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Home My WebLink AboutOC1968-0429 - ESTATE OF DAYRCC-39 (6-67) .COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT DAY,lff:NRY Flili #63-68-429 December 2,1967 SUMMARY -.'0. / FILE #63-68-429 TlEPOrrT OF INHERITANCE TAX APPRAISER I~the undersigned duly appointed Inheritance Tax ~ppraiser in and for the County of #63 WashingtoI11 ,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", 03-27-68 12-02~67 REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for __ County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the su~'allowed as a deduction. Dated: REGISTtR OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$$-------- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) J oint-Held Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLE~q VALUE OF ESTATE Valuation of life estates or annuities ...•.•.. ESTATE TAX ASSESSMENTS =====:-- $----- $------ 3,443.79._ 3.443.79._ =====.-======:= COMPUTATION OF TAXFORUSEOFREGISTERONLY T ax on $_________f5%$_ Tax on $.__10';'i;~_ T ax on $=z2j)$_ Tax on $.~*_ Exemptions::;=======:=(:;:)Total Estate _ TOTAL TAX $_ Less tax previously paid *~~~======._ BALANCE *_ Less f5%of tax if paid within 3 months after death $======:= (:;:)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE $--------- Add interes tat rate of 6%from to $_ AMOUNT OF ESTATE TAX ASSESSED $_ Estate tax paid $_ BALANCE DUE $_ Add interest at rate of 6%fromto $_ TOTAL TAX BALANCE $_ PAID $ FOR USE OF REGISTER QNLY ADJUSTMENTS NQTE: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. _...._t"'.-:_-;;,,-.~,,_. Will {N Administration ~o. P-I1 THE year . ~IATTER OF THE APPRAISEMENT OF THE EST.-\TE OF .II,&;lJl1.X pAX .. ..'D~~eased , Late of County of CARROLL TWP.. WA$I:UJ~:CiQlQIL . Commonwealth of Pennsylvania REPORT AND APPRAISAL -~_...--.-"",..-- ~.:-....', ------_..._- Fonn RCC-2·•..COMMONWEALTH OF PENNSYLVANIA"'DATE .................~r.ch .....Z..7.,......l.96..e............................ .DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX ...................~~.~.~~.~.~?.~.................................COUNTYBUREAUOFCOUNTYCOLLECTIONS HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO•.......................9..3..i.6.8:94.Z..9..................................... Whereas,............................................~~;ry....p.S!.y...............................~-="="','="'.~~la.te of ...~,...~....·"~8@..r.;r.9..~~....~.!....................................... in the County of ........................j~@..§h~D&.t.9.n ............................................................................Commonwealth of-p;;m;Ylvalila,"1I'aving died on the ...............................?....P.4...................................................day of ................Dec.emb.er..................................19....67.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,............................w.~g.~.....Chane.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 AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpous $ REAATY: NONE NONE PERSONALTY : NONE NONE .. TRANSFEaS: NONE NONE JT.HELD: As appraisement filed .-3,443'79per Tot.a.]1 ),1.1 79 .. form~~~hb~:::J:h:.w~a=tJ~~:~:;o~YEL:;e;~7~?~S?;;p A iso.-~............................•................................................................................................. (and Street) .........~............................................................................................,Penna. (POll 0fI11l') .~ ........w.~~lj~O:'r.QN.....COU1Jty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .....................H~RI DAl . Deceased. Late of ...........CARROLL T.1tJP.•..................................................... Date of Death,D.e..G.eml;H~r.a."l.96..7 . Appraisemcl!t Docket Vol.,.?.7... Page,7.9~.6 No 6)."'.68.42·9········ Filed in Register's Office,M~r..ch 2.7.,J9 6.8.. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra-isement,. Appeal f"om Appraisement,. Entered and charged, --.---~-1·'~"'~·:-,-~.....--~~.;.-~~.-,-. ~ ~ (OFFICE OF THE REGISTER OF-WILLs ("("' Form No,RCC·62 Ci.641 THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,./ EFFECT~VEJANUARY I,1962:(P"ILE I~,DU~~~.ATE ~IT!i C«PY <?F WILb ATfACHED)~,,~....,. , . ,.<..j.l /-J ,.;;.-<•1 \..CountyOti.., ,w.~~h~~gi{9n."...,~....'•';_,4 \r· ~~p.9-.KC?l!-...•'.....,,,'.....,,'.,'.,.,'..,.':-..,.....~.~:of ~..If~;Y:~.~.~<:t~.~??J,,9!3:~~.~~+;,~?~n~!l.~J?.,.'. (Name)("-'(Address),-::""r being'duly f?_~.9_:rn..according to law,deposes and says that he is the §J~t_~r_._._._....__ ."" -__•(Exec.,Adm.,Legatee,ft,C.)•..' of the ;state of.B:_~~.!-Y_:Q§..Y.:..--------._.whose last residence was .F-r:Y-~__.s..tg,tJ_Qn..I C_ar_:r.Q.ll__.TQJ:~ms pip (No.)(Street) ,.~.--'d .d'd Dec ..'2 1.967___· ,deceased,and that the whole of the estate of sal decedent,who Ie !.-.l_____--- (City,Borough or Township)(Date). consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated None Value Personal Properly None .". NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death,Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered, Jointly Held Property Estimated Savings ,A£count #1'1419 at Fir.st National 'Banlt now V~lue estern Pennsylvania National Bank in the names of Henry Day and Mary ....~ avo mother of Frve Station.Carroll Townshio.pa.in the amount of Ali /;..c 5796.14 ~~~¥J,=3,1/2 of $5,796.14 is vr-:r..; 2 8q8 07 United States Savings Bond -Series E issued ~2/1961 #C418712292E n the names-of Henr*,Dav and Marv nav mother of Frve Station Pa.I n the amount of.91.4 .1/2 of 91.44 is '.-(45.72 $500.00 H.Bond dated 12/56 1/2 of $500.00 is I--250.00((".r $500 •00l ,H •,Bond dated 12/58 --1/2 of $'100.00 is 2~0 00 l ;/ 1>-:s.44'1.79 Transfers within TWO YEARS Prior to Death 1 1 i i W D $ "'-r--------------------------------------- That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT - .~.'........'j>~._' ,:-...t· RE~IllJiiNTJ~ECEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE:List first five items in the spaces so provided,observe notations ther.eon,and instructions. DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN ,t(.EGISTER ONLY Funeral expenses paid $$ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * Fiduciary commission * OTHER DEBTS AND CLAIMS (*)See Note below I II Total MY COMM:SS.O:1 L.P Having been duly S~rdingto law,I~y certify that the above appraisement is made in conformity with law on this ............c2.:?dayOf···········~~2#·.·.·a~~19~E a.~.0,..p .App~;- In the event that any future interest in this estate is transferred in possession or enjoyment to eral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission or debt is greater or less than the estimated amount claimed and allowed.~ Sub,,,;bed au';wo,~tu b,'",m,thi,...I!.:?dt..........cI.,~;:1ff:d.i;';'i;';~·:<f ~;;;;~y..:..."9~~l?JL"d..c(S'!itrZ-Iy NUL W.NmON,NOHm-PUBLIC /'". MO HELA,WASHINGTON COUNTY or Town and State) REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in said schedule above,which greater or lesser amount represents the sum allowed as a deduction. Dated:. Register of Wills ,' \.' "I r I i '/ Ii Form No,RCC·62 (2·641 WillAdministration lNo Year . ." a ,' • IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF H~p.r.y.Day jje~~~~~d ..... Late of ,F.~~..St.a.t:t.Qo .. County of Washington............................... Commonwealth of Pennsylvania REPORT AND APPRAISAL '-' L~ ---..~-.... :'!-~-rv ,-. ~-..; \ •<"....~...,~.' /.-A',.,'/\.."••~ '')I \._'",,C()!\'.' ".'/~.'"'",..../·":t.tq,,\\\\" f ;: Form No,RCC-62 (4·71)THIS FORK REQUIRED IN AL~ESTWITH GROSS ASSETS UNDER '10,000.UNDER SECTION 7.01 OF ACT OF JUNE 1••1"1,/ EFll'EC:IVI:JANUARY I,1982,(FILE IN DUPUCATE WI PY,OF Wii,:L;:J,m:~I@"f7 V .~,'3 ~t 'fY~~..'OFFICE OF:REGISTER OF WILLS 0 ---'"-- County of VYc;i~.l1ip.gt9A . Emmalena Day 305 Park Avenue,Monongahela,Pa., ,' ,of ...........................•................... (Name)(Add.....) ,sworn,,InformantbelOgduly•.accordlOg to law,deposes and says that he IS the . _ (Exec.,Adm.,L__,EIC.) of the estate of_._.~~_~EX__P_~¥whose last residence was }Q§?_':l:;:~~.Y.~~.~~_L ._ (No.)(Slreet) Monongahela,Pa."12/2/67----------------.deceased,and that the whole of the estate of saId decedent,who dIed _ (CilY,Borough or Township)(Dale) consisted of:.7J REAL PROPERTY ~ REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES.ADDRESSES AND RELATIONSmp OF OTHER OWNERS, Real Estate 2/9 interest in and to: ALL those two certain pieces or parcels of land,situate in Estimated Va1ue Carroll Township,Washington County,Pennsylvania,known and designat~d as Lots Numbers Sixteen (16)and seventee~(171 in nO "f..~/ Fry Placf~Plari'..~o~f~ots as laid out by the Fry Heirs (-;{:;D{~/V.~-..."--"'",:...... -- Book·Vol.1289':',~a~:e 658,for more specific description)¥~......l\~J<'4-,-!'./":.~":~$6,000.00 $,1,333.32 ,/----------------+------- -----.......;;.:;-~'---, ----.. ""-.._._~,...------------+------~ /~-----/ Personal Property None \\ None NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered.x Jointly Held Property Estimated 'Value ~ None - - Transfers within TWO YEARS Prior to Death None That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT NnnA . - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE.(If step-children or TENANTS OR INTEREST OFDECEDENT(State"'full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARYaninterest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT Emmalena Day Wife Yes ~ui juris .;Su~!'arK Avenue MonongEia.e.l"".,0"" Diana Day Daughter Yes ~ui juris 305 ParK Avenue Monongahela.Pa Dale Day Son Yes ~ui juris 305 Park AvenueMonongahela.Pa. Sylvia Dav Dauqhter Yes Sui iuris ,jU::>.l:"arK AvenueMononaahela.Pa. -~ •.••1 ........ i' RESW~N.:r DECE;DENT DEBTS AND'DEDUCTIONS CLAIMED NOTE'List first five'items in the spaces so provided observe notations thereon and instructions,, DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN jKEGISTER ONLY Frye Funeral Home Funeral expenses paid $1,500.00 $ Emmalena Day Family exemption (will not be allowed unless ,.1,000.1001 decedent died residing with a spouse or children.)IRussellMarino,Register Administration Expenses •3.00 Melvin B.Bassi Counsel fees •50.001 Fiduciary commission • OTHER DEBTS AND CLAIMS (.)See Note below Notary Public Notarizations 2.00 Monongahela Cemetery Marker 400.00 .- . . Total $2,955.00 ~1SS,() Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this .r:~~'&7""""'"(Executor-Administrator) 305 Park Avenue (Street Number) Monongahela,Pennsylvania (City or Town and State) ApprAiser In the event that any future intel'est in this estate is transfelTed in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer-inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for.W(1 ~."".-'"C'....~~.County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts c1aim~db;de-p~~t,efuPtas to thos items where a greater or lesser amount is set fort~in the last column to the right in said schedule above,which greater or lesse\-am nt represe ts the sum allowed as a deooction. Dated:...~,~~,...~.J~}~~Y.~S~.L.l.MARIJiO..................~-JI..M.A~.~..Register of Wills I .-. Form No.RCC-62 (4-71) fj~inistration INCE-'l'L't:-·ffear .....rr !.....I...f ~2HSEP"r At1 10 22 MATTER OF THE APPRAISEMENT OF Tift:.SSt"I'"t !""'JtJ"u,._L L ,",;.\\,0 ESTAffiG(jFfEH OF WILLS WASHINGTON CO .•PA. HENRY DAY Deceased Late of 'J:'RWz:1p.Q;i.P..Qf .G?l;r:J;"9;L,J.. County of Washington........................ Commonwealth of Pennsylvania REPORT AND APPRAISAL WOODWARD AND BASSI Attorneys at Law 701 McKean Avenue Charleroi,Pennsylvania ...,,'..,...,:,-.,.'",.,',;........',,~.. RCC·39 Ill-B8l COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY (lnjtial) Estate of....;:D=>Ac::.;Y=--~H=EN=R.=..:Y"__---__,___-~DATE OF DEATH 12-2-67 (Last Name)(First Name) FILE NO.63=68-429 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Apprai~er in and for the County of--,..!:W:.!!!'A~S!oo!!HIu.Io.J,;N~G"T~ailOlNL-_ 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 ~ach item in the last column to the right in Schedules "A","B", "C",and "E". Dated:September 5,1972 duAl d~.jQ1/t)Q.ql) INhlERITANCE TAX A'PPRAIs'ER ~.~ REPORT OF THE REGISTER OF WILLS'~.??Ad ~~ SUPPLEMENTAL Dated: I,the undersigned duly elected Register of Wills in and for .WASHTNGTON County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which-greater r lesser amount represents the sum allowed as a deduction.r----.,...J,!.-~~~ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $1 -.(~~~')$1 ".l ".l ".l ".l?$ 1,333 32 1.333 32 7.955 00 ?Q~~nn -IV~l'll - Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $----------+--CiP Tax on $6% Tax on $5% Tuoo$lK Tax on $15% ~~ptioos 0 Total Estate --4--_ TOTAL TAX COMPUTATION OF TAX $-------+-- $-----.....--+-- $...--.......-_----f-- $-------+-...-- $--_...-----h--- $----..,...-----1..,-- (0)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::=t:=.=. BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from to -~""";""""-C$"""""""'--.AMOUNT OF ESTATE TAXASSESSED $ Estate tax paid $I BALANCE DUE $~....JL- Add interest at:;te of 6%from $-----~t=. TOTAL TAX BALANCE $----~, PAID ,$_-_-_....J FOR USE OF REGISTER ONLY ADjUSTMENTS NOTE:Where subsequent adjustments are made tl;)th~~bove computati9n of tax by the Register of Wills,for proper reason, same should be noted below,with ~hort explanation. Will ~ Administration ~No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF HENRY DAy..... Deceased Late of CARROLL TWP. County of WA-SI:Ul'Je,i'J:'Ql\f Commonwealth of Pennsylvania REPORT AND APPRAISAL \ • Funn :.l.CC-2 ..'.'')IDEPARTME1\~TOF REVENUE aU1tEAU OF"COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA."RESIDENT INHERITANCE TAX APPRAISEMENT DATE ....s..e.pt..e.mb.e..r .....s.!9..7.~... COUNTY ~~~~:J::~.~~~.. FILE NO §..~..::.§.~:::::.~..?~. Whereas,H.~.RX P.~y.late of ~~g9.~~~. in the County of JiAS.BI.N.GTON..Commonwealth of Pennsylvania,having died on the $.e.G.Qm day of P~.9~ml::>~.~19 ~.7 seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,f.~.p.'rQ$J.:,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 SUPPLEMENTAL Tax Purpoles $ REALTY: SEE COpy ATTACHED TO APPRAISEMENT 1,333 32 ESTATE INSOLVENT ... I i '. L<..J (Number anel Street) .......................................~.o (l'~st Office) .......................,Penna. WASHINGTON County -"l RESIDENT INHERITANCE TAX APPRAISEMENT Estate of HENRY DAY Deceased. Late of ....CARRQLL ....TWP.•............ Date of Death,...!.?:':?~.E:).?.H ••••••••••••••••••••••••••••••• Appraisement Docket Vol.,3..7 . Page 79-6 u 63.Ji.{-429,1\0•........................................ Filed in Register's OfJice,~~Pt...•.....S.19 72 Amcunt of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo,ltt Appra.isement, Appeal f1'Om Appraisement,.. Entered and charged,. I BESIDENT DECEDENTS File No.~J-(,5';1.;(.1, Office REGISTER OF WILLS,,\_1ASH__I_tJG_TmJ_t --..APa. Received from __Lo_n_tl_Xon_"_~_m_,_ti_O_m_~_l_f _ COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax Form RCC-4-RI-3-66 924755No.,~_ Jooul'\1"!7 16 6SDate,---=..oi/19_ 't!ASHnmron--------.:County,ss: 1~illGr'7Adifiinrs&dt6~~itGUmamt)of the estate of ~HEl1Itt:!!:·=~~D~A~Y~..,__-------------- who died Dcccmbor 2 19_61_,the sum OLf S_IX_i'i_-_F_I_V._PE lm_d__WlOO.--:._'_'__-_-_'_-_~_.._-_-_-_.-_-_'_.LIDoHars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Dale Valuation Register of Wills , ;'fi4 U/Jf 0 MOORE BUSINESS FORMS,INC.,ELMIRA.N.Y. *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June I,1957,as amended by Act No.381,approved July 11,1957,and Act No.207,fI961,Section 302. Tax on $5%$ Tax on $10%$ Tax on $On Account 2%$6e.OO Tax on $15%$ Exemptions *$ Total Estate $ Total Tax $ Less Tax Previously Paid (if any)$ Balance $ Less five per centum of tax if paid '.44within3monthsafterdateofdeath$ Amount of Estate Tax Assessed under the Act of May 7,1927.$ Add interest at the rate of % from '~ to $ Total $65.z.4 $,------- $ $,------- $ ..3 1-?9-(' Valuation $-_:--_--- $,------ Total $,-------- $,------ $,------- Total Total Gross Assets Less D.ebts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19__$-------- ____~19__~$============= Estate Tax Assessments Date 19__$,-------- ________19__~$============= NOTE:In accepting the transfer inheritance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. NOTE:This T,riplicate Receipt to be retained by the Register of Wills and filed in numerical sequence for audit purposes. Date Personal Property Real Estate FOHM HCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket <3?Page 2i-Une,_t:,__ Estateof Iffi1-~-4:''h':S;:v ... OFFICE OF REGISTER OF WILLS ~-_.:~~!Ir-C!.OO!!Pa. Date Jeni'Zl"'S 16 19-6e- 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 ~!"""""""'''."··"PTJln,.._"'--...............;.."'''''''flIl'!1ister of Wills 1201 (g).Act of April 9.1929.P.L.343.as amended.viz:~"To receive from Registers of Wills all dupliccrte re- ceipts for taxes paid to them by executors or adminis- t,ratars and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator. whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills." Fill in below name and address of person to whom tax receipt is delivered: I To :~m.!!,;~OP ",T.U-i!Cl!CCi' 2S3 ~::'5!f;{lU S'l".:£l' I L '-"'r"'-~'-"'"_~nS;"T'"~~,.,.f J,!;061l_........u...........""..:r....h._4;;.;..'--l \/ Form RCC-4-Rl-3-66 No.948777 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax RESIDENT DECEDENTS FileNo 63-68-429 Date,_......:=Bn::::.y.!....-1~19~ Office REGISTER OF WILLS,,t1_A_S_H_I_N_GT_O_t_~---IIOPa. ____tl_'A-=-S.::.:H:.;.:.:I::.:t.:.:..;~G~T=.:O::..::N:.:...----,.County,ss:Received from __-'S....y-=l;.;;.v-=ia=-D=o.=y~,-'P"""tl=.y.,...,i....n!Ul.lsloll-·--"o....n~I.....n.ud......L....1....a.....h;u.'--_ (Jf~,WJfiiD~of the estate of ImNRY nAY who died December 2.19_6_?the sum Ofl.-Ttm_·_NT_ly_-SE_VE_ti e....:n=d_~24~/t...:l=O:::..:O:::._;.._-_-'___-___'""-__=-_-=-----LJDollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax NOTE.This Triplicate Receipt to be retained by the Register of Wills and filed in numericalsequenceforauditpurposes. NOTE:In accepting the transfer inherllance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com- monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathoftheliletenantortenantforyearswheneveritappearsiliatsuchadditionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. Register of Wills $==~27ij=.~24;;F=== $27.24--------- $======= $-------- $======= $--------- Tax on $_ Balance Total Tax Less five per centum of tax if paid within 3 months after date of death Less Tax Previously Paid (if any) 5%$_ Tax on $10%$_ Tax on $1;362.12 2%$__,___2=-7::...;.::..::24:..:;...__ Tax on $15%$_ Exemptions *$=========== MOORE BUSINESS FORMS,INC.,ELMIRA,R.Y. Amount of Estate Tax Assessed under the Act of May 7,1927. Total Estate $_ Total $_ *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June I,1957,as =ended by Act No.381.approved July 11,1957,and Act No.207,1961,Section 302. ;;; .E'LI (_/I'·.f:;',~_•.e.-',,--//"~''(.-£tj.;;, Add interest at the rate O1..f-------0;,; from _ to _ $,------- $------- $ $1.362.12'------- $ $----- $ Valuation $,------ $,------ Total Bank Acct. Date Jt.Held Valuation $1.362.12---"----- $,------ Total Total Gross Assets Less Debts and Expenses of Administration Real Estate Date Personal Property Clear Value of Estate Valuation of Life Estates or Annuities Date 19__ _________19__ Estate Tax Assessments Date'19__$_ ________19__~$======== FORM RCC-4-RI TRANSFER INHERITANCE .and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 31 Page 29'Ijne~ Estateof HElmy DAY OFFICE OF REGISTER OF WILLS Date. eAmIIl\.'GTO~l t Po. I1ay ?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 nusmtL llA1lll!O Register of Wills 1201 (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive from Registers of Wills all duplicate ,re-ceipts for taxes paid to them by executors or admini....trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator,whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedby the Register of Wills."' Fill in below name and address of person to whom tax receipt is delivered: I CLYDE G.mUPltST ClmSS STRImT f\.TTY. 2nd & I To _ r,:Oi~ONGAJmLA,1?Ett.'tSfLVM1IA L 15063 -l ----------ICounty,ss: BESIDENT DECEDENTS File No.63...68-.e29 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax l:1ASHINOTONOfficeREGISTER.oF WIIJ.S,~......-::,..,....,,---__-.---....---=-...---,=----<Pa.DUlne·Day,paying on Ind ~Liab.Received from _ 11ASHlNO'lON Form RCC-4-RI-3-66 No.948778 Uny 7.68Date,19__ ~~Lll][,X ~.)of the estate ol-f fm_·_N_R_Y_D_A_Y _ wh di -'Docember'2 19 61 th f FOURTEEN and 78/100 _..-.. ..-....-n 11oen__, e sum OL .;;...L-=..=....;~J.JO OI'S, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: 14.78 14 ..18 MOORE BUSINESS FORYS,INC.,ELMIRA,N.Y. Register of Wills Total $14_.7_8 _ *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June 1,1957,as amended by Act No.381,approved July 11,1957,and Act No.207,1961,Section 302. S EAD1J/r'/"l ._-.;::,~ Computation of Tax Tax on $5%$ Tax on $10%$ Tax on $139.01 2%$ Tax on $15%$ Exemptions *$ Total Estate $ Total Tax $ Less Tax Previously Paid (if any)$ Balance $ Less five percentum of taxif paid within 3 months after date of death $ Amount of Estate Tax Assessed under the Act of May 7,1927.$ Add interest at the rate of %' from to $ $,- $139.01 $ $ $ $ $ Valuation Valuation139.01$------ $,------ Total $,------ $,------ Total Total Gross Assets Less Debts andExpenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19__ ________19__ Date Personal Property Real Estate NOTE:In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years,as evidenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. Appraisements Made and Filed Estate Tax Assessments bate'19__$_ ________19__~$============= NOTE,This Triplicate Receipt to be retained by the Register of Wills cmd filed in numericalsequenceforauditpurposes. DateJt.Hold BUH1(Aett. FORM RCC-4-Rl TJlANSFEB INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 31 Page /7 I ine----.f Estate of rmNRY DAY OFFICE OF REGISTER OF WILLS !IASHINC'i0N,Pat Date tiay 7 19~8 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 nussmJ,lm.nIl\'O Register of-Wills 1201 (g),Act of April 9,1929,P.L.343,as amended,viz:-"To receive froID Registers of Wills all duplicate re-ceipts for taxes paid to thelD by executors or adlDinis-trators and to-charge the Registers receiving the 1D0neywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator,whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills." Fill in below name and address of person to wholD tax receipt is delivered: I To _A?TY •CI.YilE G.'lEt1P2ST 2t:ld f.,Cross STmm?!; I L rmnOi'IDf\mu.Q.,MNNSnvarm 15063 -l RESIDENT DECEDENTS File No 63..68-429 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax948779 Form RCC-4-RI-3-66 No Date__Mn_y=-._'......:1=---1968 t1ASIiINGTOU,Office REGISTER OF WILLS,...£.-~Pa. tlASHING'i'ON County,ss:Received from Dale Day,Paying an lad.Ljnb. ~~~~'tI.i~~of the estate oLf lm_I_Nn_y_·_D_A_Y _ who died Decombor 2,19_6_1_,the sum OLf F.:.....O.:.....U.:.....R:,:.T::.;EE:::·::..:N:..:....---=a::.::nd.=-_...:.7~8~/-"'1:..=O=O'--..;;..-----'----"-.._•.;:.;...--=-.::::-----'-'Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Real Estate Date Valuation Tax on $_5%$_ $,------ $,------ Total $,------- Tax on $10%$_ 139.01 lA 78Taxon$2%$..,_,_ Tax on $15%$_ NOTE:In accepting the transfer inheritance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com- monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditional·tax may be legally due and collectible for any reason whatsoever. 14.18 $=~1;44~.1~B=== $-------- $======= $--------- $======= $--------- Less five percentum of taxif paid within 3 months after date of death Total Tax Exemptions *$=========== Balance Less Tax Previously Paid (if any) Total Estate $_ Total $_ *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June 1,1957,as amended by Act No.381,approved July 11,1957,and Act No.207,1961,Section 302. S E,A,l!Id~ Amount of Estate Tax Assessed under the Act of May 7,1927. Add interest at the rate oJ-f %' from _ to _ $------- $ $------ $ $------- $ Valuation739.01$------ $,------ Total DateJt.Hold Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date,19__ _________19__ Personal Property Estate Tax Assessments Date,19__$,_ ________19__~$================= Bfuilt Acct. NOTE:This Triplicate Receipt to be retained by the Register of Wills and filed in numericalsequenceforauditpurposes.MOORE BUSINESS FORMS,INC.,ELMIRA,N.Y. FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket J 1 Page 2 f Ijne_-=&__ HEtffi.Y DAYEstateo,iL _ OFFICE OF REGISTER OF WILLS tfASHItGTOrI.___________-J:Pa. Date Ua.y '1 19 68-- 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 QUSSULL I:1.•AaIrfO Register of Wills 1201 (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive from Registers of Wills all duplicate ,re-ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator.whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executo.r or adminis-trator be entitled to a credit in his account by the Register unless the receipt is so signed and sealed bytheRegisterofWUls," Fill in below name and address of person to whoJD tax receipt is delivered: I l\TTV -fn'~YD3 G.'im-:PESf 2m!&CHMS STRnB'lS 1.10NOMiAHELA,.PENl:sn,VAUlti L f 15503 -.J