HomeMy WebLinkAboutOC1968-0284 - ESTATE OF GORDONBeC-S'(2-64)
'~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
IN YOUR REPLY PLEA8£
REP'ER TO
37-192-6
I
ELSIE L.GORDON Informant
In Re:Estate of_·~MAR=Y~E~L~I~Z::.;AB=E~TH:.:.....:GO=RD=O::.:N~---
_____---:.;W:.:.:AS~·H~I==N.:..;:G:.=T0.=;·N:.:.._County -File No.63-68-284
Dear Mrs.Gordon:
You are hereby notified that the original
appraisement in the estate of Mary Elizabeth Gordon
has been filed in the office of the Register of Wills qf Washington.
County on March 6 ,19J22.Said appraisement reflects the
following valuati6rls:
Re al Estate _--'-1-:,:.:;.3.=,3.::;.3..;,;.3:;.:3::.-__
Personal Property _
Transfers ~:__:~:__:=_=_--
Total ....-_-=1~.t..o:3.J.3,3:...3"",3,--_
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 deatn,interest at the rate
.of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date __---.:Ma~r~c~h~6l:::.t~1u:9~6.L9 _
DATE OE>DEATH:March 3,1942
ESTATE INSOLVENT
Note:This is not a bill.
RCC-39 (6-67)'.'.\
':·ei7r1MONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
GORDON,'lolARY ELIZABETH
FILE #63-69-284
March 3,1942
SUMMARY
n..EPOnT OF INHEH,ITANCR TAX APPRAISER
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".
J!the undersigned4'63 Washington
FILE #63-69-284
Dated:03-06-69
03-03-42
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for Washington
County,Pennsylvania,do r'~sTJectfull.y report that I have allowed deductions in the amounts
claimed b;y deponent,except as to those items where a greater OT lesser amount is set forth
in the last column to the right in Schedule "F",WhiC~hreaorlesser amount represents
the sum allowed as a deduction.~~
Dated:03-06-69
REGISTtR OF WILLS
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$1,333.33.$1.333.33.$__
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
J oint-Held Property (Schedule E)
TOTAL GROSS ASSETS
LE~S Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
1,333.33._
1,351.5<.2:=
1,333.33._
1,351.50:========:=
------_.-----------------------Valuation of life estates or
annuities.. . . . . . .$__
EstATE TiL"\:ASSESSMENTS $_
TOTAL TAX BALANCE
PAID
$------
$,----------
As evid.enced by Charitable Exemption
Certificates issued by the Secretary
of Revenue.
*-------
$-------
$-------$
CO~WUTATION OF TAX
$======:=
$-----$==:::;:===.-$------
*-----$------
..,TOTAL TAX
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
3i~NCE OF.INHERITANCE TAX DUE
A:dd interes tat rate of 0%from
to
AMOUNT OF ESTATE TAX ASSESSED
E s tate tax paid
BALANCE DUE
Add interest at rate of 6%from
to -------
F9R USE OF REGIST~R ONLY
T;ax on $•!')%$_..-.:..._
Tax on !t:10'10 ~T "~~._
I'ax on ~________~;l)••
Tax on $.lR%$
Exemptions .P)
Total Es tate------
FOR,USE OF REGISTER ONLY 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 .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
....~.~..~;r.z.l\.;a.E;'I'.lf ..®~N .
Deceased
Late of W.A$BJ.~.G.T.ol·L .
County of ~~.J.!.~g'1'9N..
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
~
...
",
i
QE:e,ARTMENTOF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.I 7I 27
.COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE·TAX
APPRAISEMENT
"f"
I.~."
lviarch-6'c'1969DATE1..
COUNTY w.~~.b.m~.9.A .
FILE NO 63~.68~2..84._..
Whereas,M.~y.~.+.~;?~p..~~.~Q9.~49..~late of ~~.~~~~.
in the County of Wa.§hi.ngton Commonwealth of Pennsylvania,having died on
the ..?:r..<i.day of ~~.'?~:19 ~..,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,W.~.R~C..JiAJ\W!.X ,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit Appraisement
Description of Asset Values Made for Inheritance
Tax Purpoles
$
REALTY:
An undivided 2/9 interest in Lot No.16,in Allison Land
Company Plan of Lots Addition to Washington,situate in
Seventh Ward,Washington,Pa.(50 x 150 feet)with
frame house theron known as 460 Jefferson Ave.1,333 33
.~
..
Total 1,333 33
.,
Estate Insolvent
......................WA$.R.u..~G.'r.Q.N .....-...............................County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
........................~.r.~~.~Q9.I:tJ.?9.N ~/~.
Deceased.
Late of
WASHINGTON...............................................................................................................................
Date of Death,~.~h J.J UJ.4?..
Appraiscmellt Docket Vol.,3.7 .
Page,l9G.~.6.No 9.3...:~6..~~.?e4..
Filed in Register's Office,~.~~.l:l ~.l .19 ~9
Amount of tax due,$.
DEPARTMENT OF REVENUE/
Received,
E:.ranr,incd and Approved,.
Wrote abo.ut Appraisement,
Appeal f"om Appraisement,.
Entered and charged,..
0/,
,.
Form RCC-33-Rl
RESIDENT DECEDENT
FOR INHERITANCE TAX PURPOSES ONLY
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTION.S
COUNTY OF WASHINGION .
I~WORTANT: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 hy the Secretary of Revenue.(Section 703 of
the Int)erit~nce_an9-.E.st!lte Tax A,ct of 19~1.)
Mar.y E~:.::=:::::.:.:.::.~~~~:.~}=:FFIDAVITOF E~~~r~~n~ordon,
(State full name of decedent)
Late of ..Cit.y.of Washin.g.ton.,Wash COlUlty ~
mother and
state of Penns.ylv.an.i.a :.}ss:
County of Washi.ngt.on .
...........Elsi.e L .Gordon.,mother and.inf.armant.................
~~~of the above-named decedent being duly sworn,depose S and sayS
Name and address of attorney or}
other authorized representative to.
whom all correspondence should be
mailed.
..Adam L Sander.s··..
611.Washington ..Tru·s.t.BIdg.•.,..Washing.t.on.,Pa....15301 ..
That as such mothe.~:deponent is familiar with the affairs of said estate and the property con-
~~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:-None
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.... .
~lone I\T"'.......1\T__~
I
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached h,ereto 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 B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
of deposit,savings banks,trust companies,or other institutions,whether individually,or in trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to the last
interest day prior to decedent's death in the case of savings banks,and_t~o 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 a~ystate,or.poJitical 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 ar~household furniture,horses,carriages,automotr1les,boats,a~d any ~nd all
other personal chattels of whatsoever kind or nature,left by decedent:'together wi th 'the fai~ly CS ti~ated
market value thereof;all bonds and mortga.l!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 died possessed,of whatsoever nature,with interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such estimated fair market value be less than the
face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable
to the estate from life insurance policl'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 the,eof atp_'
A ,
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 submitte!i.It should also set ·forth in itemized form,together wi th the~fair market value
thereof,any other property owned or bequeathed by the decedent at the time of death.
c
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
relationship of the transferees to the .decedent,the proportionate share ~eceived by each transferee and
all other facts of a pertinent nature -regarding said transfers.In the case of t~ansfers intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y
of.the deed,trust agreement or other instrument creating the trust.TherR is also set forth in said
schedule a list of all property,real and personal,with its valpe,which passes at decedent's death by
virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint-
ment vested in decedent,either individually or jointly,by the wHI,deed,or other instrrunent of another,
with a copy of thecinstrrunent creat~Qg such ppwer attach~d to the schedule.
That Schedule 0 attached hereto and made part hereof sets forth tbe names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for'life under decedent's Will.It also
contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the name
of the decedent and others,plus the date and place of record of instrrunents effecting the vestiture of
real estate and the date of acquisition of-personalty,plus the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and Impaid 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 thi.~
..................b.d day of Oc.t er 19.68.....~..~~~
.....~.--:t....Notary p~br Moth:~o~~:~_~~:~~ant
My Com.Exp:March 26,1971 WashingtoD.:r ..,Pennsy.lv.ania 15301
Washington,Washington County,Penna.(City or l'own and State)
NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None",and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached.Also make
certain that column #1 in the "Summary"has been properly completed as above-directed.
U:r:-8:1a-TU."CW{~\ON\mAL'rH OF PENNSYLVANIA
T~:{\N~:F~;H INHEIUTANCE 'l'.\.X
HESLflENT DECEDENT
"
SCHRDULE "A"
REAL PROPERTY
~leal property'in Pennsylvania,with statement of mortgage encumbrances upon each parcel at
death of decedent.Where property held as jointte~antor'te~ancy by entireties,report on
Schedule "R".Property held by the decedent as tenant in common with another or others,
should be identified as to ~uantum of interest and the estimated value should be that of
the decedent's interest only.
The real,property located in the Commonwealth of Pennsylvania shouldbedescribedbylotandblocknumber,street and street number,together wjth a general description of the property,with a refer-
ence to the record of the conveyance by which the decedent took
title;if a farm state number of acres;also statement of mortgageencumbrancesuponeachparcelatdeathofdecedent.Taxes,assess-ments,accrued interest on mortgages,etc.,are to be listed onSchedule"F"and must not be deducted from this schedule.
An undivided (2/9)interest in Lot No.16,
in Allison Land Company Plan of Lots
Addition to Washington,situate in Seventh
Ward,Washington,Pa.(50 x 150 feet)with
frame house thereon known as 460 Jefferson
,
Avenue.
Being same lot of ground of which J.H.
Gordon died seized on July 10,1935,leaving
a wife and three chi1drene See Deed Book
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not weite
in this space)
472,page 606,Washington County,Pa.,record~.
Whole assessed value of real estate for year
of death was $2600.00.(2/9)
$578.00
(2/9)IA ))/?
$1,333.33 /~
J
Insert this total opposite "real property",Schedule
"A",in the "As Reported"column on the last page of
x X X X X
.\.."
$1,333.33
,','
SCHEDULE "n"
PERSONAL PROPERTY
fiCC-33b-lU
:"t.~OMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
.;-;t
INSTRUCTIONS:Th1s Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property "wned by the deoedent jointly with another or others
must be listed under Sohedule "E".Intarig1ble person3.1 property,titled 1n the name of the deoedent,but
payable at death to another or others,inoluding but lllot 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 listnd 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 any undistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside o~the State,at the time of death,should be listed in this schedule.
Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No.List and describe fully VALUE MARKE:l'VALUE (Do not write in
this space)
,
None
..
,...
...
.-.
..
,
-
Insert .this total opposite "Personal Property",Schedule "B"in X X
the "As Reported"column on the last page of this return.
co , \
~:tC(,-;1;1\'-nI
rLlmlO:\T~':\LTIi OF PE~NSYLVANIA
Tll\.NSFER INHERITANCE TAX
fill~IDEXT DECEDENT
SCHEDULE "c"
TRANSFEnS
(1)Dirt rtecedent,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 01'no)no
(2)Did rtecedent,wi thin two years of death,transfer property from himself to himself and another or
others (including a spouse)in joint ownership?(Answer yes or no)no
(3)If the answer to (1).or (2)above is in the affirmative state:
(a)Age 'of decedent at time of transfer _
(b)State of decedent's heal th 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 o'r his
estate or be subject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decedent's death?__
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no)no
(b)The right to rtesignate 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 prolnise to
pay income to or for the benefit of care of transferor?(Answer yes or no)_~nuo~__
(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 cOllld revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)no
(9)If the answer to (8)above is in the ~ffirmative,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)__
NOTE 1:The answers to these questions should be supportert 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 rtate of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM
None
DESCRIPTION MARKET VALOE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
,"l-lCC-;.);Je-H1
.....
tCM1l\)XWE.\LTH OF PENNSYLVANIA
Tl\:\~~lTH INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
HiSTRFCTIOSS:This schedule must disclose all property,real and personal,owned by the decedent jointly
with another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule
"A",plus th~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 a~in
Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to
the decerl.ent.
Description of Property,Date of Acquisition,Name I Unit percentage Estate
Address and Relationship of Co-Owners,and Place ~Value Share Valuation
of Record of Instrument,where Real Estate.I
None
Insert this total opposite "Jointly Owned Property",Schedule "E"
in the "As Reported"column on the last page of this return.
DEPART~lENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire 'Decedent's
property Interest
..
R("r.-3~lt-RI
COMMONWEALTH OF PENNSYYLANIA
TRAmFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
..
--
NAME DATE OF DEATH RESIDENCE
1\T,..~•"'....e>
Deponent further says that all the above-named beneficiaries are liVing at this time except below:
(
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,contingent ot other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
P_,cd t:)T ,...-,..tTt:)l::.1\/1 A/1 ROt A11
.o!11\()_1 --Aut:)-
"_.......
,
~..
,.
..
..
I~
OF THE
REPORT AND APPRAISAL
ESTATE OF
MATTER OF THE APPRAISEMENT
(Executor-Administrator
must complete "As
Reported"column #1.)
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I
......Year .
\oJJ
_.,I l j
(=.J
r,jc...J
P.Il"THE
~No .
.-
;-_Jc:..,
".-081
:fort 1,I"•
:-'"J r)
Inhe~~~anceiTax-~rposes
·~Only.
'-~
Adam Le Sanders
B.A.Franks,Attorneys
..f\1.~.~Y.J~l.t.~ab.e.th ..Gord.on...
Deceased
Late of ...Gt"tY....Qf..Was.h.i.n.gton...
Commonwealth of Pennsylvahia
County of ....Washington.
Will
Administration
.)
C',
DEDUCTIONS ALLOWED IN ,!J,f/,$"o............$~..
.....:!.~.~~..z
THE SUM OFSTATEMENTOFDEBTS.,,~"...
AND DEDUCTIONS
_.
OFFICE OF THE
REGIS:TER,OF.WILLS
OF Wasblnttc:m COUNTY
AND AGENT OF THE COMMONWEALTH
Form RC C·10
ESTATE OF Mal'y Eli.abet!:'QOl"dOA LATE OF City ot Wuld.AgtOft,I'eDDa•
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DATE OF FILING APPRAISEMENT o.a$'Q68 OATIi OF DEATH Ma;cb 3~d,1942...
DATE NO.OF NAME OF PAYEE REMARKS A"'OUNT
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Waabiltoton
I,BI,de L.GoXdM.Dotber and lnfotmant HEREBY CERTIFY,THAT.TO THE BEaT OF
MY I<NOWL~OGE AND BELIEF,TH~FOREGOING IS A JUST AND TRU E SfATEMENT OF DEBTS,FUNERAL'EXPENSES AND EXPENSES 0 ..
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15_DAY OP'110 81'ana I:.Ol'llan
No'tUY Ai C
My Co.~lbqH Marcb:26.1911
Wuhington,Wa.hinoton Count"Penraa.