The URL can be used to link to this page

Home My WebLink AboutOC1968-0678 - ESTATE OF TEALEFORM 67 REV.1-50 REG.WILLS Application for 14rttrra of A~miuiatratiou ou thr Estate of...~.~~.~r.~.~~..t ~.!.~.2 ~.~9..~.~~~~.~~.~~~~.A ..~!~~~.!.. late of........B~.tl.t.l.e.y..y..ill.e .."....W.~§.b.ing.t.Q.P.....c..Q:Y.P..t.y...J.....p..~.~...,Deceased. Before the Register of Wills of Washington County personally appeared J.EAN R T.EALE.,.. who,being duly sworn deposes and says that.l:!.f J..f :r.~.a.l~."a.!k!..3.,LLEw.ELLY.N J.T.EAL.E, age ,having hiS last family or principal residence at...B.~nt..l.~.Y.y..i.ll.~.,.Jv.a.~h.i.ng:t.Qn Coun ty , .(Street and Number) ...............................................................................................................................,W~~~~M1,Pennsylvania,died intestate (City,Borough,Township) at...W.~~.b..ing:t.Qn.,p.~..,..,.:,on the.:?.Q day of ¥..~p..;r.1!~.r.y..,.. A.D.,19..JHL ,at...; ;..:..M.,possessed of personal estate to the estimated value $3.2.Q.Q.,..QQ ,and of real estate in the Commonwealth of Pennsylvania to the estimated value of $N.Qn~,situate in ::.. The names and addresses of the decedent's survlVlng spouse (if any)and other heirs including heirs by adoption)are as follows. REI,ATIONSHIP In~SIDENCE ..J..~.~1J..Ji.,:r.~~l.~;w.lf.g ;;...!.Q§J~~~.~;t s.:t...!..,.~g.p..t.l~y..y..!J..!.~,Pa . ..L.l~w.~.l.ly1J.J..,T.~.3..l.~.,.J.;r..,.;.!................:i?9..P.:§.?J..§;N.!.MgJ~:g&w.J;}J.y..g.~..,..gQ!.ll:mJ~:ll:S ,Oh i 0;~. ..WJlli~m H.,T.~~!;~§.Q.P.::..~.g.§1.Q.~:ll:§.:t.~.~P..~..l.s..t.~t~G.QJ.J~.ge,Pa • I- :::::::::::::::::::::::::::::::::::::::::::::::~:::::::~:::::::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::r::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ........................................................................................................................................"1'.. That deponent is over 21 years of age,resides at.....l.Q~H~~gl S..:t.;r.~.~:t...J J~~p.J~.!~.Y;.y.JJl~., ..p.~.P.:n§y.1.y..3.1J.i.3..,.. is a citizen of the United States and a resident of Pennsylvania,and r,espectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. Sworn and subscribed before me this 9 . day :7-::,...-2?z.~_,A.p.,19.§.§.~.. ........~2Zz.c~._. REGISTER .............9L<.&1 JL.~J;dJ.........t~. COMMONWEALTH OF PENNSYLVANIA}5S: WASHINGTON COUNTY, And now '22:z...~r ,19.JHL,comes J.~~H.~1..~.~~J .. who being duly sworn doth depose and say that...S.h~will well and truly administer the goods and chattels,rights and credits of....,L.......J .......T.EALE.,a.Lkla LLEWELLYN...J .......T.EALE.,........,deceased, to the best of..h.e.r......skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me this ~?. day Of ~2·L~,A.D.,19..6.B .. ........................../j ')j..f'..~;.. ..~~d/,~...................................................................................:1... REGISTER J};~J .::::::~:::::::::::::=:::::::~:::=::::: .~ 0' i:~ .,'IV/).50S' ~.?1-~7-&7r APPLICATION .FOR Letters of Administration R $N.Qn~. Letters .. P $.:..3..20.0 9..0. Extra Alias $/..Q.r ~. Certificates /Le.$Lr.~ 2:5 Renunciations t,;;.1 $.~~;r:o . me:;.;-(..,-$7JJ~/-'~)........................................:1•••_•••••••••••••••:....:o:ll.:'r----i~:. !2:!r-~~------ ...................................~;;.:Q r.::--;..-YlJ5-/,n ·T al :,,~~.~/i~ot _Vf..l':.;::Z:__..~. (I)0-. '....- ....R!.Q.h!!-.!:9.y ..·MJ1.1.~.J.:~J,;r..f . Attorney ~2 .', I I1 " ..,.; -~ ........of 19...68.• ......,Deceased if\unw All m~u iy ID4~11~'r~ll~utll L.J.TEALE,also known as Estate of :r..:r..mv.~~.~~~.·'J;~.~.~.L .. Bentleyvillelateof , l' KNOW ALL MEN BY THESE PRESENlJ;. That we,J.EAN ..H.•....T.EA:r..~~.~.~.9.i~9.q.~.~lJA.~~~~~s.1!~.N.~E ~~~~~~.'. .................................",,,',",. •i11 of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- vania,for the use of those interested in the estate,in the sum of Five.'l'b.9.~.$..~.~<:t Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves, jointly and severally,for and in the whole,our heirs,executors;administrators,successors ana assigns,and each and every of them,firmly by these presents.Sealed with our seals and dated the ..../...0...day of ..........2JJ..~A.D.,one thousand nine hundred and ~~JC:t.Y.~.E:}J.g~t...<.~.~.~.~). THE CONDITION OF THIS OBLIGATION IS,That if the above bounden .~.E:}~n,...:EI~.:l?~ale, ,. Administrator or any of them,shall well and truly administer the estate according to law,this obligation shall be void as to those who shall so administer the estate;but otherwise,it shall remain in force. l'tattttttut of ~urttt! I.---------------=-----""::------------------------------------------------------.:.•surety in the'sum of $=~::_______on the administration bond in the estate of ---------.----------.---------------.--.-----------.,say that I reside at --.-----------.-..--...-------------------------.-------------,Washington County.Pennsylvania;that I am the owner of real estate,the title to which is in my own name and duly recorded.situated in ___ ____ _ _ ______.• Washington County,Pennsylvania.worth above all encumbrances $----;and that I am worth the amount expressed in said bond.over and above my just debts and liabilities. ._-_..__._--------------------~-_._---_._-_._----_._------._-------------...----------------------------------- ----------------------------------------_.._-------------_---------------------------------- Street P.O. jtattttttut of ~urttt! I.---------------------------------------------------.--------------------------------_.•surety in the sum of $________________________________on the administration bond in the estate of ------------~----------------------.---------------------------------:•say that I reside at .'---------------------.---------.-------------------------------------------------'-----.Washington County.Pennsylvania;that I am the owner of real estate.the title to which is in my own name and duly recorded,situated in _.._.__ _ _ _ _.., Washington County.Pennsylvania.worth above all encumbrances $------;and that I am worth the amount expressed in said bond~over and above my just debts and liabilities. ................................................................................................................-. ,.._----------------------------------------------------------------------- Street P.O. COMMONWEALTH OF PENNSYLVANIA.}ss:WASHINGTON COUNTY, And now ,___._.___.__..19___..comes _ _ __.___ _..__..____.._ _ who being duly sworn.says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this._ day of . . .A.D.19 .._._-------.._------------------------------------------------------------._------------------------------ -,1 I..\':r:11:~t \..'~\::"-'..' f'.~3.t~_flf No.$c2~_,',. . ""I l'' /, ~i i\~miuilitrntinu 1Buub IN THE ESTATE OF L.J.TEALE,also known as LLEWELLYN J.TEALE,-----------------------·.-.-·-------.-.Deceased.:--.--------- And now _.__,_ ,19.9.~. Bond approved and Letters issued to _ 1~\ (".1. \~ :::n :::---_.__._._----_.._------'--------g-~---_._--:...;.:-------_._-----._._.- ViC/)•.'(--- --j(/)i 1n-;rr,•.•;or-,~-···--········--------·········-·o·C":':'·..··----C----------;_...._--~..":-_. ""If::S:I ~~~r~ir=;:;:- ,I--------·----------·----·-----.ge---..·----€._~.;••-------~};----.-.CJ R~ster.......... , -;"-~-.;:'t'"'~~.'.J '• ,.I/I~",J.'(I~\." .i Bond Book .._.__?_~---_._._--_.Page c2S.() -t~_ BADZIK PRINTING ~9 DONO'RA .y6f , ,.f .', ....•' ., CERTIFIED COpy OF POWER OF ATTORNEY THE o-iiio'~CASUALTY INSURANCE COMPANY,HAMILTON,OHIO No.9387 leUIU!!All .tU by m~tJf Jlrt.tuts:That THE OHIO CASUALTY INSURANCE COMPANY,in pursuance of authority granted by Article VI,Section 7 of the By.Laws of said Company,does hereby nominate,constitute and appoint: John P.Wage ----------------------Washington9 Pennsylvania = its true.and lawful agent(s)and attomey(s)-in-fact,to make,execute,seal and deliver for and on its behalf and as ibi act and deed bonds of the classes described below,not exceeding in.any single instance the respective amounts set forth in column below entitled "LIMIT OF AUTHORITY": Bonds to be filed in any Court of any State of the United States,or in any United States Court,LIMIT OF conditioned according to Jaw for the faithful performance of their official duties by AUTHORITY ADMINISTRATORS and EXECUTORS ,$1 00.000.00 GUARDIANS,COMMITTEES,CONSERVATORS,CURATORS,TRUSTEES UNDER WILLS $50.000.00 RECEIVERS IN STATE OR EQUITY COURTS ;.$25.000.00 RECEIVERS and TRUSTEES IN BANKRUPTCY PROCEEDINGS IN U.S.FEDERAL COURTS ,$1 00.000.00 Bonds of PLAINTIFFS ONLY in ATTACHMENT,REPLEVIN or GAR.NISHMENT proceedings $2.500.00 Bonds of PLAINTIFFS ONLY to cover payment of COURT COSTS ::.................$500.00 Bonds conditioned according to Jaw for the faithful performance of their officl~d duties by PUBLIC OFFICIALS,(including Notaries Public but EXCLUDING police officers,sheriffs,and tax collectors)$25.000.00 LICENSE andPERrdlT BONDS required by the statutes of any State or the ordinances of any municipality of any State in the United States (EXCLUDING Warehouse Bonds and bonds required of Commission Merchants or Dealers in Securities,Livestock or Milk)$5.000.00 FORGERY BONDS ;............................................................$5.000.00 =~==--~--~- - - ---~.-~------ And the execution of such bonds or undertaklnp In pursuance of these presents,sball be as binding upon said Company as fully and amply,to all intents and purposes,as if they had been duly ezecuted and acknowledged by the regular elected officers of the Company at its office in Hamilton, Ohio,In their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(s)-in-fact • In WITNESS WHEREOF.the undereigned.Vice-Pre.ident of the .aid The Ohio Ca.ualty In.urance Company,hal hereunto .ub.cribed hi.name and aSized the Corporate Seal of the .aid Company. thi gZ~h clay of ~~.~r.~!.l......................19••••§..7.. .~~~~~~~L..~.~~~.~£..~.~!~~p..~.C?~. VIn-P",Il"" STATE OF OHIO,}!S. COUNTY OF BUTLER On thi ~.7.t~day of f.~)?,~.El.A.D.19 £:.7...~efore me,a Notary Public of the State of Ohio,in and for the County .f Butler,duly commi••ioned and qualified.came Arthur S.Thompson •Vice- President of THE OHIO CASUALTY INSURANCE COMPANY,to me personaUy known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposeth and salth,that he is the officer of the Company aforesa1d,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have hereunto let my hand and affixed my Official Seal at the City of Hamilton,State of Ohio,the day and year first above written.&\\\"'1II11",,,~~~~'U It ..~~~~··\\i,i.··1f-.~..·!*/~~//JIf.\*'\~.~~~.~~~2 ~~~.~~~~~.~~. =:.:=Notll'Y Public in lind /0'County 0/Butler,Stllte 0/Ohio::;~:;: \tlli •~8 My commission expires p.:..?~~~.:?L..~??.~.~_~~......~~1.tOUIft'\·~~CBRTIFICATE~"IIII1"""\\\~I,the undersigned.Assistant Secretary of THE OHIO CASUALTY INSURANCE COMPANY,do hereby certify that I have compared the foregoing copy of the Power of Attorney with the original thereof,and that the same is a correct and true copy of the whole of said original Power of Attorney,and I do hereby further certify that said Power of Attorney is still in force and elect.t: IN TESTIMONY WHEREO'.I hove '"my IwuI _.,LGL..-"'Y Ol..--a.---..-----.A.D••I /:. Fo.m sm'.H '.67.100 Ci(~~ F~rm No,RCC·62 (2·64)THIS ~ORM REQUIRED IN.ALL ESTA,TES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,/ EFFECTIVE JANUARY 1,1962.(FILE IN DUPUCATE WITH COpy OF WILL ATTACHED)V OFFICE OF THE REGISTER OF WILLS County of ..W.3:I?P-.i,I;\g.t.Qtl :.;0 .~~.a;~.~~.~~~;t.~' ' ;of .~~~..~~~~~..~~...'..~.e:~~.~~yy:~~;t.~t.'~~""".' (Name)(Address) being duly §.:wQ~n :according to law,deposes ~nd says thatEbe is the _.._Ag.R~R::i._~t:r..~_t_Q!'__.~_.,.L.J.Teale ,a/k/a JExec..Adm.,:Legatee,Etc.) of the estate of__:t!l~_w~Jl.Y.~__.J.._~'r~.~1.~.whose 'last residence was _.8~»_t..l~.Y..Y_~l_l_~_J P_a_~__._ (No.)(Street) ___________________________________________________.deceased,and that the whole of the estate of said decedent,who died _f-~_b.._·g~_I---.l~.6-S (CitY,Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRAN<l:ES 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 In names of Llewellvn J.Teale and Jean H.,!Teale.Value (wife)•House and lots at No.III 2nd Street.Bentlevville.Pa., TT.--a.nd lot at No 108 Hazel st Bentlevville Pa /l JJ ......, / IVK / (I VX'-'/ / Personal Property Checkin~account PeonIes Union Bank &Trust Co ..Bentlevvi11e.Si3.209.2 1955 Ford au ,",ne;>(~nlcJ for $100)100 00 Office equipment (sold for $100)100.00 - 1J4L'~¥o?j 6 NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered._. -.Jointly Held Property Estimated::"""'; .value ... (wife)>Bank accounts in names of Llewellvn J.Teale or Jean H.Teale ~ /~- 1.Savings account in Mellon National Bank &Trust Co ..J Pittsburgh,Pa./1/V$.1792j02 2.Savings account in PeonIes Union Bank &Trust Co ..'".Bentleyville,Pa.I G/..~16~-L7 v • 3 ~heckin~account in PeonIes Union Bank &Trust Co •.I Bentleyville,Pa.A'1 '\.j../989.22 /A JJ ~..'/I0/y7a-/-c~~,'-I L///1 WJj;/;L- 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 RELATIONSHIP OF JOINT 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 Jean H.Teale 108 Hazel Street-,---'J>'07._...IQD~ll"'.1.~'yvLLL'C,...................."'....~.~ Llewellyn J.Teale •Tr 58:1.8 N.Meadow Blvd., -Columous,Ohio ::SUIl :l~::S .1./.:> William H.Teale 425 Locust Lane, ~/"I"'...,"',.."..n ....,."'...v",.,....IQ...v_v_....._~,.-.-- RESIpENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED' NOTE:,.List first five items in the spaces so provided,observe notations thereon,and instructions Funeral expenses paidetc ,---L#__--=D:..:E:..:B::..;T:-..::O..=R:....C.::;L=A:.:.I:..:M=----,-----=N;.:.:A:.::T.=..U=R.=E_O::..:F=----=S:.:.A:..:M:..:E=----.----=A:.:.M::::...=O..:::.U-=.N:..:T:,-··-1oTHIS COLUMNiKEGISTERONLY $1539 kl5 $I.T{)np.~&~. Jean H.Teale Richard G.Miller.Jr. Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * 1000 00 d 00 150 00 Fiduciary commission * OTHER DEBTS AND CLAIMS (*)See Note below Bentleyville Munic.Water- works Feb.water bill Bentleyville Telephone Co.Feb.bill Equitable Gas Feb.gas bill West Penn Power Co.Feb.electric bill Charleroi Dental Lab. B.A.Sicchitano Russell Blackburn Dentures Office rent (Jan.&Feb.1968) Moving office furniture I23001 I 80 001 I 35 001 I 5 221 9 231I 2 10 3 50 Total 56 "N'ote: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._orb'...JI:..~'..:t..~. Subscribed and sworn to before me this ?n~............--(Executor-Administrator)k···..···.,.-day of .!\",gJl.'?~,1911~.1..~.~":"~l.~Z~t:~;';b;;j"""""""'" ...~.C ~;"YI ,.""1M"'.':OTl~:;.;,;;,".BentJ.l'yy.U:L~,..~. (City or Town and State)11'.S"~·"~·r":.l·,'~~:<'·'·.T~H C~,·,·ry u'{[~.\:~.~~;:c;:tXi ;I:~)':IL,inl Having been duly sWOCUding to law,I do hereby ~above appraisement is made in conformity with law on this ................../C!dayOf a :·,19..c:.~.0 ~~v~.~/........·....~..~;r....' In the event that any future interest in this estate is transferred in possession 01'enjoyment to col l'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 TH~G)STER 0 I,the undersigned duly elected Register of Wills in and fo ~c........County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the a nts claimed by deponent ept as to those items where a greater or lesser amount is set forth in th~mn to the right in said schedul above,which greater or s r amount~sentsthe sum allow~deduction. Dated:~~/q.r:£.~E..f~~~~~Register of Wills '1c .. .. ",• -". . (' Form No.RCC-62 (2-641 Will .l·.Administration SNo Year . IN THE. MATTER OF THE APPRAISEMENT OF THE ··ESTATE OF L.J.TEALE a/k/a LLElVELLYN J.TEALEl,.................................................. Deceased Late of .'.~~~~.:J.f?Yvilie ..................... ..... .... ........ .. County of ..W~15.Q.ington...... Commonwealth of Pennsylvania REPORT AND APPRAISAL ....."......- 5T11:.\.~El nI.Sl~J3l:i O:':It:\1lJ T 13SSfW r,"-:•T I'd -;1 0,"',1 c-~:ro,t:....H LJ '-J 1~....\,f-''''' ( 03~'11:~~ ,, ... I j I I I TEALE,L.J. '"f :1CF-;?-(6-64) CO\fMONWEALTH OF n\NN~YLV:\NI:\ T~l«N~FER INHERITANCE TAX ~~SIDENT DECEDENT a/k/a TEALE,LEWELLYN J. FILE #63-68-678 . February 25,1968 SUMMARY I.the undersigned #63 Washington 02-25-68 1 0-10-68 TtEPORT OF INHERITA~CF.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", the real and personal opposite each item in Dated: FILE #63-68-678 REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for lila sbj ngton 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.aI!~~h7A?L.~~Da ted:10-1 0-68 _---!:..-:--=-~_::..L..._0....:~:.=.__....:....::~. REGISTtR OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$$------3~409.~0 j,409.20:='_ 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-I{VALUE OF ESTATE ~,409.20 2,890!p:(L_ __-,=,-51,8._'7.9-.-_ 3,409.20 ._ ~,690.50 := 518.70 ======:= Valuation of life estates or annuities ...•.•.•$----- ESTATE TAX ASSESS~ffiNTS ~------ COMPUTATION OF TAXFORUSEOFREGISTERONLY Tax on $•__5%*_ T ax on $q~~:.'.'------Tax on $_~5.L..1Ll8..!..A...7l..'0!.L-_~~__~k;<l.;l)31 .12 T ax on $.__Hi%$_ Exemptions~======:=(::,)Total Es tate _ TOTAL TAX $___ Less tax previously paid $===========:.. BALANCE *_ Less 5%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 interest at rate of 6%(rom ______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 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 . I~THE ~IATTER OF THE APPRAISEl\1ENT OF THE ESTATE OF L.J.TEALEa!k!a .. Deceased Late of .13ENTLE.YYJLLE County of .......WA~f{::rNG.T.ON. Commonwealth of Pennsylvania REPORT AND APPRAISAL " / ';'.# J -' Fonn RCC-2'· IfCOMMONWEALTHOFPENNSYLV~IA DATE October 10 1968',.......................................................................,................................ DEftARTMENT OF REVENUE RESIDENT INHERITANCE TAX ....................W.~..~hJ.!1.gt...9.n........................B~~AU OF COUNTY COLLECTIONS COUNTY HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO.....................6..3.::::..6.8.::::..6..7.8............................... .., Whereas,.....................................................L.•.J........T.e.al.e.....a./.k./a.............................late of .................................B.e.n.tl.e.y.:v:.i.ll.e........................... I in the County of ..............................................Wa.s.hingt..Q,U.............................................Commonwealth of Pennsylvania,having died onI the .......................~.s......:t..h.....................................................day of ................F.e..b.r.:lJ.a..;ry.............................19.....6.8,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,II ....................J1..•.R........LChaue.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 posseSllion or enjoyment to collateral heirs of the decedent after the expiration of any estate for Ufe or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest.--.--, Unit AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpoaes $_._- PERSONALTY:_.-.- Checking acct.,Peoples Union Bank &'Trust ....""-. Co .•Bentlevville .....$3....2.09.20 lQc;c;Fnrn •hil P.Jon nn Office eauinment ....100.00 Total 3.4.09.20 1 40 c 20 .--" ItLUiEDXX '.. .-.---- :oc -. . ft _----~,XXX.XXXWq&.,wa.x q&.~~J(,1 X~w.x XWJl,xJU.1.t::"'...x..1y!ll.y~yyxt::llI..x...--_.- '.. _..-... --. TQtal 3 409 20 ._--. .. .... i I I form~~':fhbl:~~:I~~w~L~~to~~:~~05:ce~~:;7~~~~":e~;;~~~1~~ .::~:Appraiser .,....,......···..····..·..··..··....·..·......··1··..·········..··....,..............................................................................................,....~~~:;;:)...........•Penna. ·.1N.AS.HING.T.ON ,..County ... RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ,L..•.J..•.....TEA..LE.a./k/.a . Deceased. Late of BENTLEyVILLE . Date of Death,F.e.b..r.u.a.X.y 4.5.J ~9.6_8 Appraisemel!t Docket Vol.,3.7 ····_.··..·.. Page,115..".,.2 No 6.3..":".6.8~..6.7.8... Filed in Register's Office,.OC.t.o.b.e.r.1~,..~9.0B Amount of tax due,$__.. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appraisement, Appeal f"om Appraisement,. Entered and charged,. :." • , ,.. .' ~--"_/ I II RESIDENT DECEDENTS File No.63.68....6?8 WASHINGTON Pa. COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax ~sFormRCC-4-RI-3-66 No.978979 Date Oct'Cber 14 19 65 Office REGISTER OF WILLS,. WASHINGTON County,ss:.Received from_-2J~e~a~!\:!....!.B~.!.......;T:!!.:e~a~l!!!:.·e~_ l~Administrator~~1Cof the estate of Itt ~'.mAitB eke t:L~nl J.T&MJt I who died £e'hl"U&lry 25,19-.68.,the sum of fEN add 01/100 ...............""...........,u ......Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax 31·...12 5%$ 10%$ {;;1 it$ 15%$ Tax on $_ Tax on $-:-: Tax on $'518",70 --. Tax on $_ $------ Valuation $,------- $,------ Total Date Real Estate Personal Property Exemptions *$.==============' NOTE:This triplicate Receipt 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 ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com- monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantfor'years whenever it appears that such additionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. $======== Total Tax $_31~lJ. Less Tax Previously Paid (if any)$21..OS Balance $10...01 Total Estate $_ Amount of Estate Tax Assessedunder the Act of May 7,1927.$_ -'"....-"'l''"....Register01 Wills MOORE BUSINESS FORMS,INC..ELMIRA.N.Y. Less five per centum of tax if paid within 3 months after date of death $============ Total $10..07' *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. ~EAL) .Ii-"/R,...../I "j,·l".r";I,L.--:f.....A"::;#A:.,(...,,.,r.~,4.~.4 Add interest at the rate of % from _ to _~~_ 37.1.15...2 $3.409.20 $3 ..409.20 $2t 890.,sO $I 518.10 $--;------ $. Valuation $3,409.20, $------ Total Date 19__ _________19__ 1J[R1D [P)[LD @£1Y[E Date 10...10.68 Total Gross Assets Less Debts and Expenses of .Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19__$I~--~--_ ________19__~$============= ~Estate Tax Assessments.. II ___ FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. REsiDENT DECEDENTS. RECEIPT 31 115 2 Docket'-Page·~__I......jne'_ Estate oLf_-'-_ OFFICE ~~{ij~j>F WILLS Cctober 14,ulfa. Date 19__ SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY IS.1945.P.L.528 Register'!lf Wills 1201 (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive from Registers of Wills all duplicatere-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 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 the Register unless the receipt is so signed and sealed bytheRegisterofWills,", Fill in below name and address of person to whom tax receipt is delivered: r AfTY10 RIClWlD 0,.lJItum I To 411 l:ASllImrON Tat1S!BlflLnIlro t\JASHINrYfON,P1MU1SD,VANIA 15301 L -' ~~~~-- L-_~~__~~_~ /1~~~il i IRESIDENTDECEDENTS File No.63:"'G8~618 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax ~9FormRCC-4-Rl-3-66 No.948825 Date)fay '20 19 65 Office REGISTER OF WILLS.1'lASHINGTU!i ..'Pa. WASHINO,t'ON County,ss:Received from __J_C_Q_R_'_H_,,_,_T_C_a_l_e _ ~tJ,p~!,Admiillstrato~~W:Sit.dDIof the estate oLf_~....Iy....:!!..___S.!.l..:.-...!ItuB':UA~ll!.!l'.E!5o!------------------- who died 'Fel'truary2S 19 6S ,the sum of 'nmh"tY Stlld no/100 ......-..__...._'.Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax $------- $------- $'21~05" $------- $======== 5%Tax on $_ Tax on $10% Tax on $On Ac::et"6%,-X2\ Tax on $15% Exemptions *$============= Total Tax $_ Less Tax Previously Paid (if any)$============ MOORE BUSINESS [FORMS,INC••ELMIRA,rio y. Less five per centum of tax if paid 1 '05 ' within 3 months after date of death $======"'====== Balance $_ "'-----Regisler of Wills S~L,, ",.'~"""..-"/~~;-~,.~L.r ,~.{!:{{""'K'~P~:.4) Total Estate $_ Total $20 ..00 *As evidenced by Charitable 'Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June 1.1957,as amended by Act No.381,approved July 11,1957,and Act No.207,1961,Section 302. Amount of Estate TaxAssessed under the Act of May 7,1927.$_ Add interest at the rate of %' from _ to _ $------ $,------ $ $------ $INCOMPLETE Valuation Valuation $,------- $,------- Total $,------ $------ Total lYrn1D [P[LD @£lYlE Date Date Real Estate Personal Property Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19__$,------- ________19__~$======= Estate Tax Assessments Date 19__$)------- ________19__~$============ ,31...115...2 NOTE:This Tdplicate Receipt to be retained by the Register of Wills cmd Wed in numericalsequenceforauditpurposes. 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 inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. < ~i,,~.'J.\ FORM RCC-4-RI 11lANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 37 Page:-115 Jjne__2__ Estate O'1-f__t.:::;.-_-_J.:..'_~_-_mAtE--,--_-_-'_.._ omCE OF REGISTER OF WILLS Date WASliINGtOlI2 Pa. 1~!A1 20 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 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 such receipt shall be signed and sealed by the Register ofWillsandtransmittedtotheexecutororadministrator.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: ATTY.nIClfAlUl G.)tItum.JR. WASil1'NGTDN TRUst BUWING I To _---::~-:.:..;."-----------------:.:..;.---- L WASHINGTON,PENNSYLVANIA 15301 -l L ~~~~~~_