HomeMy WebLinkAboutOC1968-0760 - ESTATE OF AUGUSTINE·.::...
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form
~
Estate of.....$.t\.B.A...~~.~J~.~..A!J_G.W~.T..UI.L ..__._....__..--_.
Deceased
No _.
Fiduciary..~r..~~~_._~.y.g.y.~.ttn.~~JJ:'.~-.
..................................................Exec.ut.r.ix _.
Date of . _Date of
Decedent's death.:Ap..r.tL..?.!..~JJ.~.~.._ _Grant of Letters ~_y.D.~..J.~..LJ~.~.~.._ _ _ _ -..
This is the .fjr.~.t..gJJ.~...f...1.0.H.L account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term ~.9.D.~.
Election to take Non e
Under or Against will.(cross out one)
Date Election - - - -Place of;
Filed _Record .
Name of surviving spouse R.~.~.~.~~Jlt..W.g.~R.._wt_<;t.QW _ _ _ ___.__.._ .
List issue,where material:
Did decedent marry after execution of will?(indicate)~~No.Any children born after execution of will?(indicate)
~lt:xNo.If answer yes,name them ____._..
...-,+..................................................................................................................--_-_.--_-._.._-_._-------_.
L~g.at_ees Rel~tionsl:1ip Interest Fiduciary,if deceased or not sui juris
Gra,ce Augustine Bird Pa,ughter Devise
,sra,ce Augustine Bi rd Da,ughter 1/3 interest rema,inder
,Ma,rsha,ll Thoma,s Augustine Son 1/3 interest rema,inder
~
frederick Bruce Augustine Son 1/3 interest rema,inder
List,if exceptions to above:
None
If partial intestacy,give facts:
None
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..~~.--
If any exception give cause:.
File copy of Notice
and date of mai Iing !.:D..e.~.e.JJ).b.~r l.8..s 1.9Ll CQ.R':I a.t:t.a.ch.ed .
Is estate subject to the filing of a Federal Estate Tax Return?~2 .
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..2.5.6.•.1.9 -a.l'ld $.6.3.•.6&..o.f.l,i.n-dividual liablity:$134.57 on estate liability.
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant .
No life estate
Give Names and addresses of all unpaid creditors who are legally entitled to notice,tog-ether 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
i
"j
Balance for distribution per account,
Itemize any additional debits not shown by account:
Total additionol debits (Add)
Itemize any aqditio.!"al credits not shown -by account:
Total additional credits (Subtract)
Balance for distribution
$n.Q.n~.
$.._.ng.n~.
3357.25$.
$..~.~.9.Z.!.f.9 .
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Real estate:
l·,1Personalty:
Parcel of land in Addison Borough,Somerset
County,Pennsylvania
30 shares common -Il11n01s Central
Industries,Inc.
2 shares common -Lerner Stores Corporation
10 shares common -Chicago,Rock Island &
P~cific Railroad Company ,
10 shares'tommon -·Illinois Central Railroad
Company
10 share~common -St.Lou1s,San Prancisco
Railway Company
Cash
$400.00
1811.25
41 .50
320.00
540.00
201.50
43.00
$3357.25'
\
...,..-'\•
•.........
If Family Exemption claimed by Petition,give place of Record::".::.':'.::.
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:CJ..g.1.[lJ.e.~Ljn A.C.~.o.un.t.,
Decedent and Grace Aijgustine Bird are mother and daughter an~decedent lived
£with and was maintained by daughter at her home at ·909 Howard Street,
U1Monongahela,Pennsylvania,for ten ye~rs immediately preceding her decease.
List any advancement or distribution.on account that 'has ~een made,and ~ature 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:
Grace Augustine Bird -Devise -Parcel of land,Addison Borough,Somerset
County,Pennsylvania
Grace Augustine Bird -Balance due
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly..~.~.<?r.~doth depose and say
that the facts set forth in the foregoing petition are true
to the best oL h.~.r knowledge and belief.
Sw.urn to and subscribed before
me this ?~Jh day of Q.~.~.~.!'}.~.~r.,19...?}
Signature af officer----;tlr~.d.-¥
Title of Officer.~Q.t.~.r:.Y.p.1JJ;>.J..1.~.
Office expires ~.~..Y.~..~L~.?~.
DEny E.WENZEl,NOTARY PUBLIC
MONONGAHELA,WASHINGTON COUNTY
I'll I;OMMISSION EXPIRES MAY 9,1976
IIJI"mber,PennsylvaniaAssociationofNotaries
And your petitioner will ever pray,etc.
Executrix of the Estate of Sara
Louise Augustine,deceased
....................................................................................................'!'.
No.fa 3>-~8 --760
~
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Estate of..~ARA...l.C)J.1j.~E ...8J;J.~1l.~IJ.N.E..s._.:
Deceased
Fiduciary....Jlr.ltC~...8·U.9.u.S.t.i.n.e...B.i.r.d~...
...~_~.~.9..~.t r j.~_-._.
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.~e~Y-~:f -<>f"6et"-appei¥l4:iR§-GuoFGiQAo-od
.J.it:em,~~1*H"t:iA6J'l*'-
3..(;-eJ!'~~-~Fdef"-Gpf)8H<lt:-iR~-""J:.rolol&tee-~,
+i+ern;-if-J"e1i'iI"tefl+.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.or an attest copy of WiII.
6.Copy of inventory and appraisement.
7.Proof of advertisement of grant of letters
if not fi led with account.ri 1e d
8.uuiiicQte_Q.f_J.ienii_i&l-~~:-Q.f-Ithe-,
.:funds _fQJ;.J:Us1r.i.butiQQ.~e.-fJ:Om,.~IoI4i ~,Q 1-,
~aJe.of."eoJ,.e»tQte..-..-..-..~-'~.-..
9.Signed and-itemized elections if any
distribution in kind.
1O..c.o~y.Qi-~lidel=OJ .&kJ*e-:r&""4'&tlotrof'\-i~-e5-
.tate .is-i.l.Jb+ec~;t:~9tQ..
~ose:ph .L.HoffmaIUl
At"::::::'r
242 '.:.~t
...............J!lmo.~p,'r,hel?:,..'??:.__J.,"i.!'lJ~5 .......
Attorney
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SlllN\:~~;lLLl.SI~31..1
ON!l!V~i ",1;:;SsnH
SI 21 ~ld i I 1JO hL.s
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IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVANIA
ESTATE OF
SARA LOUISE AUGUSTINE •....No oF 19 A.A ..
.......................p.~.~.~.•.$.~~.
NOTICE OF FILING ACCOUNT AND AUDIT
To the Heirs,Creditors and Other Persons interested in Said Estate;
Please take notice that the first and final account of ~r..~~.~~~.g.~.~.~t~~~Jr..q,..
Executrix ..................................................of the above estate,was filed In the office of the RegIster of Wills of Washington County,
Pennsylvania,on ,J.•.J'.l.U.I.r.¥.22 19..14,and docketed to the above number.
Under the rules of said Court,said account will be assigned for audit in the Orphans'Court courtroom on the
Third Floor of the Courthouse,Washington,Pennsylvania,sometime during the week beginning,.."'~.r..~.~~19.?~.•
The precise time will be posted on the bulletin board in Office of the Clerk of the Orphans'Court on ..F.e.b.r..u.ar..r...ZI.•
7419 .
.....~.~.~.~~.~1..~.~.~19 1.~.
RespectfulJIYSUbm~itted':<~'~/'..!'.'11~""'',,,-,,
-.'..".-----.............,At~~;~~;·f~;t'/E~~~"""""""""''''''''''---
~u tqt (@rpqaus'Olnurt nf Ifusqiugtnu <!!nuuty
In the matter of the Audit of Account in
Estate of S.A\.RA L.0.U.l.S.L..A.u..G.U.s.:n..N.E..,
.......................................................p..~..~.~.~..$..~.9 .
TO THE AUDITING JUDGE:
No ,,19.£,A.A.
my Grace Augustine Bird,Executrix of,Enter appearance for .
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..................................................................................................................................................................................................................................................
-',TJij2~l~'-:~::
/;/;t..day of ~~~,19 ?~.
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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.Counsel suggesting proper distibution shall file
a separate concise statement in that regard.
19 , ,A.A.
In re Audit of Account in Estate of
No ,
Ff·~'I'flJI.f Ii','[j'n,..i .I '"~.II.'--.1 I .,•........";"1
'7/(:atr Ii NI 11'15
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W4S/iPJ ~....!...WILL ~"o"'v (;0.)Deceased
..I I]~{P4.....
AUDIT
'rttrtipt fur !\pprnruurr
FOR
Grace Augustine Bird,
.~.0..~..~.y.~.t.1..~.
Joseph L.Hoffmann
.'I
2 et
Monong-aileld.,.....il..16063
Attorney
~5
FROM:
TO:
SUBJECT:
Washington County
MEMORANDUM
Gladden"J.
Jay W.Troutman"Esq.
Audits heard by me on March 18"1974.
March 20"1974.
Re:Estate of Sara Louise Augustine"a/k/a Sara L.Augustine"
a/k/a Sara Augustine"No.63-68-760.Tempest &Simmons"Attorneys.
(,
Noone appeared at the time set fOI'~the audit of this estate.Will you please
check into the matter.
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ESTATE OF
Sara Louise Augustine,a/k/a
Sara L.Augustine a/k/a Sara
Augustine,Deceased
N 63-68-760o._-=:~=..::=....-~~_
In the matter ofthe First and Final
Account of Grace Augustine Bird,
Executrix
ADJUDICATION AND DECREE
An now October II ,19li-,this matter came on for hearing,
audit and distribution of this session and testimony taken;and thereupon,upon due consideration
thereof of the balance for distribution in the hands of the Accountant is determined to be
$ 3;508.54 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 made a part hereof,unless exceptions hereto,be filed
SeC.reg.or an appeal be taken herefrom sec.leg.
~:::.~d,li".t.w.
J.
SCHEDULE OF DISTRIBUTION
Balance per account $3,357.25
Additional Debits -Audit (Appraisal of realty)
Additional Credits -Audit (Personal property tax)
)200.00
48.71
3,557.25
201.50
320.00
$1,811.25
41.50
Balance'·
Deduct Clerk's Costs &Receipts,--'&"'--<A,....d....vu;e....r....t ....i ....s....in....,gO-'--1
Attorney T=-e.:o.:m.::.opi:..:e:..:s:..:t~&"--=-S=.innn=o=..:n=.;s=__1
Register of Wills -Certification of real estate
Register of Wills -Recording certification of Real
Estate in Somerset County
Grace Augustine Bird -Specific devise of real estate in
kind at appraised value
Grace Augustine Bird -Additional contribution to main-
tain assets in kind
Grace Augustine Bird -as partial reimbursement of
advances,residue including the following stock in
kind at appraised value per election filed:
30 shs.Common stock,Illinois
Central Industries,Inc.
2 shs.Lerner Stores Corp.,Com.
10 shs.Common stock,Illinois
Central R.R.Co.
10 shs.Connnon stock,St.Louis,
San Francisco Railway Co.
(Residual Shares Abated)
31.00
4.00
20.00
600.00
60.71
2,914.25
$3,508.54
2,914.25
NO BALANCE
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REAh ESTATE.TO BE CERTIFIED TO THE RECORDER OF
SOMERSET CqUNTY,PENNSYLVANIA,BY THE CLERK OF
THE ORPHANS'COURT DIVISION OF WASHINGTON COUNTY,
PENNSYLVANIA
Sara Louise Augustine,Devisor,to Grace Augustine Bird,Devisee,
all right,title,and interest of the Deyisor in and to the
following described real estate:
ALL that certain lot or parcel of ground situate in
Addison Bora,Somerset County,Pennsylvania,bounded and described
as follows,to wit:
BEGINNING at the Southwest corner of Lot No.1,at
Somerset Street;thence South 74~East,283 feet to Paul Alley;
thence,along Paul Alley,South l6 Q West,170 feet to a corner;
thence,along line of M.M.Straw,South 74°East,157 feet to a
corner;thence,5.9 3/4 Q West,223 feet to a corner of D.B.
Augustine line;thence,North 68 9 West,446 feet to Somerset
Street;thence,along Somerset Street,North l8~East,353 feet to
the place of the beginning,and containing three and one-third
acres,more or less.
BEING the same premises which Edgar E.Augustine and
Mary Augustine,his wife,by deed dated Februar~26,1946,and
recorded in the Office of the Recorder of Deeds of Somerset
County,Pennsylvania,in Deed Book Vol.347,page 476,granted
and conveyed to Sarah Augustine.
CERTIFIED TO SOMERSET COUNTY JANUARY 16,1975.
Deed Book Vol.769 Page 491
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY~PENNSYLVANIA
ORPHANS'COURT D~VIS~ON
ESTATE
OF
SARA LOUISE AUGUSTINE,
Deceaseq
Sur Audit:First and Final Account of
Gra,ce Augustine Bird,Exeuctiix of the
Last Will and Testament of Sara Louise
Augustine
ELECTION TO TAKE IN KIND
To the Honorable,the Judge of the Court of Common Pleas,
Orphans'Court Divi~ion:
I,Grace Augustine Bird,being entitled to the residue
of the Estate of Sara Louise Augustine,by reason of the fact that
I am entitled to the Family Allowance,as well as reimbursement
for funds advanced by me personally to pay the debts,costs of
administration and inheritance tax of said estate,do hereby
elect to take the following stocks in kind,and do respectfully
request the Court to award the same to me in payment of said
reimbursement,viz:
30 shares common stock -11linois Central
Industries,Inc.$1811.25
2 shares common stock -Lerner Stores
Corporation 41.50
10 shares common stock -Chicago,~ock Island
&Pacific Railroad Company 320.00
10 shares common stock -Illinois Centra,l
Railroad Company 540.00
10 shares common stock -St.Louis,San
Francisco Railway Company 201.50
$2914.25
1974.
WITNESS my hand this ~,3 day of January,
11~~;&J'
"GraCe AU9usti netBird
\
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.,
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IN THE COURT OF CQMMON PLEASWASHINGTONCOUNTY,PENNSYl;
VANIA ORPHANS'COURT DIYISIO~NO.~g-(P!-f7-6d
ESTATE
Of
SARA LOUISE AUGUSTINE,
Deceased
ELECTI~N TO TAKE IN KIND
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c-Jo-(f)--.~.(/1 c,...·rT-~.........;j...-_...-fI!""I'O""'~.:•.'..........
~..:-,;:j.-~,~~::.1:.,c>__.-0 --.....,r---v ,c>-->-(/)
-&:
JOSEPH L.HoFFMANN
ATTORNEY AT LA'W
242 WEST MAIN STREET
MONONGAHELA,PENNSYLVANIA
15063
r
Form No.RC~-62 (4,71)THIS FORK REQUIRED IN ALL ESTATES WItH GROS~ASSETS UNDER $10.000.UNDER SECTION 701 OF ACT OF .JUNE 16.1861../E)jl"EC'!'~~JANUARY 1.1882.(FILE IN DUPUCATF:WITH COPY OF WILL ATTACHED)V
.'_t',:'.&(;J _~F -Jto.i .'
OFFICE OF THE REGISTER OF WILLS
WASHINGTONCountyof .
Grace Augustine Bird .909 Howard St.,Monongahela,Pa.15063 I.................................................of L
(Name)(Addreaa)
being duly ~_~~r~....according to law,deposes and sa)'s thatShe is the__.E.x~_c_u_t.rjx._
(Exec"Adm"Leptee,Etc.).'
of the estate of ?-~.r_~.__h~_~j__~_~A~9_~_~_~J~_~_,,whose lase residence was __~Q_~~_9_WAr~L_~Jr_~_~t,_
(No,)(Street)
M.~-~-~-~-~-~-~_~J_~_!--------------deceased,and that the whole of the estate of said decedent,who died ,~p_~_~_~~_!._!~__~_~8 ,
(CilY,Borough or Township).(Date)
consisted of:' ,••
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT.
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES Aim RELATIONSHIP OF OTHER OWNERS.
,-'.,'-
Real Estate Estimated
ALL that certain lot or parcel of ground situate in Value
Addison Boro,Somerset County,Pennsylvania,bounded and describe~
as follows,to-wit:BEGINNING at the Southwest corner of Lot No.
1,at Somerset Street,thence South 74 e East,283 feet to Paul
".,I
Alley,thence along Paul Alley,South 16 Cl West,170 feet to a I
\
corner,thence alonq line of M.M.Straw,South 74°East,157 feet I
Itoacorner,thence 5 9 3/4 0 West,223 feet to a corner of D.B.I
,
Augustine line,thence North 68°West,446 feet to Somerset Stree ",I
thence along Somerset Street,North 18°East,353 feet to the pla ~e
of begirining,and containlng three and one-third 'acres,more or
less.BEING the same which Edgar E.Augustine and Mary Augustine,
;hI,L?I
hi s wi fe,by deed da ted Fe brua ry 26,1946,and recorded in the I
,
Office of the Recorder of Deeds of Somerset County,Pennsylvania,'Ufo ~"J?'~~-"-".
:R~QOOk~~nx in Deed Book Vol.347,page 476,granted and conveye ~,GfJo,D--C .
to Sarah Augustine (also known as Sara Louise Augustine).J1f"1"~v.vv
-'1~d ~bOO,--PERSONAL PROPERTY:30 shares common stock -Il 1i no i s~Ce~t r a 1'"V"
Industries,Inc .•@ $60.375 ~~~.
1811.25
2 shares common stock -Lerner Stores CornoY'riHon til $20 7S a.tA :J 41 l;(l I
I
10 shares common stock -Chicaao.Rock Island JI,.I'i'lc:ific:RrlilY'orin
Company @ $32.00 ~;4,J 320.00
10 shares stock Illinois Central ~7:::;7commonRailroadCompany@$54.00 540.00
10 s ha res IcommonstockSt.Louis,San Francisco Ra 11 way Company I
~I
@ $20.15 201 .50
-~
1:cPJ '--1;J,i:2 '1/4.~,:(0./r....r~J",£,,-U I
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NOTE:You may expedite the processing of this return by filing with it,and as a part of the return,
letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the
decedent as of the date of death,Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account,account number and the exact name or names in
which the account is registered.x
Jointly Held Property •
Estimated
&.•ViTue
Gallatin National Bank.Uniontown Pi'!rhprHnn i'lrrnllnt in n;lm~n-F--~"';"";";"~:':""":"";:""::"":":"":':":'---='..::....!.!..ll...1..~~Lll..l:UUlL.LL...s.---L~-l.r.Jw::..J......Jl...JU4:vl---Ll...,L;...l.;..u.u.~---+-I~~l-e--O-+_+-_
Sara Augustine or Mrs.C.S.Bird (mother and daughter)Opened
»Fi 1e No.63-68-763)
•6/23/1962 $2222.11 (Note:Tax paid $63.33 -Receipt No.948866
J),A L1I~J ~n (/~C
Gallatin National Bank,Uniontown,Pa.Joint Savings Account No.
C-1538 in names of Sarah L.Augustine or Grace Augustine Bird
(mother and daughter)Opened June,1958
Note:Tax paid $256.19 on June 11,1968 Receipt No.948905
('1 /
Transfers within TWO YEARS Prior to Death
None o 00
That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of
another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED.RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF ,HOLDERS TO DECEDENT
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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
Grace Augustfne Bird,909 ni'lllnhtpY'\/~C!~Id ~II"'~C!Devisee and
Howard St.,Monongahela,~e~...one-third residue
Marshall T Augustine,R'o~o')Sont sui juris One-third residue..ou e yes
178 -Box 153,Crownsville.
Maryland 21032
Frederick B.Auqustine.1884 .,.Son yes sui juris one-third residue0-..
II Ell St.,Hayward,Calif.94541
.'.~,.\,..
NOT'E:Lisrfirst five items in the spaces so provided.observe notations thereon,and instructions.
RESIDENT DVCE;DENT
DEBT OR CLAIM
Bebout and Yohe
Grace Augustine Bird
Joseph L.Hoffmann and
Clyde G.Tempest
Grace Augustine Bird
OTHER DEBTS AND CLAIMS
DEBTS AND DEDUCTIONS CLAIMED
NATURE OF SAME
Funeral expenses paid
Family exemption (will not be allowed unless
decedent died residing with a spouse orchildren.)
Administration Expenses •
Counsel fees •
FiduciafY commission •
.,
,"'.~
AMOUNT THIS COLUMN
~EGISTER ONLY
$884 00 $
1500 00
l:lR nn
200 1001
195 ~l
(•)See Note below
James F.Cook,D.O.Honorarium 5 00BeboutandYoheDeathcertificates10POBellTelephoneCompanyTollcalls1565A.L.Yommer Lettering stone 12 00CrallsFlowerShopFuneralflowers3180UnitedStatesPostOfficePostage-Thank You notes 5 14ClydeG.Tempest Expenses for transfer of s toe k
under laws of Florida 100 00JosephL.Hoffmann Expenses for transfer of s toe k 10 00
Total 3107 pO -Sl61 'bt:)
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee.commission 01'debt is greater
or less than the estimated amount claimed and allowed.~fft~
Subscl'ibed and sworn to before me this ,.2ls-t ·...~..~~~e.;.~e,(E%ecutor-~ministrat01")
.........~dayof.P~S~.f!1.~~X.,19.7.~909 Howard StreetAfl~....0 ••••0 •••••••(Si~~~t'N~~';~~i"""""""'"
..,....,...../~~f).:oVf/kJ...'l.:E·.'~~rqZEL:o '~CrrARY PUBLIC-_.-/'.N a&nJ.XON~AMlA,lGASHINGTON COUNTY .M9oI19.rJ9.~.h~..1~,..P.go.,...1QO.Q.~..,.,....,..
,MY COMMI~:SION EXPIRES MAY 9,1976 ,(CIty or Town and State)
••leiilbel,FellnsylvamaAssoclafJonofNotaries
Having been duly sworndrding to law,I do hereb0rtify that the above,'appraisement is made in conformity Vi,i,th,law on this
....................../J..1.....day of ..........·d??v.-:~~~:....·C}·..•~..7',cL <de-!
. .....U·~~.,.....l0(~..,"f!JAP'p'r~i~;;""
In the event that any future interest in this estate is transfelTed in possession 01'enjoyment to collateral heirs of the decedent after the
expiration of any estate for life 01'for years,the Commonwealth hel'eby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF ~~~lqISTER;OF<WILLS
I.the undersigned duly elected Register of Wills in and for ...../.1:~~.....~County.Pennsylvania.do respectfully
report that I have allowed debts and deductions in the amounts clal ~depone exc pt 0 'tems where a greater or lesser amount
is set fortll in the last column to the right in said schedule above.which greater or less a oU1represe ts the sum allowed as a ded~ction.
Dated:~AN ..J .1$77.<~V~.S.~~~.~.~~J~Q......0.•.0....".~.\,.~.~..•-.~.:.~'>..~..----,,'--Registerof~~
'~,
I.I .
~
------
Form.~o.RCC-62 (4-71)
WillAdministration INo Year .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
..~M~~_.~QV.I.~~..A~~.~~r.1.~~.,.....,Deceased
Late of ...1'19.n.Q f)9.Q he1~....................
County of We\sh t IJ 9:\(9 n .
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
"Vd "00 NOltlNIHSVM
Slll.¥\dO B31SW3H
.....~.!I '.i "f h!"I'::l "!.;nuVIH(::ll't7 l-'J",f a
Joseph L.HOffllli.l.nu
."l<1:J'],O t L'~",W
,;1.£01 Ud GIG':U ~....rcet
'I Monongahela,Pi'l..15068'.0 :.1 11 :l
J
I.·.·~
RCC-81 (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
GRACE A.BIRD
{Executor or Administrator}
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
-
SARA LOUISE AUGUSTHEInRe':Estate of _
WASHINGTON C t F'I N 63-68-760____________oun y -I e 0._
Real Estate :--:60~O-.OO_=_=_----
Persona I P roperty 2-<-,..:...914---=--._2....:.5 _
Transfers -------
Jointly Owned ----~3,--),~51't"14t-.-2li!5----Total _
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 nine (9)months
(fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive;
and twelve months when death occurred prior to December 22,1965)from date of death,
interest at the rate of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act 01 1961,72 P.5.2485.1001,P.L.~~__'
Date j-'£.---7f 5igne~~~
Title ~I
DATE OF DEATH:APRIL 27,1968
Note:This is not a bi II.
--l"",.'.~R~C.39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of AUGUSTINE,SARA LOUISE
(Last Name)(First Name)(Initial)
DATE OF DEATH 4-27-68 FILE No.63-68-760
REPORT OF INHERITANCE TAX APPRAISER
h d . d d I . d h .A"d f h C f WASHINGTONI,t e un erslgne u y appolOte In entance Tax ppralser 10 an or t e ounty 0 _
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:JANUARY 9,1974 FRED TOSI
INHERITANCE TAX APPRAISER
REPORT OF TIlE REGISTER OF WILLS ~
I,the undersigned duly elected Register of Wills in and for WASHINGTON ounty,Pennsylvania,do respect-
fully 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",~..gr'ec or lesser amount represents the sum
allowed as a deduction.(~
Dated:JAN 9 {SIt/RUSSELL MAf\INO ~o.>J-:.~
A ..R GISTER OF WILLS
VALUE AS REAPPRAISED
$-------+--o.00
?Gll..25
3,514.25
3,107.00
407.25)
~ALUE AS REPORTED ~ALUE AS A£PRAISEDINVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint -Held Property (Schedule Er.
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
$-------1..-.-
FOR USE OF REGISTER ONLY
Taxon'$-4-__2%
Tax on $@
Tax on $5%
Tuoo$lK
Tuoo$1ft
~~ptioos *
Total Estate ----J -
TOTAL TAX
COMPUTATION OF TAX ;t:
$-------+--
$-------+--
$-------4--
$-------4--
$-------4..;..:..-'-
".(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death ::::::::::::t==
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $------
AMOUNT OF ESTATE TAX ASSESSED $--------lL-
Estate tax paid $....Il-
BALANCE DUE $----_....IL
Add interest at rate of 6%from
-----Ito----$--------It=TOTAL TAX BALANCE $----~,PAID $...J
FOR USE OF REGISTER ONLY ADjUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will ~Administration ~No.Year .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
SARA LOUISE AUGUSTINE
...... .
Deceased
Late of . ......M.QNON.GA.HELA..
!,.,,.,
County of WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.,r r'~
~
~~;"
Fonn RCC-2 .'.JANUARY 9,1974'.COMMONWEALTH OF PENNSYLVANIA DATE..........................................................................................................
~DEPARIfMENT OF REVENUE RESIDENT INHERITANCE TAX WASHINGTON...COUNTY ................................................................................................B{litEAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.171 Z7 APPRAISEMENT FILE NO...........9.3..':.'..9.$.~7.9.Q ................................................
Whereas,SARA LOUISE AUGUSTINE .MONONGAHELA......................................................................................................................................................late of ...............................................................................................................
in the County of ....................~.~~~~~~~?.~.................................................................................Commonwealth of Pennsylvania,having died on
I
the ........................................?.7t..h..........................................day of ........APBJ.1.....................................................19...9.~..,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,FRED TOS1 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 AppraisementDescriptionofAssetValu'es Made for InheritanceTaxPurpoles
REAL ESTATE $
SEE COpy OF APPRAI SElvIENT 600.00
PERSONAL
SEE COpy OF APPRAISEMENT 2~914.25-
TOTAL 3,514.~5;
o'
J .J
".
.
fonn~~~fh~:::~~w~~4~~1'~:~~o~e~~~y~:;2;'.~:~is=~~el~£
•mmmm ••••••~.::Jj$d~~~<m~
@ ..·'fl·····'Penna,(P fIIee)
-
WASHINGTON County
,
"
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
SARA LOUISE AUGUSTINE
Deceased.
Late of
MONONGAHELA
Date of Death A.P.R1L 27,1968J••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Appraisement Docket Vol.37-.,.
Page,.~.?~.::l::No ??~~.~:?~.?.
Filed in Register's Office,~A!!.~?~19.?.~.
A100unt of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abaut Appra.isement,
Appeal ft-om Appraisement,..
Entered and charged,...
~
~"
...
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
244 WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA
January 4,1974
Palmer G.Walters
COURT HOUSE
SOMERSET,PENNSYLVANIA 15501
RE:ESTATE OF SARA LOur SE AUGUSTINE
Date of Death:4-27-68
~ounty of Washington
Dear Sir:
Please give us the Real Estate Value as of April 27,1968,
on the above SUbject estate.
Market Value
Assessed Value
400-;mJ.-CtJ CJ.~(')
/~t?II j)
We are encl~sing two copies.Please return the orig~nal and
keep the copy for your records.,..
Thank you•.~
\h
jrno/FT
Enc:2
Jan.7,1974
Very truly yours,.J1~~~~~.
Fred Tosi
Appriaser I
Washington County
I verify the apove figures to be true and correct.
~J~M~Pv'Palmer G.'-W'aIters7JI/·tV
Chief Appraiser
Somerset County,Somerset,Pa.,15501
0-3-/;F'-7(;O ,..,/
Form Rce·lei.,~DEDUCTIONS ALLOWED IN..
OFFICE OF THE STATEMENT OF DEBTS THE SUM OF ............$~~.
REGISTER OF WILLS
D'l<APeRDVED fmr/~(~7~Washington AND DEDUCTIONS
OF COUNTY
AND AGENT OF THE COMMONWIiALTH :It-A /J.-?0 ~,J.vvz..~
RegTi/er o(W'l'lIs,AgeQI ~(.I
ESTATE OF SARA LQUISE AUGUSTINE,LATE OF M0 n0 n9a he 1a ,Washington Co.,Pa.
DATE OF FILING APPRAISEMENT OATS OF DEATH April 27,1968
DATE NO.OF NAMIL OF PAYEE REMARKS AMOUNTVOUCHI:IIl
1968May 1 Bebout and Yohe Funeral expenses 884 eo
1 James F.Cook,D.D.Honorarium 5 00
1 Bebout and Yohe Death certificates 10 DO,
24 Bell Telephone Company Toll ca 11 s 15 35·
24 A.L.Yommer Lettering stone 12 00
24 Cra 11 s Flowers Funer.al flowers 31 80-
24 United States Post Office Postaqe -Thank You notes 5 14·
Ll Don';COTOV'nf Will~Letters Testi'lm~nti'lY'v '20 00
."
4 GUY A.Rogers Qualification of witnesses 15 00'
;'11 np 11 Wrlc:hinaton County Reports Advertisinq 1etters 14 50.'
"II 1v 1 !l Dailv Reoublican Advertising letters 12 50'
16 Register of Will s Short certificates 17 00 '
l';j/~
nee 18 Reqister of Will s lnventory 3 00
18 Register of Wi 11 s Filing Account 18 00
,
Bettv E.Wenzel Notary fees 3 00
Grace Auqustine Bird Allowance as Executrix 195 11 -
Grace Augustine Bird family allowance 1500 00
Joseph L.Hoffmann and
Clyde G.Tempest Attorney fees 200 00
Clyde G.Tempest Expenses for transfer of
coh...,,!"IInrloV'rzlnY'irli'l l;l.WS 100 00
Joseph L.Hoffmann Expenses for transfer of
s toc k 10 00
Audit fees Estimated r35~00.
To ta 1 !1/67 -
COMMONWEALTH OF PENNSYLVANIA
}S.:COUNTY OF Washington
I,Grace Augustine Bird,HEREBY CERTIFY.THAT.TO THE BEaT OF
MY kNOWLEDGE AND BELIEF.THE FOREGOING IS AtfUST ANe TRU E ~rAAEMENT tF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF qra 0 u, s ugus in e,
DECEASED.AS DEOUCTlj.FOR
INHERITANCE TAX PURPOSES.u...II';4 g~-p)rJJ'/"A'I j~.~.(I A L.S.)
SWORN AND SUBSCRIBED BEFORE ME THIS 21 st DAY 01'/Exe cutr i x OTV;~Es tate ofDecembe~,-t~...;~Sara Louise Au ustine,deceased~tary pJ~Josenh L.p.~'-rnn
B£TT'{E.WENZEl,NOTARY PUBLIC 2MONONGAHELA,WASHINGTON COUNTY
IV})COMMISSION EXPIRES MAY 9,1976 rtton .•V;,
Member,PennsylvaniaAssociationof Notaries
--
.\
~E O/iid B2 J]O El,
'G3 7/d
,.
..,..;;~,
/
lln tbt OOrpl1uns~<nourt of llusl1ington <nuunt!}
IN THE MATTER OF THE AUDIT OF ACCOUNT
In re Estate of.AugUStin.e.,....sar.a..Lolli.s.e No..6J~6B!'!'.7-6,Q ls.t...qtr..Term,19 74 ..,AA
....~r.ao.e Augu.s.tine.air.d,Exrx•.......................................T.e.mpe.s.t &..Simmons.,...At.t.ys .
~
Date of death__Apt'il..27-,~9-6B.Date of filing Inventory Appraisement....Pe.9.•_..2.8.,1.9.73..
As~
TO THE AUDITING JUDGE:
Enter my appearance for Personal Property Tax Due Washington County,viz:
'"-_.---,~-
ITE M Valuation
19711
30 sh Illinois Centra.l @$21.00 630.00
2 sh Lerner Stores now McCrory Corp.Exempt --__0
10 sh Chicago Rock Island &Pac R.R.@ 9.00 90.00
10 sh St.Louis,San Fran.Rwy.@ 34.315 ~.}5
1,063.15---..-f------=---
1913 -------------"-
30 sh Illinois Central @ 21.625 828.15-2 sh Lerner Stores @ 53.625 101.25
10 sh Chicago Rock Island &:Pac RR @ 19.00 190.00
10 sh St.Louis,San Fran.-Rwy.-.@ 45.15 457.50
..-,,.i,':;>OJ •.:;>0
1912 l
__.=::...3_0_s_h_I_l_l_i_n_o_i_s_C_e_n_tr_a.:..;:.1=--~__=_@JQ..-=6......7.-L5 1,100.2$
2 sh Lerner Stores @ 40.815 81.15----------------------_.-'----''--'''-_.
_l_O_s_h__C_hi_c_B.=go_·_R_o_c_k_I_s_l_a_Q__d_&:_P_a;:...c_R_R_,@ 16.00 160.00
10 sh St.Lo.is,San Fran Rwy.@ 51.00 510.00
1,852.00
1911
30 sh Illinois Central @30.00---J----900.00
__2 s_h_L_-e_r_n_e_r_-_S_to_r_e_s --=@=-......!:3--=2--=-.~31-'--'5"---II 64.75
10 sh Chicago--Rock Island &Pac RR @ Ij.OO 110 00
10 sh St.Louis,San Fran Rwy.-@ 1.t.3.87~488.15
Total Claim6%InterestYear
1,5tl3.50.--".,---====:~====:==========j=====;=====;::===:!===t=====i Inventory Assessment 112%Assessment Tax at 110'/'0 Collection --ValuationAppraisementReturned Penalty 4 Mills Penalty
-I---~-:'---,-'51c7rT.~=d:Ti-=-sC-=--.-1-----
19 74 1065 None 106.5 ---4 26 ---21 4.05----I-----,·-----I---=---1------1-------'=<:....=..:·=--=--,------(--.........=-.......------!I-----'---~~-
19 73 ~1_=_.5_B.:5~_I_N_.o...:...n'--e__,__15"'-8~.5=____,---------,--6-•....:::.3....:..4-,--=-"-----'e3""-----,_----1_-=6""-.9L..!7_
19 12 1850 None 1850 ---7.1.1.0_.74 .16 8.90
TOTAL CLAIM
19 71 l_l_5_8_.5__I__No_n_e__1_1_5_8.5__I---------I.--6-=.3'----'4_t__....:.--=6~3--1_~.9L£3'--_1_.....7.1...9..L.>.Oo<....·_
19 10 l_l....::..5_0:::.....5__I__No_n_e__I_l-'=--5~0.5~_I__-_-_-__I._.=....6~.0=2~t___._6_0__1_=1.::.....2~9'----_1_~7.9.L.=.:1~
~~~?__;_:..2_3_25__-'-!_No_n_e_------<_2-=-..32..:..:S':..'__--=---_-_-_-_-----'-__-<-9.=.....3<....:::O """:O•....L9_..3_--=---2=-__•7........5<---_~-------1.-........2Q~R-
48.71
The foregoing is a statement of all items taxable as they appear in the Inventory Appraisement,Affi-
davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate.
...._.._.._._day of _ _19 .OLIVER N.HORMELL,Solicitor
I,
..,
No :,Term,19 .._ ,AA
In re Audit of Account in Es'tate of
v.~----------.--.---~--------------..----------.----.---.-----------.--.
---.---------.-._----------------_..-------------------------------.-----------.'
AUDIT
'rarrtpr ~nr·1\ppraranrr
.FOR
WASHINGTON COUNTY
PERSONAL PROPERTY TAX
OLIVER N.BORMEL'L,'.
.Solicitor
~9
..
..
,I
,
..-
1Jn tbt (@rpl1ans'mourt of lIasqington mounty
IN THE MATTER OF THE AUDIT OF ACCOUNT
In re Estate of ~~~~_~_~~~!.~~~~__~_C?~.~.~~_....No.__ ___.., -._.._.__.Term,19..__._._..__,AA
Affidavit
Date of death.._.._._._..__.._._Date of filing Inventory Appraisement ___.._..__.__
Assessment
TO THE AUDITING JUDGE:
Enter my appearance for Personal Property Tax Due Washington County,viz:
IT E M Valuation
30 sh Illinois Central
I 3-2 split 877.50
1969
20 sh Illinois Central---------_._---
2 sh Lerner·Stores-------10 sh Chicago ··Rock Island &:PacRR
2 sh Lerner Stores @ 30.625 61.25----~-----------------------=---~:....::...:::..=..-"-------f_-.--=~~-'----10 sh Chicago.~ock Island &:Pac RR @ 17.00 170.00
__._..l"-"O'----"!s=h"---=S-"'t~._--""L-"'-o-""u""'-i=s__'S=a""'n=___'F"_'r"_'an'"""'-__"'R~wy~@""'<U_.....4....0.....·.....,.0",,-,000L:---.-I...~_4D-Q.:vOv-O---
~1.508'_15__
@ 72.25 1,445.00
@27.5_0 -+-_--=-55.00
@ 25.50 255 00•
10 sh St.Louis,San Fran Rwy~@ 57.3125 573.13
...,
-.b)28.1.3'
-------
It-..
r·-1
._._--.I
i Inventory Assessment I I 12{!o Assessment Tax at
I
10%CollectionYearAppraisementReturnedValuationPenalty4MillsPenalty 6%Interest Total Claim
19 I
19
19
19
19
I19
_.-_._---_..
TOTAL CLAIM
..
The foregoing is a statement of all items taxable as they appear in the Inventory Appraisement,Affi-
davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate.
.____....____._.__.._.__day of________._________..__..__._________19____________OLIVER N.HORMELL,Solicitor
.,
'.
"
Qtr.
No....9.3.':':Q.6.~.7Q.Q.....;J,..$.t....~,,19...74....,AA
In re Audit of Account in Estate of
...........AUGUST.IN.E.,__.SARA L.O'ULSE ____
_.--_.----.-..---.----------------------.-------------------_.----------
AU DIT
'rurripr for Apprarunrr
FOR
WASHINGTON COUNTY
PERSONAL PROPERTY TAX
''1d "00 ~';0;'ir~IHSVM
S11 !t:\<:!.5 LSI v:3 U
(:tl n~.,'h I -:-::';sntl
~i Z:j Jld II no ~L,
,~(-'~I"'1'i1-',I!-I-OLIVER N.HORMEr..L,.,,'..
Solicitor
--'9
-----'------------------------------.....,.-------_........_----........,.,
C!tnmmnUUttalt4 nf ,tUU.9Ylttauia,}lili.Ihtli~iugtnl1 <nnuuty,
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
/
on the 18th.day of June 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
sara Louise Augustine
late of Monongahe 1a in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Grace Augustine Bird
trix
the Execu~r III 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
Grace Augustine Bird
committing unto Her the administration of all and singuhr the goods and
chattels,rights and credits,which were of said deceased,and requiring Her
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 18th.
day of June III the year of our Lord one thousand
nine hundred and Sixty Eight
U2;~bl 4 \
tr-t·f,.--:;;J._~~./"~~l''''''''-'·V'(.-V-...............................~_-.
Register
!:~
=s G)!$.t S::it<j .....i+-t .pi;::ll'li
~::Jia1L~t<j 0 ""11+-t 111
..
~I-eD!t~«lJ)!fa I-.....1en111:Si
~oi
$.t Hi~+-t as!+-t ~i~~~I
1
-:.."<',-,....\
-,....,.
":..·~-~~-..i·~-<.".;-'-;'·~·1:F~,~·''':-;_;''~·.5.;.~-.~.:.~~~'.'.!_.~~-
'.-,'j ~.,":
,-'L
:~.'.-
...,.Jr..",\
IN THE NAME OF GOD)AMEN,
I,SARA LOUISE AUGUSTINE,of Brevard County,State of
Florida,being of sound and disposing mind,memory and understanding,
do make,publish and declare this as and for my Last Will and
Testament,hereby revoking any and all Wills and Codtcils heretofore
made by me.
ITEM I
I direct my Executors to pay all my just debts,expenses
of my last illness and my burial expenses,including the cost of a
suitable burial lot and perpetual care thereof and the cost of the
erection of a suitable marker and/or monument at my grave (or such
of these as have not otherwise been provided for during my lifetime);
and the amount to be expended for such burial expenses shall be free
of any limitations or restrictions imposed by law.
ITEM II
I give,devise and bequeath to my daughter,GRACE AUGUSTINE
BIRD,the real estate which I own in Addison,Pennsylvania,and
Melbourne,Florida,to be hers absolutely,provided she survives me.
In the event she should predecease me,said real estate shall become
a part of my residuary estate.
ITEM III
All the rest,residue and remainder of my estate of
\
whatsoever kind,nature a.nd description and wheresoever the same
ItI
fII!i!.!
.1:'~
f
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\.~/~
.\
may be situate,whether real or personal,which I may own or be
entitled to at the time of my.death,or over which I may have a
general power of testamentary disposition,I give,devise and
bequeath absolutely and in equal shares,to and among my three
children,GRACE AUGUSTINE BIRD,MARSHALL THOMAS AUGUST INE,and
FREDERICK BRUCE AUGUSTINE,or their children or descendants,~
stirpes.
ITEM IV
I nominate,constitute and appoint my said three children,
Grace Augustine Bird,Marshall Thomas Augustine,and Frederick Bruce
Augustine,to be the Executors of this my Last Will and Testament,
and I direct that they may be excused from the necessity of giving
bond.I confer upon my said Executors and upon the survivor or
survivors of them all powers necessary for the administrat ion of my
estate,and for such purpose I authorize them to sell at public or
private sale,to deed,assign,convey,mortgage,lease,invest and
otherwise to deal with my estate (whether real or personal)as they,
in their sole and absolute discretion,may deem proper;and to
compromise claims 'against or owing to my estate;and to vote in
person or by proxy securities constituting a part of my estate;all
of which powers shall be exercised without prior application to or
subsequent ratification by any court having jurisdiction over the
administration of my estate.
IN TESTIMONY WHEREOF,I have signed my name on the margin of
the preceding page hereof and I hereunto set my hand and affix my seal
to this my Last Will and Testament on this -'2."0-day of November,1961.
__S_;'_~'_;;_'·:~.:-'_.~_{_/_~'_~_'A_/;_"~_/_L_~'_,.._,-.~..,J_'!,-,'_J~_-I;...·:_:"~/';""(SEAL),<':c -~'[__
Sara Louise Augustine 1
I!
I
\1
tI
..,,~.,.
.,~.
C-'.,...
•
SIGNED,SEALED,PUBLISHED and DECLARED by the above
named Testatrix,SARA LOUISE AUGUSTINE,as and for her Last Will
and Testament,in the pr~sence of us,who,at her request,in her
presence and in th~presence of each other,believing her to be of
sound and disposing mind,memory and understanding,hereunto
subscribe our names as witnesses the day and year last above
written.
/£12'J,'"C"J ~-,.H"I/~.)-C/~.,J /
...///'(<2:/l·..;;:'7 '--'l'
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Address
Address .,S&/.,Ii /;,./://".,....i ./$<Y/
C/.:.(}:-?.5'v ;J/r";/~7c(
Since the foregoing Willis witnessed by two beneficiaries thereunder,
I do hereby re-execute the same by setting my hand and seal hereto
this '29th day of November,1961.
.Address'.
.,'-,'..~,~..".-.,"",-.--,-,----"."-----'-,...~.----.._"._•.-~-"-•••-.-""C ~-.".
l'~-
,.-.~'..'.
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/;3-61-760
.Affi~nutt (@f 1Exerutnr (@r .Abmtutstrntnr /
Joseph L.RC'ff'''1unn
~
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...15QII<1MQpQpO'aheh
An inventory must be filed within three months after appointment of personal representative.
A supplemental inventory must be filed within thirty days of discovery of additional assets.
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
"\..~tatt nf Jtuusylttauia }
(ttnuutg nf 1IIIIas4iugtnu .as:
Personally before me,the undersigned authority,~o.~.~.~t ~~.~~.!.~.._._in and for said
Grace Augustine Bird,.County and State,appeared ,-who,bemg duly
m~ar."6rt¥%t t~\1lftlgVfWf and says that S he is the e~ecutor"&Xm~~ftatorof the es-
tate of __._~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal est~~~f ..~.~.~_~.~.~...~~.~.':l.~.~.~.~_~,
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'~~etlkamed Executor Administrator.!:2'Z~!§~~~~~d sfwor.n a~~~u:;;:e:,be
1
f
9
ore me/his 2.lS.t }~t[~J41I.~t!!-:..Y'
~~~~ay 0 ~2:!"dl:.,~;"j,"ExecutofAdminisRi<fxxxxx~~~ld~6t~ifUlili~~;'l'I~~,<.LINSTRUCTIONS
N \is~:56 ~1.:::LLl<ii~2•::t:C/)c •LLl<:C~"'3>-~:;Eo.:•l=oo:ULLlZ:U.oCXloE;:E>-QJ:E-;E
~utttutnry aub !\ppraistmtut of the goods and chattels,rights and credits which
were of ~A~.~~.9.~.~.~.;A~~~.~.TJ.~.~.1ate of J1.9.nQ.r.s.g.~.~.~J..~.I .
Washington County,Pa.,taken and made in conformity with the above affidavit.
DOLLARS CENTS
PERSONALTY:30 shares common stock -Illinois Centra
Industries,Inc.,@ $60.375 1811 25
2 shares common stock -Lerner Stores Corporation
@ $20.75 41 50
10 shares common stock -Chicago,Rock Island &
Pacific Railroad Company @ $32.00
10 shares common stock Illinois Central Railroad
Company @ $54.00
10 shares common stock St.Louis,San Francisco
Railway Company @ $20.15
320 00
540 00
201 50
2914 .~.25
REALTY:ALL that certain lot or parcel of ground
situate in Addison Boro,Somerset County,Pennsyl-
vania.bounded and described as follows,to-wit:
BEGINNING at the Southwest corner of Lot No.1,at
Somerset Street,thence South 74°East,283 feet to
Paul Alley,thence along Paul Alley South 16°West,
170 feet to a corner,thence along line of M.M.
Straw,South 74°East,157 feet to a corner,thence
5 9 3/40 West,223 feet to a corner of D.B.August11le
..,~.
/
'~d "08 H010~\HS~t~
S11\M :10 ~31S\~3U
ON\U'rlti ynSSm1
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line.thence North 68°West.446 feet to Somerset
Street,thence along Somerset Street,North 18°
East.353 feet to the place of the beginning,and
containing three and one-third acres,more or less.
BEING the same which Edgar E.Augustine and Mary
Augustine.his wife.by deed dated February 26.
1946,an~recorded in the Office of the Recorder
of Deeds of Somerset County.Pennsylvania,in Deed
Book Vol.347.page 476,granted and conveyed to
Sarah Augustine (also known as Sara Louise
Augustine)
SUMMARY
$400.00
Personalty
Realty
Total Assets
$2914.25
400.00
j3314.25
'Vd "00 NOljNIHS\;fM
:$11i~\\d0 't:J 31 SI~3(J
10':M I Wf,'l',l -."j ';;('(~n\J..'1,\'.i...t -II JiJ.J 1.3 \).J .0
'~E 01 W,d 8t J30 H.
"03ll ,n~
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS·COURT DIVISION
ESTATE
OF
SARA LOUIS~AUGUST~NE,
Deceased
Firs tand Fin a1 Acc0 unt 0 f Gr ac~.Aug us tin e
Bird,Executrix of the Last Will and Testament
of Sara Louise Augustine
SCHEDULE A
PRINCIPAL PERSONALTY
RECEIPTS
To amount of Inventory and Appraisement
To amount advanced by accountant to
preserve assets in kind
DISBURSEMENTS
$2914.25
3249.57 $6163.82
24 Cralls Flowers
24 U.S.Post Office
Bell Telephone Co.
24 A.L.Yammer
1968
May
1
1
Bebout &Yohe C.
James F.Cook,D.O.
Bebout &Yohe Co.
Funeral expenses
Honorarium
Death certificates
Toll calls
Lettering stone
Funeral flowers
Postage -Thank You
notes
884.00
5.00
1O.00
15.35
12.00
31 .80
5.14
1973
Dec.18 Clyde G.Tempest Reimbursement for letters,
Probate,Advertising
letter~,79.00·v
Register of Wills
Register of Wills
Betty E.Wenzel
Inventory
Filing Account
Notary fees
3.00
18.00
3.00
Grqce Augustine Bird'Executrice's Allowance 195.71
Grace Augustine Bird r"mily Allow"nce
Joseph L.Hoffmqnn
1500.00
and Clyde G.Tempest
Clyde G.Tempest
Joseph L.Hoffmqnn
Attorney's fees 200.00
Reimbursement for costsexpendedintrqnsferof
stock under Life Est"te
in Floridq 100.00
Reimbursement for
trqnsfer of stocks
in Estqte 10.00
Commonweqlth of pq.lnheritqnce Tqx 134.57 3206.57
SCH~PULE a
PRXNq'PAL REALTY
REC~X'PTS
Inventory qnd Apprq;sement
DISBURSEMENTS
None
-2-
400.00
0.00 400.00
-,I~
SUMMARY
SCHfDULE A
fjU]CXPAL PERSONALTY,
RECElPTS
Inyentory and Appr~isement
To amount advanced Py Accountant
to preserve assets in kind
D~SBURSEMENTS
Pages 1 and 2
SCHEDULE B
PR~NC~PAL REALTY
RECE~PTS
Inventory and Appraisement
Dl-SBURSEMENTS
None
$2914.25
3249.57
3206.57
400.00
0.00
$1811.25
41 .50
320.00
540.00
201.50
43.00
$6163.82
2957.25
400.00 "
$3357.25
$2957.25
400.00
$3357.25
THE DAILY REPUBLICAN
MONONGAHELA,PA.
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 }ss:
State of Pennsylvania
personal~appeared before me,a Notary Public in and for said county and state,
______~~_~J:"~J),Q~P~Q!'=l ,who,being duly sworn,deposes and says:thaL sh_e__is
the J~QQ~~~P.~_~of The Monongahela Publishing Co.,a Pennsylvania corpora-
tion,and its agent in this behalf:that the said company is the publisher of The Daily
Republican,published daily except Saturday and Sunday,having its place of business at
Monongahela,Washington County,Pennsylvania;that the said Daily Republican was
established in the year of 1846;that the printed notice or advertisement,attached hereto
is a copy of a notice or advertisement,exactly as printed or published,which appeared
in the said newspaper in its regular issues on.the following dates:
________t!_~~_J_?_,~_9_,~_Ql__19_Qa ----------------------_
________~~~~~_~!?f ~~~_~~~~!~~__~~!1_~~_~~~_
that the affiant or the corporation in behalf of which she______is acting is not inter-
ested in the subject matter of said noti~codvertising and hat all of the allegations of
this affidavit as to the time,place an ch acter of t lication are true.__________________________________U ---_
efore me__t_~i:1J.
ELMER E.SMITH,Notary Public~~~~!=I::ii!:jjj-;(----,---------:--_Mo_n()1Tgahela Washin~~on "0 P1.lNotary.Public I "b'I l,.,I •
_My Commission Expires Jan.7,1971
....-
~t~fm~~t~if~.~~~
I Letters _Testamentary upon the
'!above.-estate.having been grantedtothel.!ndersIgn.ed,all persons hav.I
J ing claIms agamst the estate arerequestedtomakeknownthesame'to the undersigned or his attorneyandallpersonsindebtedtothede-cedent are requested to make pay-ment to the undersigned withoutdelay.
Grace Augustine Bird909HowardStreet
I Cl d G TMonongahela,Pa.15063, y e .empest223SecondStreetMonongahela,Pa.'..--,I June 12, 19,26,1968 ~
Wasblngion County Reports
~~U:K
L"--"'"
:;;..iashingtOD,Pennsylvania
(PUBLISHED SY 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 hav-
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.1.
1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINOTON t
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 fhis 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 oi 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,whkh appeared in the said legal periodical in its regular issues on the
following dates:
'~~ST;NE,SARA LOUISE a/k/aISARAL.AUGUSTINE a/k/a SARA,AUGUSTINE,Dec'd '
Late of Monongahela,WashingtonCounty,Penna.
Executrix:Grace Augustine Bird 909HowardSt"Monongaheia,Pa.15063Attorney;Clyde G.Tempest,223 Sec-ond St"Monongahela,Pa,
..........J.1J.U.~~.~.,-~.Q.$?.1..f J9.~S .
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of said notice or advertising and that all of the allegations of
this affidavit as to the ti e,ace and characterlP.p~at._
......................................................................................,••!!
Sworn to and subscrib
.?1:5~..da:oL.~~~.~..,196.JL.....~....eL __....
tary Public
KAn;Hnl;~C.YARO,1:0 _y Public
V~'as;:itlgton,\Va':;:1i:igt0'Co.~Pa.
i~C~mmj&>jQIl Expir;;s
NovelnLcr 1,19G9
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within named Accountant being duly sworn according to law,depose and say that the above account
as stated is true and correC'tas veri Iy believe.
Sworn and subscribed before me this .2.tS.t _.
day of __...R~.c;.~~.P.~.r..L ___._19.7..~.
......ti~~~Tc··········..
BETTY E.WENZEL,NOTARY PUBLIC
MONONGAHELA,WASHINGTON COUNTY
l-JIVIMIS::iION EXPIRES MAY 9,1976
...u,oer.Pennsylvania AssociationofNotaries
WQlshington County,ss:
~'a;J:::-'..!!-#_---~~
Executrix oflthe Estate ofSara~ouise Augustine,dec1d
I do certify that I have given leg'al notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidenced by proofs
thereof filed to No t ..3:::_.z.~.-:-:./_.
Witness my hand and official 'seal thiS ~._.__ .
day of .P2a c:.~..------19-7·7!-.
............~./2Z~
Register of Wills /,)?
--_._--.'---_.---r ...-..-..:;;..---~----.---._-
'0 •i -0:.......,:...,~0 ~...!~~~i -:::I 0 \'\U:...,...-i 0 :...,.:0 :.:QJj ::I ~0 ;::I ~~"0:0 of.>.Q):0'-'.<:l ....j~g.......'-'~...,<0 .;'1~..U::"L~,,1':':'1''''''D 0 ~IIf "~QJ!,)af:~I i-.~...,...t :l:~cj -d ..I L:.p 't:l OJ :.<8~~t ~~OJ ...........~L:L,Jj ...,0 .~i>-.~.:+-l'i ..,...f.34 OJ 0 (~.:QlIX<en!4 r 3 DEC I'}0 PM 10 '"'0 r.!~0 (,u OJ iE t.i~...:o~~:~P:l 0)..-+ai +-'0 ..:i iJ~t.",-\Eo<~rtf ¢.:~II :'.d<::I fi:1 ,E:I ~ti;~~:Eo<c:q s:;..-+0rn..,....-lJ.RUSSELL Mt.R\HO '-''t:l ~...',~011 '-'.:P:l t4 cri oj oj V1:!i<i'lO ~\.)!(1),::t REGISTER OF W1LLS o 'IJI s:t-J..:.....c!,q 0-:~:a d Q)!~""'"l j ::s1 PA....,+-'l:j:~ASHINGTON CO.,...,.g '"Oi rtf 4 .~.~...,'ioj~i --Jj 0 Q)S ~+-i'ai ...,.<:I ...~I tti:ch q ~...,<l:i0.:~~ttt .:0
res:..,....s..L 't:l '-'0 en]~<4 .:0-;...
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The Court is respectfuIly requested to determine
proper distribution in this estate.
~~6--I 'Counsel I\ccountant
J
Form RCC-4-RI-3-66
No.948866
~9 COMMONWEALTH OF PENNSYLVANIA
OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax
RESIDENT DECEDENTS
FileNo.63-68-763
Date June 3 19 68
Office REGISTER OF WILLS.WASHINGTON Pa.
WASHINGTON County,ss:Received from :Mrs.G.S.Bird,Paying on Ind.Liab.
~~)of the estate olLf .I>OlS~A~Rl..tA.....H.L.......lA:1..Iu..IGl..LlJIICl..OSuT.....JluN~JECL..__
who died April 27 19__6~the sum of SIXTY-THREE and 33/]00 _ _ _Dollars,
being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows:
Appraisements Made and Filed
66.66
Computation of Tax
5%$
10%$
h%2%X $
15%$
Exemptions *$=============
Tax on $_
Tax on $1111.06 ~(
Tax on $_
Tax on $_
Vafuation
$,------
$,------
Total $_
Personal Property
Real Estate
Date
Date Valuation
Estate.Tax,Assessments
:Date 19__$,_---'_
_---'-19__~$=='======
NOTE:In accepting the transfer inheritance tax on future estates prior to the death of!.e life tenant·or tenant.for years,as evidenced by this receipt,it is understood that the Com-
monwealth shall not be precluded or prevented from hereafter assessing additional inheritancet&t at the death of the life tenant or tenant for years whenever it appears that such additionaltaxJ;Ilay be legally due and collectible for any reason whatsoever....
@OOD~D~£[L
~Total Gross Assets
Less Debts and Expenses of
Administration
3.33
$66.66
$=====
$---:-----.:.-
$~==~=-
$
$==~6~3;=.=:;=3===3=-
$--------
,.YfL
/dt0Y~~~7 ;;;:;7~.-£~-/---C)
,Register of Wills
Total
Total Tax
Balance
Less five per centum of tax if paid
within 3 months after date of death
Less Tax Previously Paid (if any)
Amount of Estate Tax Assessed under
the Act of May 7,1927.
Total Estate $_
Add interest at the rate of cy;
from _
to _.,----'-_
,*As evidenced by Charitable Exemption Certificates issued by the Secretary of
Revenue under Act of May 28,1956,P.L.1757,effective June I,1957,as amended
by Act No.381,approved Tuly 11,1957,dnd Act No.20i,1961,Section 302.
:ihh37-121-
$,------
$
$,------'---
$.
$1,111.06
$
$_1 __111.06
$._------
Total
Bank Acct.
Jt.Held
...
pem Value of Estate
Valuation 6f Life Estates or Annuities
'Date:19__
\'-,---,---,--19__
NOTE:To be delivered to taxpayer by Register of Wills MOORE BUSINESS FORMS,INC.,ELMIRA,N.Y.
---------------
FORM RCC-4.RI
TRANSFER INHERITANCE and/or ESTATE TAX.
BESID~DECEDENTS.
RECEIPT
Docket 37 Page 121 line 1
/
Estate 01...£--=.SA:.:.RA:..:::.::.:H:..:.......:::.A.:..:U:....;:G-=.U....:.S....:.T_INE _
OFFICE OF REGISTER OF WILLS
___----:.'~:..=A:..::S:.:.:H=I.::..:.N-=-GT.::...O_N~,'--_--xpa.
Date'oL1.u11..un-IWe'--'-3L.-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
RUSSELL MARINO
Register of Wills
.1201 (g).Act of April 9.1929.P.L.343.as amended.viz:."To receive from Registers of Wills all duplicate .re-ceipts for taxes paid to them by executors or adminis.trators and to charge the Registers receiving the money
with the amount receipted for.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator.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 MRS.G.A.BIRDTo _
909 HOWARD STREET
...-......-.
~I~::--J -r.:-:t>f11 ::;0
(f)In c:c=l r-"-:J:(/)C'~!(j)rf).-;z -I f~~i~~-.
'.C~:,c ...,..,.1:1 ...-~,..
(')~"''''''-"".;0'"~0 ..:-;:'"
r ~f'.)
U /-~~-
>(j)c,
u,
MONONGAHELA,PENNSYLVANIA 15063
--l
iJ
c/
Form RCC-4-RI-3-66
No.948905
~s COMMONWEALTH OF PENNSYLVANIA
OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax File No--b~l1i:~~
nollars,
T ;'"1-
19/100
Office REGISTER OF WILLS,\VASHINGTON I Pa.
WASHINGTON County,ss:Received from Grace A.Hi rd,Paying on Ind
~bl{)~¥ILln'{~hzlaED~K~~fthe estme of SARA L.AUGUSTINE
who died April 27 19 ·68,the sum of T~vO HUNDRED FIFTY-SIX and
being TRANSFER INHERITANCE TAX and/or ESTATE.TAX due the Commonwealth as follows:
Dme June )]1~
Appraisements Made and Filed Computation of Tax
NOTE:In accepting the transler inheritance tax on future estates prior to the death of
the life tenant or tenant for years,as evidenced by this receipt,it is understood that the Com-
monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeath01thelifetenantortenantloryearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleloranyreasonwhatsoever.
$,:269,1-7 --
i
5%$I
Exemptions *$==============.
Tax on $15%
Total Estate $_
Tax on $_
Tax on $10%
Tax on $4 ,494 .51 6%~
Register of Wills
MOORE BUSINESS FORMS,INC.,ELMIRA,N.Y.
256.19Total$_---'-_
.*As evidenced by Charitable Exemption Certificates issued by the Secretary of
Revenue under Act of May 28.1956,P.L.1757.effective June 1,1957,as amended
by Act No.381,approved Tuly 11,1957,and Act No.207,1961,Section 302.
SEAL~f
f l!:'?-zp~~?~~~~%~...O37-121-1
I
Total Tax $269J57
5,417.80 Less Tax Previously Paid (if any)$I
$I
$5,417.80 Balance $
Less five percentum of tax if paid 13,48
$.923.29 within 3 months after date of death $
$4,494,51 Amount of Estate Tax Assessed under
the Act of May 7,1927.$
$Add interest at the rate of %'
$from
to $
$'-------
Valuation
Valuation
$-------
$,-------
Total
$5 ~417.80
$------
Total
Date
Date
Bank Acct.
.It.Hel d
Estme Tax Assessments
'Dme 19__$-------
________19__~$======
~\@OOD@3D~£[L
NOT£.~To be delivered to taxpayer by Register of Wills
Total Gross Assets
Less Debts and Expenses of .
Administration
Clear Value of Estate
Valua:tion 6f Life Estmes or Annuities
Date 19__
_________19__
Personal Property
Real Estme
FORM RCC.4.R!
TRANSFER INHERITANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
.,.I-••r L ,,-iJ p'f..~,_
'r
'74 ocr I ,Pt!12 If"J
Docket~3_7~Page
i j
121 I'ine,l_
WASHIN,
/,"".)!>,10,f"H\I
fiF \'Ilj LSff.........
.','"."(;0 l'AVOf ~
SARA L.AUGUSTINEEstate0,...£_
omCE OF REGISTER OF WILLS
WASHINGTON,-----'-----------_....Pa.
Date__--::J:;...;u=n=e=---=:1=1'-",__19~
SIGNED AND SEALED AS PROVIDED BY
SECTION 1201.ACT APRIL 9.1929.P.L.:143
;"-AS AMENDED B~ACT MAY 15,1945.P.L.528
'"';
RUSSELL MARINO
Register of Wills
1201 (g).Act of April 9.1929.P.L.343.as amended,viz:."To receive from Registers of Wills all dupliccrte ,reoceiptsfortaxespcridtothembyexecutorsoradminis-trators and to chcrrge the Registers receiving the money
with the amount receipted for.The origincrl of ecrch suchreceiptshcrllbesignedandsecrledbytheRegisterofWillsandtransmittedtotheexecutororadministrcrtor,whereupon it shcrll be a proper voucher in the settlementoftheestate.In no event shcrll the executor or adminis-trator be entitled to a credit in his crccount by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills."
Fill in below name and address of person to whom
tax receipt is delivered:
I"-,
To MRS.GRACE AUGUSTINE BIRD
909 HOWARD STREET
MONONGAtlliLA,-PENNSYLVANIA 15603
-'
'"RECEIVED OIl m1JlratBD'1'fiIR'lY fOUR .4
GaACB AVGUSTDtB SID
From:~TBMPBST&SIlM:)NS
57/100.--......._....._-...o __-....._-aollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
Date of Payment -IleJcem1be~--2~~sr:13-----~
$
$103.84
$
$
$
$103.84
$--------DI
$,-_3....°.........7.....3 .111I
2%Tax on $_
6%Tax on $ON ACCOUNT
%Tax on $_
Estate Tax,Act of
May 7,1927
15 %Tax on $_
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
-6....%from 7-27-69
to Date
'"..
,.
"
Date of Death--"K=.IIII...L:=:.3I<=-_---1FileNo.63:=68-760
LOUIsa
Name of Decedent SARA AUGVSTXlni
County W.:.;;.ASHI:;;..;=='=N:..::G::..:.~::..:·mt;..:;.:...·_.,.--__-::------j
Remarks:
~fii)nIoJ nn,(riU.(;\"-ti7J~.IUlJl)Ul.(LSU UDill U..lE;·s E A L 1'.TOTAL AM09~H-?"A1Q $134.57.,,~," .I)
NOTE:This Triplicate Receipt to b~.retain:d fO~':'f~r:~,./\,,-~i ,,/1/J·/~fv1 .
.'/Received b~~/lloJu..m..-O
NOTE:In accepting the transfer inherit~nce tax on fU.ture'·estates,prior to the death of the life ~1'-.-~SignatUfeK
tenant or tenant for years,as evidenced by this'receipt;iris understood that the Commonwealth!shall ---..,i •
nat be precluded or prevented from hereafter assessing additional inheritance tax at the death ~f,the J>,U~~
life tenant or tenant for years whenever It appears that such additional tax may be legally due a'na::::--".....:...~\-;..,\.=..::~=---=-:(:=T"~tl;-;-)-----------11I
collectiblefor any reason whatsoever.'.J I e