HomeMy WebLinkAboutOC1968-0742 - ESTATE OF ELY-_..-------_._~--~~~------_.~---------------------........_------_......--_.-~
PETITION SUR AUDIT "T:.st~te Fo~m/
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Estate of ~QQQ§.~h..~.!•••~.~X ~f~f~..h,R.GR~.'J:'A .
BULLARD ELY and AUGUSTA G.ELY
Deceased
63-68-742 of 1969 _No A. A.
Fiduciary ~~.~.p.~~.~~.~¥.!i!.~.~.!.
E~.~.Q11:.tQ.~.
Date of Date of
Decedent's death M.a¥,2.0.1-19..6.S "'"'.'"'"Grant of Letters ~.~.Y...~1.,---.~~,.?~.
This is the f.:1;!;'.9.t ..?~.9::f.Jg?!.account filed in this estate
If there have been former accounts filed in this estate,'list file number or number and term .
NONE
~KQtiQN}f](X~X
~~~1QJOOK«maxX~~~·K~X
Date Election Place of;
Filed ~9.~~Record ~.
Name of surviving spouse NQN~~.
List issue,where material:
NONE MATERIAL
-Did decedent marry after execution of will?(indicate)nK No.Any children born after execution of will?(indicate)
)t~.No.If answer yes,name them ~.
•_-_----__--.-_-----__-__----_._-_---_------__-__-_..--.-oo ";__._-.---..
Leg.atees Relationship Interest Fiduci~ry,if deceased or not sui juris
Ralph L.Ely,Jr.Son 1/3 residue
Robert Martin Ely Son 1/3 residue
John Bullard Ely Son -1/3 residue
List,if exceptions to above:Adeemed:-Revoked:._Lapsed:_Abated:Give Cause:
I-'
If partial intestacy,give facts:
NO EXCEPTIONS
NONE
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.~
,If any E;xception give cause:N.o...exc.ep.tion .
J.
File copy of Notice Copy of Notice of Audit mailed January )30,1969 {s·'attached.
and date of mailing ,.
Is estate subject to the filing of a Federal Estate Tax Return?XE,S.•..............~cc
~~W{l~~ynr~t,nrS~g>~Pennsylvania Transfer Inheritance Tax.Amount $.J.,.Q.9.Q.•.QQ QJ.l...9.Cc.QUnt paid.
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant ,.
NONE
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:
Monongahela Power Co.-diVe
Oakwood Estates -diVe
Nationwide Insurance -refund
$11.00
64.00
16.48
$~.9.~.I}.~.~.!.~:?.
91.48
Total additional debits (Add)
Itemize any additional credits not shown by account:
$..9.1 4.8 $102,,839.73
179.97
$..l7.9.•.9.7 .
1968 Income Tax
Total additional credits (Subtract)
balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution ,'Yt!
324 shares Bristol Myers Co.common stock a--e-74":'69-$24,1990'56
38 shares Continental Can Co.common stock at...51.-;-6·2-:·1~/,2__1,961.75
15 shs.Atlantic Refining Co.3.00 preference stk.~9-6--1,440.00
456 shs.Sterling Drug,Inc.common stk.a-t.-51 if8 '23,313.00
91 shs.Richardson-Merrell,Inc.common stk.a~&4~~~7,729.54
80 shs •Atcheson,Topeka &Santa Fe Railway common stk.~--J.f4-2,700.00
10 shs.Monongahela Power Co.4.40%pfd.~77r2c5-671.25
244 shs.American Tel.&Tel.capital stk.at--49~·1·25--11,986.50
66 shs.S.S.Kresge Co.common stk.at-90';3?5-5,964.75
48 shs.Southern Pacific R.R.~t-32--1,536.00
500 shs.,Elytronics Inc.common stk.No value
20 shs.capital stk.Oakwood Estates,Inc.a West Va.corp."4,105.56
$85,607.91
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--,,--.-..-...--..-------.--.-~--..-.~-----....,..--......."..,...----------:'-----------------1IIIlIIII
..
If Family Exemption claimed by Petition,give place of Record:...NQ F.ami.1Y-Ex.e.m1;rti.QD...C.laim~.d ~.
..
If Family Exemption is claimed at audit,give name,rel,ationship and basis for Claim:.
NONE
List any advancement or distribution on account 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:
1.Pay audit costs and balance inheritance taxes.
2.Reaward to Executor $6,000.00 for payment of Federal Estate Tax.
3.Award balance including securities in kind to the residuary legatees
per Elections filed herewith.
COUNTY OF WASHINGTON,55:
COMMONWEALTH OF PENNSYLVANIA.
The above na"med Fiduciary or representative 'thereof,
being duly ~~~E.~doth depose and say
that the facts set forth in the foregoing petition are true
to the best of hJ.§knowledge and belief.
............SwOIn to and subscribed before
~e this ~_L __:daY oL---F.ehl:u.ary j'219_J;_;_
SIgnature of Officer.....U'b-~
Title ofOfficer ~~:'.~~.:.'!'••!'!.'.c:~'.':~~!!·..p.~·~ti!C ..MJI,·••_·.··._~_.-.
WA~II-fH,I'-~"'fo'
Office expires ""-";'£-:f.:=-::\::'?::••r:.-.:;:::.".!:~!'..':l!Z:;~.~?,J!l?L .".
And your petitioner will ever pray,etc.
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AUGUSTA G.ELY
1969 APR 11 Ai1 9:3 ljeceased
Fiduciary Rg..~t?h..1.l21y../..;rr;.,.~.__..__._.
RUSSELL MARINOREGISTEROFWILLS
Ex.eCll:tcu:::_-.'.----.--- .
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
------
Counsel of Fiduciary will submit herewith the
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:paragraph 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 Testam~ntary 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.
SHERMAN H.SIEGEL,ESQUIRE
Attorney
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In the matter of the Audit of Account in
Estate of__.tjA~U~G;uU..uS~T.!..A.o........!.BL..L.-...<E!=!.~LY~a:!<.l/:....:k:..::.L./~a:..;.......__/
AUGUSTA BULLARD ELY and AUGUSTA
G.ELY,deceased
TO THE AUDITING JUDGE:
No.63-,6,.....8<.=-=--71....:41.....2_·,19__•A.A.
Enter·-...Lml..l,y~----appearance for·:::.A~c:::.:c~o~u~n~t~a~n~t_=_.....:.:.._
/
21st day Of.__.....:M=a=.r_c_h _
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.
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No.63-?8-642 XX!KXXXXlKXX
In re Audit of Account in Estate of
AUGUSTA _B..ELY a/k/a
AUGUSTA BULLARD 'ELY and
AUGUSTA G.ELY,deceased
AUDIT
Jrarripr fnr 1\ppraranrr
FOR
---.Ralp-h-Iu Ely,Jr.L_~xecutor
~HF.RMAN----.H_S.IEGEL......._ESQ.
-Attorney
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IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA
IN RE:
ESTATE OF
NO.
AUGUSTA B.ELY,
deceased
AUTHORIZATION TO EXECUTOR
TO RETAIN SECURITIES
of 1968
TO:Ralph L.Ely,Jr.,Executor under the Will of Augusta B.
Ely,deceased.
You are hereby authorized on my behalf as Residuary Legatee
under the Will of Augusta B.Ely,deceased,to retain such of
the securities inventoried in said Estate as are not necessary
to dispose of for the purpose of paying debts and administration
costs.It is my desire that my share of said securities be
awarded to me in kind by the Court at the time of distribution
·of said Estate.
ROBERT MARTIN ELY
Dated:May ,1968.---
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IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA
IN RE:
ESTATE OF
AUGUSTA B.ELY,
deceased
NO.of 1968
-..
AUTHORIZATION TO EXECUTOR
TO RETAIN SECURITIES
TO:Ralph L.Ely,Jr.,Executor under the Will of Augusta B.
Ely,deceased.
You are hereby authorized on my behalf as Residuary Legatee
under the Will of Augusta B.Ely,deceased,to retain such of.
the 'securities inventoried in said Estate as are not necessary
to qispose of for the purpose of paying debts and administration
costs.It is my desire that my share of said securities be
awarded to me in kind by the Court at the time of distribution
of said Estate.
Dated:May 3/,1968.
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SHERMAN H.SIEGEL
ATTORNEY AT LAW
WASHINGTON,PENNSYLVANIA
WASHINGTON TRUST BUILDING
IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA
,A.A.OF 19
63-68-742
NO.
)
)
)
)
AUGUSTA B.ELY a/k/a
AUGUSTA BULLARD ELY and
AUGUSTA G.ELY,deceased
Mr.Ralph L.Ely,Jr.
3546 Hamstead court
OU~ham,North Carolina
NOTICE OF FILING ACCOUNT AND AUDIT
IN R'E:
ESTATE OF
To
PLEASE TAKE NOTICE that the Account of Ralph L ..Ely,Jr.,Executor
of the above captioned Estate,has been filed in the
Office of the Register of Wills of Washington County,Pa.,at the above
Number,and that the same will be called for audit before the Orphans'
Court at Washington,Pa.,at the 'Session of said Court beginning Monday,
March 17,1969,at 10:00 o'olock A.M.,at which time and place
you may appear and be heard,if you so desire.
SHERMAN H.SIEGEL,
Attorney for Accountant.Dated at Washington,Pa••January 30,1969.
P.S.A copy of First and Final Account 1s enclosed herewith.
Copy of First and Final Account and Notice of Audit mailed Jan.30,
19'09 to",following:
Mr.Ralph L.Ely,Jr.3546 Hamstead Court,Durham,North Carolina
Mr.Robert Martin Ely,Duke University Marine Laboratory,Beaufort,
North Carolina
Mr.John Bullard Ely,20 W.Bauer Road,Naperville,Illinois
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Qtommouwra1t4 of ,rUUSllIUUniU.}ss.ma.a~iu!ltnl1 C!Lnuuty.
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,III the County aforesaid
on the 27th May A.D.19 68,before me,
Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
the last Will and Testament of
AUGUSTA B.ELY a/k/a A.UGUSTA BULLARD ELY and AUGUSTA G.ELY"
late of Donegal Township,in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
RALPH L.ELY,JR •.1..
the Executor m said Will and Testament named,having appeared before me and taken and subscribed
the oath of office prescribed by law;
NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do
grant these LETTERS TESTAMENTARY,unto the said
R.ALPH L.ELY,JR.,
committing unto him the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring him
to exhibit a true and perfect inventory thereof into the Register's Office;at Washington,within ninety
days from the date hereof,and to render a just and true account of said"administration at the expiration
of six months from the date hereof,and to regard and comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal
of said Office at Washington,this twenty-seventh
day of May in the year of our Lord one thousand
nine hundred and SixtY-:/j
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Register
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ESTATE OF
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AUGUSTl\BULLARD ELY and
AUGUSTA G.ELY,
,de.c.e..a.~.e..d .
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lAST WILL Ai'ID TESTA:'lENI'
I,AUGUSTA B.ELY,of Donegal TCfc"inship,.1;'Tashington County,Pennsyl-
vania,being of sound mind,memory and understanding,do hereby nuke and
publish this LlT'J Last 'rYill an-1 Testament,hereby revoking all ;'Jills by me at
~I
aWJ ti~e heretofore made e
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"ITEI'JI 1:I direct that ITIiJ Executor hereirafter named shall pay all
of my just debts and funeral expenses as soon as convenient after !1T decease.
and John Bullard Ely.
whatever kind and Tiherever sih1.ate,I give,devise am bequeath in equal
All the rest,residue and remair.der of illy estate,ofITE1:f 2:
shares unt0 TITiJ three (3)sons,namely:Ralph L.El~-,Jr.,Robert :Uartin Ely
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.IJ\STLY:T mme,constitute and appoint my son,R.alph L.Ely,Jr.
as Executor of this my Last Will and Testament.In the event my said son,
F.alph L.Ely,Jr •.is unable for any reason to act;then I name,constitute
,".D'...,...l-""",',."t .t'th"T'I-':""11 danaappOlEGElYson,"ooeriJ ,c'/:arvln L_y,as ,:.,xecu or 0.'.j ,:l.S J'J'J .c..aS·iJ :il."-an .
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Testament.In the event ~eith'er of IrI'J above named sons sball be able to act
as said Executor,then I mille,constitute and appoint TiT'J youngest son,John
Bulle,rd Ely as Executor hereof and dil:'8ct that TiT'J said ::::xecutor shall nQt be
ji
required -t.o furnish bond in any jurisdiction in which he may act.
IN WTI'IfSSS ','IHEREOF,I,AUGTJS'I'A B.ELY,the Testatrix,bave unto
this my Last 'Hill and Testament,set ITfIJ hand ann.seal this 25th day of May,
1967.
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•,1..:l '1'"l'J 'b ~",j -Tr.T.•$J,1:j T">TV SSle;neo,sea...8 ••"puo lsD.8a anc nec .a'-e'ea y 'une aoove-nalnec,~.I;...1:X).:..f"0";;".!J~,a
,n ,-I.L '''-"11 a "I m ~t~m~Yl.l-in .L Tne nr"'~e"c"0;'"e"".',,'.,'_0 h!:1 H O 'oorO"n-toanolorner..tiSl,J il_Ln,-,leu O-JI.'::a.lJ,_L u ~J "'.c').f't:;;c.'.'-'...__v~.•_'.'"
S1J})scri1:Jsd OUT narnes 2.t her reCl11est as ·/ritnesses ~jl1,ereto,in th,s presence of
tll.e said Testatri:(and o~~each
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1\ffi~uuit (@f 1£xrrutnr (@r-i\bmintstrutnr
NORTH CAROLINA
~tatr of ~_I{t 55:
(ttDUtlty Df ~~\
P 11 b f h d . d h'Notary Public .d f 'dersonay e ore me,t e un ersIgne aut orIty,a m an or Sal
County and State,appeared ,Ralp.h L E.l¥,..,J.r.who,being duly
sworn according to law,deposes and says that he is the execytor ~K~M*~of the estate ofaullardElya.,nd August;a G Ely,.Aug.us.ta B.Ely.a/k./.a AJ.lg::uS.t.a /.deceased,that the foregomg schedules constItute a
complete inventory and appraisement of the real and personal estate o£....A:g,gY.lit!;:;~..J~."~J,Y.,
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 bythe above named Executor,XK~~KXdayo;jc~~~:;;;;:;;:~~:thi,.~M _....)1..K~~~rJt.~--.,
··t~~t ~~:)
My ComrmssionUl!lrdovernb&r 17,196JADDITIONAL INSTRUCTIONS
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-
cluding 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
1Juu.rutnry aulll\pprais.rm.rut of the goods and chattels,rights and credits which
were of A:g.gY.:?j;;.?l..a."~.ly.Jate of Q.Q.n~.g.a..!~Q~nli!hj,p..,;..
Washington County,Pa.,taken and made in conformity with the above affidavit.
DOLLARS CENTS
PERSONALTY:
/
95
00
00
00
00
89
77
13
00
00
56
75
-00'---0--.,..-
00
54
212
32
2,695
3,346
4,667
1,297
600
100
371
195
2,700 00
671 25
11,986 50
5,964 75
1,536 00
No ralue
4,105 I ..5'6
99,125 65
24,199
1,961
--1 440',
23,313
7,729
324 shares Bristol Myers Co.common stock at 74.69
38 shares Continental Can Co.common stk.at 51.62 1/2
15 shares Atlantic Refining Co •..3 •.00 _pre~erenc~.sto.,Sk
at 96
456 shares Sterling Drug,Inc.common stock at 51 1/8
91 shares Richardson-Merrell,Inc.common stk.at 84.94
80 shares Atcheson,Topeka &Santa Fe Railway:cornmq:q.·..\("_"stock at 33 3/4 . . ..,.
10 shares Monongahela Power Co.4.40%pfd.at 67.125
244 shares American Tel.&Tel.capital stock at 49.125
66 shares S.S.Kresge Co.common stock at 90.375
48 shares Southern Pacific R.R.at 32
500 shares Elytronics Inc.common stock
20 shares capital stock Oakwood Estates,Inc.,a West
Virginia Corporation·
Cash in purse
Check payable to decedent from Bullard Estate
$3500.00 Face Value U.S.Steel Corp.4 5/8%subordinated
debenture due 1996 at 77
Household furniture and furnishings (sold at .;public .
auction)
Diamond ring
6 prong Diamond ring
Amethyst pin
Pin with red garnets
Wheeling Dollar Savings and Trust Co.-Savings Acct.
No.90453
First National Bank in Washington (West Alexander branch)
Checking account
(Over)
I
REALTY:
ALL those certain lots of ground situate in Donegal Township,
washington County,Pennsylvania,known and designated as Lots Nos.3,
16 and 17 and 18 in the Plan of Lots known as the Samuel Kimmins
Addition to west Alexander as same appears of record in the Recorder's
Office for said County in Plan Book page ,said lots being
more particularly described as follows:.
LOT NO.3:FRONTING 50 feet on the west side of North Liberty
Street and extending back in a Westerly direction and of equal width
120 feet.to a 20 foot alley,bounded on the North by Lot No.4 and on
the South by a 20 foot alley.
LOTS NOS.16,17 and 18:EACH of said lots is 50 feet,wide and 150
feet long and are bounded on the North by lot now or formerly of S.R.
Blayney and Amy C.Blayney,on the East by an alley,on the South by an
alley and on the west by lands ,now or formerly of Harry M.Yates.
"EXCEPTING'AND"'RESE"RVING-a:TI-the~coal of the Pittsburgh or River Vein
underlying the above'described ,lots and alleys together with mining rights
as excepted and reserved in deed of Emma McConn et ale to David Mitchell,
Trustee,dated December 29,1899 and recorded in the Recorder's Office
for said County in Deed Book 233 page 68.
FOR SOURCE OF TITLE see Deed Book 557 pagees 538 and 539.$12,551.00
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FIRST AND FINAL ACCOUNT
of RALPH L.ELY,JR.,Executor of the Estate of Augusta B.Ely
a/k/a Augusta Bullard Ely and Augusta G.Ely,late resident of
Donegal Township,Washington County,Pennsylvania.
THE ACCOUNTANT CHARGES HIMSELF AS FOLLOWS:
Inventory and Appraisement:
PERSONALTY
REALTY
$99,125.65
12,551.00 $111,676.65
Dividends and Interest received per Schedule A
After discovered assets:
2,098.04
Ohio Valley General Hospital -refund
Bell Telephone Co.-refund
$158.88
·.32 159.20
TOTAL DEBITS
TOTAL CREDITS
BALANCE
,THE ACCOUNTANT CLAIMS CREDITS AS FOLLOWS:
$113,933~R9
.11,185.64
$102,748.25
W.Alexander Cemetery Assn.
1968
May 27 Colu'mbia Gas Co.
June 3 Malcolm Morgan,Co.Treas.
17 Ferrell Funeral Home
Bell Telephone Co.
July 5 Malcolm Morgan,Co.Treas.
Observer Pub.Co.
10 R.M.Ely
12 Sherman H.Siegel
Account due 99.20
1968 Pers.Prop.Tax 105.09
Burial expense 1,461.00
Account due 27.86
1968 County Tax 32.46
Advertise grant letters 12.50
Appraisal fee-jewelry 15.00
Opening grave 75.00
Reimbursement for payment
of transfer taxes on sale
of real estate 251.02
'0
1968
Aug.1 Carl E.Bonar et ux.Bal.Est's share 1968 taxes 44.29
Ralph L.Ely,Jr.Reimbursement expenses in
administration of estate and costs advanced:
1968
May 31 Avis Rent-A-Car Car rental to funeral
and probate Will $96.08
Airplane fares to Pittsburgh-2 trips 141.75
Minister Officiate at burial 20.00
Flowers.at funeral·.29.97 287.80
Sherman H.Siegel REimbursement for:
·1968 .
May 27 Reg.of Wills Probate costs
29 Wash.Co.Reps.Advt.grant letters
Oct.15 Reg.0;1:Wills 5 short certificates
28"""Filing Inventory
Nov.19 """Certified copy Will
21 """10 sht.certificates
25.50
12.50
5.00
4.00
4.50
10'.00 61.50
Sherman H.Siegel
Margaret Bails
Russell Marino,Reg.
Counsel fees
Witness to Will &Notary
Filing this account
5,220.00
10.00
.18.00
$8,185.64
1969
Jan.10 Russell Marino,Agent alc Inheritance tax ..3,000.00
Total Credits$ll,185.64
AUGUSTA B.ELY ESTATE
DIVIDENDS AND INTEREST RECEIVED
DIVIDENDS:
American Tel.&Tel.Co.
Atcheson,Topeka &Santa Fe
Atlantic Refining Co.
Bristol Myers Co.
Continental Can Co.
Monongahela Power
Oakwood Estates,Inc.
Richardson-Merrell,Inc.
S. S.Kresge
Southern Pacific R.R.
Sterling Drug
INTEREST:
First National Bank &Trust Co.
U.S.Steel
Wheeling Dollar Savings
SCHEDULE A
439.20
96.00
33.75
275~40
58.90
22.00
224.00
102.38
50.49
60.00
347.70
133.00
161.88
TOTAL
1,709.82
388.22
$2,098.04
"'".,.•.Observer -Reporter :.
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In comI)liance with the News,paper Advertising Act of 16 May,1929,
P.L.1784,3JS amended.
Commonwealth of Pennsylvania,County of Washington,55:.
Personally appeaI"ed before me,a Notary Public in and for said County
and State,.Richard.S CQw.an ,who being duly S'worn
according to law,deposes and says that he is the §.~.~.r.~.t.~.r.Y .
of the Obsierver Publishing Company,a P1ennsylvaniacorporation,and its
agent in this behalf;that the said Comp,any is,the owner and publisher of
the Observer-Reporter,succ!essor to The Washington Observer,established
September 18,1871,and The Washington Reporter,established August 15,
1808,a daily newspap!er of general circulation,printed and published and
having its place of bus,ines's,at Washington,Washington County,Pennsyl-
vania,where it or its predeees,sors have been established and published
continuously for more than six months,prior to the publication of the notice
hereto attached;th3Jt the printed notice or advertisement hereto attached
is a ,copy of an official advertisement,official notice,legal notice or legal
advertiseme:nt,exactly a,s printed or published in the Obs1erver-Reporter in
its regular editions on the following date or dates;:.
........................Ha.Y-.3..L J.u.n.e..7.9.n.Q 14.,1.9.Q~L _ .
that neither the affiant nor the Observer Publishing Company is interested
in the subject matter of s!aid notice or advertising and that all of the aUega-
tions'of this affidavit as to the time,place and characte,r of pubUcation
are true.._~.i.~..
(EXECUT'oR'S;~;I~";'~
.ESTATE OF Augusta B.Ely,a·k·
a Augusta.Bullard Ely'and AugustaG.Ely,'deceased,late of ,Donegal':Township;'f Washington Co u n t,y',,;
Penna/)':,''Lette:r:~)'Testamentary upon theabove:.e~tate having.,been granted'
to the:g,:undersigned;"""all "personshavingclaimsagainsttheestate
are requested tv mike known the'same to the undersigned or his
!attorney and all persons indebted,
Ito the decedent are requested to
,maki<payment to the undersignedwithoutdelay.!•RALPH L.ELY..JR.!
3546 Hamstead Court ~Durham.North Carolin:l"J
I Executor ,!'"SHERMAN H.SIEGEL,E"SQ..'
1215 Washington Trust Bl~g .'Washington;Pennsylvama
~Attorney 68129.Fri..3T
---------......-....-~
Sworn to and
W'.28752
subscribed before me this..J4...day Of.....-!.Y.D..~....J9.9.8
7ff11~g;~~;~~
WASHINGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6.197?
Washington County ReportS
~dl~~
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
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 h~
ing claims or demands to present them
for settlement to the Executors or Admin-
istrators or their Attorneys.
• • •• ••••••••• • • ••
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 WASHINGTON )
STATE OF PENNSYLVANIA (SS.
Personally appeared before me,a Notary Public in and for Eaid 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,publisbed weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act-
ing as its agent in t'his behalf;that the said WASHINGTON COVNTY
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:.
ELY,AUGUSTA B.,a/k/a AUGUS'rA
BULLARD ELY,a/k/a AUGUSTA G.ELY,Dec'd.
Late of Donegal Township,Washing-ton County,Penna.Executor:Ralph L.Ely,Jr.,3546HamsteadCourt,Durham,North Car-
olinaAttorney:Sherman H.Siegel,215
Washington 'rrust Bldg.,Washington,
Pa.
June 6.13,20,1968
~hat the affiant Ql;-the corl?orati~n in behalf <;>f.which he is acting is not int~rested..,r,'~"''''~I'f~'
III the subject matter of aid obce or.ad.vertlsIll~d that .all of the aHegatlOns of .....,this affidavit as to th e lace and character t e pu~e t e,;
Z),/JU.
_.._"MMM'_""'~""""""""""""Edi~~;
20th.June 8....................day oL ,196 .
;!:,~;!-~bI;;
.Washington,Washington co,~trj"
My Commission Expll'\l8
".November 1,11169
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly sworn ac<:;6rding to law,deposeS and say S that the above account
as stated is true and correct as _h.e.veri Iy bel ieve.
Sworn and subscribed before me this --..qg.3.~J?#fit£----------
WASHiNG',:)i :..../,....J-j ...~"r"'")N'CO..i?'A.
My Commission Expires February 27,1971
Washington County,ss:I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the.manner
~~::~i:~e~\~t~:.e_iJfI"ll~t.,-as-~vid-e~ceby proofs
Witness my hand and official seal thiJ~---.-..
day of...~...-.---.-..------.-.·--·.--.--....-.---7/.19t:.f....L·f{/.;~~..."./"
.........__~_.__.__"
"Register of Wills
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA.
(ORPHANS'COURT DIVISION)
IN RE:
ESTATE OF
.-~··-·"'·AUGUSTA B.ELY a/k/a ··)
I...;,;.'_W ':....~,.._,,,..:.....,_~.__~,,_"......,....._~."."""".~.........'~•
·NO.63-68-742
AUGUSTA BULLARD ELY a/k/a)
AUGUSTA G.ELY,
Deceased
PAY TRANSCRIPT
The undersigned hereby acknowledge to have received
of Ralph L.Ely,Jr.,Executor of the Estate of Augusta B.Ely
a/k/a Augusta Bullard Ely a/k/a Augusta G.Ely,deceased,
payment in full,in accordance with Schedule of Distribution
of the Court dated April 10,1969,as follows:
Russell Marino,Agent,transfer
inheritance tax 3194.85
Russell Marino,Agent,costs
Ralph L.Ely,Jr.,son,1/3
residue
Robert Martin Ely,son,1/3
residue
John Bullard Ely,son,1/3
residue_~__,..""."~..
$80.00 See receipt attached
Russell Marino,Agent
31128.30
--.--\
NO·A033531
COMMONWEALTH OF PENNSYLVANIA
dEPARTMENt Of REVENUE
Q.F'Ht;IALREt;EIPl'~.P~NN$YLVANIA INHERll'ANCEANol EST~T~tAl
RECEIVED THREE THOUSAND ONE HUNDRED NINETY-FOUR and 85/100 - - -dollars
Ralph L.Ely,Excr.representing Pennsylvania Inheritance or
From:C 0 ATT!.SHERMAN SIEGE Estate Tax due from the following estate:
Remarks:
Date of Paym ent M_a-=y_l_9--=..,_1_9_6_9 -----i
Name of Decedent __A_U_G_U_S_T_A_B_._E_L_Y ----1
Address 215 WASHINGTON TRUST BUILDING
$---------Inl
$
$6,194.85
$
$
$
$6,194.85
Pd.3,000.00
3,194.85
$
%Tax on $_
Estate Tax,Act of
May 7,1927
2%Tax on $_~_
6%Tax 0 n $103 ,247 .52
15%Tax on $,_
TOTAL TAX CREDIT
Less five percentum of tax if Prev.
paid within three months after
dot~of death
Plus interest at the rate of
__%from _
to _
Date of Death__5_-_2_0_-_6_8---163-68-742
WASHINGTON PENNSYLVANIA 1530
File No.
WASHINGTONCounty ---1
SEA L TOTAL AMOUNT PAID $=~3!::!,==1~94~.8~5~=I!Il1
Received byNOTE:In accepting the transfer inheritance tax an future estates,priar to the death of the life
tenant or tenant for yeors,os evidenced by this receipt,it is understood thot the Commonwealth shall
not be precluded or prevented from hereofter assessing additional inheritance tax at the death of the
f.life tenant or tenant for years whenever it appears that such additional tax may be legally due and
"':collectible for any reason whatsoever.
-'..-----------~----..,---
37-119-3
MARINO,Clerk of Orphans'Court Division
35'12
•..•- $
CLERK OF ORPHANS'COURT DIVISION
NOTE:To be delivered to taxpayer
Total ••••••$
State,etc.• - •$==::;::===
J6~
Received
County
N2
',-----!-.--......."':O4__.......-.---..__•-..r--r
Washington,Pa.,2??~I~,19~i
OFFICE OF i
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IN THE COURT Of COMMON PLEASQrWl\SR+.NGTQN CQUNT~f,~ENNA.,
CORPHANS~COURT DIV.l
No.'63 ....68-742
IN RE;
ESTATE OF
AUGUSTA B.ELY a/k/a
AUGUSTA BULLARD ELY a/k/
AUGUSTA G.ELY,d.eceasec
PAY TRANSCRIPT
,
~.:$...·1'
.~::-0 t.D ;P:'
p.P1 ::0 .-._..;,!,"",
en G":>C ~t,·'...~.~--'.'1:~t-r -(n =1 ~.t].
-(f>en <:.,~;.f'~.;.--.......:-Z ._~rrT I ~i ..'
G-'rn I "
--J II,,~,.-:r-1 ::0 r-I"'.'....I':"~\~f'°0 "-i,~:~
Z -'il ?.:-C ...~i..--n J;:>-:::t.'.;
0:.1:.:::0----t.J..)c~;.=z -
,!>c.n 0 (J1,;:::>
SHERMAN H.SIEGEL
ATTORNEYAT LAW'
"""'H'NCT~YLVAN'A
WASHINGTON ST BUILDING
t ..
----!
lin t~t (@rp4an5~(1jnurt of llIus4tugtou OInuuty
ESTATE OF
Al~sr~~.~~._:[:?~~JY.,-..§l~/0._ _ _..
~_~CJ.~~.~~..:[:?~g~?;.s.~.~y'.~_.~/J5./~_ _.._
!::~~~_~~..g.~~.~Y.L ~~.~~~~.~st·_.
No.~~.~~~.~.?~~Of..,19 ,AA
In the matter of the..;f.~!.~t~~g..:f.J.tl'?:L .
Account of.B.~·JI?h_.~.~..~ly.J..lr..~.,_ _ .
._ _~.~~~.1J..tQ;l;'_.
SCHEDULE OF DISTRIBUTION
ADJUDICATION AND DECREE
And now !::.P.tg _(0..,19.Q.8 ,this matter came on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
thereof the balance for distribution in the hands of the Accountant is determined to be$JO'~,J?_Q..~!.7.6..and the account is accordingly confirmed;and it is ordered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance with the
schedule of distribution hereto attached and make a part )1ereof,unless exceptions hereto be filed
sec.reg.or an appeal be ta~~n herefrom sec.leg...lD ~
·~::~~[lJ.
Balance per account _ _ _.._ ____ _..
Additional debit asked at audit
Additional credit asked at audit
Ba lance _ __'."'_.
Deduct Clerk's Costs &Receipts _ _.
Attorney §.h~~!P~.l!:.R.~:.§~~g.~L......................
Russell Marino,Agent,transfer inheritance tax,
91.4,
$102,839.73
179.97
~~6J~..?6 9'~7'~80~.0~0 :Jr'~-f/~~~~
3194.85
31128.31
Ralph L.Ely,Jr.,Executor,reaward for Federal Tax
contingencies.After the tax is fully settled and the
accountant1s liability ceases,any balance of this rea~~
remaining,if any there be,shall fo llow the decree of
distribution herein made,as it relates to the distributio 1
of the residue and the proportionate shares therein and
no further formal accounting to the Court shall be
necessary,
Ralph L.Ely,Jr.,son,1/3 residue,
6000.00
$93,384.91
Robert Martin Ely,son,1/3 residue,31128.30
John Bullard Ely,son,1/3 residue,31128.30
4105.56
$84199.56
1961.75
1440.00
23313.00
7729.54
2700.00
671.25
1986.50
5964.75
1536.00
N'o value
No balance
NOTE:Included in the residue as shown above,for distribution are the following
assets,held in kind and distributed as such at the appra sed valUE and in the
proportionate shares as set forth therein:
324 shares Bristol Myers Co.common stock
38 shares Continental Can Co.common stock
15 shs.Atlantic Refining Co.3.00 preference stk.
456 shs.Sterling Drug,Inc.common stock
91 shs.Richardson-Merrell,Inc.common stk.
80 shs.Atcheson,Topeka &Santa Fe Railway com.stb
10 shs.Monongahela Power Co.4.40%pfd.
244 shs.American Tel.&Tel.capital stk.
66 shs.S.S.Kresge Co.common stk.
48 shs.Southern PacifieR.R.
500 shs.Elytronics Inc.common stk.
20 shs.capital stk.Oakwood Estates,Inc.a W.Va.
Corp.
\.
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t:Y nr :J 3
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t:Y ....(1)_...,
S111/1\30 l:l31S103lJ ~0
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.-+....
,to
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at :6 HV tt CldV 6961
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to Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF ..WAS.a..lNG.'I'QN ..
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 granted by the Secretary of Revenue .........CSection 703 of
__tlI~.Inheritll.nce_an!iE_~tate~ax Act of 1991.)
IN THE MATTER OF mE ESTATE OF 1AUGUSTAB.ELY a/k/a AUGUSTA BULLAR AFFiDAVIT OF
-EIfY-a"G:AUlf~l*-;'~:;iS';ii:------------EXECUTO.~R~!IXi~
Late of ......Don.e,g.aLTownship..,.wa.s.h.i.ng.:!;;:9~ounty ~
..Ra.lph.L Ely.,.Jr .
AXllmi~X of the estate of the above-named decedent being duly sworn,depose S and say S
Esecutor
Decedent'died ........May....20
(Month)
Name and address of attorney or}
other authorized representative to
whom all correspondence should be ..
mailed.
(Day).........,19i'~;';;~)"""{;X~~i~:.;txVing a last will,copy of which is hereto attached.}
..SHERMANH.SIEGEL,ESQUI.RE................
215 Washington Trust Bldg.
WashirigEori;PenrisyTvciriia ..
That as such Execu:tor deponent is familiar with the affairs of said estate and the property con-
(1';x"c\Itor-Administrator)
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:-
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Sons·
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,name 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 in trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to the last
interest day prior to decedent's death in the case of savings banks,and to the date_of decedEmt"s death
in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent;all obligations,whether by statut~'or,agreement they
are designated as tax free,of the United States,or any state,or political subdivision thereof,or of
any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,arid~any and all
other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated
market value thereof;all bonds and mortgages 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,With interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such estimated fair market value be less than the
face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable
to the estate from life insurance polici'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
value thereof at such time.
In the case of securities of close 01'family corporations,the values reported are as far as
possible substantiated by financial statements of the corporations,showing the assets and liabilities
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 01'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 01'business.
A copy of the co-partnership agreement,(if oral,a 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 fail'and just appraisal of the decedent's interest
therein must be submitted.It should also set forth in itemized form,together with the fail'market value
thereof,any other property owned 01'bequeathed by the decedent at the time of death.
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'~death,01'intended to take effect in possession 01'enjoyment at 01'
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 01'enjoyment at 01'after death,there is also attached to the schedule a copy
of the deed,trust agreement 01'other instrument creating the trust.TherR is also set forth in said
schedule a list of all property,real and personal,with its value,which pa~ses at decedent's death by
virtue of the exercise by decedent,either individually,01'jointly with another,01'any power of appoint-
ment vested in decedent,either individually 01'jointly,by the will,deed,01'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 this 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 01'others,including intangible,standing in the name
of the decedent and others,plus the date and place of record of ins_t!:umen~s ef!ecting..t.I:!-e._ves~"i,tur_e_0:
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 appli~able;costs of administration of this estate;counsel fees and fUdiciary's
commissions paid 01'to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and Ilnpaid at time of
~.death;taxes accrued charge.able for 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 01'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.
"en,"E",and "F"as directed therein,·
,g~~:~------
...~.~.~.~~~~~.~~.~~~9.~.;:~..
(Street NumbeT)
Durham,North Carolina 27707.......................................................................................................................................
(City or Town and State)
.r
My ComlTitssion Expires November 17,1~
That the totals of the appropriate columns in Schedules "A","B",
have been carried forward and properly registered in the Summary.
~Subscribed and sworn to before me this ..<?16..
......................................day of.~19..JHt-_0f~m:;fp3f;~-.
/
NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details 01'the word "None",and in case the assets include rare and unlisted securities,
securities of close 01'family corporations 01'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 "Summary"has been properly completed as above-directed.
RCC-34 (1-64)
COMMONWEALTH OF PENNSYLVANIA
DEP"'RtMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONST~ANSFER INHERITANCE TAX
RESIDENT DECEpENT
SCHEDULE "A"
~AL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule liE".Property hrdd by
thede.cedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located in the Commo!,!wealth of Pennsylvania should be
described by lot and block number,str;'et and street number,together wi th
a general description of the property,with a reference to the record af the
conveyance by which the decedent took title;If a farm state number of a·
cres;also statement of mortgage encumbrances upon each parcel at death
of decedent.Taxes,assessments,accr.ued interest on mortgages,etc.,are
to be listed on Schedule "F"and must not be deducted from this schedule.
(1)(2)(3)/
DEPARTMENT
ASSESSED VALUE VALUATION
FOR YEAR OF ESTIMATED CAUTIONDECEDENT'S MARKET VALUE (Do not write
DEATH In this space)
ALL those certain lots of ground
situate in Donegal Township,Washington
County,Pennsylvania,known and designated
as Lots Nos.3,16,17 and 18 in the Plan
of Lots known as the Samuel Kimmins Addition
to West Alexanderfas same appe~rs of record
in the Recorder's Office for said County in
Plan Book page ,said lots being
more particularly described as follows:.
FOR SOURCE OF TITLE see Deed Book 557,
pages 538 and 539.
./
LOTS NOS.16,17 and 18:EACH of said
lots is 50 feet wide and 150 feet long and
are bounded on the North by lot now or
formerly of S.R.Blayney and Amy C.Blayney,
on the East by an alley,on the South by an
alley and on the West by lands now or former
of Harry M.Yates.
LOT NO.3:Fronting 50 feet on the
West side of North Liberty Street and
extending back ina Westerly direction and
of equal width 120 feet to a 20 foot alley,
bounded on the North by Lot No.4 and on th
South by a 20 foot alley.
EXCEPTING AND RESERVING all the coal 0
the Pittsburgh or River Vein underlying the
above described lots and alleys together
with mining rights as excepted and reserved
in deed of Emma McConn et ale to David
Mitchell,Trustee,dated December 29,1899
and recorded in the Recorder's Office for
said County in Deed Book 233 page 68.
~~~,
/9;'7-
~-~~J);rt5f
Insert this total opposite "real property",Schedule CIA"in the X X X X X
liAs Reported"column on the last page of this return.
RCq-35
.&OMMONWEALTH 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 property,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.
Item
No.
ITEM
List and describe fully
Household furniture and furnishings (sold
at public auction)
Diamond ring
6 prong diamond ring
Amethyst pin
Pin with red garnets
Wheeling Dollar Savings &Trust Co.-
Savings Account #90453
First National Bank in Washington (West
Alexander branch)Checking account
Cash in purse
Check payable to decedent from Bullard
Estate
$3,500.00 face value u.S.Steel Corp.
4 5/8%subordinated debenture due 1996
at 77
324 shares Bristol Myers Co.common stock
at 74.69
38 shares Continental Can Co.common
stock at 51.62 1/2
15 shares Atlantic Refining Co.$3.00
preference stock at 96
456 shares Sterling Drug,Inc.common
stock at 51 1/8
91 shares Richardson-Merrell,Inc.
common stock at 84.94
80 shares Atcheson,Topeka &Santa Fe
Railway common stock at 33 3/4
10 shares Monongahela Power Co.4.40%
pfd.at 67.125
244 shares American Tel.&Tel.capital
stock at 49.125
66 shares S.S.Kresge Co.common stock
at 90.375
48 shares Southern Pacific R.R.at 32
500 shares Elytronics Inc.common stock
20 shares capital stock Oakwood Estates,
Inc.,a West Virginia Corporation
UNIT ESTIMATED
VALUE MARKEl'VALUE
1,297.95-
600.00
100.00
371.00
195.00
4,667.89'
3,346.77-
212.13
32.00
2,695.00
24,199.56
1,961.75
1,440.00
23,313.00
7,729.54
2,700.00
671.25
11,986.50
5,964.75
1,536.00
No Valu
4,105.56
DEPARTMENT VALUATION
(Do not write in
this space)
K
b~
4(
~
)<
{~(
oK
,oK
61<-
6/(
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X 99,125.65
,------------------------------------------------------------------
RCC-36,
COmWW\'EALTH OF PENNSYLVANIA
Tlli\NSl~R INHERITANCE TAX
~SSIDENT DECEDENT
SCHEDULE "c"
TRANSFERS
(1)Did decedent,within two years of death,make any transfer of any material part of his estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)no
(2)Did decedent,within two years of death,transfer 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 health 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 th\:'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)~n~OL-_
(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 could 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 affirmative,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 submit 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 DESCRIPTION
NON E
\:
,I
MARKET VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.NON E
,C~i~;!()~1VF\UH OF l'ENNt;YLVANIA
n \\'~~;'FH IXHFH.lTANCE TAX
)tF~InEU nECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
I\STRlTTIO"S: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 llilner 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-~wners to
the decedent.
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
I
I
I
I
I!II!
I
Ii,
Value of Value of
Entire Decedent's
Property Interest
NON E
IIiI
I-----l..--~I IInsertthistotalopposite"Jointly Owned Property",Schedule"E"LNON E Ji
in the "As Reported"column on the last page of this return.
-----------
ROC-37 ,(12-63)
(,OI\1I\1~\hALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESlDENT DECEDENT
> •
SCHEDULE "D"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Ralph L.Ely,Jr.~E::i1e:::u .,;:1
Durham,North Carolina Son yes 1/3 residue
Robert Mart1nEly
T"\••'.~TT_~••~_~~-l-..1I11.,....~l'"l'"OJ.
Laboratory
Beaufort,North Carolina Son yes 1/3 residue
uouu ru r..J.y
')n T.T",<::'.f-'0 ..,,"'....'0",",r!
Naperville.Illinois Son yes 1/3 residue
(
h
Deponent fUrther says that all the above-named beneficiaries are liVing at this time except below:
NAME DATE OF DEATH RESIDENCE/
/
/
\!/
\I
\./
-
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Will
Administration t No.
P.'1 THE
Year .
(Executor-Administrator
must complete "As
Reported"column #1.)
CJ ...,~~......(b0Il:>...e..V>::l V>
V>V>0.....::l "t:l...,(l)e........Il:>V>0X~'"dIl:>(b0'"...
Cii -0 ~'0
trl (l)...
V>~....Il:>....(b
AUGUSTA B.ELY a/k/a AUGUSTA
BULLARD ELY and AUGUSTA G.ELY
Deceased
,,,
REPORT AND APPRAISAL
Commonwealth of Pennsylvania
Late of
County of
.Donegal..Township..
Washington
~r :-J
.-
,
,-.,.:
l
1
......,..,--.....r'--
I
J :~I I
. j
t ";
.!
~/0 ~0
trJc:
~~;>
--------~
trJ en trJ >-<:
()()n?"'?"'?"'
q ~>;
-Y)~-GG -Y)-Y)-Y)
:......."-0 :......:;:.......:......:"-0 :1\.)V>
:--:Z.;.~~----:0"1 .01-':-.....1 ::SN Ul.@-
0"1 CDUl :......o~
:.•:.........
:0"1 :0"1 :0 ~
:Ul Ul :0'::::'
-SHERMAN H.~SIEGEL,ESQ.
215 Washington Trust Bldg.
Washington,Pennsylvania
-Y)-Y)
~;
~:
~:
~
~
~
-GG-Y)-EF.'-y)
",,'\.:;:"\.,J."'J:~'"~tJ:,:It ~:~,'\....2'to:S<·::-l ...~:"-\\~3:'<..\:---::;''."("::~:o.c...
U\.C>.~
,.
"/
j,
".~t
RCC-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE'
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
RALPH L.ELY,JR.
(Executor ~).
IN YOUR REPLY PLEA8E
REFER TO 37-119-3
In Re:Estate of --:.:A.;;.:.UG~U:..;;S;.:T~A_.:::.B..:.,•.-:,l:!..L=...:;Y;....::at..:./k:.;;!/..,:a:..-_
_____-.:.;,;vJA~S:.:.;H:.::I;:.;N.;;.:.GT=...;O:.;:.N.;..._County -File No.63-68-742
Dear Mr.Ely:
You are hereby notified that the original
appraisement in the estate of Aygust B.Ely a/k/a
has been filed in the office of the Register of Wills qf WashingtQn
County on December 5 ,1968.Said appraisement reflects the
following valuations:
Real Estate .:;12?,5~5;.:::1;.:.~0~0--
Personal property ~9~9~,=1~2~5~.~6~5 __
Transfers -:--~~---
Tota1 -_---'1~11u11~.~6:.L.76l=U.l.6~5,--_
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Da te ~D.l:!.e.l:!.c~em!8b!o!.e~r~5"",'__"1!=..9c6"_l:8,{...._
DATE OF DEATH:May 20,1968
Note:This is not a bill.
RESIDENT DECEDENT
':O.-.lMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
ll-eC-39 (6-67)
ELY,AUGUSTA B.a/k/a ELY,AUGUSTA BULLARD a/k/a ELY,AUGUSTA G.
,.FILE #63-68-742
l-ray 20,1968
SUMMARY
FILE #63-68-742
05-20-68
12-05-68
rmpOHT 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".
~e..::-'~~~~~
INHERITANCE
Dated:
REPOR'r OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for _
Coun ty ,Pennsylvania,do r"~speetfully report that I have allowed deductions in the amounts
claimed by deponent,except as to those items where a greater or lesser amount is set forth
in the last column to the right in Schedule "F",which greater or lesser amount represents
the sum allowed as a deduction.
Dated:
REGISTER OF WILLS
VALUE AS REPORTED VALUE AS APPRAISED V~A~L~U~E~A~S_"RE~AP~PRA~_~I~S~E~D
:1;12,551.QL $12,,551.00._$_
99,125..65..-99,l2S.65._
INVENTORY
Heal 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)
CLEAR VALUE OF ESTATE
1l1.676.qL
=====.~----
111,676.65 :=
=====.-======:=
/
Valuation of life estates or
annui ties . . . . • • . •$_
ESTATE TAX ASSESSMENTS $
C01WUTATION OF TAX
TOTAL TAX BALANCE
PAID
$--~----~
St _
$--------
$---~--
$-------
$
(*)As evidenced by Charitable Exemption
Certificates issued by the Secretary
of Revenue.
$======:=
$-----cI>-~======~.,-
$------
*-----d>~)------
TOTAL TAX
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 6%from
to
AMOUNT OF ESTATE TAX ASSESSED
E s tate tax paid
BALANCE DUE
Add interest at rate of 6%from
to _
F9R USE OF REGISTER ONLY
T ax on $•__fi~1o $_~~
Tax on $.~\O%~~
Tax on ~.~~__...,..-_~_
Tax on $.1~%$
Exemptions :=(::,)
Total Estate __
ron USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the
rregister of Wills,for proper reason,same should be noted below,with short
explanation.
Will l
Administration ~No.................Year .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
AUgtJSTA B .~~..f3:/~a./
Deceased
Late of .......DONEGAL TWP.• ••••••••••_0'••,..••••••••••••••••••••~.•-.-••'•••
County of WASHINGTON ..
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
l
Fonn 'J)CC-2
~'/,DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
,eOMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ,..P.~.~~~.~~,2.t ~.~§?
COUNTY ~.~.~.h.~~~.~~,..
FILE NO...,.??:§..?.:.7.4.~.
Whereas,A:ugy.§.t.s..•....;gy JI,;!5j~late of .P.g~~g~.+.~~p.~.
in the County of ~.~.~.h¥J..~.<?P:Commonwealth of Pennsylvania,having died on
the ?9..~.h day of ~y...19§.~,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.......................................................................................................................................,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:
All those certain lots of ground situate in Donegal Twp.,
W.q,shington County.Pa ••known and designates as Lots Nos.
3,16,17 and 18 in the Plan of Lots known as the Samuel
lUmmins Addition to vlest Alexander.12,551.00 12,551 00
PERSONALTY:
Household furniture and furnishings 1,297.95
Diamond ring 600.00
6 nronll diamond rinR:100.00
Amethvst pin 371.00
Pin with red garnest 195.00
Wheeliru!:Dallar Savings &Trust Co.,Savings Acct.4,667.89
First National Bank in Washington,Checking Acct.3,34$.77
C;:U'lh in 212.13
Cheek oavable to decedent from bullard estate 32.00
C.L .,.-88m302.91
Total 99,125.65 99,125 65
Total 111,676 65
fonn~~vi';:fh b~::::h~w~~~~~~~.~a~o~e~~b~ce?:r5t~~a~p~;~~~.i:
~.............................,......:z ..................................................~':~'........
····················~~~~7~)···························........•Penna.
WASHINGTON.....County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
............................AlJ.G.lJ.~.'I'J?~~x...?.!Jf!~.
Deceased.
Late oi
DONEGAL TWP •.........--.-,.
Date of Death,~y.?Q,..),..9q.$..
Appraisemellt Docket Vol.,.3.7 .
Page,l1..9~3.No 93..~q.$~74.?.
Filed in Register's Office,p..~.~.~r.!ll?~~....??....19.§?..
Amount 01 tax due $,.
DEPARTMENT OF REVENUE-
Received,
Examined and App~8(l"{f~.:I(n.f:nS·r:~mf··························
Wrote abaut Appra91~1~;fi,1.!?~~.0.~.
··································o-(····~···6······t;tv-········l·l······~dV··fmBI·············
Appeal f1'Om Appraisement,.
'~~;~;~~"':"';~=;"""d"(]<~l'l"f"~4'.
ge ,... ... ........-Q..........................................
,-;.
,.4
7
Form RC C·lO DEDUCTIONS ALLOWED IN
OFFicE OF THE
REGISTER OF WILLS
WASHINGTONOF COUNTY
STATEME~T OF DEBTS
AND·DE;.OUCT.IONS.,r-'..
THE SUM OF $
OAT,.APPROVED .•......
t:tt!!~£/
..D/f'-£r./.,
AND AGENT OF THE COMMONWEALTH
a~7/(p3-to~v712 Regllter of Wills,Age"t .
ESTATE OF _...:A.:.:U=-g:!..U=s=-::.t.=a:..-::B-=.---:.E-=l~y'--LATE OF Donegal TownShip,Washington Co.,Pa.
Mav 21 1968DATEOFFILINGAPPRAISEMENTDATEOFDEATH,
)
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH""
1 ~6 8
MaY 27 Columbia Gas Co ..Acoount due .QQ ,n
~.~-.....-.'...--....'..._.-,~
IMit"'t:"nl~;':-Per""........'-'fIAV ,nlt t'IQ.,.,,"'c ~..ron -19.68.
17 Ferrell Funeral Home Burial exnense 1461 00
Bell TalephoneCo.Aocount due 27 86
''1'.=0..,.
..Julv 5 Malcolm Moraan "Co '1',.-e::lS I'QI>A '2".u:
Observer PUblishing Co.Advertise grant l~tters 12 50
10 R.M.Ely ~ppraisal fee -jewelry 15 00
I~7est Alexander Cemetery Assl'l •.,Opening grave 75 00.'
12 Sherman H.Siegel Reimbursement for,
Payment of transfer taxes cln sale of real estate 251 02
22 Simon White's Sons IGrave stone inscriDtion ';1 11'
West Penn Power Co.Itlccount due ~-:t1
Georqe Miller H-au1lnq rubbish'10 00
24 Dr.Rankin Medical'servioes 110 00
Aug.1 Columbia Gas Co.~eoount due 10 50
,.~uctioneer's fee at publicMartinHallarsale ?ItO ~o
Paul spragg Mowing lawn 6 00
Carl ~aT.estate s share Of -1968 ,E.Bonar et ux.taxes 44 29
Ralph.L ..Ely,Jr..Re1ii\Pursement of expenses fnadministrAtinnnfARt-SSt.a.
1968 and cost.s advanced:,
[May 31-AvIs Rent:--A-Car P~ob:t:c:t.~il~l.UUti'J;S.L &96.08 I
-~I'InR A.¢il.J;'l:::~1;0 l:~~l;sDurgn -2 tr1ps lTI.73MinIsterDffieiatinaatburial20,00
fi'lowers at funeral 29.97 287 80I,
Sherman H.,Siegel Rga~»5~3rre,J1t for ·oosts
'.~~1Hj"-..~.'."-.....,......-Reaist.er Will's ~'"e ••--."_.-......_.-~r;r;-n27ofr~._-Mav "29 waShingtoQ 'CO.-R1ps •Rfdvt•grant.letters .12.50OVE
COMMONWEALTH OF PENNSYLVANIA }
__W_A_S_H_I_N_G_T_ON__'___s.:COUNTY OF "
I.Ralph r..Ely,Jr..HEREBY CERTIFY.THAT.TO THE BEaT OF
NY KNOWLEDGE AND BELIEF,THE FOREGOING fSA JUST AND TRUE STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF _AU~LS.:t;.a..B.-":BJ.¥...._.--~_-...,..-.;-_.
INHERITANCE TAX PURPOSES..
23rdt•-'
SWOR.1&I\'UW¥RIBED BEFORE ME.THISe9 DAY 01'
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61.50
5 short certif.5.00
Filing Inventory 4.00
Certified oopy Wi1~4.50
10 short oertif.10.00
Reimbursement (continued):
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wills
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ISiegel·"/?':;R~<'Y.~I
Register of
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Sherman H.
1968
OCt:'"15
28
Nov.19
21
witness to Will ¬ary fees
Sherman H.Siegel
Margaret Bails
Russell Marino,RECg.
Counsel fees
Filing this aooount
Total
5,220.00
10.00
18.00
$8,185.64
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RCC-4 (8-68)COMMONWEALTH OF PENNSYLVANIA'
DEPARTMENT OF REVENUE
NO,A033050 OFFICIAL RECEIPT •PENNSYlVANIA INHERITANCE AND ESTATE TAX
$--------$--------.I~I2%Tax on
RECEIVED _---'T!oJH~RE~E~Tb..'.HllOLl.Uu..SwAwNLI.ID!..____oDoA.J.]N.I.I.D __~X.lllL~lDLf1'-<fclllll.l.pu.~xl!l.ox----!n.j,\,OH/C-,ll"",OAoOI---~~_doliars
repreSel']tin9 Pennsylvania Inheritance or
From:_---:R=.:a=;-=l:J;p:.:h=-.::l:..:.---:!=-.l=..LJ-.-::J:-r=-::.-.-Es_t_at_e_T_a_x_d_u_e_f_ro_m_th_e_fo_lI_o_w_in_9_es_ta_t_e_:------I!lI1
C/O ATTY.SHER~~N SIEGEL
Address _=:21=5::=........:W~A=S=H=I=N=G:.-":T'-"'0=N---""-T~R.>!..U!><..ST"'---'B"'-'·"""D~G"-"------l
WASHINGTON PENNSYLVANIA 1530 6%Tax on $On Acct.$_----'3::....l,c...:::;0....::..0~0=....;.0::....::0:""--_1111
Fi Ie No,6:...;3=--_6=-8=--_7:-4..:,,;2~_Date of Death_-=5::o---=2::.;O::o---=6=8",-;15%Tax on $$111
Date of Payment __.=..J-=a:;::n::.::u::.:a::.:r:-oL-=1c:::3J--=1:.;9=-.6=-=--9__--1 %Tax on $$---------11l'lI
Name of Decedent
Estate Tax,Act of
AUGUSTA B.ELY aka e C.May 7,1927 $,---------1[11
County __----:.W~A~S::..::H=I=N..:....:G:....:T:...:O'-='N"'--__1
Remarks:
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from _
to _
$,---------iU
$--------U1
$,----------111
SEA L TOTAL AMOUNT PAID $=.==3~,~0===0~0~.~O~O==~
NOTE:To be delivered to taxpayer ~'....
Received by ~~~
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the life'M~tur.e),
tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall ~~~./..;
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the ~
life tenant or tenant for years whenever it appears that such additional tax may be legally due and (T"tl )
collectible for any reason whatsoever.I e
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1 _
FILED
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1969 APR '11 AM 9"':31
RUSSELL MARINOREGISTEROFWILLS
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