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HomeMy WebLinkAboutOC1968-0702 - ESTATE OF GRILLIPETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form/ Estate of RAY.~!?..Q.~.~~X-:~.~__._-.-. Deceased 63-68-702 "-~No _ _ : :A.A. . .Nellie Grilli,ExecutrixFiduciary . Date of Date of.April 5,1968 .I May 16,1968 .Decedent's death Grant of Letters . This is the fir.s.t..and.finaL account filed in this estate If there have been former accounts filed in this estate,list file number or number and term ~~::?:.~. ....................--,;..__.___-__-__-___-__.__----..-__-_._-_-_-__----__----------..--_..-----_-----_. Election to take UnderXi¥~mstMT;illl(crossout one} Date Election Place of; Filed N.9.~~.JjJ.~.9.Record ~~_ _ . Name of surviving spouse ~.C?~~__.. List issue,where material:Not material. Did decedent marry after execution of will?{indicate}~No.Any children born after execution of will?{indicate} ~No.If answer yes,name them :::_ . Leg.atees -Relationship Interest Fiduciary,if deceased or not sui juris Louis Grilli brother $1.00 Samuel Grilli II 1/5 Joseph Grilli II 1/5 Nellie Grilli sister 1/5 Christine Grilli II 1/5 Rose Grilli II 1/5 List,if exceptions to above: No exceptions. If partial intestacy,give facts: Adeemed:Revoked:Lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c>received written notice of the filing of the account and of call of audit?Yes.No. ....No exceptionsIfanyexceptiongivecause . File copy of Notice..November 25,1968--copyattached.and date of mailing ".,•...,,." Is estate subject to the filing of a Federal Estate Tax Return?:N.~,_ . Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $?~.?:}.?. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant J':~O.!:1.~. Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and,whether the claim is denied. None; Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: None Balance for distribution per account, Itemize any additional debits not shown by account: Total additional debits (Add) Itemize any additional credits not shown by account: Total additional credits (Subtract) Balance for distribution $.~.!.~3.:.?~. $N.9_n~._. "1'I '~, $_.~~~~. $.41Q2.:.QJJ . If balance for distribution is not .in cash,list each item held in kind,giving appraised Value (or distribution Value); Real estate in Donora--per inventory filed Cash--Mellon National Bank OJ' $600.00 3502.58 Ik ••'do .•.•_._~.""_' And your petitioner will ever pray,etc. , .. IfF '1 E ..I .db P ...I f R d None claimedamiyxemptloncalmeyetltlOnjgivepace0ecor:~. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:-=-. List any advancement or distribution on qc:c.:ount that has been made,and nature and amount of same: None Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: Court requested to make distribution. COUNTY OF WA5HINGTON~55: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ~.~~?:'!?:doth depose and say that the facts set forth in the foregoing petition are true to the best of ~~:r:knowledge and belief. q:W-Q.:r..n to and subscribed before ~e Ih;S.lf1LdOY.O~f.•:•••...•.~()y.'!.~iL:19;.~.?..,... Signature of OffIcer ·,........~.. ~'...~:.-..Executrix\~.iJ J.~.J.J .lUi· Title of Off!cer.~.:.NQ~aXY..:P.~ii~1oe~K;lfolitfPIlIl1l0....I!.~.L!V.~. ..'~'~Dutra,Weahlngton Co.,Pealllo Office "expires :JIJ.ClQlQtlMIM.J:uJm.. .. ..lUll 10,1872 . ,I .....-~"No...~.~:::.~§.:.?9.~~..~:~A.A. Estate of.Q~~~.g.RILLI,,............_.._-_..--__..-_._.. -.,._---.,-" ., , I \ i "J '~~ I I ~\,\\, 1-'1 j::'r) .....__••__~~_!!_~J"'-""'"'00:,__.,00 -_-..- _ . Deceased FiduciarY..~~!.::~~~~9.~}~~~.~1.G __-· ~·?p~cutr~~!.;;'0 ....·····················H··..C·:·:·i~·;:·D~···ii;T~:[s····- PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in con'formity with Court Rules adopted effective December 3,1951,being rule No.9:po rag raph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. ..~.~..J?ARB:¥....t~J:~n?-~B~QN _.. Attorney ~2 \\~\, ~~~~fit-...""I ....~~-.,~.... ~• ,.J I .,''C " ;. .' '..(. ~..~ARR~A~PER9S60N.:,NQ..~m~AT'.~Aw1 8 " •r ... ". .f'l ,. DONoaA,PA.15033 . "PHONE 379-6241 . \.- q.'I-,'of,:Louis Grilli 5·Betty Street Ukiah,Califor~ia 95482 '.,. Dear :Mr.Grilli: Thi~is to':~dVise ;you that th'e estate '~f your deceased brother.Dav-id Grilli.will be audited 'by the Orphans' "#J_ Court of Washington·County.Pennsylvania;OD'Monday.December 9. 198fha't 1.:30otcloc1(P.M••E.S.T'I in the Orphans'Cour~, .. Courthouse.\\'ashington.Pennsylvania.. If you have any question concerning said estate.would you please present yourself at this time or conta~t this office prior., to the audit? ~"- "' verytr:uly y~urs, SBA/av ,F •'''-"•• S.Barry Anderson •• "r.".~..~--:-.......-.-. ,..."- Corj1lOnwealth of PC-:1Ds;r1v'-'nip,bni'-:.g of sound mind,mer-:C'ry,'lY'r1. 1J.nderstr....ndiTlg,'10 1:1.2.1:e,publisn,and declare,this,rts D.no for FIRST,-And ss to ny ~or1dly Fst~tp,~nd r1l the 7)ropert:T cf ··.·hich I s1181J (lip,soi,?pr'j ?nd possessed,o!'to nhich I shall bA 'entitled ~t the tim0 of my ~oc0ase,I give,devise IT~M l,-I ~i~0ct 811.DY just debts and fune~~l IT'SI.·r ?,-I gi1.re '=Jnt:1 ber:u8oth unto my brother,.LOUIS GRILLI,the sum of One ('-'l.()O)I\ollnr,being his full shr>!,p ITE?J 3,-_~ll the rest,rssidue,!'Inc~l'emainder,of 1 fII S1.lC}l c8.se·, _. "'--....---_._--..~......-.--"~-'---'..~..."..'._.......~...... IIDrcc1ecf'"~"ISO me,then,and in sHeli C!;~80,tile shr r'"o~eo,ah b~'oth0"'1 brother or brot~ers. purchnS0rs thereof.The proceeds of the sale of the soid rp IfI -0-,I'".t'_..~t'_.-(1 0 .c,er~O:T n"nHna ,1'"\,COllSt i bJ-'-"B1:.(1 "1'"ld to this,the Inst shent the-reof,I ['..sve Y"\~..\C'I ,.....·f")f""l"..-..', C7'(-j.~;-'..,'-, ," 1,..,....,-..,\",,,,,.,,,,_(,t::.~,,.,.';,",".",........ ,.... ". .~-..,.. --------------------------------------------------..... Affibuuit '(@f iExrrutnr (@r'~1\~miui!itrutnr ~tatr of JrnnB!JIUanta..t 55: C!tounty of lIan4tngton \ P all b f h d . d h'Notary"Public . d f 'dersony e ore me,t e un erslgne aut oflty,a ffi an or Sal County and State,appeared N~.1I.t1~QB:!1I.t.Il.who,being duly sworn according to law,deposes and says that she is the execurot~'t':~~~~(~f the estate of ....DA.yID G.RILLl deceased;that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of..RAy.'J.R QBJ.1.ItI , deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made by the above named Executorix Mroi:di~~;o:( ~.:...,g .J-oJ ~1l'o\\Od.a~.::=~;.:':.~..~~~:~o;':t::~.;~.:;~~;f':~\~.~d!..~. .'~....:~......~.......-_...L!..~.~~=.~~~~~~"".'-Executtilxl\~~$_,*...............~ :"'.'~ADDITIONAL INSTRUCTIONS •N 1.An inventory must be filed within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- chiding Copy of Will and copy of Federal Estate Tax Return.': REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 llnutntnrg anb p.ppraiarmrnt of the goods and chattels,rights and credits which were of RAYIR QEI!::.1!.l Jate of R9..:nQ.r..~;... Washington County,Pa.,taken and made in conformity with the ab07Je-affidailjt. / DOLLARS REAL ESTATE An undivided one-seventh (1/7)interest in and to all that certain piece or parcel of land lying in Donora (formerly Carroll Township),Washington County,Pennsylvania,and being further described as follows: Being Lot numbered 20 in Block numbered 75,lying between Fifteenth and Fourteenth Streets,fronting on Gilmore Avenue 22 feet,and running back 98.59 feet along the line of Lot numbered 19 and 97.38 feet along the line of Fifteenth Street,having a rear of 22 feet on Todd Alley. I CENTS See Union Improvement Company's Plan of Lots in Carroll Township,now Donora,designated as the Second Addition to the T own of Donora,in Plan Book Vol.-,page . BEING the same property which was conveyed to Guyeppe Grilli by deed of Union Improvement Company,dated --~-=--------t:and recorded in:D.B.Vol.283,page 269.The said Guyeppe - Grilli died February 5,1924,survived by Mary Grilli,his wife, and seven children,namely,Louis,Samuel,Joseph,Nellie,David, Christine and Rose Grilli.The said Mary Grilli died March 29, 1957,leaving to survive her the same s even children above named. PERSONALTY $600 00 Savings Account No.800--Mellon National Bank Checking Account No.150-5617--Mellon National Bank Cash from sale of bakery shop equipment Refund on baking supplies Total 2246 74 2003 42 1300 00 148 50 II$6298 66 SlllA\.:!O tEl'S'[J]U OI\iCiV!J TIJsSm.J ra:or Ii'l L r Nnr CB31 ~~~Nl~1 \ j~ I~ J to-' 10 !G'.1~ ~I "I c .1 \, ...... ......;:l 15'..<oj<:~~;:l ~.....\c I""t<t::~"-~~"-ttj ;:l~1 ~V)~~~~ ~~~~0;' a ~~~~;:l.... _.-.:..::;-~...-----~.-~.,....;.--_.- , ..~·I:':.:. IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA In r e:.) Estate of DAVID GRILLI, deceased. No.7 rJ ;J--1968 FIRST AND FINAL ACCOUNT OF NELLIE GRILLI,EXECUTRIX The accountant charges herself as follows: Per Inventory filed Total Charges RE CAP I T U LA T ION $ $ 6298.66 6298.66 Total Charges Total Dis bur s e ill e n t s Balance for Distribution $6298.66 21"96 :oa $4102.58 I Balance consists of: Real estate per inventory filed $600.00 Cash--Mellon National Bank 3502.58 1 1I. The accountant takes credit for the following disbursements: 1968 Apr.5 Lawson-Rabe Funeral Home--Funeral $1093.42 9 Columbia Gas Co.--Services 23.95 15 West Penn Power--Services 15.52 19 Bell Telephone Co.--Services 19.82 May 15 Guy Rogers- -Trip to Donora 15.00 Russell Marino--Letters,Short Cert.&C.C.Will 14.00 22 Valley Independent--Advertising 10.50 Washington County Reports--:Advertising 12.50 June 17 Russell Marino--Filing Inv.and balance on letters 7.00 Sept.23 Russell Marino--Filing account 16.00 Anne Verbich--Notary fees 6.00 S.Barry Anderson--Legal fee 315.00 May 29 Russell Marino--Inheritance Tax 647.37 Total Disbursements $2i96.08 STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,deposeS and sayS that the above account as stated is true and correct as she-------.---..---------verily believe,s. Sworn and subsc'ribed be,fore me this .J:_;.~ Washington County,ss: .~.._~~._---------_.._._---- Executrix I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Stdtute and Rule of Court,as evidence by proofs thereof filed to No.__..._ _.._... Witness my hand and official seal this ...... . day of..1 _.___.....__19 . ...._--_....--.._------_.....__.__.__..........._---_._-_.......---------_...._..- Register of Wills -~----- .......,..., 0 1-0 .:=0 oj...,0 ..., co I'l 0 .:=0 =co 0 Q)0 m CJ ~..c:l ....CJ CJ ........,0 CJ ~<H 0 ~'1j!+>...,.!<l '"tH ::s 1-0 0 Q):'t:l Q)0 C,)Q)[)....00:..., Clli Q).• 1 I'l Z >. ~1 1-'''0 Q)0 Q) r;..Q):1-til '8 0 'I'l C,):~L Q)1-001-0 iE rn 0 IIIQ)!--i=l...., fil 0 ~...,t~'1ji ...,~~Eo<~I'l ~<H =fil Eo<~:r-l ~j '~i 0 QH'Cll C·....,.,-CJ 't:lrn.~:~...'............J 'vi J Pi!5 CJ I'l Zfil~j I=:t 5t oj ojH ~.....~I'lfr.l .,J 1-0H::8 I':l Q)~i A4!0 '~...,i>-l...,.8 tilq:'d fit'~C'rr''".~...,'b1J ~1 I=:~1.)~'-"-.1.1'1.4 "/1'0 0 ojRtG'('r."I....,S Q)~Q;Cll H ''"to;CF \'/ILLS Q)P::~~..c:l ,:::~...,Hi +>0 .... ~'00 ~I'l .:l=Q~l 0H~CJ 0 .....'t:l fr.l Z I'l ci 1-0 Z ~0 rn(""~,!........ .~.,-:... ,,7 -.-. .-...;-- • ~ .; , • -..r ...,.., \( I"r j,~\\, \.., f 1\'l . '\., /r ~ --) "-J •C'~_'.'"'..;~.-:..;r:';"4 •."C~ "'J ~7 '! The Court is respectfu Ily requested to determine proper distribution in this estate. S ~AA'.11.lJll.-----C-o-u-'n~ IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA In r e: Estate of • DAVID GRILLI, deceased. PROOFS OF No.1968------- PUBLICATION -',r I Washington County Repo~ 1l~~"ti~JiXR~~X Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P,L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHIN~--roN ) STATE OF PENNSYLVANIA (SS. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,published weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COl'NTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement, exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: .............M~y.~.Q.~J~.§.~. .............J.une -6-,l3-.;l9-&8 . that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter o~s'd notice or advertising and that all o.f the allegations of this affidavit as to the .~ce ~nd »aracter Of~PUbl~~.~retru. Uua ~.l(~·y~~'Sworn to and subscrib~~""--~·=~~Edit~; .....l..3..tj..~ay Of...J..Y.~~~,196.JL .........~~(!~.. N Publicl(ATHERmE C.YARD,Notary.10W~ahlngton,Washington Co"a. My Ccmmission Expll'OS November 1,1969 Estate Notices The Register of Wills has granted letters. testamentary or of administration,in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys. • •• •••••••• • • • • • • GRILLI,DAVID,Dec'd. Late of Donora,Washington County, Penna.Executrix:Nellie Grilli,1545 Gilmore Avenue,Donora,Pa.Attorney:S.Barry Anderson,617McKeanAve.,Donora,Penna. '.• Proof of Publication of ~"' Notte in The Valley Independent U Under Act No.587,Approved May 16,1929,P.L.1784, as amended by Act.No.51 of April 24,1931,P.L.67 State of Pennsylvania County of Westmoreland }ss: COpy of NOTICE Personally appeared before me William H.Pare,Secretary of Mon Valley Newspapers,Inc.,a Penn- sylvania corporation,publisher of The Valley Independent,who,being duly sworn,deposes and says that The Valley Independent is a doily newspaper of general circulation in Fayette,Washington and Westmoreland counties,Pennsylvania,and elsewhere,published in the City of Monessen,Westmoreland County,Pennsylvania,that it was established June 28,1902,since which date The Volley Independent has been regularly issued in said county,and that a copy of the printed notice or publication is attached hereto exactly as the same was printed and published in the regular editions and issues of The Valley Independent on the following dotes,May 24,1968 May 31 and June 7,1968 Affiant further deposes and says that he is General Manager of The Valley Independent,a doily newspaper of general circulation,and as such is authorized to verify the foregoing statement under oath,and Affiant is not interested in the subject matter of the aforesaid notice or advertise- ment,and that all allegations in the foregoing statements as to time,place a~haracter of publica- tion are true.')---t.h::./--....J:.'---".k-'=::::;.?~£.-r-",,--,-)----...:,,-----,~:<...--==-----_-,--_ Sworn to and subscribed before me this ------":.=..=-=-7'--+----- d f Juneay0------;>=-,'I'~-H- CHARLES 1,1.Notary'~P'ubiicp;~Mone~"n••1,,·-I'r".•Mi Cor.I"\"•.:XplreS My commission expires =Ja:::J\:..::u·:::~._'_•...:..',-'.:..:'1~:.:..7..:...1 _ STATEMENT OF ADVERTISING COSTS: S.Barry Anderson,Attorney at Law 617 McKean Avenue Donora.Pa.15033 "\ / TO MON VALLEY NEWSPAPERS,INC.,DR. For publishing the notice or advertisement attached hereto in The Valley Independent on above stated dotes $10.00 Notary ::$.50 Total $10.50 PUBLISHER'S RECEIPT FOR ADVERTISING COSTS Man Valley Newspapers,Inc.,publisher of The Valley Independent,a doily newspaper of general circulation,hereby acknowledges receipt of the aforesaid advertising and publication costs and certi- fies that the some have been duly paid. MON VALLEY NEWSPAPERS,INC. By PAID" 1Jn t~r OOrp~anB f <nnnrt nf lIaB~ingtnn <nnnnty In the matter of the Audit of Account in DAVID GRILLI,Estate of / deceased TO THE AUDITING JUDGE: No.,_--,6:<..;:3:-'-,68-702 xx~xx'•}i~__:r:},\.A. Enter ---"m;;;;;;;;..<y ,appearance for N_E_L_L_I_E__G_R_I_L_L_I....:;,_E_x_e_c_u_t_r_ix_._ Attor~)ii?~OO' N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed.Objections to an account as filed,shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. ~ No.63-,68-702 ,~3S38 ,A.A. {.~"\ ,-t r---;r -,r-..-! :-~~,I :.-,- ....,!V '--- ~.,cr -.J L~.-, .I In re Audit of Account in Estate of DAVID GRILLI,deceased AUDIT 'rarripr fur Apprnrnnrr FOR NELLIE GRILLI,Executrix -S.BARRY ANDERSON Attorney ~.2 -.-." 19 ,AA In the matter of the p.)~§.t~ng..f.jJ..l.0.L . Account of ~~~.1~.~..Q!.D~~}. .................................................:g:.~~5;.~tr.t~. Deceased. :1Ju lqt (@rpquus'(tIanrt af lIu!iqiugtau manuty 63-68-702 No OfESTATEOF David Grilli, $.f:!).9.?:..~.?.Balance per account -. ADJUDICATION AND DECREE And now ~.~.'?~~?~!.~r(..,19.~.$,this matter came on f~r hecri.ng, audit and distribution at this session and testimony :tk~n;and thereupon,upon due conSideration th~reoflh~balancefor distribution in the hands of the Ac.countant.is determ.in.ed to be$.1.11(J~QJL and the account is accordingly confirmed;and It IS ordered, adjudged and decreed that the said balance be paid out by the Accountant in a~cordance wi1th .the schedule of distribution hereto attached and made a part hereof,unle:ss exceptions hereto be flied sec.reg.or an appeal be taken herefrom sec.leg. Balance .$1:.:JQ.?:.RB.. Joseph Grilli,brother,1/5 residue,including an undivide 1/5 interest in an undivided 1/7 interest in real estate as hereinbelow described,held in kind and distributed as such at the appraised value,793.24 Samuel Grilli,brother,1/5 residue,including an undivid d 1/5 interest in an undivided 1/7 interest in real estate as hereinbelow described,held in kind and distributed as such at the appraised value,793.25 Deduct Clerk's Costs &Receipts :. S.Barry AndersonAttorney . Russell Marino,Clerk O.C.,costs in certifying real estate to Recorder, John D.Woodward,Recorder,costs recording certification of real estate, Russell Marino,Agent,transfer inheritance tax, Louis Grilli,brother,legacy, 20.50 7.50 103.37 _- 1.00 Nellie Grilli,sister,1/5 residue,including an.undivided 1/5 interest in an undivided 1/7 interes t in real estate as hereinbelow described,held in kind and distributed as such at the appraised value,793.24 Christine Grilli,sister,1/5 residue,including an undivided 1/5 interest in an undivided 1/7 interest in real estate as hereinbelow described,held in kind and distributed as such at the appraised value,793.24 0-to.0 ~ m n :::l Z VI n a-0 .....9 t:I r:::::r .....:::l Cl> ~. Cl> = -+3 0 0 t:I -to.-to.0..... ..... ..... t ~ Cl> ~ ., t-+ 0 0 ..... -to.-to. " = .....::::r = Cl> ~=t:I :-0 ~4'l;~~ , 4'l; ~~ J -' 'I J .tt.....-- .....--r--..\ Rose Grilli,sister,1/5 residue,including an undivided 1/5 interest in an undivided 1/7 interest in real estate as hereinbelow described,held in kind and distributed as such at the appraised value,793.24 No balance REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF wAsmlN"GTON COUNTY BY THE CLERK OF THE ORPHANS'COURT David Grilli,devisor,to Samuel Grilli,devisee of an un(ivided 1/5 interest; to Joseph Grilli,devisee of an undivided 1/5 interest;to ~ellie Gril i,devisee of an undivided 1/5 interest;to Christine Grilli,devisee Df an undiv ded 1/5 interest;to Rose Grilli,devisee of an undivided 1/5 interest;each l ndivided interest being in and to all the right,title and undivided 1/7 interes of the devisor in parcel of real estate described,as,VIZ: That certain piece or parcel of land lying in Donora (formerly Carro11 Township),Washington County,Pennsylvania,anki being fur ther described as follows: Being Lot numbered 20 in Block numbe~ed 75,lyi g between Fifteenth and Fourteenth Streets,fronting on Gilmore Avenue 22 feE t,and running back 98.59 feet along the line of Lot numbered 19 and 97.38 feet along the line of Fifteenth Street,having a rear of 22 feet on To~d Alley. See Union Improvement Company's Plar of Lots ir Carroll Township,now Donora,designated as the Second Additior to the To vn of Donora, in Plan Book Vol._,page _. BEING the same property which was co veyed to (uyeppe Grilli by deed of Union Improvement Company,dated a d recorde~in D.B.Vol. 283,page 269.The said Guyeppe Grilli died February 5,1924,-survived by Mary Grilli,his wife,and seven children,namely,Loui~,Samuel,Joseph,Nellie, David,Christine and Rose Grilli.The said Mary Grilli cied March 29,1957, leaving to survive her the same seven children above nan ed. CERTIFIED TO RECORDER:JANUAR 24,197 t:~._- '.~...... .J C)_.- --.. .U I.....- \ J ...., 'l'•.• C"),,,., '·4 ) J J ,0.J-k 0 ~ m n :J Z III n....0 -+9 ~)0 c ::r ....' (1) ~. m :1., =0 3 0 ~ -k 0 0-k -+ .....j nr ~fa ""' t-+ 0 0 I ..... -k -k I = s:- I ..'-'-_. I := m J I ~:=~ :c S~4"\ .-, -~ I ~ I ~ ~I "' »I I J J _ I ,,( :.J - .\;..).;)~......' J j J Form No,RCC·62 (2·64)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10.000.UNDER SECTION 701 OF ACT OF JUNE 18,1981,JEFF~CT~VE JANU~RY I,1982.(FILE.IN DUP~CATE WITH COPY OF WILL ATTACHED)..•~J.~~*'·--"OFFICE OF THE REGISTER OF WILLS 0~~ County of ..YYf:~1:lt1;1g,tpn . NELLIE GRILLI 1545 Gilmore Ave .•Donora.Pa.•..............................'of . (Name)(Address) being duly SWQrll .according to law,deposes and says thaphe is the -g;.~~~ll_tr_~~_ -(Exec.•Adm.•Legatee.Etc,) of the estate of ~~~!:g__Q~!!:__~!__----._whose last residence wat_~~§__~~_~~~!.:_~__~::_~_:_~_ (No.)(Street) Donora... A ril 5 1968-------------.deceased,and that the whole of the estate of said decedent,who died JL ........ (City,Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUHBRANGES 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 Value BEING the same ro ert which was conve deed of Union Improvement Company.dated... onora.In Mary Grilli died March 29.1957.leaving to survive her the same seven $--688.00- 148.50 2003.42 1300.00 2246.74 J- r Refund on baking supplies Cash-from sale of bakery shop equipment Checking Account No.150-5617--Mellon National Bank Savin s Account No.800--Mellon National Bank Personal Property ------~-~--------.,' ,' 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 None .... ~- '~ rT,"-,' ,,, - Transfers within TWO YEARS Prior to Death None - , , '. , That at the time of death th~re was no safe deposit box registered ih decedent's individual name,or jointly with,orcas agent or deputy of another,or in decedent's individual name,with right of access by another as agent 0'1'deputy,with the exception of th·e 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 DECEDENTt None ,t t t ,t t t t , t t- 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 Louis Grilli Brother ¥es -0€e-:DoYat:($1.00) Ukiah,California Samuel'Grilli II II -one-fifth (1/5) 1545 Gilmore Ave.,Donora,Pa.-., Joseph Grilli II II -one-fifth (1/5) Nellie Grilli Sister II -one-fifth (1/5) Christine Grilli II II -one-fifth 0/5) Rose Grilli II II -one-fifth (1/5) all of 1545 Gilmore Ave., Donora,Pa. RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE'List first five ite~s in the'spaces so provided,observe notations thereon,and instructions ..DEBT OR CLAIM Lawson-Rabe Funeral Home S.Barrv Anderson NATURE OF SAME Funeral expenses paid Familyexemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * AMOUNT THIS COLUMN KEGISTER ONLY $1093 42 $ 52 00 OTHER DEBTS AND CLAIMS Fiduciary commission * Columbia Gas Company West Penn Power Bell Telephone Company (*)See Note below Services 11 I' '1 Total 23 95 15 52 19 821 !~);~{',' ~ I! 1204 71 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. Subscribed and'sworn to before me this ....'~.~~. (ExecujQ¥~liffiirn~s'.f~r>:< 1545 Gilmore Avenue.................................................. (Street Number) Donora,Pa.15033 ••••••••••••••0 ••••••••••••••••••••••••••••••••••• (City or Town and State) Having been'duly SWol'n2ccording to law,I d&bY certify that the above appraisement is made in conformity with law on this ..................~~........dayOf·..·..7~....Ar'JA~/"·~;~-0 ~,~~~:<"~7"".~~:%~:~~r"'" In the event that any future interest in this estate is transferred in possession 01'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"inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF TH~~GISTEROF WI1;LS I,the undersigned duly elected Register of W.ills in and fo~~~~~~....'..County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed b;'d'e~'~~~~~ePt 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 amou2:epresents the s~allowed as a deduction. Dated:..~4/-<4./..(../?'r;?~........t.:{,~<--/../?~~~..c7'Register of Wills ,~ • I Form No_RCC-62 (2-64) Will : '':A<d~t'i~<>:~NO Year .1.~?~ IN THE MATTE~OF THE APPRAISEMENT OF THE ESTATE OF DAVID GRILLI, Deceased >.) ...-- ..,-- Late of Donora,................................ County of .W~?hi?;gt;C?~:................ Commonwealth of Pennsylvania REPORT...~:ND A~~RAISAL ~f2 ~;;_,_ -UJ -I(,~f./)• ~rrJ ~-4"f_ t: ;t .,.- :.v;- 0",:,"-r1:b: :<::cr=:: '-0U> _. (."' .....: ~::::;: l_r'"o a ,..... .-.I,......,..,. ••! o ; .-.,RCC-39 (6-64) ,'O\lMO~WEt\LTH OF PFNN~YLV,\NI:\ :;"'\AS:SF'ER INm'~RITANCE TAY R?SIDENT DECE~ENT GRILLI,DAVID FILE #63~68-7(f2 April 5,1968 ,S.UMMARY / FILE #63-68-702 1tEPOR'l'OF INHERITANCE TAX APPRAISER I.the undersigned duly appointed Inheritance Tax Appraiser in and for the County of #63 Washington ,Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C"and "E". Dated:Oe-01-68 04-05-68 08-01-68Dated: REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for Wa.shington 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. 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..J:t VALUE OF ESTATE VALUE AS REPORTED VALUE AS APPRAISED $600.00.$858.00 5,698.66.___5,628.66 ~_.-_.......-.__._- 6,298.66._.~~~.QL._ ;;;J.,2QtJ..LD.:~J.~4.7:'+:~ 5.093..22._,5,351.95 VALUE AS REAPPRAISED $------- ======.~ Valuation of life estates or annuities . . . . • • • •*_ ESTATE TAX ASSESSMENTS ~_ '1;_ $------- $ $--------- COMPUTATION OF TAX TOTAL TAX BALANCE PAID *------<f>':'------ FOR USE OF REGISTER ONLY T ax on $•__!'5% T ax on $10s0 Tax on ~'-.--2~$ Tax on $5,351.95:(@$--8-0-2-.-7-9- Exemptions :=(,:,)(,:,)As evidenced by Charitable Exemption Total Estate______Certificates issued by the Secretary TOTAL TAX $-=~~of Revenue. Less tax previously paid $~==========~=== BALANCE $_~_ Less 5%of tax if paid within 3 months after death $======:= BALANCE OF INHERITANCE TAX DUE Add interest at rate of 8%from to AMOUNT OF ESTATE TAX ASSESSED Estate tax paid BALANCE DUE Add interest at rate of 6%from to FOR USE OF REGISTER ONLY 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. I~THE Year . -------, ),[ATTER OF THE APPRAISEMENT OF THE EST.-\TE OF DIVID GRILLI Deceased Late of . County of DONOM..... WASHINGTON.. Commonwealth of Pennsylvania REPORT AND APPRAISAL 4!\ '. Form RCC-2 DEPARTMENT OF REVENUE kOREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLYANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE A:\,lg~~.t~J.,..L ..+9..(>,?. COUNTY w.~~.~.~.~.?~. FILE NO ?2::.§.?:7..2~. Whereas,,Rgy;.4 Gr.~.J,J.A late of .P.<?!:~<?~~. in the County of W9.-.~h.~~9.P.:.Commonwealth of Pennsylvania,having died on the 5.~.~day of ~P~~~19 9.?.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,.........................................W..~.R.~....C.b.~n~y.....................................................,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years.the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purposes $ REALTY: As per appraisement filed 858 00 PERSONALTY: As per appraisement filed 5,698 66 TRANSFERS: NONE NONE JT.HELD: NONE NONE Total 6.1)1)6 66 form~;v~~hbl:~::l:h~w<>rn~L~to~::~.~:rer~~~":~~r~~~;~r;~~n~~ AppraIser ...~...........................".................................................................................................~a~:;:).............................,Penna. WASHINGTON Cou-nty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of DAVID GRILLI Deceased. Late of DONORA Date of Death,.APr..:i.J·..5,~.9f>.f!.. Appraisemei!t Docket Vol.,.:a . Page,~~.f>~.f>No ~?':'::.~?..:::7.9.~. Filed in Register's Office,~ygl,l.::;t J."19..f>.~.. Amount of tax due,$.. DEPARTMENT OF REVENUE Received, Appeal f1'om Appraisement,.. .............................("~:.!:~....\..J ~..U I 1- Entered and ;h~rged,'.~.. ;,.' /'! 1 6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 September 16,1968 William R.Chaney,Chief Appraiser Inheritance Tax Division Rooms 243-245 Washington Trust Building East Beau and Main Streets Washington,Pennsylvania 15301 Re:Estate of David Grilli File No.63-68-702 County of Washington Dear Mr.Chaney: Enclosed herewith is a cop,y of a Protest filed in the subject decedent's estate. On September 16,1968,Mr.Richard L.Witmer,Director of this Bureau,advised Mr.S.Barry Anderson,Esquire,that the Protest has been Denied. Please mark your records accordingly, Very truly yours, ~._~-t~$aClu\~ J eph-•Shamal"~hief I.eri nce Tax Division For:Richard L.Witmer,Director Bureau of County Collections JFS/ans Enclosure cc:Russell Marino,Register of Wills ---------------~~'--- ,"'........ ,September 16,19~e' .', ,., ...'....1 l ,, .,',:'n.,Inherl~t~Proto!t.BQardot tht ~1'V1n1a, ~t of ~~_en U-6tll tlq ct SepttJd:,er,1969,and cozudtltrod tilt Proten til~:in the ,~'estate.",.ded.a1«l 01 tbt 'Board toll<M\!u . '"The"F!'oteIt,tUtd ~9,1968,1.n thcJ·abtMt'matttr 11 btrtb7DeD1td•.~inWftatof the'dectden\10 the IUbjtctrn1tT".Pl'OJ*'lf'~a.t _59.00,tbt ,~w..'of tM '~at.tbt <W:e of ddth.,",,' ,'~t'Wft'~..~...,..........- .~of '~'Co11tct1ens :,~*,""'.l(.~. So~of -n-YOnUtt '.'\.;1'1"~,018 J,'GIlttOl'd,Deputq Att0rne7~."Ru:ssellMnrirto,Register of Ww.a ''" .WUJ.iam R.Cha.ne7,Chief Appra1aeX". .' ...~.,. 1 August 7,1968 To The Department of Revenue Harrisburg,Pennsylvania: In re:Protest of Appraisement Under Inheritance Tax Act of 1961 Estate of DAVID GRILLI,deceased 1.This protest is filed by the undersigned party in interest,I the said Nellie Grilli.Executrix of the estate of David Grilli.deceased.by virtue of Letters Testamentary issued by Russell Marino.Register of ~ills of Washington County.Pennsylvania.dated May 16.1968. 2.On August 1.1968.an appraisement of the tax due under the Inheritance and Estate Tax Act of 1961 was made in the estate of David Grilli.deceased.in Washington ,County.Pennsylvania. 3.The.undersigned protests the appraisement as erroneous in view of the fact that the objectant feels proper consideration was not given in relation to the actual market value of the property appraised. ~.)/LeLL~"";);,~L Nellie Grilli 1545 Gilmore Avenue. Donora,.'Pennsylvania 15033 cc to:Department of Justice Harrisburg,Pennsylvania ....;....Ll-,;,..........~..=--~-~.=-_.=-=.=--=..~~.-"'---'-"..--- ,. r ~(.J-)., --,-- '.:.. ;=:-:r-u (...') BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISIONDEPT.280601 HARRISBURG,PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT DATE 08-05-96 ESTATE OF GRILLI DATE OF DEATH 04-05-68 FILE NUMBER (63 68--0702 :> COUNTY WASHINGTON ACN 101 Amount Remitted REV-1601 EX AFP (03-96) DAVID / MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS WASHINGTON CO COURT HOUSE WASHINGTON,PA 15301 NOTE:To insure proper credit to your account,submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~RETAIN LOWER PORTION FOR YOUR RECORDS ~----------------------------------------------------------------------------------------------------------------REV-1607 EX AFP (03-96)*~*INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF GRILLI DAVID FILE NO.63 68-0702 ACN 101 DATE 08-05-96 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE.SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE,APPLICATION OF ALL PAYMENTS,THE CURRENT BALANCE,AND,IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 03-08-82 802.79 PAYMENT RECEIPT DISCOUNT (+)AMOUNT PAIDDATENUMBERINTEREST(-) 05-29-68 XA948848 32.37 615.00 12-31-68 XA979215 .00 127.87 08-03-96 WRITEOFF 44.69-72.24 j TOTAL TAX CREDIT 802.79THEDEPARTMENTHASWRITTENOFFTHE BALANCE DUE AS UNCOLLECTABLE BALANCE OF TAX DUE .00 INTEREST AND PEN..00 TOTAL DUE .00 ./ Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA BESIDENT DECEDENTS 948848 OFFICIAL RECEIPT No.Transfer Inheritance and Estate Tax FileNo.63...68-702 Date*Y 29,19 68 Office REGISTER OF WILLS.WASHINGTON Pa. WASlmlCTON County,ss:Received from Nellie CrUll (Execut )of the estate of DAvm CRU.LI who died Aprll.5.19 G8,the sum of SII HUNDRBJ)PIP'mEN and nolloO ......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%$641.31 Personal Property Exemptions *$ 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 32.31 Administration $within 3 months after date of death $ Clear Value of Estate $INCOMPLETE Amount of Estate Tax Assessed under Valuation of Life Estates or Annuities the Act of May 7,1927.$ Date 19__$Add interest at the rate of %'19__$from Estate Tax Assessments to $ Date 19__$61$.00Total$19__$*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.1.1757,effective June 1,1957,as =ended 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 Q.EALtaxmaybelegallydueandcoJlectibleforanyreasonwhatsoever. 11000 [P)[LO ©£lJTE 631.116.6 tit-A;'-V~~?/.~",~.~~-t) &:ill Register of WillsNOTE,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-Rl TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT D~EDENTS. RECEIPT Docket 31 Page 116 I.ine,--,---"t1",,--_ Estate otL..f_....Ln~A:u:v...mo.5o!~Gc13RIl!!tU.lI!!!·'S!!:!!!:I _ OFFICE OF REGISTER OF WILLS WASHINGTON Pa. Date :lay 29.19~ 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 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 money with the amount receipted for.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmilledtotheexecutororadministrator,whereupon it shall be a proper voucher in the selliement 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 whODl tax receipt is delivered:. Aii't.s.BARtl ANDEflSO}! 611 McKEAN AVENUB L DONORA,PENNSYLVANIA 15033 Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 979215 OFFICIAL RECEIPT No.Transfer Inheritance and Estate Tax File No.63-68-102 Date i1ecemher 31 19--.i.8 Office REGISTER OF WILLS.WASHINOirON Pa. '''A~lnNGTON County,ss:Received from Nellie Gl~illi (Executor,~~of the estate of ~'WIX DA.VID GRILLI who died ,,~il 5 19-66the sum of OtlE h'UNDUED TWN1Y-SEWN and 8'1/100 --Dollars, being TRANSFER I ERITANCE 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 $2%$ On Accoun~127.87 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 if paid Administration $within 3 months after date of death $ Clear Value of Estate $llJCO)IPL&fB Amount of Estate Tax Assessed under Valuation of Life Estates or Annuities the Act of May 7,1927.$ Date 19__$Add interest at the rate of %19__$from Estate Tax Assessments to $ -Date 19__$127..81Total$19__$*As evidenced by Charitable Exemption Certificates issued by the Secretary of ,NOTE:In accepting the transfer ~nheritance t~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 eVldenced 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 "'S"E ALtaxmaybelegallydueandcollectibleforanyreasonwhatsoever. 1J ffi1 0[JJ CLD ©£liTE f"j /".. 31...116...6 ~a.../,':/.--·!·/.........%,/i..~Jte~i';ter of WillsNOTE:This Triplicate Receipt to be retained by the Register of Wills and filed in .numerical !f ",.I '.. sequence for audit purposes.MOORE BUSINESS FORMS,IHC••ELMIRA,N.Y. ~------ /' FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 37 Page 116 I jne~_....::l6>L.--_ DAVID GRILLIEstateofL-_ OFFICE OF REGISTER OF WILLS WASHINGTON,---------Pa. Date'__D~.~ec~·e:m:="~b=-:e=-=r=---.::3::.=l=--·_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 RUSSELt HARING Register of 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 such receipt shall be signed and sealed by the Register of 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: I To A'fTY.DARRY AfmBRSON 617 lml.EAN A'\1JNUE L DONORA t peNNSYLVANIA 15033