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OC1968-0148 - ESTATE OF MCCOY
.Affi~nutt ®f Exrrutnr ®r A~mittistrntnr ":~·· ~taft .Jf J.rnnsgl "lania. f ss: Qlnun~ nf 1ll!las~ittgtnn ( Personally bdore me, the undersigned authority, a ........ ~.~~-~-~¥. ... ..P.~.~--~-~.!?. ................................. in and for said for Ada McCoy Clarke . County and State, appeared ..... J..ames ..... C. .•..... Mc.C.reigh.t.,. .... att.or.ney. . .,.i.n ..... fa.c.t/ ..... who, bemg duly rurorn according to law, deposes and says that she is th~ executor ~~~XSJtJt~~Jt of the estate of Anna .... M.c.C.oy.., ...... aLk/a .... Anna ..... C. .•..... M.c.C.ay..~ .. : .................. deceased, that the foregoing schedules constitute a B/o~t~e q~vzefh~fv!l.a~Rll~e_l;tfifrR~t of the real and personal estate ~f ..... .A.D.!}.~·-··r.1:~_QQ.Y. .. 2 ...... ~{-~.L.?.: ..... ~!JD,a C • .!eclffA~,0~~epf(i£( esta~~Pocl:fl&ei-tftP~m~COhW~lth of Pennsylvanta; that the f·Igures oppOSite each Item ·)f rea] and perso::J.al estate in the foregoing schedules are determined and stated by the undersigned to ·)e the fair value ot said items as of the date of the decedent's death, based upon a just appraisement of each .tern oade by the above named Executor ~~~goc iay .:~~~:~~·;!_' tMs. _ .. L~ } __ ::~-~-<Mc_:_~;~2- BAR!.\RA ~&.~...... ··· .. ............................ ~ ~m~xuroc-U~:mxoor WASII!NGTON, 'JASHINGTON comn'r' AD TIONAL INSTRU~ o~torney-:-in-fact MY CcM;I~SIOHf!fiPIM~~'li'l6ofY !M~st be filed within three months after appointment of personal representative. 2. I! supplement;tl inventory must be filed within thirty days of discovery of additional assets. :3., . 1 Original ancl. 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $i!,O,OOO, inchding Copy of Will; 1 Original and 3 Copies and· 2 RCRI-33, Over $50,000, including Copy of:Will and c01py of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 JhtPrtttnrg attil J\ppraisrmrttt of the goods and chattels, rights and credits which were of:: ... !.!TI.D?.: ..... f1.~.9.~Y. . ., .. ?.:!¥l.~ ..... An.D.~t ... G..~ ...... M.9..Q.QY .... .late of ... :e.Q.;rQ_~gh ..... 9.X .... E..~.§.t ...... W.~.§.h.i.ngt .. Q.D ...... - i:f/k/a Christianna McCov d . f . · h h b ff'd · Waihngton T~our.ty,Ya., take·n and fna e tn con ormtty wtt t e a ove a t avtt. . PERSONALTY lL. C~h c.;nd stam~s in possession 2. Check~ng account in Washington {Pa.) office of Mellon Natiomal Bank and Trust Co. 3. Sc:.vings account in Washington {Pa.) office of Mellon N£tional Bank and Trust Co. 3a. Interest accrued to date of death 4. Cash on deposit in trust with McCreight, Marriner & McCreight 5. 132 e~ares of common stock of Standard Oil Company of New J=rsey @ $70.6875 6. 8 shares of capital stock of Consolidated Natural Gas CoJ. @ $30.625 1. 15 shares of 4-1/2% preferred stock of West Penn Power C::>. @ $75.75 7a. Dividend on West Penn Power Company stock payable 1/15/68 to shareholders of record 12/27/67 · $100.00 and 8. ;27 ; ... em'~ *50. JO face value bonds of The Brooklyn Fox Corporation 9. Refund due from Washington Manor, Inc. 10. Fe fund due of 1967 income ·tax 11. F.efund due :rrom Blue Cross .. 12. Public School Employee retirement check for January, 1968 REALTY -None REALTY OUTSIDE OF PENNSYLVANIA -None DOLLARS CENT~ 10 75 4,765 09 22,668 02 174 37 1,236 57 9,330 75 245 00 1,136 25 16 88 None 120 00 136 00 9 70 67 05 ' ~-::! ""'· ::._: .._ "' ; !;.., r-. ' 'j ~· L .,.. ~ i . ...... ~ ! ···~ .. ;.:: __ "' Stlll.l ·10 U:i ! \ i ~ i ..... ~" ~ ~ 0 ONWt"~i·J l'lJ~~R~V I ... ·t ... ~ <..:: 1:1 ~ I ~ ~ ~~ N 6S ! ~ ·• E tJd i C'J') . ET ' I ~ l::t... r.:nr r::,..· i I 'ti-~~-I 'ti- ~':·JI I .. ! ~ ... 1:1 ""~ i t::· .. .. O.:J i ~ "' l/-..~ J I ~ ~ L "' ;:! ·-.. ! ..... ...... ~. -D ' ~ I M I ~ :0) 1<.~ r ,.,t (;..:) co (I) ~-· :;:::1 '-~-1 • • :::::;:.:2 ·;.! C'.' t-,,iJ'-0 (/) -v> (.-:) ,_, Q-t ~~r~ ~--l ••• "t•l s--' c=~~ '·t~~ ·...i ·.~. --~ .' l ""-.,_ :;:;){- (C_ ..::·· . -~-:· ·. o::,.;;l._ ~~.-.-;:;:;.:-.. · <10.-CJ ..., ~ I : "' -l-~ =-= . ·-0 "" -··· ~-.:~ r---<- VJ(/) r-o w --· ~ (}") .. , (/l •. ·~ "', 1 -. -:.; L...:::, _", ~ c: w 0"1 ~-7 ( ,, -~ l STATE OF PENNSYLVANIA, WA~HI~GTON COUNTY,, ~ SS: \-' per Attorney-in-fact Tne wit>hin named AcCJunton't /being duly sworn according to low, depo.;e s and soy s that the above account t t .:J · t · ..1 -she · ·1 b 1· ass o e IS rue an . ..~ correc as .......................................... ven y e 1eves, ~ Sworn ard subscrib~d before me this ... .;?£ ....... . day cf ____ .,Wy __________________________________ 19_§_~------- . --~~----kl! ... ~---Notary Pul::lic ~qas:1.ing ton; ~fa·shington County 1 Penna,. ______ (i_~lJlef!q--~----------------- ------fit--ke.7f.l.~-~---------------~ ~-;n-~.· My CO<Tiiniss:;to[i· Expires Decerribe·r 30 1 1970 ,~ "~ .,, ;'" .·g;_.y·' W4l'Siiingtor..'·(ountyJ ssu, i.' 00 (0) a>! r-4! 'Hi o: ('I') ~~ c-.:::;: :5!:.,.. I do certify that I h.:Jve given legal _notice to all persons concerned of the filing of the within account in the manner prescribed by Stot·ute and Rule of Court, as evidenced by proofs the,eof-Hied to No/(}_f!_-j-_lf~/_ _ _ d Witness my hand and official ·seal this.~------------------ '-P'Z~~Lu-/ / day of ... ,.,.., ... --,-~=-;:;-------------------------------------·-:·· 1 :-~----- --~-~~j; ::':? r ~I ...., ... ::s 0 0 Q) ~ 0 ...., ~·i?? :--:-: -f~;:.:? F :._,~ . .,. ~,. ') ..... ·• ~j .. -,_,_ j .• :: c.:i "' ,..; ~! ~ . ....._; dl '-Sl ci ) z ~ '-S) I''' ~· -i ' ., ,j '-'P~~ ... 0 ..... ., ., j~' tf.l.':f r·r· -.;:._' :;,'..._ I· • ":' .. '-.--, ,, ,...-· :: j, '~ •,,_ .... 4 Q~ l ~ y, ,;~·"~~" ~ ... !;<.)"!". ,__., ' '/_ • 0 -~~~ ;,.. :;.; : "'· :. \_;.,., "t.~~ '-.. .., .. .....: ;;: ~. . . " .:: ---~ ~ J ·~ X (.) ·""~" r, ~. ~.:..-~,_L-~~y·0·J,,',~V"\> .., ~ --~'1 ' .t ;J·~ ·~ '~ ... .. I :. ;.,. 'i. ; (• ..,, The Court is respectfully requested to determine proper distribution in this estate. r; ~-~ J--t <t F NO. of 1968 The First and Final Account of ADA McCOY CLARKE, Executrix of the Estate of ANNA McCOY, also known as ANNA C. McCOY, also known as CHRISTIANNA McCOY, deceased, late of the Borough of East Wash- ington, Washington County, Pennsylvania. SUMMARY Debits Credits PRINCIPAL PERSONALTY, Schedules A and B $40,073.55 $ 28.00 INCOME PERSONALTY, Schedule C 896.84 EXPENSES OF ADMINISTRATION, Schedule D 4,203.13 FUNERAL AND BURIAL, Schedule E 1,478.25 DEBTS OF DECEDENT·, Schedule F 852.92 INHERITANCE TAXES, Schedule G 4,500.00 $40,970.39 $11,062.30 The above balance consists of: Cash on deposit in the name of the estate .in a check- ing'account in the Washington Office of Mellon National Bank and Trust Co. Cash on deposit in the riame of the estate in savings Balance $40,045.55 896.84 -4,203.13 -1,478.25 852.92 -4,500.00 $29,908.09 $ 577.34 Account in the Washington Office of Mellon National Bank and Trust Co. (#61-4202) 132 shares of common stock of Standard Oil of New Jersey (Inventory Item #5) $250.00 face value bond of The Brooklyn Fox Corp. (Inventory Item #8) $20,000.00 9,330.75 None $29,908.09 i 1968 Jan. 9 Feb. 20 1968 Feb. 20 1968 Feb. 16 Mar. 12 May 1 June 10 June 18 June 28 July 16 1968 Jan. 24 Jan. 24 Feb. 2 Feb. 2 Feb. 19 SCHEDULE A PRINCIPAL PERSONALTY, Debits: Personalty per Inventory and Appraisement Gain on sale of 10 shares of 4 1/2% preferred stock ·of West Penn Power Company as follows: Gross sale proceeds @ $76.50 Inventory value @ $75.75 Gain SCHEDULE B PRINCIPAL PERSONALTY, Credits: $765.00 757.50 Loss on sale of 8 shares of capital stock of Consolidated Natural Gas Company as follows: Inventory· value @ $30.625 Sale @ 26.125 Loss SCHEDULE C INCOME PERSONALTY, Debits·: Dividend -Consolidated Natural Gas Co. $245.00 217.00 Jividend -Standard Oil Co. of New Jersey [nterest -Mellon National Bank & Trust Co. Dividend -Standard Oil Co. of New Jersey Medicare refund Blue Shield -medical claim Blue Shield -medical claim SCHEDULE D EXPENSES OF ADMINISTRATION: R~ssell Marino, Register -probate costs Nctary fees Otserver Publishing Co. -estate notice Washington County Reports -estate notice Russell Marino, Register -short certificate $40,066.05 7.50 $40,073.55 28.00 3.40 112.20 278.99 112.20 312.04 70.00 8.01 $896.84 $ 23.50 3.00 12.50 12.50 1.00 Feb. 20 June 13 June 13 July 22 July 22 July :!2 July !!2 1968 Jan. 25 May 9 1968 Jan. 24 Jan. 24 Jan. 24 Jan. 24 Jan. 26 Jan. 26 Jan. 26 Feb. 6 Feb. 12 Apr. 16 June 4 June 12 July 2 .. , .. .. SCHEDULE D, Continued Kay, Richards & Co. -stock sale expenses Russell Marino, Register -filing Inventory McCreight, Marriner & McCreight -on account attorney fee · Ada McCoy Clarke -executrix' compensation McCreight, Marriner & McCreight -balance of attorney fees Notary fees Russell Marino, Register -filing account SCHEDULE E FUNERAL AND BURIAL: Piatt Funeral Home -funeral Kurtz Monument Co. -marker SCHEDULE F DEBTS OF DECEDENT: 25.63 3.00 1,000.00 1,600.00 1,500.00 3.00 19.00 $4,203.13 $1.373.25 105.00 $1,478.25 Mollie Keretzman -nursing bill 150.00 Gladys Prowitt -nursing bill 150.00 Mrs. Richard C. Foster -nursing bill 25.00 Robert C. Gordon -ambulance service 15.00 Dr. M. W. Graham-medical service (partial) 69.00 Dr. M. W. Graham -medical service (partial) 15.00 Dr. M. W. Graham-medical service (balance) 25.00 Washington Meat Market -balance due 12.84 Drs. Richardson and Corwin -medical services 350.00 Washington Hospital -balance due 3.50 Malcolm L. Morgan, Co. Treasurer -personal property tax 33.86 McCreight, Marriner & McCreight -notary fees advanced 2.25 Ernest C. Cramblet, Collector-E. Washington Borough tax 1.47 $852.92 1968 Mar. :..9 • ' I SCHEDULE G INHERITANCE TAXES:. Russell Marino, Agent -payment on account ., •. $4,500.00 ·. -. flse~er -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Ad·vertising Act of 16 May, 1929, P. L. 1784, 3JS amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally appear·ed before me, a Notary Public in and for said County and State, ...... Ri..c.JJ:a.r.4. .. )?.., ..... Q.Q.W.~.U. .................. , who beilllg duly a>worn according to law, deposes .and says th3Jt he is the ~-~-~--~-Y .. ~----~--.. ~~~-~-~-• of the Observer Publishing Company, a PtennS>ylvania corporation, and its agent in this behalf; that the said Company iS> the owner and publisher of the Observer-Reporter, sucCiessor to The Washington Observer, established SePtember 18, 1871, and The Washington Reporter, established Auguit 15, 1808, a daily newsrpapeir of general circulation, printed and published and havin'g its .place of busines•s at Washington, Washington County, Pennsyl- vania, where it or its predecessors have been established and published continuousiy f<ir more than six month& prior to the publication of the notice hereto attached; th3Jt the printed notke or advertisement hereto attached is a copy of an official advertisement, of.ficial notice," legal notice or legal advertisement, exactly as printed or published in the ObSierver-Reporter in its regular editions on ··the following date or dates; ........................................... . ......................... f.~_9.r.~~.:r.Y .... S .. , .... J.?. .... ~D.4. ... J.9..~ .... l9.9.~.---···················'····'··· that neither th'6 affiant nor the Observer Publishing Company is interested in the subject matter of siaid notice or advertising and that all of the allega- tions· of this affidavit as to the time, place and character ~publication are true. :IJ _' // , ~ {_-;:_, _ ··················'··········~---·········-~·-···· ,....,-----·-----'---...;_-., . EXECUTRIX NOTICE -[ ESTArE OF Anna McCoy, a/k/a· f. Apna. C. McCoy, a/k/a Christianna i l.V):cCoy deceased late of Borough of \ East Washington, Washington Coun-l ty, P~.. . I Leters Testamentary upon the . \ above estate having' .been granted I to the undersigned, all persons hav-\ ing claims against the estate are . reque ;ted to make known the same to the undersigned or his attorney and aJ. persons indebted to the dece-j . dent are requested to make payment \ to the undersigned without. delay •• Ada McCoy Clarke Executrix • 348 East Beau Street .. · Washington, Pa. 15301 i · ,: McCr~ight, Marriner & McCreight ~.: ·,' 520 Woashlngton Trust Building ' f: Wash:ngton, Pa. 15301 · .. _ ·-· _ _ ~ _ _: 683Q-~~n,~t~ ' I Sworn to and subscribed before me this .. 1.9 ... day of .. fl.e.b.r.u.a.r:y .... 1968 ···-~fJt!.-?f.fT.~~~;······· w. 2878.2 l.l:R'i•q:r M. SR,\:J~EY, f,~f~RY PUBliC WASHINGTON, 1'/ASHI:lGTO~i C~U:HY ~~v COM~ISSION EXPIRES h1AY 6, 1968 Washington Conly Reports ~~PP~xm::~ Washington, Pennsylvania (PUBLISI-"ED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION m com1=Ji;.n:e with the Newspaper Advertising Act of May 16, 1929, P. L: 1784 Sec. 3, p!l'l"agr.aphs (3) and (25). cc·uNT"" oF W J.s ariGTON ) STATF. DF PENNEY:.VANIA ( ss. ?ersonatll ::ppeared before me, a Notary Public in and for said County and C•)mmJnweaiL'l, CHARLES C. KELLER, who, being duly sworn, deposes -and says: :hat he is the Editor of the WASHINGTON COUNTY REPORTS, the official legal pe-ic<iical for said Washington County, publis'hed weekly having its place .Jf busi:.e-.s at Washington, Washington County, Pennsylvania, and is act- ing a! its ~en~ in t'his behalf; that the said WASHINGTON COVNTY REPORTS was established on March 31, 1920, and was designated as the official legal :;>Ublicatit>"l for Washington County, Pennsylvania, by order of the several , courts ol said Crunty, dated November 11, 1920; that the printed notice or adver- tiiem€!1t a tt<8h:c hereto is a copy of a notice or advertisement, exactly as printed "::.._ ~ pu'-'lished, ·dli:h appeared in the said legal periodical in its regular issues on the vullow.ing dat!S' •,.__ . -...... ~~J:?.~.'?:.;".Y. .... ?. . .t ... J.?. . .t .... ?.? ...... J9.9.~ .......... . that the affi;u:t or the corporation in behalf of which he is acting is not interested in thz subjc·:t n:atter of said notice or advertising and that all of the allegations of ,h;, offidovC "~pi.« ood 'h"(!}'_ 'h•vtioo. ·~ 'ru'·. . -orid ....................... : ...... ;_:(/~ · _ Editor Swo·n to a:td <= scribed before me this f<ATHtRIN:: C. VARO, Nota ubll~ Washi!J!lbn, WaJ .. 11. ~~n Co., Pa. M=--:Ommission L,.,j:ras llil1'etnller l, 1969 !!" .. /.C"' EstattA~ ')IS The W;~j 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 Attorneys. e • • e • • • • • • • • e • • • • "-~~~-'~~ ' ~~, ' .•. -~ PETITION SUR ·AUDIT 'llestate ~· '' IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of .... _ .... f\NNA .. M.c.C.QY.,.al.s.o ... knawn .. as ... ANNA C. M·::COY al.so known as CHRISTIANNA 63-68-148 No ..... ---------------------------------------------------··········· .................. '······················--·----------------------------------------------· Fiduciary .... _~g_?; __ J:'!~.9-~Y. ... Q.~~!.J:<:~.-'-··············------ ---~g_c_qx __ , __ ···························································-------------· ······················--E.:K~.C.U.t.:r.1.:K .................................. . Deceased Date of Date of Decedent's death .............. .J:.~:n!J..a~Y ... 9 . .t. •• l9.6.~-------------:.Grant of Letters .......... .J.~n~~J~Y. ... f.~ . .1 •• J9..9.~------------------, . This .s the. __________ .fir..st ... and .. finaL .......................... account filed in this estate If there hav~ been former accounts filed in this estate, list file number or number and term ...... N.one .................... . Electiorl to t:Jke 1 1 Unde-o-:x Against will.~~r~P?oufg,fe9 e Date Election Place of; Filed --------~-<?.~~-----------------Record ---~~~~----------------·· Name ·of s~viving spouse ......... -------~~-~~--------------------------·········----------------------------------------------------·------------------------------· List is=ue, ~here material: None Did deo:eden" marry· after execution of will? (indicate) :lb':leX. No. Any children bo·rn after execution of will? (indicate) 'te!SX lhl·).' If Cilnswer yes, name them ....... , ....................... ;·---··:····:···---------------:-----·--------------------------------------------------------..... . Leg.ate:; Relationship Interest Fiduciary, if deceased or not sui juris Ada. McCoy Clarke sister All List, ir exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: Ho exceptions. If par·i:JI int=stacy, give facts: None Notice 1o inte·rested parties. Have all parties, having either vested· or contingent interests and all crediors entitled to notbe (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. ~ If any exception give cause: .............. ::: ............................ . Filecop~ofl\btice 1968 ' and date of mai I ing ................. ~~~-~~-~---?.·~----····································--·····---···············-------------------...... , ...... , ................ . Is estate subject to the filing of a Federal Estate Tax Refurn'? ............ N.a ..................................................................... . A t I :. . d P I · T. f I h · T A · $ 4 50 0 0 0 c ua payment ma e on ennsy van1a rons er n entance ax. mount ---------'---------~ ...................................... .. If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant.. .................. .. ............ ,: ...... I.nap.pllc.able .......................................... :· ........................................... .' ..................... ~----·····:_: ___ :_:··········: Give .. Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims;: state whether they are admitted ·to be correct; and whether the claim is denied. None Give reference to such pa'rts of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: None Balance for distribution per account, Itemize any additional debits not shown by account: Sept. 13,1968-Standard Oil of N. J.-dividend $118.80 Sept. 30,1968-Reynolds & Co.-net proceeds, sale of Brooklyn-Fox bonds (Inventory Item No. 8) 98.26 Nov. 1, 1968-Mellon National Bank and Trust Company -interest Total additional debits (Add) · · · · ltel)'lize orw odruti.onal credits not shown by_ account: Aug. o,~~D-Russell Marino, Meg. I Short Certificate Oct. 22,1968-Ada McCoy Clarke-advance dis- tribution of 132 shares of Standard Oil 400.00 $ .......... 6l1-... o6 _________ ___ ].00 9330.75 $ 29,908.09 ................................................. 30,525.15 of N.J.(Inventory .Item# 5) Notary fees Balance for distribution $ -______ 3;;:_2_D____________ . '. 0 ..... $9336)-:7? 21 18r8. 9 ---------$ ......... ~------·'---------- Total additional credits (Subtract) If balance for distribution is not in cash, list each item held in kind,-giving appraised Value (or'distribution Value); Cash ---~-... -~---- ,f .1 •. • • If. F ·1 'E . t. 1 · . d b p · · · 1 f R d Inapplicable am1 y xzmp 1on c a1me y et1t1on, g1ve pace o ecor :; ............................................................................... . If .F 'I E . . I . d d. . I . h' d b . f Cl . . Inapplicable . aru y X€M~·t1on IS c a1me at au 1t, g1ve name, .re at1ons 1p an cs1s or a1m ................................................ . List a,y odv.Jmc:!ment or distribution on account that has been made, and nature and amount of same: Oct. 22~ 1968-Ada McCoy Clarke-distribution of 132 shares of· common stock of Standard Oil Company of New Jersey (Inventory Item 5) ~n kind at appraised balue (credit taken in Audit Petitio~• $9,330.75 Sugge~ted :Jistriib.Jtion of ·balance shown, both as to principal and income, attaching signed and itemized elections to take in kird if balance is not in cosh: residuary shares being stated in proportions: • " I .. ,. . ~ .• ~ tll to Ada McCoy Clarke . . · . ... . . • t ' ' -,. •. . .. COUNT( o·= "\o.ASHINGTON, SS: COMMC•NV..EJaLTd OF PENNSYLVANIA. The ab0t1e r-amed Fiduciary or representative thereof, being dL·Iy ... _____ 9.\fQ.~n ................ doth depose and say that the fact:; set forth in the foregoing petition are true to the be:st of ............ !'?-.~-~---··--······knowledge and belief. ------------·---~~?.!.? .................. to and subscribed before me this_~z/':d~y of-~~9--~ Sognotu" of Offocer ______ .<-: _ _ ___ __ -------h Title of Officer_.":.,~ ... --·--··----~------ Office e>:pires .. -.7~~-~A #.~, -:-~'r~ .. /.?..:2?.?. .... ~T-~~.f,("iro'rARY ruBLIC V WASHINGTON, WASHINGTON COUNTY MY COMMISSION EXPIRES JUliE 25• 1970 .. And your petitioner will ever pray, etc. ......... ~7r.J.~~-~---··--············--···--·· -----~rf.t-{11-~------------ ~- r. • ... :I "' . ~ . ,. .._ . { .. ·. t-. ,. . y ·.. . • \ No ..... §.~-68-148 ................................................................................................... . Estate of.. ..... :.-.~·.: ...... ~r-~~~--~~?-~~.:Y:?..~!.~!.~. Anrta:d; ~cCoy: a/k/a ........ Christi~nna McCoy .. - Deceased Fiduciary ....... ~~-?.: ... ~~.9-~Y.. __ gJ~r.~~-'---·--····· ....................... Ex.e.cJJ..tr.ix. ......................... .. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective Qecember 3,· 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes 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 if .~ot filed with account. 8. Certificate of liens in case any of the -. funds for distribution are from judicial ·';.sale of real estate. 9. Signed and itemized elections if any distribution in kind . 10. Copy of Federal Estate Tax return if es- tate is subject thereto. McCreight, Marriner & McCreight ....................................................................................................................................... Attorney. ~2 ~ ' ;-~ \ l .. E f) 1~33 cc.c 17 P\\ 3 : 36 RUSS£\.L \'ii\R\':40 Rf.G\Slf.K CF \1\LLS STiiiA .::!0 ~J:HSl03tl mmJ'-.t!·.l ·nJssn8 n r-·· ..,c : l ld '? l\l~f' t'=:<1.-,'T 'l C. 1i> I to (J • '"( ,.,;~ ~ 0 l··~ll I .:J . 1 .:·1 .i ,.- ~ • "' ., lJn tqr ®rp qana · Qlnurt nf llaaqington QI~unty Rn the n::.att,er of the Audit of Account in Est::.te u:~_A:..:..:..:n::..:na:.::· :._.:.M::..:c:....C:....o.:..y~,---=a:..:../_:k.:.:/_a=.. _A::..:..:..:n.:._n:..::a:....· ~c=-·=-:-1 No. 6 3-6,8.._-....,1._4...,8.__ __ ____.:;,'---, :D9XX.JQCXX« McCoy, a/k:/a Christianna McCoy ':'0 THI AUDIT:.NG JUDGE: our accountant Ilnter __________ appearance for· ___ ....:::~:...::...::.:.:...=.=.:...=..-.,-------::..._-------- Ma~riner & McCreight . _ ___:.D=-e=-·-=-::-=e.:..::mo.::::b...:eo..=r:.......,... ___ , 19_6_8_ N. B.-Counsel shall, hy 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 se_parate paper. Council suggesting pro]ler distribution shall file a separate concise state- ment in that regard. / v 1..0 ['""'! .. r--.. (Y) 9~ !--..! ~--~ ; ' I ~ .:..:::::: '-~~-: ~-~~ ,....,_..._. !' --!c::: "~ ~~ ~ r v~y, :• i (,) ~[2 2:i L~ J C:w a o:: M ~;;_j ~~ No. 6 3-Q 8'---:_....._1-'-'4 8"'----:OOXXX},C~ In re Audit of Account in Estate of Anna McCoy, a/k/a Anna C. McCoy, a/k/a Christianna McCoy ----- AUDIT Jrarripr fnr Appraranrr FOR \ Accountant ·McCreight, Marriner & McCreight Attorney ---============ "'(~~1~-2 1Ju tqr OOrpqans~ <nnurt nf Basqiugt~n Qlnunty 63-68-148 . EST AT:: OF No ............... Of 19 ............ , A.A. . ~-r_:~~-~-~-~-?.?.: .. ~!.~!.~--------------------------------In the matter of the: .. f.tr!?Lc~mQ. .. f.t.n~l. .... . . t.\.~--~~--g_: .. M~_g_<?.Y.! ... ~/.'!:/~-----,-------------------Acco,unt of .... ~9.C:..~~~-?X.C?._1_~~~~! ............... . :::::tristiannc. McCc·y, Deceased. Executrix ADJUDICATION AND DECREE 1'\nd no\' ........... J2.~-~~!P.!?.~-~---·······---·····--··/,G .. , 19.Q.$.:., this matter came on for hearing, cuclit crnd distriiJution ct this session and testimon/"t~ken; and thereupon, upon due consideration h~of,..tfg ~once br distribution in •the hands ~f the'Ac_countant_ is determ_in_ed to be ~--~--'-~-----!·---'="-------------··--···---------·-···· and the account 1s accord1ngly •:onf1rmed; and 1t IS ordered, c·djudg~d and decreed -hat the said balance be paid out by the AccountCIInt in accordance with the s=hedu -e of distribution hereto attached and made a part hereof, unless exceptions hereto be filed s:c. reg. or an "Jppeal be taken herefrom sec .. leg. 6alonce pe·r account ... -----··----------------------·--·····---.-------------------------------------· $.a~-~-9.QS_. __ Q~ AaJ.d·.tic nal dEbit as ted at audit 617.06 Add:.tic nal credit aE ked at audit Ba lc nee ................... ___ . __ ........... _____ .... _____ ......... __ . __ .. ______ . ___________ .. _________ ..... __ Ced.Jct Clerk's Costs & F.eceipts ............ ----------------------------------------------------·· 1-.tteorney .......... }~~~g!.~~-g:~t-~:.M~t~-~-t?:.~~--~--M~~-r;_~t_qht ................... . Russell Mari::1o, A<;"ent, transfer inheritance tax, Ada McCoy Clarke, sister, residue, including cash and 12.2 3hares commor. stock of Standard Oil Company of New Jccsey valued :tt $9330. 75; held in kind and distribut d I as s·1ch. at the valuE as shown, credit to be taken by the l accoun:ant fo:-.item advanced prior to distribution by the l 5.50 42.50 344.23 Cc·urt, 30132. 92 30,525.15 $.~.Q·'--~-~-~----?-~ No balance / v /, r ' _,_.., .) ~ ) I ) ) I .,..., J . ~; ; No.--------------Of 19 ____________ , A.A.' ' ·.-, .-, 0 • In the matter of the I._; account of ' . -, of Estate of .,...., n .,...., ) -.--, 1\~ju!liratinu au~ irrrrr s-\~:~:.~ .. -:~J r·: .~ .. :~~·::·<~ ~-;:~ Oi·'I\:J\/~·:. -i·-1::.\~::1: ,I'J 9[ : £ -·J. 11' ~ ·' .J ,. ~~ t .• J . '·--- (\"·i."l~ ' r \ ,, .. ~··~2 3l-yJ<7 ,. ) J ") ~ :0 ., ,., J · •. l i ") l) .. ) ' ) ,..., " 0 ~...., '. ·-, .,...., .,..., ) "!") ) . ' hi ·: ,:!_ [:..--i,;[ . J 1 "0 ) ·1 ,_ \ 1 (,") ' :0 ') . ...., -.-, -;--, -r . .., :1 ./"' . c.· J. .: ,·_J :_-.... 1 •••• ~ ' '··-· ~ \., .. I • .:: :;<::. ~ ' .... ~ .- ..;. ,! ) :1 \ :~~c~. r L • ·. ' 1 McCREIGHT, MARRINER & McCREIGHT !...~ Arr.pRNEY~, AT'LAW WASHINGTON TRUST Bl~~DING WASHINGTON, PA. ' ' (' ·--------···--···-------- ,-.. ... \ LETTER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS ~hat I, the undersigned !\DA McCOY CLARKE of 348 East Beau Street, Washington, Pennsylvania, ~s Executrix of the Estate of ANNA McCOY, also known as ANNA C. ' !'McCOY, also known as CHRISTIANNA McCOY, late of the same address, o hereby nominate, constitute and appoint John B. McCreight, tephen D. Marriner and James C. McCreight of the law firm of cCreight, Marriner & McCreight, or any of them, my true and lawful ttorneys for me and in my place and on my behalf as such Executrix perform all ministerial acts of administration of said rstate as authorized by Section 509 of the Fiduciaries Act of 1949, s amended, including, without limiting the generality of the fore- oing, the establishment of bank accounts; the endorsement and checks therein; the making of withdrawals therefrom; he transfer and delivery of stocks and bonds; the signing of all and documents in connection with insurance, pension and ocial Security claims; the preparation and filing of inventories, .ax returns, accounts and audit petitions; and all other ministeri 1 which may be necessary or convenient in the administration of id estate; hereby ratifying and ~onfirming all that my said ~torney or attorneys shall and may do by virtue hereof • . / ,,IJ WITNESS WHEREOF, I have his g)~ day of January, 1968. hereunto set my hand and seal lgned, sealed and delivered i~ the presence of: OMMONWEALTH OF PENNSYLVANIA OUNTY OF WASHINGTON ) ) ss. ) ·m{ On this, the 2~ day of January, 1968, before me, the ndersigned officer, personally appeared ADA McCOY CLARKE known o me {or satisfactorily proyen) to be the person whose name is ubscribed to the within instrument, and _acknowledged that she xecuted the same· for the purposes t·herein contained. IN WITNESS WHEREOF, I .hereunto set my hand and official eal. Washington, Washingto~ County, Pa My Commission Expires: IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF ANNA McCOY, a/k/a ) ) ANNA C. McCOY, a/k/a CHRISTIANNA ) ) McCOY, deceased. ) ELECTION TO TAKE IN KIND I, Ada McCoy Clarke, do hereby elect to take the following-listed asset of the above Estate in kind at the appraised value: 132 shares of common stock of Standard Oil Company of New Jersey. Witness my hand and seal, intending to be legally bound, this !flO day of Witness: ------:--::--~=---:-:---.----(S AL) Ada McCoy Clarke / ' - .. ,,. , ! w -v -y F:>rm RCC-3-3 COMMONWEALTH OF . v\r\''/'jJ, 1·\.JJ PENNSYLVANIA .DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS R3SIDE:ooJT DECEDENT COUNTY OF .......... Washing.ton ...................................... . IMPORTANT: Thi~ return must be GOmplet~d in detail and filed in duplicate, with will attached, with the· Reg:ster of Wills of the County where decedent ·resided; Return is due within one year after date of death, unless an extensioQ is granted by the Secretary of Revenue. (Section 703 of _ th~-Ini').erit~nce .. an!f .E.~t~tl;! .~1!-J!: A,cj:. of 19!}1.) IS THE I![ATTER OF THE·ES'J,'ATE 0... } · l!NNAl.. McCOY ,a/k/a ANRA c. Me'"Cot~, AFFIDAVIT oF and ..... CHRIST.IA!iNA ... .McCOY ......................................................... ;:s...................... EXECUTOR wte of ........... W.~~b..~:;~;~~-:-~---~r ... ~:.:.~:~.> ........... , ........................... County ~ State of ........... PeDnS!l.lVan.ia ................................. , ............. } -· / . ss: c. unty ~-r ... Washi-Dg.ton ..................................................... , .. ,_ . .J..P..m~.? ....... G ... !.M9.G.~.~.i..g.h.t. .. , .. ~_:t:..t..9..~.P..~.Y.:: .. ;i, .. n..::J.g,.9..t. ...... f..9..~ ................. ~4.~ ... --.M9G.9.Y. ..... G.l~~~~---------------------·--··----Eucutor: o0f the estate of the a~ve-name~ decedent being duly sworn, depose S and say S Name and address o: attorney or} ... :,~~s .. C.l'.M<i~CJ:.e..i.gh.t#.E.s.q ........ M.cCr.e.i.gb.t.~Mar.r.in.er ..... &. ...... Mc.Crei.gh.t othr.r authorized representative to ·· whon all corrosponden·'e should be. · 5·20-Washington Trust--Bldg.,-Was-hint'l'ton--;;·Pa--.------------15·30·1------------------------· mailed. ';;I Th t h executrix d · t · f ·1· · 'th th ff · f 'd t t d th :: aE sue ..................................................... eponen. IS ami Iar WI e a airs o sa1 es a e an e property con- < l•:x.,r.utor-Adm inislrator) stitutinE: the asset1: thereof and their fair market value. ThEt at the tirr.e of death there was no saf~ deposit box registered in decedent's individual name, or jointly wi:h, or as 3.gent cr deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of· the following l--v . . . . ~ RELATIONSHIP OF JOINT SAME roND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED IN WEICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DEC~DENT IlL 'I 'I ft .... ~ . . ~-·'· ---"~ m_ .. ..,._ ,..,... Anna MeCoy or u4o-s:·Main-s:treet:Wasfiinaton. Pa. Ada--·'lh.Clarke Sister y n.at the contents of sai.d safe deposit box or boxes are itemized under Schedules _ _.B'-of this return, witlh the exception of the following, for the reasons hereinafter set forth: ?hat Sc.bedule A attached h,ereto aqd made part hereof sets forth full v and in'·detail all the real prJperty in tihe Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets f:>rth the mortgage encumbrances upon each parcel 'of real property at the date of death, giving the amo~nt still •ue at death, name of mortgagee, date, rate of interest, and book and page of record thereor. Jt also sets forth in the columns provided therefore the assessed valuation of each of said pa~cels: th~ estimated market value thereof as of date of death of decedent. · T:1at Sch?dule 8 attached hereto and made part hereof sets forth fully and in detail all personal prJpert:-wheresove~ situated owned by the d~cedent at tl').e time of death; all moneys left by the decedent at the ~ime of death, whether in decedent's immediate possession, standing to decedent's credit in banks or· depoe-it, savings banks, trust companies, or other institutions, whether individually, or in 'trust for an: other person o:-persons giving also separately the accrued interest thereon, if any,-~dc;wn to the last in~eres~ da: prior to decedent's death in t~e case of savings banks, and to the date~~ decedent's death in all othe·· cases: all bonds, postal savings, treasury certificates or notes and othe'r evidence of in- debtedness Jf the United States to the decedent; all obligations, whether by statute~qr agreement they are designa~ect as tax free, of the United States, or anyt'state, or political subdivision_ thereof, or of an! foreign countr!, which are owned at the time of death; all wearing apparel, jewelry, silverware, pic- tures, tooks, works of art, h0useho~d ~rqit~re, horses, carriages, automobiles, boats, and any and all_ o tJ-er persor:.al chattels of whatsoever kind or nature, left by decedent, together with the fairly estimated market v.alue there•f; all bonds and mortga~es held by decedent and of all claims due and owing decedent at the time of dea~h, and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face va]ue and estimated fair market value thereof, and if such estimated fair market value be less than the faoe value, it set~ forth briefly the _reasons for such depreciation-as to each item; all moneys payable to the estat-e from life insurance polici-es ~arried by decedent; all annuity and endowment contracts the proceeds of which wsre payable upon the death of the decedent; and all the corporate stocks and dividends due ther~on and unpaid as of the date of death, bonds and a;ccrued interest thereon to the date of dece- dent's death and otlher investment securities owned by the decedent at the time of death, with the market value th·:lreof at such time. I \ .. ~· -. . .1. ''! In the case of securities of close or family corporations_, the values reported are as far as possible substantiated by fin~ncial 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-partne'rship 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 itemiz~d-form, together w_i t}1·.the fair market }~lue thereof, any other property owned or bequeathed 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 whom transferred, the relationship of the transferees to the decedent, the proportionate share ~eceived by each transfe~ee and all other facts of a'pe;tinent nature regarding said transfers. In the case of t~ansfer~ 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. Ther•~ is also set forth in said schedule a list of all property, real and personal, with its value, which passes 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 individually or joint.ly, by the will, deed,· or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule 0 attached hereto and made part her,eof sets forth the names and addresses of all. persons beneficially interested in this estate at the time of decedent's death,· 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 all minors, annuitants and beneficiaries for life under decedent's Will. It al~o 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, inciuding intangible, standing in the name of the deceden-t and others, plus the date and place of record of instruinents effecting the vestiture of real estate and the date of acquisi~ion of personalty, plus the .. name, addres-s ·a!ld 'rel,atlon.ship, if any, of co-owners to the decedent. That Schedule F attached here.to and made a part hereo:f 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; counsel :fees and fudiciary's commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in cons-equence o:f the death of the decedent; debts and claims owing and uripaid at time o:f ~ .. death; taxes accrued charge.able for period prior to decedent's death. (except_ those allowed under Section 651 o:f the Inheritance and Estate Tax Act); together with a statement o:f collateral pledged for obliga- tions, if any. It is agreed that the. fiduciary will present proof of said claimed obligatio.ns upon re- quest, ·that i:f 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 columns in Schedules "A", "B", "C", "E", and "F" as directed therein,. have been carried forward and properly registered in the . . 2.5z4' Subscribed_and. sworn to before me this ............................... . ::~~~:Ji~···················19=~ Washiriqton,:w~·shington County ,Pennsylvania My c.omm.tssion Expires December 30,1970 Summary. Ua.v .7/J ~&qdbb,4- . ~~~:~t;;;;;.)At.t.y.~.in.~.F.act ~/.~ ..... ?..?..9. ..... W.~~~~!!.9~9..Q .... ~.~-~-~ ..... ~~4q_, ___ , (Street Numbe-r) ~~~~-~~-~-~~.r.!:.~.~~-~~-~.¥.-~Y.~~-~-~ .................. ~.~-~-~ .. 1 (City or Town and State)· NOTE: ·Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in·. with details or the word. "None", and in case the assets include rare and unlisted securities, securities 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-directed. RCC-34 (l-64 COMMGNW.EAL'vH OF PENNSYll.VANii\ DEPART1ME~T OF REVENUE SCHEDULE r'A'1""'' -R.EAL PROPERTY J ., ). BU .. REAU OF COUIHY COLLECTIONS TRA.NSF,ER 'INHEI<ITAIIICE TA). RESIDENT DECECENT -~! " . \.f ·' . Real.property in Pennsylvania·,' with statement of mortgage enc~'mbronces up.on each parcel at death of dece- ··de!1t. Whe·e p!l'operty heid as joint tenant or tenancy by entireties, re,port on Schedule "E". Property hdd by .th~ d~cedent a,s tenant in co~mon with another or others, should .be identified as to quantum of interest and the estimo·ed value should be. that of the decedent's interest only. (1) (2) (3\ The real proeerty lccated In the Commo!'wealth of Pennsylvania should be described ~y lot an.l black number,, ~treat and street number, together with a general de!crlptlan of the property,. with a reference to the record of the conveyance 1:-y which the deceder.t took title; If a form state nu~ber of a- cres;, also st4temen· of .::~ortgage encum~rances upon each parcel at death of decedent. Taxes, assessment::, occ~ued Interest on mortgages, etc.,ore to be listed an Schedule "F" oncl must•not be deducted from this schedule. DEPARTMENT ., i'' N 0 N. l ··t, \ -'' '. ' Unsert this total opposite "reel property", Schedule "A" in the ~'As Reported" co umn on the· last page of this return. ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH XXX XX VALUATION ESTIMATED CAUTION MARKET VALUE .(Do not write ... -~~·: .... '··'..: In this space)' • .. ; ... , ·" None I ' RCC-35 I ' • ' COMMOI\WEALrH OF PENNSYLVANIA TRANSFER L-!HERITANCE TAX RESIDENT D3CEDENT :: .. SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually by the decefumt, at the time of his death, Property owned by the decedent join.tly with another or others must be listed under Schedule "E". Inta~gible personal property, titled in the name of the decedent, but payable at death to another or others, including but not limited to P.O.D. u. S. Savings Bonds and tenta- tive trust a~counts, must be listed, despite the fact that they are not of the administered estate. Tangitle personal property should be listed first (e.g. jewelry, wearing apparel, household goods, ~nd r.rni;hings, books, paintings, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, • stocks,-mort~age;, notes, together with accrued interest or dividends, salaries or wages, insurance pay- able to the es tEte or fiduciary in said capacity, partnership interests, interest in any undistributed estate Jf or ineJme from any property held in trust under the will or agreement of another, even though located outside Jf the State, at the time of death, ·should be listed in this schedule. Item ITEM UNIT ESTIMATED NO· List and describe fully VALUE MARKEr VALUE 1. 2. 3. 3a. 4. s.· G. 7. 7a. a. 9. 10. 11. 12. Cash and stamps in possession Checking account in Washington (Pa.) offi4~e of Mellon National Bank and Trust co. Savings account in Washington (Pa.) offict~ of Mellon National Bank and Trust Co. Interest accrued to date of death Cash on aeposit in trust with McCreight, Marr!ne.E:' & Mccreight 132 shares of common stock of Standard O.i.l company of New Jersey @ $' 0. 687 8 ISha:res of capital stock of Consolidated Natural Gas co. $ 0.625 15 shares of 4-1/2% preferred stock of West Pe·nn Power Co. $ s. 75 DLvidend on West Penn Power Company stock payable 1/15/68 to shareholders of reoorc 12/21/6? $100.00 and 2/ one $50.00 face value bonds of Th~ Bcoo:kly.n Fox· Corporation Refund. due from Washington Manor,Inc. !-Refund due from Blue Cross Refund due from 1967 Income Tax PUblic School Employee retirement check for .:ranuary,l968 ' - Insert this tota1 op,osite "Personal Property", Schedule "B" in the "As Repertedr co:.umn on the last page of this return. X X $ 9,330.75 245.00 ., 1,136.25 16.88 None 120.00 40,066.05 DEPARTMENT VALUATION (Do not write in this space) 1; 33 6 ·7-f' ,;yJ: ()0 /; / .:Jf.,-e2f ~jc,.,¥1 ~~~L)·OD FCC-)E. C J\r'?tO:--TrhLTil 01' PENNSYLVANIA. T"L\NSl'l~R INHElUTANCE TAX SCHEDULE "C" TRANSFErtS RES IDEXI' JECEDENT ·· ___ ......;;.......;;._..;..;;..;;.;;;;~;.;...;;..--------------------------------------·?. (l) Di<i •le::edent, within two years of death;· make any transfer of any material part ~<fis estate, without rec:Lv!i::ng a vsluable and adequate consideration therefor? (Answer yes or no) (::=) Die iE·~edent, within two years of death, transfer property from himself to-h-im_s_e_l_f_ and another or otiBl"S (inclucing a spouse) in joint ownership? (Answer yes or no) NO (3) If the answer to ·(1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer ---------- (b) State of decedent's health at time of making the transfer. (Note 1), <c) Cause of decedent's death. (Note 1). (41 Did ceoe~dent, in his lifetime, make any transfer of property without receiving a valuable or adequate con~id~~ation therefor which was to take effect in possession or enjoyment at or after his death? (An~~tel" yes or no) No . :a) \Vas. there any possibility that the property transferred might return to transferer or his est::t.te or be sub,iect to his power of disposition? (Answer yes or no) ___ _;__ "b) Wha~ was the transferee's age at time of decedent's death?------ (5) Did -<Bc-edent ill· his lifetime make any transfer without receiving a valuable and adequate consideration ther-efco-under which transferor expressly or impliedly reserves for his life or any period which does not :i, :ract end before his death: ta) The possession or enjoyment of or the right to income from the property transferred?· (An~wer yes or no) ___ N~O~---- (b) The right to designate the persons who shall possess or enjoy the property transferred or inccme therefrom? (Answer yes or no)_N~0~------ (6) If t~e ~swer t) (5) (b) above is in the affirmative, state whether the right was reserved in decedent alon3 o-other~-------------------------------------------------------------------------------------- (7) Did ie,c~ent\·+r. his lifetime make a transfer, the consideration for which was Nransferee' s promise to pay lricOflle to or for the benefit of care of transferor? (Answer yes or no) ___ 0 __ _ (8) Did -:J.e·coedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, beca~~e )fa reserved power to alter, amend,_or revoke, or~ich could revert to decedent under terms of t~snsfer or by operation of.law? (Answer yes or ·no) _______ __ . (9) If thE <:..:1swer t::> (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est ~f l.,e beneCiciary reserved in the decedent alone or the decedent and others? (Answer 1es or ,o)_. _________ _ NOTI: 1: ?h:!! answens to these questions should be supporter!. by affidavit by the attending physician as well as a ·C0J'Y of t ,e death certificate. NOT3 2: Jf !l.nswer to any of the above questions is yes, set forth below a description of the property tra,sferred: it's fair market value at rtate of death, dates of transfers and to whom transferred, with rel.a.tionsr~p of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans- fer~ are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based, NOTE 3: .Li~"; applicable property below in manner in which provided in Schedules A, B, or E. ITEI'I DESCRIPTION N .0 N E \ [nsP.rti this ~ot-'l.l oppcsite "TransfP.rs", Schedule "C" in the "As REportei~ =olumn en the last page of this return. MARKET VALUE (Estimated) None DEPT. VALUATION (Dept. Only) ' '"-....... CCM'IWNWCt\LTH OF PENNSYLVANIA THA."iS}TR INHEIUTANCE TAX f'illS IDEN1 DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I~S':'RrCT~Ori"S: This schedule must disclose all property, real and personal, owned by the decedent .Jointly wit:l ano:her or others, including intangibles, standing in the name of the decedent and others. List rea:.. estcte first, as entireties, or joint tenants, giving .brief descriptf<ln, as indicated tmder Schedule "A", plu!: the date and place of record of instrument effecting vesti ture, but do not include entireties or c-ut or state real. estate value in estate valuation column. Personal 1= roperty should be listed as in Sche·dule "B", plus d~"f~·~of "ac.qui.s'ition, and the name, address and relaticnship -'(fr-'any) of GO-owners to the' dece6ent. Descriptfun of Property, Date of Acquisition, Name I Unit Addtess and Relationship of Co-Owners, and Place 1 Value cf Record of Instrument, where Real Estate. ! percentage Estate Share Va.il.uation DEPARTMENT VALUATION CAUTION~Do not Write In This Space. _ N,_..-_0_+-~· ..... _.E_..· 1nsert. this total opposite "Jointly Owned Property", Schedule "E" jn the "As Reported" column on the last page of this return. Value of Entire Property None Value of Decedent's ~'Interest ,• \ h SCHEDULE "D" BENEFICIARIES BEI'-~EFICLA.RJES AND ADDRESSES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF State full na,nes 9.nd addresses of all who illegitimate children DECEDENT OF BENEFICIARY ave an interest, \:-ested, contingent or other-are involved, set STATE YES IN ESTATE lliiSoE-, in es:ate) forth this fact.) OR NO Bi:RTH ' ., /' ·" ·.·.) . ' An~ M~t"'nu 1"!1;:arl!A $;i~t!Ar l\.11 VAR . ., -,_ ,-._/n; c;;?n 'fA'll:ll=h4 nft~nn ... . .. . -... 'Ani :1 iii niT O!:>e~l'\ 4 ,..,_ ...... D::ia . .... "' , ~~n1 ' ; . ., . , .. c ' . ,. Deponent furth~r ,;;ays thart all the above-named beneficiaries are living at this time except below: No ex~eptit:>ll -- ::WAME DATE OF DEATH RESIDENCE ' ' -" ' Will . . . { No. ~~ 2 ' - D< THE Year :\lATTER OF THE APPRAISEMENT OF THE EST:\.TE OF Anna McCoy ,a/k/a Anna c •. f.icCoy a/k/a Christianna McCoy . Deceased Late of .... ~a..$t .. :W;uJ.b.in.qton .. B.oro:u.gh: CountY ovashinqton , ·····'··········· ~. Commonwealth of ·Pennsylvania REPORT AND APPRAISAL : '.·.~' .:"'"1 Slll,\1 :JJ U3J.S!~~1J Ol~laV!,I TIJSSntJ trz : H !H G S:~·~~-c:;~; 0.3'lf~J (Executor-Administrator must complete "As · Reported" column #1.) 0 .... 0 "' "' ...., ll>" >< 1):> 0"' (i) trl "' ..... 1):> ..... (1) --q) ~ c:;) .. , 0 ~ 0'\-•< 0 V:1 ...., '"d -~ .... (1) (1) ·I):> .... ~ ::s "' "' 0 ..... g,.'"d (1) ... -/8 "' '0 '"d (1) .... ... 0 ~ '0 (1) ... .. '< .... --Vl Vl Vl () () () ?" ?" ::r q ~ ~ --- -fl9 -- • z a:. z •:o o 0 •::s· .. ::s •m o (!) CJ\ CJ\ • 0 ~- Vl c: ~ ~ > ~ ><! ......_ >" "' ~--(1)-'g~ .... .... (!) c. -(nq)q)-fn-fn-fn :~ ~: > .(). "' :' : ' • u II c: : :. ~-. ,0. : r. tv · ~· ~-' 3~ 6"'\: :~. ~-.. r. -~· : "'': \: ~. L -~):\. ., -' (I: ~' t ~ ~i .. \." '· ·• ' ,. ·' ' ,. h ;-.~· I I ~- J;CC-31 (2.-64) ·COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT ADA McCOY CLARKE (Executor ~- IN YOUR REPLY PLEASE REFER TO 37_90-4 In Re: Estate of ______ AN_; __ N_A--=:M:.::c_C_:_OY ________ _ -----~W:.:AS::.:H::.:ll::-N.:..:T:..:O::.:N:__ _____ County -File No. 6)-68-148 ., I•ea:-Mrs. Clarke: You are hereby notified that the orie(·nal ~pp~aisement in the estate of Anna ~cCay l:as been filed in the office of the Register of Wills qf Wa,sbing.ton (OQ,ty on October 31 ' 1968 . Said appraisement reflects tlie following valuations: Raal Estate-~---------- ?= rs on a 1 Property ------=4~0~,~0:.:::6:.:::6~·-=0-'5 __ T~ansfers ___________ ~~rr~----T~tal _________ ~4:..:0~,~06~6~·~0~5:___ As to 3Uch tax that is paid within three montts-from date of ceaJh, a five (5~) percent discount is allowable. As tc any tax that r:em:a.ins ur:paid after one year from date of deatli, interest at the ·rate cf $iX (6~) perc=nt per annum is charged. Any pa~ty in interest who is aggrieved by an aPPraisement may cppeal therefrom as provided by law. [ate -------=-:loom==;__::_Oc~t~o:..;bc....:e:..:r~J=lL., --'1=-.;9:...;6:.;:_8 Signe~.f! a:~ e# Title W.R. Ghar.ey, C "ef.Appraiser I.ATE OF DEATH: January 9, 1968 .No·e: Thi~-is not' J bill. / v 'ICC-3~ (6·67) ··:oMMJN~EAL TH OF PE~NSYLVANIA TRANSFER NH =:RITANC5: TAX RESIDENT tECEDENT ,· McCOY, ANNA FILE # 6)-68-148 January 9, 1968 .SUMMARY FILE # 63-68-148 ftEPOHT OF INHEIUTANCE TAX APPRAISE.1 :! th? undensigned duly appointed Inheritance Tax AppraiEer in and for the County of F eJ Washington ' Pennsylvania, do respectfully ~·~eport that I have appraised the rEal and personal p~operty as reported in the foregoing re~urn at the values set forth oppasjte ec..ch .it€!'Tl in t:1e last column to the right in Schedules "A"~ "B", "C" and "E". s:2 ~Yi?_ APPRA~~· n a tE-d: 1~31-68 01-09-68 REPORT OF THE REGISTER OF WILLS I, ::.he undersigned duly elected Register of Wills in and f'or ------------ County, Pen1syl vania, cl<o •·STlC:t: tfuJ.l,y report that I have allowe:l deductions in the amounts claiJted b:y d=ponent., excr:,p t as to those i terns where a greater o-r lesser amount is set forth in t•e lc.st columr to the r:i.ght in Schedule "F", which greater )r lesser amount represents the ;:;un c.ll·)Wed a~ a ded:1e tion. n a te:l: IN'IENTORY Heal Pl·oper~y (Schedule J\.) Pers~nal Property (SchedJle B) Transfers (Schedule C) J oint-Eelrl Property (Sch~dule E) TO'IAL GROSS ASSETS LESS Debts and Ded'.lctions (SCHEDuLE F) CLEAS. VAUJE ()F ESTA.TE ValuAtion of life ~states or annuiti:=s ESTAT3 'fA~ ASSESSMENTS FO.H ,U:)E OF R3GISTEF. ONLY Ta·x ~'0::1 Co' .., Co' P>% Tax ·o::1 "' 10'% ·--' T .~x Oct ~: 0-t/ T a:x on ~~ :~ Ex'enip·::.icm~ :=(':') Total Estate TOTAL "rAX Less tax previously p~id . BALANCE Less 5% of tax if paid within 3 mon~h~ after death ' JALANCE OF It'J!ERITA-lCE T~ DUE Add ir:tere3t at rat= of 6~; from to KEGISTfR OF WILLS VALUE AS REPORTED VALUE AS APPnAISED VALUE AS REAPPRAISED $ $ $ __________ __ 40,o66.o5.:== 40,066.05 40.066.05_ 40,066.C5._ =====·-=====·-=====:= $ ___ _ ------·-- ~ ------ COMPUTATION OF: TAX ~ ~ $ $ '• .. , $ ____ _ $ ======·= $ _____ _ $======= (':') As evidenced by Chari table:· Exemption Ce'rtifica -:.es issued by the Secretary of Revenue. $ ________________ _ $ ______ _ A~fOUN'I OF 3S'IATE TA::i ASSEt SED $ _____ _ Estate t::tx paid 1MI.ANCE DUE Add inte~est ~t rate of 6% from --------------to $ ------$ ______________ _ o$ ________________ _ TOTAL TAX BALANCE $ ______ _ PAID $ FOR US-:<; OF RE}!STER ONLY ADJUSTMENTS NOTE: Where subse~Lent adjustments are made to the above computa0ion of tax by the ftegjst':!r of \Hlls, for proper reason, same should be noted below, with short expJlana.tion. , __ _ Will Administration t No ........... . IN THE Year ........... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF Jlli.NA .. McG.O:Y. ·· · · · · · · · ·ri~~~~~~d Late of .... ... .. . :E.~ .. .WP.SH;I:~G.'r.Ol'J ......... . County of . WAs.l:fi.NG.'l'QW ·Commonwealth of Pennsylvania REPORT AND APPRAISAL .. '· ~ i' Forin. RCC-2 ........ -DATE ................... Q.~.~.~P~.~ ... }.~.~ ..... ~.?..§.?._ ............ . DEPARTMENT ·oF REVENUE BUREA;:"J ~OF tJOUNTY CO::..LECTIONS JIARRISBt"RG, PENNA. 1 7 1 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX COUNTY .: ...................... W.~.~.~~.~?..Z:: ............................ . APPRAISEMENT . . . FILE NO. .. ...................... 2J..:::.9..?::::~4..?. ............................... .. Whe~as, ......................... .A~.~ ... M.g.Q.QY. ......................................................................................... late of ........................ ~-~--.. W~~.h:i:P:g_~9.~ ....................................... .. in the Cotnty of ......................... W.~§h.~g't..9.P.-............................................................................ Commonwealth of Pennsylvania, having died on the ................................. 9. .... -t.h. ............................................... day of ..................... !l..~n~rY ................................. 19.9..g ... , seized and possessed of an estate subject to Inh:!ritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore. I, ........................... W.,.R."'-.. Chaney .................................................................... , an appraiser duly appointed according to law, haviag be~n 6esignated to make a fair and conscionable appraisement of tl:-e said estate, and to assess and fix the cash Vllue of all annuities and life estates growing out of said estate, hereby file the following appraisement: :n the even; that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the ex:>irat1o.1 of any esta•e for life or for years, the Commonwealth hereby expressly reserveE the right to appraise and assess transfer inheritance taxes at the lii'Wful collateral rate on any such future Interest. Appraisement Unit Description of Auot Values Made for lnheritan~ Tax Purpoaes $ PERSONfl.LTY: Cash a nci sta.m.::> s in posession 10.75 Chec:dn~ acco"lllt in Washington office of Mellon National BB:nk & Trust Co. 4~765.09 3av:ings account in Washington office of Mellon National Bthlk & Trust Co. 22,)68.02 [nterest accrued to dane of death -_ 7L.. 37 Gash on deposjt in trust with McCreight~ Marriner McCreight 1,2,6.57 :.32 eha.res m£ .common stock of Standard Oil Co. af Nflcl J::z::::u::J! 9,"=3Q .75 8 shares of ca.,.":lital stock of Consolidated :r-·atur9.l Gas Co .. G45.00 1.5 sha.re:s of 4-1/2 prefered stock of West Feen ?ower Co. 1,136.25 I::i. vidoand on West Penn Power Co. Stock 16.88 Refun& due from Washington Manor~ Inc. 120.00 Refund due fron Blue Cross 9.$0 R.9func. dl:e fron 1967 Ine_ome Tax 136.00 P·.1blic.ti School Employee retirement check 2" 6_._61__ Total 40,066.05 40,066 05 Total 40,066 05 form\!;"!.';~h \:"; ::~h~"()l"Jl ~~~~·~· ~:; .~·~~:~ cg~~~~;;i~?: ~~..... ~c;r ~ ...... App~i~r .. :;::;?.7 ......................... : ............. <.r«~~d ... st;:;;i·i· ........................................................... .. /.a/~m;;;;;·····································• Penna. I n· ( WASHIN.G.'l'.ON ................................. , c ouitty .RESIDENT INHERITANCE TAX APPRAISEMENT E~tate of .. ANNA. .. Mc..G.QI ................................ jj;~·~~;;;J: ·Late· of E. WASHINGTON ................................................................................... Date of Death, ............ ~~9~~.Y. ..... 9..t ..... +..9.~.$. .................. . Appraisemel!t Docket Vol., ............... ..3.7 ............................. . Page, ........ 9.~4. .......................... No. .9.3..~.Q.~~JA.~ ............ .. Filed in Register's 0 ffi.ce, ......................... : ............... 19 ........... . Am.ount of tax. due, $ .................................................................. .. DEPARTMENT OF REVENUE Received, Exmnined and Approved, s~. ;· '.'1 _.''') '.~~~' ~:~ ·~c~~~'J Wrote ab0.11t Appt,a;i$¢111e.'!:U~ r;·j.~ .. : ...................................... .. (';; . . : . . '" ~ •. ~ .... <.,, ,,J 0: ·r~:·r AP.P~t;J. f,om Appraisement, '·' ~·-·'· .. ·~::~;;;~ ... : .. ·;~c~:r." .. ··r·.·.r.·.··.~ ... '.· .. ·.·.··.·.·.~·.·.·.·.· .... ·.·.·.·.····.·.· .... ··.····.···.········· sr~ ·.~ .-'') r·:.t ::T~-::·~~ c::;~·/:.J TI·_;~;;;\,J Lc· • r !! I 1 ·r r,,<.'·'l r•:-""'i C.. • t.. ,,•., p\; V--::...l -~;,.wli> 0 :-1 --I .1 . ~) \ ~ .. ~ ~ ~ ' ... lo I ..;."? . DEDUC~tg_NS ALLOWED IN \,I Form "lC C: ·l..'l: " ........ ~ STATEMENT OF DEBTS AND DEDUCTIONS Tf!~ SUM OF • , . . . .. . . . . . S ""!.?.~---~ ~ ~ RE::;ISll:R OF WILLS DATE APPROVED . It ·-l j -6 .Y u/)"911~--······--................... . Washington OF-----=------COUNTY AND AGE:NT OF THE COMMONWEALTH Register of Wills, Anna MeCoy,a/k/a Anna c. East Washington Borough ESTATE OF • LATE OF---------=-----------~Coy1afkfa Chr~st~anna D~TE =F FILI~~¥AISEMENT ----------DATE OF DEATH _..:::J:.,:a:.:n:.:.U=a=r..J..y___:9:_t..l 1=9_::6:.,:8:.._ ____ _ DA.TE -.::>. OF NAMIL OF PAYEE REMARKS AtoiOUN-. 'tiCIUCHEIIl EXPENSES OF Al MINISTRATION l.~bl:S Jail 24 Russell Marino,Register Probate costs 23· 50 II 24 1'-'otary fees 3 00 . Feb. 2 C·bserver Publishinq Co. Estate Notice 12 5J . II J ~ashinaton Countv Reports Estate Notice 12 5•) II , .~ n,,,.. ""'"" 1 1 M::....-; nn . RPni !=:t:Pr !=;hort-r.Prri fi ~r~r.P 1. lao II ')fl U'""u Ri,...hr~rn!=: h Co Stock sale exoense 25 63 I . T· ~ , ':' D·1<><>o.1 1 M,..,..~ ,...,... ~,:orti_stp..r l<'i 1 i nrr Tn"\r,:oni-nT"\7 3. loo J II 1 -: Mo"f'r,:oi nhi-. M-"trriner & McCrei !:Jht-Account of Attorney fee 1.000· or .Tn1 u ')": 7\.:l,. Mt"'("'nu ("'l.:=~rkp Executrix' ,... tl';ation 1 600. 00 -... "7 II 22 McCreiaht.Marriner & McCrei :rht-Balance of Attorney fees 1,500. 00 II 2 "1~ Notarv fees 3· 00 I .,~ ' o.-. .,.,o-11 M,..,...;,..." ~,:oni!=:i-Pr 19· loo II I Ejling Account J --t- l<'UNERAL. ·a: nd BU~T~T 1968 _o.J (1.(!. 2~ Piatt Funeral Home Funeral l,~z~. ~~~ May ~ Kurt-z l:llfonumen t: \...U. ftd..C 1\.t!L. J..V;.Jo IVV ... ·DEBTS of bECETlENT 1968 rr~n 2~ Mollie Keretzman ~rsin~ bill 150. 00 II 2~ Gladys Prewitt rsing Bill 150. 00 II "'I u--n.: -"1.. --..:1 I" -r:t. ,.,....,"".,.. xsi.n~r--hi Ll-?t:; Inn II 2~ Robert C.Gordon ~ Ambulance service i 15. 00 II ~~ Dr.M.W.Graham I Med~c:::al Se-rv~ce (part~alJ b9. ~~~ II n..-M T•T r:!.,..,.,..,::.-m M~ni l".::~1 ~PT"\d ,...~ lT'I.::~r+.ial) 15 II 2= Dr.M.W.Graham Medical Service(balance) 25. 00 -~ ~-1 ..... t·en. w a~:: n'"l. n g"EOIT 'li'Ie"a -~,.. l'la..L .r..~:: '-o~anet! uut! ..I...C.o [U "% II 1 Drs.Richardson and Corwin Medical Services 350. o:e Apri ~-h WaShington Hospital Balance due 3. 50 'T. •• , ,, - T ""~-~ ,,... ("'n '1'..-o,.., Po..-.,,...,.,,.1 Prnno..-+-u 'l'!:IY :n I REi .., ......... ........ ...--. ""' ---::r .. July: 2 Mccreight,Marriner & McCrei~ ~ht,Notary fees advanced 2~ 25 ~ .. -•• • • n -~ m-.... , A"7 u UJ...Y ... .t.:I.LUJC;::> \.. ~ o '-'.._ ...... ,...., ·--1 ._, ._, COI!•It•H::>NNEAL.TH OF PENNSYLVANIA } COUNTY :::>F Washington ss: Total $. 6 ,534. 30 •. Ada M•:::Coy Clarke ,per Attorney-in-fact HEREBY CERTIFY. THAT. TO THE BE8T OF '-4Y KNOW-ECIGE .'-NO BELIB"F, THE FOREGOING l~rl~T.Maeo~,EarJtY1fE'1rrfffaDE(!!~'MC~L EXPENSES AND EXPENSES 01" ACMINISTII:AT ON I!UBMirrE:I TO THE ESTATE OF • • • • : ~ a(k/ a Clu IS Lianna Me Co)' oEcueEo. As oEDucTION!i FOR INHERrTA:~ .. CE, TA)I PURPOSB9. . ··Notary Public Washinqt6n .Washington ~unty, Penna,. My Cornnias:..on Expires ~~ff7o Tot debts ••••••••••••••••• $6,534.30 &~ss medical insurance ref~nd 390.05 t: Total CJ~2S, _ I C/ ;t I . ' ,, I r • ' I ';'(' •• j"' .-.. · '""(• • ~. p. J. l \.• ·~ \' ~· •. _,., ·,. '· ....... •' : • .. \ ,. ····. ;· : ,. j .:. ~ ., ....... .. ~ .... ··-· ·'. ,·t· , . r • • 1 ..... 1.,1_. . ' ~u. 'l .... .. · .... ....... . . ~' ~-r. I.'"·:. ~ i ! .,..{ .• .. ~ \ ' . . ( ·, .•. · .. ,. .•.\. ' .. .· .. J . . ·L· ., ' ·'· ! •. ( r ~" · .. 1.'. ~ . r . . .. ' \'. ' ' ·, . , ... .\, '· ,. .:·.i: ..... _. J ~. '• ~ ' '1:· - . .-( -' , I • . :'.-~ -~ I 'i •• ·.··,.·,_·" .. · .... ,J . , 'f . I . ) .. /' I' r· •.. • t ••• : . . , \ .. : J : ~ l .~ .. ·'·• ! .',·; ~--. -~ . .: .. . ...... " ... ·, .. ·' .. \ :.--: .... . :r ;·· ·'· ... •( :!t ·t: .. :. \ '· ·., .. ;·,) r. '. . · .• f · . .. :' I' ; ~' ...... ,;_ .. ·, ··.). --r.· ,,.. ..f· -r:! J ... ' • ........... -' , ~-: . •• ' /f:! .. f .·.,. i" ' .. : ._ .. '. • '! ~ .. .t· '. _i' •. ~~ '!'~'; -: ... , ... ~~ :~:. ( ~· _ ....... J. ... • .. .... ,, {·;·· . .... t-~;:<- ~ . -~.:. i : ' •, I' ....... . I' ;' .... . f" ···· . ' ~ .. ' ~j ""': ..." ..:: Ill> . ~. . " ... "' \ '., ·I ·' , ... · .. ' r ... ;·-•.· ,,_ -..... ~ I • )"\ -..-~. . ' .. ·-~~ .. . -~, . ''::."1". :..· ......... . ·, :,.: ; ·-·'i' ..i .. j' ' .. · ["."~· ', ... \ ... ··r ·' ·~ t!---,~, ,, '· f'' ~ . .. Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA BESIDENT DECEDENTS No. 979182 OFFICIAL RECEIPT 6J .. G8-148 Transfer Inheritance and Estate Tax FileNo•~--------- Date December 18 19 68 Office REGISTER OF WIIJ.S. WASUINCTON Pa. WASUI NGTON County, ss: Received from---~A~d~a!...,_!:J.:~!c~C~owv~C!:..::!!l~a!!:.!l!r:....!.k~e~------------ (Executor, ))~~of the estate o>Lf ________ ___:.A~Nr::!:Ui~.!::!M~c~C~O~Y,__ ________________________ _ who died January g 19---68the sum of TH1lli~ HUNDRED FORTY-FOUR and 23/100 --Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Real Estate Date Valuation $, ______ _ $. ______ _ Total Personal Property Date VC:iluat!on 10-31-68 $ 40,066.05 $ _____ _ Total Total Gross Assets Less Debts and Expenses of 1/148/63/ .. \A Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19 __ _________ 19 __ Estate Tax Assessments $ _____ _ $ 40:~066.05 $ 40.066 .. 05 $ 6,192.25 $. 33,673.80 $. $. 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 or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. 1flR1U lJV[LO ©£ lf[ 37 .. 90-4 NOTE; This Triplic:.:.l" Receipt to be retuined .by the Register of Wills Gild filed in numerical sequence for audit purposes. Computation of Tax Tax on$ 5% $ Tax on$ 10% $ 2% $ Tax on$ 33,873.80 15% $ Tax on$ 5,081.07 Exemptions * $ Total Estate $ 5,081 ~w Less Tax Previously Paid (if any) Total Tax $ 4, 736.84 $ .:j44. 23 Balance $ ----------- Less five per centum of tax if paid within 3 months after date of death $ ============ Amount of Estate Tax Assessed under the Act of May 7, 1927. Add interest at the rate o % rrom ___________________________ _ to ------------------------------- $-------- $ \!!,(~. 2 3 . . Total $ ---------- *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended by Act No. 381, approved July 11, 1957, and Act No. 207, 1961, Section 302. S:f:Ak /; . I f .-'. L ( -/.. .... 4-'/-', • ..... ~ l • (.; Register of Wills MOORi 8Ui1HE&i FORMS, INC., I!LIIIHA, N. y. . FOR!"' RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 3'7 Page · 90 I ine 4 Estate o ANNA McCOY OFFICE OF REGISTER OF WILLS NASHINCTON, . P -------'----=-----I-a. Date Deeenibe~ 18 19____!8 SIGNED AND SEALED AS PROVIDED BY SECTION 1201. ACT APRIL 9. 1929. P. L. 343 AS AME~DED BY ·ACT MAY 15. 1945. P. L. 528 ltUSSELL MARIKG Register of Wills 1201 (g), Act of1Apri1 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 money ·with the amount receipted for. The original of each such receipt shall be signed and sealed by the Register of I Wills and . transmitted to the executor or 'administrator. whereupon it shall be a proper voucher in the settlement of the estate. In no event shall the executor or adminis-. trcitor be ent1t!ec to a credit in his account by the Register unless the receipt is so signed and sealed by tbe Register of Wills." · Fill in below ncrme and address of person to whom tax receipt is delivered: .. ~~ I To I ATTYS. McCREIGHT, .MARRINER & McCREIGHT L S-20 WA.SH!NGTON TRU:S'E BUILDING WASBTNGTON 3 PENNSYI.VANIA lliOl · _ _j '·• .... ; . '· __ .. fl..,.....,~ ...... ~ r E ~ - •-··•••••• m • ,,, •••••••'''"'''""''"'" ~·-j 4£$$41@ $llia$i$AIMI!!g I / I Form RCC-4-Rl-3-66 -~" COMMONWEALTH OF PENNSYLVANIA BESIDENT DECEDENTS No 924990 OFFICIAL RECEIPT Transfer Inheritance and Estate Tax File No. 63-69.;.145 Date March · 19, · 19__§8 Office REGISTER OF WILLS, WASHI:t-s"GTON, Pa. -WASHINGTON County, ss: Received from~_....,!A~d!!!.ai!!.._!'!lM!!i!!cc!!!!C~or.s!f~C~l.aM!&.rk:al!i!e'-------------- (Executor, ~~~f the estate o•Lf -----aA~NN~Ab---t:l-fu;:e~C~OuY------------------- who die~ _ January 9, ' 19-M the sum of FOtm THOUSAND FlVB IWNDRED And no./100 • -Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Real Estate nnta Personal Property Date . ' ' :1 Valaut~ull $·------ $•-~..,----- Total Valuation $, _____ _ $! _ ____:_ _ __...._ __ Total -Total Gross Assets Less Debts ~nd Expenses of · Administration Clear Value of Estate Valuation of Life Estates or Annuities $ _____ _ $. __ ..:.___ __ _ $. $. _____ _ $. D!COMP!mE Date 19__ $'---'-------- _________ 19__ ~$======= Estate 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 l;>e precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. U000[p[LO@£lf(E: . 37--90-4 NOTE: This Triplicate Receipt to be retained by the Register of Wills cmd filed in numerical sequence for audit purposes. Computation of Tax Tax on$ 5% $ Tax on$ 10% $ Tax on$ 2"/o $ Tax on$ On Account 15%. $ 4.'136.84 Exemptions * $ Total Estate $ Total Tax $ ----------- Less Tax Previously Paid (if any) $================ Balance $ ----------- Less five per centum of tax if paid 236 84 within 3 months after date of death $ • Amount of Estate Tax Assessed under the Act of May 7, 1927. Add inter~st at the rate o "'o from------------------ to~~~--------~-------- Totllll $~------~------ .. $=============== $ 4;500:00 ·;,.'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 II, 19.57, and Act No. 207, 1961, Section 302. : SEAL , /~e~;£~~1!.#' Register of Wills MOOR£ BUSINESS FORMS, INC., ElMIRA, N.Y. FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT' DECEDENTS. RECEIPT ;, ,, Docket 31 Page 90 line 4 •' /. ,- ., tstate of ·· ANNA McCOY : OFFICE OF REGISTER OF WILLS - UA~~N. "fMI'iJU.L~'\V.av t · Pa. Date Yareh 19 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 RUSSELL lJARINO Register of Wills 120I (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 ~nd to charge the Registers receiving the money with the amount receipted for. The original of each such receipt shall be signed and sealed by the Register of Wills and transmitted to the executor or administrator, whereupon it shall be a proper voucher in the settlement of the estate. In no event shall the executor or adminis- trator be entitled to a credit in his account by the Register unless the receipt is so signed and sealed by the Register of Wills." Fill in below name and address of person ·to whom lax receipt is delivered: I ~ . I To·-.A'fftS. MeCRSlGHT, MARRINER fl McCRBICRT L S20WASHINGTCN TRUST BUILDING WASHINGTON" PENNSYLVANlA '15301 _j ·.'