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OC1968-0193 - ESTATE OF COLLINS
PETITION SUR AUDIT Testate Fo~ IN THE ORPHANS# COURT OF WASHINGTON COUNTY Estate of .... ROGER .. M. •... C.OLLINS .................................. . No .... 63-68-l93 ......................................... A. A Fiduciary .... ~.V.~ ... .J...~---~.9.J:J..tn$ ............................ . Deceased Date of Date of Decedent's deat'h ... P..~Q-~!ll.9..g;c.~.1_,_ ___ J,_9.6Z .................... Grant of Letters .... J9.:nY.at:Y. .. Z.5.,. ... 19.68 ....................... . This is the .... F.ir.s:t ... and .. Eina~----·-··················--·--------account filed in this estate If there have been former accounts filed in this estate, list file number or number and term ................................... . •.......... .NQ.D-.~ .•................................................................................................................................................................... Election to take Date Election Place of; Under or .,Aw:Ji.nst.wi II. (cross out one) Filed .... He.r.ew.i.:th .......... Record ...... : ...................... . Name of surviving spouse ........ Ev.a ... J ..... C.allins .......................................... : .......................................................... . List issue, where material: Did decedent marry after execution of will? (indicate) ¥~No. Any children born after execution of will? (indicate) ~-No. If answer yes, name them., ................................................................... , ........... : .............................................. . Legatees Relationship Interest Fiduciary, if deceased or not sui juris Eva J. Collins Widow All sui juris List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: ·Give Cause: 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. >hitx If any exception give cause: ............................................. . File copy of Notice and date of mailing ...... ~.~m.Y. ... 9.f. .. l~.t.:t&tt, ... l}g_+_g_t.9. ... ~:t::t.g.c.lJ_gd ... da.te.d .. J.an.u~.t.}l.,.6.~, .• :)..9,q9, •. , ........ , .. ,.,~., I Is estate subject to the filing of a Federal Estate Tax Return? ..... N.9.---------------·-···-················"··-c .......... c ....... : .............. . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $.180 ... 00 ........................................... . If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant ..................... . ... N".9..D-.~-----------·-·······--·--·-·-··-·····-··-···························-············----------·-····--·-····--------------·······-·····-·····-·································· Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. None Give reference to such 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: 1-15-69 West Penn Power Co. -dividend 12-27-68 Penn-Central Railroad Coydividend 12-27-68 Allegheny Power System,Inc. -dividend Interest on Mortgage from John Mastroianni, et ux. from 10-31-68 to 2-28-69 {~ Interest) Total additional debits (Add) Itemize any additional credits not shown by account: 10-28-68 Russell Marino, Register of Wills, Filing Account Paul w. Nelson -Notary fees Total additional credits (Subtract) Balance for ·distribution $ 11.25 4.20 44.33 11.45 $ ........... 7.1 .•. 23.----··---···· 17.00 .75 $ .......... .+.7..!_?.2 ............. . $ . .9.~1.9.4_,_~~----············ $.9.,.a4a ... .3.a ............... . If balance for distribution is not in cosh, list each item held in kind, giving appraised Value (or distribution Value); Personal Property -(See Election To Take Personal Property in Kind filed herewith) - 10 shares, West Penn Power Co., 4~ pref., 'c'ertificate no. PO 14639 7 shares Penn-Central Railroad Co., certificate no. 5167711 143 shares Allegheny Power System, Inc., certificate numbers Alll083 and A040366 Balance of principal on ~ interest on mortgage from John Mastroianni, et ux., (Inventory value)$968.57 Ca~ payments on principal 315.97 ~-Balance due on principal mortgage $652.60 720.00 428.75 3,199.63 968.57 - ~-----~-,-----------------~-------------------------------------~-- atnmmnuwralt~ nf Jruusyluauia.} llas~iugtnu <!1nuuty. ss. KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 25 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 !!he Commonwealth of Pennsylvania, the last Will and Testament of Roger M. Collins late of -Washington in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Eva J. Collins the Execu~ 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 Eva J. Collins committing unto her the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring her to exhibit a true and perfect inventory thereof into the Register's Offic'e, at Wa,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 saJd Office at Washington, this 25 day of January m the year of our Lord one thousand nine hundred and ----··~----/lf~·-·-····················:······················ Reg1ster ·-.~ -•• i : i : : i I ~ ! ,-. -v f'·1-68-193 · · • 1\ffibauit 63-69-193 ®f 1fxrrutnr ®r 1\bmtnistratnr @ltatt nf Jruusyluauia. t nn: cnnuuty nf Ban}Jiugtnu \ . Personally before me, the undersigned authority, a ....... NQ.t.il\.J.'.Y. ... P.Y.b..l.i.~ .............................. in and for said County and State, appeared ..................... ~.Y.~ .... ~.~ .... ~9.~!-:.!.~~ .................................................................. who, being duly sworn according to law, deposes and says that she is the executor ~~ of the estate of ............... .EQG.:gR. .... M.~ .... g?.~~.~N?. ...................................................... deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of.. .... ~.Qq~~ .... ~.~ ..... ~Q~~!.~§ ............... , 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 ~ day o~~.:.~:.~.:.~---~~;;~fl.;.: thi• ..... :'/.!.'! ....... ·l L~ OE~~~········· ~~.~~~................................. (7'" . ADDITIONAL INSTRUCTIONS 1. An inventory must be filed within three months after appointment of personal representative. 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. I PAUL W. NEtSOtl, NOTARY PO~Ue •MONONGAHElA, WASHIKGTO~ COUNTY MY COMMiSS!aN EXPIRES MARCH 29, 1971' REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 1Juueutnrg nub "'pprai~.rm.rut of the goods and chattels, rights and credits which were of .... RQ.G1}.R .... M ....... OOL.LlN.S. ................... \ .................... Jate of .. ~i:.:tY. .... Q.f. .... W~~!.h.:t.ng:t.Q!L .............................. . Washington County, Pa., taken and made in conformity with the above affidavit. REAL ESTATE One half (~) interest in the following: FIRST: BEGINNING at the Northwest corner of land of H. T. Zimmer, formerly of G. L. Bayha; thence extending Eastwardly along line of said land of H. T. Zimmer, twenty-five (25) feet to line of Fred Tosi, formerly Monongahela City Trust Company; thence along line of said land of Fred Tosi, formerly Monongahela City Trust Co., twenty (20) feet to a point; thence Westwardly along land of Fred Tosi, formerly Monongahela City Trust Company,and on line parallel with the above mentioned Northern line o, land of H. T. Zimmer, twenty-five (25) feet to Second Street; and thence Southwardly along the Easterly side of Second Street, twenty (20) feet to the point at the place of beginning. HAVING erected thereon a two story brick build- ing with small storeroom on the first floor and two offic rooms on robe second floor. SECOND BEGINNING at a point at the corner of land of Fred Tosi, formerly Monongahela City Trust Company;thence southeasterly along the Southern side of Main Street, thirty (30) feet to corner of lot now 9r formerly of G. E. Lytle; thence by line of said land now or formerly of G. E. Lytle, South 45° 23' West, eighty (80) feet to a point; thence Northwestwardly along line parallel with the Southern side of Main Street, thirty-one (31) feet, more or less, to line of land of Fred Tosi, formerly Monongahela City Trust Company; and thence Northeastward! along line of said land of Fred Tosi, formerly Monongahel City Trust Company, a distance of eighty (80) feet to a point on Main Street at the place of beginning. SEE RIDER ATTACHED. DOLLARS CENTS l:SGO 00 , . / ..... ~ ..... <:! <:: <1> ~ ..... ~ <;:) 't ~ tr:l 1:) ~ ~ l:l.. V:l ::z:,. t-..3 ::z:,. ~ t-..3 ~ ~-'~ t-.!::J c;;· (.Ja <1> ~ .'b.~ <1> ~ '<1 .... :::0 """"" c f ' 1 00 -i- ;_g ~ I i J 1\) a '""' ~ HAVING erected thereon a two story brick building with two storerooms on the first floor aad an apartment of four rooms and bath, and an apart- ment of five rooms and bath on the Second floor BEING a part of the premises described in deed of Elizabeth N. Collins dated December 8, 1924, and recorded in the Recorder's Office of Washington County, in Deed Book Vol. 530, page 41, to Mary B. Collins, Morton B. Collins and Thomas H. Collins. 6000.00 TOTAL REAL ESTATE · 7500.00 PERSONALTY: 10 shares West Penn Power Co., 4~ perferred, no. PO 14639 @ 72 720.00 7 shares Pennsylvania:Railroad Company, numbered 5167711 @ 61~ 428.75 143 shares Allegheny Power System, Inc. numbered Alll083 and A040366 @ 22 3/8 3199.63 Savings Account Western Pennsylvania National Bank, Monongahela Office, one half interest in account standing in the name of Thomas H. Collins, numbered 30220 575.86 Mortgage of John Mastroianni and Josephine Mastroianni, his wife, da.ted May 31, 1962, one half interest 968.57 TOTAL PERSONALTY 5892.81 TOTAL REAL ESTATE AND PERSONALTY 13392 • 81. •' ' - v _. .. --:' 1 ' ·,' 63-68-193 NO. ,2;( /i I INVENTORY AND APPRAISEMENT IN THE ESTATE OF '' ROBER M. COLLINS, u ' DEC'D ' >i" * * * * *** * .. -----... ·-. , * * >i~ * * *·* * ' .._ -· "' fi1-;:::) ~J ~-} ... ~ ::a 0:./) ,.r -: r.-: _:] ::::.l;-p 0-. "="'!:-... ·!'· .. .::? ~::., ;;=--:;: r.-(j I?V c;n ~ 4.,.: ' --I ., -r «"'0-· r,.i; 0 .. -:. ., ' ;-: . li . ~ •.., L-l Slll~.::!O tl31SI83~ ormJvlJ T!JssnH INV. DKT 'PAGE. ----L I : 6 l.JV ' OE H:N: n95I Willi&.lll H. Robinson11Atty. '19-?~ ~ 03lf:J STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ SS: The within named Accountan't being duly sworn according to law, depose and say that the above account as stated is true and correct as·-----------------~-~~------------------verily believe. day-o~~--~~-~~::_ HELEN RIZAK J Sworn and subscribed before me this ... ~L.-:= ___ _ __L~zj--~--- Notary Public. Washington, Washington Co. Wa:shington County, ss: ; .... •d 0 c). ...... xi ~ (Jj ::l •r-11 0 cti <:) ~: QJ <:) -1-li ~ 0. :J; QJ u: QJ! My Commission Expires August 26, 1970 __ ...... I I do certify that I have given leg·al notice 'to 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 .. /,/.?, _ _/f~ __ _t( _____ ~----------· Witness my hand and official •seal this~-----·····--- day of ... :t?l~--------------------------------------------19_t,j. __ ---~-~i"-;;.i;-Ji;--- ...... ; ...... ..... io 1 ~ ::l 0 :....., 0 10 c : § Q) :o ..c:l :~ :u ....., :0 : 0): :u . :~ 0 ~r~ ....., 't:! )- ~ I _· ·-f1 ~-· ~"") ~~~~~ ~I I (' t·l' ~ I : L c: ~· ~ &)1 ....., (l ~ ~~ " : Q) 1'::. rll --· ... ~-:·a< , ~! (fi Q) .0 r-i! . ~ ..... C'~ 1 i8 . •rl 0 N ~ .;. L J • T .. -' ' '.' I /, "' ' ~ ""1 :o ~ t ~! r=::l ·r-i ro: UJi -.. l#' .. -,, .• ··4~'' " . ....., E-< :E~~ rl ~:::: ~:::: ........ -.; I. J I " : ··• '· ~ ,t:p. "-..! ~ r-l •r-1! ·r-11 ~· ::: : E-< ~ (J:..: r-i: _: ~-~ (/') : 'gl! w. r .. ~-'J ...... ll""'' <:) \ I \ r=::l y r-i: ' '" : cd .. ' 4 ~ ' : 'D. d. I r"'/~.~,1; "',.;.·-···") ~ is-i -• ~ !::l () r J •• • '· -"" .• . 1 :a :....., a ~: ';;I· cQ ' • -~ :> ...... ....., :.N "--~ ·~ cU 4' ~ 'b.() ·ri ~ ' dl ~ :..l +i ~ 0 Q) :~ rl b aD ....., ..c:l 'I en. ~ ....., r-l ~ Q) l-i cU 0~ •rl 0 ·ri 4 ~ . ":?. c; ~ 't:! -~ -·l (~ lr ..... 0 ~ a. 0 z ~ .... .... ~ ., .... • . " " ~ : ....• ,._ to determine proper distribu ,------------------------------------- ESTATE OF ROGER M. COLLINS, Deceased, late o£ Washington, Washington County, Pennsylvania. First and Final Account of Eva J. Collins, Executr±x. Decedent died: December 27, 1967 Letters granted: January 25, 1968 Account stated to: October 31, 1968 Inventory and Appraisement filed April 8, 1968, in the Register's Office in Book -] q , page J.d._. Real Property Personal Property Total Inventory and Appraisement (Real Estate appraised by Penna. Inheritance Tax Department at $9,000.00 (Gain of $1,500.00) Sale of property to Robert Pir- chesky on August 1, 1968, for purchase price $8,000.00 Gain from sale of real estate Total Income from personal property Loss from rental of real estate Less Expenses of the Estate BALANCE FOR DISTRIBUTION $ 7,500.00 5,892.81 $ 13,392.81 500.00 ) $ 13,892.81 223.33 14,116.14 (19.85) 14,096.29 4,301.41 f. $ 9, 794.88 1 ~ ~'< v--o"l . q ,. DATE 1-10-68 1-16-68 1-27-68 2-8-68 2-16-68 2-26-68 3-12-68 3-12-68 3-26-68 4-4-68 4-8-6tJ· 4-25-68 9-7-68 10-18-68 10-22-68 Expenses of the Estate of Roger M. Collins, Deceased: PAYEE Ambulance Chair Service Russell Marino, Register of Wills Washington Hospital Washington County Reports Observer Publishing Co. Dr. J. M. Ruben Dr. F. S. Bakewell A. J. Parsons Jeep Garage Graham P. Cowieson, Funeral Director Dr. Grant Hess Russell Marino, Register of \tt!ills Kurtz Monument Co. Scenic Landscape Service Russell Marino, Agent Paul W. Nelson William H. Robinson TOTAL EXPENSES REiVlARKS AMOUNT Ambulance 20.00 Letters Testamentary 18.00 Last Illness 1,795.00 Advertising Letters 12.50 Advertising Letters 12.50 Expenses, Last Illness 30.00 Expenses, Last Illness 15.00 Balance on account for services rendered in;~· 1967 110.96 Funeral 978.25 Expenses, Last Illnessl50.00 Bal. Inv. and Appraise- ment 7.50 3.00 Filing Court Order Monument Bal. for services rendered in 1967 Transfer Inheritance Tax Notary Fees 210.00 50.81 ' 180.00 Attorney's Fees 694.64 $ 4,301.41 i qt~u y"V INCOME -PERSONALTY West Penn Power Company Dividends $ 45.00 Penn-Central Railroad Co. Dividends 16.80 Allegheny Power System, Inc. Dividends 130.13 Mastroianni mortgage Interest 31.40 $ 223.33 INCOME-REALTY Rents received from Michael Skirpan Agency: 4/ 3/68 4/25/68 5/29/68 7/ 3/68 8/ l/68 Clark Baird Total Rental Income Pro-rated share 1968 real estate taxes paid by Robert Pirchesky Total Income $ $ 737.20 215.65 215.65 215.65 47.00 1,431.15 577.20 EXPENSES-REALTY Equitable Gas Company for services: 1/ 3/68 1/22/68 2/23/68 3/26/68 4/25/68 5/26/68 6/25/68 7/26/68 8/ 9/68 $ 112.72 84.01 75.48 98.35 41.21 29.27 14.86 11.73 11.73 $ 479.36 6/25/68 Linn R. Wickerham, plumbing 183.32 Taxes: 3/ 2/68 City Tax Helen Marie Doty 220.50 6/25/68 County Tax Malcolm L. Morgan 257.28 7/15/68 School Tax Helen Marie Doty 907.58 Total Taxes $ 1,385.36 TOTAL EXPENSES $ 2,048.04 TOTAL LOSS FROM RENTAL REAL ESTATE Estate of Roger M. Collins ~ interest in real estate or total rental loss -Qf $ 19.85. $ 2,008.35 2,048.04 - $ (39.69) .. Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, as amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Pe-rsonally ap.peared before mte, a Notary Public in and for said County and State, ...... Ric.hard .... S .•.... C.owan .................. , who being duly sworn according to law, deposes and says that he is the ... S.ec.~-Y--··---&. ... Tr.eas • of the Obs,e.rver Publishing Company, a Benns;ylvania corporation, and its agent in this behalf; that the said Company is• the owner and publisher of the Observer-Reporter, succtessor to The Washington Observer, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily ne-wspaper of general cil'culation, printed and published and havin'g its place of bus-ines•s at Washington, Washington County, Pennsyl- vania, where it or its predeces-sors have been established and P·UJblished continuous•ly for more than six months• prior to the publication of the notice hereto aHached; that the printed notice or advertisement hereto attached is a ·copy of an official advertisement, official notice, legal notice or legal advertis-ement, exactly a:s printed or published in the Obsterver-Reporter in its regular editions on the following d1ate or dates; ......................... Ee.bruar.y ... l.2., .... 1.9 ... and ... 2.6., ..... 19.68 ........................... . that neither th<e affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the allega- !~~~~~!. this affidavit as to the time'E.e and charac?r ;J publication .................... ------------~z.& ... /1 .... ~~------ I . . g ; ESTATE~9TICE . "'" . Jlstate ·of ROGERIJ,Vl., COLLINS de· ,eased, late of Waslii~gtoh, Washing-1 on County, Penna. . -~ '" ; Letters testamentarY'"'Upon--the above estate having been granted to the undersigned: notice is hereby given to those-~indebted thereto to make immediate· payment, and to those having claims or dejQands to present them for settlemelltl' Eva J. Collins, Executrix 119 Lockhart Street I Washington, Pa. 15~01 Wm. H. Robinson, Attorney 253 W. Main Street Monon~:ahela, Pa •. 15063 f ---·-_ 6836·M.o.~:·3t . Sworn to and subsc~"bed before me this .. 2.6 ... day of ... feb_r.q~ ___ a_r.y ____ l9 8 ~@<. ~ J~/r .d_ ~ / ~------~: ......... o/.. .... L.Pl .. !L.~-~~ ........... . . :N.._ ~1 ~ :.· :~,·.~U tl iWIAI" · L.~u 'HSP NG'n~. ,, -~ t:,~TO:, (Ou,lf{ w. 26752: 1>1~ COM~:SSIO!: EXfiRES ~~A" ~. 196S Washington County Reports if ~.5Dl.XllR~IIXKIEEX W asbington, Pennsylvania (PUBLISHED 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 ) STAT!': 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, publisbed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in this behalf; that the said WASHINGTON COVNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: --~-~~.:.~.~.:r:x .... ~.~--~---·~3 .. ~----~~.! ... J~~-~---·········· 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 <h;, ,m,,~," 'l!l;~:~::?!2_:Ld2~ ___--------L_ _ Editor Sworn to and subkribed before me this .. 7..~-~.h.! ... day of... ....... F~P.~~!:Y. ...... , ... , 196 ... ~ .. ...... t::.~ .... r£~7!·•·····~········ KATHERINE C. YARD, Notary P Washington, Washington Co., t. .. My Commission Expir,es November 1, 1969 l'f,Pt;<ry Public - Estate Notices The Register of Wills has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make· payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys. • e e G e e e e •• e e e e e e a COLLINS, ROGER M., Dec'd. Late of Washington, Washington County, Penna. Executrix: Eva J. Collins, 119 Lock-1 hart Street, Washington, Penna. 15301 Attorney: Wm. H. Robinson, 253 West Main Street, Monongah e 1 a, Penna. 15063 -1 .c en a ~~-... :f I ' ~ If Family Exemption claimed by Petition, give place of Record: ...... bione ........................ ------------------------------------------- If Family Exemption is claimed at audit, give name, relationship and basis for Claim: .. NQne ___________________________________ _ 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: Eva J. Collins, Entire COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ________ s.wor.n __________________ doth depose and say that the facts set forth in the foregoing petition are true to the best of ..... hex;. ___________________ knowledge and belief. Sw.m:n ___________________________________ to and subscribed before me this ... /.f:"~ .. day of ... -#~--------------196.9 ... Sign~t~n~ __ o_~_?fJ~cer:?:"~~~~---· Tit I~ of 'Offi~e;.~., .............. /.!!~~}!r.-~~-L_s_q~~-~9.WIT.P.Q~llC ........ . ~ - -"'vNvhl>AnHA, W.\SHINGTON COUNTY -: -MY COMWSSIOII EXP!ncS MARCH 29 !97T Office exptres ....................................................... : .......... . And your petitioner will ever pray, etc. _______ L~--~--------------------------- Executrix ~ ...................... of· ................ ~ ............ '!'~~-...... !' .. "! ... ·~!':' .. !',,. ..... ,. .. \" .. ,. ..................... "' ............. '!''!'"'"' .... ,. .. , •• -., l \ .. No. . .... 9.?.:-:.9.§.--:.!.9.?. ................................ A.A. Estate of .... B.Qg_g! ... M! ... ~9.!J.i:.I2f'! .............. . Deceased Fiduciary ..... EY..~LJ. ........ C.Q.ll.i.n.s ................... . 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 I item, if pertinent. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A. or an attest copy of Wi II. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9. Signed and itemized elections if any distribution in kind. 10. Copy of Federal Estate Tax return if es- tate is subject thereto. ........ W.J]._,_ ___ H •... RQb.ins.on ........................... . Attorney ~2 Sll\11\ ~0 t!31SID'3'tl ON\UV'Y-1 ll3SS0tl 9l : 6 ~w O£ l:!d\;f USS\ G3l\:l . \, \ -. f'\J (•)"~ ... ~ ,' <::\ •• '\ . '--'1-.,: ~-:\:...;; . . · .. . ~··:--:/ -~ "" 4' ,. ~ r~ I .. ' /; -· ~. ' ... ·, / ·-:.-lr 1 ,...,.,_. ~. --~ ·~.:,. , ,,,, 1fn tift ~rplfana~ Qlnurt nf lllaalfingtnn Qlnunty In the matter of the Audit of Account in Estate of Roger M. Co 1 1 ins, Deceased No. 63-68-193 , 19 __ , A.A. TO THE AUDITING JUDGE: Enter my appearance for accountant ~-~w.4~ = 0 V\0 I] day of March 19 69 .. ,_ 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. v" No. 63-68=-_,.1....,9'-"'3'--------• 19 __ , A.A. In re Audit of Account in Estate of ROGER M. COLI INS, DECEASED AUDIT Jrnrripr fnr 1\pprttrtturr FOR I'- ~ .. Accountant (}') 0 0'\ 0-! Z....J w ::c a=~ ....:: <(u.. :t:o • 0 -'o:: ---J M -'Lu -Wr.- LL a:: ~~ ::::>0 0... o::w <:: 0:: 0') <..0 ga Wm. H. Robinson Attorney ~9· ~tt fi1t Qtnurt nf Qtnmmnu Jlrn.s nf lln.s4iugtnu Qtnuuty, J.ruu.sylnnuin, ®rp!Jnu.s' Qtnurt ltitti.sinu ESTATE OF N 63-68-193 Q, ______________ _ Roger M. Collins, In the matter of the, __ F_ir_s_t_a_nd_F_i_n_a_l __ Deceased. Account of Eva J. Collins. Executrix ADJUDICATION AND DECREE And now April -z-.-, 19 69 , this matter came on for hearing, audit and distribution a't this session and testimony taken; and thereupon, upon due consideration th~reQl the balance for distribution in the h nds of the Ac.countant. is detern;i~ed to be $ \::1. ~57. 3o and the ad:ount is accord mgly confarmed; and at as ordered, 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 faled sec. reg. or an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account_~a:::.:S~C:.:::::O..::...r..::...r~ec:::::.t~e~d~--------- Additional debit asked at audit Additional credit asked at audit Balance ____________________ _ Deduct Clerk's Costs & Receip1::ii.-------------- Attorney ___ W..::..:....:i..:.:ll;..:.ia~m;;.;...~Hu.._.R~o~b .... in.~,~~s ... o.u.n~--------- Washington County, Division of Personal Property Tax per praecipe filed, credit to be taken by the accountant for funds advanced prior to distribution by the Court, $9.803.88 71.23 I $9,875.11 17.75 $9,857 0 36 25.00 111.16 Russell Marino, Agent, transfer inheritance tax, $33.16 Interest from 3-27-69 to 5-10-69, . 241 33.40 Eva J. Collins, widow, residue, including cash and the following assets, held in kind and distributed as such at the appraised value: . I Undivided 1/2 interest in mortgage of John Mastroianni and Josephine Mastroianni, his wife, dated May 31, 1962, Mortgage Book 606, page 530, balance due thereon (the 1/2}, $652. 60; 10 shares West Penn Power Co., 4 1/2%1 Pfd. $720.00; 7 shares Penn-Central Railroad Co. $428. 75; 143 shares Allegheny Power System,Inc. $3199,63, 9687.80 No balance J 11: \0 §!3 -... en en 0_! 0 Z....J t 0:§:: UJ :<::: <:: <l:t.l... Zo .. _J 0 -'a:: ft1 ....Jw -w>- LL Wen 0.: en-;:::')0 ~ o::w 0:: ~· - \ ' \ )_ ,j \ • \ J . ) ) T J I J ~ t:Y _.. ~ .... +"\ ~ ... .... = = ~ = t:Y ~ ~ tl; ~ j J J J. J J 0 -~ ""' :J ~ §r B ·s-- i r:: CD a 3 0 0 ~ ... ... I'D "" 0 -9'-CD J J J IN THE COURT OF COMMON PLEAS ·OF WASHINGTON COUl'JTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF ) ROGER M. COLLINS, ) No. 63-68-193 DECEASED ) PAY TRANSCRIPT We, the undersigned, do hereby acknowledge to have received from Eva J. Collins, Executrix of the Estate of Roger M. Collins, Deceased, the sum set opposite our respective names, being ·in full payment and satisfaction of our respective shares in the estate of said decedent, as distributed by the Orphans' Court of ~Alashington County, Pennsylvania, by Adjudication and Decree dated April 29, 1969, at the above number and term. Russell Marino, Clerk's Costs & Receipts $25.00 Russell Marino, Agent, balance transfer in- heritance tax, $33.16, plus interest from 3-27-69 to 5-10-69, $.24 $33.40 (· r. --------------------------------,----- ... IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA ESTATE OF ) ROGER M. COLLINS, ) NO. 63 of 1968 DECEASED. . . ) ELECTION TO TAKE UNDER WILL TO THE HONORABLE, THE JUDGES OF SAID COURT: I, EVA J. COLLINS, widow of the above decedent, who died on the twenty-seventh day of December, 1967, having first made, published and declared his last will and testament, dated the sixth day of October, 1962, duly probated in the office of the Register of Wills of Washington County, Pennsylvania, on the twenty-fifth day of January, 1968, and recorded in Will Book Volume , page hereby elect to take under the terms --------------- of said will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 28th day of October, 1968. P.~!i! lY ~.·r:t t!":1J r~1-! .... , , :...,, • /~" ;~ ',,, (SEAL) Sworn and subscribed before me this /2'if'U day of October, 1968. -· . /, PAUr W. NHSON, .:on~ f'J~UC / NO!lihtf..AHEU. \1'.\SHINGTJN COUNTY MY CG~i,';SSl~~ El.?lf'(S MARUi 29, 1971 .-1 IN THE ORPHAN'S COURT OF WASHINGTON COUNTY, PENNSYLVANIA ESTATE OF ) ReGER M. COLLINS, NO. Deceased. ) ELECTION TO TAKE PERSONAL PROPERTY IN KIND TO THE HONORABLE, THE JUDGES OF SAID COURT: I, Eva J. Collins, being the sole beneficiary in the Last Will and Testament of Roger M. Collins, Deceased, do hereby elect to take in kind the following personal property and assets possessed by said estate as shown by the Inventory and Appraise- ment Book , page , viz: -------- Interest 1. An undivided one-half interest in the mortgage o£ John Mastroianni and Josephine Mastroianni, his wife, dated May 31, 1962. See Mertgage Book Vol. 606, page 530. Stock (a) 10 shares of West Penn Power Co., 4!2% preferred, certificate no. PO 14639 (b) 7 shares Penn-Central Railroad Co., certificate no. 5167711 (c) 143 shares Allegheny Power System, Inc., certificate numbers Alll083 and A040366 TOTAL $ 968.57 720.00 428.75 3,199.63 $ 5,316.95 THEREFORE, I, Eva J. Collins, beneficiary in the Last Will and Testament of Roger M. Collins, Deceased, pray your Honorable Court as follows: That the above mentioned property be decreed and dis- tributed to me in kind, at such aggregate value as will equal I : the amount of money which the Court may determine is due me, as heir, legatee and distributee of the above named decedent. vJITNESS my hand and seal this 30th day of October A. D. 1968'. COMr«lONVJEALTH OF PENNSYLVANIA ) SS: COUNTY OF WASHINGTON ) On this the s:JtJ pt.. day of (9~ , 19t8 , before me, the undersigned officer, personally appeared Eva J. Collins, known to me (or satisfactorily proven), to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. seal. IN WITNESS 'VVHEREOF, I hereunto set my hand and notarial I PAUl W. NHSOH, NOHRY PUBliC MONO.~GAHElA. Y'".''1lN:iT•}':i COUNiY 1MY C0~3,iiS510l!. m:::~S Mmll 21, 1971 •. Form RCC-33 ---. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS tl RESIDENT DECEDENT COUNTY OF _W.M?.H;J:NGTQN .............................................. . 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 __ Inheritllnce __ an!f_Estate Tax Act of 1~61.) IN THE MATTER OF mE .ESTATE OF } AFFIDAVIT OF ... ROG.ER. .. M. ...... C.O~J:t!-'~~~~~---~i-·d;;;;~ent>. ...... .. ................ c .. o .. un ...... t .. ~ ~ Late of .... Washi.ngt.o.n.... . . . .. ... . ... ...... . .. . ... . ........ ~ State of .... P .. en.nsylva.nia ....................................................... :.} • ss: County of .Wa.shing.t.o.n. ............................................................ . ·········---·-..... .Ev.a ... J ...... Collins ................................................................... .. ......... Executor of the estate of the above-named decedent being duly sworn, depose S and say S Decedent dled ........ DeC..em.b.e.fMonthl ................ (j~~ ..... , ~~~~~----·{~~aving a last will, copy of which is hereto attached. } Name and address of attorney or} _William H •... Robinson, Esq. . other authorized representative to whom all correspondence should be_ 25S W. •. Main St., .Monongahela, Pa •. l506.3. mailed. That as such ..... ~.~-~-~.t:J:::.~~ .............. deponent is familiar with the affairs of said estate and the property con- < l,x.,cu 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:- 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 TO DECEDENT That the contents of said safe deposit box or boxes are itemized under Schedules ______ of this return, with the exception of the fdllowing, for the reasons hereinafter set 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 p_rior 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 are designated as tax free, of the United States, or any state, or political subdivision thereof, or of any foreign country, which are· owned at the time of death; all wearing apparel, jewelry, silverware, pic- tures, books, works of art, household fUrniture, horses, carriages, automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, leftbydecedent, 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 death, and all promissory notes or other instruments in writing for the payment of money of which decedent d~ed 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 £ace value, it sets forth briefly the reasons for such depreciation· as ·.:;o 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. I••.- 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 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 an~wer·to~each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two yea.:rs 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 se;ts forth the nature and value of such property, to whom. tr.ansferred, 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 ·cony of the deed, trust agreement or other instrument creating the trust. Ther•~ is also set forth in said schedule a list of all property,, real and personal, with its value, which 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 vestedindecedent, either individually or jointly, bythe will;. deed, or other instrument of another, . ' . . . with a copy of the ins~r.ument 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-deatn, 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 ·or the decedent and _others, plus the date and place of r.ecord of instruments effecting the vesti 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 (except. those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate 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 .Apr.il... ............................... 19 ... 68 ... . .. ~L~~~ .................... .. .J.1.9. .... L.o.c.k.ha.r.:t ..... .S.:tr.ee.t ................................................... . (Street Numbe-r) 'AUt W.~.:NEtsoti: ·i:,.;:~··r rt'JLIC MONO.NtlH .• EL( )ASH IN'' f\~ COU~JTY Washington., ..... P.ennsyl.v:ania ..... l.530.1 ....... . ""· ·' · 1 (City or Town and State) MY COII.M:SSIO:; ,XFI~C :v\ARCti 29 i 9:' NOTE: , Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. RCC-3~ (1-64) _. COMMONWEALTH 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 d~ce dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property h~:"ld 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 proper-ty located In the Co111mo[1wealth of Pennsylvania should be described by-lot and block number, street and street number, together wl th a general description of the property, with a reference to the record of the conveyance by which the decedent took title; If a farm stat_e number of a- cres; also statement of mortgage encumbrances upon each parcel at death of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are to be listed on Schedule "F" and must not be deducted from this schedule. . J/v--..:t ...,..:.._ ~I ~,_t REAL ESTATE On~half interest in the followin FIRST: BEGINNING at the Northwest corner of land of H. T. Zimmer, formerly of G. L. Bayha thence extending Eastwardly along line of sai land of H. T. Zimmer, twenty-five feet to lin of Fred Tosi, formerly Monongahela City Trust Company; thence along line of said land of (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH Fred Tosi, formerly Monongahela City Trust Co , twenty feet to a point; thence Westwardly alo land of Fred Tosi, formerly Monongahela City Trust Co~pany, and on line parallel with the /l above mentioned Northern line of land of H.T. ztimmer,twenty-five feet to Second Street; and thence Southwardly along th~ Easterly side of Second Street, twenty feet to the point at th place of beginning. HAVING erected thereon a two story brick building with small storeroom on the first floor and two office rooms on the secon floor. SECOND: BEGINNING at a point at the corner of land of Fred Tosi, formerly Monongahela City Trust Company; thence southeasterly along the Southern side of Main Street, thirty feet to corner of· lot now or formerly of G. E. Lytle; thence by line of said land now or formerly o G. E. Lytle, South 45° 23' West, eighty feet to a point; thence Northwestwardly along line parrallel with the Southern side of Main St., thirty-one feet, more or less, to line of lan of Fred Tosi, formerly Monongahela City Trust Company; and thence Northeastwardly along lin of said land of Fred Tosi, formerly Monongahel l:ity Trust Company,a distance of eighty feet to a point on Main Street at the place of beginning. ,J HAVING erected thereon a 2 story brick building with 2 storerooms on the first floor& an apartment of 4 rooms and bath, and an apart ment of 5 rooms and bath on theSecond floor. (2) (3) DEPARTMENT VALUATION ESTIMATED CAUTION MARKET VALUE (Do not write In this space) / BEING a part of the premises described in deed of Elizabeth N. Collins dated December ~ ~ · ~ 7 ~ "0 qA 1924 and recorded in the Recorder~ s Office of ~··----Jo. -/ 'f V v { I 't!'J () of>o ) !Z Washington County, in Deed Book Vol. 530, page JJ 41, to Mary B. Collins, Morton B. Collins and ~ Thomas H. Collins. Yv 1-.J 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. B.CC-35, COMMONWEALTH OF PENNSYLVANIA T.RANSFER 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, . . 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 10 shares West Penn Power Co., 4~ per- ferred, no. PO 14639 @ 72 7 shares Pennsylvania Railroad Company, numbered 5167711 @ 61\ 143 shares Allegheny Power System, Inc., numbered A 111083 and A040366 @ 22 3/8 Savings Account Western Pennsylvania National Bank, Monongahela Office, one half interest in account standing in the name of Thomas H. Collins, numbered 3022C UNIT VALUE Mortgage of John Mastroianni Mastroianni, his wife, dated one half interest and Josephi11 e c..)J...r...\ May 31, 1962, ~~ Insert this total opposite "Personal Property", Schedule "B" in X X the "As Reported" column on the last page of this return. ESTIMATED MARKEr VALUE 720.00 428.75 3199.63 575.86 968.57 5892.81 DEPARTMENT VALUATION (Do not write in this space) ------------------------------------------------------------------------ cmmON 1\'EALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SCHEDULE "C" TRA.NSFERS ~~SIDENT DECEDENT (1) 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)_.N~o~--- (2) 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)~N~o=----- (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 1 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) 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) 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) --~N~o~------ (b) The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no) No (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)---------- (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) Noo (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 the decedent alone or the decedent and others? (Answer yes or no) __ ~N~o~------ NOTE 1: The answers to these questions should be supported 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 trans- fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based. NOTE 3: J,ist applicable property below in manner in which provided in Schedules A, B, or E. ITEM DESCRIPTION Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) DEPT. VALUATION (Dept. Only) CCM~h)NWF:i\LTH OF PENNSYLVANIA fH'\XSFTH INHl~HlTt\NCE TAX TtFSIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I:\STRrCTIO!'iS: This schedule must disclose all property, real and personal, owned by the rlecedent 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-o-wners to the decedent. Description of Property, Date of Acquisition, Name I Unit I Percentage-Estate Address and Relationship of Co-Owners, and Place 1 Value Share Valuation of Record of Instrument, where Rea! ~state. i .~ Checking Account Pittsburgh National I Bank, Jefferson Avenue Office, accou~t number 1:043303031 in the name of I Roger M. or Eva Collins Saving Account Pittsburgh National I Bank, Jefferson Avenue Office, in thE name of Roger M. or Eva Collins ~ 1947 Jeep Stationwagon r6802547 ~ 1966 Jeep Stationwagon Al7854915 ~~ 2021.83 50.00 1000.00 3275.32 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 Value of Decedent's Interest ( h RCC-j7' (1'2-63) . . C'OM!\IONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses of all who ave an interest, vested, contingent or other- wise, in estate) RVA T roT T _TNS 119 Lockhart Street w;\~hinnton Pa 1 S~Ol r . . 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 this fact.) OR NO BIRTH WifP VP~ tA1hn1 o Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ~f (Executor-Administrator must complete "As II . ' ,, 1 ' II Will ~ No. ' r . Reported" column #1.) Administration Year ............ \ ~, ...... ' .. 0 ~ .....:J '"d :::0 ... :o ill ~ ~ P.ol THE I II 0 Vl ,,.... ::l ~ -Vl :s ~ ::l '"d ~lATTER OF THE APPRAISEMENT .....:J :r+ ~ e:.. ... J ll> ,.... "' .g >< ll> '< ~ ~ 0" OF .THE co 0 .g ~ trl § ~ ,. ... ESTATE OF Vl ,.... .... ~ '< ll> ,.... c. ~ ~ :e :e .. ROGER ... M •. COLLINS .. . .. , ... J I ~ "-Deceased H / rt '< •',I II Late of ... WASHINGTON .. ···r·· ' II . • ' U'l ) County of WASHINGTON. ....... :\,1'.,·; .. : c ~ ~ Commonwealth of Pennsylvania II > :::0 .-.....~-...~ w U'l U'l n n ?" ?'" ?" REPORT AND APPRAISAL II· c)~> :: :: : ---...... ---..... ....__... \ :· -"'~ ··----~--fh-~ :-..1;; 0\ :w. IJ1 0\ N OJ :IJI "' 0\ :-..1 \0 :O !:rl (X) :~.n 1.\) '0 ~-• :o . :. ~ ~ ~ w ()) 0 ::; ......... w :l\) 1-' 0 it c.. II ......... ! S77t,:i ·'O •r-, O!J!(;',l£I hY-~ID3U ' ·;;sn~ -.1 -oo-oooo-oo-oo-oo P£: z ~: Nd I ~· > e / ! '~ &dy ~·"-::r ' ~ ~'{\"" II \ l...,...., i \-_· ~-tl ~~I ~I':- 0.:-t .. 7' -' ~· """' ·~ 2" l-:l ~ .. : : ...,_ ~. 3 l . -10 -------~· . • :::l ~ . ("; ~-~ ·~c.. :\:- I II (' A C C·8 I (ll·U) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT EVA J. COLLINS (Executor~) IN YOUR RIP~Y PLIAII llll .. lll YO 37-91-e In Re: Estate of ___ -=RO~G::::::E:=.!'R~M.=..:•~C~O:.:L~L~I~NS~------- ______ W.!!:A:..!!S~H.!:I~N~G..:..TO~N~---County -File No. 63-68-193 Dear Mrs. Collins: You are hereby notified that the original appraisement in the estate of Roger M. Collins has been filed in the office of the Register of Wills qf Washington County on April 25 , 19_Qg. Said appraisement reflects the following valuations: Real Estate __________ _L9L,O~O~O~.OO~------- Personal Property ____ ~5~·~8~9=2~·~81=------Transfers _______________________ __ Total --------------~14~,~8~9~2~.~8~1.__ ____ _ 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 _____ A~pr_i_l_2~5~,_1~96_8 ___ __ Slgned&r~ r2 ~ Title W.R. Chaney, · f Appriser Date of Death; December 27, 1967 Note: This is not a bill. ~ ·-.... ~-,.,·-i.l "'CC-:'9 ( 6-64) CO®ONWEALTH OF 1'.\NN~YLV,\NI:\ T~UN~FF.H. INHERITANCE TAX RFSIDENT JrECE::JENT COLLINS, ROGER M. FILE # 63-68-193 December 27, 1967 SUMMARY .,. -··-··· ··---1 FILE # 63-68-193 TtEPOHT OF INHERITANCE TAX A.PPRAISEH I~ the unrlersigned # 63 Washington duly appointed Inheritance Tax Appraiser in and for the County of , Pennsylvania, do respectfully report that I have appraised property as reported in the foregoing return at the values set forth the last column to the right in Schedules "A", "B", "C" and "E". the real and personal opposite each item in Dated: 04-25-68 12-27-67 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills 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: INVENTORY 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) CLEAR VALUE OF ESTATE Valuation of life estates or annuities · ... ESTATE TAX ASSESSJ\1ENTS FOR USE OF REGISTER ONLY Tax on $ '5% Tax on $ ·~ Tax on <!> . 2:"' ~~) Tax on $ ·--·% Exemptions :~ (:::) Total Estate TOTAL TAX Less tax previously paid BALANCE Less '5% of tax if paid within 3 months after death REGISTER OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VA~LU~E~<~A~S~,RE~AP~P~RA~I~S~E~D $ 7, 500.00 $ 9,000,00 $----~- 5,892.81 5,892.81 13,392.81 14,892.81 ·._ =======·= ======•-'---=============•=== $--~-- $ ------ COMPUTATION OF TAX $ <!> . ~' $ $ $ ____ _ * =====•----'-$ ------ $======•= (':') As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE $ ______________ _ Add interest at rate of n% 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 $ ______ _ $ ----------------$ ______ _ $ 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. . .. Year ........... . Dl THE \lATTER OF THE APPRAISEMENT OF THE ESTATE OF ROGER M. COLLINS ··· .... · · · .......................... Deceased Late of .. WASHINGTON County of . WM3lfil'iJGT.QN ... Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ "i Fonn RCC-2· ~ . .. PENNSYLVANIA ················· .... ~~~~ ..... ?..?. .. ~ ...... ~.?..~~-····· .. r~ COMMONWEALTH OF DATE ··········· DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX . COUNTY ..................... :Was.hingt..Qn. ........... BUltEAU OF COUNTY COLLECTIONS . ................. I " APPRAISEMENT-FILE NO •...................... 6J.:::-:.6~J..9J. .................................... HARRISBURG, PENNA. 17127 .. I .......................................... ~98~r .... M:! ..... Q9.g.~~ ................................................... late .................................... WEI:~?.~!!&.~.~!.! .................... \ Whereas, of ................. 1 in th~ County of ....................................... ~~~h_~~~.~1 ........................................................... Commonwealth of Pennsylvania, having died 1 on ., the ... i .............................. ?.'1. ... ~9..) ....................................... day of ............................... ~~~.~~~-~ .................... 19 ... ~.7 .. , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; ' j: 1 Therefore, I, ..................................... .W:~R~ .... C.b.a.o.e.y ......................................................... , an appraiser duly appointed according to law, l having been designated to make fair and conscionable appraisement of the said estate, and to and fix 1. a assess ' i 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 possesslofi or enjoyment to collateral heirs of the decedent after I the expiration of any estatelfor life or for years, the Commonwealth hereby expre~ly reserves the right to appraise and assess transfer ~ inheritance taxes at the lawful collateral rate on any such future interest. ., ' .. • Unit Appraisement Description of Asset Values Made for Inheritance .. Tax Purpoaes ( .. -... . $ I -·--· . - J REALTY: ' .. ---.. '· As per Schedule "A II 9,000 00. .. . ... 11 ' -... --·· ·---· . PJ!,;HSONALTY: ' . . ... As. :per·· Schedule "B" 5,892 81 .:.: ,·· ... , ·"' ... .. ... ---- : I~ . ' ' .· ... '} -..;.~ ' ' -----· TRANSFHJ.tS : ,. c,, ' .. --.. NONE .. NONE , .. c .. .. cO . .. •· ' I f ---I J'l'. Hl<,;IJ): i ' -. -----. NONE: NONh tj .I r c--, .. I . .. -.. Total 14,892 81:: ... -·---·· ---- : ~! .<; I I . ·~ Having been duly sworn aCC()rd~ law, I do here~rtlfy that t~_ above appraisement is made in ~n--~ ~ .. ~ 7 formity with law on· this ............... ~ ................... ~ ............. day of .......... ; .. _ ~~ ...... cg; ................................ :z:;;~ ............... :.......... ;9 ..... :.-...... .... .. ........................ ,,,,,,(,,J""""""' ~ ....... 27~1;~·"""" ..................................................................................................................................................................... ~ L, ~mbor and 8tnot) c· . ·"" ,.. r ""'""'"· . ..17. ""'""'-'""""""""""""""'""""""' ............ , Penna. / IPan Ol'lleel . I W.A.~HINGTON County ! RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ,}lQG,E.J.t .. M ~-.C.OL.LlNS ..... . l Deceased. Late of ...... W.AS.HING.'l'ON ................................................ . Date of Death, ............. De.cenber .. .27., ... 19.67-·--·-··· Appraiseme11t 1 Docket Vol., ............ 3..1 .............................. .. Page, ........ 9.1,~.6. ................... No ... 6~.6.8.~19.3 ............ . Filed in Register's Office, .. A..pr.il ... 25.~ ..... 19.68 .... Amount of tar dtte, $ ...................................... ·------·-··-·······-- DEPARTMENT OF REVENUE Received, Exa.mined and Approved, Wrote abo.ut Appra-isement, Appeal f1'om Appraisement, Entered and charged, .... ' •· J Form RCC-10 DEDUCTIONS ALLOWED IN OFFiCE OF THE REGISTER OF WILLS ' STATEM .. ENT OF DEBTS THE SUM OF . . . • . . . . . . . • $ .tJ .. ~.? .. ?.7!!.k .. . COUNTY DA'E mn~11~J1 OF WASHiNGTON AND DEDUCTIONS AND AGENT OF THE COMMONWEALTH . ~ ESTATE oF -~R~oo<..;g,._e=r__,lV ..... i ...... -==C:..::o:.:l~l=-=i"-'n,_,.s=----LATE oF _w.;..o..;::;a:.=s:..::hc.=.;~=n-g._,t::..;o;;.;n~,-"'P.....;e::.;n=n""'s'-'y:...:;l;;;..v~a~n:;.;;~::..:a::::.._ ___ _ DATE OF FILING APPRAISEMENT Apr i 1 8 , 1968 DAn 0 ,. DEATH _ ..... D.:..;e..,c::.c.::io:e~m~bue...,r!:..-f:::.2...:..7_,,L-.:1::..9~6~7---- DATE NO. OF VOUCH5:Jt NAME OF PAYEE REMARKS AMOUNT 1968 1 , 1 2 _2 2 3 3 4 4 4 10 ,~ 27 1n 26 12 12 _2_6 4 8 8 Ambulance Chair Service Ambulance Russell Marino, Register or I~H 11 c:: l.Pt:t:Pr~ 1'P~t:~mon+~rv Washinaton Hosoital IA7~~hinat:nn l.nunt:v RPnorts Obs~rv~r Pub1ishina Co Dr. J. M, Ruben Dr. F. s. Bakewell A, J. Parsons Jeep Garage Graham P. Cowieson Dr. Grant Hess Rus~ell Marino, Register or IATi Ll. ~ Ru~~ell Marino, Register or TAT; I I C' Last Illness Ailllertisina T .ot:t:Prs AnvPrtisina LPtt~rs Expenses, Last Illness Exo:e:nses Last Illness Balance on account ror s~rvices rendered in 1967 Funeral Expenses Expenses, Last Illness Bal Inv. and Aooraisement Filing court Order 20 00 18 00 1 ~795 00 12 50 12 .5.0 30 00 15 00 110 96 978 25 150 00 7 50 3 00 ? c; _Kurtz Monum~nt Co Monument 210 00 Balance ror services 9 7 Scen;c Landscape Service rendered ;n 1967 50 81 ' ----~~--,_----~~~·~~~~~~~~-------+-=~~~~~·~~~~---------4--~~~~~, 10 18 Russell Marino, Agent Transrer Inheritance Tax 1RO. nn 10 22 Paul W. Nelson Notary Fees 4 25 William H. Robinson Attorney's Fees 694 64 __ 3_-.1_. ':I-+'P_~l_7_+---+------------------f-!::D.:::e~l:.:i~n.:..:lQ::~,.;U:.e=n'-=t--=-P...::e::..:r:..:s:::..o:::..n=a .1 P ropert v Taxes . 1fl ,~ ' 11 75" v I TOTAL EXPENSES COMMONWEALTH OF PENNSYLVANIA } COUNTY OF WASH! NGTON SS: 1, Eva J, Collins, Executrix, HEREBY CERTIFY, THAT. TO THE BUT OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfAT£!'1ENT OP' DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF Roger M, Coll~nS t DECEA8ED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. If' ~ # /J ' .• ' "') A+ --r,£"-"'2-6.£........1..£"--==--c~~C.~.:..:.~o:::5==:::::.0::' £,:.1.4~ _____ (L. S.) SWO'Y'C AND/&Ui!!ISCRJBED BEFORE ME THIS 'ti ~~ D4Y Of' ~A _,. .,L 18 --2.2.. .. ;~d..f:'7(,;,~ ' Pm ·W. IW.S~H. ~01'!.::'1 ;'UBJ.IC MO:·i~'~'C.,-.:!EI.i~, ,. , ;•.':''3L" :OUNT'f MY COI.i;.ii5S!0N L': .. ) MARL!! 2, · m lJn tbr Ollrp~an.a~ C!tnurt nf lfa.aqingtnn <!tnunty IN THE MATTER OF THE AUDIT OF ACCOUNT In re Estate of ...... .G.oll~Il~-'---~-9.g_~~---~---------------------------No ... ?.?..~~-~~~-?, ~---~-~~---~~~---Term, 19 -~~------, AA ~-Y~---~-~---9-~~-~~~-~-'---~~~~~----------··-··------------------------··----------~~;J;.-~~~---~-4! ... ~~-~~-~~-~~-'---~-~~-Y.-~---···---·····-· ~- Date of death.~~-~--~!_~ __ }_~~-?. .......... Date of filing Inventory Appraisement ... ~-~~-~~---~-~--J:-.9~'-------------------------- A~ TO THE AUDITING JUDGE: Enter my appearance for Personal Property Tax Due Washington County, viz: ITEM Valuation 143 sh Allegheny Pwr 3467.75 mobtgage -John & Josephine Mastroianni 968.57 968.57 1968 ... omitted ~h Allegheny Pwr @ 22.25 3181.75 ':" 1967 . J __ md tted 1lt. ~ sh AlleiZhenv PWl:' @ 27 ,-zr:; ~q68 .. 2~ . 1966 omitted 143 sh Alleghen~ P:w:r (Q} 27..625 ~q~o .. ~8 1965 143 sh Allegheny Pwr @ 28.25 4039.75 ~ ) 1964 . 71 sh Alleghenx Pwr ® f5o.._8_7r; '3612 .13· ---- - t -~ .... ,, Year Inventory Assessment Valuation 12% Assessment Tax at 10% Collection 6% Interest Total Claim Appraisement Returned Penalty 4 Mills Penalty *5% dis 19 69 4435 Yes 4435 --17.74 --.89 il:e,8:5 19 68 3180 Yes 3180 --12.72 1.21 .IJ,2 . ~Itt!: 19 67 3965 Yes 3965 1"' .. 86 l .. ~q 1.51 18 ... q6 -- 19 66 3950 Yes ~9~0 --15.80 1.58 2.46 19.811: 19 65 4040 None !!OY:O --16.16 1.62 3.47 21.25 19 64 3610 None 3610 --14.44 1.44 3.97 19.85 Please make check payable to Washington County Personal Property Dept. TOTAL CLAIM ~ 111.16 *5% di~count ir paid by August, 1969 The foregoing IS a statement of elf 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. A. V. CAPANO, Solicitor I lt,.~l\. No.§_~:':'-~~-~~-?~-----~~-~---q~rm, 19.!?.9 ...... , AA i In re Audit of Account in Estate of ----------------~~_;p._~-~-~-'---~~8~!--~~------------------------ AUDIT Jrarripr for i\ppraranrr FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX . . 'A. V. CAPA.NO, Solicitor ~9 Sl11M .:10 H31SI93CI ONI~\iW 113SSO!:I 9 t : 6 ~N OE: HdV 6961 0.3l '":1 v Form RCC-4-Rl-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS No. 979050 OFFICIAL RECEIPT Transfer Inheritance and Estate Tax File No 63-68-193 Date October 29 19 68 Office REGISTER OF WILLS. VASf:ilNGTON Pa. -"lf."-=A::.::S:!:..:HI=N~G=-T=:!._O.:::.;N:.:. ------.!County, ss: Received from---AlRuVu::;A~.tu•L-.l!Cw.oli£1..,1..._i.,.niL!.il:!s'----------------- (Executor~d~~of the estate of.._ _____ .=RO.::cO=E=R=·-=M=-=-• _C=-0=-=L=.:L:::::l::::.:N:...:..:S=-·--------------- w~o died Decetaber 2? 19_6_1_, the sum of ONE IW!UJRED BlGHTY and no/100 ......... -Dollars, bemg 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 $, _____ _ $. $ _____ _ $. Date 19 __ $'-------- --------19__ ~$============= Estate Tax Assessments Date 19__ $•------- --------19__ ~$================ NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com-monwealth shall not 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. 1fCR3D~rLD©£1JlE .. - NOTE: This 'triplicate Receipt to be retained by the Register of Wifi\?a::>J.ed§. numerical sequence for audit purposes. Computation of Tax Tax on$------------5% $ Tax on $ -------------10% $ ""'·· 'eCcJUD:t Tax on$ ".I'U 4 2% $ 18D ... M Tax on$------------15% $ Exemptions * $ ============::: Total Estate $ ----------- Total Tax $ ----------- Less Tax Previously Paid (if any) $=============== Balance $ -----------Less five per centum of tax if paid within 3 months after date of death $ ============ Amount of Estate Tax Assessed under the Act of May 7, 1927. Add interest at the rate o % from _______________ _ ro ------------------ Total $ __________ _ $====== $ 180 .. 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. s~·-L I . , .-P' , .· :.i. .. L."' . ').. j . /:/ c:;. ... I Itt. _,;. ~ ..... ~ .~f.'? "'-e-t.-J'.. •. ·:t. ..... :l' 1 • •• Reglli!er of Wills MOORE BUSINESS FORMS, INC., ELMIRA, N. Y. FORM RCC-4-Rl TRANSFER INHERITANCE and/or ESTATE TAX; RESIDENT DECEDENTS. RECEIPT 37 91 6 DocketL------~Page, _______ J~jne: ________ _ ROGER U. COLtiNS Estate or_ __________________________ __ OFFICE OF REGISTER OF WILLS WASJnNGTOti• ____________________________ __r~ Date ___ O_c_t_o_be_r_2_9_. _19~ SIGNED AND SEALED AS PROVIDED BY SECTION 1201. ACT APRIL 9, 1929. P. L. 343 AS AMENDED BY ACT MAY 15. 1945. P. L. 528 RUSSELL MAIW:O 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 lor 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 .. WILLIAJJ H. ROBINSON 253 W.. )fAIN stmmf HONONOAHRLA, PBNNSYLVANIA L 15063 _j ~-~ ' . . . . ~ .. ;' ' . ' •' ROGER ~. COLLIN$ .. ·.~ . .. ,. . . . -COPY OF-INVENTORY ·, = .. . Notary -public' EVA" J. coLLlNS $ -xxxXXxxxxx -.·· ·-ROGBR-M. COLLINS 68 ·'- -. . · · . : 11nntninrn_··uub ~ppiuistmtnt of th~ goods and_chat~el~, _rights .and crC.~its which were . RQGEl( M. COLLINS · -· City of Washingtcm . · of.: ...... : .. ~ ..... : ................................ : ........................ : ........... ~., ... -...... , ............ ~ ....................... :.Zate of. ............................ ::··---, .... _ .................... : .... : .. :~ ............................ : ....................... . -'w. · ' h' ·ton-C-ounty Pa taken and',;,_ade iri conformity 'qlith the above affida-qit. . · , . _ . as tng -,_ ., . . · . " . '~ •, · DOLLARS CENTS, REAL 'BSTATE .9ne half'· (;) interest ·.ip the following:_ · · · . 1 ..... FIRST: BBG.INNING 'at· the Northwest corner of' .fand of H.· :T. Zimmer·,. :formerly; o:f G~ y.· i3'ayha f~.theJ:lee~ exttlnding East\lfardly along lil'le o'L_ ~a~d-:f~~~-_of ~lf·; ·'f' .. _Zimmer,·· . twenty-five (2S) feet to line.o:f Fred Tosi, :formerly -Monnngahe1a City-Trust Company; . thence along 1 ine ot said ·laqd of Fred ~si..-·for~erl:Y·Mo~pngahe~a·.~ity_Trust ~o.~ ; : ,.,_ '·. , tv(entv. (20)-·:te~t. t<fa·J;>oint; -~t'b~rice W,estwt:J:.dl:y.·'alorig l~hd· :; .. of· ~red tosi, · :fqr~rly:. f.fonong~e1~·' Ci tr thi$t compahy ,imd ~ J-~· on· line parallel with the above mentioned Northern i:tne of' land ·of' H. T~. Zimmer, . twcnt~"':.f,i,ve {25)-!fee.t:to second . Street fd and thence SouthwardlY along ~the ~4't.sterly'.aide of . Second Street·,· twenty {20) feet'_ to the· poiht at the· place · of beg~nning. ' . · . · · . . . #, • . • ' t ' .. ' . ' . . " . : ~ ~; •'~ ~ ! ., ·•• ~ --~ ~-~ .. ,. ': ~·... .,_ . ... . • .HAVING erected thereon. a-two story brick build- .. .·ing with small storeroom on the £irst floor and two office ro~• -9n t'e !feeond floor_.· · --· lsoo 00 SECoND , ' BBGINNING at" a point at the corner· o'L land of · Fred Tosi, formerly Mo~ongahela -City Trust ~ompany;thence· southeasterly. a~on.g .. the Southern· side of Main Stree~, ' thirty-(30) ·feet t«? ·corner O'f lot now -or :for~qerly of G •. · .a.-'Lytle; -thei1ce by line o_f-sa~d ·tand now or formerly of. G.· B. Lytle.-South 45° 23' West, eighty ·(80) :feet to· a poi'nt;'thenee·Northwestwardly_ along iine·parallel with the Southern.side of Main St'reet,.thirty-one (31)_ feet,. more or less. ,·to line of land of Fred Tosi, :torm_erly . - Monoi1gabela _City Trust. Company; anct_ thence ·Northeastwardly along line .of said land o'f ~ed Tosi, formerly Monongahela City Trust Company, a dl.stanqe' of, e.ighty .· (80)-feet to·. a point on."fain Street at· the place of.begiJU_ling. SEE RIDBR ATtACHE~. '• . ,, -'-~. ' I .. '. . ' '-1 r J HAVING erected thereon a two story brick bui~ding With two storerooms on the first ~loor aDd lm apartment of four rooms and bath, and an apart- ment of five rooms and bath on the Second floor BEING a part of the premises described in deed of Elizabeth N. Collins dated December 8; 1924, and recorded in the Recorder's Office of Washington County, in Deed Book Vol. 530, page 41, to ~mry B. Collins, Morton B. Collins and Thomas H. Collins. 6000.00 TOTAL REAL ESTATE 7500.00 PERSONALTY: 10 shares West Penn Power Co., 4~ perferred, no. PO 14639 @ 72 720.00 7 shares Pennsylvania Railroad Company, numbered 5167711 @ 61\. 428.75 143 sh~res Allegheny Power System, Inc. numbered Alll083 and A040366 @ 22 3/8 3199.63 Savings Account Western Pennsylvania National Bank, Monongahela Office, one half interest in account standing in the name of Thomas H. Collins, numbered 30220 575.86 Mortgage of John Mastroianni and Josephine Mastroianni, his wife, dated May 31, 1962, one half interest 968.57 TOTAL PERSONALTY 5892.81 TOTAL REAL ESTATE AND PERSONALTY 13392.81.