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Home My WebLink AboutOC1968-0210 - ESTATE OF HANNA·· ... ~-.. RCC·39 (6·67) HANNA, KATHRYN 1. FILE # 9453-139 August 22, 1967 EOMMO-WEAL TH OF PENNSYLVANIA TRANSFER INHERITANCE TAX --. RESIDENT DECEDENT SUMMARY FILE # 9453-139 rtn:POHT OF INHERIT.ANCE TAX <\PPRAISEH Jol.;t" I. the undersigned duly appointed Inheritance Tax ~ppraiser in and for the County of # 63 Washlimgton , 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", "B", "C" and "E". Dated: 02-113-68 ~F.~ £~ 08-22-67 I.NHER I TAN{;£); AP~JSH - 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, except 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) CLE~q VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESSMENTS FOR USE OF REGISTER ONLY Tax on $ '5% REGISTER OF WILLS · VALUE AS REPORTED VALUE AS <\PPRAISED VALUE AS REAPPRAISED $ ·-$ ·-$ _____ _ 6,941.1B;J.._ 6.,941.81 ·- 2, 523 .. 33.-- 9,465.H =====·--. $ ____ _ ~------ COMPUTATION OF TAX (!> ~ ~) 2,523.33 ·- 9,1165-H, ·-;U~.£1-J:\ := /c,61.3Lfl._ =============:=== Tax on $ ~' Tax on $ J.S;l.~.J3 $ Tax on $ lfo 9 6 QLJ $=:== = Exemptions ( ':') Total Estate=: {, ~ L 3 !f.L TOTAL TAX Less tax previously paid BALANCE Less 5% 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 ev.idenced by Chari table Exemption Certificates issued by the Secretary of Revenue. 1/ le.S.S •h a f Re10uJwc.. 1./rLof To Chd.1T'1 '!; ______ _ $------=~,..... $ C[J...Y: ji pa,d_ ---· 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. pa,~. 7~---0"\1 7 tfS.f i, (,13 b '13 ;:f.O~ 15·UU q l ~-~b I •, ~ r, •( Will Administration t No. I::-.1 THE Year ........... . \lATTER OF THE APPRAISE~IENT OF THE ESTATE OF KATHRYN L. HANNA Deceased Late of. HOU$'l'Ol'l .. County of . . WASHINGTON .... Commonwealth of Pennsylvania REPORT AND APPRAISAL ' aLnmmnuwralt4 nf 'ruusyluauia, } Jllas4iugtnu aLnuuty, ss. KNOW ALL MEN BY THESE PRESENTS-: Whereas, at Washington, m the County aforesaid on the 30th day of August A. D. 19 67 , before me, ~osephine M. Douglas , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of KATHRYN L. HANNA late of Borough of Houston, in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and HENDERSON And DOROTHY FARNER the Executor in said \Vill and Testament named, having appeared before me and taken and subscribed the oath of office prescribed by law; NOW, THEREFORE, I, Josephine M. Douglas , Register as aforesaid·, do grant these LETTERS TESTAMENTARY, unto the said MAE HENDERSON and DOROTHY FARNER committing unto t h e m the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring t h e m to exhibit a true and perfect inventory thereof into the Register's Office, 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 thirtieth day of AUGUST in the year of our Lord one thousand nine hundred and sixty-seven. .. ' ( . •· \.. ! ; ! ! I ~ ~ ~ I ..... 1 H +-+ :,.--t t!; I !::d fot I k ~ r JTI l (/) Gt -1 ~ ~ )> ~ :. -1 ~ b JTI +-+ : 0 ~ ! "'I a t p I ~ ~ iZ = ! @ ~ ..... "' ~ l ; fot ; t i c.t; l i\ffi~uuit ®f fxrrutnr ®r i\~mitiistrntnr ~tatr nf J.rttttayluauia. t lUI: <nnuuty nf BaalJittgtnu ~ Pe~sonally before me, the undersigned authority, a .......... N9..~.~r.i. .... P.Y.P.1.~.9 ........................... in and for said County and State, appeared ....... MAE .... HmN.P.B.RS..QN ... JJ.UL.IH~RQ!.HX ... F.AlllJ.ER ............... who, being duly sworn according to law, deposes and says that 1he:V is the executor or administrator of the estate of ................ KA'r.UR.»> .... t.~ ..... ID.\~A ..................................................... deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of... ... ~~.JJRXH .... ~ ........ H!\Ht.lA .............. , 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 ?t:~d;'£ . .32..:_~. lvb~~/~:~;:t~;··-······· ........... Z.~.c.~~c;~··;··::zc::::~·......................... · ·-, . ~otar/P~I~. washing.ton, wa~liln~ldclTIONAL INSTRU~TIONS . l. An mven1i9~nU1\M§JbrP£x/illf~quwelhl}lljg~~ree months after appomtment of personal representative. 2. A supplemental inventory must be iiied 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. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 I 1 I • llnuentnry anb 1\ppraisrment of the goods and chattels, rights and credits w~ii:h were of ........ :KA'f.;a.R.XtJ ..... T:f.I .... HANHA. ................................... late of ... ;e.Q.r.2~.SB ... 9..:f. .. J!9..9~.~9..P. .............................. : .. . Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS CENTS REAL ESTATE: NONE < -..... -----..... ----- PERSONALTY I First Federal Savings & Loan. Association of Washington. Pennsylvania. Savings Account No. 13299 1n names of Kathryn t. Hanna or r~s. Mae Henderson 2,655.75 ;1,333 57 Mellon National Bank & Trust Company of Washington, Pennsylvania, Savings Account Western Pennsylvania National Bank, Houston, Penna. Checking Account 20 shares Preferred Stock in Union Acceptance Company 5 shares Common Stock in Union Acceptance Company Diamond Broach · · Diamond Earrings Diamond Ring with three stones Diamond Ring with three stones Antique Turn Top Table & Mirror Television Chair & Aluminum Chest Antique Stool Pictures and Bric-a-brac Fur ~ape Fur neckpiece 2 Cloth Coats Nylon Slips and other clothing Steel Cabinet . Hair Dryer, Vases, Rugs; Linaas, etc. (CONTINUED,) ) ,. ) pe unit 4,436 06 195 95 ( 200 00 50 00 150 00 250 00 50 00 90 00 22 50 10 00 10 00 50 00 35 00 10 00 5 00 15 00 20 00 .. , I ~. /' " . . ' ., I • f •·;,..'', • 1.· ~rnventory and Apprq,isement ·'·-' f It:: ·, ~-' .. :IN THE EST ATE OF ' -.. r • • \ .T -t} "• ... · ·.:.~.·:~J .1.\ '-.. ~~: _J.Q\TBRD· L. HANNA · ........ ,..': .. .(,~r, •• .,,t•,••n;:o.~:;;••::._~.•••oooouoooooooooooooouooonroooooooooooouooooooooooooouououuoooooooouuoooo• "· Z.: { I I:'\' "l.o1 , ... '~,(. i'.:. · .. '"''' -l.t·nHiH\'\\ Filed ....................................................... ~ .......... , 19 .......... . -...,.: ' ... ~ ~2 JAMES C. BANE, ESQUIRE 24'7 Washington Trust Bldg. Washington.· Pennsyl.van1a · .,_ f) ) .. ! ,. •' ~ .. ~ ........ .... )·~ J-"' • : ~ .... . ! t ' . 'II ~ ••• INV'ENTORJ: ANJ? A~P,RAISEM,ENT (Continu-ed) ' . , '• treaeh~~s Px-oteet1ve tmtual Lite .Insurance Company Reserve Life Insurance Oornpany . . ·. l~ $500.00 United States Savi~ga Bo~d~ 'Series 11• .. ·\ _,-·No. 4005445SH, in the name's ·of Mrs. Kathryn t~ . ~:.·Hanna or Hrs. ·Jennie -Ma:rie Holmes· · · ·· ... ,. .. . ~ . . . ·~ . . ..... '-· " . 1 .... $~oo.oo United ·States savings ,Bond, series.)!• .. · No~·~n7l493l3H, .in the names or·Mrs. Kathryn.· L~ - .' . Hanna or. Miss Vittginia K. We-leb -·~ -~ ·*~ :. . . "' ~r ; ' ' ·1-t1oo.oo United states ··savings Bond, .Series· 11, No,. 03708965$2E; ·in .the nSJTles of l'iehael J • ·· ' ' , ~.Morrison or Kathryn L.-·aanna' ·1~--'~so:oo ··U~ited states Savlngs. Bond, Series E. to •. · ts•1f~S87325E, in the nameso.f George tosko '. ~ . or Mrs. !\a thryrf L. Ban na · · . · ' 1· $50~00 UnitcGd States J~avinga Bon.d, Series E, . tto. t575SS7326E, in the ·names of Miss Leno:ra ·· .· · Lasko or AiPs. Kathryn Hanna , · -.?- '.• ·'· ,. i. ·. ' £ ' '' . , I I r I i .! . . I. / ~ t · . I; .· .. ,. I I 7as.oor 557.30' .. ,. f l_?0•:28l ' • t j 44.s4J I 44~84i . ' . ··~ ' 9,·465,.14/ l t r STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ ss, The within named Accountan'ts being duly sworn according to law, depose and say that the above account as stated is true· and correct as ______________ the.y __________________ verily believe. . r:::A; Sworn and subsc'ribed before me this ..... d.i,. ... ~-t/_7/ffl{_#.~~------------ ,J~~.e.t/ ________________ _ :.-.\~ d . ' ' . -ay ,of_:· .. -... 7 .. · ........... -. -~------------19J3.8 ..... . :·: :' . .!' -~ (/ > .-~/. .. ~ _,··:~-----~-~~--:::-------------------------------- -~-· _ ' MA~ HERCEG ' '•,,' Notary Public, Washington, Washington co. I:AY. Commi~slon Expires June 28. 19ll "'), Warshington County, ss: ,_.._._ ------------- -0 ~ ..., l'l ;:I 0 ~ <) <) ~ ~ "'-...! "0 1 II~ < Q :::::;; t1l io. [il :z; ~ Pi~ E-< 9 f:t;l ol ~ ~ E-< fJ) <0 w. • ~ ~ c). [il ~ orl {)! p H. "-l ~ :;ci ~ -P, g:J ~: "! ~ .E;l Oi ' . ~ a <D: E-i P:i ><! ~ a P=li 0 : f:l z )----~------~- 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 Sta·turte and Rule of Court, as evidenced by proofs thereof filed to No ...... /. ___ ~ __ /_?_t(__f_ ____ tl.:/! · Witness my hand and official •seal this .. ~..-0 ............... . day of.. .. ~-----------------------------------------------19~,f_ __ --------~~--------- --------------. 1::·1 L E. D V ': -~ I . 'J ·: j ! '-} • 1 • 0 ~-·-·J L." ...1 li! !..1 • 3 Register of Wills --~ -----.... .,. :.....-.,.. _ _..._ __ _ ~ .,_; -~ .... ... ;:I 0 0 <ll :5 0 ..., 'g ..., l'l <ll rn <ll ... P< ..., l'l ;:I 0 <) <) <I! l'l ;§ -~ .8 <ll J;: :5 0~ l'l : 'g~ ~ "' ,..... l=i 0 ~ s ... q::: l'l 0 <) ... 0 - 0 0 -0 .!d ... .91 0 0 'f:) iE 0 ~ [il "" l'l <I! 15 ..., rn -~ ~ ~ .. ~ ..., l'l ;:I 0 <) <) ~ ... 0 -:>. Q) r:l ... .8 M~ ~ 9 ~ q u) ~ c:tl 1-J • ~ 'Or-1 r-1~ p::Jal :> -Pr-1 !1.1~ ~fl.! H~ E-ls:: N (!) '§P-i '.p ., M~ ~0 •r-l.p .Cb!J fl.ls:: ~·r-1 ===-.c t:--rl.l o:;!ial (\l~ " ~ . a -----zrv~ ~~ ) ~~ ( I _ ~, .. ~ ~ ? l. I I C: ' -~ ..., ... ' ~d: l ~-·~ .. , .. v' . .... .. • ., I _. ill ,_ ,' .·' .. The Court is respectfully requested to de't1ermine The First and Final Account of MAE HBNDERSON And DORar FARNER, Executrices of the Estate of KATHRYN L. HANNA, Deceased, late of the Borough of Houston, Washington County, Pennsylvania. The Accountant is charged as follows: DR. REAL ESTATE: N 0 N E PERSONAL PROPERTY: To Amount of Inventory and Appraisement $ 9,465.14 TOTAL ASSETS OF ESTATE - - - - - - - - - - - - - - -$ 9,465.14 Total Amount of Credits Claimed by Accountant ~ - -3,186.23 BALANCE DUE - - - - - - - - - - - - - - - - - - - -$ 6,278.91 ) I r I The Accountant claims credits: of the assets of said estate, to-wit: DATE NAME OF B\ YEE REMARKS AMOU!fi!; --------------------------------~---------------------------- 10/30/1967 9/5/1967 9/5/1967 9/6/1967 9/6/1967 9/6/1967 10/24/1967 10/26/1967 10/26/1967 10/26/1967 11/7/1967 1/12/1968 1/12/1968 1/12/1968 1/12/1968 1/12/1968 Josephina Douglas, Regis tar Observer-Reporter Washington Co. Reports Robart E. Wylie Funeral Home Oak Spring Cemetery Gaydos Monument Co. United Ambulance Service Canonsburg General Hospital Dr. Mary M. Cavasina Dr. R. H. ~lharton Dr. David M. Ball r!Iarco Magliatta D. M. Cummins, Esq. Jane Losko Mary Louisa Williams Maa"Harcag Russell Marino, Reg. Russell Marino, Rag. Mae Henderson Dorothy Farner James C. Bane Probata, 21.00 letters, short ca rtificata Advertising 12.50 Advertising 12.50 Funeral Services 1052.00 Opening Grave & 90.00 Lot Monument 110.00 Ambulance Service 20.60 Services 38.14 Services 160.00 Services 10.00 Services 210.00 Appraise Jewelry 10.00 Probte Witness 10.00 Balance of Account 181.99 Services Notary Fees File InventoTy & Appraisement Fila Account 1/2 Accountant's Commission 1/2 Accountant's Commission Attorney• s Commission 300.00 7.50 4.00 16.00 235.00 235.00 450.00 -=---1 TOTAL -.. - -... $ 3,186.231 I ., . ' Observer -Rep~rier .. WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May, 1929, P. L. 1784, a;s amended. Commonwealth of Pennsylvania, County of Washington, SS: ........••.. Personally appeared before me, a Notary Public in and for said County Richard s. Cowan . and State, .............................................................................. , who bemg duly srworn according to law, deposes and says tha;t he is the ~-~~ .... ~ .... 'r.!'.~.~.§ .. ~ ........ . of the Obsre.rver Publishing Company, a P>ennsylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of the Observer-Reporter, succ1essor to The Washington Observer, established Se.ptembe!l" 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspaper of general circulation, printed and published and having its place of busines's at Washington, Washington County, Pennsyl- vania, where it or its prede·cessors have been established and published continuous'ly for more than six months' prior to the publication of the notice hereto attached; tha;t the printed notice or advertisement hereto attached is a ~copy of an official advertisement, official notice, legal notice or legal advertis·ement, exactly as printed or published in the Obsterver-Reporter in its regular editions on the following date or dates; ................ §.~P..t~HlJ,R~X .... l . ., ..... §. .... ~.gg ____ lS .. , .... .l-.9..9.7. ...................................... . that neithoc th!e affiant nor the Observer Publishing Company is intereSited in the subject matter of said notice or advertising and that all of the allega- tions· of this affidavit as to the time:;sz;:;pl e and charactere:f ublication are true. , .................................................. / .............. :~ Sworn to and subscribed before me this.l.S .... day or....S.e.pt.e.mb..e.l" Yii~~.~~~- WASHINGTON. WASHINGTON COUNTY MY COM~IISSION fXPIRfS J.!AY 6, 1968 --,. ·, :}1~UTRIXS' No'TICE ' \ I 'ES'l'A;TE OF KATHRYN.L'.'HANNAI liece,l!ied._ late of Houston, W'ashing- ton Co•mty, Pennsylvania , · · · ~ Letters •.restamentary UPQIY' ·the 'above 'estate having been'. ,j;:Fanted to the undersigned, alj. persqas ha.v- ,, mg claims against th.Eo estate. :are r. e .. quested to .make kn~ the.?s}nne;to, the unders1g11ed or attorney an . all persons indebted · the deeeden are requested to maJte payment 'to··, the unde-rsigned witliirut delay. · • MAE HENDE~SON 113 Second Street .Houston. Penna. DOROTHY FARNER R. D. #2, Box 20F , Burgettstown, Penna. .,.. JAMES;.C. BANE . , I~ 1/ Attorney . j . "/ 67105·Fri.-3t r ;; -~ 1967 ~Washington County Reports· ~~~~~ Washington, 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 l 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 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: ..... ~.~.P.~.~.~~~-~ ... .?..~ .... ~.~.! .... ~~.~ ... }?..~?. ......... . 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 this affidavit as to the time place and character of the publicatioo are true. '"S~~ ~t:f----!!:. ___ t;::u ..... & .. J.: ........ = /·}~1 -----. . ·---·---(:::/~ ~ :=~~::~·~~~;':';·-~ . -~==:~;iJFp;;;;, Washington, Washington Co., ~Q~ My Commission ExpiJieS November 1, 1969 Estate Notices The Register of Wills has granted letters, testamentary or of administration, il!. 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 . • • • • • • • • • • • • • • • • • HANNA, KATHRYN L., Dec'd. Late of Houston, Washington Coun-ty, Penna. Executrices: Mae Henderson, 113 Second St., Houston, Pa., Dorothy Farner, R. D. #2, Box 20F, Burgetts-town, Penna. Attorney: James C Bane, 247 Wash-ington Trust Bldg.; Washington, Pa. 15301 PETITION SUR AUDIT Testate Form/ IN THE ORPHANS' COURT O·F WASHINGTON COUNTY -., Estate of .......... EATHRYN .. La. .. HANNA. ............................ . No ................... 2~0 ... o.f. .. ~96.8 ..................... A. A. Fiduc io ry .... 1\IJ.AE. .. :H."E1IDERSON .. .and ................... . .................. D.ORD.TBY .. F.ABlilF..:E ........................... . Deceased Dote of Dote of Decedent's deot<h ......... Attgu.sjj ___ 22.*" ... 19.67 .................... Grant of Le,tters .... Augus.t .. 3.0~---~967.. ........................ . This is the ..... ,.F.il'.§l.t ... a.nd ... Fi..lla.l ................................ account filed in this estate If there hove been fo1mer~ occoy_nts filed in this estate, list file number or number and term ................................... . ......................................... N.one ....................................................................................................................................... . Election to toke None Dote Ele,ction Place of; Under or Against will. (cross out one) Filed .................................. Record ............................. . Nome of surviving spouse .......... NQ;o,~·-···············---·-·--·---··········-···-···-···-··-·-------·-·-----·-------·-··------··--·-------··---··--·--·--------· List issue, where material: None Did decedent marry after execution of will? (indicate)~. No. Any children born after execution of will? (indicate) ~: No. If onswe r yes,, na.111e·, .th·em ..... ------·· -----------------------------· .. _________ ----·---. ___ ·-------_______ ·----_____________ .. ________ . _ .. __ . _____ .. ___ ... Leg.atees Norma Williams Dbrothy Farner Margaret Smith Hazel Johnston Kathryn Johnston Mary Williams Jane Losko Jennie Marie Holmes Mrs. Harold Lhoto Merle Henderson Cla:i·l." Henderson U.P. Church of Houston Virginia Welch List, if exceptions to above: Relationship Niece Niece Niece Niece Niece Grandniece Grandniece None Nephew Nephew None Gra..l'l.dniece Adeemed: Revoked: Interest Legacy Legacy Legacy Legacy Legacy Legacy Legacy Legacy Legacy Legacy Legacy· Legacy Legacy Lapsea: Not sufficient a:.ssets to cover debts and expenses. If partial intestacy, give facts: Fiduciary, if deceased or not sui juris Abated: Give Cause: Possible Notice to interested parties. Hove 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. lmt If any exception give cause: ............................................. . File copy of Notice and date of mailing .......... MaX'.Qh .. B, ... ~'a6.8 ...................................... , ....................................................................... . Is estate subject to the filing of a Federal Estate Tax Return? ............... N.o .................................................... ''··············· Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ....... ~Qn~---········································ If the Will makes any portion of estate subject to a life-estate, give ndme and birth date Gf life tenant ..................... . .......................................................................... .N.o.ne ..................................................................................................... . 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 4 Give reference to such parts of the will as require interpre.tation 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: Balance for distribution per account, Itemize any additional debits not shown by account: $ ................................... . SEE ATTACFJID SHEET Total additional debits (Add) $ ................................... - Itemize any additional credits not shown by account: SEE ATTACHED SHEET Total additional credits (Subtract) $ ................................... . Balance for distribution SEE ATTACHED SHEET $ ................................... . If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); SEE ATTACHED SHEET JJ. WILL -· . ..,. BALANCE FOR DISTRIBUTION PER ACCOUNT ADDITIONAL DEBITS: Excess accountants and attorney compensation credited Charged -920.00 Correct -560.00 Steel cabinet -sold for Coats -sold for Dividend received from Union Acceptance Company ADDITIONAL CREDITS ASKED AT AUDIT: Jointly held assets improperly included among assets of estate 5 u.s. Savings Bonds jointly held Joint savings account in First Federal Savings & Loan Asso.,Wash. Life Insurance payable to beneficiary 15.00 10.00 12.00 1189.96 i333o3':: 1342.30 $ 6,278.91 $ 3,a6s.63 I COP~ECTED BALANCE FOR DISTRIBUTION - ---------$ CONTRIBUTIONS BY LEGATEES: Mae Henderson from Joint Account in First Federal. Savings & Loan As so., Washington Insurance proceeds, Mae Henderson Inheritance tax contributed by Legatees 1000.00 1342.30 288.91 I 2, 631.21 '?-· BA.!ANCE FOR DISTRIBUTION AFTER CONTRIBUTIONS - - - -$ 5, 441.49 ITEM II: ITEM III: ITEM IV: SUC~ESTED DISTRIBUTION Norma William.q Diamond ring with 3 srrall sets Throw rugs and lines Margaret Smith Diam.ond Ea1•r•ings Kathryn Johnston Antique Turn top table and mirror Diamond ring with 1 large and 2 small sets Teleyision chair and aluminum chest Appro. is ed at: 250.00 20oOC 150.00 90.00 50.00 22.50 I I I I I I I j \ ' '·-. _,.,. ~ .... .... Page 2: ITEM V: ITEM VI: ITEM IX: ITEM X: ITEM XI: SUGGESTED DISTRIBUTION Mary w-illiams Antiq_ue Stool Kathryn J ohnaon 5 Sha~es common stock and 20 shares preferred~ock in Union Acceptance Company Jane Lesko Fur cape Ful~ neckpiec e Jennie Marie Holmes Nylon Slips Mrs. Harold Lhoto Diamond Broach Haz·el Johnston 1/7 Kathryn Johnston 1/7 Dorothy Farner 1/7 Merle Hende~son 1/7 Clair Henderson 1/7 Virginia Welch 1/7 u~ P. Church of Houston 1/7 lOeOO 200.00 so.oo 35.00 s.oo 50.00 • '~ 6-• • .... If Family Exemption claimed by Petition, give place of Record: ......... }J.one _______________________________________________________________ _ If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ....... ----------------------------------------- None List any advancement or distribution on account that has been made, and nature and amount of same: Personal property consisting of jewelry, rugs, linens, fur cape and neckpiece, etc., distributed to Legatees named in the \\Till. 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: Cash in bank as follows: Hazel Johnston Kathryn Johnston Dorothy Farner Merle Henderson Clair Hendex•son Virginia Welch u. P. Church of Houston 1/7 1/7 i/7 1/7 1/7 1/7 l/7 The above distribution is subject to the payment of the Executor's fees in the sum of $280.00 and the Attorney's fees in the sum of $280.00, neither of which have been paid. COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly ............ s:~tv:o.rn .............. doth depose and say that the facts set forth in the foregoing petition are true to the best of ......... tb.~.:!..:r. ........... knowledge and belief . ........ .Sw.arn ___________________________ to and subscribed before me this.ar .... day of.. ....... Mar.ch ________________ l9 . .6.8 .. Signature of Officer.~~-2~-~~--~ --= -1 ----~MAE HER;~:~~-u== T it!e of· Officer .... ::: .. NiJW,-Pu61Jc,-W119hiHgton,-WesliillgfOH-CQ.r-------- .MY Commission Expires June 281 19Z.l o-ffice expires-----------------················································· And your petitioner will ever pray, etc. _7Jt.-:a,. __ £_~-----·-------······-·-··-····-·-·· ~--~./ .•.............................. ••••••••••••••••••••••••••••••••••••••••••••••••••·•••·••,-•••••••.,.r······················ . - I I • -· I I • ..-. No. . ........ .2~0 .. .of .. ~9.68. ..................... A.A. Estate of ..... KATHRYN .. L .... ..H:A.N1JA. ............ .. Deceased • Fiduciary ..... MA.E .. .HENDERS.ON ... and ........... . ................... D..QRQ'rHY ... FARNER: ................. . 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 att!'!st copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate "?ll!L~I?~} t'1J.S9§~;::Jany of the funds for di~t)1iP!"!Iti6iiEGJ~·l<:from judicial sale of real estate. 9. Signe9~ and ,_itemized1.,. el~c;:ti,9'1~-,~f any distribut:lbn trl l<iPld. If udv :.::.:. 10. Copy of Federal Estate Tax return if es- tate is subject thereto. 0 :1-l!J ·~] j ~J JAMES C. J3t.~E .................................................................................................................................................................. Attorney ~2 l t., , , '· ,, '\ .... ~ ~ .... "''' \. . . . . ,.... ........ ~ ..... ~,'I)>·· .:.; ~ a "\ .:: ~..., J -... ,.,. = i.J: i -; -~ \.. ·. . -' . ~',-, . . 0 . -: () ·, ") ·. ~ ~ ·,0 ··.: •. · -~ -_,-~, __ r:· .. ····· ... ',,,· "'"'... ....~ ,, J'ltiJJ,,., t, t t\\\ \\\ -. ' . ,.., 3Jn t~r (@rp~ttnB9 C!tnurt nf llau~ingtnn C!tnunty In the matter o~ the Audit of Account ~n/ E•t•te~;e~ No. ?./IJ -· oj= . 1/a!_, A.A. TO THE AUDITING JUDGE: Ente' ~ opp~;onee fo' ~~ f' ~ ,19 6!! 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. ; ______ , 19 __ , A.A. . . • In re Audit of Acciount in Estate of AUDIT ' · Jrttrrlpr fnr , 1\ppr~rtturr Sl111A .:lO H3l.S!83{J ONl~'lfH 113SSiltl . FOR Attorney ~u t4r ®rp4nns' <nnurt nf llns4ingtnn <1tnunty ESTATE OF [ No ... ~f.Q ______ Of 19 ... §§ ..... ,~ I_\;~:~Jh:t:Y~--~-~--B~~Q?.-.L.................................. \ In the matter of the ... £.ti.~.t .. ?.-:rf.<~Lf.1~?.-.L ....... . Deceased. Account of .. M?.-.~ __ g§_If_9:§!..~.Q!.!-.. ?.-:rf.?: ............... . Dorothy Farner, Executrices ADJUDICATION AND DECREE And now ....... ~."P.~~~----------------------·--------------~----, 19 .. ~~--, this matter came on for hearing, audit and distribution at this session and testimon/'t;ken; and thereupon, upon due consideration th~e~~ihe4 §alance for distribution in the hands ~f the Ac_countant_ is determ_in_ed to be $ .... !.. ...... : ____________________________________________ and the account IS accord 1 n g I y conf1 rmed; and 1t IS ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance wi1th 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. SCHEDULE OF DISTRIBUTION Ba I once per account.. ____ . ___ . __ . ___ . ____________________ ----------------___ ------------_____________ $§.L?.7..$.:.~f. .. Additional debit asked at audit, 3028. 21 Additional credit asked at audit, Balance ______________________________________________________________________________________________________ _ Deduct Clerk's Costs & Receipts _______________________________________________________________ _ Attorney ............. J.9.JD.~R __ c_, ___ B_g,n_e ________________________ ---------------------------------- Redebit for accounting purposes, credits claimed but not actually paid, Russell Marino, Agent, transfer inheritance tax, including the individual liability of Mrs. Mae Henderson on account No. 13299, · James C. Bane, Attorney, fees as counsel for : accountants, Mae Henderson, share fiduciaries compensation, Dorothy Farner, share fiduciaries compensation, Norma Williams, specific bequest in kind of diamond rin with 3 small sets and throw rugs and linens, held in kind and distributed as such at the appraised value, credit to be taken by the accountants for items advanced prior to distribution by the Court, Margaret Smith, diamond earrings, as specifically bequeathed, held in kind and distributed as such at the appraised value, credit to be taken by the accountants for items advanced prior to distribution by the Court, 3865.63 25.50 560.00 $5,415.99 ~~5 .. "9'~ I rtY _j(. ,,~z~-- ~7JJ~ 745.86 ~ . -'•. $5,230.13 280.00 $4,950.13 140.00 $4,810.13 140.00 $4,670.13 270.00 $4,400.13 150.00 $4,250.13 , 0 ...... c > m n :J z Ill n 0 0 ...... 9 0-" s::: :r ...... :J C1) ,...... C1) = ...... 3 0 0 ...... ...... c ...... ..... C1) ,, . 0-" ~· t-1 ""' ~.: ;r 0 0 ...... ...... t ra .... ~· •') .. = ...... :r = ' C1) " ·' ra :-o = 0-" s • 'J ~ ~ t-1 ;> ~ ;> ~ I .. ~ ' ~ ~ . ~ I Kathryn Johnston, specific bequest in kind of antique turn top ta8le and mirror; diamond ring with 1 large and 2 small sets; television chair and aluminum chest; held in kind and distributed as such at the appraised value, credit to be taken by the accountants for items advanced prior to distribution by the Court, 162. 50 $4,087. 63 Mary Williams, specific bequest in kind of antique stool, held in kind and distributed as such at the appraised value, credit to be taken by the accountants for items advanced prior to distribution by the Court, 10.00 $4,077.63 Kathryn Johnston, specific bequest in kind of 5 shares common stock and 20 shares preferred stock of Union Acceptance Company, held in kind and distributed as such at the appraised value, 200.00 $3,877.63 Jane Losko, specific bequest in kind of fur cape and fur neckpiece, held in kind and distributed as such at the appraised value, credit to be taken by the accountants for items advanced prior to distribution by the Court, 85.00 $3,792.63 Jennie Marie Holmes, specific bequest in kind of nylon slips, held in kind and distributed as such at the appraise value, credit to be taken by the accountants for items advanced prior to distribution by the Court, 5.00 in $3,787.63 Mrs. Harold Lhoto, specific bequest/kind of diamond broach, held in kind and distributed as such at the appraised value, credit to be taken by the accountants for item advanced prior to distribution by the Court, 50.00 $3,737.63 Hazel Johnston, 1/7 remaining portion of demonstrative legacy, 533.95 Kathryn Johnston, 1/7 remaining portion of demonstrative legacy, 533.95 Dorothy Farner, 1/7 remaining portion of demonstrative legacy, 533.95 Merle Henderson, 1/7 remaining portion of demonstrativE legacy, 533.95 Clair Henderson, 1/7 remaining portion of demonstrative legacy, 533.95 Virginia Welch, 1/7 remaining portion of demonstrative legacy, 533.94 U. P. Church of Houston, 1/7 remaining portion of demonstrative legacy, 533.94 No balance ~. ,, No ....... 2l0 .. , ----·-· 19 68 -~&·----... In the matter of the First and Final account of :Mae Henderson and Dorothy Farner, Executrices of Estate of Kathryn L. Hanna 1 · Deceased. i\~ju~irutinn un~ irrrrr Sll!/A .:lO H31SI83:8 Ol~lUVt··l Tl3SSmJ CJ 0 • r r.v .,., • . .t 11;:1 r ~-;-r 0 • t. i.:J v OCJ .,.. ........ 1'1-,IJ I ~~r..J ll .. ..c: ~L-~o'T RECEIPT ------- Received from norothy Farner and Mae Henderson, Executrices under the Last Will and Testament of Kathryn L. Hanna, deceased, the diamond earrings • clock,· and marble top table. Dated: __ ....;;&-W....=.::;;...;...' _:_l_,g'----' 19 67. .Ear Rings $150.00 Glock 10.00 Marble Table30.00 $190.00 151o Tax $28.50 R E c· E I P T Received from Dorothy Farner and Mae Henderson, Executrices under the Last Will and Testament of Kathryn L. Hanna, deceased, one suit case. Dated: cJ'~ :LS: {/ Hazel Johnston , 1967 r • RECEIPT ------- Received from Dorothy Farner and Ma' Henderson, Executrices under the Last Will and Testament of Kathryn " L .. Hanna, deceased, the antique s:tool. Dated: ~-~--~-;~;;..--· _, 1967. - .I .. ' RECEIPT ------- Received from Dorothy Farner and Mae Henderson, Executrices under the Last Will and Testament of Kathryn L. Hanna, deceased, the diamond ring with three small sets and the throw rugs and linenso Dated: 1d~'____,,,..r.9_--------' 1967. cr-t5ho 0 I!Uf-~ !.Jfo -Jto Received from Dorothy Farner and Mae Henderson, Executrices under the Last Will and Testament of Kathryn L. Hanna, deceased, the antique turn top table and mirror; television chair; aluminum chest (including contents); diamond ring with one large and two small sets; and an envelope containing $70.00. Dated: __&_et-: /f __ , 1967. R E C E I P T, ------- Received from Dorothy Farner and Mae Henderson, Executrices under the Last Will and Testament of Kathryn L. Hanna, deceased, one (1) $500.00 United States Savings Bond, Series H, No. D7149313H, issed on December 27, 1962, in th9 name of Mrs. Kathryn L. Hanna, 113 Second Street, Houston, or Miss Virginia K. Welch. /) nate d ·~._·. -.:..U.;;:;\ '-4~..:~~""""'<__,/"'-"-Y--_. __ , 1 96 7. RECEIPT Received from norothy Farner and Mae Henderson, Executrices under the Last Will andTestament of Kathryn L. Hanna, deceased, the fur cape and fur neckpiece, the envelope containing $340.00 together with a s:lip of paper on which is written "Give Gao. Parker $200.00 of this money, Kathryn Hanna". Also promissory note dated September 6, 1961, in the amount of $4,000.00, payable to the order of Kathryn L. Hanna at 4~ interest to be paid monthly with payments on principal to start January 1, 1962 and which said note is marked "Paid in full, Kathryn L. H." and on back of said note is written "Paid in full, Kathryn"'; also the envelope on which is the name of Jane Losko, which contains $160.00. Dated: _&:/___· ~\ 5..J-____ , 1967. RECEIPT ------- Receive~ from Dorothy Farner and Mae Henderson, Executrices under the Last Will a.nd Testament of Kathryn L. Hanna., deceased, the envelope containing $3.29 in cash, the envelope marked "Earl Williams", which was found in the safe deposit box. Dated: 15% Tax J.-u-./3 $3,29 $ .49 ~w~ Earl Williams , 1967. Received from norothy Farner and Mae Henderson, Executrices under the Last W:ii..11 and Testament of Kathryn L. §ooc -Hanna, deceased, one (1)\ United States Savings Bond, Series E, No. L575887325E, issued on May 8, 1962, in the name of George Losko, 993 Locust Avenue, Washington, Pennsylvania, or Mrs. Kathryn L. Hanna. ~;LJ__ Georgeko Dated: &....::::J:;.....;...-_. _;3~------' 1967. RECEIPT ------- Received from norothy Farner and Mae Henderson, Executrices under the Last Will and Testament of Kathryn L. 5t:J.cO Hanna, deceased, one (1) United States Savings Bon\ Series j\ E, No. L575887326E, issued on May 8, 1962, in the name of Miss Lenora Losko, 993 Locust Avenue, Washington, Pennsylvania, or Mrs. Kathryn Hanna. Miss Lenora Losko J~etosko, her moither I -ic:al.,o,;·/~w~;_-~3:;...." ____ , 1967. 1'-1 .... 0 --. -. -·~ I f --·-4 • k RECEIPT ------- Received from Dorothy Farner and Mae Henderson, Executrices under the Last Will and Testament of Kathryn L. Hanna, deceased, the nylon slips; and one (1) $500.00 United States Savings Bond, Series H, No. 40034458H, issued in December 1962 to Mrs. Kathryn L. Hanna, 113 Second Street, Houston, or ~ws. Jennie Marie Holmes. mw~~ Mrs.Z~ennie Marie Holmes Dated: ~-r, 1968, ESTATE OF KATHRYN L. HANNA, Deceas~d. i ) ) ) NO. ) ) ) niSTRIBUTION RBCRIPT ot 19_. I I l ! '1 ' . . I I, the undors1~ed, hereby acknowledge to bavo received : I . ot Mae Henderson and T>orothy Farner, Executrixes,· the U •. :s.:sat.!lnga Bond, Series E, No. C3'70896532E, ($100.00) I 1n full payment or th& amount awnrded to me by the aa1d Orphans • i Coux-t in the necroe and Schedule or P1atr1but1on filed ·to the J above Number· and Term ot said Court and in cona1dernt1on thereof,~ . . I hereby release and discharge 1t fitofll nny furtho:r 11e.b111ty on account ot the same. .. WITNESS my band and seal this h day of 1/fJv~,J~~ .19 6'7 • I ,i, ,'\f· '• 41 ~ . ! . . , ~ ' . . ESTATl!} OF . ) ) ' KATHRYN L. HANNA, ) . } 10. ot 19 67 • ) -Dece·asad. ) f. )' -It: . ,, . ) ) ' ' . DISTRIBUTION RECEIPT 11 tbe ~d&rsignod, hero by ackn.owletlgo to have r&C$1Ved of DOROTHY FARNER and MAE HENDERSON, Executrices, the ; .diamond b~oach, in full payment o t the amount awarded to me bf the said Orphans • Court 1n the. noc.ree and SchedUle of Dietribution filed to the abovo numbor and T&rm ot said Court and in consideration thoreor I horoby roloaa.., .and d1achargo 1t from any turther 11abi.l1ty on account ot the same. \VITDESS mr hand .and seal this ,. 1:,~. day of _,.,.~~~ .... ~-~~ ...... ._. --·....-• ·I' 1967. "'~,.~ ~-(SE ) Mrs. Harold Lhoto I' r"· .. IN THE ORPHANS t COURT OF WASHINGTON COUNTY, PENNSYLVANIA ESTATE OF ) ~ ~ NO. 210 of 19 68. -KATHRYN L. HANNA } ) ) DISTRIBUTION RECEIPT I, the undersigned, hereby acknowledge to have received of Do~othy Fame~ and Mae Henderson, Execut~ices the sum of Five hundred uhibty three and 95/100------------- in full payment of the amount awarded to me by the said Orphans' Court in the Decree and Schedule of Distribution filed to the above Number and Term of said Court and in consideration thereof, I hereby release and discharge it from any further liability on account of the same. WITNESS my hand and seal this ~~day of _ __.Mw.:ailill,yJ----- 19...§.§_. Attest: (SEAL IN THE ORPHANS' COURT OF.WASHINGTON COUNTY, PENNSYLVANIA ESTATE OF Kathryn L. Hanna } } ) ) NO. 210 . ) ) ) ) DISTRIBUTION RECEIPT - of 19 68 • - I, the undersigned, hereby acknowledge to have receive of Mae Henderson and Dorothy Farner, Executries the sum of Five hundred thirty three and 91/100------------------ in full payment of the amo~nt awarded to me by the said Orphans' Court in the Decree and Schedule of Distribution·filed to the above Number and Term of said Court and in consideration thereof, I hereby release and discharge it from any further liability on account of the same. WIT}ffiSS my hand and seal this ~~ day of May 19 68. Attest: Church of Houston B · . ..._......-· ,:.·. : -~ ( ·, :. IN THE OHPHAH S 1 COFR:' 0>=' WASHING'l'Oi': co:mr::-v, PB:r:iSYL., A '!JA BSTAT'R 0><' ) ~ ' KATHRYN L. HANNA ~ NO. of 1968. -210 ) ) ) DISTRIRur:'IvN RECSIPT ! , the undersigned, here b:r ac knowledpe tr-.ua ve r·e ce l ved Mae ~anderson and Dorothy Farner, Executries the sum of Five hundred thirty three and 95/100----------------- in full payment of th•3 amount awArded to me by the sR id OrJ,than s 1 Court in the Decree anti Scheoule of Distribut1orl flle d to the above :~umber and 'Perm of said C )Ur>t and in co~~i0eration +.hereof, 1 hereby release and disc.har!le it from an~ rurtber lle1,l'.it.y on account of the same. WITNESS my hArd and seal this-*-lav of ___ .:::::M:::a.o~.Y.--• 19 68. - ,· Attest: II !~-~~---- .. r •I '· ,. ;j ,; IN THE ORPHANS' COUTIT OF WASBINGTOH CO:'NTY, PE:rNSYt•r .t\)I'JA ES'rA'R OP ) ~ . ~ NO. of 1'11 68. KATHRYN L. HANNA 210 } ) ) DISTRI~U1'10N RECSIPT I, the ULdersigned, hereb:r acknowle:iP'e to haifa re:eived of Mae Henderson and Dorothy Farner, Executries the sum of Five hundred thirty three and-95/100------------------ ' in full payment of the amount awRrded to me oy tr e b& ld Orph8lt1 a r h ~ Court in the Decree and Schedule of Distribution fl~d t0 the ,, above Number and rrarm of said Cottr-t and in con~ido.rati on thereof, ., I hereby r~;:~lease and dlsoharpoe it from any further ltaLt:lt.r un account of the same • . ,; i! ., WITNESS my hAnd and saal thl s · L ~l:q or May ----------------------· 19 68. -.. I ,I I ., I •I I I ,I Attest: ' L------------------------------------------------------ ',II ' :j j •' I ·' .. I I, h •' II ' \ ,. IH THE ORPHA!~ S' COURT OF WASHINGTON COUNTY, PEN~SYLVANIA ) KATHRYN L. HANNA ~ ~ NO. 210 of 19_aa. ) ) ) DISTRIRU'l'I ON F.ECEIPT I, the undersigned, hereby acknowledf,e to have received of Mae Henderson and Dorothy Farner, Executries the 8 urn of Five hundred thirty th d 9 ' ree an 51 100----------------- in full payr71ent of th8 amount RWArded to me by the said Orphans' Court 1n the DecreA ~n~ Scherlule of Di~trlbution fl~d to th~ a~ove :•umh~t· and 'Perm ot' said Cou,•t and in con~i~arat1on thereof, 1 hAreby release and di.schHrae tt from any fm·the"" liabillt:1 on account of the same. ~ ~ l WITNESS my hAnd and seal this ,j~·: ... f day of_.wMaa.J.Y----• I 19...£.a· Attest: l I I ~ . 1~-~ -- 'i !>;'. il f. .. I ,. :I IN THE ORPHAN S1 COURT OF WASHINGTON C00NTY, PSifNSYLu A}j'J:A ,: ,, ESTA'R Qt;' ) KATHRYN L. HANNA . ~ ~ NO. ~ 210 of 19~. ) ,, ) ) ,, !I H .'I :r DISTRI:3tn'ION RBCEIPT I, the undersigned, hereby acknowle1pe to have re~eived of Mae Henderson and Dorothy Farner, Executries the sum of Five hundred thirty three and 95/100------------------- .I in full payment of the amount RWArdsd to me by t~e said Or~hans' ,. Court in the Decree and Schedule of Distribution filed to the above ~umb~r and Term of satd Court ~nd in consideration thereof, I hereby release and discharp-e it from any furtt1er-l!Rl·llit./ on :1 account·or the same. ' •' ' " ,, ,• ,. ii WITNESS my hRnd and seal thls ____ day of May-9 ;, 19_2.S :; Attest: ·' f! :-.'I' _j _._,_ ' '• . -------------~-------------------------------- !I I!~ THE ORPHAi'-1 S' COURT 0.._, WASHINGTON COtJNTY, PEHNSY:L.V A!>llA ) KATHRYN L. HANNA ~ ~ NO. 21Q of l9__ae. I II ) ) ) DISTl-nlltrriOU REGEIPT I, the undersigned, hereby acknowled~e to have reeeived , of Mae Henderson and Dorothy Farner, Exec~tries the sum of Five hundred thirty three and 95/lQO----------:------- in full payment of the amount RW~rded to .:no by the said Orphans' Court in the DecreA anti Schedule of Distribution filed t1) the a'Jove :{umb,:;,r and 1'er1tt of' said Court and in conslfieration theroof, I hereby release and discharge it from any further llHt-ility on account of the same. -p;Jt/ WITNESS my htHJd and stHll thls ·~ da V of __ M_a..::.y ____ , 19 68 • ' At~est: (SEAL) • IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA ESTATE OF ) ) KATHRYN L. HANNA, ) NO. 210 of 1968 • ) DECEASED ) ) DISTRIBUTION RECEIPT I, the undersigned, hereby acknowledge to have received of MAE HENDERSON and DOROTHY FARNER, Executrices, ··tne f.i.ve.:::~shares common stock and 20 shares preferred stock of Union Acceptance Company, in full payment of the amount awarded to me by the said Orphans' Court in the Decree and Schedul.e of-Distribution filed to the above Number and Term of said Court and in connection thereof, I hereby release and discharge it from any further liability on account of the same. ff WITNESS my hand and seal this /s-'day of June - 19 68 • Attest: I I I I (SEAL:> I ' I . .._ ) r •. r ( ~-~ .. , r -- ~ ·~ . "' L- ·. .. ~ r .. ~ *·~:-•• -· ' -. ... ; ~ ~ '· .. • •''" . .. , 't '' H !' ·; ..• f .. •-r ' ( r ~ ' . 1111f ------------------------------------·. -~ I .• ?-,/ ;;;;z~~1:...',~~~~~: ... FO~l~::'~:~~~L ,:;'~~:;s>'YWI~ =~;s;:~ID~NDER $10.000, UNDER. SECTION 101 OF ACT OF • E C:!if -:, ,' ... , OFFI::n:F~~::S:::~~ .. O~.~I~LS, ~· ·~ MAE HENDERSON . Houston, Pennsyl vani.a . · · ·· ... DOROTHY. FJABNEH ........ ·. ,t, ••••••••. ." •••• ~ •• or. ... Burg~ttstow.:o, .. }1~nnsy.J. w..nl.a.: .. · · s· · , (Name) : r . · • · · (Addl'eSS) · · • ~ being duly ----------~-WQ~t) __________________ .according to law, deposes and says that he is the _____ E~~Q_\l<_!!r.JA~d--~~--------E----l---------------Exec., m., Legatee, tc. r of •thb estate of __ KA.TRB.Xl{ __ L.§.. ___ ffAN_NA. ___ : ______ ~-~~--~-whose last residen~e was ~-Bg_r_Q_lJ.,gh __ Q_.f.._]iQP.< __ ~.,t>.OJL ____ ~_----------_:-· · · . · (No.) , . · · Street • · . . '-. .. , __ Wa.sh.ingt_Q_tL_GQJ.:m.t_y _______ _.deceased, and that the whole of the estate of said decedent, who died_A\JR\!~<~--->~-~~-).~97 (Ctty, Borough or Township) ~ • , , { t < ~ " • • .• ate :. ~ ro!"~ted of, '· : , · · • ~y~~-r REAL PROPERTY / ... ~ f ~ REAL PROPERTY IN PENNSYLVANIA, WITH STATE~ENT OF MORTGAGE tNCUMBRANC!JES UloON EACH PARCEL AT D 0 EA.;H OF DECED~N;.WH~RE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES.' ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. ' ) '" ' Real Estate N 0 N E ' Personal Property ' L• . Estimated Value ,. i .. - --. ~ n u) J #z ~-zt.-9' ;ert::, 1 ... (Savings Account) Compan:v of 1wr ......... .; .... ""' . '"R'""'--. Mellon National Bank & Trust Penna. ------4.~36;.06~ a!l/1/r;nSb"lf't;. Checking --;· I Western Pennsylvania Na~ional Bank, Houston, Penna. AGcoun_t_ ,""-.( 195.95 ~..._.., 20 shares~ Preferred Stock in Union Acceptance Company ) $s.od-· _.2,00.00, ·r ..... 5 shares Common Stock ~n Un~on Acceptance Company ) · ufilt_ ~ ' .. -~ Diamond Broach 50.00 Diamond Earnings 150~00 niAmont'l RiQ'ht with th"r>ae stonAs . " 2,50~00. Diamond.Right with three stones 50~00 r j_ /. Ant:i ni1A 'T"n.,...n rron rr~bla /lr. MirrO.J:" ~· 90.00 f}~ ' .. Tel-evision Chair & Aluminum Chest 22~50 Ant.ianA'St.oo1 ~ 10 .. 0~ l/ Pictures· ~and Brio-a-brae : -. 10.00 FUT' ru:tn.a r -. 50.00 ~ Fur neckp5;~ce ' 35.00 ~ 9. ('!1 ot.h hoR t:l'-i ... ~.io'oo ' Nylon Slips and other clothing 5~00 . c -r· •.'" "-StAA1 C1AhlnAt. . i5~00 Hair Drye:r'~ Vases, Rugs, JL,inens, etc. ;_ ... 20~00. r Teachers Protective Mutual IIlffe Insurance Compan:v ~85~oo·. Reserve Life Ins ursn c e Company -~5rl~3~-~ l ' .• '. TOTAL .PERSONAL PROPERTY--· -~$6. 941.81 0 ... .. ' .. ,, OTE: N 1 d in a w You -.. r· . r may expedite the .prooessing of this return by filing with it; and as: a p{lrt-of the teturn, etters from financial institutions or mortgage holders, certifying to amounts on deposit o:r owed by the ecedent as ~ of the date of death. Such letters must be signed by a responsible officer. of the 'financial -,. ' stitution or. mortgage holder and indicate clearly amounts of princilJal and interest in the ~ecedent's ccount at the date of death and the typr of account, account nu~ber and thl exact name or narries in hich the account is registered. · · ) ._ ..J ~Jointly Held Pmpe,ty 1 ... $500.00 u.s. Savin s Bo;nd, Series H No. D7149313H in the n of Mrs. Kathryn L. Hanna. or Miss Virginia. K. Welch v es Estimated Value .. .... 1-1 0.00 U:Qfi• Savings Bond, Series E, No. C370896532E, in the name of Michael J. Morrison or Kathryn L. Hann~a~/-------------------------+--~~~~~ 1-$50.00 u.s. Savings Bond, Series E, No. L575887325E, in the names of George Losko or Mrs. Kathryn I,. Hanna .1' 1-$50.00 u.s. Savings Bond, Series E, No. L575887326E, in the names of · / TOTAL JOINTLY HEJ.JD PROPERTY - - Transfers within TWO YEARS Prior to Death N 0 N E 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 IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF Na. tiona.1 Bank BENEFICIARIES AND ADDRESSES (State full l'lames of all and their addresses who lfave an interest, vested, contingent or otherwise, in estate.) B.D.tf2. Bur Ma.r~a.r'at Smith -1 19· ~'4th Street 1056· F'1fth Street Kathr Johnston BENEFICIARIES RELATIONSHIP (If step-children or illegitimate children are involved, set fort\ this fact.) Niece Niece e Niece ieee SURV VED DECEDENT STATE YES OR NO Yes Yes Yes Yes niece Yes· randniece Yes (CONTINUED ON SEPARATE AGE) AGE OF LIFE TENANTS OR ANNUITANTS AT DEATH OF DECEDENT RELATIONSHIP OF JOINT HOLDERS TO DECEDENT Niece INTEREST OF r BENEFICIARY IN ESTATE 1 Form RCC-62 BENEFICIARIES (Continued) ESTATE OF KATHRYN L~ HANNA, DECEASED. Merle Henderson Nephew Yes 223, Ree;d Avenue Houston, Pennsylvania Clair Henderson Nephew Yes 114D 2405 Stamford Road Panama City, Florida u. p. Church of Houston None Houston, Pennsylvania Virginia Welch Grandniece Yes Baptist Assembly p. o. Box 32 Limuru Kenya, Africa • Legacy Legacy Legacy Legacy DEBTS AND DEDUCTIONS CLAIMED NOTE· List first five items in the spaces so provided observe notations thereon and instructions ' ' DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN KEGISTER ONLY Funeral expenses paid $ $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * Fiduciary commission * OTHER DEBTS AND CLAIMS ( *) See Note below I I I I I ' I ' ' ·! -I . I "' I ' . L L Total Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater or less than the estimated amount claimed and allowed. Subscribed· and sworn to before me this ....... ciff..~~ ... . . ' ...... ': ................. day of .... JanJ.la.ry: ........ , 196.e. -~ ~ -~-- .. · ..• ·· .. ·~i\ERCEQc.~·:.£· .............. . Jlotary PJ~blic, -~sf.ineton, Washin-ifijn CO. /. '~) ~ . dM.-t-d.-I.'Z<j:j ..... -~ ........................ . tJ;Executor-Administrator) v(~~--1:(~~-~---········ ~~ Executrices ===-= jVIy vemm!~Siuji Expires June 1!8,_ 1971 HaYing been duly sw~ dg to law, ~...&tify that the above appraisement is z.ade in conformity with law on this ............ · ......... ~ .......... dayof ......... J··~··.:l···-~·~--19 .... /' /) ~'r .. :--:~K.. .. . . ····-~ .:::&~ ............ . Appraiser 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 ·inheri- tance taxes at the lawful collateral rate on any such future interest. 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 debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount is set forth in the last column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction. Dated: ............................................ . Register of Wills -•·~ ' '. "· ..... Form No. RCC-62 (2-64) Will l · Administration JNo. · · · ....... Year .... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ....... ~1'.Ire:YN . ~ ... Mlfl~A .......... . ~.....-Deceased Late of .. ~Q:rP.l.lgP. .Qf. .Ij9:u.~rtP.!'L ..... County of ....... W~.~J.:l.~ng:t~z:l ......... . I • Commonwealth of Pennsylvania ,. REPORT AND APPRAISAL ·~ ~ ,_.. ..... f') l.Jl l • ' ! v--, ......_., JAMES C • BANE, ESQUIRE 247 Washington TruS:; Building Washington, Pennsylvania 15301 J ... ~ ~,~~~' ·- ;.'' t,, J' ~. '; •... ,..~, .. /' '·( ', ·:~: .. , -=: .. [· ~ _,. · .. (' . . . , . ' . ..r.,., ' ..... .. . .::: · ... , . > . . . . . . . . <. ) ,, ... 'r,' ['[·"\·\· ,..-,,, '';, .• -· ,,.l ,,, ... i J J I i.Jll, "''1\ '' ; \ l ;;. R C C·8 I (2·84) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT HAE HENDERSON & DOROTHY FARNER (Executor~)· IN YOUR RIP~Y P~IAII RIP'IR TO 37-47-4 In Re: Estate of --~KA=.::T:..!;lffi.=Y~N....:L~ • ...:;HA=N~N::;::A ______ _ ______ ___:WC!!,AS~H:.:IN~G:!.:T::.=O::::N:..-__ County -File No. 9453-139 You are hereby notified that the origlnal appraisement in the estate of Kathr;;m I., Hanna has been filed in the office of the Register of Wills qf Washington County on February 13 , 19....Q.S. Said appraisement reflects the following valuations: Real Estate ------.,.-,..--.,...,---- Personal Property ___ ~6L,~9~41~·~81~·--- Jt. Held ~~----___:2::.J,!...o<:5.:;23.£..~3~3~- Total -------------~9~.4~6~5~·~1~4~-- 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 ___ ~F~eb~LMuJa~r~y~1~3~1~1~9~6~8~---Signed ~we~ e~~ Title vl.R. CHANEY, IEF APPRAISER DATE OF DEATH: August 22, 1967 Note: This is not a bill. I Fonn. RCC-2 ... . ~ ' . . ............... F.~P..:r..w.;w. .... J.J., ...... J..96.a I COMMONWEALTH OF PENNSYLVANIA. DATE . DEPiRTMENT OF REVENUE RESIDENT INHERITANCE TAX COUNTY ........................... W.~~h.~P.:g~9..!1 .... ..... BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1712 7 APPRAISEMENT FILE NO .......................... 9.4.2):::!:?..9 ......................... Whereas, ................................ :K~t.hry.n .... L ...... .H~na ............................................................. late of .............................. Ho.us..t.on .................................... ........ in the County of ..... ................ ........ W~.!?.h.;w..8t.9.A ................................................................... Commonwealth of Pennsylvania, having died on the ....................... ?.? .... n4 ....................................................... day of ................ A:ygu~t. ......................................... 19 .... 67 .. , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; . Therefore, I, ................. :.Lf.. ... :W.~.R~ ..... COO.n~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 tor 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 Description of Asset Values Made for lnheritanc• Tax Purposes ·- $ i .. REALTY: !, NONE NONE ... PERSONALTM: -· As per appraisement filed 6,941 81 -TRANSFERS: -·. NONE NONE ~-., I I JT. HELD: --1 As per appr.aisementfiled 2,523 33 Tot.al Q l.hf. 11. ' i fonn~~v!;:~h b:: ::Th~;'C>rll"~n~•:· ~:; o~·~~;z.~~=;~b~~e ~=;~8e:t~l~~ .?ffJ. Appraiser _.... ..... ·········· ···················· ......................................................................................................... ( N\lmber an<! Stroet) ~~;;;;;;··om;;;············································• Penna. . .WASHINGTON... . .. .................... County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ....... JV!..T..ffiiXN. ... L~ ..... HANNA. ............................ . Deceased. Late of HOUS.TO.N Date of Death, ................. AP..g:U.§t ... 4.Z.1 .... l9.67 ............ . Appraisemei!t Docket Vol., ............ .3.7 ................................. . Page, ...... 47~4 ...................... No ..... 9453~13.9 .............. . Filed in Register's Office, ....... .F.~b .•..... l3.1 ..... J968 .... . Amount of tax due, $. ................................................................ .. 1 I DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.utS~ppi:qi:k»tent; ~.\.:!.~!... ........................................ . otm!'t~-J Tus:;nu A a1 (j. ~ M J:.L:· ..... ) l . ·r · ppe 1',qm Li!.PP, (JJsem~nt, .•. ,~ •. ! ....... : .............. . n ···1 -·11 I Entered and cliart9edl ..... , .. , ........................... . \.,t ·-·· i .. '' ' ...__ ' ·" • -! .. } ' ' ( ' ./\ Form RC C·lO OFFICE OF THE REGISTER OF WILLS OF _W!.!.A~S""'H..:I:.::N~G~T:..:O::::N:!...-_ COUNTY A~NT OF THE COMMONWEALTH C/ '/] ;d . ~ yj'0-3--/r]) STATEMENT OF DEBTS AND DEDUCTIONS ESTATE OF KAfl'HBYN L. HANNA LATEOF ___ B~O~r~O~U~g~h~o~f~H~O~l~l~S~t~o~n~-------- DATE OF FILING APPRAISEMENT __ s-:_-_/_-~6_,9"-----DATE OF DEATH _...£Al.IU~g~U.:I.JSg_t~!::l.2.~::t.2~1---olol..;;9!,l,61-71.-____ _ DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHiiOJt 10/30 ill96r; ·Certificate .1osenhine Douglas_~ Reg. Probate. Let te 'l"S & Sho.,..t. 2·1 ()() 9/5/ 1 96r. Observer-Renorter Advertisi__ng_ Lette"r>s 1?. !;() 9/lli/ 196'1 Washington Co. Reports Advertising Letters 12 50 9/6/ 196'1 Robert E. WYlie Funeral Hom~ Funeral Services 1052 00 9/6/ 1967 Oak Suring Cemetery Openin_g _grave and lot 90 00 9/6/ 196'7 Gaydos ril:omJment Company :Monument 110 00 10/24 11196'7 United P~bulance Service Ambulance Service .. -20 60 10/26 11196'i Canonsburg.Gen~ral Hospita Services 38 14 10/26 l/196'i D~~ ~ry_M. Cavasina Services 160 00 10/26 l/196'1 Dr! R. H. Wll.arton Services 10 00 11/7/ 196~ Dr. David M. B~ll Services 210 00 1/12 1;196E Marco T11Iaglietta Appraise Jewelry 10 00 1/12 11196E D. M. Cummins, Esq. Probate Witness 10 00 1/12 1196E Jane Losko Balance of Account 181 99 li2/ . ' 196E Mary Louise Williams s·ervices 300 00 1/12 ;196e Mae Herceg Notary_ :Fe.es 7 50 men-c Russell Marino. Reg. File Inventorv & AnnT'r::~i:se-4 ()() Rnss e1 1 Mr::!'Y'ino. Reg. Filin{Z Account 1h ()() 1\ll'r::~A HAnnA'Y'I=Ion 1 I 2 ·A c_eCllllltan_t_ t _a f:_omm i ~=~ R i on 1 ~" ,-..P _LCjO ~ Do,.,ot.hv "fi'.t~'Y'nA'Y' 1 /?. Accountant t_g Co_mmi~=~~=~i on ~~~ u-..o .Tt:~m A~ (! "Rt:~Yl"" •At.t.o,.,nevts r-ommi1=1sion I"\ I"\ fJ?,.JL. ~It ~P'o1 _;{, ~J-so {/ '..?£s-/ /3 ./ TOTAl - - - - --- - 'Z .. ,... ,. '-''Z COMMONWEALTH OF PENNSYLVANIA COUNTY OF VIASHINGTON 1, DOJWTHY FARNER and MAE HENDERSON HEREBY CERTIFY, THAT. TO THE BE•T OF lloiY I<NOWL!DGE AND Be;LIEF, TH! FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENS!S OP' ADMINISTRATION OUBMI'r'Tg.:), JO,'THE ESTATE OF KATHBYN L. HANNA DECEASED. AS DEDUCTION!i FOR INHERITANCE TAX PURI"OSI<:G. ( , ..., _;;:C/L -4tt!x4-d ~.u:.a/ . SUBSCRIBED I!EFORE ME. THIS ~ 9 DAY Of' 'YA 7 // -____,....:~;:==~----Ill .6_8_ v:: (C{M, /!( ~ (L. 5.) My Commission El<pires June 28, 197..1 ~/ ' :-. .l. (I , r 1\ ( / -r' {:... r .. r r ','' \' . i ~ ,-, . ! ( f• I '· '"t"· .l ; .1..: r i .... c. r-,, r· t_'• r \-. r •' r •. r 'J :J (: t t. ':. t ( .. ) , .... ( . c. -~.., ,. .- " \ \' ' \ ... ;i ---,~ (: '; -, r ! i ... . ..., , '\ v}.:,..J--' .~>;~ ~~ ·~.~--~ /J• I,' • \·~ '. ' i,' t .~......! r ~\-' \n. '·-'· ,_:.' · .. ·. '-:l ,s:::-'-.;~\-"~ ....: , .. \~~ \ r \ \ -\ \ n r \ r \ r I r\\ {-\ r \ r \ \ \ ~·' r r r ,. ' .r\ ,. ~~~~~~~~~~~~~~~~~~~·~· Form RCC-4-Rl-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS No. 91 0115 OFFICIAL RECEIPT Transfer Inheritance and Estate Tax File No.9314-147 Date September 1, 67 . ______ __:___19 __ Office REGISTER OF WILLS. WASHING'IDN Pa. WASHINGTON County, ss: Received from Jennj e Roman Wrigbt (Executor, of the estate of MAlrZ lWMlw ak8. MARY R., DmJ:mA who died August 2S 19_66_, the sum of THIBTYdtiGBT' and 22/l:OO - -• --Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth .as follows: Appraisements Made and Filed Real Estate Date Valuation $ $ Total Personal Property Date Valuation $. ______ _ $. _____ _ Total Tatar Gross Assets Less Debts and Expenses of Administration · Clear Value of Estate Valuation of Life Estates or Annuities $. $. _____ _ $ $. _______ _ "T'a.Ynn'" $ .LJ.IIuvJ.4PLETE Date 19 __ $. _______ _ _________ 19__ ~$======= Estate Tax Assessments Date 19__ $ _______ _ -~------19 __ .':!'::$======= NOTE: r;, accepting the transfer inheritance tax on future estates prior to the death of the life tenant ·Or tenant for years, as evidenced by this receipt, it is understood that the Com- monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. ®OOD~D~£[L 36-225-4 NOTE: To be delivered to taxpayer by Register of Wills Computation of Tax Tax on$ 5% $ Tax on$ ID'1o $ Tax on$ On Account 2% $ 38.22 Tax on$ 15'}'0 $ 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 rote of % from------------------ to ------------------------------- Total' $-------- r $================ $ 38.22 * As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of Mqy 28, 1956, P. L. 1757, effective June I, 1957, as amended by Act No. 381, approved July II, 1957, and Act No. 207, 1961, Section 302. ~~~~~ ~ -~·~o·~::u,, v .~ ~ " E BUSINESS FORMS, INC., FORM RCC-4-RI . TRANSFER INHERITANCE and/or ESTATE TAX. RESIPENT DECEDENTS. RECEIPT Docket 36 Page 225 Une ___ 4c___ MARY ROMAN aka MARY R~. DztJIBA Estate o,.._f ------------- OFFICE OF REGISTER OF WILLS WASHIWTON, p -----------------~-------a. Date __ _,Se=· =p-=t=em=b'-'e-'-r_l_· __ lg__![J__ 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 JOSEPHINEM. DOUGLAS Register of Wills 1201 (g), Act of April 9, 1929, P. L. 343. as amended, viz:-.. To receive from Registers of Wills all duplicate ,re· ceipts 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 iri 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.'' S/'1~t. Fill in below name and ad~1'. f.:,~r/!'1[ to whoDl tax receipt is delivered: Jv l'lJs~!x1(J I Pc • u(} To ATTY. ·JAMES o'~~~ 238'WASHiNGTON TRuSTt~~~ L _j --------------------------------------~ I i\ffi~auit ®f< £xrrutnr ®r i\~miutatratnr ~tutt nf Jrnuilyluunfu. ~ · !i.!l: Cltnunty nf lllu!i4ingtnn Personally before me, the undersigned authority, a. ................. ~~.~~r..l .... ~~l~.~ ................... in and for said County and State, appeared .......... ~~~~.J!9.~:~ .. ~.~9..~ ............. ~ ............................................ who, being duly sworn according to law, deposes and says that She is the executor ~ of the estate of .. ~~.l ... ~.~~~~ ... ~~~~ .... ~~l ... ~ .. f.: ... ~~.~.~~.~ ............. deceased, that the foregoing schedules constitute a I · d · f h al d 1 f tta,.., Roman a 1k/a Mal'v R., comp ete mventory an apprru.sement o t e re an persona estate o ......... :: .. ff-............................ .':1. .......................... If., . ,. 'k deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item Dzu.1..,a 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 inade by the above named Executor Administrator. Sworn and. subscribed bef~re me this .... 2..£.......lt . ffB 7 ~ "tt; d~oJ\ .................. -~(. .. · .. ~ .............. ! ~~27 . ~ ............ 4d...a::tr.~t.!.. ... ~?.:?..f#.:J{d. .... CZ.t.d,..{.~ .. _/ .1...~. . ~~ . :. . Executor~ . . Mf· ·c·ommi:sa.,on ... . 1rea i' A~~I~~~;;:~·~ ... IN UCTIONS . Feb.· a?,. 19 ·, L · , An inventory must e filed within three months after appointment of personal representative. 2 .. A stipplemental inventory must be filed within thirty days of discovery of additional assets. 3. r·original and 2 Copies and 2 RCRI-34, Under $IO,OOO; I Original and 2 Copies and 2 RCRI-33, Over $IO,OOO, including Copy of Will; I Original and 3 Copies and 2 RCRI-33, Over $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY ·Act of I947 P. L. 5I3 Sec. 5.2, 72 P. S. 4844.2 r lluurutnry an!l "ppraisrmrut of the goods and chattels, rights and credits which were of.!~~.l . .' .. ~~~ ... ~/~~ ... ~H ... ~.! ...... J.1 ..... Jate of ....... 9..~.~1.. ... !:!.~ ... ~~.!~~~.~~~ .................. : ......... ;. Washington County, Pa., taken an' made in conformity with the above affidavit. DOLLARS CENTS REALTY: ALL .ot the right. t1tle and 1ntoPest (be1ng a 1/9 interest) ln and to Att that certain lot of ground situated in the seventh Ward of tbe G1ty ot \"fash1ngton~ Washington CQunty, Pennn., • and \)Sing known and des1gnatec a£t Lot No., 69 ln the Plan of Lots la1CI ou.t bJ Walter a. Anderson and Robet"t A• s. Pollock and called "Ltaplevlew Plan" and recorded 1n sa1d Oountr 1n Plan Book e. pages 10 and 11• 'Deed Book 74'! • Pas&. 749.,. .Value $5,000.00 ~11 600 00 TOTAL REALTY1 fE~SQNALID: 1/S 1r.te•est !.n Sa'9'1ngs Account if«h 9'144 1n .. tb& Mellon National Bank & Tl'ust Company ln the name ot . fltt.s• Marr Roman tlzu1ba or JenJJ!.e W•18bt · $3,977.09 (ACOOW1t opened Jnnwn•J 8, 1963) 1 lot ot household furniture (Worthless ... donated to OS.ty MS.sslon)· Ttll'AL PERSOUALTYI· TOTAL $1,500 00 10 00 1,998 54 ... I' Inventory and Appraisement ~V THE ESTATE OF .... ; ....... MA.R.Y. ... lJ.O.MAH ... !!!i/k/.a ... N.M!l' ... B ....... nZUIBA Filed .................................................................. , 19 .......... . JAfSS c. BAlm, ~!tJJi-lj""~·" •.. ,, . 24'1 Washington Ti'Jl1lt: .Dlf's •. --:.r .\j Washington. PG!in~~Yfll:J~a· ::: '~.:!iJ 15301 :),,"nd::J:.;or !..V:£ Ud c·. c c:. t.J!r ..... 03~11-! ~2