HomeMy WebLinkAboutOC1968-0660 - ESTATE OF MILLER---
Fonn RCC-2·
"•COMMONWEALTH OF PENNSYLVANIA .,D-'TE _...................1.1?:y...7..L...~9..§.?..................~"-
DEPART~ENTOF REVENUE .RESIDENT INHERITANCE TAX ................".......,}:'!..a.$.hinE,t.g!.L........."COUNT:YBUREAJ,T'OF COUNTY COLLECTIONS -..,APPBAISEMENT FILE NO.........................93..:::.6..$.:::.9..9.9.................................HARRISBURG.PENNA.17127 ..
I
-..
Whereas,............................................JQhn...1".....Yd.ll~.r.................................................,.,.,....late of .....................y.cD.ol.1ald..........................................................I
in the County of .............................................H8-.8.h:;i:)},gt.9.p....................................................,."Commonwealth of Pennsylvania,having died on
the ..........................IO'...t.h............................................,.,....day of ..................Jiay.......................,..........,..............19....67...,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.....................................11f..,R....,.Chaney.............................,........................,...,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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurposes
$
REALTY:
Nnl'~l'ifn1\]"R
PERSONALTY:
As ~"'P1"c;chedl1~A lI~rr 792 11..
TRANSFERS:
NOl\1E NONE
....
JT.HELD:
As nP1".S,..hpr\111 po 1I'1-<-;1I 21.1)09 70
'T't"It.~l ?L 101 81
I
fonn~;V;;:fhb:::::h~Sw~a~o~:,~a~o~~~":t§~~=~t,i;;;;~?:
I Appralller
~....·..·:·..············....··Z············....····...........................................................................................
I
Pl/tZ.e~~'7").........................,Penna
..................1t.l.A3HINGTON...County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
..J.o.liN ...L.J:UL.LEI:L
Deceased.
Late of
HcDQN1\I.:P....
Date of Death,.H~y JQ.,..l.96.7..
Appraisemel!t Docket Vol.,.3..7 .
Page,//.-?~..~No 63.~.6P..~6.60 ..
Filed in Register's 0 jJice,Hg,y ..7.,J 968 ..
Amount of tax due,$........----.--.-..-----------.------.
DEPARTMENT OF REVENUE
Received,....••._..•........•_u···············••.••••...._.__••_••••~.__•._._--_._---
Examined and Approved,
Wrote abo.ut Appraisement,
Appeal IMm Appraisement,.
Entered and charged,
,'.
,1
f
~cc-~q (6 .t.,~),~
COVMONwy,A:LTH OF PFNN~YLVi)'NI-.'\-··
T~UN~FER INHERITANCB TAX ,.
RES !DENT DECED~NT
HILLER,JOHN L.
FILE #63-62-660
Nay 10,1967 .._.--_..
SU·MMARY
rmpOHT OF INHEHITA-NCF.TAX APPRAISER
duly appointed Inheritance Tax Appraiser in and for the County of
,Pennsylvania,do respectfully report that I have appraised
property as reported in the foregoing return at the values set forth
the last column to the right in Schedules "A","B","C"and "E".
the real and personal
opposite each item in
FILE #63-68-660
I.the undersigned
if 63 Hashington
Dated:05-07-68
05-10-67 ApPRAI
05-07-68Dated:
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for Washin~ton ~,
County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts
claimed by deponent,~xcept 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.
REGISTtR OF WILLS
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)
CLEA...l1 VALUE OF ESTATE
VALUE AS REPORTED ...!..VA~L~U~F~.~~~~~~~~~~~_.~~~~~~
$.~$~----
792A11 792~ll
JJ ,7St.8.5-.....
J 2,SLI6.9.L
n 2,??3!2:Q...
Valuation of life estates or
annuities . . • . • . . .$_
ESTATE TAX ASSESSMENTS ~
COMPUTATION OF TAXFORUSEOFREGISTERONLY
Tax on $;__5%$_
T ax on !t 1010 ~~'.=~$.------Tax on $22.072.61 '3,310.89.__
Tax on $.__lfl%$_
Exemptions=======:--,-(::')
Total Estate _
TOTAL TAX $_
Less tax previously paid *======\=BALANCE $_
Less 5%of tax if paid within
3 months after death $~=======I===
(*)As evidenced by Charitable Exemption
Certificates issued by the Secretary
of ReventIe.
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%fromto $_
TOTAL TAX BALANCE $_~_
PAID $
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the
Register of Wills,for proper reason,same should be noted below,with short
.explanation.
Will
Administration (No.Year .
P.I<THE
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
.JOHN..L.lIILLER .
Deceased
Late of . .McDONJIJ1J .
!
County of ."\:J).SHINGTON .
~
Commonwealth of Pennsylva,!ia
REPORT AND APPRAISAL
;<';,:'
....
.,"
I
i..,
/-'r ~•
COMMONWEALTH OFJPENNSYlVAN IA.
DEPARTMENT OF REVENUE
BUREAU OF'C6UNTY COllECTIONS
COUNTY OF
0'.
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 -grante~by the Secre tary of Revenue.(Section 703 o.f
__th~_Inl)eritancean!i ,Estate ,Tax Act of 19~L)
Form RCC-33-RI
REsiDENT DECEDENT
.,,~I:Jennie Miller Heir
",,,,,,,,,.,.,,,,,,.,.,.,,,,,,.,,,,.,",,,.,,,,.,,,,,,.,.,.,.,..,.,,,.,,,,,,".,,,,.,,,,.,,,,,,,,,,.,.,.,,.,.,.,.,,.,.,.,,,,..,.,.,.,.,.,.,.,.,.,.,...".,.,"""'''.,,,.,.,.,.,,,,,,,,.,.,.,,.,.,,,.,,,,,,,.,.,.,..,.,.,""""""''''''''''''''''''''''''''''''''''''''''''.,,,.,.,,,,,,,,,,,,.,,,.,.,.,
of the estate of the above-named decedent being duly sworn,depose S and say S
Couniy of
State of .,...
""""""""""""'"I~.,.,~:~,~~~,~~,~~~~~~:,~~..,....,.""",.,.,.,.,.,.,.,.,.,};=:;,::OF f 1\1 ~,-Fl."~,'(),,If
(State full name of decedent)'~--'-i
Late of .,.,.,""m,..,,..,.,,.,Washi~ton,,,,...,,.,,."."",.,.,.,.,.,,,.,,..,County ADMINISTRATOL -i
~~~r~I '---",_----..--I
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
Kim Darragh,1901 Law &Finance B1dg.,pgh,Pa.15219
....,.
HeirThatassuch deponent is familiar with the affairs of said estate and the property con-
(Exl!culor-Aclminislrator),.
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 INSTITUTIONINWHICHDECEDENTRENTEDASAFEDEPOSITBOX THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached 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,ITame 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.i~Vtrust for
any other person or persons giving also separately the accrued interest thereon,if any,down',to the last
inte7rest day prior to decedent's death in the case of savings banks,and to the date of d~cident's death
in all other cases;all b~nds,-,ro,stal savings,treasury certificates or notes and other 'evidence of in-
debtedness of the United States to the decedent;all obligations,whether by statute or agreement they
are designated as tax free,of the United States,or any state,or political subdivision thereo~or of
any foreign country;~hich are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated
market value thereof;all bonds and mortgae: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,wi,th interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such ~t4mated fair market value be less than the
face value,it sets'forth briefly the reasons for such deprecia?!pn.as to each item;all moneys payable
to the estate from life insurance polict-es carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
v~lue thereof at such time.
"'-.
~~tR------
......~.~.3 J..9.bg.~A:v.:gn\l.e.~_..
(Street Number)
..Mq.P.9.~~.l.4 f.~J...5.05.7 .
(City Of'Town and State)
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 liabiPities
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.
r A copy of the co-partnership agreement,(if ~ral,/)l.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,together with the fair market value
thereof,any other property owned or bequeathed by the decedent at the time-'of death.'"'j,
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 transfers'.'.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 £o~y
of the deed,trust agreement or other instrument creating the trust.Therl~is also set forth in said
schedule a list of all property,real and personal,with its value,which pass~s ..·at decedent's death by
virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint-
ment vested in decedent,either individually or jointly;by.the willi.eleed,or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in thlfll 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 the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;oosts of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;co~t expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and \mpaid at time of
~,death;taxes accrued charge.able fQr 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:.l.L
................::::day of ~19 0e
-~YN·;~~
pmSBURGH ALLEGHeNY r,(lU~I,Y,P!\..
MY COMMISSIOi'!EX'IRES
APRIL.t.1.1960
NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None",and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached.Also make
certain that column #1 in the "Sununary"has been properly completed as above-directed.
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE·TAX
RESIDENT DECEDENT
~SCHEDULE "n"
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".Inta~gible 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 nroperty,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 State,at the time of death,should be listed in this schedule.
2 Refund on 1967 Income Tax
3 Refund from State of Iowa on Income Tax
1 Checks from Ebasco Service,Inc.,
Decedent's employer for services rendered
Item
No.
ITEM
List and describe fully
UNIT ESTIMATED DEPARTMENT VALUATION
VALUE MARKET VALUE (Do not write in
this space)
$254.61 ~~~
~gCh'>-r457.55
79.95 n(~
TOTAL
/
Insert this total opposite "Personal Property",Schedule "B"in'
the "As Reported"column on the last page of this return.
x X
$792.11
JY~,/I
•ReC-36
(.'rmr.rON'I"E\LTH OF PENNS.y"LVAN1A
TIUNSFER INHERITANCE TAX
~~SiDENT DECEDENT
•SCHEBULE "c"
TRANSFERS
(1)Did decedent,wi thin two years of death,make any transfer of any material part of.bis estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)NO
(2)Did decedent,within two years of death,trans~er property from himself to himself and another or
others (including a spouse)in joint ownership?(Answer yes or no)No
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age of decedent at time of transfer _
(b)State of decedent's heal th at time of making the transfer.(Note 1).
(c),Cause of decedent's death.(Note 1).
(4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)No
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decedent's death?-----(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no)No
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income 'therefrom?(Answer yes or no)No
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or others -:-_
(7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor?(Answer yes or no)No
(8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change,
because of a reserved power to alter,amend,or revoke,or which cOllld revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)No
(9)If the answer to (8)above is in the ~ffirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)_
NOTE 1:The anSwers to these questions should be 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 slwmit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM
NONE
DESCRIPTION MARKET VALUE
(Estimated)DEPT.VALUATION
(pept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"colllmJ1 on the last page of this return.
J''
CCM~!l)\\NR.\1.TH tlF 1'1'~NN~YL\'\NL\
Tn.\.:\:.-'l:·~H rXHFRIT:\NCE TAX
RS&IDENT DECEDENT.
SCHEDULE "E"
JOINTLY OWNED PROPERTY
nSTRlTTIO!iS:This schedule must disclose all property,real and personal,owned by the decedent jointly
wi th 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 mIder 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 name,address and relationship (if any)of co-O'wners to .
the decedent.
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
percentage Estate
Share Valuation
,--_..,....,..__-_-·0:=-.-__-:;=-=.=-==-=-==;===========
Description of Property,Date of Acquisition,N~;el unit
Address and Relationship of Co-Owners,and Place l Value
of Record of Instrument,where Real Estate.I
Property Interest
All property listed in this Schedule
was held in the names of John L.
Miller,the decedent,.and Jennie
Miller,as joint owners with the
right of survivorship:
BANK ACCOUNTS:
2,801.
f23 ,S69.
I,N.B.-For many years before his deat~all the de-
cedent's bank accounts and investment,wer held
jointly with his Aunt;Jennie Miller,il~hlWfi6m~he1D8der~hi'S2perrnanent abode.In,1966 de eden
t
went
to Bridgeport,Conn.to work and at t at t me
changed his banking accoUnt from the place of his
,former employment.The funds in bothl accoljmts
with the State N4tiona1 Bank of Conne~ticut had
previously been held jointly in otherlaccoynts
go~ng back to 1960,or earlier."!.
/'
1.Pittsburgh National Bank -Me
Donald Branch -Savings Account
#21903 -established in about
.z....,.IJ~.~~balance on date 0 f death~-T~l1v.y I
2.State National Bank of Connec-
ticut in Bridgeport,Conn.
Checking Account #3-42717-3
established in 1966,balance on
d/death I·~~~fl4).""flI,fJ !Time Investment open account
130-700201-9,estab.lished in14JA'/196~-balance on d/death
7'i\li~fJ"·G t TOTAL
Insert this total opposite "Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last page of this return./
lH"C-:l~d-TU
n~"it\lt):'\WE:\I.TIl OF rEN;\;SYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
t
h
,RELATIONSHIPBENEFICIARIESANDADDRESSES(If step-children or SURVIVED DATE INTEREST OFStatefullnamesandaddressesof'.11 who illegitimate children DECEDENT OF BENEFICIARYaveaninterest,vested,contingent or other-are involved,set STATE YES IN ESTATE •
wise,in estate)..'"'..~forth this fact.)OR NO BIRTH
Jennie Miller Aunt Yes l/6th
McDonald,Paw .,,\:.
Mrs.Estelle Flahertr Aunt Yes l/6th
McDonald,Paw
"l/6thGeor2eMillerUncle.Yes
McDonald.Paw
Fred Millerf1'IJnde Yes l/6th
R.D.//2,Burgettstown,Paw
Victor Miller Uncle Yes l/6th
Parma.Ohio'
Catherine Fenwick Aunt Yes l/6th
McDonald,Paw
"-I
,.
-.
...
...~
i
.
,,
/
.
/.o".
\,//
Deponent further says that all the above-named beneficiaries are liVing at this time except below:
NAME DATE OF DEATH RESIDENCE
Deceased
~IATTER OF THE APPRAISEMENT
,'--......
OF THE
(Executor-Administrator
must complete "As
Reported'.cobll~n #1.)
C'),f4 ,...;j '"t:l ~a,'.'0 ~Cb Cb...e.til S"=:l tilen:--:,cn 0
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i o ...~"0 ~
t"l1 (1)........
til r1"
""Go '<:
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.....
Year .....
P.o<THE
t No.
ESTATE OF
JOHN L.MILLER
Will
Administration
Late of ...14~l)()Jl,a.J~..
....""
.-Commonwealth of Pennsylvania
~.....to-..
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REPORT AN!>;APPRAISAL?:'::n ~.~J~=--C:"."~~.~J~)r./)--t'vc~"-tnI-;-~,.~~~i=....j..--J~~<:=:c~~~!'!7~-'~~-~r-t:!:<(.,~t\~
County of
~.
Kim Darragh,Esq.
1901 Law &Finance Bldg.
Pittsburgh,Pa.15219
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Register of Wills,Age~t
Form RC C·lO
OFFICE OF THE
OF L~~~~~:f6:.'S!::.~COUNTY
AND
STATEMEN.T OF DEBTS'
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN..
THE SUM OF .'~$et£.rifgp
DATE APPROVED ••.......~.7-:.(/?
~"~~•
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Allegheny
JOHN L MILLER McDonald -Pa..ESTATE OF __--IIIUOLJ.IoI"~_.......-..Jto."""1I.:!l!!:!~2.-__LoATE OF __--=.:=====..z~__=~:..__
DATE OF FILING APPRAISEMENT _~S=-_--"7:"_--....!&..E::...-'fZ--__DATIi OF DEATH __-,Mu"=a=.lY'---l1:;0::.~,--=1:.:9:..::6=-7=---_
DATE NO.OF NAME OF PAYEE REMARKS AMOUNT
VOUCHS","
Mav 1967 Wm.D.Rogers Funeral Home Funeral Bill 1377 20
Mav 1967 Wm.D.R02ers Funeral Home Transoortin2 bodv from Conn 252 00
Mav 1967 Robinson Run Cemeterv Burial Plot 70 00
May 1967 Rev.Clifford Soisson Funeral Service 25 00
AU2 1967 Kurtz Monmnent Co.Headstone 505 00
Aor 1968 Kim Darragh Attornev's fee 100 00
TOTAL 2,229 20
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-
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}ss:
I,~Ji.!iieiO.ln4lnll.1....•eSLKMyib.olb...lA.;e!a.r__~_~H£REBY CERTIFY,THAT.TO THE BE8T OF
MY KNOWL!DGE AND BEL.IEF,TH!!FOREGOING,18'A'JUST AND TRU E srATEMENT OF DEBTS,FUNERAL.EXPENSES AND EXPENSU OP'
ADMINISTRATION SUBMITTED TO THE EST"T~<lF John Tie Miller DEcue,D,AS DEDUCTIONli FOR
INHERITANCE TAX PURPOSES.9"'.~~.
~.;....}---.e~.d,<~..(~(L..5.)
AND SU.BSCRIBED BEFORE ME THISk'Y DAY 01'
-"c--'-"'o;F'-"":>C:>O~~---=~--,._~1"
~,1.~RI~~N F.THOMSON,Notary Public
P,TTSBJRGH,ALLEGHENY COUNTY,PA.
MY COMMISSION EXPIRES
APRIL 13.1968
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Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA JlESIDENT DECEDENTS
948914 OFFICIAL RECEIPT
No.Transfer Inheritance and Estate Tax File No.63...59...660
Date ,June 12 1968
Office REGISTER OF WILLS.WASJfiNCTON Pa.
1'.1'!\S1,;.,~tgmOJi.f County,ss:Received from Jei:lid;e t·:f111$:r •Info~tif...i ..._~i .........;;
~~~oftheestateof .tOHN I""",MIt..J..EB
who died f~10 19---G!l.-,the sum of ONE THOUSAND SIX smmJU;;n 1"ffR!Y-EI~J!r &4S/100 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 $2%$
Total $Tax on $On Account;15%$1,638..45
Personal Property'Exemptions'*$
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 if paid
Administration $within 3 months after date of death $
Clear Value'of Estate $rr:00'·fPl·EfB Amount of Estate Tax Assessed under
ValuatIon of Life Estates or Annuities the Act of May 7,1927.$
Date 19__$Add interest at the rate of 'rd19__$fromEstateTax Assessments to $
Date 19__$,
Total $1.638.4519__$*As evidenced 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 hfe tenant or tenant for years,as evidenced by this receipt,it is understood that the Com-by Act No.381,approved July 11,1957,and Act No.207,1961,Section 302.monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthehfetenantortenantforyearswheneveritappearsthatsuchadditional /l!.ALtaxmaybelegallydueandcollectibleforanyreasonwhatsoever.
(/,,'#rlic~.MCC :::??~4t.-""~rt>OlJlmD[P[LD @£veE 31...113..6
NOTE: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,N.Y.
F0RM RCC-4-RI
TRANSFER INHERITANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
31D'ocketL..__--"Page 113 I.ine,__'_'_
ATU ~KIM DARRAGH
Estate oi-f_._J_O_H_N~_L__.m_._1&_1_'__
omCE OF REGISTER OF WILLS
WASHINGTON---------------"'Pa.
Date,__~J=u=ne=,-"1=2:.___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
RUSSELL 14ARINO
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 settlementoftheestate.In no event shall the executo.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:
I
To---------...,-------------
1901 LAWfl 'INANCR DLDC,.
L
PITtSBUROH It PENNSYLVANIA 15219
~---------------------------j