HomeMy WebLinkAboutOC1968-0188 - ESTATE OF BURNS1.
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Form RC C -10
OFFICE OF TME
REGISTER OF WILLS
oF Washington couNTY
-~;; Tt ;;~O~~EALTH
STATEMENT OF DEBTS
AND DEDUCTIONS
ESTATE OF ___JE~) ~j.4z:o.oa1Jbu.e~to..libL-.I.a...----~;BouU..._rL..&JDLO:S'----I.ATE OF City of Washington, Washington Co.,Pa.
DATE OF FILING APPRAISEMENT Aug. JQ> 1967 OATS OF DEATH _.Jll.I11L1t.;}~T-":::2~,~1~9~6u7~---_;_:~:::.i~"!~·---
DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHEJII
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Washington
1, Fx-amc; s_ Burns HEREBY CERTIFY, THAT. TO THE BE8T OF
MY KNOWL!:D!iE AND BELIEF, TH!: FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP'
ADMINISTRATION SUBMITTED TO THE ESTATE OF £lj zabeth I e B~S DECEASED. AS DEDUCTION$ FOR
INHERITANCE TAX PURPOSES. ~ -
9."" u 1--~~-~';64'.¢:,P,~~~'"",....-JA~ztA'-t~~~~=-~----<L. s.)
SWORN AND SUBSCRIBED e'EF.:>RE ME THIS ---'--DAY OP'
;#ti~3~ ~Public
My Com.Exp: March 26, 1971
Washington,Washington County, Penna.
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Jllas4iugtnu Q!nunty. ss.
KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washi~gton, m the County aforesaid
on the 14th day of July A. D. 1967 , before me,
Josephine M. Douglas , Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania,
the last Will and Testament of Elizabeth I. Burns, a/k/a Miss Elizabeth I. Burns,
a/k/a Elizabeth Burns, a/k/a Miss Elizabeth Burns, a/k/a Elizabeth
Irene Burns
late of the City of Washington in the County aforesaid, deceased,
(a true copy whereof is to these presents annexed), was duly admitted to probate; and
Francis jjurnl!l
the Executor m said Will and Testament named, having appeared before me and taken and subscribed
the oath of office prescribed by law;
NOW, THEREFORE, I, Josephine M. Douglas , Register as aforesaid:, do
grant these LETTERS TESTAMENTARY, unto the said
Francis Burns
committing unto him the administration of all and singular the goods and
chattels, rights and credits, which were of said deceased, and requiring him
to exhibit a true and perfect inventory thereof into the Register's Office, at W <l'shington, within ninety
days from the date hereof, and to render a just and true account of said administration at the expiration
of six months from the date hereof, and to regard and comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal
of said Office at Washington, this fourteenth
day of July in the year of our Lord one thousand
nine hundred and sixty-seven.
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iGrttrrs IDrstamrntary
ESTATE OF
-~-i-l-i-:-~-:-f·~----1:-~-ii~ri~-:--~-~~(/a-~-~-~--~
Elizabeth Burns, a/k/a Miss
.E.l.i .. ~-~-P. .. ~.th ..... a..v...:r.n.~ .•..... J~/ki..~------·········-------·-···
Elizabeth Irene Burns
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:ss ~ 'A~NnO~ NO~!>NIHSVM
'VINVA1ASNN3d :10 3~V~S
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The Court is respectfully requested to de'trermine
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pcope< d;stdbut;o:;;~sta~. ~~
Counsel for Accountant
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The First and Final Account of Francis Burns, Executor of the
Estate of Elizabeth I. Burns, a/k/a, Elizabeth Burns, a/k/a,·Miss
Elizabeth Burns, a/k/a, Elizabeth Irene B\lr·ns ," qeceased, late o:f
the City of Washington, Washington County, Pennsylvania.
1967
Aug. 10
Aug. 24
Aug. 24
Aug. 25
Aug. 25
Aug. 25
Aug. 30
Aug. 31
Aug. 31
1967
The Accountant is charged as follows:
Principal-Personalty
To amount of Inventory and Appraisement
filed
To gain on sale of 6 shs.Westinghouse
Airbrake com. stock--------------
To gain on sale of 10 shs.Washington Steel
com. stock------------------------
To gain on sale of 60 shs. J. & L. Steel
co~. stock--------------~-----------
To gain on sale of 85 shs. Col. Gas System
com. stock-------------------------
To gain Gn sale of 86 shs. Std. Oil of New
Jersey com. stock---------------------
To gain on sale of 220 shs. Lone Star Gas
com. stock----------------------------
To gain on sale of 10 shs. Sinclair Oil
com. stock--------~------------------
To gain on sale of 16 shs. Northern Nat'l
Gas com. stock---7 -------------------
To refund from Blue Cross & Blue Shield
To special benefit rec'd from Teachers
Prot.Life Ins. Co.------------------
To Penna.Teachers Retirement check for
July, 1967---------------------------
Total--------------------
Income-Personalty
To dividend rec'd on Std. Oil of N.J.
stock in Sept. 1967---------------
To dividend rec'd on Lone Star Gas stock
in Sept. 1967-----------------------
To dividend rec'd on J. & L. Steel stock
in July, 1967-----------------------
32,803.10
4.49
35.67
567.47
46.84
50.01
1,027.16
14.55
8.17
10.00
135.42
$34,709.44
68.80
61.60
40.50
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1967--Income-Personalty cont'd
To dividend rec'd on Col. Gas System
stock in Aug. 1967----------------
To dividend rec'd on Cinc.Gas & Elec.
stock in Aug. 1967----------------
To dividend rec'd on Sinclair Oil stock
in Sept. 1967----------------------
To dividend rec'd on Washington Steel
stock in Aug. 1967----------------
To dividend rec'd on Westinghouse Air-
brake stock in Sept. 1967-----------
To dividend rec'd on West Penn Power pfd.
30.60
21.60
6.50
3.00
2a70
stock in July, 1967------------------1.13
To dividend rec'd on Amer.Telephone &
Telegraph stock in Oct. 1967---------
Total--------------------
TOTAL ESTATE
Principal-Personalty $34,709.44
Income-Personalty 322.23
Principal-Realty o.oo
Income-Realty o.oo
Total Estate-----------$35,031.67
Total credits claimed----------9,506.18
Balance due-----------$25,525.49
85.80
$322.23
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ThP a.ccount!tnt claimc:: ~,.edit~ ou.t of the assets of said estate to-wi~:
No of
Date Voupher
1967
July 14
July 18
July 18
July 18
July 18
July 31
July 31
Aug. 10
Aug. 10
Aug. 10
Aug. 18
Aug •. 18
Aug. 22
Aug. 24
Aug. 25
Sept. 29
Oct. 26
Nov. 25
Nov. 27
1968
Jan. .£.. 1..
Jan. ,_ 'L
J tl ., an. J-t--
Jan. '1. '-
Jan. 2Cf
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Payee
J. M. Douglas, Reg.
Piatt Funeral Home
Krause Drug Store
Grant E. Hess, M. D.
Harry R. Cook, Treas.
Annex Pharmacy
Dr. Earl H. Geho
J. M. Douglas, Reg.
Helen Beveridge
Wash. County Reports
State of Texas
J. M. Douglas, Agent
J. M. Douglas, Reg.
Helen Beveridge
J. M. Douglas, Reg.
J. M. Douglas, Agent
J. M. Douglas, Reg.
Piatt Funeral Home
Gaydos Monument Co.
Francis Burns
Adam L. Sanders
Observer Publ. Co.
Helen Beveridge
Russell Marino, Reg.
Remarks
Probating Will &
short certificate
funeral of dec'd
drug bill of dec'd
medical for dec'd
Amount
23.50
I 1,757.94
1967 head tax of dec'd
59!89
25loo
5Joo
1
7198
10100
~qg bill of dec'd
bill of dec'd
filing inventory
notary fees
adver.grant of letters
Lone Star Waiver
acct. of inher.tax
4 short cert.
3Joo
1J5o I
12150
1.00
I 1,400.00
notary fees-stock aff.s
4Joo
81oo
7]00 7 short cert.
acct. of inher.tax
1 short cert.
5 death certif.
bal.cemetery marker
accountants fee
2,oooJoo
1Joo
I 5.00
45Joo
1,768.,00
I attomeys fee 1,750.00
adver.grant of letters 12J5o
notary fees-acct.& D & E. 1.150
filing account 1a.'oo
Loss on sale-5 shs.J.& L.Steel pfd.-8/24/67
Loss on sale-1 West Penn Power pfd.-8/24/67
9.164
5.157
72+7
491.f39
Loss on sale-72 Cinc.Gas & Elec.-9/7/67
Loss on sale-156 Amer.T.& T.-1/8/68
Total credits claimed----------$9,506.18
...:
Observer -Reporter
WASHINGTON, PENNSYLVANIA
PROOF OF PUBliCATION
In compliance with the Newspaper Advertising Act of 16 May, 1929,
P. L. 1784, BJs amended.
Commonwealth of Pennsylvania, County of Washington, SS: ........... .
Personally appear-ed before me, a Notary Public in and for said County
and State, ......... Ric.ha.r.d ... .S .•..... Go.w.an ............... , who being duly S>worn
according to law, deposes and says tha;t he is the ~~-~--~-Y--•----~---r.r..e..a.s .•
of the Obs'e-rver Publishing Company, a Penns-ylvania corporation, and its
agent in thi:s behalf; that the said Company is, the owner and publisher of
the Observer-Reporter, succ1essor to The Washington Obs·erver, established
September 18, 1871, and The Washington Reporter, established August 15,
1808, a daily newspaper of general circulation, printed and published and
having its place of bus-ines•s at Washington, Washington County, Pennsyl-
vania, where it or its predeces-sors have been established and published
continuous•ly for more than six months' prior to the publica;tion of the notice
hereto attached; thBJt the printed notice or advertisement hereto attached
is a ·copy of an official advertisement, official notice, legal notice or legal
advertis-ement, exactly as printed or published in the Obs1erver-Reporter in
its regula;r editions on the following date or date.s;
____________________________ Jul_y_ ___ 2.4., ..... 3l.: .. an.d ... Aug.us.t ..... 7 . ., ..... 19.6.7."······-·····----
that neitheT true affiant nor the Observer Publishing Company is interesrted
in the subject matter of said notice or advertising and that all of the aUega-
!~~n~r~!. this affidavit ~~---t·~--t-~~---ti~~~ri.l~e:::
Sworn to and subscr~/~ore me this .. 7 ....... day of ... .A.ugus.t .... 1.967
.. IW~«~~;olfi~~
\VASH 111GTON, WASHINGTON COUNTY
M'f COMMISSION [XPIRtS MAY 6, 1961
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Washington County Reports
~
Washington, Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the New~aper Advertising Act of May 16, 1929, P. L.
1784 Sec. 3, paragraphs (3) and (25).
CoUNTY OF WASHINGTON}
STATE OF PENNSYLVANIA SS.
Personally appeared before me, a Notary Public in and for said County and
Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and
says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the
official legal periodical for said Washington County, published weekly having its
place of business at Washington, Washington County, Pennsylvania, and is act-
ing as its agent in this behalf; that the said WASHINGTON COVNTY
REPORTS was established on March 31, 1920, and was designated as the official
legal publication for Washington County, Pennsylvania, by order of the several
courts of said County, dated November 11, 1920; that the printed notice or adver-
tisement attached hereto is a copy of a notice or advertisement, exactly as printed
or published, which appeared in the said legal periodical in its regular issues on the
following dates:
July 27, 1967
........... AMgy,~t. .... 3.,. ... lO .•... l.9..6.7 ........................ .
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of said notice or advertising and that all of the allegations of
"
<hi• ,ffid<V;, "~J"'· pi.~ ood '''W <h~6oo '" ''"'· ~tJ ...................... : ...... LJL.~~
KATHERINE C. YARD, Notary P,
Washington, Washington Co.,
My Commission Expil'es
November 1, 1969
Editor
\ 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 rltem
for settlement to the Executors or Admin-
istrators or their Attorneys .
• • • • • • • • • • • • • • • • •
BURNS, ELIZABETH I., a/k/a MISS
ELIZABETH I. BURNS, a/k/a ELIZ-
ABETH BURNS, a/k/a MISS ELIZ-
·ABETH BURNS, a/k/a ELIZABETH IRENE_ BURNS, Dec'd.
Late of the City of Washngton, , Washington County, Penna 'Executor: Francis Burns, 1039 Allison 'Ave., Washington, Pa.
,:Attorney: Adam L. Sanders, Washing-' ton Trust Bldg., Washington, Pa.
0 !{
Testate Form V'
PETITION SUR AUDIT
·IN· :.i'H·E ORPHA:NS1 COURT OF WASHINGTON COUNTY
Elizabeth I. Burns,a/k/a,
Miss. Elizabeth-.!. Burns, a/k/a,
Estate of .... ..El.iza.be.th .. Burn.s., ... a/-k/.a.,---------------·--
--------·---------.Miss .. Eli.zabe.:th .. Bw:ns.,. .. .a/k/a,. ..... .
-----··--·--··-----Elizabe:t.h ... Ir.an.e ... B.urns ______________________ _
Deceased
No ..... --1.88-----oX-----1968 ...... -----·---------------·
Fiduciary .. F.r.an.ci.s .. .Burns..., .. ..Executor ....... .
Date of Date of
Decedent's death ...... J.u1.y. .. 2..., ... 19.67 ....... :.---------------------Grant of Letters ....... July .. ~4., ... 19.67. __________________________ _
This is the ....... li'.irst---and .. F.ina.J.. ................................ account filed in this estate
If there have been former acc~unts filed in this estate, list file number or number and term ........ None------------------
Election to take Dpte Election Place of;
Under or Against will. (cross out one) None Filed ....... .None.----------------Record .: ...... Nbne-------------
Name of surviving spouse ..... None .... Dece.dent.,was .. no.t. .. mar.r.ied~----~------------------------------------------------------------·
List issue, where material:
\ None .--,
\:: .... ,.
Did decedent m~~r;y afte:r execution -of ~ill? (i~dicate):X!Sm. No. Any c~ildFen_born _after execution of will? (indicate)
\ .. ' ~ -' . . ~ ~
~"No: 1! -an·swer·yes, home tl)el'l)_:·.·--~--:·-:·-~-----::: ... ~: _______________ · ______________ : .... ~~--------------------------·---------------·----------------------· ....
··-----·------------------·---··---........................................................................................................................................................................................ . r · ,,. "'\ ~ ·• ·.,. • -t-r ~ ~,I • • <>r ·' • • ' • ' • •
Leg.atees-. ..
Franc;s Burns
Claysville Cemetery Assoc.
Sara Burns Foley
JosePh Spragg ~
Jane Burns
Susan.Spragg Mangiaselli -
Alexander Burns · ·
\ Emma Burns Campsey
) Charles. Burns· ·
Edgar Burns
Relda Mattox .
Joanna Burns Barr
Mary Alice Spragg
(J.) Clifford Burns
·· Rela_tionsh_ip
nephew
none
niece
none
niece
·gr.niece
·nephew.
' • l . n1ece
· nephew:
nephew
niece
niece
niece
nephew
Interest Fiduciary, if deceased or not sui juris
$ I . all .. 3000.and 1 9 of res1due su1 JUr1
$ 300. legacy
$ 200.
$ 200.
~uooo. ~
-$1000. ' -
' -. $200C)~-and 1/9-of" residue~ .. -'
$2000. and~l/9 of residue
$.~oo.~ and~ 1/9 of residue
$3000. and 1/9 of residue
1/9 of residue
1/9 of residue
1/9 of residue
1/9 of residue
List~ if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause:
None of above,but the bequest of household goods to Francis Burns (third
paragraph of Will ) must abate, as they were all sold during her life-time.
-If partial in
1
testacy, give facts:·
none
Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled
to notice (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: ............. non.e-----------------------
File copy of Notice
6 >.l I ' _, and date of mdiling.: .......... ...JaDuaz:y ... 2:7.., ... 19. a ..................................................................................................... .
Is estate subject to the filinQ·<:)f a Fed.eral Estat7 Tax Return? ............. No .......... Aug·~···-x8/67 ................. $1400~···
Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $Sept .•. 29/6.7. ................. $2000 ..... .
Paid in full on joint assets
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, together with the amounts
of such claims; state whether they are admitted to be correct; and whether the claim is denied.
All known claims except audit costs and balance of inheritance tax have been
paid. The 1041-1967 income tax is paid·. There will be none due for 1968.
All 4 mill tax has been paid-none due for 1968.
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Give reference~ to such parts of the will as require interpretation by the Courti a reference to all questions re-
quiring~ adjudication, and a statement of any other facts deemed necessary for the preparation of. the adjudication:
The Will is clear. It is called to the Court's attentiop. that paragraph "Tenth"
of the Will directs all inheritance, estate or death ta.Xes payable shall be
paid by"the·person or legatee receiving the·speeific"legacy or deducted there-
from and not paid .out -Of the res-iduary estate. !nasmuch as the estate has
paid the inheritance taxes for the legatees, .the "tax on each should be
deducted from the legacy awarded.
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Balanc~· for· distributi~n per account,
Itemize any additional debits not shown by account:
1/29/68-dfvidend on A.T.& T~stock Feb.i/68.;.:i~terest on Savings-Mellon
12/15/67':"interest of U.S.Treasury Bonds
To·gain on sale of 2-ti.s.Treas.Bonds .. . '
Total additional debits (Add) ltemiz~ any: :~ddftio~al credits not shown by account:'
1/19/68--1967-1041 Income tax
2/16/68--Russeil Marino, Reg·. -1 sh.cert.
3/ /68--notary' fee-audit petition
Total additional credits (Subtra'd) -
Balance for distribution
93 .• 60
228.69
12.50
8.25
$343 .. 04 .................... .
45.92 ~
1.oo 1 .75
$:.,47--.. 0.7. .................... .
$.25.,.52£ .. 4.9 ............ .
$.zs.,.szo .. s6 ............ .
If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value);
All cash
• # ~-
'' •-"-'"'•"-"'''-""'"'''''-'' .. ,__........_ __ . •~'-• ·~·'"'"' •-'••-··--__ .,,..,....._...,_..,-=-~-v ,.>.._ .... ,,.~----...,-"""• .,. ___ ",_,....,_._, •. ,-.. ,---.-•••-...•. __ , ... .,..., ·----· _____ ..._ ·--·-·
~~~. .. ------------~~~--------------~--------------------~
If Family Exemption claimed by Petition, give place of Record: ..... none .. .claimed ............................................... .
If Family Exemption is claimed at audit, give name, relationship and basis for Claim: .... none .. elaimed ............. .
List any advancement or distribution on account that has been made, and nature and amount of same:
none.
Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections
to take in kind if balance is not in cosh: residuary shares being stated in proportions:
·f. To Claysville Cemetery Association-$300.00 for upkeep of the Burns lot..:
--: · · _.-Seer. Exemption certificate. · . . .
2·. · To' S~ah. Burns Foley--$2oo-.-oo {spec .Leg~) less inheritance tax thereon
3. __ To·Joseph Spragg-$200.00 {spec.Leg.).le.ss inheritance tax thereon·.
4·. To Jarie Burns-$1000.(spec.leg-.)-less inheritance tax thereon·.
s·. To .Susan. Spragg {Mangianilli) $1000. { spec .• leg·.) less inher_. tax ~hereoa.
6·. · To 'Aiexan<;ier-\Burns-$2000.less inheritance tax· thereon. and 1/9 of residue
7. ; To:· Emnia 1 Bur-ns-.Campsey-$2000. ( spec;:-.leg.) less inhe.r·. tax and 1/9 o:f residue
a •. t~:)1 Charles. BurJ:?,s-$300Q·.oo (spec. leg. )less inher.tax thereon and 1/9 o:f res.
9. ~To'.Francis.Burns-$3000.00 (spec.leg-.)less inher.tax there.on and 1/9 of res.
lo'. To . Edgar Burns-$300o'. {spec .leg-.) less inher. tax· thereon' arid 1/9 o:f~res.
lf. ·.To Relda Mattox ... l/9. o:f residue ..
12·. v .To _Joanna Burns Barr-1/9 o:f residue
13-. To Mary-Alice Spraggo..I/9 o:f residue
14. · To (J-.-) _Clifford Burns-1/9 o:f residue
COUNTY OF WASHINGTON, SS:
COMMONWEALTH OF PENNSYLVANIA
The above named Fiduciary or representative thereof,
being duly .... s.worn ....... --------------doth depose and say
that the facts set forth in the foregoing petition are true
to the best of.. ......... hi.S-------------knowledge and belief.
------S-Wor-n------------------------------to and subscribed before
me thi~~ay o~~ -68:-
Signature of Officer~~ ................. .
Title of Officer .... :_-----.N0ta-r-y---P-u.bl-:La---------------------·
Office expires ..... Mar.ch-.. 26.,. .. ~9-7.1 .............. ~ ........... .
Washington,Washington County; Penna.
And your petitioner will ever pray, etc.
............ h~:td~---~,;:;;;:····
. ...................................................................................................................... .
I' I'
r I i
r:
·: ~
·,i
,,,
• ..
No. . .... 1B.8 ... of ... ~9-6B ............. , ........... ~ ·
~
Eiizabeth' I·.au~n~ ,~/k/~,. r
Estate ofMis.s .. Elizabeth. .. I . ..Bw::n.s.,a./kl
El_izabeth Burns ,a/k/a, ; ,
Mi:~s-_ Elizab~tp Burns, a/k/ a
.............. ..E..li.zabeth .. tiene.--Bu:cns---···· :: · . Deceased
. i' l
Fiduciary .. .E·r.anci.s .. .S.urns.,.:.EXe.cutor . ·, r
I ··································-············:·-······-········-····1··
_L___j
PETITION SUR Al!JDIT ·,,I f .
FROM WHER~ ~EC~DE~T LE~T A Wt~L 1
==========~===================// ~
Counsel of Fiducial'y will. submit herewith-the.
following, ir:r co'nformity with Court Rules
adopted effective Decen:~ber 3, 1951, being
rule No. 9: 'paragraph b-e; and divisions
thereof: showh on pages 23-24. . · . ·-·
1. Written 1praecipes of all. Counsel in the
case. . )
2. Copy of order appointing . Guardia_n. ad
litem, if pertinent.
3. Copy of Order appoir;~ting Trustee ad
litem, if pertinent. ·
4. Proof of service of ~bove. ·
5. Letters Testamentary ~r· .Administration c. T. A. or an artest copy of Wil_l; h
6. Copy of inventory dnd appr9,isement:
7. Proof of advertisement of grant,oflletters
if not filed with account. ,
8. Certificate Safl!A:i.e.fns L"iThl ~~SJ any. of. the
funds for dlls-tlrlJfu'tHi3i113:cb:i~l:lfrom juqicial
sale of real estate.
9. Signecl ,.andr ift;!J1ized;' e~~ction~!"'jf-any
distrif>t.lfion Lin ;kind. l ~ G<J I ~-~ :.~! -~
10. Copy of Federol Estate· Tax return if es-
tate is sll.lbject] t~~retf~J --! l .J ~···
....... iac!.~i:~-~~ers.: .......... :.~--------: ..... .
~2
Attorneys
1
\ '') ' ' ,,
" 1
1/ . ' 11 . )
I./ '1 I
JJu t~r ®rp~aus· arnurt nf llas~iugtnu <lLnuuty
In the matter of the Audit of Account in
Elizabeth I. Burns,a/k/a,
Estate of Mis-s. Eli:z a beth I • Burns a k
Elizabeth Burns,a k a,
Miss Elizabeth Burns,a/k/a
l.illL. 0 f . 19___6li, XX4K
ETiza befth · Irene tsurns
TO THE AUDITING JUDGE:
Enter our appearance for _______ ._..LA!...!c~c~oo!..:un!o:!±!c.t!.!.Ea~n.!:..t~--------------
x ad-;;~1 J'~ :Pa-~o!~
~t!?~Zz~k
<. y~ ---· . /) .J;_J -day of_"'YYJ_~_~.....:::._ __ ,
N. B.-Counsel shall, by separate paper, present a concise statement of each
claim, with supporting calculation of any interest claimed. Objections
to an account as filed, shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
19_6_8_
/
No. 188 , -~o""'"f ____ , I9_6_8_,mxx
In re Audit of Account in Estate of
Elizabeth I. Burns,a/k/a,
Mjs&.Elizabeth I. Burns,a/k/a,
Elizabeth Burns,a/k/a,
Miss Elizabeth Burns, a/k/a,
Elizabeth Irene Burns
AUDIT
Jrarrtpr for 1\ppraraurr
I<~OR
Francis Burns, EXecutor of the 1
Estate of Elizabeth !.Burns,
a/k/a Miss. Elizabeth I .Burns,
a/k/a,Elizabeth Burns.a/k/a,
Miss Elizabeth Burns,a/k/a,
Elizabeth Irene Burns, dec'd
Slll/;\ .:!0 ?I H ~IIJJH
ON!tl'/!·J Ti:!SSOH
c r B. A. Franks ,.
c. : H !.''.' Atiatnd'f.~::~*anders.
AttorneyS
-.
3ln tqe ®rpqa:ns' Q!nurt nf lla:sqingtnn arnunty
ESTATE OF Elizabeth I. Burns, a/k/a No. J.?.~---···· Of 19 ... ~§ ..... ,~
Miss Elizabeth I. Burns, a/k/a
··Enzaoetn.Ehirns·~·-·a7K/a······················· In the matter of the .... Ji)r.e.LC?:Q9-.. £JD:.0.L ...... .
.. Mis.s.E1izab.e.thBur.ns.,. . .a/-k/.a ........... . Account of .... ~-~~-9:~~-~.J?.~E~?.L.!?.~-~-~~~2!.: .. .
--~~-~~~?.~~~--~~~-~~--~-~~~-~-:.R.~g_E?_0.~§_<;l: ... .
ADJUDICATION AND DECREE
And now ..... AI?.:r.U ______________________________________ ;-__(2 ____ , 19 .. 68 .. , this matter came on for hearing,
audit and distribution at this session and testimorty taken; and thereupon, upon due consideration
thereof the balance for distribution in the hands of the Accountant is determined to be
$.25.,.1.3~1-.7.8 ____________________________________ 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 wilth the
schedule of distribution hereto attached and made a part hereof, unless excer:Jtions hereto be filed
sec. reg. or an appeal be taken herefrom sec. leg.
SCHEDULE OF DISTRIBUTION
Balance per account .... ------------------------------------------------------------------------------
Additional debit asked at audit
Additional credit asked at audit
Balance·-----------------------·------------------------------------------------------------------------------
Deduct Clerk's Costs & Receipts----------------------------------------------------------------
Adam L. Sanders Attorney .... -------------------------------------------------------------------------------------------------
Russell Marino, Agent, transfer inheritance tax,
343.04
47.67
Claysville Cemetery Association, legacy, for upkeep of t~e
Burns Cemetery lot in the Claysville Cemetery, 300.00
Sarah Burns Foley, niece, legacy, minus transfer
mheritance tax due thereon,
Joseph Spragg, legacy, minus transfer inheritance tax
due thereon,
Jane Burns, niece, legacy, minus transfer inheritance
tax due thereon,
Susan Spragg, (now Mangiarrilli) grandniece, legacy,
minus transfer inheritance tax due thereon,
Alexander Burns, nephew, legacy, minus transfer
inheritance tax due thereon,
Emma Burns Campsey, niece, legacy, minus transfer
inheritance tax due thereon,
170.00
170.00
850.00
850.00
1700.00
1700.00
$25,868.53
$25,019.54
$24,849.54
$24,679.5 4
$23,829.5 4
$22,979.54
I
$21,279.54
$19,579.54
.... ....
._ ....
...
,,
l I
r;
0 -I;r
0 ..... (1)
0 -+>
0 n :::l z
n 0 .... 9
s::: :r
:::l (1)
..... 3
0 0 -+> .... .... (1) ....
0 0 --,., .... :r
(1)
-.-
' ..
Charles Burns, nephew, legacy, minus transfer
inheritance tax due thereon,
Francis Burns, nephew, legacy, minus transfer
inheritance tax due thereon,
Edgar Burns, nephew, legacy, minus transfer
inheritance tax due thereon,
Francis Burns, nephew, 1/9 residue,
Relda Mattox, niece, 1/9 residue,
.
Joanna Burns Barr, niece, 1/9 residue,
Emma Burns Campsey, niece, 1/9 residue,
Charles Burns, nephew, 1/9 residue,
Alexander Burns, nephew, 1/9 .residue,
Mary A lice Spragg, niece, 1/9 residue,
Edgar Burns, nephew, 1/9 residue,
(J.) Clifford Burns, nephew, 1/9 residue,
,( -
2550.00
$17,029.54
2550.00
$14,479.54
2550.00
$11,929.54
1325. 51
1325. 51
1325. 51
1325.51
1325.50
1325.50
1325.50
1325.50
1325.50
No balance
• ?' .
"\
' •
~
'
No ______ ?:-!?_~---, 19 68 ----------
In the matter of the First and Final
occountof Francis Burns, Executor
of Estate of Elizabeth I. Burns, a/k/ a
Miss ~lizabeth I. Burns, a/k/a
Elizabeth Burns, a/k/a Miss Elizabeth
Burns, a/k/a Elizabeth Irene Burns,
Deceased.
1\~ju~iratinn au~ mrrrrr
SlliM :JO H:t1SID3l.:l ONI(fifl·~ TI3SS!Hl
.1 l : H t.JV t t tldV CS3'!
n!ll 1 u .:.J ~,~J
~ ~ -; i , __
~
., ~·
\ ·.a
..
~
, ..
.. ,.. ..
IN WE ORPHANS---. COURT OF
WASHINGrc>N COUNTY, PENNA.
No. 188 of 1968
. Estate ofi
Elizabeth I. Burns,a/k/a,
Miss Elizabeth I. Burns,a/klf!a,
Elizabeth Burns,a/k/a,
Miss Elizabeth Burns,a/k/a,
Elizabeth Irene Burns,
Deceased
PAY TRANSCRIPT
• .
-, -. 1· , -; -' •
) -' ---. ! ·.,
. --· ~ ) I I !
r-; r-Ci w 0
(;)
CJ
..,_;
ADAM L. SANDERS
ATTORNEY AT LA"W
WASHINGTON, PA. ----WASHINGT;7<rl"l3urLDING
i
Estate of: , . , ) IN THE ORPHANS' COURT OF
~ . :
Elizabeth I. Burns,a/k/a, )
Miss.Elizabeth I. Burns,a/k/a,:
Elizabeth Burns,,a/k/a, )
Miss Elizabeth Burns, a/k/a, : '
WASHINGTON COONTY, PENNSYLVANIA
Elizabeth Irene Burn~, )
Deceased . ) No. 188 of 1968
PAY TRANSCRIPT : i
' .' i. " ~ l 't t . . w~, ~he unQersigned, do hereby on the date set forth below,
acknowledge to have received from Francis Burns, Executor of the
Estate of Elizabeth I. Burns, deceased, the amounts set forth
below, being·the balance of distribution due us in said estate,
. awarded by the Decree of Distribution of the Orphans' Court of
Washington County, Pennsylvania, dated April 10, 1968.
IN WITNESS WHEREOF, we have hereunto set our hands and seals
this .~f: ~day of April, 1968.
Claysville Cemetery Association, legacy
for the upkeep o~ the Burns Cemetery lot
in the Claysville Cemetery
Claysville Cemetery Association
By·:~ ;.<rrt2
Joseph Spragg, legacy, minus tran~ ~~
300.00
inheritance tax due thereon ~~ ~ ~-17o.oo __ ~~--~~+---~--~~-------------¥~c~:lc
' .. Jane Burns, niece, legacy, minus
transfer inheritance tax due thereon
aso.oo ~/ftf:--&,&414/ v· 7 .....
'f-'-' ~,~
(Seal)
Alexander Burns, nephew, legacy, minus
transfer inheritance tax due thereJ?on ~J-t~_..,y
60.....£./'~ ..r -f!'rVl'".,....
1,100.00 (Seal) ------------------------------------
Alexander Burns, nephew, 1/9
residue
Emma Burns campsey, niece,legacy,minus
transfer inheritance tax due thereon
,A! ;(l /1 ¥' ~·<.6
1,7oo.oo ~, NJI-~' ~·at (Seal)
Emma Burns Campsey·, niece,
. 1,325.51 ~ v3.~ CLt1:;; residue
Francis Burns, nephew, legacy, minus
transfer inheritance tax due thereon
~-~ /"")
i 2,550.00 ·f4~~1&·Ck~
I . .
Francis Burns, nephew, 1/9
residue
Joanna Burns
residue
I ;;.;M;.;;a;.;;r..;,y~A;.;;l;.;;i;.;;;c;.;;;e;....;;;;SJ;;p;.;:;r;.;:;a.g:.i~::...~.a niece, I 9 A J.. ~
residue -t ~~~'Lr--r <f~, ¥-~r-~lf
1,325.50 -~~ (Seal)
Estate of: ) IN THE ORPHANS t COURT OF
Elizabeth I. Burns,a/k/a, )
Miss Elizabeth I. Burns,a/k/a,:
Elizabeth Burns, a/k/a, ) WASHINGTON COUNTY, PENNSYLVANIA
Miss Elizabeth Burns,a/k/a,
Elizabeth Irene Burns, ) . •
Deceased ) No. 188 of 1968
PAY TRANSCRIPT
:;I:; ::Sar~Ji't:surns Foley, the undersigned, do hereby on the date
set forth below, acknowledge to have received from Francis Burns,
Executor of the Estate of Elizabeth I. ~urns, deceased, the
amount set forth below, being the balance of distribution due me
in said estate, awarded by the Decree of Distribution of the
;
Orphans' Court of Washington County, Pennsylvania, dated April 10,
1968.
IN WITNESS WHEREO~, I 1 have hereunto set , my hanq::: and seal'·
this ..j>a day of April, 1968. . 'J
Sarah Burns Foley, niece, legacy, minus
transfer inheritance tax due thereon
. ' :-
Estate of: ) IN THE ORPHANS' COURT OF
Elizabeth I. Burns,a/k/a, )
Miss Elizabeth I. Burns,~/a,:
Elizabeth Burns,a/k/a, ) WASHINGTON COUNTY, PENNSYLVANIA
Miss Elizabeth Burns,a/k/a,
Elizabeth Irene Burns, )
Deceased ) No. 188 of 1968
PAY TRANSCRIPT
I~ Sus~n Spragg '(now Mangiarrilli), do hereby on the date
set forth below, acknowledge to have received from Francis Burns,
Executor of the Estate of Elizabeth I. Burns, deceased, the amount
set forth below, being the balance of distribution due me in said
estate, awarded by the Decree of Distribution of the Orphans'
" Court of Washington County~ Pennsylvania, dated April 10, 1968.
IN WITNESS WHER~OF, I:, have hereunto set . my hand and seal
this·· ~3 v · day of April, 1968 •
. Susan Spragg (now Mangiarrilli) grandniece,
legacy, minus transfer inheritance tax due
thereon,
(Seal)
~
Estate of: ) IN THE ORPHANS' COURT OF . . .
Elizabeth I. Burns,a/k/a, )
Miss Elizabeth I.Burns,a/k/a,:
Elizabeth Burns,a/k/a, )
Miss Elizabeth Burns,a/k/a, :
WASHINGTON COUNTY, PENNSYLVANIA
Elizabeth Irene Burns, )
Deceased ) No. 188 of 1968
' PAY TRANSCRIPT
~I~ ~Charles Burns,: do hereby on the date set forth below,
• '1 i ..... '... 1
acknowledge to have received from Francis Burns, Executor of the
Estate of Elizabeth I. Burns, deceased, the amounts set forth
below, being the balance of distribution due me in said estate,
awarded by the Decree of Distribution of the Orphans' Court of
Washington County, Pennsylvania, dated April 10, 1968.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
~day of April, 1968.
Charles Burns,· neph~w, legacy, minus
transfer inheritance tax due thereon.
2,sso.oo fl~~/~..--1{4'~ (Seal
)'
Charles Burns, nephew, 1/9 residu~ , . -;) /
1,325.50 a;;l[{~_,(j/,,_L}-f,tA:--1{/~;// (Seal
;!Jf: ~{--~; J~~ q-' qn._;(tfl~'"dt<; ek / ~
fo:u 4?n~~--~~-A./ e__,__» ~ 7~ ,() 0 ~ lu~ . -
f8~ ~ t7f'i /'7 ~· h..u ~a~~,&;:;: ~
r-~,~~L-
Estate of: ) IN THE ORPHANS' COURT OF . .
Elizabeth I. Burns,a/k/a, )
Miss Elizabeth I. Burns,a/k/a,:
Elizabeth Burns,a/k/a, ) WASHINGTON COUNTY, PENNSYLVANIA
Miss Elizabeth Burns,a/k/a, :
Elizabeth Irene Burns, ) . .
Deceased l No. 188 of 1968
PAY TRANSCRIPT
"I; '.Edgar:·Burns, do hereby on the date set forth below,
.. ,_ , .. ~ -' ' . ' -
acknowledge to have received from Francis Burns, Executor of the
Estate of Elizabeth I. Burns, deceased, the amounts set forth
below, being the balance of distribution due me in said estate,
awarded by the Decree of Distribution of the Orphans' Court of
Washington County, Pennsylvania, dated April 10, 1968.
IN Wil'NESS WHEREOF, I have hereunto set my hand and seal this
this~~day of April, 1968.
Edgar Burns, nephew,· l~gacy, miBus transfer
inheritance tax due thereon
Edgar Burns, nephew, 1/9
~~~~----~~~----------(Seal)
.,~&u-vr~,:r~ -, ~"';Jr ~~~ : ·j;ez;~~~~~r -'7 ~h.·~ -c -.
· ~~-d.:. /f;r-1'14«4/'J.a-,p-e-..u. .•. MC>O !f:;:;<j;;; ~---
M~;!uv~'£
Estate of: ) IN THE ORPHANS' COURT OF . .
Elizabeth I. Burns,a/k/a, )
Miss Elizabeth I. Burns,a/k/a,:
Elizabeth Burns,a/k/a, ) WASHINGTON COUNTY, PENNSYLVANIA
Miss Elizabeth Burns, a/k/a, :
Elizabeth Irene Burns, )
Deceased
{ :·~ ~ .. ~ :0 i. : .,.. ~ LV
. .
) No. 188 of 1968
PAY TRANSCRIPT
.I, ReldaM~ttox, do hereby on the date set forth below,
acknowledge tO·•\l1ave received fmm Francis Burns, Executor of the ·~ ' . -' .,
Estate of Elizabeth I. Burns, deceased, the amount set forth
below,·being the balance of distribution due me in said estate,
awarded by the Decree of Distribution of the Orphans' Court of
Washington County, 'Pennsylvania, dated April 10, 1968.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
Jot~ day of April, 1968 •
.
Relda Mattox, niece, 1/9 residue
(Seal
Estate of: ) IN l1iE ORPHANS' COURT OF
:
Elizabeth I. Burns,a/k/a, )
Miss Elizabeth I. Burns,a/k/a,:
Elizabeth Burns, a/k/a, ) WASHINGTON COUNTY, PENNSYLVANIA
Miss Elizabeth Burns, a/k/a, :
Elizabeth Irene Burns, )
.. ; ·~:rii-'to-1_11"'~ --.. "'\
'
Deceased
• .
) No. 188 of 1968
PAY TRANSCRIPT
~. I"' ~ -~ . ,,·, ' '.~ ~ .~1 jJ.) Cl:i.fford Burns, do hereby on the date set forth
below, acknowledge to have received from Francis Burns, Executor
of the Estate of Elizabeth I. Burns, deceased, the amount set fortb
below,·being-the balanee of distribution due me in said estate,
awarded by the Decree of Distribution of the Orpfians• Court of
Washington County, Penna., dated April 10, 1968.
IN WitNESS WHEREOF, I have hereunto set my:hand and seal this
2<L day of April, 1968.
" (J.) Clifford Burns,·nephew, 1/9 residue
I
Form RCC-33
__ .._
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
RESIDENT DECEDENT COUNTY OF ...... W~ ......................................... .
IMPORTANT: This return must be completed in detail and filed in duplicate, with will attached, with the
Register of Wills of the County where decedent resided; Return is due within one year after
date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of
. the Inheritance __ !ln~ Estate ],'ax: Act of 1961.)
Executor
of the estate of the above-named decedent being duly sworn, depose a and sayS
............ · .... ~~···· ..... , 19 .. {~!~· .. ··•{ ~eaving a last will, copy of which is hereto attached. } Decedent · dJed
(Month)
:::;::~·;.::·.~.:::::::::::::E: ::} i!!J:~;:;::~~:o;::at Law . .. . .. . .... ···•··•••·•·•··••···•··•••···••··•············· ::
That as such .... ~~Y..1;QJ: ................... deponent is familiar with the affairs of said estate and the property con-
( J•;x.,cu tor-Adm iniatrator)
stituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly
with, or as agent or 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:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TODEC~DENT
Mellon National Bank ancJ ~~ust co.
Wasb:lnaton. Penna. Miss Bli2taboth Bu.t'ns
That the contents of said safe deposit box or boxes are itemized under Schedules ______ of this
return, with the exception of the following, for the reasons hereinafter ~et forth:
That Schedule A attached hereto and made part hereof sets forth full v and in· detail all the
real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving
the amount still due at death, name of mortgagee, date, rate of interest, and book and page of record
thereof. It also sets forth in the columns provided therefore the assessed valuation of each of said
parcels, the estimated market value thereof as of date of death of decedent.
That Schedule 8 attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned 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 deposit, savings banks, trust companies, or other institutions, whether individually, or in trust for
any other person or persons giving also separately the accrued interest thereon, if any, down to the last
interest day prior to decedent's death in the case of savings banks, and to the date of decedent's death
in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent; all obligations, whether by statute or agreement they
nre desi~nated as tax free, of the United States, or any state, or political subdivision thereo~ or of
nn:• forei~ country,-which are owned at the time of death; all wearing apparel, jewelry, silverwaret pic-
tures, lJooks, works of art, household furniture, horses, carriages, automobiles, boats, and any and all
other personal chattels of whatsoever kind or nature, left by decedent, together with the fairly estimated
market value thereof'; all bonds and mortga.!!es held by decedent and of all claims due and owing decedent
at the time of neath, and all promissory notes or other instruments in writing for the payment of money
of which <'I.e cedent fl.ied possessed, of whatsoever nature, with interest thereon, if any, giving the face
value anrl. estimateo fair market value thereof, and if such estimated fair market value be less than the
face value, it sets forth briefly the reasons for such depreciation ·as to each item; all moneys payable
to the estate from life insurance polici'es carried by decedent; all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death, with the market
value thereof at such time.
.• ,
In the case of securities of close or family corporations, the values reported are as far as
possible substantiated 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 sho·.ving 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 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 received by each transfe~ee and
all other facts of a pertinent nature regarding said transfers. Xn the case of transfers intended to
take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y
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 pa~ses 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 jointly, by the will, ~eed, or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
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, 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 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, andthe 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 instruments effecting the vestiture of
real estate and the date of acquisition of personalty, plus the name, address and relationship, if 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; counsel 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 anrl unpaid at time Clf
~ . 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 rlebt 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 Summary.
Subscribe~ apd sworn to before me this ................................ .
........................................ .... .. . ... day of .... ···---~~~----·················· 19.J~1. ...
........................................ .. ... .... ················· ................... NOtaty···PUbHc ..... ..
My Com.Bxpa
Washington,
March a6. 1911
Washington County t Penna.
tff~~-----
. .. ~Ql9 ·---~~-~~~-~----~!~.~-! ................................................. .
(Street Number)
--~~-~~9-~.~~ ...... ~~~---··'···-~~~---······················.
(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 worrl "None", anrl 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 (1-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEQENT
~ --
SCHEDULE "A"
-R'EAL PROPERTY
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Where property heid as joint tenant or tenancy by entireties, report on Schedule "E". Property bid by
the decedent as tenant 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 property located in the Commo['lwealth of Pennsylvania should be (1) (2) (3)
described by lot and block number, street and street number, together with D~PARTMENT
a general description of the property, with a reference to the record of the ASSESSED VALUE VALUATION
conveyance by which the decedent took title; if a farm state number of a-FOR YEAR OF ESTIMATED CAUTION cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEATH In this space) to be listed on Schedule "F" and must not be deducted from this schedule.
None
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the last page of this return.
/
RC:C-35 ._
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
. -~
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent, at the time of his death. Property owned by the decedent jointly with another or others
must be listed under Schedule "E". Inta~gible personal property, titled in the name of the decedent, but
payable at de~th to another or others, including but not limited to P.O.D. u. S. Savings Bonds and tenta-
tive trust accounts, must be listed, despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household
goods, and fUrnishings, books, paintings, automobiles, boats, etc.)
Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, . .
stocks, ·mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay-
able to the estate or fiduciary in said capacity, partnership interests, interest in anyundistributed
estate of or income from any property held in trust under the will or agreement of another, even though
located outside of the State, at the time of death, should be listed in this schedule.
Item
NO•
ITEM UNIT ESTIMATED
List and describe fully VALUE MARKET VALUE
Chocking acewnt in Mellon Ntd:•l Bank &
!rust Co.,_ Wash. Pa.••••••-• ........ ..,..,.,...,.,.,...,,.
One $soo.u.S.t'I'Qae.Bond·2~c::f 1064·69·
date4 4/15/1949 <?!94 ................ _,..,.,. ................. .
.Qae $soo.u.s.1Yeath8oftcl4~·o1' 1904·69·
dated 9/15/1943 @94.-----.••••••••••••••
stocks
156 eb9. com.stock ot American 1'. & t. ~'j •. 9025
60 ehs.com.stock o<£ ..Jones & La.ughlln
Steel@ S6.S7S
5 shs.cu.ptcl.etock 0'1 ..Jonas & Lauflh1ln
Steol•pa.r $100. @81.8'75
220 $hs.eom.stock 0'6 Lone Star Gas Corp.@l9.937~
85 shs.com.stock o# Columbia Gas SY$.@26 .. 812
86 shs .com. stock o.'l Std.otl o~ N.J'. @60.~ ''
?2 shs.c:om.etock o~ Cincinatti Gas &
J.Uec .• eo. <ti26.SO
16 sbs.com.No:ttho2tn Natual Gas eo.€!46.3?5
10 shs.com.sinclair 011 Corp. @?l.SO
10 eks.com.Wasbington steel Col'p.G4.8?.S
6 shs.com.\~estingbouse Airbrake C:o.@.3e.uas
1 sh.Ptd ... 4iiG West Penn Power eo. <!lao.oc
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" colunm on the last page of this return.
470.00
4?0.00
439 • .98
4,386.25
2,379.02
.s,2ss.as
1,908.00
?42.00
?15.00
248.15
2.91.75 eo.oo
DEPARTMENT VALUATION
(Do not write in
this space)
. '
RCC,-36
CO\B!O:\'Ii" \LTII OF PF~NSYLV . ..\.NI A
TlU:\~FFH. INHERITANCE TAX SCHEDULE "C"
Tfl\NSFERS
H.ESinEXT DECEDENT
( 1)
(2)
( 3)
Did decedent, within two years of death, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) tM)
Did decedent, within two years of death, transfer property from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) ftO
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).
(4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no) ItO
(a) Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition? (Answer yes or no) ~
(b) What was the transferee's age at time of decedent's death?------
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a) The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no) ~
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom? (Answer yes or no) DO
(6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent
alone or others ________________________________________________________________________ ~------------
(7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor? (Answer yes or no) ; DO
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change,
because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms
of transfer or by operation of law? (Answer yes or no) Y~
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the triter-
est of the beneficiary reserved in th~ decedent alone or the decedent and others?
(Answer yes or no) decedc.U\t OQl)f
NOTE 1: The answers to these questions should be supported by affidavit by the atten<Ung physician as
well as a copy of the death certificate.
NOTE 2: If answer to a~y of the above questio~s is yes, set forth below a description' of the prcperty
transferred, it's fair .market value at date of death, dates of transfers and to whom ·transferred, with
relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM
I
· DESCRIPTION
Certtticate ~ Deposit Nwnbo.: 46151; with
Equitable Lifo ASsurance' Society o£ u.s .•
c!a~ed April ~. 1~40t :ln amount of $1012.22•
payable to ~a.:. Reed Burna, .1~., nephew,
if' living, and., if not, to estate o£
Blieabeth I. Burns.
MARKET VALUE
(Estimated)
Insert thi.s tot:d oppostte "Tr,.tnsfers", Schedule "C" in the
"As Reported" colu11B1 on the last page of this return. $1,012.22
DF..PT. VALUATION
(Dept. Only)
COMMONWEALTH OF PENNSYLVANIA
THANSFl~R INHElU TANCE TAX
PillSIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRVCTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly
with another or others, including intangibles, standing in the name of the decedent and others. List
real estate first, as entireties, or joint tenants, giving brief description, as indicated tmder Schedule
"A", plus the date and place of record of instrument effecting vestiture, but do not include entireties
or out of state real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to
the decedent.
Description of Property, Date of Acquisition, Name I Unit
Address and Relationship of Co-Owners, and Place I Value
of Record of Instrument, where Real Estate. l
1. One $200. (~ace) Series S.Detenae
Bond dat~d Peb. 21, 1956, in the
Dames of Misa Blieabeth X. Burns
or Francis Burns, nephew, whole
value $217.44q·1/a taxable--~····
2. One $200. (taco) Seriea B.D4)fense
Bond, <fated Peb. 27, 1956, in the
namca of Miss Bliaabetb J. Burne
oxr Francis Burns, nephew, whole
va1uo $217.44··1/2 'taxable··-··-
s. One $SOO.(te.ce) Series H.Doteuo
Bond, dated July 9, 1957, in names
of Miss Bli2abetb x. Burns or
Prancts M. But-no • neph.ow, whol(;
valuo $Soo.oo ....... l/J taxable ............. .
percentage Estate
Share Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
Entire
Property
$108.72
108.72
aso.oo
Value of
Decedent's
Interest
____________ .. __ ~ ·------------L-----L-----~---:------t-------+------
Insert this total opposite "Jointly Owned Property", Schedule "E"
in the "As Reported" colrnnn on the last page of this return.
$467.44
\
h
' '
"RCC-37 (12-63)
l'():\t:\lt1~\H~:\l.Tl! OF I'E7':~SYYl.:\NIA
TR.\NSFER l~IIEHITA!\'L'E T.-\X
RESIDENT Dl:XEDE!\'T
BENEFICIARIES AND ADDRESSES
State full names and addresses of all who
ave an interest, vested, contingent or other-
wise, in estate)
Francis Burns
1039 Allison Avo ... Wasb.Pa. ,.
ClaYsville Cemotorv Assoe ..
Clavevtlle. Penna.
·~ Sarah Bu.tns Po lev
Chautauaua. New York ..
.J'ose»h Sura.aa
Wasbinaton •. Penna.
•J "~ SQI'flS.
W~hington. Pemaa.
Susan Snraaa
PhiladelPhia. Penna..
Alexandor Bwms
Waabinoton. Penna.
anmo. Burns """'-eY .
ClaySville. Penna.
Charles Burns
Washington1 n. c.
Bdaar Burns
HQy,stOl\. Toxa.s ...
Relda Mattox
Det~:oit • • Michigan .,_ ... __ ..._ Burna l'llu"r
Woet A1oxnnde~. Pa.
Mt!>~ Alice SI>raa
Wash1ngton1 Penna.
ct~*ttord Burns
Lo~ain, Ohio
~
SCHEDULE "D"
BEi\'EFICIARIES
-RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF
illegitimate children DECEDENT OF BENEFICIARY
are involved, set STATE YES IN ESTATE
forth this fact.) OR NO BIRTH
n ...... vea SDGC & raA-1-·-.... ~e
'
nona snec.
,
niece vas spec .. leaatee
none ves .a~ 1--... •-
nieeo ves · &peg .legatee
a.nioce vcs SDct. ~ 1~-.. •--
nePhew Yt!S spec ... & :res.lecatee
nleco YeS SJleC & resid .. leaata e
~PhGW YCS '' SPeC. & res ... leaatee
nephew YOS spec. & res.leaatee
niece Yes I:'Os •. leaatee
niece yO$ res. louatee
nieco . yes res .leaa:tee
.
bel) hew yes res. leaatee
'
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
~.\
Will
~ t No.
r. THE
Year .......... .
:\lATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Elizabeth I. Burns,a/k/a, Miss
Elizabeth I. Burns, a/k/a,Elizabeth
Burns, a/k/a, Miss Elizabeth Burns,
.a/k/a, .. Elizabeth .. Irene .. Burns .
Deceased
Late of .......... Ci.ty ... of. Washington ..... .
County of .. Washington
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
STllfA .:lO H3J.SI83lJ
ONHNW TI::J~;SnlJ
~,I . ry IIV r 1' \L:'' r~·~r v • I h ;. CJ~ { "-.... ~ •
OJlf~~J
Adam L. Sanders. Attorney
(Executor-Administrator
must complete "As
Reported" column #1.)
(') ~....:J '"0 ~
"1 0 ~ (1) (1)
0 "1 e. "' ... ::l "' "' a. w 0 ::l '"0 ....:J e. "1 :» ... "' 0 X '"0'0 :» '< 0" "1 ~
~ I 0 ..... '0 -...:
t'%1 (1)
"1
"' ..... ..... -...: :» ..... (1)
'tJ t "' # :a ~ l\l
trJ c ~ ~ > ~ ---><! w trJ trJ r.> r.> ?'" ?'" ?'" n ca > : : :: ---
-oo -oo -oo -oo -oo -oo !I .. ts ... . . • > f\) ,.0(1) "'
i ~ ts a o ~-• • • .. • '0::::
~ t~'""8s; c. {\) 0 (t . : . . c...
-oo-oo-oo-oo-oo-oo
> :r.
0 <t_ 8" l..:J ...,~
2.
:::l r. c..
Form RCC-4-Rl-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS
No. 91 0058 OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax File No 9436-147
Date August 18, 19~
Office REGISTER OF WILLS, ___ 1rfA:S_· _H_IN---G:....:T:.:O::_:N _________ __l Pa.
WASHINGTON County, ss: Received from Frances Burns
(Executor,~) of the estate oft ____ ----±E:!,!L:!=!I:f:z~·AB~E~THg_d:.I.!!... • ...JB,L:URN!,L!!o!~TSL_ __________________ _
who died July 2 ' 19t:!___, the sum of ONE THOUSAND FOUR HUNDRED and no /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 ----Valuation
$) _____ _
$ _____ _
Total
Total Gross Assets
Less Debts and Expenses of
· Administration
Clear Value of Estate
Valuation of Life Estates or Annuities
$·~-----
$
$. _____ _
$ DJGOHPffiT.E
Date 19 __ $•-------
. 19__ !::$ ======
Estate:i'Tax Assessments
Date· 19 __ $ ______ _
_________ 19__ ~$=======
NOTE: In accepting the transfer inheritance tax on future estates prior to the death of
the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com-
monwealth shqll not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever.
®OOO~O~£[L 37-32-l
NOTE: To be delivered to taxpayer by Register of Wills
Computation of Tax
Tax on$ 5%
Tax on$ 10%
Tax on$ 2%
Tax on$ On Account 15%
Exemptions * $
Total Estate $
Total Tax
Less Tax Previously Paid (if any)
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.
Balance
Add interest at the rate o %
from------------------
tO-------------
Total
$
$
$
$ 1,473$68
$
$
$
$ 73.68
$ _______ __
$================
$ 1,400.00
*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.
Register of Wills
7
~
FORM RCC-4-RI
TRANSFER INHERITANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
Docket,__37_~Page, __ 3_2_..Icu..i.ne_1 __ _
ELIZABETH I. BURNS Estate o1-f --------------
OFFICE OF REGISTER OF WILLS
\·lASHING TON ~---------------~Pa.
Date'------=A=u=g'--"u=s-=-t--=1=-8=--_19_!!]__
SIGNED AND SEALED AS PROVIDED BY
SECTION 1201. ACT APRIL 9. 1929. P. L. 343
AS AMENDED BY ACT MAY 15. 1945. P. L. 528
,JOSEPHINE N. OOUGLAS
Register of Wills
1201 (g), Act of April 9, 1929, P. L. 343. as amended. viz:-:·ro 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 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
tax receipt is delivered:
I ~
To ATTY. ADAM 1. SANDERS
611 vJASHINGTON '!RUST BUilDING
L 15301
_j
;o rn:n c;;C: -tn {/itn ~~
?:j-
o:s: "71):.-.
=E?J r:z ro
(/)
};:~ ...
iS -\ ! ::o • --· ~ r--ITi ?;·:: . . .
0 ,_;;, ...
;-. ..,..,..
>-"
.....
VJ
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~/
Form RCC-4-Rl-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA BESIDENT DECEDENTS
No. 91 0187 OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax File No 9436-147
Date September 29 ~ 19.!!1__
Office REGISTER OF WILLS, WASHING'IDN, Pa.
WASHING'ION County, ss: Received from __ __;'l'r~an~· e~e~s!!.........!B~urn,y,:j~SL_ ________________ _
(Executor, f the estate oLf _______ .JE!i.IL.JIZ~·J!:ABE>E~THH-J.I.-. -JB~tJJ1JR:lJ1WII::Si-----------------
who died July 2, 19_f{f_, the sum of iWO THOUSAND and no/lOO - - - - - - -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 Valuation
$. _____ _
$, _____ _
Total
Total Gross Assets
Less Debts and Expenses of
· :~ Administration
Cle,ar Value of Estate
Valuation of Ufe Estates or Annuities
Date•-----------
.• r--...
Estate Tax Assessments
. '
19_
19_
$. _____ _
$
$.
$
$ _INCOMPLETE
$.
$
Date __________ _ 19_ $.
19_ $
NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant( OJ 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.
®000@30~£[L 37-32-1
NOTE: To be delivered to taxpayer by Register of Wills
Computation of Tax
Tax on $ -------------
Tax on $ ----------:----
5% $---------
10% $ ---------
Tax on $ -------------2% $ -----------
Tax on $ · On Account 15'}'0 $ 2,105.26
Exemptions * $ =============
Total Estate $ -----------
Total Tax $ -----------
Less Tax Previously Paid (if any) $ ============
Balance $ -----------
Less five per centum of tax if paid 105 26
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 %
from------------------
to -------------------
Total
$ ____________ _
$===============
$ 2.,000.00
* 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 11, 1957, and Act No. 207: i96!, Section 302.
SEAL~ ~
CJ .((., 2n~ ~ MOORE SUS=::=
FORM RCC-4-RI
111ANSFER INHE1tiTANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
.37 .32 1 Docke+L__:_ __ Page. ___ ...... I ine, ___ _
ELIZABETH I. BURNS Estate of ____________ _
OFFICE OF REGISTER OF WILLS
____ ___:W.=:ASH==IN_;_G..;_TO.;;__N_.,'----------'Pa.
Date __ --=Se=p=t=e=mb=-e=-=r:........:..::29.._.,.___l9_!!]_
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
JOSEPJIINE M~ DOUGLAS.
Register of Wills
1201 (g), Act of April 9. 1929, P. L. 343, as amended, viz:-"To receive from Registers of Wills all duplicate .re· ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the 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
tax receipt is delivered:
I
To ATTY. mAM L. SANDERS
£i1 1 WASHINGTON TRUST BUILDING
WASHD!GTON, PENNSYLVANIA 15.301
L _j
.... ,. tP
\I}
~
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