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OC1968-0191 - ESTATE OF TEMPLETON
-----------------------------------------/~ Form /·~C C ·10 ~ ,. OFFICE OF THE DEDUCTIONS ALLOWED IN THE SUM OF • , ......... S 77t?l•i--~ REGISTER OF WILLS OF _W..!.!...:a=.S~hi=' n:.!<gte:...::.:O~n~--COUNTY STATE~ENT OF DEBTS AND DEDUCTIONS DATE APPROVED . . . . . . . . 2~ -!t<r iP~~~"t~ Register of Wills, Ageot Templeton, a/k/a ~1~· oF --=B~o:.=.r...::o::.!:u~g>.!.h~o~f~C~a~n~o~n:!:s~b:.!::!u::.r..,ijg,___ _____ _ '}-.;( f-?~- DATE OF FILING APPRAISEMENT -~M.=.a=y"--3::....::.1f!..l _.=.19::..6.::..::.8 __ DATS: OF DEATH --.&.LJ..i:;18"-L.DU.J1LC8Ur~J~r_.9:Z.,~,_..JJ_.gl.l.6l.C8;l..· ----- ESTATE oF Mary E · DATE NO. OF VOUCMiillt NAMIL OF PAYEE REMARKS AMOUNT ~ Jan. 28 Jan. 2.8 Jan 28 Feb. 3 Feb. 3 Feb. 3 Feb. 17 Mar. 8 Mav 25 West Penn Power Co.: Electric ~ ervice Canonsburg General Hospital: La~t Illness W. Leonard Griffith Funeral Hone: Funeral expenses Oak Spring Cemetery Co.: Openi ~g:...and closing grave, etc. Bell Telephone Co. of Pa.: Telerhone service Ray Fife: Moving expenses West Penn Power Co. : Final electric bill Mary M. Cavasina, M. D.: Prof Services (Medicare payment on tn1s aoctorbliT lnc-lllded u mventory} Gavdos Monument Co.: Grave Mf.l.rker Malcolm L. Morgan. Co. Treas 1968 P. P. Tax c. 1/24/68 Wash. Co. Rep.: Adv. Letters 23.50 12.50 I 3 88 43 53 874 00 90 00 6 1!1 76 00 2 74 204 00 1 1 r; 00 ?.8 78 . . . . i "L.fl<±/tH5 uauy l\!OTes: Adv. Lett'""e=r:=--s------------r.,._.,~-+----t---1 l"L..nU ?.1?.?./nP. RuRRP.ll M::trino ReP' · 2 S C ?, 00 5/22/68 Russell Marino, Reg •. Filing Inv. 4.00 54 50 John P. Liekar: Notary fees 5 00 .T::rTnP!=l A M rC:onnP.ll· F. 1 ~00 00 Howard 0. Stevens: Attorney fee 1 600 00 ' ----+---~--~----------------------~~ ---·---------------------+-----4r-------+---+---+------------·--~~· -·-·---------.. -----------~~------+-'---'17 0.3 s-r ! I I ---+-----4----11-----------------r-------·---·----------l:----t----l I l : COMMONWEALTH OF PENNSYLVANIA } SS: c~~NTY oF fd::;;nr~McConnell HEREBY CERTIFY. THAT. TO THE BE•T OF MY KNOWLI!:DGE AND BELIEF, THI!: FOREGOING IS A JUST AND TRI,I E STATEMENT OF OEBTS, FUNERAL EXPENSES AND EXPENSD OP' ACMINISTRAnoN suBMITTED To THE ESTATE oF Ml=trv E Ternnleton, a/k/a etc. ~.o usED. As oEcucTION& FoR INHERITANCE TAX PURPOSES. \L.-2 ~-/11111 / ·Gf'h'"".._, 14--lfL~ __ (L. 5.) sW\)RN AND suescRiaEo eEFORE ME rHI'i lOth oAv Executor --T 11 'l:J;;I; ,., ' .L)_ , " 6 8 • ·~ t? /' ~ -- (/ ·---=- JOHN P. LIEKAR, Notary Public WASHINGTON COUtHY PA MY COMMISSION EXPi'RES. JANUARY ~0, ig?o ' I ., oo ··-·, L: •! l ,..,,..'l r·"'"'i i ol ~ .... D., • I \ ) ,, . \ \ ·. ........ ~.! .. ~!~ ................... _~·-~-~-~~------------~ -· ...... ,, ...... _ "' Qtnmmnuwraltl1 of Jruusyluauia.} lllllasll'ingtnn Qtnunty. ss. KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 23 day of January A. D. 19 68 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in t:he Commonwealth of Pennsylvania, the last Will and Testament of Mary E. Templeton late of . Borough of Canonsburg in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and James A. McConnell 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, Russell Marino , Register as aforesaid~, do grant these LETTERS TESTAMENTARY, unto the said James A. McConnell 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 Offic'e, at W a'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 23 day of January in the year of our Lord one thousand nine hundred and Sixty Eight ........ 'f.~ .. ~.-!'.n .t~ ....... /2(~·-················:······················ ~ Register .. -· ... •' '· • .. l~ ~ ~ it-< ... j ... !H3 ~ ~~ foot = 1'11 t ~~ (/) Gt -i it;t;l )> ~ !~ -i = ,. iO 1'11 ... !21 0 ~ l "II a : ! ~ = -~ foot = I - ----:--........,;..-~-.T--;"""·~ PI' l 4#4 ,.........,~.~~"' ' ~-~--~· ..; . ;, ... .. -l' l'!.; t~·t ll tl'lt t I, MARY E . TEMPLET 0 N, unmarried, of the Borough of Canunsburg, Washington County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare th~s tq be my La~t Will and Testament, hereby revoking all testamentary writings heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral be paid out of my estate as soon as may be convenient after my death. SECOND: I give and bequeath unto my nephew, JAMES A. McCONNELL, all of my tangible· personal property. It is my request that my said nephew distribute certain items of said tangible personal property to certain of my friends and relativPs .n arcoroance with my desires heretofore expres.sed tu my sa1d nephew with respect thereto; however, th1s reque~:>t 1s to be considered as being precatory only, and my said nephew's determinations in carrying out the same shall be final and conclusive. THIRD: All the rest, residue and remainder of my estate, real, personal and mixed, of whatever nature and wheresoever situate, which I may own or shall have the right to dispose of at the time of my death, I give, : devise and bequeath, in equal $hares, to my nephew, JAMES A. McCONNELL, i j and my niece, MARY JANE GOODWILLIE. FOURTH: I. appoint my nephew, JAMES A. McCONNELL, :Executor of this my Last Will and Testament. I i IN WITNESS WHEREOF, I have hereunto set my hand and seal I j this _ _t_l __ day of November. 1967. I i I -~T!r;;~----------(SEAL Signed, sealed. published and declared by the above named I i Testatrix,. MARY E. TEMPLETON, as and for her Last Will and Testament, I ! in the presence of us, who~ at her request, in ?er presence and in the presence ! of each other, have hereunto subscribed our names as witnesses to the due execut1on hf'reof. it' ~. --~"k: ... ~_--<74 ~-:,_£A._ ~--~A"dd;-~ 63 _68 _191 i\ffi~nuit ®f iExrrutnr ®r A~miuiatratnr 63 _68 _191 j;tatt nf Jtnnsglnania. f !l!l: I 1-- C!tnuntg nf llas~ingtnn ( Personally before me, the undersigned authority, a ............... ~.?..!.~E.Y ... ?Y:!?.~~-9. ............................... in and for said Oounty and State, appeared ........ ~A:MA;§ ___ A__! _____ M_<;._G_Q~-~-~b~.L .................................................................. who, being duly sworn according 1Jo law, deposes and says that he is the executor or administrator of the estate of ~-~E.Y .. ~--~-----!-:_~~-P.~-~-~-<::>.:r:!-.!. ..... ~/~/~ .. -~!.9. .. : .. ~------------------------------------------deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate ofM?.:~Y---~--~--T~~-P!.~JQ.~_L_?.:.l~/?.: .. ,etc • • deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real ,and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death, based upon a just appraisement of each item made by the above named Executor Administrator. day_:!~:a'::::d~'~i~~~~~~-} WASI-tiNGTON COUNTY, PA. ADDITIONAL INS MY COMMISSION EXPIRES An inventoli~NmllAJBY be, fiikrd within three months after ointment of personal representative. 1. 2. 3. A supplemental inventory must be filed within thirty days of discovery of additional assets. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $10,000, induding Copy of Will; 1 Original and 3 Oopies and: 2 RCRI-33, Over $50,QOO, including Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 lluurutnry aub 1\pprai.s.rm.rut of the goods and chattels, rights and credits which were of--.~-~E.Y ... ~ .. : ..... T.~!?.:P.~~!.?..!!:~.----~l_~l_~----~~--?..: .. .> ................... .late of-------~-?.E.~~~?. ... ~~--~-~??.?..~?.-~E-~~------------------------------ Washington County, Pa., taken and made in conformity with the above affidavit. PERSONALTY: Household furniture and furnishings as follows: Contents of Living Room and Hall Contents of Bed-Room Contents of Kitchen Miscellaneous 226.00 80.00 234.00 143.00 Checking Account No. 356-6675 in Mellon National Bank and Trust Company (Canonsburg Office). in n/o Mary E. Templeton Checking Account No. 4-784-834 in Pittsburgh National Bank (Canonsburg OfficeL in n/o Mary E. Templeton Savings Account No. 13-007132-T in Union National Bank (Mt. Lebanon Office -670 Washington Road1 Pittsburgh. Pa. ~ 15228), in n/o Mary E. Templeton or James A. McConnell DOLLARS 683 00 2,450 18 2, 095. r,66 (admitted to be property of decedent) 8, 253 13 Combined Insurance Co. of America: Refund of unearned premium Bankers Life Insurance Co.: Reimbursement of amount paid Canonsburg Hospital during last illness Bankers Life Insurance Co.: Refund of unearned premium Bankers Life Insurance Co.: Re:imburs.ement of first $40.00 paid Canonsburg Hospital on last illness 22 00 428 57 8 39 40 00 CENTS '. " I. .·· ' ·' ..:-~ ...; ..... ~ -, ~ ~ ., ' ' ;::!.: i· --"" ! I ; I . . ~ i ... I ..... ~ !<: "" ~ I I ... ~ 0 "'t I '< I 1::!1 ~ i ~ ~ ~ ' t ' ' ::.:.., i I ~ ,_ ' ~ ~ I ~ .. i ~ £::• ! C) "' ' ~ j ~ "" ' ~ .... ... "' I I I , ' ... Estate of Mary E. Templeton~ a/k/a etc. Deceased. . . Prudential Insurance Company: Proceeds received from two life insurance policies (No. 522-308-693 dated 6/9/52 and No. 66-133-203 dated 2/8/26) issued in n/o Mary E. Templeton Commonwealth of Pennsylvania1 U. S. Treasury Department: Local fees due decedent as Local Registrar for Dept. of Health, for the month of November 1967 Commonwealth of Pennsylvania, U. S. Treasury Department: Lump sum death payment Commonwealth of Pennsylvania~ U. S. Treasury Department: Medicare payment in reimbursement of doctor bills Bell Telephone Company of Penna.: Refund 100 Shares Consolidated Oil Corporation (N. Y.) - (now Sinclair Oii Corporation)~ common, in n/o Miss Mary E. Templeton. @ 7 5-3/4 183 Shares Pioneer Fund, Inc. -(Del.). capital. in n/o Mary E. Templeton~ @ 13.71 999 Shares Provident Fund for Income~ Inc. ())eLL capital, in n/o Mary E. Templeton, @ 6.11 Total Personalty NO REALTY 1,464.49 5.89 255.00 123.20 3.52 6,103.89 $ 32,020.85 .. STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ 55: The wit>hin named Accountant being duly sworn according to law, depose sand says that the above' account as stated is true and correct as ............. b.~-------------------------verily believe. '- Sworn and subscribed before me this ..... J.Q~h ....... . day of -------~------------July ________________________ 19 .. JHt ... . --~----C?~a/.U _______ _ JOHN P. LIEKAR, Notary Public WASHINGTON COUNTY, PA. Mi' COMMISSION EXPIRES JANUARY 30, 1970 Warshington County, ss: co! co: m: ' tii -+->i (1): ro! _, '+-< 0 ..., 1':1 ::s 0 t) t) ~ C'\.., .-1! \J~ <+--<: ~: _, ~ .......... ~vnu,l/)!fiJ~- I do certify that I have given leg·al notice ·ro all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court, as evidenced by proofs thereof filed to No.t.J.::. .. {.f_~ __ ?_I_Ja ........ . Witness my hand and official •seal thist2./__"(:ij_, __________ _ dayaf-~~-~::-_::1~~-~: r-· [ L-··-J ' I-~~ "-..911 ~ I ~! <"'<) ..., ... ::s 0 0 <l) :e 0 ..., 'd <l) ..., d <l) Register of Wills Q 0 '+-< 0 ~ ... ~ 0 0 ·;; ..., d ol ..., d ::s 0 t) t) ~ ... 0 '+-< t/.l >. s:: a) (1) d ~ ~ ~ I ~ l r:.. 0 r.1 E-< ~ E-< w. fil cOl s::~i o: -+->i <l>i .--!: .--! p_; Cl! .---~: .-l: (l)i s::i S::i Oi u .. 'I F:: 3 :~·.r::,.·-·· !~: ~ ~ ·~r;:.') r~~-l.~ ~ ·~ .. Lr 1f, ):_~_s 83 ~ "' <l) ... ""' ..., d ::s 0 t) t) ol 18 0 :0:.: fil > s (1) :;:; U) ~ t~ ~ ' ~ ~ ..-~: mi ~! 0 z ' • di s:: j:j: •..-! <l>i ~ E-;i "0 .; s:: r:£1! Cl! :>J -+-' ... ' Ul ..... , ~ Cl!: •..-! ~: ~ ,.,_ C,)i ~j _) ~ ......,! 0 Ul' -+-' (1): ;:::l c' C,) j:ji (1) roi ~ 1-Ji r:£1 • I .. _.. ..., -~ d ;s -~ B "' ~ :e g ~: 'd _ .. : 1':1 -: ~ "' ..... 'd 1':1 ol !il ..., "' 'bil <l) ~ 0 "0 ~ Cl! ~ 0 :r: ...... -· :t;- / • ,"\:) ~ K ~ ,. . , .. •. ~ ,__ - -------~--------- • ;.. • The Court is respe tfully requested to det:ermine pmpec d;;tc;but; ;n th;; e;tate. ~· ~do.~ Counsel for Accountant A • IN THE ORPHANS' COURT OF WASHINGTON COUNTY .. PENNSYLVANIA. FIRST AND FINAL ACCOUNT OF JAMES A. McCONNELL .. EXECUTOR OF THE ESTATE OF MARY E. TEMPLETON.,. A/K/A MARY ELIZABETH TEMPLETON .. A/K/A M. E. TEMPLETON.. DECEASED. ~.3--~., r---1 q r No. 191 of 1968. SCHEDULE A PRINCIPAL-PERSONALTY Receipts (Page 2) $ 32, 020. 85 Disbursements (Page 2) 8,_ 266. 08 Balance -Principal-Personalty $ 23,754.77 SCHEDULE B , INCOME-PERSONALTY .-.... Receipts (Page_ 3) Disbursements (Page 3) Balance -Income-Personalty NET BALANCE NET BALANCE CONSISTS OF THE FOLLOWING: PRINCIPAL-PERSONALTY: Cash Stocks: 100 Shs. Consolidated Oil Corp. (now Sinclair Oil Corp. ) common, @ 75-3/4 7,575.00 183 Shs. Pioneer Fund, Inc ... capital,@ 13.71 2,508.93 999 Shs. Provident Fund for Income, Inc ... cap • ., @6.11 6,103.89 Advance Distribution (See Exhibit No. 1, page 4 of Account) INCOME-PERSONALTY: ----------------- Cash $ 1,, 182.49 0.00 $ 6, 883.95 16., 187.82 683.00 1~ 182.49 $ 24., 937.26 $ 23 .. 754.77 1,. 182.49 $ 24., 937.26 1/28/68 1/28/68 1/28/68 2/3/68 2/3/68 2/3/68 2/17/68 3/8/68 5/25/68 4/5/68 Schedule 11 A11 PRINCIPAL-PERSONALTY RECEIPTS Per Inventory and Appraisement Total Receipts DISBURSEMENTS West Penn Power Co.: Electric service Canonsburg General Hospital: Last illness W. Leonard Griffith Funeral Home: Funeral expenses Oak Spring Cemetery Co.: Opening and closing grave., Bell Telephone Co. of Pa.: Telephone service Ray Fife: Moving expenses West Penn Power Co.: Final electric bill Mary M. Cavasina. M. D.: Professional services (Medicare payment on above doctor bill included in Inventory). Gaydos Monument Co.: Grave marker Malcolm L. Morgan. Co. Treas.: 1968 P. P. Tax Howard 0. Stevens: Reimbursement for the following: 1/18/68 Russell Marino, Reg.: Letters & 5 S. C. 1/24/68 Wash. Co. Reports: Adv. Letters 2/14/68 Daily Notes: Adv. Letters 3/22/68RussellMarino. Reg.: 2S. C. 5/22/68 Russell Marino. Reg.: Filing Inventory etc. 23.50 12.50 12.50 2.00 4.00 $ 321020.85 $ 32,020.85 $ 3.88 43.53 874.00 90.00 6. 15 76.00 2.74 204.00 115.00 28.78 54.50 John P. Liekar: Notary fees 5. 00 James A. McConnell: Executor's commission 1. 600.00 · Howard 0. Stevens: Attorney fee 1, 6 00. 00 . Total Debts & Administration Exp. $ 4_, 703.58 a/c Pennsylvania Transfer Inheritance Tax: · ------------------------------ Russell Marino. Agent: Payment of Penna. Transfer Inheritance Tax on $25,000.00 at 15o/o less 5% discount Total D·.isbursements -2- 3,562.50 $ a. 266. oa • INCOME-PERSONALTY RECEIPTS DIVIDENDS as follows: Consolidated Oil Corporation (now Sinclair Oil Corporation). 100 Shs. Common: 3/15/68 6/10/68 70.00 70.00 Provident Fund for Income~ Inc •• 999 Shs. Capital: 3/29/68 7/5/68 369.63 479.52 Pioneer Fund1, Inc... 183 Shs. Capital: 4/11/68 6/14/68 13.73 13., 73 Total Dividends INTEREST on Savings Account No. 13-007132-T in Union National Bank (Mt. Lebanon Office). in n/o Mary E. Templeton or James A. McConnell (nephew of decedent) -admitted to be property of decedent -from 12/1/67 to 6/1/68 Total Receipts DISBURSEMENTS None -3- Schedule 11 B" 140. 00 849.15 27.46 165.,88 $ 1,.182.49 EXHIBIT NO. 1 ~-------- ADVANCE DISTRIBUTION ---------------- To: JAMES A. McCONNELL ... Nephew ... In accordance with paragraph nSECOND" of Will: All tangible personal property, at appraised value1 as follows: Household furniture and furnishings: Contents of Living Room and Hall $ 226. 00 Contents of Bed-Room 80.00 Contents of Kitchen 234.00 Miscellaneous 143. 00 Total -4- $ 683.00 THE DAILY NOTES. CANONSBURG, PA. PROOF 0~ PUBLICATION . In compliance with the NewspapJr Advertising Act of May 16, 1929, P. L. 1784, Sec. 3, paragraph (3) and (25). 1 State of Pennsylvania } County of Washington ss. Personally appeared before me, a Notary Public in and for said county and state, ----------~_§:Q_§.~-----~-~-----~~-Y ........................ , who being duly sworn, deposes and says: that ________ $._hst _____ is the'EtQ_Q_kk_e_e_p_eiR the Notes Publishing & Printing Co., a Penn- sylvania corporation, and its agent in this behalf: that the said company is the pub- lisher of The Daily Notes, published daily except Saturday and Sunday, having its place of business at Canonsburg, Washington County, Pennsylvania; that the said Daily Notes was established August 1, 1875; that the printed noltice or advel'ltisement, attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said newspaper in its regular issues on the following dates: ____ !_ a~~§:!X ___ _3_QJ ___ _:f_~_Q.r:td9-.!'.Y ___ §_, _____ f_~p;r_g_~;r_y ___ 13__,_ ___ ~_9._§§ .................. -.. . that the affiant or the corporation tin behalf of which .... .S..bJL _______ is acting is not inter- ested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to !the time, place and chara~c~· n~e true. -------------------------------------------------------------------Bo_o__ e·e:pe-· -------·· Sworn to and subscribed before me this ·--------~f -( ~~~-Y--------19.6.8 __ -----·-A"uP"~-~:-;··:i:·-~',?f---3f.-::::t·a-;j;·-~-,;;:-~ ~hlic \V.:o.shih;:tc.1 ·_:t···:,tJ, :·a.. r.:y Comrn:ssiOil Er.pirtiS ~arch 3\1, 1970 EXECUTOR'S NOTICE Estate of Mary E. Te'mpleton, a/k/a Mary Elizabeth Templeton, 11 a/k/a M. E. Templeton, deceased, late of Borough of Canonsburg, Washington Ccunty, Penna. LC'tters Testamentary upon the abovf' estate having been g-ranted to tho UlHJ.<?rsignecl, notice is here-b.\r givt\n to those indr•bte<l thet·< ... to to nwh:f' in1n1e-cljaV" lHLYmC'nt, an(l to those l1aving ela:in1s ·or (h).nJnntlR to }n·e....:ent t.heu1 for se~tlt"n1ent. JAJ\TICS A. ilfC'C'O:'\:'\RLL :t!2 Green Stre0t :r.Lousrro.N, t-'liJNN.A., 1:334!3 Executor j HO\YARD 0. S'T'R.V:R:'\8, Attorney l\fPllon Bank Building I CA.':.'O. XSDURG,_ I 'RNXA .. , l :;317 1 .Jan. 30, Feb. G, 13, 1%8 1 Washington County Reports .. ~ Washington, Pennsylvania (PUBL-ISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, paragraphs (3) and (25). 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, publiS'hed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in t'his 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, e.xactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: ... £~-~:r.Y.~:r.Y. .. }.J....?.., ... }:?..'-....~.9..~.?. ................ .. . h . acting is not interested ., ~ion in behalf of ~hi h ~~ al~ of he allegations of 'n the subject matter e. z!!IC a h racte 6£ J e pu ) {_ _/ that the affiant Or th 0~· e or dvertisin r;m t w~IOO e~. ~his affidavit as to t (;.(/,. , ~ •...........................•......... Sworn to and subscribed before me this 8 Y 196 ...... Februar ............... , .. !~-!'j/d•: oL : ~ ~ ,< ..L.- ~~: ...... "~~';;Publtc ..... .. ·. .... ........ ublic KATHERINE C. YARD, Nota~ Washington, Washington Co., My Commission Expires November 1, 1969 Pa. 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 them for settlement to the Executors or Admin- istrators or their Attorneys. ••••••••••••••••• TEMPLETON, MARY E., a/k/a MARY ELIZABETH TEMPLETON, a/k/a M. E. TEMPLETON, Dec'd. Late of Borough of Canonsburg, Washington County, Penna. Executor: James A. McConnell, 322 Green St., Houston, Pa. 15342 Attorney: Howard 0. Stevens, Mellon Bank Bldg., Canonsburg, Pa. 15317 ,\ Testate Form J _, PETITION SUR AUDIT IN THE ORPHANS' COURT OF WASHINGTON COUNTY -. ) . - Estat_e, of ---~-~E.Y. .. ~-~--!.·~-~p_~~~~!:l-~.-~/~1 ~--~-~~J: ..... __ .. No, ..... }~-~-----~!. .. }.~.?-~-----------····;········:········J\~~ ~-~~-~~!?-~-~~--~~!E.P..~~~-?.~! ... ~1~!~.-~.: .. ~: ........................ . Fiduciary ....... :J.~~~!? __ f!.:_. ___ M_~g~J::l.II~H., ............... . T._~~P.~-~-~~-II~ .. P..~~~~~~~-~---································------------· Executor. Deceased . • Date of Date of Decedent's death ...... :I.~:9-.1:1:.9:~Y .. ~...e • .J~-~-~-----······--·····-········ Grant of Lertters .......... J.a:nJJar.;¥ .. 23.,. ... 1.9.6.8 .................... . This is the· ....... ~ ... J~f~t.9:n-9 .. nn.9-.L ...... : .. L ..................... account filed in this estate If there have been former accounts filed in this estate, list file number or numiJer and term .......... N.o.ne ................ . Election to take No election filed Under or Against will. (cross out one) Date Election Filed Place of; Record ... : ........ : ................. . Name of surviving spouse .......... .P.~~-~-~~!cl~--~~9-.. n-~.Y.~~--:m.lil::rrJ~g-~--------------·-··------······---------·--------··'····: ................. . List iss-ue, where 'material: Did decedent marry after execution of _will? (indicate) ~-No. Any children born after execution of will? (indicate) Y!:i!S. No. If answer yes, name them .................. : ............................................................................................................ .. --------------------------------------------------------------------------------------------·------------------------------------------------------------------------------..:-.-.------------· Leg.atees Relationship Interest Fiduciary, if deceaJled or not sui juris . T . . . J James A. McConnell Nephew Specific & Residuary Of age and Sui Juris Mary Jane Good willie Niece Residuary Of age and Sui Juris List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: ... .-None If partial intestacy, 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. I'Xl:x If any exception give cause: .............. NmJ..e ...................... . \ File copy of Notice .. and date of mailing .............. A1-!g1Jf!L22.~ .. J-.9.u.8 ................................................................ , .. , ......... , .... , .... ,., ........ , .. ,, .. , ._ Is estate subject to the filing of a Federal E'state Tax Return? .... -------~~-------------------------------·-------------------------------········ Tax paid on $25,000.00 at 15%, less 5% discount. Actual payment made on Pennsylvania Transfer Inheritance Tax.f Amount $ ... 3.,.56-2-•. 5Q .•.. Ther.e .. will.b.e..a .. ba1. of tax remaining unpaid. 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. There are no known unpaid creditors, except Washington County-6 for Personal Property Tax due for the years 1965, 1966, 1967 and 1968, in the total amount of $22.30, including interest and penalty. statement for which was furnished your accountant subsequent to the preparation of this audit petition, and which amount accountant admits is now due. Accountant therefore requests your Honorable Court to direct payment thereof in its Adjudication and Decree and Schedule of Distribution to be made in this estate. Give reference to such parts 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: None Principal-Personalty Income-Personalty Totat.Jadditional de~~ts (Add) $ ...... N~!:l:~ ................... . Itemize any additional credits not shown by account: _Fr_Q_m_ .P..ri..n..Q!p_g.l.-.P ~!:®JJ..Q,~ Howard 0. Stevens: Reimbursement as follows: Russell Marino, Reg.: Filing Account 18.00 Russell Marino, Reg.: 2 Short Certificates 2. 00 $ 23.,754.77 1,182.49 $ ..... 2~.a-~~1 .•. 2fi .......... . Total additional credits (Subtract) $ .. :.~Q .•. .9.Q................... 20. 00 . Balance for distribution $ .... .2.4,..9.17.. ... .2.6. .......... . If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); PRINCIPAL-PERSONALTY: Cash Stocks: 100 Shs. Consolidated Oil Corp. (now Sinclair Oil Corp.), Com.,@ 75-3/4 183 Shs. Pioneer Fund, Inc., Cap. @ 13.71 999 Shs. Provident Fund for Income, Inc., Cap.@ 6.11 ' Advance Distribution: Tangible personal property delivered to James A. McConnell, nephew, in accordance with paragraph !!SE®ND" of Will, at appraised value 6,863.95 7,575.00 2,508.93 6,103.69 16, 187.82 c r _, ~ , ... ~ 1 683.00 23,;734.77 , . ~.----~-.,.-·--~ IN ACCORDANCE WITH PARAGRAPH "THIRD" OF WILL'"' ~AMES A. McCONNELL Nephew 1/2 Residue3 in cash and in kind~ includ :_ ing the following shares of stock1 elected to be taken in kind at inventory value, per Election dated 5/31/68 filed herewith and made a part hereof: Number of Shares of Stock in the Estate: 100 Shares Consolidated Oil Corp. (now Sinclair Oil Corp.>~ Common~ @ 75-:J}4 183SharesPioneerFund~ Inc.., Capital~@ 13.71 999 Shares.Provident Fund for Income~ Inc. Cap., @ 6'.11 N~~~~r-~_aE~~e-~~!:_~_~n~_!!!_~eE!?IY_y~.!_u~__!:~~r~~~J:~ E_~~ ~~~~<!_!_n_~!!_<!_ !_?_.[_a_p1_e~ _A_! _JM:£g_q_~~l:!~_:e_~r-~~ £t.!q_n_f_!~~: 50 Shares Consolicated Oil Corp. (now Sinclair Oil Corp. )3 Common, @ 75-3/4 91 Shares Pioneer Fund, Inc. 3 Capital, @ 13.71 499 Shares Provident Fund for Income .. IncOJI Cap. @ 6911 Total value of requested distribution in kind to be awarded to James A •. McConnell • $ $ 3 .. 787.50 1 .. 247.61 3,048.89 8;, 084.00 MARY JANE GOODWILLIE Niece 1/2 Residue~ in cash and in kind, includ- ing the following shares of stock ... elected to be taken in kind at inventory value~ per Election dated 5/31/68 filed herewith and made a part hereof: Number of Shares of Stock in the Estate: 100 Shares Consolidated Oil Corp. (now Sinclair Oil Corp.).. Common, @ 75-3/4 183 Shares Pioneer Fund, Inc ... Capital, @ 13.71 999 Shares Provident Fund for Income, Inc. 3 Cap ... @ 6. 11 Number of above Shares and Inventory Value thereof, to §:~~~~r]~<[[n=@~<[J~Ra~i~~iie=Q~~~gTI~~E~=~~~t}q_n_~~~: 50 Shares Consolidated Oil Corp. (now Sinclair Oil Corp.}, Common .. @ 75-3/4 92 Shares Pioneer Fund, Inc ... Capita~ @ 13.71 500 Shares Provident Fund for Income,, Inc.3 Cap. @ 6.11 Total value of requested distribution in kind to be awarded to Mary Jane Goodwillie $ 3,787.50 1.,261.32 $ 8,1' 103.,82 INCOME-PERSONALTY: ----------------• $ • :. Cash ),182.49 $ 24.917.26 If Family Exemption claimed by Petition, give place of Record: ......... ~~~--~pp)J._<;_~'!:?~~--------------------------------------------- If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ...... ,.----------------------------------------., ' List any advancement or distribution on acbunt that has been made, and nature and amount of same: To: James A. McConnell-All of decedent1s tangible personal property, in accordance with paragraph "SECOND" of decedent1s Will, consisting of houJ3ehold furniture and furnishings, etc., having a total appraised value of $683.00 . . . Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections 1 to take in kind if balance.is not in cosh: residuary shares being stated in proportions: • I •• J IN;:ACCORDANCE WITH;•PARAGRAPH "SECOND" OF WILL: . ,:. . JALV-!ES A. McCONNELL ~· \T ..,, Nephew All tangible personal property, consisting of household furniture and furnishings, etc. having a total appraised value of $683.00 Distributed in advance -See receipt ... filed herewith. -··· · ") ~ =--~ -=-,. .. .1. ~ ~ ... COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, sworn being duly ...................................... doth depose and say that the facts set forth in the foregoing petition are true hls . to the best of ................................ knowledge and bel1ef. Sworn . ------------------------------------------------to and subscnbed before ~e th;s _.$9_tb. __ day~--___ A~p_t_;z)_'_ ~~-(\._ S1gnature af Off•cer_0_::~:;·----'---~~---- Title of Officer ......... C/~-~~~!! .. ~·1.~!~~:-~L~~!11T'!--~u~~~-~---····· YV l·h.d 1 f,n,H VI~ \.oUUtlJ 1' r 1-\a . MY COMMISSION EXPIRES Office ex pi res ........................... ~!':.~-~~~Y .. ?~J .. 1~Z9 ............... . And your petitioner will ever pray, etc.·· • ' ., c., '-!... . t.. .• No. . ...... }.~-~---9-~----~-~-?-~------------------------)\,~ Mary E. Templeton, a/k/a Estate of ...... ------...... ---.-----------.---.-------------------- Mary Elizabeth Templeton, a/k/a M.: .. ~: ... '!'.~~P.~~!~-~~--.P.-~~~-9:.~~-9.! ____________ _ Deceased Fiduciary ...... ~-~-~-~-~--~-=--Ms_Qg_:~m~.H~-------- Executor. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit· herewith the following, in conformity with Court Rules adopted effective December 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 Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate ·of I iens 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 tnereto. HOWARD 0. STEVENS ----·------------------·-----------------------------------------------... ~2 .At~orn_e; ,,,, 't 1 ~ f I I '\ ~ '\ ' ,•' ,' ~ _, ...... ~ •, ,.. "· f !· '·· ., _____ .:;_ ____ .--~--~--....-.------~--.::.~~--_ __,_ __ .:_ ..• _-:...-_-_. . -·::.:.....:. -~~--·---'-~~=-•• ·-· -· .. ·-~·· ---~-----·--..4. -·----·-•• • • .:. --~--:.::::-.::-._:.:· I. ~---·-----~-.... --··---~- lin tqr (@rpqans' Q!ourt uf musqingtnn Q!nuuty In the matter of the Audit of Account in No. 191 _ _:o::....::f _____ , 19_6_8_, &::AX TO THE AUDITING JUDGE: Enter my appearance for.--~-A---=c:....c:....o:....u.::·::.n::.:t:..:a::n:..:t_:__ __ _:_ ______________ _ ---. day of September 19 68 '-- N. B.-Couns~l 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. v' ,.:_.;-: 1Ju tqr ®rpqaus' <1Inurt nf Basqtugtnu arnuuty ESTATE OF No.J~J~g-~~91 19 ... ~.~---·, ~.'A~ ______ .i1?.x~Y.·---~-'!.r~m..P.l~t.9.n ___ g/lf:/~ __ MI?.rY. In the matter of the .... ~~t~-~---~!?:~---~~?.:~~- 'r~!!l:P.~~-~~-~---~~~~~---~~p_y ___ ~_:J__~-~-!?:J:?.~-~~-Account of .. Ja.rne.s ... A.~ .. Mc.G.onneJ.l ______________ _ Te_mple..ton .. a/k/8 ... M ... E .. T.e.mp_l.e.ton _____ _ ----------------------------------------Ji~.X€-Ct-l·tGP-.---------------· deceased. ADJUDICATION AND DECREE . And noW-----------~~P..~~-~~-~~-----------------;L~------, 19.---~~, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof the balance for distribution in the hands of the Accountant is determined to be $ ........... .24,J9l7-.•. 26 _________________________ and the account is accordingly confirmed; and it is orde,red, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. ~ ···········~fZ~tx .......... c.itf~·rV SCHEDULE OF DISTRIBUTION · Balance pe·r account·--------------------------------------------------------------------------------· Additional credit asked at audit Balance·----------------------------------------------------------·------------------------------------------- Deduct Clerk's Costs & Receipts__________________________________________________________________ 4J.. 00 AttorneY------------H0wa-r>d---0-.---3-tev-en-s------------------------------------------------· Washington County, Division of Personal Property Tax, per praecipe filed, 22.30 Russell Marino, Agent, transfer inheritance tax, 335.10 James A. McConnell, nephew, specific bequest in kind of tangible personal property, held in kind and distributed as such at the appraised value, credit to be taken by the accountant for items advanced prior to distribution by the Court, 683.00 James A. McConnell, nephew, 1/2 residue,includin cash and the following assets, held in kind and distributed as such at the appraised value, per election filed; 50 shs. Consolidated Oil Corp. (now Sinclair Oil Corp)carried@ $3787.50; 91 shs. Pioneer Fund,In • Cap. ~tock valued@ $1247.61; 499 shs. Provident Fund for Income,Inc. Kap. valued@ $3048.89, 1917.93 Mary Jane Goodwille, niece, 1/2 residue,includin cash and the following assets, held in kind and distributed as such at the appraised value, per election filed; 50 shs.Consolidated Oil Corp.(now Sinclair Oil Cop.)common stock valued@ $3787.50; 92 shs. Pioneer Fund. Inc. csp.stock valued @ $1261.32; 500 shs. Provident Fund for income,Inc. cap. sto valued @ $3055.00; k 1917.9 $ 24,876.26 $ 23,835.86 No balance l I 1- 0 a :J z () 9 -t.. () -+ m 0 :r Ill c CD ~l ...... ~ a ~ 3 ...... ...... CD 0 a 0-' 0 -t.. ::+ ,....... -t.. CD = .... 0 0-' 0 -t.. -t.. ..... 3=- r--~ \)J ' ., ~ CD ~ ..... -· f'.. ~ (f) = D.....J = :-a =-=~ I ~ M:~ ~ -~ 0.. ~c2 = t:-_9 0-' ~ ,;;::... -::-!!~ l ~~! s ' ~ -"' " .... c4;:s: > . tl:) ?> ~-.,.. .. (~ ........ ~ C'.J :.t;ll;:!, ~ ·-s. l·' ~'l ~ 'P -. • ::=,C) tl:) r•11 L:l:..l tl:) ;~\{' c::: ~-il ' l t'} c r IN THE ORPHANS' COURT OF WASHINGTON COUNTY. PENNSYLVANIA. E~~e~ ) ( MARY E. TEMPLETON, a/k/a ) MARY ELIZABETH TEMPLETON, a/k/a ( No. 191 of 1968 M. E. TEMPLETON, ) ( Deceased. ) PARTIAL DISTRIBUTION RECEIPT ------------------------ The undersigned, JAMES A. McCONNELL, of 322 Green Street, Houston, Pennsylvania, hereby acknowledges to have received this day of James A. McConnell, Executor of the Estate of Mary E. Templeton, a/k/a Mary Elizabeth Templeton, a/k/a M. E. Templeton, Deceased, the following items of tangible personal property, at their appraised value, as follows: Household furniture and furnishings: Contents of Living Room and Hall Contents of Bed-Room Contents of Kitchen Miscellaneous $ 226.00 80.00 234.00 143.00 $ 683.00 being all of decedent's tangible personal property, bequeathed to me at Item "SECOND" of the Last Will and Testament of the above captioned decedent, and which Will dated November 27, 1967. was duly probated on January 18, 1968, and now remains of record in the Office of the Register of Wills in and for Washington County, Pennsylvania, in Will Book 105, page 141, and Letters Testamentary on which were duly issued by said Register of Wills to James A. McConnell, Executor named in said Will, and who has duly qualified as such Executor; and in consideration thereof, and to the extent that it represents full distribution to me of all tangible personal property bequeathed to me at item "SECOND" of the above captioned decedent's Will, the undersigned hereby releases and discharges the Estate of the said Mary E. Templeton, a/k/a Mary Elizabeth Templeton, a/k/a M. E. Templeton, Deceased, and James A. McConnell, Executor, of and from any further.liability on account of the same. WITNESS my hand and seal this 5th day of February • 1968. Witness: J ,. '. '' \ ... IN THE ORPHANS' COURT OF WASHINGTON COUNTY~-PENNSYLVANIA Estate of Mary E. Templeton., a/k/a Mary Elizabeth Templeton, a/k/a M. E. Templeton, unmarried, Deceased REQUEST FOR DISTRIBUTION IN KIND OF CERTAIN ASSETS OF ESTATE • .._ ______________ _ The undersigned, JAMES A. McCONNELL and MARY JANE GOOD WILLIE, nephew and niece, respectively, of the above captioned decedent and sole residuary devisees, in equal shares, under her Last Will and Testament, dated November 27, 1967 and appearing of record in the Office of the Register of Wills in and for Washington County, in Will Book 105, page 141, have mutually agreed between themselves so to do, and hereby respectfully request the Orphans' Court of Washington County, Pennsylvania, in its Final Adjudication., Decree and Schedule of Distribution to be made in said estate following the Audit thereof, to award the following assets of said estate to them., in kind, as hereinafter set forth., said award to be made to each of them at the appraised value thereof as set forth in the Inventory filed in said estate, and to be charged against their respective equal one~half share of the residue devised and bequeathed to them by the terms of said Will, and we and each of us do hereby authorize and direct the said James A. McConnell, as Executor of said estate, to retain said assets., in kind,. for the purposes of award and distribution as herein requested, and hereby release him and the estate of the said Mary E. Templeton of and from, any and all liability of any nature or kind~ whatsoever~ for so doing~ To James A. McConnell: 50 shares Consolidated Oil Corporation (N.Y.) fnow Sinclair Oil Corporation) common~ in n/o Mary E. Templeton Appraised value in Inventory @ 75-3/4 91 shares Pioneer Fund Inc. (Del). capital.t in n/o Mary E. Templeton Value as appraised in Inventory 499 shares Provident Fund for Income~ Inc. (Del.) capital in n/o Mary E. @ 13.71 T enipleton. Appraised value in Inv. @ 6. 11 Total value of requested distribution in kind to be charged against the residuary share of James A. McConnell To Mary Jane Goodwillie: 50 shares Consolidated Oil Corporation (N.Y.) (now Sinclair Oil Corporation) common,~ in n/o Mary E. Templeton Appraised value in Inventory @ 75-3/4 92 shares Pior:eer Fund Inc. (Del). capital, in n/o Mary E. Templeton Appraised value in Inventory @ 13.71 500 shares Provident Fund for Income, Inc. (Del.) capital in n/o Mary E. Templeton. Appraised value in Inventory @ 6. 11 Total value of requested distribution, in kind1 to be charged against the residuary share of Mary Jane·Goodwillie: TOTAL $ 3~ 787.50 1~247.61 $ 8~ 084.00 $ 31787.50 $ 8, 103.82 r .... $ 8., 084.00 $ 8_. 103.82 $16_, 187.82 IN WITNESS~~EREOF ~ we have hereunto set our hands and seals this __ 3/_ __ dayof _ff~, 1968. _ _Jl)JfJ!!~--(Sea I) James A. McConnell kQ.'-'-'-~~--(Sea!) ary Jarfu~dwillie ('' -~\.~ -~ • ~ r '! . IN THE ORPHAN'S COURT OF WASHINGTON COUNTY~ PENNSYLVANIA . ~ . -"' i \ ~ ESTATE OFi Mary E. Templeton, a/k/a Mary --ET1za1>-~til--Tem:PleToll:--a7kla--iVi~-E:------No. _____ _!~_1-----~-----------------of 19 _JUt 'A"X/Jf. ------------------ __ T_~!!l..P1~t.g_n_.. ___ p_~_c;_~_g,-~_ed_. _________________________ _ DISTRIBUTION RECEIPT The undersigned, hereby acknowledges to have this day received of JAMES A. McCONNELL., Executor of the above captioned estate., ······--------------------------------------------------------------------------------------·~---·---------------------------r$ 11 I 9 1 ·-r~-93)·------ . :fec~u~ oJri~-~~Ktini?~~~~~---~!!?:~-!!~~P:!._~Q __ §_~_y_~gt~-~g __ ~!!9: __ ~_~l_J,_Q_Qt.h§ __ L_~ __ : __ :-__ ~--=--~-DOLLARS,* )in full payment and. satisfaction of the amount awarded to me by the said Orphan's Court in its Decree and Schedule of Distributi_on filed to the above number and in consideration thereof, the undersigned hereby releases and discharges the said fiduciary from any further liability on accour:tt of the same WITNESS my hand and seal this _______ ~_l _________ day of -----------------~-----------------------------19 . .1i8.. Attest: ~-~~~ -------------------------------------------------·~Jif~--ames .ti. Mc~t'-imen-~-~-, (SEAL) *See reverse side vi This amount consists of the following: 50 Shs. Consolidated Oil Corp. (now Sinclair Oil Corp. L common~ valued at 91 Shs. Pioneer Fund,. Inc. cap. ~ valued at 499 Shs. Provident Fund for Income~ Inc.~ cap ... valued at CASH $ 3 .. 787.50 1~247.61 ........ ;- ....... I •,- 3.048.89 $ 8,084.00 3,.833.93 Total ;' , · $ 11, 91~ .·,9a :-:< \ t..:." ..) i?S L S ·;-;; ·-~ .:'J •··1 •: Sl.tl::'¢1 l.,,"·~. ; .• -J·~~s~:nJ • ~ tf I • c. l.j -·, :. . ...} ~ ~ 0"'"""7 • • 1.---, r ...... -. -" I • l I 1 -(I -' . · ' a. I' ,j. _,_ -" ,- c ~ 25! 01 c -1 6 z ::0 m n m ~ "' l r-3 t?:J! ~ I z ' (!) 1-' ' I» ! ~ ! s ~-! 'i l I ' -N ·~ L•j J1j fl.' ;·'-! I I 1-' 0' : trj I 1-' I ("0 C'D I i leo jc-+c-+/• I ~~ lg ::r-:r-3 ! I I~ t-3! ro : it;giS I ! ! ' '"d I Jro"di~-' m: E' 0 (") f-01(1) -I(!) (!) l c+ .... ill' c+ i 0 :0 1 rn o ! ~ m (!) ~ :~ ! ,~ .. ! 0 : 0) I • I PJ .., leo I PJ :....__ I I -~:;.;-' :;.;.o·-I I --...I $l) ll' I~ I ~Ill' 'i I . trJ ·« I ~ . . !· ., ~r. '" •. ,. i ! ' ' I I l (.-, ... , ..... ,. ,_ \ < IN'"(H.E ORP{iAN'S COURT OF WASHINGTON COUNTY, RENNSYLVANIA <. ""lo'·:· ESTATE OF:, < J No. _____ !~) ________________________ of 19JHL k.* ---------------¥_~E'Y-~-~~~---~-~~p_!_~~~E-'--~_{J.s/2_JYJ...§:r.y ____________ _ Elizabeth Templeton, a/k/a M. E. _T_~~_pJ_~!Q_!!..t ___ :Q_~-~~-~-~~d L---------------------~- DISTRIBUTION RECEIPT The undersigned, hereby acknowledges to have this day received of <I~-M~,~--:A__._ ___ MS!_Q_QNN~~-~..._--~-~~Q_l!!Q:r __ .Qf._Jh..e_ . .ab_Q_Y_e. __ h!_aP-tiQn.e.d __ ~sia1~~----------------------------- . ($11,917. 9B) the sum of -~-!-~~~~--~-~.Q:t:l~~~~--~!!!~--!!~-~Q!'_~Q--~~-y-~gt_~_~g __ ~ng ___ ~-~l1Q_Qth~ __ L_____________________ DOLLAR~ ~n cash and in ,kind,~. f . f h d d b h "d 0 h , c . . D d f in full payment and sans act1on o t e amount awar e to me y t e sa1 rp an s ourt m 1ts ecree an Schedule of Distribution filed to the above number and in consideration thereof, the undersigned hereby releases and discharges the said · fiduciary from any further liability o~f the same . WITNESS -my h~nd and seal this ___________ ~ ______ day of ---------------------------~-------------------------------------19-~-~-- Attest: , ~"i' -/ -L/ ___ q;_ __ b ___ !::"l!..e~---'-~-~------A-~--------------~~fe-~-~~--~~-~~--(SEAL) * See reverse side. ' ·'· .,. * This amount consists of the following: 50 Shs. Conso1idated Oil Corp. (now Sinclair Oil Corp.). common. valued at 92 Shs. Pioneer Fund, Inc., cap., valued at 500 Shs. Provident Fund for Income, In-e., cap., valued at CASH c~ .. '-, .l ,,, 1· " J ... .__J ~ , .. .. ./"' $ 3,787.50 1,261.32 3,055.00 $ 8, 103.82 ~814.11 .·"Total ' < ~ -j_ $ 11-, 917~ 93 (' 0 ~ g; c: -1 0 z "' m n m ~ r . .' ' ' . .- ' -• I •• ~ w .L I I z ' ' 0 ~ t;rjl~ : r H-~-d· ! . ! • .I-'•: Pl : --i . -· N :"'l : ,..,_. ' . t:r:l Pl i<-< l , [co . g' i ttj i .f I !....,. .-j .-+:. .,., : q ro t:r!.-j , -I r·· t'l .-j[ ,' --.! J.J p ,(!)_ ,., ·~· "d (!) : H• . ! ' ' • , 1-'t'l:p-rn 1 • _ o• ro P i'O en· 1 • ..... _ : .-+ "d :'"""' :;:!_: ·--'~ 0 l--lj(b r:! i~· -o ::l (!) ' .-+ .. ...... '• \ • ' • ... ~I 0~ >~ m '! !;'" o I . ' ·o : ,, :m 1-1>-<l:::l • .-11-\,: u """":... .,~ ..... .lo co ([) ,. I !"" I (") Pl!Pl : ' ro ~~~ I I Pl ..... :-! ! 00 'Pli Pl i I (!) I~ : : CL ~~ 1 ,. , ::::<I ,,~,, T ~ I i • Form RCC-33 / COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS RESIDENT DECEDENT COUNTY OF WASIDNGTON 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 ___ th~ _ _Inheritfince __ an!l Ef;t;ate Tax Act of 19§1.) .... ___ ........ J.AME.S ... A.A .... Mc.C.ONNELL, ... . .... ............ ...... --EsecutOr of the estate of the above-named decedent being duly sworn, depose S and sayS Decedent· died -·· ---· .J.9.,P.~c:LJ:'Y_ ~ . (Month) (!lay) ·-···-···• 19 .. (.y~~--··{=~~eaving a last will, copy of which is hereto attached. } Name and address of attorney or} other authorized representative to whom all correspondence should be. mailed. Howard 0.. .Stev.ens,. .... E sq ........ _ ... ····----------.. _Mell<?I1 :I3C1~ 13l1il<l~ng~ C::!.por:t~l:>-qr.g., .. :J:>g •... That as such Executor deponent is familiar with the affairs of said estate and the property con- ( 11:xecu tor-Administrator) 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:- . ·'· . . . : . THIS SAFE DEPOSiT BOX RENTED RELATIONSHIP OF JOINT NAME AND ADDRESS OF BANK OR OTHER INSTITUTION .IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT NONE 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 set forth: . That Schedule A attached here~o and made part hereof sets forth full v and in' detail all the real property in the Commonwe~lth 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 deced~nt' s de~th' in all other cases; all bonds, postal savings, treasury certificates or notes and other ~vidence of in-'' . debtedness of the United'-state'S-to the decedent; all obligations, whether by statute or_ agreeinent they are designated as tax free, of. the United States, or any state, or political subdivisi~m thereof, or of any foreign coun_try, ~l;lich l!re qwned at the time of death; all wearing apparel, jewelry,;_ ~lverware, pic- tures, books, works of art, household furniture, horses, carriages, automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, left bydecedent, together with the f'a:i.rly estimated market value thereof; all bonds and mortgages held by decedent and of all claims due and ow~ng decedent at the time of death, and all promissory notes or other instruments in writing for the paymen't' of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimated 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 i tern; 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 showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement' setting forth the nature of the agreement) together with a statement setting forth the character of the business, its location, and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.· It should also set forth in itemized~f~rm, togethe~ ~ith' the-fair market val~~ thereof, any other property owned or bequeathed by the decedent at the time of. dea-th. \ 1 , ~. _ ~ The Schedule C attached hereto and made part hereof sets forth a true a~swer 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 s~ts 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 transferee and all other facts of a pertinent nature regarding said transfers. In-the case of transfers intended to take effect in possession or enjoyment .at or after death, there is also attached to the schedule a 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 pe~sonal, with its value, which passes 'at dec~dent' 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 individu~lly or, joi_nt:!_y, bY. the !!ill, deed, or other instrument of another, with a copy of the ins.trume~t creatif!J!; such ,powpr~!lttacqed to thelschedule. 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, and the relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property, real and per~ sonal, owned by the decedent jointly with another or others, including intangible, standing in the name of the decedent and others, plus the date and place of record of instruments effecting the ves.ti ture 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 and unpaid at time of ~ .. death; taxes accrued charge.able for period prior to decedent's death (exce}Jt. those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,- have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ................ ;.................................. .. .. day of .......... tf.. {{__t-.......................... 19 ....... ?..?.. • _ ...... Q ... ~~ ................. .. JO'fiN P. LIEKAR, Notary Public 'WASHINGTON COUNTY, PA. ' .,-~y COMMISSION EXPIRES " _: JANUARY 30, 1970 ~ ..... tl ... l11.~~-------·· (Executor-~&~) 322 Green Street (StTeet Number) ..:f:!9..~!?..t.9.n#. .... P..~_D:n§I:.~ ........ JP. .. ~4..? ........................................... . (City or Town and State) NOTE: Before s'igning affidavit make sure all blank spaces in the affidavit and schedules annexed !tre 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 !tny 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~4 (1-64), COMMONWElL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece- dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property h!"ld by the de.cedent 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 DEPARTMENT 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 eras; 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 . / I v ·' 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. 0,00 / HCC-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", Intangible 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 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, N . 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 List and describe fully Household furniture and furnishings as follows: Contents of Living Room and Hall 226.00 Contents of Bed-Room 80.00 Contents of Kitchen 234. 00 Miscellaneous 143. 00 UNIT VALUE ESTIMATED MARKEr' VALUE 683.00 DEPARTMENT VALUATION (Do not write in this space) Checking Account No. 356-6675 in Mellon Nation Bank and Trust Company (Canonsburg Office), in n/o Mary E. Templeton 2,450.18' ~ Checking Account No. 4-784-834 in Pittsburgh National Bank (Canonsburg Office), in n/o Mary E. Templeton \ Savings Atcount No. 13-007132-T in Union Natio 1 Bank (Mt. Lebanon Office -670 Washington Road, Pittsburgh~ Pa . .; 15228)1 in n/o Mary E. Templet n or James A. McConnell (admitted to be property of decedent) ~Y_,.;z_ 1~/~ij ~&,] Combined Insurance Co. of America: Refund of unearned premium Bankers Life Insurance Co.: Reimbursement of amount paii:d Canonsburg Hospital during last illne s Bankers Life Insurance Co.: Refund of unearned premium Bankers Life Insurance Co.: Reimbursement of first $40.00 paid Canonsburg Hospital on last illness Prudential Insurance Company: Proceeds receiv d from two life insurance policies (No. 522-308-69 dated 6/9/52 and No. ·66-133-203 dated 2/8/26} 21 095.66 a .. 253. 13 22.00 428.57 8.39 40.00 issued in n/o Mary E. Templeton 11 464.49 Commonwealth of Pennsylvania, U. S. Treasury Department: Local fees due decedent as Local Registrar for Dept. of Health,. for the month of November 1967 5. 89 Insert this total opposite "Personal Property", Schedule "B" in X X the "As Reported" column on the last page of this return. Item No. SCHEDULE "B" PERSONAL PROPERTY (Continued) ITEM Commonwealth of Pennsylvania, U. S. Treasury Department: Lump sum death payment Commonwealth of Pennsylvania, U. S. Treasury Department: Medicare payment in reimbursement of doctor bills Bell Telephone Company of Penna.: Refund Unit Value 100 Shares Consolidated Oil Corporation, (N. Y.) (now Sinclair Oil Corporation), common, in n/o Miss Mary E. Templeton, @ 75-3/4 183 Shares Pioneer Fund, Inc. (Del.), capital, in n/o Mary E. Templeton, @ 13.71 999 Shares Provident Fund for Income, Inc. "'(Del.). capital~ in n/o Mary E. Templeton, @ 6. 11 Insert this total opposite 11 Personal Propertyn, Schedule "B" in the 11 As Reported" column on the last page of this return. Estimated Market Value 123.20 3.52 7,575.00 2,508.93 6,, 103.89 32 .. 020.85 1-- Department Valuation H\ PJ( ;~..., ¢M v LV L/ I I RCC-3b C0\!\\0\"'\"17 \LTI! OF PF~NSYLV~.l.NI A Tll\.N~FF!\ INHElUTANCE TAX SCHEDULE "C" T 1\:\~ C: FT<:ltS ( 1) Dirl rlecedent, within two years of rleath, make any transfer of any material part of his estate, without receiving a valuable and adequate consideration therefor? (Answer yes or no) No (2) Did decerlent, within two years of death, transfer property from himself to himself and another or others (inclurling 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 decerlent' 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) No (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 val_u_a_b_l_e_a_n_d-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) --~IX~oL----- (b) The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no)_rJ~o~----- (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) __ T§LLo~--- (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reservert power to alter, amend, or revoke, or which could revert to rtecedent under terms of transfer or by operation of law? (Answer yes or no) __ -=N~o~--- (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in th~ decedent alone or the decedent and others? (Answer yes or no) _______ _ NOTE 1: The answers to these questions should be supporteil by affidavit by the attending -physician as well as a copy of the death certificate. NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property 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 tr,ms- 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 DESCRIPTION NONE ,./ MARKET VALUE (Estimated) DEPT. VALUATION (Dept. Only) --...-11-----------------------------'-------~'----------···--· ,. Insert this tnt:d oppnsi.te "Transfers", Schedule "C" in the "As Reporter!" column on the last page of this return. o.oo 'RCC-3S COMMONWEALTH OFPENNSYLVANIA THI\NSFE!l TNHF:IUTANCE TAX RF.SIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRt'CTIONS: 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-~wners to the decedent. Description of Property, Date of Acquisition, Name! Address and Relationship of Co-Owners, and Place l of Record of Instrument, where Real~state. ! NONE Except Savings Account No. 13-007132-T I in Union National Bank (Mt. Lebanon I Office -670 Washington Road, Pittsburght Pa .• 15228). in n/o Mary E. Templeton or James A. McConnell (nephew of decedent). which is listed under Schedule 11 B". Personal Property, and admitted to be property of ~ecedent. ..,( ~(!" :::J'd}a Z'f G.] . ~ I~ unit Value percentage Share Estate Valuation Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property 0.00 Value of Decedent's Interest \ h 'RCC:-37 · ll2-63) C0:\1:\Il':-.;\\'E:\1.1'11 OF pr;:-.;:-.;~\'\'t.ANIA THANSFER l!'li!EHITA!'\L'E TAX RESinENT DEL'EDENT ' BENEFICIARIES AND ADDRESSES State full names and addresses o~ all ' < who ave an interest, vested, contingent or other- wise, in estate) JAMES A. McCONNELL ' ' 322 Green Street ' Houston~ Penna. 1 15342 MARY JANE GOODWILLIE 346 Scott Ave Glen Ellvn TllinoiR fi01~7 SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth thi? fact.) OR NO BIRTH --- Nephew Yes S.12ecific & Residuarv Niece Yes Residuary -- . - Deponent further says that all the ab~v~-named beneficiaries are living at this time ~~paKX~x: DATE OF DEATH RESIDENCE - Will Administration ~ No. Year r.-1 THE :\lATTER OF THE APPRAISEMENT OF THE ESTATE OF MARY E. TEMPLETON. a/k/a MARY ELIZABETH TEMPLETON. a/k/a M. E •. TE.MPLETON. Deceased Late of .. Boroug~ ()f C8:I1()I11:Jbl1r.K County of Washington Commonwealth of Pennsylvania REPORT AND APPRAISAL ::0 M::Q .:.w-:.c: {,.~; ~-;; ---~ !:::.~ ~.-- C..--. -r-; .....!'~ ~s; ;:::=:: r-C:; (/) .._ ' ' f ' \..J 5~:: .. ~< ~) ' I w :32 ....... w .. w V1 _,., i ' -,.._ I rT1 0 (Executor-Administrator must complete "As Reported" column #1.) CJ .., 0 "' "' ...., ~ >< ~ 0"' ;" trl "' ..... ~ ..... ro ·~ :;3 :o § ....... "' ·~ (;' • .-+ .... : ....... tn ~ I :o ·~ ·~ :ro •p,. '11 . ., •O ~ :co :'1 ·.-+ ~ ;-.. rn n en P" (') ~ ?" . = n tr.l . :=~ - ---Q)-w: ~· .. 0 t-:) • o• :· • 00. • 01• 0 0 ·• . 0 0 0 0 '"'j ~ ro ro .., e:.. "' 0 ::::! '"'j e:.. .., 0 '"'j '0 ro .... .... 0 ...... '0 '< ro .... ...... '< en c::::: ~ ~ > ~ en en >-<! (') (') ?" ?" b5 > : '~ ----:w ......... :t-:> > . .. "' 0 ~ ......... t-:) ro,_. 0 o"g~ . . .., 00 0 8' 01 0 c.. '00_-Q) ___ t\ ~ > \~· ~· ,:;, ' ~ t;i '~ .~ ~-r. tv ~ ·~ '"'~ 3 ~ :~. ::::! %• ·~ r. c... ~' I r THE UNION NATIONAL BANK OF PITTSBURGH MT. LEI!SANON OFFICE e70 WASHINGTON ROAD PITTSBURGH, PENNSYLVANIA 15228 Mr. Howard Stevens Attorney at Law Mellon Bank Building Canons burg, Pennsylvania De"ar Mr. Stevens: I January 24, 1968 As requested by Mr.James A.McConne.ll, we wish to advise you that the balance in savings account fl3·00713lT in the name of Mary E. Templeton or James A.McConneU as of the date of death of Mrs. Templeton, January 9, · 1968, was $8, 253.13~ JRN:gjb Yours very tr\l.ly • / i . J #;: ' ':[~/&i:~ ,:._, __ :----····-·· -John R.Nees2n Assistant Cashier (.,/ -.. . . ,,_ R C C-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEA8E REFER TO 37-91-4 NOTICE OF FILING OF APPRAISEMENT JAMES A. McCONNELL (Executor~· In Re : Estate of -----~MA~R~t~· .=E:..!.•--=-T.!:D!.!'iP~LE~,.T:!:..:O~N:::.__ ____ _ _____ ___::;WA:.;:S::.:H.:.::l:.:..:N~GT.:..:O::.:N.:__ ___ County -File No. 63-68-191 Dear Mr. McConnell: You are hereby notified that the original appraisement in the estate of Mary E. Templeton has been filed in the office of the Register of Wills qf Washington County on May 311 , 19~. Said appraisement reflects the following valuations: Real Estate -------~--------Personal Property ______ 3~2~,~0~2~0~·~8~5~- Transfers ____________ ~------- Total -----------~----~3&2~,0~2~0~-~8~5~- As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after one year from date of death, interest at the rate of six (6%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date ___ ___..,Ma!&J.~-·..,~.3..,1~, ~1..._9""'6...,8..__ ______ _ DATE OF DEATH: ~\lary 9, 1968 Note: This is not a bill. ·' ' ... ~cc .. ;·q ( 6e64) ----.... l;OVMONWEALTH OF l'FNN~YIN,\NI.\ TRAN~li'F.H INll!<:RITANCr<; TAX R.~SIDENT DECE.!'lF.NT TEMPLEXON, MARY E • FILE # 63-68-191 January 9, 1968 SUMMARY -·----~ .. ·-- FILE # 63-68-191 TtEPOH'l' OF INHERI'l'ArfCF. 'TAX t\PPRAISER I. the unrlersigned duly appointed Inheritance Tax 4ppraiser in and for the County of # 63 Washington , Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A" Dated: 05-31-68 01-09-68 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of 'Nills in and for------------ County, Pennsylvania, do respectfully report that I have allowed deductions in the amounts claimed by deponent, ~xcept as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated: REGISTtR OF WILLS INVENTORY VALUE AS REPO~rED VALUE AS APPRAISED VALUE AS REAPPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) $ $ $ ---------------- TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLE~q VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESSMENTS 32,020.85._ 32,020.85 32,020.85._ 32,020.85 ======== ======·-================= *----~ ~ ------ FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on $_________________ ~% $ ________ __ Tax on$ . __ 10% !t _____ _ Tax on$ -~ $ Tax on $ :~ $============ Exemptions := (':') Total Estate __________ __ TOTAL TAX Less tax previously paid BALANCE Less ~% of tax if paid within $ ____ _ * ======~= $ ------ 3 months after death $ ======= BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% from to AMOUNT OF ESTATE TAX ASSESSED $ _____ _ Estate tax paid BALANCE DUE Add interest at rate of 6% from to FOR USE OF REGISTER ONLY $ ------ TOTAL TAX BALANCE PAID. ADJUSTMENTS As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. $ ________________ _ $ ______ _ $ ______ _ $ ______________ _ $ -----------------$ NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ( No. P-1< THE Year ........... . ~lATTER OF THE APPRAISEMENT OF THE ESTATE OF MARY E. TEMPLETON Deceased Late of .. CAOlli$aVI1.G. ..... County of . WASJUNGTON. .. . . . ... Commonwealth of Pennsylvania REPORT AND APPRAISAL I I Forrn-RCC-2:· " " ················· ...... ~7. .... ~+..1. ...... +..?§.?. ...... -COMMONWEALTH OF PENNSYLVANIA DATE ···················· DEPARTMENT OF REVENUE " . .. RESIDENT INHERITANCE TAX COUNTY ......................... W.~.;5.h.~.g:!'.g!.l. ....... ··················· BUREAU OF COUNTY COLLECTIONS I HARRISBURG, PENNA. 1712 7 APPRAISEMENT FILE NO •.................................. 9.3.::: .. ~J~:::.J.:.9.J, ........................ Whereas, ........................................ Mar.y. .... E ....... Ten.pl.e.to.n ................................................ late of ........................ C..~.IJ.9.PI?..P.:gr.g··················································· in the County of ...................................... W~J?.A~D:gt.Q:O: ........................................................... Commonwealth of Pennsylvania, having died on the ............................................... 9. .... t.P.. ................................... day of ...................... cJ.~~-~:r.Y ............. " ................ 19 .. ~?. .... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ................................. W.~.~.~ ..... C..~D.~Y .............................................................. ; an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit Appraisement Oeser I ptlon of Asset Values Made for Inheritance Tax Purposes $ REALTY: NONE NONE PERSONALTY: As per Schedule "B" 32,020 85 TRANSFERS: .. NOlliE NOlliE JT. HELD: NONE NONE .'!o_t&l 32~020 85 I I I ! I I I formf;vi.:hb:: ::lfh~w~:?J.~to ~~: ~.~ 0~~~~~~· ~~~~·~@is~J2 I I /' .... ~ ................... LV .................... ~ ............. A~~~ ......... ~~············'""''''''"-;;;i;~~···;d"'Si~~~·t·;·················································"""'""" ~·~o;;;;; m•········ , Penna. ' I ............... WASHINGTON ................. County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MARX ... E •.... 'l'.EMPLETON ..... Deceased. Late of . GAN.9N~~.TJ.l:IG • . Date of Death, ........ Jan:ua.ry .... 9., ... 1968 ..................... . Appraisemel!t Docket Vol., ................. 3.7 ........................... .. Page, ....... 9.l.~.4. .......................... No ...... 6.3.:::-.68:~:-:191.. ...... .. Filed in Register's Office, ........ May . .3.l1 ...... 1968 ... Amount of tax due, $ ........................................ --.. ----·-··-·- DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Apprg:ifement,. c .. '' -. "'...,.rti fl..,~ ... ~~~~J .................... Appeal f,.om24pprai'sement, ...................................................... . .. \... ,,, -~ <... _~. .... ~ ..... { ... _ ...... ..... Entered and charge(] :~l .. ~ .. r·,'····~··f·· ................................. . a ; .., ·, ... . . ..... 1Ju tbr ®rpqau.a~ <nnurt nf lla.aqiugtnu <nnuuty IN THE MATTER OF THE AUDIT OF ACCOUNT Mary Elizabeth Templeton In re Estate of .. ~~~Pl~_"t;;_<;m_, ___ ~-~r.Y. .. ~.! ... ~/~1_~------------No. --~3_~~-~~?-~? ....... J~~---q~_lt erm, 19 .... ?.~----, AA J~es A, McConnell Exr. Howard 0, Stevens, Atty. ----------------------------------------------'----------------------------------------------------·--------------------------------------------------------------------------·····-· Date of death ..... ~-~~-':".~~---------------------Date of filing ~=~ Appraisement...5~-~3.~~~---------------------------------------- ~DISm'lmXIX TO THE AUDITING JUDGE: . Enter my appearance for Personal Property Tax Due Washington County, viz: ITEM Valuation 1968 -Supplemental ,' 183 sh Pioneer fund @ 6.08 1112.64 \.' ' 1967 -Su~~1ementa1 183 sh Pioneer fund @ 5,00 915.00 1966 -Sun~lemental 183 sh Pioneer fund @ 2.99= 1096.17 1q6~ .... Sunnlemental 183 sh Pioneer fund @ 5.64 1032.12 ' ~ I - Year Inventory Assessment Valuation 12% Assessment Tax at 10% Collection 6% Interest Total Claim Appraisement Returned Penalty 4 Mills Penalty 19 68 1110 Yes 1240 130 4.96 .50 --546 19 67 915 Yes 1020 105 4.08 .41 .48 4.97 19 66 1092 Yes 1222 1,30 4.90 .49 .59 5.98 19 65 10,30 Yes 11,20 120 4.60 ,tJ-6 .83 5.89 19 19 TOTAL CLAIM ~ 22.30 AMENDED PRAEC lPE The foregoing is a statement of all items taxable as they appear in the Inventory Appraisement, Affi- davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate . ........ 2.~th ...... day of ..... August.________________ 19 .. 6.8 ____ _ A. V. CAPANO, Solicitor ~ ' ar~ No .. ?.?.::·:~-~~.i9i .... )!~ ___ g¥erm, 1,9-~-~----···· AA In re Audit of Account in Estate of TEMPLETON MARY ELIZABETH ···········-····--·-·-····--~·-·····-··············---·························· AUDIT Jrarripr for l\ppraraurr FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX Sl-;"1 .-:) ;·-'r• "': CJ c~:~(; \'···~ -; L~..J~,~;J c ~, . r I'd .. , -., ~ ~ ~ <">~-.... ..-..f _,, w ... c. •\.. ! .:.. ( -,.,; ~ ... ..:: 0 ".:/ :-f l ~.rV. CAPANO~ : •• .J 1 , _. · Sohc1tor ..... 9 lJn tbr ®rp}1nns~ Q1nurt nf l!lns}1ingtnn <nnunty IN THE MATTER OF THE AUDIT OF ACCOUNT Mary Elizabeth Templeton In re Estate oLTemp-1e-ton,. .. Map.y .. K .... a/k/.a------------No ... 6J.-6.8-262-------Jr-d . .q.tll'erm, 19 .... 6a ... , AA ,,. I • .. .Jomes. . .A •.. HcC.onne.l.l..-.. Exr,... ________________________________________________ U..o:;.J.ar.d ... Oa ... St.e.v.e.na .•.. Aii.tJ.•-----~-------- ~ Date of death ______ l~~J.~9.a ____________________ Date of filing Inventory Appraisement ... !)-2)-68---------------------------------------- ~ .. . TO THE AUDITING JUDGE: Enter ·my appearance for Personal Property Tax Due Washington County, vi~: . -· ITEM Valuation . 1968 -Supplamenta1 ;18~ sb Eioneer bmd @ 6.08 11].2.64 19~q -Supplement~ 1A~ nh Pi f'unn @ ~-00 Qlf5.oo - 1966 S11nn 1 amAnt:.-:. 1 -.. -"" 18~ sb Eione~r flmd @ !.).. 99== 1096.11 1 a&C: -Snnn1 """!"b"t:e.1 -.. -,. 18~ sh Pionee:r> fund @ ~.6L. 10)2.12 .. --.. ' ... i. " ... ~ .. .. ·~ ... ~ .. ,, ·-· . Year Inventory Assessment Valuation 12% Assessment Tax at 10% Collection 6% Interest Total Claim Appraisement Returned Penalty 4 Mills Penalty 19 68 1110 Yes 1~0 110 1.!..9~ .'>0 --5.46 19 67 91!2 Yes 1020 lOS u..oB .U.l .~6 1±·91 19 66 1095 Yes 1225 130 it .QQ .ltQ _r,q S.q3 19 65 lQ30 ·yes 1150 120 h_.6Q .JJ.6 -Bi 5.82 19 19 TOTAL CLAIM b 22.30 AMENDED PRAECIPE . . The fOregoing is a statement of all .items taxable as they appear in the Inventory Appraisement, Affi- davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate. --------2fth-------day of .... Augus~----------'-----19.-68-----A. V. CAPANO, Solicitor ' l· Howard b. Stevens; Atty. No .... ?.J..:-:f?.~~-?~?. ....... J~_g_,q~, 19 .... 68 .... , AA In re Audit of Account in Estate of TEMPLETON 1 MARY E. AUDIT Jrarripr fnr Appraranrr FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX A. V. CAPANO, . Solicitor ~9 Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 948672 OFFICIAL RECEIPT No. Transfer Inheritance and Estate Tax File No63·68 .. 191 April 8 1968 Date WASHINGTON, Office REGISTER OF WILLS. Pa. tiASHINGTON County, ss: Received from James A. McConnell (Executo'QwM~~~~) of the estate of MABI E~ TEMPitEtDN who died January 9 1968 , the sum of IHREE THOUSAND FIVE HUNDRED ~IXTI-TWO & SOiloo • Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Real Estate Tax on$ 5% $ Date Valuation $ Tax on$ 10% $ $ Tax on$ On Account 2% $ 3,750.00 Total $ Tax on$ 15% $ Personal Property Exemptions * $ Date Valuation $ Total Estate $ $ Total Tax $ Total $ Less Tax Previously Paid (if any) $ Total Gross Assets $ Balance $ Less Debts and Expenses of Less five per centum of tax if paid 18?.50 Administration $ within 3 months after date of death $ Clear Value of Estate $ INC0)1Pt£tTE Amount of Estate Tax Assessed under Valuation of Life Estates or Annuities the Act of May 7, 1927. $ Date 19 __ $ Add interest at the rate of %' 19 __ $ from Estate Tax Assessments to $ Date 19 __ $ 3,562.50 Total $ 19 __ $ * As evidenced by Charitable Exemption Certificates issued by the Secretary of . NOTE: In accepting the transfer ~nheritance tax on future estates prior to the death of Revenue under Act of May 28, 1956, P. L. 1757, effective June I, 1957, as amended the hfe tenant or tenant lor years, as evidenced by this receipt, it is understood that the Com-by Act No. 381, approved July ll, 1957, and Act No. 207, 1961, Section 302. monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the hfe tenant or tenant for years whenever it appears that such additional ~--9 . tax may be legally due and collectible for any reason whatsoever. s,fA:i.L . ~-~ ... LJOOO~[L0@£1J[E ~a:-.:'"r.-~···f-·£--···""-"rJ 31-91-4 I; /,,;:,.;,.--:,;;;.--;.,...:;.. • . NOTE: This ·Triplicate Receipt to be retained by the Register of Wills and filed in numerical Register of Wills sequence for audit purposes. MOORE BUSINESS FORMS, INC., ELMIRA, N.Y. FORM RCC-4-Rl TJIANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket.__3_?_~Page,_9_l_I._..ine __ 4 __ lMRY B. TEMPLETON Estate o.._ ____________ _ OFFICE OF REGISTER OF WILLS WASHINGTON, -----------------------------~·CL Date __ A_· p.::__r_U_·_. _S ___ lg_!! 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 MARINO 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 AftY.. HOWARD 0. STEVENS MELLON BANK .BUILDING CANONSBURG t PENNSYLVANIA L 15317 _j _l Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 978929 OFFICIAL RECEIPT No. Transfer Inheritance and Estate Tax File No. l\3-68-lql Date Septernbe:i-·27. 19 68 WASHINGTON Office REGISTER OF WILLS. Pa. \lASHING TON County, ss: Received from James A$ !!~Cr;;aaell (Executor,~m_~~) of the estate of '~AR¥ ... l'l'\m!PWief· January 9 19 68, the\mm of .... :; r ~· i . ' . ·:i who died flfREE HltN!lBED !HIR:f!,.,_~·~~lE aec! . lQ/190 • Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Real Estate Tax on$ 5% $ Date Valuation $ Tax on$ 10% $ $ Tax on$ 2% $ Total $ Tax on$ 27~233.97 15% $ 4,065.10 Personal Property Exemptions * $ Date Valuation S-31-58 32,620!85 Total Estate $ $ Total Tax $ 4 .. 085 .. 10 $ Total $ 321020 .. 85 Less Tax Previously Paid (if any) $ 3~75il.OO 32t020.85 335.10 Total Gross Assets $ Balance $ Less Debts and Expenses of 4,786.88 Less five per centum of tax if paid 1Jlgl/6S/ AA Administration $ within 3 months after date of death $ Clear Value of Estate $ 27i:2J3.97 Amount of Estate Tax Assessed under Valuation of Life Estates or Annuities the Act of May 7, 1927. $ Date 19 __ $ Add interest at the rate of % 19 __ $ from Estate Tax Assessments $ to Date 19 __ m Total $ 335.10 19 __ $ * As evidenced by Charitable Exemption Certificates issued by the Secretary of NOTE: In accepting the transfer inheritance tax on future estates prior to the death of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com-by Act No. 381, approved July 11, 1957, and Act No. 207, 1961, Section 302. 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 . SEAL) tax may be legally due and collectible for any reason whatsoever. IJOOD [p[LO ©£lYrE I ;..-... C h. 37-91-4 l /'""•!r:J.<t_,,..C.,. ". 0 ~-z '7..-t-•t--·t. t> NOTE: This Tdplicate Receipt to be retained by the Register of Wills and filed in numerical Register of Wills sequence for auclit purposes. MOORE BUSINESS FORMS, INC., ELMIRA, N. y. FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX; RESIDENT DECEDENTS. RECEIPT Docket l7 Page.~9~1~---J~jne: __ ~4~.~- Estate ofr_~MA-=--n~Y~E-=·~'-=m_:IJP-"-=LET_;_:;;:_O_N_. __ OFFICE OF REGISTER OF WILLS VASHINGTOli' ------------~----------------Pa. r5ate. __ _..S~eqpL.llt...,eou.m...,bLUe,....r..___.2 .... 7L___I9__68 SIGNED AND SEALED AS PROVIDED BY SECTION 1201. ACT APRIL 9. 1929. P. L. 3~3 AS AMENDED BY ACT MAY 15. 1945. P. L. 528 RUSSELL 1-fARINO 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 churge 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 !be Register of Wills.'' Fill in below name and address of person to whom tax receipt is delivered: I To ATTY. HOl•tAJlD O. STEVENS MIU.t.ON BAtiK nntt.DING L CANONSBUAG, Pl*lms!LVANIA ···-. 15317 _j COPY OF INVENTORY· Notary PubUc JAMES A. McCONNELL, Mnry lt. Templeton. a!k/a etc.,. Sworn and subscribed before me ·this 21st day of May, 1968. /Sf John P. Liekar_, /S/ JAMES A. McCONNELL Notary Public Executor Notary Seal My Commission Expires Jan. 30_, 1970 1Juntutnrg auh .i\~praistmtnt of the goods and chattels, rights and credits which were of •••• ~~l ... ~ .. ~ .... !~-~P.!!·~~~~ ..... ~~l~ ... ~~-~ .. ~ ................... l~te of ............. ~.~~~~~~:.~.~ .. ~.~~~~~~~~~ .... : ......................... . . . ' . Washington County, Pa., taken and made in conformity with the aboTJe affidavit. Household. furr.tture and .turnisbinga as followe: Contents of Living Room a.""l.d Hell Contents of B~·Room Contents of Kitchen Misce:Ua.neoue 226~00 80 .. 00 284.00 148.00 . .. -..... , ~ .. ~ ~ Cbecldng Ateount No. 356 .. 6616 in Mellon National Bank and Trust Company tCs.nonsburg Office).,. in n/o Mary E. DOLLARS CENTS 683 00 T~pleton · 2. 450 18 Cheekint Account No. 4 .... 784 ... 8341n Pittsburch National :Sank (Canonsburg Office), in nfo Mary E. Templeton 2, 093. 68 Savings Account No. 18 ... 001 132-T in Union National Bank (Mt. L-ebanon Office .... 610 Washington Road. Pittsburgh. Pa •• 15328). in nlo Mary E. Templeton or Jame& A. McConnell (admitted to be property of decedent) 8. 25~· lS Combined Insurance Co. ot Ameriea: aetuud of unearned premil.Un 22 00 Bankers .Lite Insurance Co.: Reimbursement of ·amount paid C•nonsburg Hospital during last illness 428 S.f Bankers Life Insw:-ance Co.: netund of unearned premium 8 39 -' .. "" ,..,. .. h • "'' .. ' EMkera Lite Insurance Co.: Relrilburseme,n,t of first $40.00 paid Canonsburg Eospltal on last illness 40 00 Estate of Mary E. Templeton, n!k/a etc. Deceased. Prudential Insurance Company: Proceeds received from two life insUl"ance policies (No. 522-808·693 dated 6/9/52 and No. 66 ... 183·208 dated 2/8/26} issued tn n/o Mary E. Templeton Commonwealth of Pennsylvania, U. S. Treasury Department.: Local tees due decedent as Local Registrar for Dept. of Health, tor the month of November 196? Commonwealth of Pennsylvania, U. S. Treasury Department: Lump sum death payment Cornmo:nwealth of Pennsylvania, U. s. Treasury Department: Medicare payment 1n reimbursement of doctor bills :8eU Telephone Company of Penna.: Refund tOO Shares Consolldated 011 Corporation (N. Y.) .. {now Sinclair Oil Corporation), common, in n/o Miss Mary E. Templeton, @ 75·S/4 183 Shares Pioneer Fund, Inc. (Del.), capital. in n/o Mary E. Templeton, @ 18.71 999 Shares Provident Fund for Income. lne. (J)el. ), capita.l. 1n n/o Mary s. Templeton. @ 6.11 Total Personalty r~,· <. 1,464.49 5.89 25fl.OO 123.20 3.52 7,575.00 2.508.98 6,103.89 $ 32.020 .. 85