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OC1968-0392 - ESTATE OF SAMSON
r------·~-----------------------.---·-----------------~ ·-~ ------ PETITION SUR AUDIT Testate Form~ IN THE ORPHANS' COURT OF WASHINGTON COUNTY ·,; Estate of ......... C.~.C.!1E. .. RO_G~_RS ... S.AMSQN ____________________ _ N 63-68-392 o.·---·-··--···-···············---·---····------···----···········-· F iduc ia ry ___ ... _ -·· -·· ______ --.-···· ........... ··-· ................. -----··. / ... Deceased Date of Date of Decedent's death ..... F.ebru.ary:._l6., .. _19.68 ___________________ Grant of Letters ... ~~-~~h .. J-..?.._, __ _l_~R§ ............. ------··--······ This is the ________ .fj._:r~_t __ g,:n.g ___ f.t..n.Al ........................... ____ account filed in this estate If there have been former accounts filed in this estate, list file number or number and term .... ----········--······-··········· ····························-······························NQn~------····-·····-------··-··-········-···--·············-········----------------·--····----------------------------· Election to take Not applicable Date Election Place of; Under or Against will. (cross out one) Filed -------·····--------···-----·-·-·-Record ___ : ________ _. ________________ _ ) 0-- Name of surviving spouse ____ None __ ·---------------------------------·········-·--------------------------------:-------------------------------------------------- List issue,: where material: Joan Samson:Wal-dron-daughter Did decedent marry after execurion of will? (indicate) Yes. No. An"y children born after execution of will? (indicate) ~-No. If ans~er yes,· name them _____ N_o..t ___ appJ..:i..c.able. .. _______________________________________________________________________________________ _ Leg.atees Relationship Interest Fiduciary, if deceased or not sui juris Joan Samson Waldron daughter residue none Constance Emma Lisman niece $500.00 none List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: No exception If partial intestacy, give facts: None Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. -Ntr. If any exception give cause: _____ :n.o ___ ~xc.e..p.t.ion ___________ _ File copy of Notice and date of mailing ___ .A.p.ri.l .. _lO.,. .. l96.9. ____ ...... -···----·······-······-··-···--·-·----------··-·--------·--·---·-------·----·--·------·---·------------· '1 t Is estate subject to the filing of a Federal Estate Tax Return? ....... ¥.§.1? ........................................................................ . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ...... .5..,.5.00 .•. 00. ................................. . If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant ..................... . ............................................................................ N.Qn.e .................................................................................................... . Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. None = Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: None Balance for distribution per account, Itemize any additional debits not shown by account: r! Columbia Gas 2/15/68-8/l5/68 Dividend -Sq~th Jersey Gas Interest -D~posit at Merrill-Lynch ·-· .. -~ I $57.00 .35 5.65 Total additional debits (Add) $ ........................ 9).!_QQ. $ .. 10.0.,3.33 ... 3.9. ......... . Itemize any addition"''I credits not shown by account: .... Director of Internal Revenue -1968 Income Tax $ 1,348.:37' · Kur·tz Monument Co. · ~ -:Grave marker 110.00 Director of I~ternal Revenue -Estate tax 4,523.00 Register of Wills,Agent -Pa.Inheritance Tax 5,500.00 Total additional credits (Subtract) $ ............. l1.,.48.1 .. 31. Balance for distribution $ .... 8.8.,.9.15 ... 0.2. ......... . If balance for distribution is not in cash, list each item held in kind, giving ·appraised Value (or distribution Value); .... PRINCIPAL -PERSONALTY 1 $8,000.00 U.S. Treasury Bill purchased 1/9/69 $7,965.73 300 Shares Amer. Home Products 15,637.50 100 Shares Genco Inst. Corp. 4,943.90 30 Shares Chesapeake & Ohio RR. 1,912.50 60 Shares Diamond Intl. Corp. 2,692.50 200 Shares FMC Corp. 6,550.00 40 Shares Fruehauf Corp. 1,390.00 30 Shares General Motors 2,276.25 200 Shares Harmnond Corp. 5,068,12 zoo Shares Kendall Co. 9,625.00 20 Shares s. s. Kresge 830.68 180 Shares S. s. Kresge 4,935.00 60 Shares Mobil Oil 3,630.23 40 Shares Mobil Oil 1,800.00 60 Shares G. C. Murphy Co. 1,290.00 100 Shares Olin Mathieson 3,712.18 85 Shares Penn Central 5,163.37 15 Shares Penn Central 280.00 100 Shares Public Serv. Elec. Gas 3,400.00 Cash 2,840.83 INCOME -PERSONALTY Cash 2,914.23 $88 2915.02 If Family Exemption claimed by Petition, give place of Record: ......... No.t .. app.li.c.ahl.e ...................................... . If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ... Yes ..................................... . Joan Samson Waldron, daughter of the decedent, who resided with the decedent until her death, claims the family exemption. List any advancement or distribution on account that has been made, and nature and amount of same: None Su gested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to t ke in kind if balance is not in cosh: residuary shares being stated in proportions: ~Co-st nee Ellliil'a Lisman $ 500.00 amson W:aldron: 1 $8,0db.oo u.s. Treasury Bill 300 Shares Amer. Home Products 100 Shares Genco Inst. Corp. 30 Shares Chesapeake & Ohio RR. _ 60 Shar~ft Diamond Intl. Corp. . -.· 200 Shar~~ FMC Corp. 40 Shar~~ Fruehauf Corp. 30 Share's General Motors 200 Shares Hammond Corp. 200 Shares Kendall Co. 20 Shares S. s. Kresge 180 Shares S. s. Kresge 60 Shares Mobil Oil 40 Shares Mobil Oil 60 Shares G. c. Murphy Co. 100 Shares Olin Mathieson 85 Shares Penn Central 15 Shares Penn Central 100 Shares Public Serv. Elec. Gas /~ COUNTY OF~' SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly ......... s.wo.rn ................ doth depose and say that the facts ser' forth in the foregoing petition are true to the best oL .. her ... ~-----------------knowledge and belief . ...... Swo.rn ............................. to and subscribed before f['&-. me this .. ~-------·----day ~ ... March ___________________ l9.6.9 .. S;gnatu•e af Offim:::~;;;a.-~~-------- Title of Offlcer ...... .,ittsburgb-,--AMtiJhen.y-Cou.nty,.P.eona •••.•..•.••.•• My .commission Elqlirea Office expires--------------------~~~~~~-~-~! __ 1_~!.~------------------------ " ·' 7', 965.73 15,637.50 . : 4' 943.90 1,912.50 2,692.50 6,550.00 1,390.00 2,276.25 5,068.12 9,625.00 830.68 4,935.00 3,630.23 1,800.00 1,290.00 3,712.18 5,163.37 280.00 3,400.00 And your petitioner will ever pray, etc. .. ............................................................................................................................................................ .. ..................................................... ---............................................................................................. ~. No. _________ §_~_::_68 -3 92 ................................................................................. Estate of ... .G.~.GJJ:..e. ... R.QQ_~R$.-.. ~.M1~9.N ..... . Deceased . ' Fiduciary ... ..IOAN .. .SAMSON ... WALDRON ....... . PETITION SUR AUDIT FROM WHERE DECEDENT LEF:r A WILL Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e;· and divisions thereof: shown on pages 23;24. 1. Written praecipes of all Counsel in the case. 2. Copy of order appointing Guardian ad litem, if pertinent. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A. or an attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of I iens in case any of the' funds for distribution are from judicial sale of r~al estpt~. . 9. Signed and itemized elections if any distribution in kind. 10. Copy of Federal Estate Tax return if es- tate is subject thereto. H. Fr~-~--M~;~;.9.g.:r.,. ... E.s.q_, ................... .. ----------------Attorney ""~2 "Yd ··o~ NOl.t)NJ HSVM ; s:l1JIM .:1'0 U31SIO?H.J ·~· ON.IHYW T13SS!W 1 .o z t4 d 9 z unr 6 g 4 lt.n -.., ......, ~ _, 1Ul ,,:n N ~ :J Qlnmmnuwralt~ nf Jruusylnauia. } .6.6. l!las~iugtnu C!tnuuty~ KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, m the County aforesaid on the 15th. day of March A. D. 19 68 , before. me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of Cecile Rogers Samson late of Somerset Township in the County aforesaid, deceased, (a true copy whereof IS to these presents annexed), was duly admitted to probate; and Joan Samson Waldron rix the Executlti: in said Will and Testament named, having appeared before me and taken and subscribed the oath of office prescribed by law; NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do grant these LETTERS TEST AMENT AR Y, unto the said Joan Samson Waldron committing unto Her the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring Her to exhibit a true and perfect inventory thereof· into the Register's Office, at Washington, 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 15th. day of March m the year of our Lord one thousand nine hundred and Sixty Eight ········~-----~-~---·······--···· Register t .. ·- '.i '· ·' lAST WILL AND TESTAMENT 'l I, CECILE ROGERS SAMSON, of the City of Pittsburgh, County of ' Allegheny and Commonwealth of P'ennsylvania, being of sound mind, mem- ory and understanding, do hereby make, publish and declare this to be my Last YvJ..ll and Testament, hereby revoking and making void all Wills by me at any time heretofore made: First: I direct that all my 'just debts and funeral expenses shall be paid as soon after my decease as may be found convenient. I. Second: I give and bequeath to my daughter, JOAN SAMSON WALDRON, all of my property, real, personal and mixed, to be hers absolutely. However, I recommend that she aid my niece, CONSTANCE EMMA LISMAN, if ·she sees fit, to the extent of Five·Hundred ($500.00) Dollars. Third: I hereby nominate, constitut~ and appoint my said daughter, JOAN SAMSON WALDRON as Executrix of this my Last Will and Testament, to serve without bond. IN WITNESS 'WHEREOF, I, CECILE ROGERS SAMSON, have hereunto set rrry hand and seal this z~ day ·of July, in the year of our Lord, one thousand nine hundred and sixty (1960). _-fb~ ~ ~~ (SFAL) . C~cile Rogers S on Signed, sealed, published and declared by CECILE ROGERS SAMSON, the Testatrix above named, as and for her Last 'Will and Testament, in the presence of us; Who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as witnesses thereto. ~---------··•---• a ,· . l ' ! I I, I ij ~ ~ •I ij ·I; I ~ I 'I I i I i I :1 :j 'I ·I !I 1; ij I~ l~ ii il !I 1;: !:i I• ,. ~o: !i: .. 1: 1-· [;: if! I .n \ 1:\. ·!:l ' u \. r: '-. i: r: ip !i: 1:'1 II ' ,:j li! i.i I·; ,, 1: '" F I.; 1: I·· I~ • I I I ,. il '" :.-: !:: ; . r': r· ~ ; ·\ ~ :;; .!;l ! l 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 63-68-392 . 63-68-392 v/ i\ffibauit ®f 1£xrrutnr ®r i\bministratnr ~tatr nf Jruuaglnauia, t !lli: C!!nuuty nf Baa~tugtnu ~ Personally before me, the undersigned authority, a ............ N2.t.9.:!."Y. .. J~~gJ?.J.:i:-.9. ......................... in and for said County and State, appeared .......................... :J.Q9.:9 .... §.§!-.~~9..9 .... W.~J9..E29 ........................................... who, being duly sworn according to law, deposes and says that she is the executor or administrator of the estate of ....... Q~.9.JJ~ . .J~gg.~.E.~ .... §.e~.~.QP.:, .............................................. deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of... .... Q.§.9:J...l~ ..... R9..&~I.§ .... ~.effi§.QQ 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 Administrato . da~s:::g;,~:~b.::~~~~-~~::~;:. thi, .. ~..Z. .. ~ ·•······ $.~.Yr.~ ~ ,. -0 ().., L)· .-;. · " ... : Executor-~JStf~j{. GENEVI ··s:"JOHR;··trob)f' ...... A ... : .. t9'.~ .. ~............ . t' Pittsburgh, ·Allegheny f;o ... PenaL ADDITIONAL INS RUCTIONS . , . - . _. Nr Conu'!lsaion Exp1..._ . . . . 1 : i .: · I. ~-Holelt must be filed w1thm three months after appomtment of personal representatiVe.1• 2. A supplemental inventory must be filed within thirty days of discovery of additional assets.: 3. 1 Origina1 and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies an'd' 2 RCSRI-33, Over $10~000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Qver ·$50,Q.OO, in- cluding C;opy of Will and copy of Federal Estate Tax Return. · 1 . REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 ,lfuurutnry aub -"pprai.a.rmrnt of the goods and chattels, rights a~d cred{ii which ' ... were of ...... Q.~:f.!J!?. .... B:Qg~.!7.~ ..... §9.:!li:§Q.!J ....................... late of ..... §.Q!P.~.E.~.~.E .... '!:9..~~.h.!.P..t ............. ;. .. : .............. . I ,,• Washington Cp~:nty, Pa., taken and made in conformity with the above affidavit. PERSONAL· ESTATE· 30 Shares Alabama & Grt. S. R~R~, Ordinarily bid 396 26 30 50 63 60 108 264 40 30 375 40 60 60 20 100 156 43 62 " " 11 " " " " " " " " .. " " " " " 1_t " " American Home Products Cerro Corp. Chesapeake & Ohio R.R. Columbia Gas ~=n~·laware & Boundbrook R.R. Diamond International First National Bank of Kearny, N.J. F .M.C .-Corp. Freuhauf Corp. General Motors Corp. Kendall Co. Mobil Oil S_. S. Kresge G. G. Murphy P. & L. E. R. R. Public Service G. & E. Richardson Co. South Jersey Gas Standard Oil of N.J. REAL ESTATE' None bid bid bid bid DOLLARS CENTS bid 81 LIS $ 2,430 00 52 1/8 20,641.50 43 3/4 1,137 50 63 3/4 1,912~50 27 5/8 1)381 25 28 1;764 00 . 44 7/8 2,692 50 90 32 3/4 34 3/4 75 7/8 48 1/8 45 82 1/4 21 1/2 119 34 27 3/4 28 1/8 67 7/8 9,72C 00 8,64E 00 1,39C 00 2,27E 25 18,04E 88 1,80( 00 4,935 00 1,29( 00 2,38( 00 --3,40( 00. 4,32S ,00 1,20S 38 ·5·_,zo~-zs ~96~59{· 01 .) /1 ~ 63-68-392 c2 .J-7 I Inventory and Appraisement IN THE ESTATE OF . CECILE ROGERS SAMSON, . ·:··: .............................................................. rfec'eas'ea ... ~ .. ~ Filed May 28 68 '!f .................................................................. , 19 .......... . ._.. <;_<":) c.~ ' -. ::::0 ~ G;o 1l c;>C:: ....:: ~;;~~ -_,.., f'"' I !"T1 --w ::oi- C::-· m -.,-~ :::::.~ _.. 0 rz 10 rv (j) .. ..::::.. 0\ H. Fred Mercer, Esquire MERCER & BUCKLEY 1022 Frick Building Pittsburgh, Pa., 15219 ~9 19-/Jtf ' .., .1 .l ·. J ~ .) . J ~ eJ '!>/ .-..1 ,....,~ ,.1 f'l" ...: , .. i v v ~ v v ~ ~ ~ ~ ~ v v STATE OF PENNSYLVANIA, . ~ SS: WHIIIidi'JVOf'i COUNTY, ~ The within named Accountant being duly sworn according to law, deposeS and sayS that the above account as stated is true' and correct as _______________ $_h_~--------------------verily bel i Sworn and sub;t'ribed before me this .. ..!J.~------- day of __ : ____ : __ T~----------'-19 ___ 1,_ -~-- -~---------:-~-------------- GE~EVIEV£ S. JOHN, Notary Pu Pittsburgh, AllegheRy "'· p bllo M C ...,,, ana. Y ommJss!on Expires October 16, 1971 Wa,shington County, ss: I ·• . ...: _______ r~w~ Joan Samson-Waldron, Executrix of the Estate of Cecile Rogers Samson Deceased. -----------------'------------------------------------------------------ I do certify that I have given legal notice 'to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court, as evidenced by proofs thereof filed to No .... 'f(q_-~fJ _________________________ _ Witness my hand and official 'Seal this.£ ___________________ _ doy of ______ ~--------------------------------------------l9&f__ ----~/!;~-/)-~-#_~--~~-----------. ~---t"----t~ister of Wills ' __ .. ) -' - ..., -~ 0 ..., d .s ..., <d s ... ~ >:l 0 " ... 0 ... . •. ..di .. ·.;...;t;~ ~--"! --, ~r:t}} ·a+D~Sa 5!4~ U! UO!~nqp~S!P JadoJd au!WJa+ap o~ pa~sanbaJ All nfpadsaJ S! ~JnO) a4.1 '0 cr .. '1 , . ' r : : • •,t ··-. ' . ! ·'· ~N THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION .. ESTATE OF CECILE ROGERS SAMSON, DECEASED FIRST AND FINAL ACCOUNT OF JOAN SAMSON WALDRON, EXECUTRIX SUMMARY SCHEDULE A PRINCIPAL -PERSONALTY Receipts Disbursements Balance SCHEDULE B INCOME -PERSONALTY Receipts Disbursements Balance NET BALANCE THE BALANCE CONSISTS OF THE FOLLOWING: PRINCIPAL -PERSONALTY 300 Shares Amer. Home Products 100 Shares Genco tnst. Corp. 30 Shares Chesapeake & Ohio RR. 60 Shares Diamond Intl. Corp. 200 Shares FMC Corp. 40 Shares Fruehauf Corp. 30 Shares General Motors 200 Shares Hanrrnond Corp. 200 Shares Kendall Co. Amounts forwarded February 10, 1969 i,. $104,691.33 :Z,268.17 2,910.23 o.oo $15,637.50 4,943.90 1,912.50 2,692.50 6,550.00 1,390.00 2,276.25 5,068.12 9,625.00 $50,095.77 '' 1 I $97,423.16 2,910.23 $100,333.39 I j I Orphans• Court Account-Second Sheet Original For Sale by P. 0, Naly Co., Law Blank Publishers 415 Grant St., Pgh. 19, Pa. E t t s a e o f CECILE ROGERS SAMSON DECEASED ' Amount forwarded $ 50,095 77 20 Shares s. s. Kresge 830 68 lBO Shares S. s. Kresge 4,935 00 60 Shares Mobil Oil 3,630 23 40 Shares Mobil Oil 1,800 00 60 Shares G. C. Murphy Co. 1,290 00 100 Shares Olin Mathieson 3,712 18 85 Shares Penn Central 5,163 37 15 Shares Penn Central 280 00 100 Shares Public Serv. Elec. Gas 3,400 00 Cash 22,287 93 . INCOME -PERSONALTY Cash 2.908 23 $100,333 39 ~-2_- I I ' I I ! I I Orphans• Court Account-Second Sheet Original ' . . For Sate by P. 0. Naly Co., Law Blank Publishers 415 Grant St., Pgh. 19, Pa . Estate of CECILE ROGERS SAMSON, DECEASED SCHEDULE A PRINCIPAL -PERSONALTY RECEIPTS 1968 May 28 Inventory filed 1968 June 4 7 7 Aug. 29 1968 Oct. Dec. 29 3 3 31 27 27 27 1968 July 15 Additional Assets 120 shares S.S.Kresge (3 for 1 stock split) 1 share Cerro Corp. (stock dividend) Proceeds sale fractional share Cerro Corp. 1 share South Jersey Gas (stock dividend) Proceeds sale fractional share South Jers.Gas Assets purchased 100 shares Olin Mathieson Chem.at 36-1/4 100 shares Genco Inst. Corp. at 49 200 shares Hammond Corp. at 25-1/8 20 shares S.S.Kresge at 40-7/8 60 shares Mobil Oil at 60-3/4 85 shares Penn Central at 60-1/4 Cash distributed to purchase above assets Conversion of Assets without Gain or Loss 15 shares Penn Central Co. 2 $1,000.00 Penn Central 6-1/2% bonds $100.00 cash Received in exchange for 20 shares Pgh.& L.Ea RR. stock Inventory value Gain on Sale of Assets 280.00 2,000.00 100.00 1968 Oct. 3 Net Proceeds sale 96 shares American Home Products at 58-3/4 Inventory value 5,592.44 5,004.00 3 ~et Proceeds sale 26 shares Cerro Corp. at 43-1/2 Inventory value 1,113.36 1,095.38 Amounts forwarded -3- $96,590 p1 o t>o 0 )0 12 26 0 DO 35 15 3 '712 18 4, 943 9C 5,068 12 830 68 3,630 23 5.163 37 23,348 48 23,348 48 2,380 00 2.380 00 588 44 17 98 $ 96,63"42 0 00 0 00 1-----+----H 606 42 $ 96,637 42 I Orphans• Court Account-Second ,Sheet Original . · For Sale by P. d. Na!y Co., Law Blank Publishers 415 Grant St., Pgh. 19, Pa . E t t s a e o f CECILE ROGERS SAMSON DECEASED ' Amounts forwarded ~ 606 42 $ 96,637 42 1968 Oct. 3 Net Proceeds sale 64 shares F.M.C. Corp. at 40-5/8 2,566.74 Inventory value 22096.00 470 7/.J. 3 Net Proceeds sale 75 shares Kendall Co. at 55-3/4 4,139.50 Inventory value 3 2609.38 530 12 3 Net Proceeds sale 50 shares Columbia Gas System at 29-7/8 1,471.28 Inventory value 1 2381.25 90 03 3 Net Proceeds sale 43 shares South Jersey Gas at 31-1/2 1,333.77 Inventory value 1 2181.64 152 lJ Dec. 27 Net Proceeds sale 30 shares Alabama Grt.Sothn.RR. at 138 4,102.30 .3 Inventory value 2 2430.00 1,672 oc 27 Net Proceeds sale one (1) share Cerro Corp. at 48-5/8 45.65 Inventory value 42.12 3 5: 27 Net Proceeds sale 108 shares First Natl.Bk. of Kearney at 114 12,249.60 Inventory value 9 2720.00 2,529 6C 27 Net Proceeds sale 100 shares Kendall Co. at 62-5/8 6,212.11 Inventory value 4 2842.50 1,369 61 27 Net Proceeds sale 56 shares Richardson Co. at 32-1/8 1,773.17 Inventory value 1 2554.00 219 li 27 Net Proceeds sale 100 shares Richardson Co. at 32-1/4 3,184.80 Inventory value 22775.00 409 8C 27 Net Proceeds sale one (1) share South Jersey Gas at 30-3/8 28.50 Inventory value 27.74 7E 8,053 91 $104,691 33 ' --4- L__ I I I I I Orphans• Court Account--Second Sheet For Sale by P. 0. Naly Co., Law Blank Publishers Original ' 415 Grant St., Pgh. 19, Pa. ~ . . . . • . . . . .. . . . Estate of CECILE ROGERS SAMSON, DECEASED DISBURSEMENTS Family Exemption 1969 Feb. 10 Joan Samson Waldron, daughter $ 1,000 00 Administrative Expenses 1968 March 13 Register of Wills Letters $ 27 150 14 Washington County Reports Advertising 12 pO 16 Guy A. Rogers Witness fee 15 po 21 Observer Pub. Co. Advertising 12 pO May 24 Peoples Union Bank Safe deposit box 4 PO June 5 Register of Wills Filing inventory 3 po ' 15 Clark & Co. Preparation 1967 I I income tax return 15 po July 29 B. A. Sicchitano Notary 2 po 31 Register of Wills 19 Certificates and 19 copies of Will 77 pO Aug. 8 Nancy McGann Notary 9 pO Sept. 12 B. A. Sicchitano Notary 1 po 1969 Feb. 10 Mercer & Buckley Attorney's fee 4,800 po 10 Register of Wills Filing this account 25 po 5,004 so Loss on Sale of Assets 1968 Dec. 27 Net Proceeds sale 63 shares Del.& Boundbr.RR. at 26 1613.47 Inventory value 1764.00 150 p3 i 27 Net Proceeds sale 62 shares I Standard Oil N.J. at 5023.22 Inventory value 5208.25 185 P3 I I I 27 Net Proceeds sale 2-$1,000.00 Penn Central 6-1/2% bonds 1,839.74 ' i I less interest 22.03 1817.71 I ' ' ' I Account value 2000.00 182 9 517 85 Amounts forwarded $ 6,522 35 ' -5- ---- Orphans• Court Account--Second Sheet For Sale by P. 0. Naly Co., Law Blank Publishers Original ' 415 Orant St., Pgh. 19, Pa. . -. ------· . Estate of CECILE ROGERS SAMSON, DECEASED Amounts forwarded $ 6,522 35 Preferred Debts 1968 Feb. 19 Minister and organist for funeral 50 JO 26 Haven Crest Nursing Home Medical care 56 ::>5 Apr. 19 Bebout & Yohe Funeral expense 424 DO 19 Crall's Flowers Funeral expense 42 ~3 19 Natl.Ambulance Medical care 60 ~0 ' 19 Memorial Hospital Medical care 14 ~2 June 21 Memorial Hospital Medical care 10 ~8 21 John A. Veseley,M.D. Medical care 82 ~4 741 82 Other Debts 1968 Oct. 29 1968 Personal Property tax 4 00 $ 7,268 17 ! I ,, ·, ':"6-. - I I ! I I I I I Orphans' Court Account-Second Sheet Original • For Sale by P. 0. Naly Co., Law Blank Publishers • 415 Grant St., Pgh. 19, Pa . Estate of CEC1LE ROGERS SAMSON, DECEASED SCHEDULE B INCOME -PERSONALTY RECEIPTS Dividends Alabama Grt. So. RR. 30 shares -6/20/68 $ 60 00 American Home Products 396 shares -3/1/68-9/1/68 366 30 300 shares -12/2/68 97 50 Cerro Corp. 26 shares -2/28/68-6/28/68 20 80 27 shares -9/26/68 10 80 1 share -12/27/68 40 Chesapeake & Ohio RR. 30 shares -3/20/68-12/20/68 120 00 Delaware & Boundbrook RR. 63 shares -2/20/68-8/20/68 94 50 Diamond International 60 shares -2/1/68-11/1/68 108 00 First Natl. Bk. & Tr. Co. of Kearny,N.J. 108 shares -3/15/68-12/16/68 286 20 F.M.C. Co. 264 shares -3/29/68-9/30/68 161 70 200 shares -12/26/68 42 50 Fruehauf Corp. 40 shares -2/1/68-11/1/68 68 00 General Motors 30 shares -3/9/68-12/10/68 129 00 Hannnond Corp. 200 shares -12/11/68 35 00 Kendall Co. 375 shares -3/15/68-6/15/68 206 26 300 shares -12/16/68 82 50 Amount forwarded $ 1,889 46 --7"!" I ! Orphans• Court Account-Second Sheet Original -. " ~ . ... ... For Sale by P. 0. Naly Co., Law Blank Publishers ' · 415 Grant St., Pgh, 19, Pa . ' ' . --.. Estate of CECILE ROGERS SAMSON, DECEASED Amount forwarded $ 1,889 46 s. S. Kresge 60 shares -3/12/68 13 5C 180 shares -6/14/68-12/12/68 30 6C Mobil Oil Corp. 40 shares -3/11/68-12/10/68 82 oc G. c. Murphy 60 shares -3/1/68-12/2/68 72 00 Olin Mathieson Chern. Co. 100 shares -12/11/68 30 oc Pgh. & L.E. RR. 20 shares -1/15/68-7/15/68 110 00 Penn Central 15 shares -9/11/68-12/27/68 18 00 Pub. Serv. E. & G. 100 shares -3/30/68-12/23/68 161 00 Richardson Co. 156 shares -3/12/68-12/12/68 120 80 South Jersey Gas 43 shares -1/2/68-9/30/68 60 55 Standard Oil of N.J. 62 shares -3/11/68-12/10/68 226 30 2 ,8H 21 Interest -Bonds Penn Central 6-1/2% $2,000.00 -10/29/68-12/15/68 87 03 Deposit at Merrill,Lynch, Pierce, Fenner & Smith,Inc. ... 12/5/68-1/3/69 8 99 96 02 $ 2.910 23 DISBURSEMENTS -None 0 00 ~8~ .. . . Washington County Reports §..ib§~~...xM~!·H~~§§l Washington, Pennsylvania (PUBL.ISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, paragraphs (3) and (25). CouNTY OF WASHINGTON} STATE OF PENNSYLVANIA SS. Personally appeared before me, a Notary Public in and for ~aid 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 COl'NTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington Couo~y, 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: ....... }~;.:f.h ... ?..!-.t ... ?..?..t ... J.9..9.~ .......................... . ......... AP.~~~-.. ~-L .. ~.?..~.~ ......................................... . ~hat the affi~.'etcthe..,~;orl?orati~n in behalf ?f. which he is acting is not int?re$tt;cll~{; '~l'lif m. the ~ubJ~ct m~~~e~ 1 notlce or advert!~. g1and that ~11 ~f the allegatwns of · · ,_ ,h .. ,ff.&v",. ~.:::~~r_z.~ Editor • • Estate Notices The Register of Wills has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys . • • • • • • • • • • • • • • • • • SAMSON. CECILE ROGERS, Dec'd. ~.at<> of Somerset Township, Wash-mgton County, Penna Executrix: Joan Ram~on Waldrrm. R. D. #1. Box 213. Bentleyville, Pa. Attorney: H. Fr<>d Merc'r. 1022 Frick Bldg., Pittsburgh, Pa. 15219 ~---- CdjJ ~~-L~~ ~~~~ ' ' Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May, 1929, P. L. 1784, llls amended. Commonwealth of Pennsylvania., County of Washington, SS: ........... . Pe:rsonally appeal'ed before me, a Notary Public in and for said County and State, ......... J.ame..S. .... ~ ....... ~.Y.Q.l'L ....................... , who beirug duly srworn according to law, deposes and says that he is the ... X ....... Vi.ce.~.P.r.es .... . of the Obsrerver Publishing Company, a Plennsylvania corporation, and its agent in this behalf; that the said Company isr the owner and publisher of the Observer-Reporter, sucCiessor to The Washington Observer, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspaper of general cii'culation, printed and published and havin'g its place of busines's at Washington, Washington County, Pennsyl- vania, where it or its predecessors have been established and published continuousrly for more than six monthsr prior to the publication of the notice hereto atJtached; tha;t the printed notice or advertisement hereto attached is a copy of an official advertisement, of.ficial notice, legal notice or legal advertisement, exactly a:s printed or published in the Obsrerver-Reporter in its regula;r editions on the following date or dates; ··················--························ ........................ Ma.r.c.b .... 19 ........ ~.ft.. .~b.4 ... AP..:r.i.l ... 2 ........ l..9..6.e ..................... . that neither thre affiant nor the Observer Publishing Company is interest-ed in the subject matter of said notice or advertising an~~;rof the anega- ~""tru"!. thl• o!fidavit "':;J?;:;:: :··~~~~ Sworn to and oub~~::~t7i~r2:~~68 w. 2e7s2 U l'ARG~Rn M 3R:1}·.:~j-·;_-.;c:· "JMIL ·,·us;::··0·· ,,,._. :Y-':"r ~:· ~G. . , . 1'' ·,, :Kf\ r'.IY ~ 1v6H ~--. EXECUTRIX NOTICE ESTATE OF Cecile Rogers Samson deceased late of Somerset Township, Washington, County, Penna. Letters· testamentary upon the above estate having been granted to the undersigned, all persons having, claims against the estate are 're·j quested to make known the same to}. the undersigned or his attorney andJ all persons indebted to ,the decedentl, are requested to make~ payment to' the undersigned without,;delay. Joan Sa~i'r<-Waldron R.D. 1, Box'2-13 Bentleyville, Pa. Executrix H. Fred Mercer, Mercer .& Buckley, Attorneys 1022 Frick Building Pittsburgh, Pa. . . 6867-Tues.·3tl 1Jn tqr (0rpqanB· <nourt of llaBqingtnn Q!nunty In the matter of the Audit of Account in Estate of CECILE ROGERS SAMSON, No. L j 7 (9 ~-1.9& , 19_, A.A. DECEASED TO THE AUDITING JUDGE: Enter ___ ....::O"'-U=:r:"-. .:..· ____ appearance for· __ __.A~c~c.,_o~u,yn~t"'a;!Jni.J..I.t~----------------- OZ3~ay of ~ , 19~ 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. -c::;, "" ,x::- ro"'"'_._..,"-c... Q LW c.c ~ - ~ -2:: ~ ~ bb ·en ;c ........ g(J)~ ~::Jtl. t:r: ...... • . i'J:: • ~ . e;, :tlL;:.., <:::;, ~ ~ . 0 _, o::: ,_ I..LJ l..t.J (J> U)l-z u;)U)~ ,:::::>0~ a:::t.uU) 0::~ :s .:,~\,, No.t, g ~ G P -.f-'p L. 19_, A.A. In re Audit of Account in Estate of CECILE ROGERS~ON~ DECEASED AUDIT Jrarripr fnr i\.ppraranrr FOR ACCOUNTANT Mercer & Buckley -· 1022 Frick Building Pittsburgh, Pa. 15219 ~li!i<·2 Attorney ...;, In t4t Q!nurt nf <ttnmmnu Jltns nf masfJiugtnn Q!nunty. Jrnusylnnntn. ®rp4nns' Q!nurt llintstnu ESTATE OF No. 63-68-392 Cecile Rogers Samson, deceased. lnthematterofthe First and Final Account of Joan Samson Waldron Executor ADJUDICATION AND DECREE And now June /L-!}-, 19_6_9_, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration theJ:,e,of the,..balance for distribution in the hands of the Accountant is determined to be $ tm ,91:1• 32 and the account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account as corrected Additional debit asked at audit 63.00 Additional credit asked at audit illl-_81.37 Balance Deduct Clerk's Costs & Receipt!;_l-.,------------- Atrtomey ___ ..... H,... • ......_..F_.r.....,e...,d........,M61ie,..r.....,c.w.e..,.r ___________ l Washington County, Division of Personal Tax, per corrected praecipe filed, Property! I 72.00 804.71 500,00 $100,333. 100,396. $ 88,~15. 69 69 32 Constance Emma Lisman, niece, legacy, (release by residuary legatee filed), 87,538.61 Joan Samsqn <Walciron, -fiaughter, residue,,_ in91Ud• ing ca.sh and_ .. the 'following assets, held in' kind and distributed as _such at the appraised valtle: 1 $8,ooq.oo '-U. 'S. Treasury Bill 300 Shares Amer. Home Products 100 Shares Genco Inst. Corp, 30 Shares Chesapeake· & Ohio RR. 60 Shares Diamond Intl. Corp, 200 Shares FMC Corp. · 40 Shares Frueha.uf Corp. 30 Shares General Motors 200 Shares Hammond Corp. 200 Shares Kendall Co. 20 Shares s. s. Kresge 180 Shares s •. s. Kresge 60 Shares Mobil Oil 40 Shares Mobil Oil 60 Shares G. c. Murphy co. 100 Shares Olin Mathieson 85 Shares Penn Central 15 Shares Penn Central 100 Shares. Public Sery. Elec. Gas 7,96$.73 15,637~.50 4,943.90 1,912.50 2;692;50 6,550.00 1,390.00 2,276.25 5,068.12 9,625.00 830.68 4,935.00 3,630.23 1,8oo.oo 1,290.00 3,712.18 5,163.37 280.00 ,3,400,00 No balance (' ~ 0 (~. z .... r:J ~ IE n• g.t p 0 I JO t:Y ~ c (1) ~· ~ 3 ~ 0 0 a .... .... (1) ..... "'t +"\ 0 ~ -~ ..... ..... :r b (1) t = .. ~ & r s ~ ~ (' ~ ~ I t I .I r r f c::::l Cl).,i{ .r ' 0 .:.r a.. t ~ z ....J .. -0::: ;3: 0 :X:: <( Q ~ ::E u.... z t. " .. 0 0 0 ' ( _J a:: 1-u::> _! U.J (.!) w c-...J w 1-z :a:: U) if) -· _j :=! (,/) ::t: -:l :=;! ~:if cr: en c.:: ._ :>-r LL t.C .. l~t·t'l .. .. r ( r r r r IN THE ORPHANS' COURT OF WASHINGTON COUNTY IN RE: ESTATE OF ) ) CECILE ROGERS SAMSON, ) No. 63-68-392 ) DECEASED. ) ELECTION TO TAKE IN KIND I, JOAN SAMSON WALDRON, residuary legatee of Cecile Rogers Samson, Deceased, elect to take in kind the assets of the above estate as shown in the within Petition, to which I may be entitled. /~1_ Date: March i. ' 1969 ·c.o '<'..; . :::..:: :cg IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF ) ) CECILE ROGERS SAMSON,) ) DECEASED ) C 0 N S E N T No. 63-68-392 I, Joan Samson Waldron, residuary legatee named in the Last Wi~l and Testament of Cecile Rogers Samson, hereby agree that the discretionary bequest to Constance Emma Lisman, named in the Last Will and Testament of my Mother, be paid as provided in my Mother's Will. (\ { I I : Dated: ~-y?..-~·. ,/ I ;; v 19(;9 I / IN RE: ESTATE OF CECILE ROGERS SAMSON, DECEASED -No. 63-68-392 RECEIPT OF LEGACY I, JOAN SAMSON WALDRON, residuary legatee in the above Estate, hereby acknowledge receipt of the shares set forth in the Decree of Distribution totaling $87,538.61. Witness my hand and seal this '2-. ~day of July, 1969. Joan Samson Waldron lo ZlfiJ a 7nr 69, ~a ";] . ..,,. , .f ~:J. ~ ... 1 / t Form RCC-33 ;. COMM:ONWEAtH-1 OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS RESiDENT DECEDENT COUNTY OF ... ~Cl..S.f.i.~J:lg.t:gJ:l ............................................ . IMPORTANT: This return must be completed in detail and filed in duplicate, with will attached, with the Register of Wills of the County where decedent resided; Return is due within one year after date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of .. the Inheritance_ an!f .Estate 1:'ax Act of 1~61.) County of =~~:::~:=~~-~::~~~~-:} "' State of ..... . • • ••••• •••••• •• u •• •• .. J.9..?.:q $.c:t.II.ll?..9..):1uo:W.9:14r..9.P ••••••• u Executor of the estate of the above-named decedent being duly sworn, depose S and says Decedent ·died Merc~~&Bt:!9kl.e.y,. E$.q.Y.i.r:eE? Name and address of attorney or} other authorized representative to ·· whom all correspondence should be. mailed. 102~ ... frj,c"k :J3ui:l,c:lj,pg, fitt$.Qt,t:t:'gh, Fa •.. , .. 15.219..~ .. That as such .. ~~~-~-~E:!'.~~ ................ deponent is familiar with the affairs of said estate and the property con- < J<:x.,r.utor-Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of· the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TODECEDENT Peooles Union Bank & Trust Co. Main Street Decedent and dP-nonP-nr Mn i-"h o ..... _cl;:~n o-h t.>; . er Bentlevville Pa. That the contents of said safe deposit box or boxes are itemized under Schedules B return, with the exception of the following, for the reasons hereinafter set forth: of this That Sc.hedule A attached hereto and made part hereof sets forth full v and in· detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each of said parcels, the estimated. market value thereof as of date of death of decedent. That Schedule 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, do\m to the last interest day prior to decedent's death in the case of savings banlffi; and to the date of decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in- debtedness of the Unitedc.States to·the decedent; all obligations, whether by statute or agreement they are designated as tax free, of the United States, or !!:ny state, .or.politiC?al subdivision thereof, or of any foreign country,~ which are -o'wned at the time of death; all wearing appa~el, jewelry, silverware, pic- tures, books, works of art, household furniture, horses, carriage~, automobiles, boats, and any and_all other personal chattels of whatsoever kind or nature, left by decedent, together with the fairly estimated market value thereof; all bonds and mortga!!:es held by decedent and of all claims due and owing decedent at the time of 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 vO each item; all moneys payable to the estate from life insurance polici-es carried by decedent; all annuity and endowment contracts the proceeds of which were payabl~ 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 ~t the time of death, with the market value thereof at such time. -'· In the case of securities of close or family corporations, the values reported are as far as possible substantiated by financial statements of the corporations, showing the assets and liabilities thereof as of the'date of death. The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business, and in support of the value of such interest there is annexed to said schedule, financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business, its location, and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.· It should also set forth in itemized form, toge_ther w:i,th the fair market_ v~lue thereof, any other property owned or bequeathed by the decedent at the time of death, The Schedule C attached hereto and made part hereof sets forth a'true·answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to take effect in possession ·or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfe-rs. In the case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. Thero~ is also set forth in said schedule a list of all property, real and personal, with its 'Value, 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, ei t})er indiv~dually or jointly, by the will, deed, or other instrument of another, with a copy of the instrument creating such power attached to the schedule. ( 0 ~ ( • • ' • • That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death', ~the nature of their res- pective interests, their relationship, if any, to the decedent, together with the ages at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property, real and per- sonal, owned by the decedent jointly with another or others, including intangible, standing in the name of the decedent and others, plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty, plus.th'e name, address and r.elationship, if any, ....J 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 1rnpaid at time of .. . death; taxes accrued charge.able for period prior to decedent's death (except. those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,. have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this .t!B. ... ? ... ~ ................ ~ ..................................... day of .... dii!lft!E;.J><., .. ~ 19 ...... 6.8 .. . f. ..................................................................................... ~ ....................................... . GEN£YIM S. JOHN, Notary Publtt Plttfturtb, Alletheny Co., Penna. My Ctmml$sion Expires Octo~tr 16, 1971 ............................. ~~ ... l1f~-... (Executor-ic1Axix~ . ...... R ....... D ....... ..1f.l.,. ..... B.ox .... 2.13 .................................................... ,. (Street Number) .... ~-~P.1::..1.~YY.:i::.ll~ . ., ...... P..a. ........................................................ . (City or Town and State) NOTE: filled Be fore signing affidavit make sure all blank spaces in the affidavit and schedules annexed are in with details or the word "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. --·"-"' -· RCC-3.5 COMMONWEALTH OF PEN~SYLVA~IA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually by the decedent, at the time of his death. Property owned by the decedent jointly with another or others must be listed under Schedule "E". Intangible personal property, titled in the name of the decedent, but payable at death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta- tive trust accounts, must be listed, despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household goods, and furnishings, books, paintings, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, • stocks, ·mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership interests, interest in anyundistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the St.ate, at the time of death, should be listed in this schedule. Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION No. List and describe fully VALUE MARKET VALUE (Do not write in this space) 1. 30 Shares Alabama & Grt. S.R.R. Ordinarily bid 81 $ 2,430.00 2. 396 II American Home Products 52 1/l 20,641.50 ./ 3. 26 " Cerro Corp. 43 3/~ 1,137.50 v 4. 30 " Chesapeake & Ohio R.R. 63 3/1 1,912.50 v 5. 50 II Columbia Gas 27 5 f(p 1,381.25 1/ 6. 63 " Delaware & Boundbrook R.R. bid 28 1,764.00 J 7. 60 II Diamond International 44 7 /l 2,692.50 t/ B. 108 II First National Bank of Kearny, N.J. 90 9,720.00 v 9. 264 II F .M.C. Corp. 32 3/t 8,646.00 v 10. 40 II Freuhauf Corp. 34 3/1 1,390.00 v 11. 30 II General Motors Corp. 75 7 /c 2,276.25 v 12. 375 " Kendall Co. 48 1/ 18,046.88 V' 13. 40 II Mobil Oil 45 1,800.00 ~ 14. 60 II s. s. Kresge 82 1/l 4,935.00 15. 60 II G. C. Murphy 21 1/. 1,290.00 v 16. 20 II P. &!L. E. R.R. bid 119 2,380.00 v 17. 100 II Public Service G. & IE. 34 3,400.00 t/ 18. 156 II Richardson Co. bid 27 3/l 4,329.00 v 19. 43 If South Jersey Gas bid 28 1/~ 1,209.38 v 20. 62 It Standard Oil of N.J. 67 7 /~ 5,208.25 v ' Insert this total opposite "Personal Property", Schedule "B" in X X $96,590.011 the "As Reported" column on the last page of this return. I I I -·. RCC-36 fO\P.fON'\'T<:\LTH OF PENN.SYLVANIA T1UNSFER INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "C" TR.lNSFEJlS (1) Did decedent, within two years of death, make any transfer of any material part of his estate, without receiving a valuable and adequate consideration therefor? (Answer yes or no) no (2) Did decedent, within two years of death, transfer property from himself to himself and another or others (including a spouse) in joint ownership? (Answer yes or no) no (3) If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer ----------- (b) State of decedent's health at time of making the transfer. (Note 1), (c) Cause of decedent's death. (Note 1), (4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no) no . (a) Was there any possibility that the property transferred might return to transferer or his es.tate 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 li.fetime make any transfer without receiving a valuable and adequate consideration therefor under whlch 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) PO (b) The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no) PO (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent alone or others ____________________________________________________________________ ~--------- (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) DO (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which coHld revert to decedent under terms of transfer or by operation of law? (Answer yes or no)_~n~o~---- (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in th~ decedent alon~ or the decedent and others? (Answer yes or no) _______ _ NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans- fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based, NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E. ·c -:-~TEM DESCRIPTION None Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) DEPT. VALUATION (Dept. Only) ·RC'C-3S. 4 ' COMMONWEALTH OF PENNSYLVANIA TH.ANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRl;CTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus date of acquisition, and the nam~,' address and relationship (if any) of co-o-wners to the decedent. Description of Property, Date of Acquisition, Name j Unit Address and Relationship of Co-Owners, and Place 1 Value of Record of Instrument, where Real Estate. ! The following joint bank accounts , were in the name of the decedent and the deponent, her daughter: Savings First National Bank & Tru~,~\ Co. of Kearny, N. J., $5,131.53 ~~ ~. Savings People Union Bank, $1,014.0( ~ OPt=Nef) JUb '/-) t/&f{ .~~~ Percentage Estate Share Valuation Taxable $2,565.7 p Taxable 507.0 0 Checking First National Bank & Trust Co. of Kearny, N. J.~$811.63~~1· ~ Taxable 405 .87 0 P e.~ e\) II.,. I !J. ... ~...'.> "1J""- checking Peoples Union Bank, $776.45 ~ Taxable 388.2 tJP£t{ED Jvt., Y~-I ~ ~P'i ~ -~~~ $3,866.8 I Insert this total o-pposite "Jointly Owned Property", Schedule "E" in the "As Reported" collL'lll1. on the last page of this return. 2 ~ DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest \ h RCC....37 , (\il2-63) ClPit:\ltY\WE:\l.TII OF f'E:"::'\SYYL\NIA TRANSFER 1!'\HERIT.-\.:\'CE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES . -~ State full names and addresses of alL who aw an interest, vested, contingent or other- wise, in estate) -~ Joan Samson Waldron R. D. tfl, Box 213 . ~ Bentleyville, Pa. Constance Emma Lisman /> ~ " ,. ,_ ' ,. . ----------------------, SCHEDULE "D" BEI\'EFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact,) OR NO BIRTH - Daughter Ye~: Residing legatee Niece Ye~: $500.00 -·-,··-.--..... _ ---_, ;t ·-·-.. ·. ----,,..,., ·-----·-~ ---------............_, ------~--.. - r . r • Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ~--------------------------------------------------------------------------------------------------~ Will ( . ~~ft ~No. Year ........... . D< THE :\lATTER OF THE APPRAISEMENT OF THE ESTATE OF GEGI:L.Ii! R()(.;:E}tS .~.A:M.S()N, Deceased Late of. Some~f:;.~1: 'l'()V\1Il.shiJ? ... Counh· of Washington ~ ..... Commonwealth of Pennsylvania t-. REPO~T AND~ ~PPRAISAL r'l::O • ~-~;; ::£ •J) ~ ·. ~l r ... C,~ ...,. . ~·:c-O r-~..: r-u (.() -ry ~ - C) ~ r--1 1·-'! I : CJ H. Fred Mercer, Esq. Mercer & Buckley 1022 Frick Building Pittsburgh, Pa., 15219 271-2728 (Executor-Administrator must complete "As Reported" column #1.) 0 ..... 0 "' "' ...., II' >< II' c-~ ~ "' ,.... II' ,... (b ~a· 0 ..;. ~ !J1 0'1 • 0:> 0" ·~ ~ '"d :::0 (b (b :Q II' .... ~ ·1-'· ~ "' 0 • !:1 (;" ::::1 '"d :rt .... ~ .... 0 .J-1 "' '"d"C '<l .... (b 0 .... "C ~ :o :~ :ro :P. •t-c:~ 'li :o "0 :ro 'li :rt ~ """ : :en-;; : (') () • ::r' ?" =· : : .. n •tt3' ._; . ... .. ........ (b .... ,.... '< V'l c:::: ~ ~ > :::0 (J') (J') .....:: () () ?" ?" ~ ~ ----. . . . \..0 :'(..,.) . "" ~ :z~ '00 :o !J1 :0'\ :o 1..0 '0'\ (I) 0 :'e • ·oo o ~1../1 i-1 z> .o"' 0:::0 :(1) (b ~ "0,_. 0~ ..... ,... ~ ------:~,: : 1: I • .~: \:)'. > ,.; . \''\J : \ : "' "'() . :~· ·~· t:J ~-(i'\' ·~: ~~ ;( : r. tv "'• ..... ~ .... , 3 . \ ·~· ~· ::l r < \ r. ~· --). c... \ II . .. II · .. "'?.P-:~9 (-6-64) I COVMONWEALTH OF ;PFNN~YLV,\NI:\. T~\AN~FF.H. INHERITANCE TAY SAMSON, CECILE ROG.ERS FILE # 63-68-392 February 16, 1968 SUMMARY FILE # 63-68-392 TtEPOHT OF INHERITANCR TAX APPRAISER I, the unrlersigned duly appointed Inheritance Tax Appraiser in and for the County of # 63 Washington , Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C" and "E". A . -~ C2 dL_ae_ Dated: 06-06-68 02-16-68 INHERITANCE AX APPRAI~ REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for------------ County, Pennsylvania, do respectfully report that I have allowed deductions in the amounts claimed by deponent, ~xcept as to those i terns 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: REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED V~r~~L~U~E~l;:,:iS:::_!RE~A~PP-"RA~I'-"'S~E~D Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) $ $ $ 96,590.0l_ 96,590.01:_ ------ TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESS!vfENTS 3,866.85_ ~0,456.86_ ======·.......,.- $ ____ _ $ _____ _ 3.866.85:~ 100,456.86,_' ======•= =============·--- FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on $ ~% $ __________ __ ~:: ~~ ~----------------·~:0% !------------Tax on $ : 1~·. .,. _____ _ Exemptions=======•= ':') Total Estate __________ __ 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 evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. ~--------------- $--~---- $ ______ _ $ ______ _ $-----~- $ NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ! No. ..... . .... Year ........... . D< THE \lATTER OF THE APPRAISE:MENT OF THE ESTATE OF CECIL.fi: IiQO:~ .$.1\lvl.SON ...... . Deceased Late of . SOMERSET TWP • . ························································ County of WASHINGTON .... . .... Commonwealth of Pennsylvania REPORT AND APPRAISAL "'- Fonn RCC-2'· ~ COMMONWEALTH OF PENNSYLVANIA DATE June 6 1968 ......................................................... 1. ............................ DEPARTMENT OF REVENUE i Buiu:A.u oF couNTY coLLEcTioNs RESIDENT INHERITANCE TAX -COUNTY .................. w.~~h~!l.~.9.!1. ............... I ~ ········· .... i HARRISBURG. PENNA. 1712.7 . APPRAISEMENT ' FILE NO •....................... Q)~.Q-~~).9.? ................. ............. Whereas, .......................................... 9~-~.U:~ ... ~g~.r..~ .... §.~.~.QP. .................................... late of ...................... §.9¥.l.~.~-~.~~ .... ':I'~~ ........................................... in the County of .......................................... !!~.~~-~~-~!!: ....................................................... Commonwealth of Pennsylvania, having died on the .................................. l9 .... t..b. ........................................... day of .................. ..f.~P.r~:r.Y. .............................. 19...!>.~ ... seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ............................... w~.~ .. ~ ..... C.P.~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 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 Purpoaes $ I REALTY: Jt~NEer ~.\chedule It NONE ·---·---·--" -- I I I PERSONALI»Y: I I As per Schedule ''B" 96,59C OlD TRANSFERS: NONE NONE JT. HELD: Ae per Schedule "I!l" 3,866 85 Total 100,45t 86 WASHINGTON ................ County ·rw~~ .... ~ .... RESIDENT INHERITANCE TAX APPRAISJ~LJ.-E D' Estate of 'fiB JUH 26 P11 l OZ CE;q~ __ 1:1pg~ )3~9.N ............... B.lJ..S S S L L MAR 1 N 0 Dlc~I@!STEH OF WILLS Late of . ~SHiNGTON CO .• PA. $ O~@.:W:l' ... 'l'WP..~ ··············· ········· ····················· Date of Death, ......... F.ebru-..r.y-.. 16, ... 196.8 ............ . Appraisemel!t Docket Vol., ............... .3.7. ............................. . Page, ......... 1.0.~4 .................... No ..... 6.3.~6~3.92 ........... . Filed in Register's Office, .... ~.'Wl~ ... 9 . .t ....... 19 .. 6.$. Amount of tax dtte, $ ........................... _ ....... --... ---- DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal f1'om Appraisement, Entered and charged, I I I i F"orm RC C"'l~ DEDUCTIONS ALLOWED IN . ' THE SUM OF ..••........ $ 0 0 •••••••••••••••••u.L•••••• OFFICE OF TME REGISTER, OF WILLS oF WasAingtcm STATEMENT OF DEBTS AND DEDUCTIONS '?7 z, f C(l G -~~"'-f!J ,. ···················································· .. · / COUNTY AND AGENT OF THE COMMONWEALTH ESTATE oF CECILE ROGERS SAMSON L.ATE oF_..};Wuausuh:&.~i~n.Qg.-t..J.o.u.nJ......lC.doo.utm.w..~t-.JY~------ DATE OF FILING APPRAISEMENT J'UI\e 6 ' 1968 OATS OF DEATH _f,a:.eehD~~J&8ry~;¥-...Ll06,...,-...L] ~9,g6o8--- DATE NO. OF NAMii OF PAYEE REMARKS AMOUNT VOUCH"III ~vv A'I'TA~ull'n ~TATtt:MI(.N·a· ·-.. _... .. 'lC: . ' - COMMONWEALTH OF PENNSYLVANIA } _ .... ~~-8·: COUNTY OF -Alleghelly B. Fred Mercer I, ADMINISTRATION SUBMITTED TO THE ESTATE OF ~ec~..r.Ait--lU.a&lr&-.,';!j~IBii~Ef9-+-b~:._...,4~Ep INHERITANCE TAX PURPOSES. SWORN AND SUBSCRIBED BEFORE ME THIS 4th Jtme •• -6.9-- DAY OP' --~~~~~~~~~~~a-f--L~~~~~~--<L. .) cer,Esq.,Attorney for of Cecile Rogers Samson,Decd. ··frtd '·oo NPJ-~·f·J·!H~ttt .S771A\ :10 tE!,iSiv3)J ONI~~J~ ·7-13SSnH ! ' I I !I i II ll I I ·.· ··,1 . •' ... ATTACHED STATEMENT TO STATEMENT OF DEBTS AND DEDUCTIONS ! Office of the Register of 11 Wills of Washington County ,I l' ,I II .t II I I I! I I il ll II l I j, II r l I ! !, i' ! !. II !I I I I lj h l! It !I !! il l! II II " I !I ESTATE OF CECILE ROGERS SAMSON, late of Washington County Date Name of Payee 1969 Febo 10 Joan Samson Waldron, daughter 1968 -ADMINISTRATIVE EXPENSES Mar. 13 Register of Wills 14 Washington County Reports 16 Guy A. Rogers 21 Observer Pub. Co. May 24 Peoples Union Bank June 5 Register of Wills · ·15 Clark & Coo .~_Remarks Family Exemption Letters Advertising Witness fee Advertising Safe deposit box Filing inventory ~reparation 1967 income tax return July 29 31 B. A. Sicchitano Register of Wills · Notary Augo 8 Sept.l2 1969 Febo 10 10 Nancy McGann B. Ao Sicchitano Mercer & Buckley Register of Wills 1968 -LOSS ON SALE OF ASSETS Dec. 27 Net Proceeds sale 63 27 27 sha~es Delo& Boundbro RoR. at 26 1613o47 Inventory value-1764o00 = Net Proceeds sale 62 shares Standard Oil N.J. at 5023.22 Inventory value-5208o25 = Net Proceeds sale 2 $1,000 Penn Central --bonds· -1,839o74 Less interest 22.03 1,817o71 Account value -2,000oOO= 1968 -PREFERRED DEBTS Feb •. 19 Minister and organist 26 Haven Crest Nursing Home 19 Certificates and 19 copies of Will Notary Notary Attorney's fee Filing account 150o53 185.o03 182o29 Funeral Medical care ' I l i I I l I I l I i. ! . i ! I I . i ! Amount 1 i ! i ' ' $1,000o00 l 27.50 12o50 15.00 12.50 4.00 3.00 15.00 2oOO I 77o50 9o50 loOO ! I 4,800o00 25o00 ! • 51798~----= ' 50o00 56.65 l ·-" .. ' ~,... ' ' . ij lj II ll II II II '!.! • c ·~ :. ' ··· ..... ESTATE OF CECILE ROGERS SAMSON, !i . late of Washington County ,l ll 1 1 1 ! ! '! ll " li r j H 'I Date 1968 Apr. June 19 19 19 19 21 21 Name ofPayee PREFERRED DEBTS Bebout & Yohe Crall's Flowers Natl~ Ambulance Memorial Hospital .Memorial Hospital John A •. Vesely,. M.Do !.·I · 1968 -OTHER DEBTS ll Oct. 29 1968 Personal Property tax ll II !: !' II ,I ! ; ! 1969 Director of Internal Revenue Kurtz Monument Coo Claim of Personal Property Tax due Washington County Remarks Funeral expense Funeral expense Medical care . Medical care ·Medical care Medical-care 1968 Income tax Grave marker Amount I • ; ! : 424o00 42.93 60.00 14o92 10.98 82 o341 I I 1,348. 37. llo~·oo I ! I Cf!f/Jf:. 80o4.71-- ~ ~;;&I (.15 '. I ! I l I t I I . I I ' ' 'Vd ··oa NOJ[i~HHSVJA S111 /A .:10 C: :u.S l{)3iJ ONJtl't~~ "J:3SSD/d s 2 fi w u 2 1 unr 6 g, '03~11.:1 \ '' . ·--· * 1Ju tbr ®rp~aus' <nnurt nf llas~iugtnu <nnuuty IN THE MATTER OF THE AUDIT OF ACCOUNT In re Estate of ... S.an.aon .•... Ceeil.e .. Roger.s .................. No .. 6)-68-:392·······2rtd--.Qt-rT.erm, 19 .. 69-····, AA -~~-~~---~-~-~-~!:1 ... ~-~~~g_g_, ___ r;~~:. •........... ff .•... F.r.e.d .. Mer.cer* .. At.ty ..... F.r.ick---BJ.dg.-., ... pgb-.-,. ... p.a-.-. ~=-Date of death .... .F..e.b •... l6 .•.. l.968 .... .Date of filing Inventory Appraisement.May: .. 28 •... 1968---·-·-····················-·· ~ TO THE AUDITING JUDGE: Enter my appearance for Personal Property Tax Due Washington County, viz: ITEM Valuation 1969 JO sh Alabama Gr So R.R. @ 120.00 ;)600.00 30 sh Chesapeake & Ohio R.R. @ 71 .. 00 ?1on on so sh Columbia Gas @ ~0.2S J$12.~0 375 sh Kendall Co .. rm ,;-:t.?r: ?.,nnt.. ?~ ._, • I .... ~-~ 156 sh Richardson Co. (ij) ':\1 7C: J, oc.'., nn -.... ..,-;;;T 62 sh St. Oil or New Jersev (ij) 7R.f.t?C: I A?J, '7~ -... ..,. ..... ., 63 sh Delaware & Bound Brook R.R. @ no quot --. 1968 30 sh Alabama Gr So R.R. @ 78 on 2~40.00 30 sh Chesapeake & Ohio R .. R. @ 61.625 ,AI.A .,~ .,. ,., ~0 sh Columbia Gas (Q) ?C:. c:n 1?'7c.' f'\(\ .... .... ...... 375 sh Kendall Co. tal C::Q ,l?C:: ~~1'71 AR "T ""' 156 sb RiclJardson Co. @ 12.17~ c::oc:n c::n 62 sh St. Oil or N.J. (ij) f.t7 c:o J, 1 A c.' nn .... .,. ~., . 63 sh Delaware & Bound Brook R.R .. (Ql ?Q,OO 18?7,00 1967 30 sh Alabama Gr So R.R. tal 7~ ~0 ·~?n~ nn 30 sh Chesapeake & Ohio R.R. @ 61.12~ 18~1.7t; so sh Columbia Gas (til ?t;,f,?t; 1?A1 ?~ ·-...... ..,. 375 sb Kendall Co. @ 36.00 1.35oo.oo Inventory Assessment Valuation 12% Assessment Tax at 10% Collection 6% Interest Total Claim Year Appraisement Returned Penalty 4 Mills Penalty 19 69 41035 16h..lh. 'II 5% disc. lt;t;_Q~ None !l:lOJS ----R ~, 19 68 38695 None 38695 --154.78 15~1!8 6~16 176.42 19 67 27630 None 27630 --110.52 11.05 111.00 112.~7 19 66 35155 None 35755 --143.02 14.30 ~3.04 180 • .)6 19 65 30740 None 30740 --122.96 12.10 27.28 162 .. ~" 19 64 17375 None 17375 --69.50 6.95 19.60 96.0~ 5% discount if paid by August, 1969 TOTAL CLAI"" .,.,.._.. n- The foregoing is a statement of all items taxable as they appear in the Inventory Appraise~~ Yff17 davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate. 5th May 69 ........................ day of ..... ----······-------·-·······-···· 19 ........... . A. V. CAPANO, Solicitor No ....... c .•••••..••• , .................... Term, 19 ............. AA In re Audit of Account in Estate of AUDIT r Jrarripr fnr i\ppraranrr FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX A. V. CAPANO, ' Solicitor .... 9 1Ju tbr ®rpqaus~ <nnurt nf llasqiugtnu <nnuuty IN THE MATTER OF THE AUDIT OF ACCOUNT Samson, Cecile Rogers In re Estate of ________________________________________________________________________ No ........... ----------1 ------------------------Term, 19., .......... , M Affidavit Date of death ________________________________________ Date of filing Inventory Appraisement ... -----------------·-------------------------------········ Assessment TO THE AUDITING JUDGE: Enter my appearance for Personal Property Tax Due Washington County, viz: (con 't) ITEM Valuation I 156 sh Richardson Co. @ 18.625 2905.50 62 sh st. Oil of New Jerse:v @ 6~ 2~ o:tQ?1. C:n 63 sh Delaware & Bound Brook -., R.R. @ 3l.SO 198lt.t)O 1966 -30 sb Alabama Gr So:LR.R. @ Q? .no ?7f..n nn 30 sh Chesapeake & Ohio R.R. @ 11.815_ 2336.2S 50 sh Columbia Gas @ 28.875 l.WJ.3.75 375 sh Kendall Co. (3-2 split) @ lt5.75 17lt;6.2t; 156 sh Richardson Co,. @ 30.00 468o.oo ' 62 sh St. Oil or N.J. @ 80.375 4983.25 63 sh Delaware & Bound Brook R.R. @ 38.oo 2394.00 1 965 . 30 sh Alaba.ma Gr So R,.R. @ 98.25 2947.50 30 sh Chesapeake & Ohio R.R. @ 71.00 2130.00 50 sh Columbia Gas @ 28.875 1443.75 250 sh Kendall Co. @ 50.25 12562.50 156 sh Richardson Co. @ 23.75 3705.00 62 sh St. 011 of N.J. @ 90.125 5587.75 63 sh delaware & Bound Brook R.R. @ 37.50 2362.50 Year Inventory Assessment Valuation 12% Assessment Tax at 10% Collection 6% Interest Total Claim Appraisement Returned Penalty 4 Mills Penalty 19 19 19 19 19 19 I TOTAL CLAIM The foregoing is a statement of all items taxable as they appear in the Inventory Appraisement, Affi- davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate . ........................ day of ................... -----------------19 ___________ _ A. V. CAPANO, Solicitor ~ ,. ' • No ................... , .................... Term, 19 ............ , AA In re Audit of Account in Estate of - AUDIT Jrarripr for 1\ppraranrr . FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX . ' " A. V:. CAPANO, • Solicitor ~9 v Form RCC-4-Rl-3-66 ~9 COMMONWEALnl OF PENNSYLVANIA RESIDENT DECEDENTS 948810 OFFICIAL RECEIPT No Transfer Inheritance and Estate Tax File No~l-68 ... 392 Date Ma.,: l S, 19_li8_ WASHINGTON, Office REGISTER OF WILLS. a. WASHINOTON County, ss: Received from J·~an t1ald~!ln, 2a.~ng rm Ind, I.!ab~ a·~··r"• .. ~~U!'aa:B: §l"&;UtQli, · . · · . . . . . _ ·. · • ) of the estate of CECIL£ &'\!-fSON who died February 18 19 68, the sum ofXFTY -ONE and 03Lloo -.. .... --... ... ... ... • .._, ·w • Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Real Estate Tax on$ 5% $ Date Valuation $ Tax on$ 10% $ Tax on$ 89.5~23 6% l2l)QC $ '53.71 $ Total $ Tax on$ 15% $ Personal Property Exemptions * $ Date Valuation oltc Hnl.d $ 89f\.2.1 Total Estate $ 53.71 Sank Acct. $ Total Tax $ Total $ 895.23 Less Tax Previously Paid (if any) $ Total Gross Assets $ Balance $ 2.68 Less Debts and Expenses of Less five per centum of tax if paid Administration $ within 3 months after date of death $ Clear Value of Estate $ Amount of Estate Tax Assessed under Valuation of Life Estates or Annuities the Act of May 7, 1927. $ Date 19 __ $ Add interest at the rate o cr.; 19 __ $ from Estate Tax Assessments to $ Date 19 __ $ Total $ '51.03 19 __ $ *As ev~denced by Charitable Exemption Certificates issued by the Secretary of NOTE: In accepting the transfer inheritance tax on future estates prior to the death of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com-by Act No. 381, approved July II, 1957, and Act No. 207, 1961, Section 302. monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional SE:;z tax may be legally due and collectible for any reason whatsoever. TITR1D [JJ[LD ©£ !Y[E '37-100·4 ;;· .. ·r:;;--~~~ ;::;,?;/d., tt_ .. ;, .. ,,_t2 NOTE: This Triplicate Receipt to be retained by the Register ,of Wills and filed in numerical Register of Wills ' sequence for audit purposes. · / MOORE BUSINESS FORMS, INC,, ELMIRA, H. Y. FORM RCC-4-Rl TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket l7 Page 100 I ine._4 __ _ Estate o,Lf ---=CEC=.:::IL=B=--.;SAMS=:::..· =-O.:....:N-'---- OffiCE OF REGISTER OF WILLS _______ W~·A=S~BI~NG~T~O~N-•----~P~ Date, __ -=l...::..:fa-""y--"-'1_5 ___ 19__§!_ SIGNED AND SEALED AS PROVIDED BY SECTION 1201, ACT APRIL 9. 1929, P. L. 343 AS AMENDED BY ACT MAY 15. 1945, P. L. 528 Register of Wills 1201 (g), Act of April 9. I929, P. L. 343. crs amended, viz:-'"To receive from Registers of Wills all duplicate ,re· ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the money with the amount receipted for. The original of each such receipt shall be signed and sealed by the Register of Wills and transmitted to the executor or administrator, whereupon it sball be a proper voucher in the settlement of the estate. In no event shall the executor or adminis· trator be entitled to a credit in his account by the Register unless the receipt is so signed and sealed by the Register of Wills.'' Fill in below name and address of person to who111 tax receipt is delivered: I To _ ___;J:l:,..Q=A=N=--W..:.:..:AL=D:..::;:R:..::.;ON=-------- R. D. (J 1 L BENTLEYVILLEt PENNSYLVANIA 15314 --~~~~~~------------~~ ----~-----~--~~--~~------------------------------- 1Ju tbr OOrpqau!l~ <nnurt nf llasqtugtnu <nnuuty IN THE MATTER OF THE AUDIT OF ACCOUNT In re Estate of __ Sams_on_, ___ Q_e..o_i~e ___ Rog_e..r._~-------------------No _____________________ , ________________________ Term, 19 ____________ , AA Affidavit Date of death ________________________________________ Date of filing Inventory Appraisement ___________________________________________________________ _ Assessment TO THE AUDITING JUDGE: Enter my appearance for Personal Property Tax Due Washington County, viz: (con 1 t;) ITEM Valuation 1964 30 sh Alabama Gr So R.R. @ 94.50 2835~00 30 sh Chesaoeake & Ohio R.R .. @ 69.12~ 207~.7C: so sb Columbia Gas @ 29.315 14,68.15 250 sb Kendall Co. @_ exemot --156 sh Richardson Co. @ 26.375 4114.50 62 sh St. Oil N.J. @ 16.00 4712.00 63 sh Dela:w:a:t!e & Bound Brook B.R. @ 3l~. so 2113.50 ' ' ·- . - ,. ,, Year Inventory Assessment Valuation 12% Assessment Tax at I 10% Collection 6% Interest Total Claim Appraisement Returned Penalty 4 Mills Penalty 19 19 19 19 19 19 TOTAL CLAIM The foregoing is a statement of all items taxable as they appear in the Inventory Appraisement, Affi- davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate. ________________________ day of____________________________________ 19 ___________ _ A. V. CAPANO, Solicitor .. ,-- 1-1'1l· · No .... : .. l?.J:-:-.~~~J9~ ...... ?~.c:iJ-AAr 19.6.9 ....... , AA In re Audit of Account in Estate of AUDIT Jrarripr for l\ppraranrr FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX A. V. CAPANO, Solicitor ~9 -w~ ~?0:Q lNG_;L~:J·N I;N,S:;v,~ :S Tl"lt It\ :1 0 -~31 S I f) 3 l:J :ON nrv ~~~ J7 3-s s n Ci 10 z Uc:J 92 unr 69, '031!_1