HomeMy WebLinkAboutOC1968-0566 - ESTATE OF SCHUSTER'.
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'LAST WILL AND TESTAMENT----'-,-'-----
of
MICHAEL SCHUSTER.
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,I,MICHAEL SCHUSTER,a resident of Blaine Township,\'lash-
ington County,Pennsylvania,being of sound mind and memory,dO make,
publish and declare thls-my La.st \vill and Testa.ment,hereby revoking
any wills or \vritings of a testamentarY-character heretofore made by me.
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ITEH I.All my estate,real and personal,I give,devise
-.
and bequeath to Georgia Hague Schuster,my wife,her helrs and assigns,-
'conditioned,however,that in the event of her death in my lifetime or
in the event of her death v-Tithinthe period of three months after my
death,this devise and bequest~shal'l lapse or be divested,and in
either such case,.I give,devise and bequeath my estate in ti'1O equal
parts.One such equal part I give,devise and bequeath in equal shares
to Herbert Waldron Zinri,George Ralph Holmes,Mary Elizabeth Roberts,
Oliver ~{endell Holmes and Carl Thomas Holmes,their several heirs and'
assigns;the other such equal part I give..devise and bequeath in equal
shares to Lucille Marie Schuster,her heirs and assigns,and to Robert
James Schuster,his heirs and assigns.
I declare it to be my intentlon:that should My
wife J Georgia Hague Schuster,be liVing at the expil'"'ation of three
months from the date of my death,the estate hereby devised and bequeath-
edto her shall vest in her absolutely,free of all conditions.During
such three month period,I authorize my executor to payout of the in-
come or principal of my estate reasonable amoQ~ts for the support,main-
"
tenance and medical care of Georgia Hague Schtister,and as well as the
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reasonable expenses of her burial and gravestone should shedie~1ithin
such period of three months.
ITEN II..I her,eb;y nia}~e ,con3tituteand appoint my wife,..Georgia Hague Schuster,fo be.the Executrix of this m;yLast Will and
Testament.In the ev.ent that Georgia Hague Schuster does not sllrvive
me J or is unable or un'idlling to serve,or having begun to administer'
,
my.estate becomes unable or unwilling.to continue to serve,then I ap-
point my daughter,Lucill,eIvIarie Schust'er to be the Executrix of this
my Last Will 'and Test~ment~Either of such executrices,or any adminis-
trator d.b.n.c.t.a.,shall have full power to sell,convey,lease or
mortgage any or all real estate of which I may die seized without license
or leave of Court,and to execute and deliver good and sufficient deeds,
leases,judgment notes,bonds and mortgages dealingl,dth such real es-
tate,'and to compound,compromise or otherwise settle and adjust any
and all claims,charges,debts or d:mands'whatsoever against or in favor
of my estatey and I direct such.Executrices to do each and every act or
thing necessary or proper to a full and complete administration of this
my Last Will and Testament.
I
IN l-lITNESS WHEREOF,I have hereunto set my hand this
day.of March,1949.
I CJ nc:-."
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This instr1.unent,consisting of two (2)typewritten pages,
(each bear:tng the signature _of.the above named IvIichael .Schuster)vras by
him on the date hereof signed,published and declared by him to be his
Last Will and Testament,in our presence,who,at his request and in
his presence a.nd in the presence of each other..we believing him to be
of sound and disposing mind and memory,have hereunto subscribed our
names as witnesses.
C.'.~Yl/fJ'_,-----.-
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Fonl1 No,RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 18.1981,
EFFECTIVE ,~UARYI,1962,(FILE IN f>UPUCATE WITH COpy OF WILL ATTACHED)
...~o
_OFFIC~OF THE REC;;ISTER OF WILLS
REAL PROPERTY
t -~County of .;W·4\:~~IN9:·TQ~.:....:~.-.
GEORGlA.HAGUE .SCHDSTER 'ofBQx.68•.Taylor.stow.nl'.:P.eun .
(Name)she (Address)e..-/YJ
being duly __...~_Q.:rD-..._..according to law,deposes and says that K@{is the__.Exe.c.utr.ix -=--------------1-.c-1 #
(Exec"Adm"egatet;l!feol--",
of the estate of.MiQh_~e.l.~bJJ.sle..;r --------.__whose last residence was_..B_ox.N_Cl...D.a --~..:'----..---...---
.)(No.)(Str~
T.~_Y_1Q.;rS1QWJ1~.-:e~JJ-J.l~_Y_ly~ni~eceased,and that the whole of the estate of said decedent,who died _A1?_:ri..l__3...__1 _B.8 _
(CitY.Borough or Township)_._(Date)1.._-_
consisted of:
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 Aim RELATIONSHIP OF OTHER OWNERS.
Real Estate Rpfp1"to .T,•
Estimated
.•v Held .....Value,v
.
,
....
.'-..,..,
Personal Property
1964 Chrvsler Sedan 750 00
Savings Account No S-7404 at First Federal Savinl!s &Loan Assn.tJKh
ilnl 0 of Michael Schuster
)
500.00 )3
Dividend accrued to date of death (Anril 3 1968)on Savinl!s Account No .....~-
-"\,75.78 ~S-7404
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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 accountI account number and the exact name or names in
which the account is registered.
544.
Jointly Held Property ,.Estimated
"<.i*e,'~
Residence in Baline Townshio Washinltton County.Pennsylvania described -
in dp.p.d from thp.tn ("tpn::ln('v hv thp pnti1"ptv with Mi('h~tp.l ~hll~tp.r
(.
the decedent dated February 24.,'1949,and of record in Deed Book 752.,
page 539.\J'·_/ilcy:-~Not Taxable.~~,..."
,0 ~'lJS,1,
,I P'..(1.s::':1hI,,,
...•,.01
1,'",,..-
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
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
BENEFICIARIES
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
BENEFICIARIES AND AbDRESS~S
(State full names of all and their addresses who have
an interest,vested,contingent or otherwise,in estate.)
RELATIONSHIP
(If step-children or
illegitimate children
are involved,set
forth this fact.)
SURVIVED
DECEDENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR-
ANNUITANTS
AT DEATH OF
DECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
Beech Haven,.~.ew
Mary Elizabeth ".
Wife
"
Yes Entire
Washington,Pennsylvania
Oliver Wendell Holmes
a
Ste -Son
Son
Yes
Yes
r .a.t.J...sa .-£j .P..4!o.;;wugUt.c.._""".4 !"M"9
NOTE'Listfi~tfive items in the spaces so provided observe notations thereon and instructions
('~)•'_A"
RESIDE1"'VEyEDENT DEBTS AND DEDUCTIONS CLAIMEfD
,,...'
DEBT OR CLAIM '.NATURE OF SAME •AMOUNT THIS COLUMN
iKEGISTER ONLY
IRobert E --.ell .....af Hj ~l'"IJi'~neralexpenses paid ..
$1 09fi 6'0 $.
..,.,J.'J \~,
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)-0-.t
.T()hn H n---~...J ,~~"R~alJi1"P Administration Expenses *1~('111
John H.Davidson.Esauire Counsel fees ,..100 00
,
Fiduciary commission *-0-
I
OTHER DEBTS AND CLAIMS
(*)See Note below
"NONE"
".
I .->.....
-..,,
~Total 1211 hn
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater
or less than the estimated amount claimed and allowed;~.,.,.,_..,,'..,.~.'",~..~,..,',:_,~,,:.',:~.'"
Subscribed and sworn t~before me this .~(~...,...".(Ex utor-Ad 'nistrator)(;,f .Geo gia Hague Schuster
"
.' .'jII1'....'.'..,,'~','".'---:'.'Q~',',",day of , . . .. , ,..., "19., , .Bov No 68,••,A,.",••,••".,'.',••",'.',.,.",•••(Street Number).''''''~.,''MJ.m!.'ub"~..,"I .
Washington,Washington Co.,PI.15301 . ,,,r~Y.~<?~~~~r:",:P~~r:,~Y~:V:~~~~,,.,",,..
My Commission expires Oct.7.1965 (City or Town and State)
Having been dUl~worn according to law,I do he~by certi y that the ~b~ve appraisement is made in,conformity with law on this
............y~day ol.,).d~~~/)'~/J ~A~,(/?,.,/Zt//,~::t....,....,.._~.....,,.........
./pprRiser
In the event that any future interest ,in this estate is transferred i;possession'or enjoyment to ral 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..
I -
REPORT OF/~GISTERPFWIL <
I,the undersigned duly elected Register of Wills inand fov,. ,&~'r:L.....£/.4:::~'..~,,..,.County,Pennsylvania,do respec~fully
",port that I havo allow.d d.bt,and dodu,tio",in th,amom;ts claimed by depon~t,xcePt~'to OS<it.ms Wb.ere a greater or lesser amount
is set forth in?last column to the right in said schedule ~~~e,which greater 0 I ser amo~.re esentsthe)7 a~2d as a dlCduction.
Dated;,-\/¥..t>~~~/.......~~f~l~..
Fonn No.RCC-62 (12-66)
Will
Administration INo year ..'.
l IN THE
'\i
...-:.....MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
MICHAEL SCHUSTER•.......................................
Deceased ..
Late of Taylorstown.Pennsylvania................................
County of .W~(3hi.ngt:on.....................
Commonwealth of Pennsylvania(~
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::0 .~REPORT~ND ApPRAfSAL.--fj)-.4 c(J)0~."---.j~--.-rT'._;'''1':i'"l;_f''J r-
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RCC-B\(2-64)
COMMONWEALTH OF PENNSYLVAN.A
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
GEORGIA HAGUE SCHUSTER
IN YOUR REPLY PLEA8E
RE..IER TO 37-107-5
In Re:Estate of --,;H_I_C_HA_E_1_:::>_~C_H_U_5_'T_ER_''_
____~_vA_S_H_I_N_G.:.TO.:...N County - FHe No.63-68-566
Dear Mrs.Schuster
You are hereby notified that the original
appraisement in the estate of Michael Schuster
has been filed in the office of the Register of Wills qf Washington
County on SeDtember 9 ,19-2?Said appraisement reflects the
following valuations:
Re al Est ate _--'--..,---=-=~.,...----
Personal Property 4~,~3~7~5~.~7~8 _
Transfers ..,--_
Total ....,..-.....,;4~!Lo3.u7-'5:..:.•..L.78~_
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as prov~ded by law.
Date W=.'e.:::..p~t::.:e~m:::b::.::e:::r---L.9..z.,--=lL..96::.:8:::.-_
DATE OF DEATH:April 3,1968
Note:This is not a bill.
'l.
'lCC-39 (6-67)
'~OMMONWEAL.TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHUST~l,MICHAEL
FILE #63-68-566
April 3,1968
SUMMARY
I~the undersignea
#63 Washington
FIL$#63-68-566
the real ana personal
opposite each item in
rtErOHT OF INHERITANCE TAX APPRAISER
rluly appointea Inheritance Tax Appraiser in ana for the County of
,Pennsylvania,do respectfully report that I have appraised
property as reported in the foregoing return at the values set forth
the last column to the right in Schedules "A"~"B","c"and "E".
04-03-68
09-09-68Dated:
REPORX OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for Washington
County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts
claimed by deponent,except as to those items where a greater or lesser amount is set forth
in the last column to the right in Schedule "F",which greater or lesser amount represents
the sum allowed as a deduction.
Dated:09-09-68
REGISTrR OF WILLS
VALUE AS REPO~rED VALUE AS APPRAISED VALUE AS REAPPRAISED
$._-$$------4,375.78 4,375.78
INVENTORY
Ileal Property (Schedule A)
Personal Property (~cherlule B)
Transfers (Schedule C)
cT oint-Hela Property (Schedule E)
TOTAL GROSS ASSETS
LESS Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
_4,375.78
=1=__,~2~1=1~.O"""O,=:_:..,.--_
3,164.78
4,375.78
l l 211.00=~==:=;';==l=
3,164.78
======:-
Valuation of life estates or
annuities ...••...
ESTATE TAX ASSESSMENTS ~------
COMPUTATION OF TAX
(*)As evidenced by Charitable Exemption
Certificates issued by the Secretary
of Revenue.TOTAL TAX $___
Less tax previously paid $~~====~==.__
BALANCE $_~_
Less !)%of tax if paid within
3 months after death $============:__
[<OR USE OF REGISTER ONLY
T ax on $•__!)~10 *_
T ax on $-:-_-:--y~l~~~_.----=-:-:,..-~
Tax on ~3,164.78 (~$__1=8~9~'.;;,.89~
Tax on $.__lR%$
Exemptions :--'"-(:::)
Total Estate------
3,\LANCE OF INHERITANCE TAX DUE $-----------
Add interest at rate of 6%from
to ~--~-----AMOUNT OF ESTATE TAX ASSESSED $~_
Estate tax paid $__
BALANCE DUE *_
Aad interest at rate of 6%from
to *_
TOTAL TAX BALANCE $_
PAID $
FOR USE QF REGISTER QNLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the
negister of Wills,for proper reason,same should be noted below,with short
explanation.
Will tAdministration~No.Year .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
lvIICHAEL SCHUSTER
Deceased
Late of ........BLAINE TWP •...-_-.._-_-__..
County of WA~.l:IlN.G'I'ON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
:,-.
..
Form RCC-2··,.
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.171 27
COMMONWEALTH OF PENNSYLV~IA,
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ~.~P~~J.!l~.~F ?!.~.??.?..
COUNTY !!c:.~.~.~.!.:l?~?..r.:.
FILE NO ~~:.?.~:.~.~.~.
Whereas,}g9..h@:~+.$.~.h~~t.~:r.late of ~.~~.~.~~~.~..
th C t f Washington Commonwealth of Pennsyl ania having died 0Ineounyo.........................................................................................................................................V ,n
the ...........................J ...:r...9:....................................................day of ..........................~P~~J:...................................19...~?...,seized and possessed of an estate
subject to Inheritance Tax under the laws'of the Commonwealth of Pennsylvania;
Therefore,I,..........................W..~.R..!.....C.h!il-.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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest.
Unit AppraisementDescriptionofAssetValuesMadeforInheritance
Tax Purposes
$
REALTY:
NONE NONE
PERSONALTY:
As per appraisement filed 4,375 78
TRANSFERS:
NONE NJNJ1
JT.HELD:
NON~NONi
Total 4,37'78
form~~~bl:~::~~w~a~~~~~,~a~o~~::r~is$2tis;r;?:
AppraIser
;iV~~~~,),;:~:.
"---------
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
....MICHA£.L Q.C.HP.$TEr.t .
Deceased.
Late of
BLAINE TWP.........................................•.•..................
Date of Death,April 3."...1968 .
Appraisemel!t Docket Vol.,3..7 .
Page,.lQ7~5 ifo..9.)::':.~.?::':.:5§~.
Filed in Register's Office,..s..~pt..L ..9..t J9f:,$..
Amount of tax due,:".
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appraisement,
Appeal f,.om Appraisement,.
Entered and charged,
"
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..
•4
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Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA IlESIDENT DECEDENTS
949047 OFFICIAL RECEIPT
No.Transfer Inheritance and Estate Tax File No.63-68-566
Date AU8US't 1,1G§S
Office REGISTER OF WILLS.liASHINGTON Pal
WASHINGTON County,ss:Received from GeOrge Ii.Schuster
(Executor,~OOYW91tNa~of the estate of ~,IICHAEt SCaUSTER
who died ~ril 3,19-n.8,the sum of SIXTY.TWO and Sanao --I"......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 $On Acconnt:6'8 $62.30
Total $Tax on $15%$
Personal Property Exemptions *$
Date Valuation
$
Total Estate $
$Total Tax $
Total $Less Tax Previously Paid (if any)$
Total Gross Assets $Balance $
Less Debts and Expenses of Less five per centum of tax ifpaid
Administration $within 3 months after date of death $
Clear Value of Estate $l!iCOHPUU Amount of Estate Tax Assessed under
Valuation of Life Estates or Annuities the Act of May 7,1927.$
Date 19__$Add interest at the rate of .<yd
19__$from
Estate Tax Assessments $to
Date 19__$
Total $62,.30
19__$*As evidenced by Charitable Exemption Certificates issued by the Secre'tary 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 hfe tenant or tenant for r,ears,as evidenced by this receipt,it is understood that the Com-by Aot No.381,~ved luly ll,1957,=d Ael No.207,1961,Section 302.monwealth shall not be prec uded or prevented from hereafter assessing additional inheritancetaxatthedeathofthehfetenantortenantforyearswheneveritappearsthatsuchadditional SE Ltaxmaybelegallydueandcollectibleforanyreasonwhatsoever.
/CY';'-~(S?~'''''H~lYOOD [P)[LD @£1Y[E 31...101-5NOTE:This Tdplicate Receipt to be retained by the Register of Wills and filed ill numerical Register of Wills
sequence for audit purposes.MOORE BUSINESS FORMS,INC.,ELMIRA,R.Y•
.....,
FORM RCC-4-RI
-TllANSFEB INHERITANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
Docket 3'1 Page 107 Une 5
Estate of llICHAEL SCHUSTER
omCE OF REGISTER OF WILLS
___---""W=A=SH=I=N='G.=TO=N::c:....,'"'-,_--,Pa.
Date__---"'AL<lu"t;·81....·1....s"""t~_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
Register of Wills
1201 (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive frc>m 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 c>riginal of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator.whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executc>r 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:
1m.JOHN H.DAVIDSON
231 WASHlNtlTON YRUSf BUILDING
L
WA.WNGTON,PENNSYLVANIA 15301
.-'
V'
Form RCC-4-RI-3-66
No.97889B
~s COMMONWEALTH OF PENNSYLVANIA
OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax
RESIDENT DECEDENTS
File No.t,·3-GS-S66
Date $;epternher 18,19-1i8....
Office REGISTER OF WILLS,WASBINnTQN Pat
f1ASHINGtON County,ss:Received from t'teorgi A tm.eue Scbus't0'l'
(Executor,U~~'iAUBQ{Hlim of the estate of ,-,teRABIt SCHJJ$'fEB
.who died April 3.19:.6L,the sum of ONE HUNDRSD TtiENTY ..SEWN and S9/100 - ---..-Dollars,
being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows:
Appraisements Made and Filed Computation of Tax
Tax on $
Tax on $_Real Estate
Date Valuation
$,-------
$,-------
Total $.::-'-----
5%$_
Tax on $10%$_
3,164.78 6~_$189.89
Tax on $15%$_
NOTE:This Triplicate Receipi to be retained by the Register of Wills and filed in numericalsequenceforauditpurposes.
NOTE:In accepting the transfer inheritance tax on future estates prior to the death oftheliletenantortenantforyears,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 lile tenant or tenant for years whenever it appears that such additional
tax may be legally due and collectible for any reason whatsoever.~-
$========
..---Register of Wills
MOORE BUSINESS FORMS,INC.,ELMIRA.N.Y.
Exemptions *$==============.
Total Estate $_
Total Tax $_
Less Tax Previously Paid (if any)$62.:lt)
Balance $127..59
Less five per centum of tax if paid
within 3 months after date of death $============
Amount of Estate Tax Assessed under
the Act of May 7,1927.$_
Total $.121.59
*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,qnd Act No.207,1961,Section 302.
,~.,............-.,
.I SE~L.I ..~~~j...,.2~l~~~v~t,.L:C d;/4f.~~,~;;;
Add interest at the rate of %
from _
to _
37....101.5
$4 ..3'5..18.
$4.375.18
$1,211.00
$3.164.78
Valuation
$4.375.18
$,------
Total
1TTffiD ~[LD @£lr[E
Date
~6B
Personal Property
Total Gross Assets
Less Debts and Expenses of
Administration
Clear Value of Estate
Valuation of Life Estates or Annuities
Date 19__$1------__
----19__~$==================
Estate Tax Assessments
Date 19__$,_
________19__~$=======
FORM HCC-4-RI
TRANSFER INHERITANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
Docket 31.'Page ·107 I jn.t:..e----"-'5....-'--_
OFFICE OF REGISTER OF WILLS
__---!:!.WA"""SH=~."""n....~=~O'_'"'T~O=I~Pa.
Date,_----'S""'e"";lp;..ut'l3oetn""':alb...e...r_l""'S'-'"S'_19--.&L
SIGNED AND SEALED AS PROVIDED BY
SECTION 1201.ACT APRIL 9.1929.P.L.343
AS AMENDED BY ACT MAY 15.1945.P.L.528
RUSSELL MARINO
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 suchreceiptshallbesignedandsealedbytheRegisterof
Wills and transmitted to the executor or administrator.
whereupon it shall be a proper voucher in the settlement
of the estate.In no event shall the executor or adminis-
trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills."
Fill in below name and address of person to whom
tax receipt is delivered:
Am.JOHN H.DAVIDSON
231 WASIlINGfON TRUST BUILDING
L WASHINGTON,PENNSYLVANIA 15301..-.1