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HomeMy WebLinkAboutOC1968-0800 - ESTATE OF BRADSHAWof ~968 ., NO• -1- -2- .. 'I'.' ) : ).. ) .~...-'...:',.,....,; The Petition of JOHN W.BRADSHAW ~espectfully represent~1 PETITION FOR SETt;LEMENT OF ,SMALL ESTATE ESTATE OF ,j~EPii FRANK~ BRADSHAW,Deceased. IN R:::: "'.,........ ~I));THE ORPHANS'CQ.lRT OF WASHINGTCN COLNTY,PENNSYlVANIA TO THE HONORABLE,P.V.MARINO,PRESIDENT JUDGE OF :-HE SAID COORTt w.'F~· .'l. '",. ~~-; ·"':~ ·".;:{-#'f. I,~~ •.(.1 I ."'·.l~::Tha t the decedent,JOsEPH FR.rI,NK BRADSHAW,died intestate'Orl'.'~. IMarch 7,1968,•resident of 333 Wash~ngton Avenue,Charlerd,Washington,CO".tv ":~I P.ennsylvania.\...:':".~ r ."(;r~:"':':J·~., .~l~~.~~'~<..~:li, ·:.l ...." , ".. \ , i" I'r~~. ~-r ...- That no letters of administration were granted.'-, ",.-~~ .~l -3-I , .1'"j'i That the onl't'heirs at law of your decedent are John W. >~ '(~~~­~~~1 Bradshaw,a resident of West Pike Run Township,Washington County,Penns"Yl\!ania~ -- -4- ,t,/' 'i.-.'" Jio.., --~ "..'-.; ,. .!'", i'/-1' ,,/'~ ~. and William B.Bradshaw,a resIdent of Clairtcn,Allegheny County~PE.mnsylv~nla~..(~,r .,.'./":: -Tine conG.ent of-William B.Bradshaw to award H.e entir.e.a?~e~,of thti e8t:~~e~~...~>...;'·\~..I.;. unto John W..Bradshaw is atts¢hed hereto and !lade a part hereof-:_.~\....-..'t:::11 t...!,.~":~.'"'tJ 1 .~;}r~~~'{ ,,'J~~~,. The sole ass.et in the said ,estate-1,s 'twenty-four (24):sna~~;''{r~:; ,.~,A~,~,-;.~' ~f $tock in the Beatrice Foods Co.,an 111ino:6 corporation,which $ha~th~;'!:~~, decedent owned at the time 0 f his de~th.and 'he v.lue,'thereof is slxtY-tlll~~i~. and three-eighth (63 3/8)doll,ars per share and thE'total value is $l,52L.l:2'~:~f~~11 ...,..\'~,...~j4J ..:~,,1,"'i/'-~"t .~~~ ;-~";~,~,~~';4~1~~".,:..,<.;--~,.~,,~~ ,:.31j~~1<~·l >~.:...'0 'i;~ !~ .......;.....----------'--------'-------'--------'---~-'---------'-~~-.".~ -,-" -:r- .'; - -.._\~ii,-~---:-"----".~._'~_.".\~.-.."""""~~-".'r'l:~",,;.v,.r"'''.-'~.-'.~\ •r~ •'I>' '!,--;':~;l,'~.'~§ ;'.""\; The fU:1eral bill in this instance amounts 10 $1,'120.80,:which:~.,:,~:'~:~'1 .,,,~ ,\ your petitioner paid. -6- That your petitioner requests yom:HonQrable Court to dtrect distribution of said twenty-foJr (24)~~res of .tock 1n the Beatrioe Foots Co.to your petitioner as restitution and rel=ayment by them for the I JJ~ advancement of said funeral bi:"l in acoordance wi tr.the Act of.ttareh 10,.1959, !F.L."1450,~,ection 1. AND he will ever pray,etc. ~,>{~ .it }'" '! ,......... \, " ~---=~ --, S5: •........----. ( COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASnlNGTON .,",~~,-:-~J,..:;,.,'J..E'.;. '~';',;'~~,·t'"./.~",~·'):t~~.','."'w~i"",/-~~:i'./'j'I'.',.,,1 .l:',f1:.c"E ../'~,'.,~,j' ;",j "ltt......~.I ,p;.;r '~Qt,"~,,.r,~4...~{'.i~'''~*I'"~'13"'r~~!~,Personally appeared before m~,the undersigned authority..'.t"~:l JOHN w..BRADSHP.W,who,being dulf sworn according to ·la¥.r,deposes and says {hat'/t~~1 1i,'>ll!",.~f'~ .the facts set forth in the fo~going FeUtion for Se-ttlement of Small Est.ate 1:.-..1t\:"-'.f5.\I '"I :' ,,. ~1t!.(J~ -1...J r;w:Brad aha w ':l-.'I ' are true and ccrrect to the best of his knowledge,information and belief. i S1I!lor:l to and subscribedI I ,I I before me th1s 3/--<:day ; 1 jof M-iYt 1968, I l ;~'~/1-.';-(,~c{.o{/k<fLi, I } ~' J ---.~l','j.---.:.""""-.---.J.s--~........ li, I .'. ,. t I .~ t, "I ,!1:: '~. Ik,;;.r~i;1r ....~. ji., ~\ ,-.J .~' of 1968. tw~nty-four (24)shar&$.ot Hon~rable Court to award said ) )NO. I: ) )~?<~(-4dft>h,11~'\;~ WilHa~,B~Bradshaw ~.• I,*ILLIAM B.BRADSHAW,a relident of the Borough of Clairton•.,. I." IN THE ORPHANS t CaJRT OF WhSHINGTON COUNry,PENNSYLVANIA BRADSHAW,Deceased. .,,.~ .-' .. ".. d .,•.\ r \.1 ,. ••••_,l.-" ESTATE OF JOSEPH FRMJK IN REI BRADSHAW all my'right title and interest in and to the Estate of Joseph ~rank. Alle~heny County,Penneylvania,hereby assign,'set over and tranafer unto JOHN ~". J Iconsisted.Of I I ~stock in the Beatrice Foeds Co.and.request:your J i"Brada.hawt 'which I have been advlsed "I ', I shares of st-ock unto my brother John W.•Bradshaw. ,,,- Sworn to and subscribed '~~tore me thi~day ,jof ~.t 1968. ! .,.' ...' ._....J.......J -----~~--~---::-.\, ./ ,, ,, ~-, ,, '/.; ~~......~'.i.:-.~.'..,";.tt '......, " I,' '('.,.~1.'-; ,.'.(,'. "~I\ ,.i ......... ,"-....~----- ,;~. ~....."~..'.~--. .'.~ I. \.. ...,f.. .•." IN THE ORPHANS'COURT OF WASH:NGTON COJNTY,PENNSYLVANIA t .it,. I -......, 1""......., 1;0'. IN REI .ESTATE OF JCGEPH FRANK IBP.AUSHAW,Deceased. ) y )NO• I ) of 1968. awarded to ORDERED that the _'oi :....-•.••~..."",(". "'.---_..... '::'-t.•'.... the -:-t~~ AND NOW,this L day of ~;;;;:;:::::!::::~.....5.~,.-x968, upon consideration of the foregoing Petition,it •J .) I . J .J • $,1,377.00 104.00 Estimated Value AVENUE '/t /06 T OF JUNE 18.1981, ..PA .., . e:Eic~j--------------- ="'--======-:,..----- TH OF DECEDENT, F OTHER OWNERS. .Maxch._.2.,._1968(Dale) rt of the return, or owed by the of the financial the decedent's ame or names in '1 FOl1n No.lWC-6~''(12-66)THIS FORM REQUIRE['IN ALL ESTATES WITH GKOSS ASSETS UNDER 110,1100.UNDER SECTION 701 OF AC <~EF..!.J~!;ivE,JANUARY 1.1982.(FILE IN DUPLICATE WITH COPY OF W:LL ATTACHED) •....---. *'OFFICE OF THE'REGISTER OF:WIL_LS to :.:--•~..~'f f ,,,.J •.County of .....lYASI:IINGTP.N ......... ...........l OHf-l.W•..aMP.S&W·.;~','..............of .......~...R•..D.•..,.DAISYTOJVN., (Name)'(Address) being duly _c_,~QRN_______________________.according to law,deposes and sa}'sthathe is th~___:I~_QRH~N_'L __________ ,(Exec.,Adm.,Legate of the estate of___________~_~~~~~.._~~~__~_~~~li..hc.se last residence was _~___}_~}_.~~_~~!_~g_r.Q~_ (No.),(Street) ____Q_HA.E...L~.RQI.J_------------.---~--..--,deceased,and that the whole of the estate of said decedent,who died ____.._ (Ciry,Botough Ot Townshi;», consisted of. REAL PROPERTY REAL PROPERTY IN PBNNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEA WHERE PROPERTY HELD AS JOINT TENANT.OR TENANCY BY ENTIRE"I'IES.GIVE NAMES.ADDRESSES AND RELATIONSHIP 0 Real Estate 11J~0 IV 7. - ,', .. Personal Property - - 24 Shares Beatrice Food @ 57 3/8 Cash on nerson at time of death .' -".,J ,•(!'...--.--- t- .. ,.-.-..,- '~.',;" NOTE:You may expecUte the processing of this return by filing with it,and as a pa letters from financial hstitutions or mortgage holders,certifying to amounts on deposit decedent as of the date of death.Such letters must be s:gned by a responsible officer institution or mortgage holder and indicate clearly amounts of principal and interest in account at the date of death and the type of account,account num':>er and the exact 'n which the account iis registered. 1 Jointly Held Property Estimated______ Value .'- G .- Jt.Bank Account-held in the First National Bank,Charleroi'.,'. in'the'(names'"of JOHN W.JOSEPH BRAnCmAT.T or PEART,',.or FRANK BRADSHAW.Openid Feb.26,1968 1,776.42 '. ,..-~,.... ..-. >". Transfers within TWO YEARS Prior to Death 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 N 0 N E - BENEFICIARIES ~RELATIONSHIP SURVIVED AGE OF LIFEBEN,EFICIARIES AND ,ADDRESSES (If step-children or DECEDENT TENANTS OR INTEREST ,OF (State full names of alLa'nd their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an inte~estJvested,contingent or otherwise,in estate,)are involved,set OR NO.AT DEATH OF IN'ESTATE forth this fact,)DECEDENT John ,.,.Bradshaw Brother ~ ,-,, , I . " ¥{ ..i'.~-=-"'~"""~,RESIDENT DECEDENT ... DEBTS AND DEDUCTIONS CLABmD NOTE'List first the items in the sp::.ces ~o"provided observe notations thereon,and instructions., DEBTOR CLAIM :~ATURE OF SAM'E AMOUNT THIS COLUMN ttEGISTER ONLY FUlkLERTON &'MATZ Funeral expenses paid $870 00 $ -Familyexemption (will n)t be allowed unless - decedent died r~siding with a.spouse or children.) Administration Expenses *. "- Counsel fees *• Fiduciary rommissior:*, I OTHER'DEBTS AND CLAIMS (*)See Note beiow Dr.Finegold Proffessional Services 40 00 Charleroi-Monessen Hospital 117 91,. Quinet Monument Co.145 00 "- - . - , "~ - , , Total L,173 71 (Street Number) (City or Town and State) I IIJ ..,19b~ ~'!II, Note:Tb~e~t~te f'gl'E.es to advise the Register of wills if the amount actually paid in settlement of any fee"commission or debt is greater~~~iess tHan~~h::,estimatedamount claimed and allowed..."_'''l\~~ ,:,"\ \\,~r~,;,1;D::?...;Subsuibed ima SWGli;n to belfore me.'~'~'....:/i?tt)i:.1day of''''<'~~~~-C6.~~. .,,~;.or;:l ::1.}(1i1A .IJ •"',A,.A ~.A I ./...........';:f~Zf£l.:J(./....~~...",';\1 .,.f;.''''.{'\....~. "MY COMMISSi'JN EXPIRES MARCH ~4.1972 c,m Of WAS"i1NGTON,WASHINGTON COUNTY,fA. Having been duly sworn d'ding -..0 law,I do herebper~at t.~ve aPWl'aisement is y in.co.nfol'mity with law on this ............:...../~.~--!...day of ·····~#···~~···~~······~i~'-.L/n £-""-;_~A 'J~,.7 ~.4~~~~~ Appraiser '. In the event that any future interest in this estate is transfeced in possession 01'enjoyment to collateral heirs of th ecedent after the expiration of any estate for life 01'for y.ears,the Commonwealth hereby e::pressly resel'ves,the right to appraise and assess transfer'inheri- tance taxes at the la~ul collateral rate on any such future interest. I,the u::lderSigned duly elected Register of W~~~~'~~d~:~~~~;~~County,Pennsylvania,do respectfully report thatI have allowed debts and deductions in the amounts chimed by depone!)except a ose items where a greater or lesser,amount is set fort.in the1ast column te·the right in sa,idsched~le above,which grea:er or sser ai~unt re resentsthe sum all~a deduction. Dated:#d.~!-.,.../..~.(....l1.~'.f..........V .......·.....~/7~~..'-;;;;,:".0<'..",RegIster of Wills FOl1nNo.RCC-62 (12-66) ••*~ •" , j Will Administration INo.year.".. ",-;\..I:..\.' ..""~~'i~:.:'.... " " IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ~.: JOSEPH FRANK BRADSHAW.,,,.,De~~~~~d"" ,.:~'". :...:l'".",..;....~.."c......_.("'J:-:._c.t..."~....:;"....\~...""'"~', -if &;to~"'}""f .'''~'~.I;.....".\.~,.-..~...';~••••ll."•.·~",'"'1'.1,(}0 £'::\~..." -"It'"ltl'j,,,,\\II" ". Latedf CHARLEROI .........'O '.. ,. ~.'. ,., .--,.- ~t• County of "WASHINGTON........................................................ Commonwealth of Pennsylvania ,~ REPORT AND APPRAISAL .-: {J h ~.... .............. ~....,.. ·r ~;.~y .... ,\..0{ ".-l...j f • " .-J, I .>._ RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT IN YOUR REPLY PLEA8E REFER TO 37-145-1 JOHN W.BRADSHAW Informant In Re:Estate of ....;t.;,.;;T.as=E~oP~H:....·=..E'=.::RAl:..::·:..:.;IJK:::......;B:;:RA=DS:..::·:..:;'HA=vl _ _____~W.:.=.-AS=H=-IN:..:..G:..:..'TO::..;:;.,,;;N~County -File No.63-68-1206 I:e ar Mr.Br9.dshaw: You are hereby notified that the Qriginal appraisemen~in the estate of Joseph Frank Bradshaw bas been filed in the office of the Regist~r of Wills qf Washington County on September 12 ,19...Q.6.Said 3.ppraisement reflects'the following valuations: Real Estate _---'-_ Personal Pr9perty =1~,~4~81~.0~0~-- eft.Held ~].....,....:'7-L7~6.L1..4,j,/S2"--_ Total ---'----"3!.,1.~2"""5:..L7......I:!.4~2-- As to such tax that is paid within three months·from date of ceath,a five (5%)percent discount is allowable.As to any ~ax that remains unpaid after one year from date of death,interest at the'rate 0f six (6%)percent per annum is charged. ALy party in interest who is aggrieved by an appraisement may../ appeal therefrom as provided by law. ]I)ate --'3=!.:e...,pt~ana11.!b.l.liej,.lr--..l]...c;2~,--Il...;l9u..6L1.l8'---- Title W.R.CHANEY DATE CF DEATH:March 7,1968 Note:'This is not a bill. RCC-39 (6-67) COMMONWEALTH OF PENNSYLVANIA'" ,.-JTRANSFER INHERITANCE TAX RESIDENT DECEDENT BRADSHAW,JOSEPH FRANK FILE #'63-68-1206 March 7,1968 SUMMARY I,the undersigned #63 Washington FIL$#63-68-1206 the real and personal opposite each item in ApPRAISER rmpOHT OF INHERITANCP.TAX APPRAISEH duly appointed Inheritance Tax Appraiser in and for the County of ,Pennsylvania,do respectfully report that I have appraised property as reported~n the foregoing return at the values set forth the last column to the right in Schedules "A","B","c"a':nd·"E". If!'f2 03-07-68 '09-12-68Dated: REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of W:..lls in and for Washington County,'Pennsylvania,do r,.~spectful.ly 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 greal2terlesser amount represents the sum allowed as a deduction.( 09-12-£8 r-'./1 #~~Dated:;,)~ .REGISTFR OF WILLS VALUE AS REPORTED VALUE AS APP~~ISED V~A~L~U~E~A~S_RE~AP~P~RA~I~S~ED~ $'-$$------ 1,481.00 .___1,481.00 INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS AS8ETS LE~S Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE 3.257.42 ==1~'iE:.17~3~,::!::71~._ 2,083.71 .__ 1,776.42 3,257.42 ~1~':5::17~3:!:::.f!::!±:=._ 2,083.71 ======:= --------_._.- valuation of life estates or /".annui ties $---- !;"Ii . ES)'ATE ,T~,,{,ASSESSMENTS".f t-," ~~5,.... ~------ $-=====~:=$_ $------- *------- *-------$-------$ CO~f.PUTATION OF TAX TOTAL TAX BALANCE PAID *------ $------ $------t ------$-------:~ $':31'2.56 .JI:-IN FULL 9-12-68 (:;:)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue.$----- *========~= $"--'--- ~•t 3,\LANCE OF INHERITANCE TAX DUE A~d jnterest at rate of 6%from j,'.to AMOUNT OF ESTATE TAX ASSESSED Estate tax paid BALANCE DUE Add interest at rate of 6%from to v:pJ:t USE OF REGISTER ONLY ~'~¥~m $•__5:10 lax'on t .__10% iAoc on ~.__2% i'k~,on $__----=2::..:,L.::O:..:::8~3..!...7.L.:1=-_,__1!'i%....\''','---E*,emptions :=(:::) l~Q:tal Es tate _ .~~TOTAL TAX\'(~~'bess tax previously paid '~.I ,:;BALANCE I~~ss::5%of tax .if paid wi thin 3'mohths after death FOR 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 ~ .Administration \No . IN THE ...Year " .~ ('""~It f ~,_• MATTER OF THE APPRAlSEMENT OF THE ESTATE OF JOSEPH FHANK BRADSHAW.................········································D~~~~~~d '.{ ~, ~ Late of . County of CHARLEROI WASHINGTUN Commonwealth of Pennsylvania REPORT AND APPRAISAL .,. / .) I}EPARTMENTOF REVENUE ..BUREAU OF COUNTY COLLECTIONS HARRISBURG.P~A.1n 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE.~A~e APPRAISEMENT DATE §.~.P.~..~~.~.,J ..~.§.~. NTY #63 WASHINGTONcou . FILE NO•.....................§?:.§.?.:.~~g§. Whereas,....................J...Q.S.~.P.H ...F.RANK.....B.RA.D..SHAW........................................late of ..........................CHARLERO.I............................................... in the County of .............WA.~.a.IN.q:r..Q.N ................................................................................Commonwealth of Pennsylvania,having·died on the ................................?.~.~...............................'"...............day of ...................:......¥.~.~~.4..............;;.;;.;;..........19..§.~.;j seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,\v.R.rnANEY atl appraiser duly appointed according to law,••.••.••••••..•••...,.•••...........•_............•.•.......•••..•.••......••••••••..........••...................•...•......•...•...j having been designated to male a fair and conscionable appraisement of the said estate,and to assess and fix the cash value 0]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 enjoynient to collateral heirs of the deeedent after the expiration of any estate for Ufe .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 AppraisementDescriptionof'And Values Made for Inheritance .!Tax Purposes ..... $ .. REALTY:......._-.__.- NONE ...NONE._--- .-_. PERSONALTY:...---'-..--.... As per appraisement filed 1.481 00 Transfers;-'-'-- '.NONE NONE .. JT.HELD PERS:... As per appraisement filed 1,776 42_... ",.-... -'..' .-.---~- TOTAL 3,257 42.. .. , .. ..- fl'!. Having been duly sworn aCl:Ording to law,I do hereby cer~~~tth5..the a,ve appraisement is made in con- formity with law'on'this """""""...",,/,2,-:::a;,,,,,,,,,,,day of ""......-..""",.,?!..~"""".."'~::Jl.,""'~"":"O:,"'P!I'~"""'''''''''''''''''''''''''';~f"" om •••••••••••••••m ~~;,;;;;;••••• ./"""""'J]~~·=·"'7.'·"'''''''''~N\;~~d''St~;'''''''''=..'"".""""""",.."",.."....,,,,,,,,,,,, ........",...........~t:l"'ip;t"'0i8~~'i·"...''''''''';'''....''''''·....''''..,-PeRRI• ------------,---,----------------------------,-------------------:------------------------------ ....... .,WAS.H.I.N.G.+ON..............................~oullty -.... ~......",. "v "...", ~.......,.. RESIDENT INHERITANCE TAX APPRAISEMENT '" Estate of JOSEPH FRANK BRADSHAW............"'..";,"",,,,,. Deceased. Late of CHARLEROI..........................-. Datcof Death,M~r..~.b.7..,l~..§.e..__.- Appraisemel!t Docket Vol.,'2.7.. r(l9~..14.,5::'~1 ~.No..6J",..6.8..".l206 . Filed in Register's OfJice,s..e..p.t..•.....12.,19....6.8 Anwunl of tax due,$_-._- DEPARIMENT OF REVENUE' ...... ,~ .",,~-. .;.; Received,..............................................•......____-------\ '.' Examined and Approved,;. Wrote abo.ut Appra.isement, Appeal jt-om Appraisement,: . Entered and charged,. oJ .-t,. ; .'" ," .."'". ,, .' 1/ Form RCC-4-RI-3-66 ~s COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 978891 OFFICIAL RECEIPT No.Transfer Inheritance and Estate Tax File~.63-6A_1206 , DateSepteaber 13,19'.iL IOfficeREGISTEROFWILLS,WASH!NGTO"Pa. WASfUNGTOH County,ss:Received from Jolin W.Rmdahaw Tnfereant J(mM~~~y;mu~U~):)f the esfate of JOSEPH lBAMK BRABSH,AH who died March 7,!968 ,the sum of THRIE WJNDrmn TWELVE and 56/100 -PO W .....--Dollars, being TRANSFER It-lliERITANCE TAX and/or ESTATE TAX due1he Commonwealth as follows:• Appraisements M:xde and Filed Con:putation of Tax Real Estate Tax on $5%$Date Valualion $Tax on $10%$ $Tax on $2%$ Total $Tax on $2,083.71 15'7'0 $.112.56 ,Personal Property Exemptions *$ Date VCIIua:ion 9-12-68 $1,481.00 Total Estate $ Jt.Held $1,176:'42 Total Tax $ Total $.1,257.42 Less Tax Previously Paid (if any)$ Total Gross Assets $3,257.42 Balance $ Less Debts and Expenses of Less five per centum of tax ifpaid Administration $1.173.71 within 3 months after date of death $ Clear Value of Estate $2,083.71 Amount of Estate Tax Assessed under Valuation of Life Estates or Annuities the Act of May 7,1927.$ Date 19__$ Add interest at the rate of '7'019__$fromEstateTaxAssessmentsto $Date 19__$ 19__$Total $312.56 *As evidenced by Charitable Exemption Certificates issued by the Secretary of NOTE:In accept:ng the translEor inherltan:::e tax on bture esta1es prior to the death of Revenue under Act of M~28,'1956,P.L.1757,effective June 1,1957,as =ended the life tenant or tenant for 1.ears,as evidenced by this receipt,it is L:llderstood that the Com-by Act No.381,approvec.July 11,1957,and Act No.207,1961,Section 302.monwealth shall not be prec uded or prevented :::om hereof-er assessing additional inheritancetaxatthedeathofthelifetenantor-enant for nars whenever it appears that such additional SEAy _.tax may be legally due and collectible for any reason whatsoever. lITRJD [P)[LD ©£\Y[37..1'5-1 I/;,:."-;t£.?{;:::0/1"t-'/I-0 NOTE:This Triplicate Rsceipt to be retainsd br the Rsllisler of WilliI and filsd in numsrical Register 01 Wills sequence for audit purposes.MOORE BUSINESS FORYS,INC.,ELMIRA.N.Y. .-----_.- ;FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT'DECEDENTS. RECEIPT 31Docket-Page 145I jn~,__l __ "JOSEPH FRANft DllADS1JAWEstateofl-~_ OFFICF;OF REGISTER OF WILLS WASHINGTON Pa. Date SEptEMBER l3~19 68 SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY 15.1945.P.L.528 nUSSJU,LlfAnINO Register of Wills 1201 (g).Act of April 9.1929.P.L.343.~s amAnded. vi?:."To receive fro'D Registers 01 Wills all duplicatere-ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmilledtotheexecutororadministrator.whereupon it shall be a proper voucher in the settlement of-the estate.In no event shall the executor or adminis- trator be entitled to a credit in his account by the Register unless the receipt is so signed and sealed bytheRegisterofWills," Fill in below name and address of person to whom tax receipt is delivered:' I JOHN W..BRADSHAW RD"D·1 DAISYTf.)'titl t PENNSnVANB L ~~ I -.:J ---- '"-