not in cash, list each item held in kind, giving appraised Valu~ (or distribution Value)· . • I
The balance for distribution consists of an undivided one-half interest in real
estate described at length with recital in the Inventory. The distribution value is $7, 500. 00.
/
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I'
ESTATE
OF
)
(
)
(
)
(
)
No. 63-68-123
CHA\RLES DANIEL MOORE,
DECEASED.
COMMONWEALTH OF PENNSYLVANIA )
-) ( ss.
COUNTY OF WASHINGTON )
Before me, the undersigned authority, in arid for said county and
commcmwealth, personally appeared JOHN H. DAVIDSON, Esquire, a
member of the Bar of Washington County, Pennsylvania, who being duly
sNorn according to ~aw deposes and says that:
1. The Joseph Moore who is named in the Will of Charles
Daniel Moore, as beneficiary; died January 20, 1953, a resident
-of Washington County, Pennsylvania;
'· t ' • " • ... ' ~ .. ~The _Es~~te of the sai~ Joseph ~~or~ is adrri~nistered
in the Orphans' Court of Washington County, Pennsylvania, as appears
:1t No. 74 of 1954, A. A.
Sv.rorn t·) and subscribed
b.dore me this / 7 ~
d~j. o'l Eep,tember, 1969.
.... • • .... .. f ' ; • .. !_-. .:::-'I ~ . . /,,_ '• ./
.:. ,:>---. '•. :::';:;--,/ -£tf '--~A~~-£. -J ~-pb-/ . 7 Nota.::-y Public ·
~-_~r , , '.. ~ ~ ..
-~ .
.~.
--'~·_.--;-:My Commission Expires: May 28, 1972
Esquire
/
~.
If F-Jmily Exemption claimed by Petition, give place of Record: ............ -----------------------------------------------------------------------
If =omily Exemption is claimed at audit, give name, relationship and basis for Claim=------------------------------------------------
List ,any CJdvancement or distribution on account th·Jt has been made, and nature and amount of same:
Su!2!J=sted distribution of balance shown, both as to ::>rincipal and income, attaching signed and itemized electi'6ns
to lake in kind if balance is not in cosh: residuary shares being stated in proportions:
0 Entire Residue to Kathryn Belle Mo·::>re.
COU'-TY C•F WASHINGTON, SS:
COJVJ\t\ONVIEALTH OF PENNSYLVANIA
The :nove :amed Fiduciary or representctive thereof.
\.· . ' ~""'"" _, /
beinr; duly ..•. .s.w.orn. ..................... doth depose and sa,.
tho~ rhe facts s'et. forth: in the foregoing petition are true --~ .~ ·:: And your petitioner will ever pray, etc.
'to. thP. best. oL ... ::_h.e/ ................. knowledge and belief .
. -~ .. ·. ~
.. ac.kP..o.w.le.dg~d.~~-~o--........... to and subscribed before
. P.
me tl-lis .... ll.:th .. :.day of..Sepiember ................ l9 .. 69. Sign~•'• ol Office~Z.J~
T 1t I e of OffICer .. N.o.t. .. r.y. .. Publl~----............................ ..
/(~ _ 8dt?e-~~ ----------------r-----------------------------.-------------------------------------
. .
Office ex pi r:s .... May.. 2.8, ... 19.72 .............. __ ................. ..
• ......................................................................................................................... '!'.
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No.
Estate of ......................................................... ~
•••••• ••••••• •••••••••••••••• i ••••••••••••••.•••••••••••• 'D-~~~~~~ti ...
'
fiduciary ............... ~ ......................................... .
·:J
P~TITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
'J
Counsel of Fiduciary will submit herewith the
following, in con'lormity with Court Rules
adopted effective December 3, 1951, being
rule No. 9: paragraph b-e; and divisions
thereof: shown on pages 23-24.
l;.'i . 1. Written praec'ipes of all Counsel in the
case.
2. Copy of order appointing Guardian ad
litem, if pertinent. ·
3. Copy of Order appointing Trustee ad
litem, if pertinent.
4. Proof of service of above.
5. Letters Testamentary or Administration
C. T. A. or an attest copy of Wi II.
6. Copy of inventory and appraisement.
7. Proof of advertisement of grant of letters . ·vcrf·.o~ f4~~~v~nt.
&j~7~llifjf;t!Jt~9?~.$1.l~Uin c~se_ -~ny . of. the . }fah s ;;ror;~ .. st!~f\\f>n are trom JUdicial <m~~ ftredl ~s'taie. ·
.9. Signed and ··itemized elections if any
distribu~· ion · i~ ~~ --· · "-. _:· '69 1GScc;ij,y~~ FeA ra :state -,_ax return if es-
tate is s,~~e~t~err.:l
Attorney
~2
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September 11, ·19 69
MEMORANDUM TO: The Honorable P. V. Marino, President Judge
Orpha:.ns• Court Division
In Re: Charles Daniel Moore, Deceased
l..ccount No. 63-68-123
The subject estate will be called for Audit, on the morning of
September 12, 1969, and the relevant documents to ar.swer the call
are attached.
I have to be at a meeting which involves a num::>er of other per-
sor.s and request that I be excused from appearing in person unless
sone prc•blem arises.
Respectfully,
J~ /} ~.l.,n,
John H. Davidson
.JHD/jf
3Jn lf1e <@rpqann' Q!nurt nf llaaqingtnn · Q!nunty
Ir: the natt=lr of the Audit of Account in
Esta·.e c•f .... C.HARLES-DANI-E-L--MOORE-No ...... 6.3 .. :-.. q 8.:::.12..3. ______ , ----------------·------• 19___ _________ , A.A.
·-------------------D.e.c.ea..s_e_d _____________________________________ ~----------------
'I<O TH3l .A!UDITING JUDGE:
Enter _________ _my __________ , ______________________ appearance for _____ KATHRYN..B.ELLE __ _lV,l_Q_Qf:E_. ____ EX~.Q:.YJd~------------------
• -••••-•••·-•••••-•••••••••••••••••-••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••··~••••••••••••••••••••••••••••••••••••••••••••••••••••••• -••••••••••••••••••••••••••n•••••••••••••••••••••••••••• . -
-----· --·---·····-················· -----·--! .................................................................. ~-----··--------··---·············-····················-···········································-·············
-------------------_______ //}. _______________ ~---------·-------------------------------
~~ --:-Jofin--H. ---bavTCisa·n·----------------------------------------------------------
____ l2 ______ day of .. .Sepiemher ________________________________ , 19 ... 6.9 ....
N.B.-Counsel shall, by separate paper, present a concise sta-tement 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 sugges-ting proper distribution shall file
a separate concise statement in that regard.
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Jruusylunuin. ®rp4nus • atnurt tlittisinu
Charles Daniel Moore,
Ueceased,
No. 61""68"'123
In the matter of the First and Fina.l
Account of Kathryn Belle Moore,
Executrix,
ADJUDICATION AND DECREE
Ard now September /f , 19__6_9_, this matter come on for hearing,
oucit and distr bution at this session and testimony 'token; and thereupon, upon due consideration
the·eof the balance for distribution in 'the hands of the Accountant is determined to be
$ 995..00 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
sch~dul:! of di~tribution hereto attached and mode a port hereof, unless exceptions hereto be filed
sec. reg. or an ::1ppeol be token herefrom sec. leg.
SCHEDULE.,PF. DISTRIBUTION ••
/ v
Bolc.nce per account ________________ _ $ 477.00 defici.t
AdC.it:.onal debit asked at audit,
Add.it:..onal credit asked at audit,
Balcnce ____________________ _
Ded .Jct Clerk's •:osts & Receipt<:,;:a_ ____________ _
AMorne}o,_ __ ___;J,._o=hn=......:H::.a.•....::·D=-a=-v.-i_d-s=-o~n:.::.-________ _
Russell Mapino, Clerk 0, c., Costs in certifying
real estate to Recorder,
John It, Woodward, Recorder, Costs recording
certification of ~al estate, '
t:, • 'Ill •••• '
Russell Marino·, Agent:, transfer inhe~itahce: tax,
including t;ax due on individual liabilityA
. ' $2~7.67
Int9rest from 3-1-69 to 9-29-69 9.99
;.•
~~ :· '.
i':.··
Con·!#ributic:n to maintain assets of estate in
kina,
Kathryn Belle Moore, sister, residue, including
real estate as hereinbelow described, held in
kind a,d distributed as such at the appraised
1500.00
28,00
12.00
6827.16
value, 7zOO.OO
$
1,023.00
995.00.
No balance
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R3AL ES~ATE TO BE CERTIFIED TO THE RECORDER OF W HINGTON COUNTY
BY THE CLERK OF THE ORPHANS' COURT DIVI ION
c·:larles Daniel Moore, devisor, to Kathryn Belle
all the right, title and undivided 1/2 interest
a~d to parcel of real estate described as, VIZ:
THAT certain piece or lot of ground si
T·:>wnship, Washington County, Pennsylvania,
a a follc·WS, to-wit:
BEGINNING at a point in the middle of
and Pit~sburgh Turnpike; thence, ·North 33° East
thence, by land of Southwest Pennsylvania Pipe L nes Co.,
35' East 209 feet to a stake in the middle of C
thence, by other lands of Robert Wilson, South 1
54° 5·)1 West 274 feet to a point in the middle o
and Plttsburgh Turnpike, the place of beginning.
CONTAINING.l.~9 acres.
BEING the same property which was
Wilson, unmarried to William s. Moore and by his
Testament dated the 15th day of July, 1929, and
Book 46, page 273, devised the same to his widow
said Orp~a Moore being seized thereof by her las
dated tb.e 4th day of February, 1933, and of reco
page :.70, devised an undivided one-half interest
Mcore=-a one fourth interest to Charles D. Moore
interest to Kathryn B. Moore;·Joseph Moore being
undiv~de·i one-halt interest therein by his last
dated th-e 14th day of February, 1933, and of reo
seized o
ill and
page L67, devised a one-fourth interest to Charl
deeed~nt, and a one-fourth interest to Kathryn B. Moore,
by reeson of all of which Charles·n. Moore, a/k/
Moore, a~ the time of his death was the owner of an undiv
half interest.
isee of
isor in
hartiers
cribed
shington
eek;
t, 282 feet
Washington
and
Testament
Book 58,
an
79,
, the
Executrix,
CERTIFIID ·TO R.tl:CORD~"'R: S T~"'MBER 2 , 1969
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. Form RCC-33 . COMMQNWEAJ TH OF PENNSYLVANIA
.DEPARTMENT OF R~VENUE
BUREAU OF COUNTY COLLECTIONS
RESIDENT DECEDENT COUNTY OF .. WA.SHING.T.ON ................................... ." .... .
IMPORfAKT: This return must be completed in detail and filed in duplicate, ·with will attached, with the·
Register of Will; of the County where decedent ·resided; Return is due within one year after
date of death, u,less an extension is granted by the Secretary f
tl}e Inl:ler!l.t~nce_.En!f .E.!?t~te .~ax .A,ct of lQ§L)
... ········-························· KAT.HiR.YN. ... BE.LLE .... MO.ORE ...
Administrator of the estate wf the above-named decedent being duly sworn, deposeS
N~me aod aci:dres= of attoo-ney
other autihorized representa~ive
whom all corre•pondence sheuld
mailed.
.. .J <:>.hP .. H. .... P.~Yi9son.,. E..s.q'!J.J.r..e........................... ................ ......... .. ................................. ..
? 31. W.. ~EilJ.JpgtQJl J.)~lJs.t BJcl.g •.•. W..l:l,,s..J:JJngt.qn, .. Pe.nn.s.yl.v9,n..i.g, ......... ..
That as such E.X§.~:Y.t.:r.~ .. -.................. deponent is familiar with the affairs of said estate and the property con-
( Ex1:cu tor-Admi 1.istra tor)
stituting the ass.ets thereof and their fair market value.
That at ~he :ime of death there was-no safe deposit box registered in decedent's in1lividual name, or jointly
with, or as ~gent or deputy of another, or in decedent's individual name, with right of access by another as agent
or deputy, With the exc~ption of the following:-
NAME AND A:lDRE~:S OF BA:'JK OR OTEER INSTITUTION THIS SAFE DEPOSiT BOX RENTED RELATIONSHIP-OF JOINT
IN IOHICH .ECEDENT REN:'ED A SABE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO_DEC~DENT
No)ne"
-
'IIlat the cor.tents or said safe deposit box or boxes are itemized under Schedules N/A of this
returr, wi tl1 the excer tion of" the following, for the reasons hereinafter set forth:
~hat Schedu.lt: A att.ached ~ere to and made part hereof sets forth full v and in'·detail all the
real rroperty in the (ommonwetil th of Pennsylvania of which decedent died having an interest therein. It
also Eets forth the mc·rtgage encumbrances upon each parcel of real property at the date of death, giving
the anount still due at deat,, name of mortgagee, date, rate .of interest, and book and page of record
therecf. : t also sets forth in the columns provided therefore the assessed valuation of each of said
parcels, tre estimatec market value thereof as of date of death of decedent. ·
That Schedu}e B att:tched hereto and made part hereof sets forth fully and in detail all personal
property whoeres)ver situated ·)Wned by the decedent at the time of death; all moneys left by the decedent
at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks
of derosit, sa"O·ings bLnks, tn~st companies, or other institutions, whether lnd~vidually, or in trust for . ~ \1 .. any other perscn or persons glving also separately the accrued interest the~on, if any, ~O~)tO·the ~ast
interest dlfY ptior to decederrt' s death in the case of savings banks, and ~o the date of "~epe~e~t~_s:.deatli:,
in al: -other C&Lses; a:l bondE, postal savings, treasury certificates or notes and other,~ev.r'<,tence of*in-
debtec..ness of ~he United Sta-:;es to the decedent; all obllg.ations, .whet)ier by statute.-<?~ .'l:~reell)en,t they
are d~signeted as tax free, cf the United States, or any state, or political subdiviston·tfiereof, or of
any fcreign country, .l'hich aroe owried at the time of death; all ~earing appaN!l, jewelry;~ silv.krware, .pic-
tures, booJ.s, works o :' art, tousehold furniture, horses, carriages, automobiles, boats;'-;..Rdd:lm:y '!iind .all . ,., ( I-~ ~ other personal ·chatteJs of wh1.tsoever kind or nature, left bydecedent, together with the fa{;rl_y.·estiiilated
1( r .. marke\ vah:e tlltereof; all bor.ds and mortgages held by decedent and of all claims due and owing decedent
at the time of death, and al] promissory notes or other instruments in writing for the payment
of wh:i ch decedent died. posses:sed, of whatsoever nature, with interest thereon, if any, giving
value and estimated fair marHet value thereof, and if such estimated fair market value be less
of money···'··'· -'·"J~· -the fM.ei."t·_.:..
than the ·.
face value, it sets forth briefly the reasons for such depreciation· as to each i tern; all moneys payabl'e ·
·1 •• to the estete from li:"e insutance polici'es carried by decedent; all annuity and endowment contracts'.! the
proceeds of whi•ch were payabl ~ upon the death of the decedent; and all the corporate stocks and di.Y~d.erids
due tJ-ereor. and unpai• as of the date of death, bonds and 1iccru~d ittt~f'~st th~f~tJtt ttJ th@ dllt@ ot'dece-
dent'E death ar·d othe1 invest.11ent securities owned by the decedent at the UtiMt or death, with the market
value thereof e t such time.
·.
In the case of securities of close or family corporations, the values reported are as far as
possible substantia(ed· by financial statements of the corporations, showing the assets and liabilities
thereof as of the· date of death. The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business, and in support of the value of such interest there is annexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business, its location, and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.· It should also set forth in itemized form, together with the fair market value
thereof, any other property owned or be4ueathed by the decedent· at the time of death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's
death, in contemplation of decedent's death, or intended to take effect in possession or-enJoyment at or
after death, said schedule sets forth the nature and value of such property, to who.m transferred,· the
relationship of the transferees to the decedent, the proportionate share received by_ each-tra~sfe~~e and
all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to
take effect in possession or enjoyment at or after death, there is also attached to the schedule a cony
of the deed, trust agreement or other instrument creating the trust. Thero~ is also set forth in said
schedule a list of all property, real and personal, with its value, which passei:t-at decedent's death by
virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint-
ment vested in decedent, either indivjdually or ~oin_tl_y, by th_e wi~l, deed, or other instrument of another,
with a copy, of. the instrument creating such po~er attached to the sc_hedule.
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death-s·--the .nature of their res-
pective interests, their relationship; if any, to the decedent, together with the ages at the time of
decedent's death of a!l minors, annuitants and beneficiaries for life under decedent's Will. It also
contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior
to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property, real and per-
sonal, owned by the decedent jointly with another or others, including intangible, standing in the name
of the decedent and others, plus the date and place of record of instrt~ents effecting the vestiture of
real estate and the date of acquisition of personalty, plus the name, address and relationship~rif any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid;
family exemption, where applicable; costs of administration of this estate; counse~ fees and fudiciary's
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decedent;. debts and claims owing and unpaid at time of .. . .
death; taxes accrued. charge.able for period prior to decedent's death. (except. those_ allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga-
tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the
estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate colunms in Schedules "A", "B", "C", "E", and "F" as directed therein,-
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this ................................ .
............ : ... ~ .. :.d!..:?.::-t.{r-;~ .. --day of·······~·-··········· 19 ... ,G. .. 9..
~~~~ ................. :S..9..:x: .... l.6..7. ........................................................................... _, ______ __
(Street Number)
................ M.f?..9.:9.9..W.l9.:n.9:.s.~ ...... P.e..nns.ylva.n.ia. ............... ..
(City or Town and State) f -' ,··~-r ...v~ /f 7 ~
NOTE: Beio~e· signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
fiHed in with details or the word. "None", and in case the assets include rare and unlisted securities,
se~urities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required under the paragraph above relating to Schedule "B" are attached. Also make
certain that column #1 in the "Summary" has been properly completed as above-di~ected.
''.:. "<" ~
RCC-34 (1-64)·
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEIIIT OF REVENUE
BUREAU OF ~OUNTY COLLECTIQNS
TRANSFER 'NHERITANCE TAX
. RESIDENT C•ECEDENT.
SCHEDULE "A"
-iEAL PROPERTY ..
Real<property in Pennsylvania, with s~atement of mortgage encumbrances upon each parcel at death of dece-
dent. Where property heid as joint tenant or tenancy by entiretie_s, report on Schedule "E". Property held by
the .d_~.cedent· as tenarit in common with another or others, should .be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real proterty located In the Commo!'lwealth of Pennsylvania should be
described by lot and black number, street and street number, together wl th
a general de~.crlptlon of the property, with a reference to the record of the
conveyance Jl.y which the decedent took title; If a form· state number of a-
cres; also stJtemen1 of mortgage encumbrances upon each parcel at death
of decedent. Taxes, assessments, occiued Interest on mortgages, etc.,ore
to be listed c.n Schedule "F" and must nat be d~ducted. from this schedule.
An .undivided one-half interest in and to all that
certain. piece or lot of ground situate in Chartiers
Township, Washington County, Pennsylvania,
bounded and described as follows, to-wit:
Beginning at a point in the middle of the old
Washin~ton and Pittsburgh Turnpike; thence, Nort.t
33° East 2.66 feet to a post; thence, by -land of
Southwest Pennsylvania Pipe Lines Co., South 56°
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
35' East 209 feet to a stake in the middle of Charti rs
:Creek; thence, by other lands of Robert Wilson,
South 1 ~o 45 1 West, 282 feet to a stake; thence,
by othe.r lands of the said Robert Wilson, North 54° 50' West
274 fee: to a point in the middle of the said Wash-
ington c..nd Pittsburgh Turnpike, the place of
beginni::1.g.
Containing 1. 49 acres.
Being the same property which was conveyed by
Robert Wilson, unmarried,· to William S. Moore,
by his last Will and Testament dated the 15th day
of July,. 1929, and of record in Will Book 46, page
273, devised the same to his wido:w, Orpha Moore;
the said, Orpha Moore being seized thereof by her 1 st will
and tes:'ament dated the 4th day of 'F~bruary, 1933,
and of r;ecord in Will Book 58, page 170, devised
an undi-(ided one-half interest therein to Jos~p~
Moore, a one...,;,fourth interest to Charles D. Moore,
and a one-fourth interest to Kathryn B. Moore; I Joseph Moore being seized of an undivided one-
half int-erest therein by his last w·l.ll and Testamen
dated t~e 14th day of February, 1933, and of recor
--in Will Book 79, page 4.6,1t devised a one-fourth in erest to
Charle~:~ D. Moore, the~ecedent, and a one-fourth 'nterest
to Kath::-yn B. Moore, the Executrix, by reason of
all of which Charles D. Moore a/k/ a Charles
Daniel Moore, at the time of his death,· was the
owner c·f an undivided one-half1.ntere st. ~~__,_ //co. ..... ~,
Cf/f'-1~ 9~2 ~~~-~/~
Insert this:total opposite "real property", Schedule ''A" in the ·X X X X X
11 A's Reported" column on the last page of this return.
(2) (3)
DEPARTMENT
VALUATION
ESTIMATED CAUTION MARKET VALUE (Do not write
In this space)
6,000.00
'
I
v.:.., ...
RCC-C5
'" ..
COMMO:NWSA.=..TH OF PENNSYLVANIA
TRANS..."G'E::t :ENHERITANI~E 'l'AX
RESIDENr DECEDENT
sc~mDULE "n"
PERSONAL PROPERTY
INSTRUCT:::ONS: This Scbedule must disclose all tangible ahd intangible personal property owned individually
by the decejent, at tte time of his death. Property owned by the decedent jointly with another or others
must t.e :.isted under Echedule "E". Inta~gible personal property, titled in the name of the decedent, but
payab]e 11t death to arc<>ther or others, including but not limited to P.O.D. u. S. Savings Bonds and tenta-
tive trust ~ccounts,. rr.ust be listed, despite the fact that they are ·not of the administered estate.
Tangible pe~sonal property should be listed first (e.g. jewelry, wearing apparel, household
goods, arrrl :~rnishings. books, paintings, automobiles, boats, etc.)
!·,tangible 1=-erson!l property, such as bonds, treasury certificates, cash on hand and in bank,
stocks, ·JTQr·~gages, not~s, together with accrued interest or rlividends, salaries or wages, insurance pay-
able t.::> 1.he· estate or firluciary in sairl capacity, partnership interests, interest in anyundistributed·
estate o~ o~ income from any property held in trust under the will.or agreement of another, even though
locate-:!. cut:oide of the State, at the' time of death, should be listed in this schedule.
Item
No.
1.
2.
3.
ITEM
Lis~ and describe fully
Final Pension. Check National Transit
JBear.3 Club Death Benefit
Sociail. Securit::;-Death Benefit·
·~
..
Insert this tcta:. opposite ~Personal Property", Schedule "B" in
the "As Re~::>rtedr column oru the last page of this return.
UNIT
VALUE
X X
ESTIMATED
MARKEr VALUE
16.00
696. 88 •
J+J, r:JI)
DEPARTMENT VALUATION
(Do not write in
~s space)
fCM'h·i'i"NF\L.rll. t)F l'fNt<~YJ.V,\NIA
·: ~ r::,\\~: ... :n ·r~m:lilT,U\.rr: t\X.
. . SCIIEDULE "E"
JO fNTLY OWNED PHOPTmTY
I:\~TH\Trin:\~.-This scherlule mitst cltsclose all property, real and personal, cwne<i by the rlecerlent .Jointly·
wtth mmtht?r llr tlthf:'rs-~ inclurling intnn~ihles, standing J.n the name of tbe decerhmt IHHI others. L.tst
rt>al Ps~ate. ·'irst., us e·ttirP-ties, or Joint tenants, giving hrief rlescr1pt.Lon, as inrlic~1terl nr11ter Schedule
"A"~ pl-.ts th~ date nnrl place of record of 1nstrtunent. effecting vestiture, b·.tt rlo not include entireties
· or out ·:-f st.:tte real estate value in estate v11.luation column. Personal pro?erty shoulrl be lister! as in
~chedulr~ "s". plus rlate of n~quis1lion, nnct the nnme, address anrl relationsnip (if any) of co..:owners to
Descrtpt.tnn of P~operty. -Dn.te of Acquisition, ·N;me l Unit
.. .\drlress Met l\elattonsh1Jl of Co-Owners, nnrl Pl nee . Value
of i\e-t~orrl -of lnstrumoent, wftere Rt?nl Estnte. ! . ----. -. :;.( ..,....,-,...,
)?<x . ·x-.: .• . y
l. .(1 )· $10CL 00 'Bond~ issued 7/42 i/ n/ o I .. ' ·. . . ' 'I . ' ~ . . tCharles .. D.: 1\.loore•&·Kathryn B. Moore·
No'. c '112· 7·45 52·: E-·• $1.64. 84
. ' 1/2
~ . . . J ' ~
2. ;(2)' ~o. 00 BoAdJiisJ~'dd 7/42 & 6/44
O -, • • f f' I ,• ' ~ t J i/n/-.~ .. Ct.arleS' D: i:tylo,cr~ ~\ K~thryn B. Moore
Nos: L 1t);7.4lH. O?.t~·~ L.'6~5 879 81 E 1/2
$161-16· ·'·. ; .. ,'
• • • ~ ' • i \· ··, .~ '1 It ~ ~
·' J .• ·' ' • '
3. (36) $25. oo Bb~-d~ i§lsued from 12/41 to ·3145
l -~-'· • I l \ ., . i/ n/ o Chades ·D. Moore & ·Kathryn B. ·
Mocire-(See attached list ~f~s\ri~l nos.).
$1,438.42 -:. ~-·~·\, . 1/2
Barik Accounts ' .. ·
4. First Federal Savir.gs &. Loan No. S-_
10231\ i/n:o Charl~s D. Moore o~·Kathryn
B. Moore $7,.010.83'· l 1/2
Dividend accrued t-~·date br'death $126. 19 · 1/2 -'
5. Pitts.burgh National Bank Savings Acct.
No .. 15373 i/n'to Charles D. ·Moore or Kathr:yn
B. Moore $10,44~.25. 1/2,
Interest ac_crued to d,ate of death $83. 56 1/2
6. Me.llon,Nat:onal Bank & Trust Acct. No.
2737 :,Skviri.~s~~ Acc't. i/n/o:c'fJ.:Jifles ri .. Moor~
'o_r ~athryn B. Moo;re $10, 80~. 74, ·
Interest accrued to,dafe of death $36. 09
7. Pittsburgh National Bank Cash A-cct. ·
No. ~ !l:r~ te-1· i/ n/ ;> Charles D. Moore
·, ::>r Kathryn B. Moore $L, 440. 15
! ~-
J3. 200 Shc.res Sun~ay ox Oil Co. i/n/ o;
Kathryn B .. Moore and Charles D.· Moore·
at 38-7/8 m'inus Commissio"n of $76. ~8
·''
'• .,,
1/2
1/2
1/2
1/2
"-
Percentage Est~te DEPARTI.IE!IIT VALUATION
CAUTION-Do not Write
Iri This Space.
Share Valul!.tion
'
I
I I
I. .
8.2. 42
80.58
719.21
Value of
Entire
Property
i
I
i l
Value of·
Decedent's
Interest
3,56E.51~~
I
;
i ~$j?,~
• 1
5,266.40
l i
I I
I I .
5; ~;~~ ~i'\ wz ~-7n
I 77 0¥~:C:n?
/
3, 81G. 62 ·
I
,I
I
I I
i
I I
I
I
Inse:otl th:::R ttJtlll OJitJOSite "Jointly Ownerl Property", Schedule "E"
tn t:·•e "As Jtal'lorted" colulll'l on the last page of this return. ,. ' I
!
19 ~ ft7_...2.2-J ...
;-,,
' I
I I
I '
~ .. . _.~-. . ' .-. •u • 1 -......
ATTACHMENT
Schejule E -Jointly Owned Property
3. Serial Numbers and date issued of $25. 00 Bonds
VALUE
Q 560 894 004 E Issued 3/45 $38.00
Q 564 526 539 E Issued 2/45 '·' .38. 00
Q 564 526 491 E Issued 1/45 38.00
Q 583 362 299 E Issued 12/44 38.74
Q 497 416 830 E Issued 12/44 38. 74
Q 497 416 783 E Issued 11/44 38. 62
Q 497 416 760 E Issued 10:/ 44 38.62
Q 454 746 958 E Issued 9/44 38. 62
Q 417 054 637 E Issued 8/44 38. 62
Q 417 054 603 E Issued 7/44 38. 62
Q 373 385 071 E Issued 5/44 39.25
Q 373 385 033 E Issued 4/44 39.25
Q 324 124 386 E Issued 3/44 39.25
Q 324 124 336 E Issued 2/44 39.25
Q 644 615 2 E Issued 12/ 41' 42. 39
Q 184 604 29 E Issued 2/42 41. 56
Q ~J84 604 48E Issued 3/42 41.56
Q 184 604 49 E Issued 3/42 41. 56
Q 234 361 52 E Issued 6/42 42.02
Q 495 109 66 E Issued 8/42 41. 21
Q 544 838 59 E Issued 9/42 41. 21
Q 544 838 85 E Issued 10/42 41. 21
Q 693 806 70 E Issued 11/42 41. 21
Q 693 806 96 E Issued 12/42 41. 34
Q 113 606 761 E Issued 1/43 40.54
Q 113 606 790 E Issued 2/43 40.54
Q 149 1 7 4 442 E Issued 4/43 40. 54
Q 154 606 220 E Issued 5/43 40. 54
Q 196 8'75 422 E Issued 6/43 40. 68
Q 196 875 454 E Issued 7/43 39.89
Q 196 875 468 E Issued 8/43 39. 89
Q 231 957 223 E Issued 9/43 39.89
Q 231 957 273 E Issued 10/43 39. 89
Q 231 957 281 E Issued 11 I 43 39.89
~ .231 957 330 E Issued 12/43 40.03
Q 231 957 377 E Issued 1/44 39.25
$1i}438. 42
One-h<Hf onl~ applicable· 719.21
.. ..,. ....
RCC-3"'~' (12-6;)
C'Ol\11\tOI'oWEAt.TII OF PEJ'\NSYYLANIA
TRANSFJ:R lNHERITANCE TAX
RESIDENT DECEDENT
BENEFI•~IAiRIE8 AND ADDRESSES
State full r.ame•s a11d addreosses of all who
h ave an interest,. vested, cor:t ingent or other
w.ise, in est~te)
Kathryn Belle Moo~~e
Box 187' <
Meadowlands. ·Pennsvlvania
....... lt\<11,,0 -. -
SCHEDULE "0"
BENEFICIARIES
RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF
illegitimate ~hildren DECEDENT OF BENEFICIARY
are involved, set STATE YES 'IN ESTATE
forth this_ ~act.) OR __ NO -.i BU.Tfl . -·
Sister Yes Re~ichJP
'"
-
-
·.·
-
"
Deponent ru~ther say; that ~11 the above-named beneyfCiaries are living at this time except below:
NA:'\fE //:..TE OF DEATH RESIDENCE
;·
/ I'
\ /
\ I
\__/
0 z
.....
SUMMARY
Real Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................ ( Sch. ·"A")
Personal Property .................................................................. (Sch. "B")
Transfers ................................................................................. ( Sch. "C")
Jo.:i..n:tly . .Ow.n~d .Pr.op.er.ty. ........... (one.-:-.half) ........... .Sch .... E.
Gross Taxable Estate .: ..
· .....
'0 ~ "' " ~ CJ ~ 0
. • . ................................... .............................. :
..... 0
.i::· :: 0 u
..... 0
..c .::: ~ ::: c 0 E E 0 u
1
( 1) (2)
(As Reported ) (As Determined)
$ .... : ... 6 •. 0.00 .. 00 ..
$ ............. ~.~.6, .. 0.0
$ ... Z..Soo .. oo
$ ..... /</./, (JO
$ ............................... . $ ................................... .
$ ..... 1.9 ... 6.4.9 •.. 1.8. $. 1.1: ~ .. ~. ?. -:!?
!$ ............................... ~.: .. .
$ ..... 2.6~.0.4.5. •.. l.8
$:, .. : ..... : .... : .... :., .... : ........ .
$R(.Z .. ~ q f.:. t:>(.i?
.P. c c -81 (2-641
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
KATHRYN BELLE MOORE
IN YOUR REPLY PLEA8£
REFER TO .3 7 _89_2
:n Re: Estate of _____ ~C'-'-HA_RLE:;..;.:___S_D_AN_I_EL_M_O_O_RE ____ _
_____ ____:W.:::.:A=S..:.:HIN=-:G:.:T:...:O..:.:N~---county _ FiLe No. 6.3-68-12.3
Dear Mr:s. Moo :-e :
You ar.e hereby notified that .the original
appraise-ment In the estate of Charles Daniel Moore
!has ·Jeer:: filed in the office of the Register of Wills qf Washington
Coun:,y on May 22 , 19_6.9. Said appraisement reflects· the
.foll·)Wi:ng val~ations:
Rea 1 Est a j e -~-----7~, S.e..;O:;O=-:..• 0:;0:.._ __
Person a 1 Pr ope rt y ----::-:~1l!:;:r.l~.:...;;O~O._ __
Jt. HeM ~~·----------~1~9~,~66~7~·-2_2 __ ___
Total _________ =27~.3~0~8~·=2=2 ___
As ·:,o such :tax that is paid within three months. f'rom date of
·deat-:1, ~ five (5%) percent discount i.s allowable. As to an.!f tax that
remains unpai·i after one year from· date of death, interest 3.t the· rate
of six !6%) p~rcent per annum is charged.
Any .party in interest who is aggrieved by.an appr3.isement may
appe3.l :.heref·:-om as provided by law.
Date ___ ~M~gy~~22~·~1~9~6~9~-----Si~ne~.e d~.e~
Title W.R. CHANEYJCHtAISER
DATE OF :DEATH: . December 1, 1967
Not'e; This is not a bill.
'":::. ..
RCC-39 (,_58)
COMMONWEALTH •)F PI:NNSYL VANIA
TRANSFER INt-~E~TAN,:E TAX
RESIDENT )ECEDENT
SUMMARY
Estate of~M~0:..::1)~RE=':__ __ __:C:..:HA=li=L=E.S=----=D:...:•:..__ _______ DATE OF DEATH
(Last :"'lame) _ (First Name) (Initial)
REPORT OF INHERITANCE TAX APPRAISER
12-1-67 FILE NO. 63-p8-67
I, the undersigDed duly .appointed Inheritance Tax Appraiser in and for the County of Washington
Pennsylvada,. do restectfully report that I have appraised the real.and personal property as reported in the foregoing return at
the values ;oet f01th oJposite ~ach item in the last column to the right in Schedules "A", "B", "C", and "E".
Dated: __ __::C::....5-~22=--_;6;....9~---
]2-W.-67
REPORT OF THE REGISTER OF WILLS
I, the undeJ:Sign=:d duly :::lected Register of Wills in and for Washington County, Pennsylvania, do respect-
fully report that Lhavc: allowed deductions in the amounts claimed by deponent, except as to those items where a greater or
lesser amoL-:nt is :iet fJrth in t1e last column to the right in Schedule "F", which greater or lesser amount represents the sum
allowed as :1. <bd.:ction.
Dated: _____ 0=-.::....5-...:2::=2=-.--=67~---
REGISTER OF WILLS
IN.t/E .~TORY
Real Property ·:Sc 1edule A)
Personal Pnperty (Scledule E)
Transfers (~chedule c•
Joint-Held Prcperty (Schedule E)
TOTAL (iROS~ ASSETS
Less Debts :anti Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation o~ tile estat-es or
22,490 22 23-~735 22
annuities ........... • . . . -= • • • • •• $ -------------t---
ESTATE TAX ASSESSMENTS $ _____ ..J....__
FOR USE OF liEGISTER ONLY COMPUTATION OF TAX
Taxon $ ________________ -4----
Tax on $ ------------------+-----
Tax on $ -------------------1-----
Tax on $ -------------,.""""""""""""",..,-+.....,.~ Taxon$ _____ =2~3L.7~3~5~2=:2~
$ ______________ ~----
$ ______________ ~----
$--------------~----$ __________ ~T+~~~
$ ____ ~J~~~~bl~-G~_
VALUE AS REAPPRAISED
$ ______________ 4----
Exemptions========lF==
Total. Es ta te'--------------1---
TOTAL TAX $--------------..L.....---
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less ax previously paid $======9f==
BALANCE $-----+--
Less 5% of ax if J:·aid within
3 months after death $=====:::=::===
BALANCE OF INHERI'fANCE TAX DUE $ -------+----
Add interest :at "'ate of li% from
---------t•J -----$------~---
AMOUNT OF ESTATE TAX ASSESSED $-----+--
Estate tax paid $-----,-----------lL.---
BALA.NCE DUE
Add interest at rate of ti% from
----------~~----------
$---~--~---
$------~~-
TOTAL TAX BALANCE $ ------+---
PAID $ ------~'---
FOR USE OF REGtSTBR ONLY ADJUSTMENTS
NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason,
same st:-ould be noted ~low, with short explanation.
Will
Administration ( No .................... Year
IN THE
MATTER OF THE· APPRAISEMENT
OF THE
ESTATE OF
CHARLES .DANIEL MOORE ·········•·•······················ .............•..... ······················· Deceased
Late of .... ..... C.HAR. TIERS ... TWP .•.......................
County of . WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
( ..
' •'
.-
\)
:. __ ;· .;-~~: 1:
Ma 22' ··1969 DATE .......................... :Y ............ , ................................................... .
DE?ARTl'IENT OF RE"IENUE
BUREAU OF COUNTY COLLEC.'J'IONS
COMMONWEALTH OF PENNSYLV ANI.\
RESIDENT INHERITANCE TAX
APPRAISEMENT
COUNTY ................... ~~~?..~.~-~.~.~ ............................ .
RARRISBt:RG, PENNA. 1712 7 FILE NO. .. ............. QJ..::.Q~.J.:?..?. ...................................... .
. .
-Nhereas, .......................... Q~:r.~~~ .... P.~.~.~+.: ... ~~S?.~.~ ..................................................... late of .......................... 9.~~.?::~:r.~ .... ~.~.~ .................................. .
in th:! County of ........... _ ............... ~~.~.~-~.€;~.9.~ ....................................................................... Commonwealth of Pennsylvania, having died on
the .............................. t .. ~~ .................................................. day of .................... ?~.~~.~.e..: .............................. 19 .... §.7 .. , seized and possessed of an estate
subject to [nheritance Tax under the laws of the Commonwealth of Pennsylvania;
':'herefore. I, ............................. W.~B:.~ ..... Gh~JJ~Y. ................................................................. , an appraise:-duly appointed according to law,
having bern d:!signato3d to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash VE.lue of all annuities and life estates growing out of said estate, herroy file the following appraisement:
L"l the •·vent that an!" future interest in this estate is transferred in possession or enjoym• nt to collateral heirs of the decedent after
the ex1=irat1or: of £11Y estate for Ufe or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inherit1111ce tiiXes e.t the lavful collateral rate on any such future interest.
Unit Appraisement Description of Asset Values Made for In herllance Tax Purpoaea
$
REALTY:
Jl.n un1i. vided o..:1e-half interestin and to all that
c-ertain viece •)r let of R:round situate in Chartiers
Twp., Washington County, Pa.,
PERSONALTI:
JT.
Final Pension Check -National Transit
Bears Cluj Death Benefit
HELD:
$1oo. oo Beorict issued to Charles D. Moore of
Kathryn B. Moore
2 $50.00 Eond i:::sued to Charles D. Moore of
Ka-:.hr_:v: B. Moore
36 $25.00 Bonds issued to Charles D. Moore or
Kathryn_ B. Moore
Fill'st F"ede:::-al Sa.vings & Loan in names of Charles
D 'Moor"' o:r Kathrvn B Moore
Pi~tsbu~gh National Bank Savings Acct. i/n/o
Charles D • .Moore or Kathryn B. Moore
Mellon 1-~at "1. Banb: & Tr. Co. i/n/o Charles D.
Moo:::-e or Kathr.vn .B. Moore
Pbgh. Nat' 1.. Bank B~ash Acct. i/n/o Charles D •.
M"'"''"'"' ,.,.,.. K!:!t-.h'l'"tTn · Mnn-re · -200-shares ;:>~a;yo DX Oil Co. i/n/o Chares IJ.
Moo:re or Kathryn 18. Moore.
I worn accordin Havu_g been du y s
formity w·:th Ia~ or: this
to law I do here b certi
16.0Ct
125.0C•
14l.OC
,. . 82.,.2
80,1\8
~
219.8.
3.568.51
5,266.40
5,419.4,:.
720.()';"
3 .810.6~
19,667.2:C
Total.
that the aoove a
7,500 00
141 00
19,667 22
·;t;( o_jUij tlt.tlt._
ra1sement is made in con-
Penna.
..... :WA$JIJNQ':£'QN ... ....................... County ·
·'·
j:
RESIDENT INHERITANCE TAX APPRAISEMENT / .. :/-~ :·.:r .
l ':-.:·
Ertntt.' nf
.......................... : ..... G.HA..R~.$. ... .P.AN.T..~I· ... MQ.QR~ ........................ .
.Deceased.
Late of
. .,;
c CHARTIERS TWP.
Date of Death, ......... .P..~.Q.~ . .mP.~;r ... J.-:, .... .+.99.7 ................ ..
Appraisemel!t Docket Vol., .............. .3...7 ................................ .
Page, ....... .J~9~.?. ............ : ............ No ... ~J.::::f>.~~.J.?J. ............. .
Filed in Register's Office, .... .J1~Y ... ?.?..J ........... 19., ... f>.9
Anwunt of tax due, $ ........................................ · ........................... .
DEPARTMENT OF REVENUE
Received,
~
Appeal fY.oms~PPlf.~smJent,z:l····:dJS<·fi·g~=··········: .. ·······
··,··········:···········:···:·· .......................... ······ra··········:x···:J:·········(:··j~:·:····:···:···· ..
Entered ·and charged, ....... :·:~:.:ilL ...... : ... l.<: . .::l~ ................. .
.\\
J
~
RCC-134 8-65)
COMMQI'IWEAL TH OF PENNSYil.VANIA
DEPARTME-IT OF REVENJE
BUREAU OF COJNTY COLLECTIONS
INHERITANCE TAX DIVISICN
OFFICIAL NOTICE OF INHERITANCE TAX.
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO: -~M=IS=S~KA=Tiffi=;, =YN=·~B~ • ..:M=O=O=RE=---
BOX 187
Date: ---=MA=Y:..___:.9.L, -=1~9~6;..::9 ___ _
County __ W....:..A_S..:....H_I_:N..:....G_:T....:.O..:....N ____ _
~mADOWLANDS, PENNSYLVANIA 15347 County file No. _________ _
Bureau Fil~ No. _________ _
We ~ave ~ceived notice that, ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-
IDe~. 1 • 19....6.7.., you came into ownership of certain. property throug
~~~tma&:bi~~t1H~~m~-transfer from CHARLES D. MOO!RE, Deceased·.
Und~r the Inheritance and Estate Tax Laws of the Commonwealth of Penn~ylvania such transfers are taxable
and the liab lity for the· payment of the inheritance tax due is imposed upon you,' as· transferee.
The property on whic1 tax is hereby ass.essed consists of: Jt· •. ; $.:\~.··Acct. #1537;J,,.tbeld·..iinrtJi~~··
PiTTSmJRGH· NATIONAL BANK, WASHINGTON OFFICE, .WASHINGTON', ~PA. • in tile names
of MISs. KATHR!N~·B"··. MOORE or CHARLES D. MOORE. ·Opened 7-Io;;.s6. ·Balance as ·
of .date of death, $10,449.25. . ·,
appraised by the Commonwealth, as·qf the date of death, at$ 10;449,25
50 %of this amount is taxable at the rate of 15 %
DATE OF ASSESSMENT ,
TAXAB-E A~OUNT
LESS: ~LLO"'ED DEBTS
NET TAXABLE AMOUNT
AMOUN-OF '!'AX DUE
D If you pay the above oJmount within three (3) months
of the datt! of death of the decedent, or on or
befoae l9 · y~u may deduct a
discount ol 5% of the ;Qmount of tax due, or
D This. tax ltecame -del!nquent one year after the date
of deilth ot the decedent and,. in addition to the ' .. ·., • .. I.,
tax,, :;ta_tutory .m~er.e·~t at. the rate of 6%. of th.e tax
per a'lnum iis also due as.of -~ .JuJy ] ,
19' 69 ' in the· cim~ur:t of · ·
·*If the tax is not paid by the above date additional
inte1est i!. due at the-rate of 6% per annum until
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
$ _..:S..a..:, 2=2~4...!..~ 6=3~-$----------------
783.69
15.68
paid' :, ! . 1 .:_' __ _:_ ___ _:_ __
I .
'· ' ' . ,." .. : TQTAL AMOUNT DUE . ~ :.. . . . . .. . ~
l
.$ 799.~7 $ ·=· =======·-
ASSESSED BY, :2/4 '' ~-
(Agent for th~;o Com~onwealth)
•. , I. , . INSTRUCTIONS TO TAXPAYERS· , : . ·•
Make che:ks .ol· mon~y ·ord-~rs payable to:
(over)
To i nsu.re' proper credit t'o you.r account
this Officipl Notice must accompany
your paymenl. Mail or bring it to:
~ '": . G "' ~7 -f.1 :.:~~:j1 ~-tl:f
e·~)J_ .~· d(JJ s.,;:
~·Ls~~Ut.·1: ... H. a\ .. N.\A, b3\ll
l-
If you have already paid this tax to an executor, administrator, attorney or other personal representative of the
decedent for forwading to the Commonwealth, list below the date paid, name and address of the person to ~h9m ·•
you made paym~.~ir official title and the amount. _----""' ·-,· . .
Date Paid Name and Address of Payee Official Title Amount Paid
Under certain circvmstances, if, after the date of death of the decedent, you personally paid funeral expenses
or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended
by you may qualif)i as deductions against the gross value of the property in the computation of tax due. If any
such expenditures meet all of the three following tests, it is recommended that you itemize the payments below,
execute the affida"it, and return this notice. The Register of Wills will examine the debts claimed and allow
those which he determines to be proper. The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TES.TS WHICH MUST BE MET ARE THAT:
l-You were pers-Jnally legally responsible for these debts, and
2 -·You actually paid these debts out of the account or property described above and can fur:nish proof
of such payment, if required, and .. :.J
3-These same debts are not also claimed, for tax purposes, by an executor, administrator or other
person.al representative of the decedent handling the administration of the general estate of the
decedent or a11y ofher transferee.
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation
. : ~
.,
(attach separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY Of __ · ----,----....;;·_ ... ,.;....__ ~
SS:
Amount Paid
TOTAL $
I,. hereby certify that the foregoing is a just and true statement of
funeral expens~s and other debts of the decedent, , for which I
was legally responsible and which I did pay out of the property herein taxed. I further certify, that to the
best of my kno.vledge and belief, these same debts will not be claimed by any other person, for inheritance
tax purposes.
SWORN AND ~BSCRIBED BEFORE ME THIS ___ DAY OF ____________ 19 __ .
Signature of Taxpayer
REPORT OF REGISTER OF WILLS
. '
I, the undersi,ned, duly elected Register of Wills in and for the above county, do respectfuliy report that I
have· allowed deductions listed above in the total amount of$ ,
Date of ApprOval: _____________ _
Register of Wills
/
.....
./ v
DEDUCTIONS ALLOWED IN
REGISTER OF WILLS
oF Washi.ngtcn couNTY
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF ............ ·J.,..:: . .;?.__?J. (}0 ..
DATE APPROVED ....... . S-2o?·c.Y ............................................... V
~VT ~i~c,~~~~~:; ~ ~~-~r·~
Register ol Wills, Ag•nl
E~TATE oF CharTes Daniel Moore LATE oF __ C~h~a~r~t~i~e~r~s~T~o~vv~n~s~h~i~p~----~-----------
D~.TE OF" FiLI'lG APPA"SEMENT s-~-?,~! OATS OF DEATH December 1, 1967
DATE NO OF N ... Mii: OF PAYEE REMARKS AMOUNT ------,...----1-V.;_::OU:H~"
1S 68 Robert C. Gordon Euneral Ex__12enses 2 27!1 no
4/H 69 J ohr_ H.·· Davidson Esquire Coti.J.'!~iel Fees iB_x A_g_reement) 1 250 00
J;,/1968 .J!.~_sseiJ.l Ma·riino ·Reg. of Wills Letters Testamentary & Sh. Ce t. 18 00
1/H 68 Observer-Reporter J Advertising 12 50
liH 68 Was:1ington County Reports Advertisine-12 50
1/H 6·8-I Mar-, Ward Registrar's Certs. 151 5 00
I I
1 ~71 00
.
-----+--~----4---------------~--------~-------------------------4------+---
i ----~---~···-.----'-----------------------------r--------------------------+------f-----
-------r----~·------+------------------------------~~----------------------r--------t-----1
I I
COMMONWEAL TE!I OF PS:NNSYt.VANIA }
~~ 68: COUNTY OF.~~ .
'· Moore HEREBY CERTIFY, THAT. TO THE BEaT OF
MY KNOWLEDGE AND ~ELIEF, rHE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OJ'
AcMINisnAnoN suB.•41TTEc r:~ THE ESTATE oF Charles Daniel Moore nEcEAeEo. As oEcucr•oNii FOR
INHERITA,.CE TAX PU.POSES.
My Commission Expires: May 28, 1972
'
....
~ -.. '\.. ·.!.;..v
··"'-. '
:~ .c,o 0"}
{..!:;i
::0 ..,.
m::o > me:: -< -vp~ -en ~(/) ( 1
mi"T'I ~· ........ ~·
.....:r-'U'l ...v·r-Ji 0-, -.,-~m > ·-:o ::E::o :3: --r-z tO ·r-o ...... ; (I) ..
~ ·o
+SUPPLEMENTAL DEDUCTIONS ALLOWED IN
52.50 :OFFICE OF TME
REGISTEF OF WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
-HE SUM O.F . . . . . . . . . . . . $ .................................................. .
OF __ _:w~-A~s~H=I.:.:N..!::G:.!:~c.=o:..:.N;:_ couNTY C•ATE APPRO)fED 9-25-69
AND AGENT OF THE COMMON¥"1iALTH
FILE #. 63-68-123 Taxable @ 15% Register of Willa, Agent
CHARLES DANIEL MOORE -~..Q~I~U~R~I:lfi~R~ef:I =.J~'JJL!IJ.!'..I."'i.i~i£6~te.~.sL..._T-,~~oL ESTATE OF-~~~~..!::.!,;==~:..=....::=~ LATE OF !:Hi n ~!!: "--______w,
9-25-69 12-1-67 DA.TE 01'" FIL.NG APPFAISEMENT -----------DATS: OF DEATH-----------------
" DATE NC. OF NAME OF PAYEE REM,.(f)a A/»4 AMOUNT VOJCNIOIO
/ •-Aji()f?'
SUPPLEMENT A '\(}.I
I [l IV
'AUDIT COSTS f't ).) I~~ _Cj 2
.~ CA-v
I \ f
~ .. _,. ......_..,.s:._..
.__;:../
.. ............ ;.,.
;
~
,
'·
!
•
-·--.. .... --
I
COMMONWE.~L.THI OF PS:::NNSYLVANIA }
-
__ ss: COUNTY OF
I, -------------------------------HERESY CERTIFY, THAT. TO THE BE41T OF
MY KNOWLEDGE o\ND BELIEF, 'rHE FOREGOING IS A JUST AND TRUE SfATEMENT OP' DEBTS, FUNERAL EXPENSES AND EXPENIIU OP'
ADMINISTJO.ATION SUBMITTED TJ THE ESTATE OF:..· -------------------DECEASED, AS DEDUCTIONS FOR
INHI!RITAP<E TA:: PUmPOSES.
·-------------------<L. 6.)
SWORN ~NO SL'BSCDIBED !IE.,ORE ME THIS-----· DAY OV
-------------"'---161-
\
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(
-