HomeMy WebLinkAboutOC1968-0899 - ESTATE OF FILBY.-
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PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form.J
Estate of..P'g.I.lg.1g...W~J~.9.!'L.F.~.~9.Y..J ...~/.~/~.J .....__..__
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Deceased
No ;63.":'.QS:::6.99..
Fiduciary P.ear.l P.a.il...aD.c;l..F.e.~.I1 ..Hy.g,t:t.,..
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Date of Date of
Decedent's death ~.ay ~1.tb_,~9.~.~..' ,Grant of Letters J uIY-..ls.:t.,l.9.6.8 " .
This is the Fir.st and..Einal account filed in this estate
If ~here.h,av~.peen forJ'!ler accounts filed in this estate,list file number or number and term nane..
Election to take none
Under or Against will.<Cross out one)
Date Election Place of;
Filed none.................Record)fl.cme..
Name of surviving spouse na..spo.use..sund~e.d ~_:.
List issue,where material:
None
Did decedent marry after execution of will?(jndicate~.No.Any children born after execution of will?(indicate)
~No.If answer yes,name them : _:_ .
Leg.atees
Pearl Day
Fern Hyatt
Relationship
sister
sister
Interest Fiduciary,if deceased or not sui juris
1/2 residue sui juris
1/2 residue sui juris
List,if exceptions to above:
No exceptions
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:none .
File copy of Notice
and date of mailing Jannar.y..20.,l9.6.9 ,.
Is estate subject to the filing of a F~deral Estate Tax Return?No :.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.~g.9..~.~~~9.!..J·.9..l..J~§~.
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant .
....................................Doe.s..no.t :.
Give Names and addresses 'of all unpaid creditors who are legally entitled to notice,together with the amounts
of such claims;state whether they are admitted to be correct;and wbether the claim is denied.
All know claims except audit costs and balance of inheritance tax have
been paid.
Give reference to such ports of the will as require interpretation by the Court;a reference to all questions re-
quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication:
Will is clear
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Balance for distribution per accountl
Itemize any additional debits not shown by account:
none
Total additional debits (Add)
Itemize c;my additional credits not shown by account:...
3//o~-H~len~.Beveridge-notary fees
,
\
Total additional credits (Subtract)
Balance for distribution.
-$.5.,.5.36 68..
$.O.•.OQ .
1.50
$.1.•.50 .
$.5.~5.3S 1~.
,
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value>;
Balance is all cash.
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If Family Exemption claimed by Petition,give place ofRecord:~.~~~.
If F '1 E t"I'd d"I'h'db'f CI'None cV:"imedamiyxempIonIScOImeatauIt,give name,re atIOns Ip an aSls or alm:_ _~.
List any advancement or distribution on ac:ount that has been made,and nature and amount of same:
None
Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections
to take in kind if balance is not in cosh:residuary shares being stated in proportions:
The balance for Distribution,all cash,should be awarded:
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1/2 to Pearl Day,sister
1/2 to Fern Hyatt,sister.,
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COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly _sworn _doth depose and say
that the facts set forth in the foregoing petition are true
to the best of th~ir --knowledge and belief.
.......SwOIn _ _..to and subscribed before
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me this._.._day of:~Mar.~.:z?19..6.9.
Signature of Officer~~J.J~~
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Title of Officer :::N.atary..Pllblic..
Office exPire;.~v.?t'y.Z/.7/.
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Washington,Washington CountY,Penna.
And your petitioner will ever pray,etc.
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No..9.3.~f>.a.~a.9..9 .
Donald Wilson Filby,a!k/a"
E t t f D W Fi.lby aL~...a r;
sa e 0 ···i);;~~'id···Filb;·;···~/filf·t·E D:'
.................~·.•...RQD.a;J;..Q ..W&F.i.lb.Y..
Deceased, .1969 APR 16 pn 4 :22
Fiduciary ~~.~~J..J?~y ~g f.5?~9.j~Y.~tt '
RUSSELL MARINQ
REGISTER OF VIllUS
.................._.~.,Executrices.......'
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:'pa rag raph b-c;and divisions
I thereof:shown on pages 23-24.
1.Written p-raecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
3.Copy of Order appointing Trustee ad
litem,if pertinent.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.:or an attest copy of Will.
6.Copy of 'inventory and appraisement.
7.Proof of advertisement of grant of letters
if not filea 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 Federol Estate Tax return if es-
tate is subject thereto.
Adam L.Sanders
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Attorney S
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Estate of:)
Donald Wilson Filby,a/kia,)
D.W.Filby,a/kia,)tJtl YfiNo.'...'~of 1969DonaldFilby,a/kia,)
Donald W.Filby,)
Deceased )
You are hereby notified that the undersigned has filed a
First and Final Account in the Office of the Register of Wills of
Washington County,Penna.,in the above captioned estate at the
above mentioned number and that the same will be presented for
confirmation at the February Term,1969,of the said OrpHans'
Court,and that it will be confirmed on the 3rd day of March,1969
unless exceptions a~e filed thereto,and that the Audit of said
Account will thereafter be held by the said Court the week of
March 17,1969.
Attorney for the Estate of Donald
Wilson Filby,a/k/a,D.W.Filby,a/k/a~
Donald Filby,a/k/a,Donald W.Filby,!
dec'd
Adam L.Sanders-B.A.Franks
Attorneys at Law
611 Washington Trust Bldg.
Washington,Penna.
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1Jn tqt ®rpqaus'QIonrt'of lfunl1iugton <t!nunty
In the matter of the Audit of Account in
Donald Wilson Filby,a/k/a,
Estate of D.W.Filby,a/k/a.
Donald Filby,a/kia,
Mr.Donald W.,Filby
TO THE AUDITING JUDGE:
No.63-68-899 .~
Enter oc:;:...::u:.::;r:-appearance for --..,;A..=c.=.·..=c:....:o'--u:..:.n=...:t;..:an;::;,,:,...=t..=s:-_
.:.
.~.'I~day of ---n1 (;~,19~
'N.B.-Counsel shall,by sE'parate 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.
S11HA ;lO C131Sm3H-.ONIHVW 113SSnH
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Q!ommouwru1t4 of ,rUU5 YIUUUiU.}.11.11.IhtB~in!lton <!tountg,.
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,III the County aforesaid
on the 1s t.day of July 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
Donald Wilson Filby,1IKIA D.W.Fi1by,A/K/A Donald Pilby,
A/KIA Mrs.Donald W.Filby
late of Korth Franklin Township in the County aforesaid,deceased,
(a true copy \vhereo:is to these presents annexed),was duly adm:tted to probate;and
Pearl Day am Fern Hyatt·
tricestheExecuKlX.in said Will and Testament named,having appeared before me and taken and subscribed
the oath of office wescribed by law;
NOW,THEREFORE;I,Russell Marino ,Register as aforesaid,do
grant these LETTERS TESTAMENTARY,unto the said
Pearl Day and Fern Hyatt
committing unto Them the administration of all and singU'lar the goods and
chattels,rights and credits,which were of said deceased,and requiring Them
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 9ffice at Washington,this 1st.
day of July in the year of our Lord one thousand
nine hundred and Sixty Eight
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Register
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I,DONALD FILBY~cf the City of Washington~Wa;hington County,
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Penn~ylvania,being 6f sound mind,memory and understanding,do make,publish and
declare this instrument to'be my Last Will and Testament,hereby revoking all
former wills by me at any time heretofore made.
l..'._.'....'-'.---:-...~
FIRST:I direct that all my debts and funeral expenses and expenses
of administration be paid as ~oon as convenient·after my decease.
SECOND:All the res~,residu~and remainder of my said estate,
whether real,'personal or mixed,whether.vested or contingent,I hereby give,
d'evise and bequeath unto my sisters,Pearl Day and Fern Hyatt,share and share
alike.
THIRD:I hereby ·nomlnate,.constitute and appoint Pearl Day and
Fern Hyatt to be the executrices of my estate,to serve without bond.
IN WITNESS WHEREOF,I,DONALD FILBY,.the Testator,have to this,my
Last W~ll~d Testament,written 'on one .sheet of paper,set my hand and sealJ~C'-'-.../iI.4 {-.this '-day of ff(Cl..'L-t!-/t ,1967.
Signed,published and declared by the above named Testator to be his
will,and attested by us in ~i5
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of Dea~'th:".r271968~<..,"~'l\ffi~auit
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(@f 1£xrrutnr (@r l\~miui!itfatar
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mouuty of lJa.a4iugtou .a.a:
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Personally before me,the undersigned authority,a .....no.tar.}L.pllblic.in and for said
County and State,appeared P.ear.L.Da}l and..F.ern..Hyatt who,being duly
sworn according to law,deposes and says that theyai&the executor~of thees-
tate of ..Dana1d W.._.FilhY-deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of ...D.onald...W.....Fi.lh.y.,
deceased,except real estate outside the Commonwealth of Pennsylvania;that thefigures oppos~te
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
justappra,isement of each item made by th~bove nam Executors ~
Sworn and ,subscribed before me this t£'..}'
d Januay.y -"9 ~"ir ~...~....~.l.-Vo'-.~ay.::;:;;Y'..;I..............r..'frr Exec JS~~(}r
My Com.XP':"''Mar'~'2'6';;r911 'N<)'t'ar"'Publi
Washington,Wash.County,Pa.ADDITIONAL INSTRUCTIONS
l.An inveritory 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-33JOver$10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
clu4ing 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
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3Iuurntory am.1\pprai.armrut .of the goods and chattels,rights and credits which
were of Doiiald W F.i.lby .late of .Nor.th Fr.an.k.lin Townshi.p..
W"shingt~of_Crn;nty;Pa.;taken and made in conformity with the above affidavit.
DOLLARS CENTS
Personalty
Amount received in June,1968,from Pittsburgh
Natiaal Bank,Washington,Pa.,for unauthorized
withdrawa~s from Savings Account No.27218---------650.00
To exact"',amount received from Joan Elias Filby
Estate in January.1969-Decree at 63-68-922 of 1968--6,283.17
Household goods-see attached itemization-~--------412.00
Total-------~-------~-------~$7,345.17
Realty
None
Total assets
Personalty $7,345.17
Realty 0.00".
Total estate-------$7,345.17
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Inventory and Appraisement
IN THE ESTATE OF
~onald Wilson Filby,alkla,
.0,-W.Filby,a/kia,Donald
"~'.f.i.iby.~.a/k./a,.Mr.•.Do.na.l.d..W...Fi~by."
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Adam L.Sanders
B ..A..Franks
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.ousehold Goods
Kitchen
Quality gas range
cabinet base
5 pc.breakfast set
Frigidaire
steam iron
bench
double door cabinet
kitchen cart
Syrian bowl
mirror
Living Room
Walnut china closet
wall pocket
Temple Hi Fi
RCA 17"T.V.&stand
rug cleaner
electric fan
coffee table
8 leg library table
book stand
medicine cabinet
desk
mirror
picture
door chime (new)
electric Singer &chair
radio
tilt back chair
living room chair
6 table lamps @.50
G.E.Electric mixer
Wahl electric clippers
electric fan
'electric clock
sandwich grill
hassock
old watches
radio
Hoover portable sweeper
hall runner
12 x 12 carpet
curtains
ship clock
cooking utensils
dishes
Back Room--first floor
Bench
floor lamp
end table
wardrobe
victrola cabinet
Singer sewing machine
Thor electric mangle
Buggy robe
small tools
1 box machinist tools
"..-:~
Donald Filby Estate
10.00
5.00
15.00
5.00
1.50
.50
5.00
1.00
2.50
.50
10.00
1.00
20.00
15.00
5.00
1.00
2.50
10.00
1.00
.50
10.00
1.00
1.00
7.50
17.50
1.00
10.00
2.50
3.00
6.00
5.00
1.00
1.00
1.00
.50
5.00
1.00
3.00
2.00
10.00
1.00
2.00
5.00
10.00
1.00
1.00
1.00
4.00
1.00
2.00
1.00
4.00
10.00
25.00
4 pc.bedroom suite
night stand
rug
Second Bedroom-first floor
10.00
.50
1.00
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Singer
Cellar
5 ft.stepladder
metal rack
small tools
bread razer
garden hose
pressure cooker
garden tools
Maytag washer
3 tubs @.50
G.E.Refrigerator
6 ft.stepladder
chaise lounge
clock
buffet
cabinet base
4 straight·chairs @.25
electric motor
Upstairs
Kenmore apt.range
drop leaf table
Philco refrigerator
stand
3 chairs ~.50
platform rocker
floor lamp
library table
12 x 12 rug
gas ;'heating stove
wall mirror
vanity and bench
wash stand
ironing board
double bed
stand
chifferobe
Garage
2 porch chairs @.25
papering board
blow torch
small tools
M-W power mower
22 .rifle (small)
Total household goods------------
1.00
1.00
20.00
1.00
1.00
.50
5.00
15.00
1~50
5.00
1.00
2.00
1.00
1.00
1.00
1.00
1.00
20.00
5.00
15.00
.50
1.5.0
5.00
.50
.50
3.00
1.00
1.00
2.50
'1.00
1.00
1.00
1.00
1.00
.50
.50
1.00
5.00
10.00
3.00
$412.00
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INVENTORY .&APPRAISEMENT
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INV.DKT 2.Z..PAGE~--
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The First and Final Account of Pearl Day and Fern Hyatt,Executrices
of the Estate of Donald Wilson Filby,a/kia,D.W.Filby,a/k/a,
Donald Filby,~/k/a,Donald W.Filby,deceased,late of North
Franklin Township,Washington County,Pennsylvania.
The Accountants are charged as follows:
1969
Jan.
Principal-Personalty
To exact amount of Inventory and appraisement
filed
To gain on sale of household goods
Total~-----~~-------------
Income-Personalty
None
Principal-Realty
None
Income-Realty
None
TOTAL ASSETS
$7,345.17
102.45
$7,447.62
Principal-Personalty
Income-Personalty
Principal-Realty
Income-Realty
Total Estate
Total credits claimed
Balance due--------
$7,447.62
0.00
0.00
0.00
$7,447.62
$1,910.94
$5,536.68
Observer -Reporter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of 16 May,1929,
P.L.1784,as amended.
Commonwealth 'of Pennsylvania,County of Washington,SS:0"
Personally appear,ed before mle,a Notary Public in and for said County
Richard S.Cowan .,and State,,who beIng duly s,worn
according to law,deposes and says that he is the S.ecx.etar..y .
of the Obs'erver Publishing Company,a J'lenns,y1vania corporation,and its
agent in thi's behalf;that the said Company is,the owner and publisher of
the Observer-Reporter,SUC0essor to The Washington Observer,established
September 18,1871,and The Washington Reporter,established August 15,
1808,a daily newspaper of general cir,cu1ation,printed and published and
having its place of business at Washington,Washington County,Pennsy1·
vania,where it or its predecessors have been established and published
contirruousoly for more than six months,prior to the publication of the notice
hereto attaClled;-Urat the printed .notice..or advertisement hereto attached
is a copy of an official advertisement,official notice,'legal notice or legal
advertisement,exactly as printed or pUblished in the ObSierver-Reporter in
its regular editions on the following date or dates;.
_J.ul.y 1.0.,1.'7.&2.4".1.9·08 ..
~.',that neither th!e affiant nor the Observer Publishing Company is interested
/'"\..i.n.the subject matter of said notice or advertising and that all of the allega·
:~:~~~n~~~:o ~iS affidavit ~s...t.~..~~~...ti~.~~..~::]..:e=~
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'I'.E:XEctJTRicE!f NOTicE'".ESTATE OF Donald Wilson Filby.
a/kIa,D,"•Do~aldFilby,a ,Fllb~.decease "nklm
'TownshlPf"~"'.nty.Penr.a,'
Letteu t~the
Ahove estate".tedtotheundehiavoingclaimsagai,re
reqljested to m!'k~".!to the ur.dersign\llt',Y
and all persons iha.dent are requested';;ment to tlu!lind '.
delay '1'Pearl Day18)7 North Ma:jo'ern Hyatt·....
R.D.li.ShIpper-svm...
Executnces '.'.'B.A.'Frank",-"'''',:;,,',Adam L.Sanders.AttYII..,·'',:'611 Washington Tru"t BIsj,j{...,.
Washington,Penna,..:J"~R162·Wed::aT
Sworn to and
W.28752
sUbsc~efore me thiS....?~~*--day of......:':~Jy.......).968
··~~AR~;~~
WASHINGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6.197,
Washington County Reports
~~
Washiogton,Pennsylvania
(PUBLI6H::O BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.
1784 Sec.3,paragraJ;hs (3)and (25).
COU:!ITY OF WASHINGTON)
STA1!'F.OF PEN!'-SYLVJ.NIA (SS.
Personally apIXared before me,a Notary Public in and for said County and
Commonwealth.CH.\RLES C.KELLER,who,being c.uly sworn,deposes and
says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the
official legal periodical for said Washington County,publis'hed weekly having its
place of business at Washington,Washir.gton County,Pennsylvania,and is act-
ing as its agent in this behalf;that the said WASHINGTON COUNTY
REPORTS was estat·lished on March 31,1920,and was :lesignated as the official
legal publication for Washington County.Pennsylvania,by order of the several
coul1s of said Count).·,dated November Ii,1920;that the printed notice or adver-
tisement attached heleto is a copy of a n.,tice or advertisement,exactly as printed
or published,which a.;Jpeared in the said legal periodical in its regular issues on the
follmving dates:
July 11,18,25,1968
that:he affiant or th~c ~~r~n in behalf of which-h,e is acting is not interested
in .the ~ubj:ct rr.atter 0 .sai~tice(or aqiP-rtising 4i~tlha-=:a)J)(~f;.}(e ;yUega 'ons of
thiS affidaVit as to thoe C1 _1"~V~21acter ~~pI:~catroo Vt .
r _"_.....L._..._
Swom to and subscril2d before me this
...?1~.;?'~h.!..day af J.y.~y.,196.a..
-.
....'....
/<otary Public
KATHERINE C.YA~D,Not /ublic
Washington,-Wa::t.lIlgton .'0.,Pa,
My Conmissilln EXplr1lS
November 1,1Il69
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 Aclnin-
istrators or their Attorneys.
e .....II •••••••••••
FILBY,DONALD WILSON a/k/a DW.FILBY.aLkL£t DONAL!)FILEY'
a/kIa,MR/DONALn W-F'ILBY''--Dec'd..,
WLate .of North Franklin TownshipashlDl?ton County,Penna.. 'Ex~eutrlces:Pearl Day,1817 North
MaID St..W~hin!5ton,Pa.,Fern H _att,R D.#1,ShlppensviHe Pa yAttorneys:B.A.Franks 'Ad'L
Swanders;611 Washington Trust~d'".ashlDgton,Pa....•
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1<J!Rf.the within account presented to the Court
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ESTATE OF
Donald Wilson Filby,alkla,D.W;
F.i.lb.Y'f1....FVk/-9-t····Donald.•.Fi.lb.Y..,.a/k!a.Donalo W.Fi by,dec d
Eir.s..t and Final Account of
P.ear.l Day and F.ern Hyatt.,.
Exe.cu.t.ri.ce.s....o:f....t.h.e E.stat.e o£.
PQn.a..l..o....Wi..l..s.Qn....F..i.lby.,.....alk/a.,.....D.
W F..i.lby.,a/k/a.,.Oonald .Fi.lb-Y,
a./:K/a.,P.Qna.~d W.Ei.lb.Jl.,.dec..~.d.,
Aci~TT1 L.Sanders
..B A.•....F.r.anks ,
AttorneYSor Accou ·nfO.,J
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The Court is respectfully requesteato determine
proper dj·stribution in this estate..
t?/OI-M .s.g~
Counsel for Accountant
In tl1:e <1tourt of arommnn 'lrus of lIusqingtnn <1tounty.
Jrnnsylnuniu.(@rpqunll·Qtnurt Dinisinn
ESTATE OF N 63-68-899o.__::...=....--=:...::...-.::c.:...;:_
Donald Wilson Filby,a/k/a
D.W.Filby,a/k/a Donald Filby,
a/k/a Mr.Donald W.Filby,Decease.
In the matter of the First and Final
Account of Pearl Day and Fern Hyatt,
Executrices
1.50
SCHEDULE OF DISTRIBUTION
ADJUDICATION AND DECREE
And now April /7-,19 69 ,this matter came on for hearing,
audit and distribution at this session and testimoA;taken;and thereupon,upon due consideration
thereof the balance for distribution in rthe hands of the Accountant is determined to be
$5,535.18 and the account is accordingly confirmed;and it is ordered,
adjudged and decreed that the said balance be paid aut by the Accountant in accordance with the
schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed
sec.rE:!g.or an appeal be taken herefrom sec.leg.
0'//'(~)
.~
Balancc..e _
Balance per account.!
Additional credit asked at audit
Deduct Clerk's Costs &Receipts
1 19.00
Attorney__--'"'S""'a~n"""'d.:.:.er~s~&~F_..:lr;.l;;a:i<.l;n""k_.:.s 1
Russell Marino,Agent,transfer inheritance tax,577.38
Pearl Day,sister,1/2 residue,2469.40
Fern Hyatt,sister,1/2 residue,2469.40
No balance
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IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA
Estate of:
Donald Wilson Filby,a/kia,
D.W.Filby,a/kia,
Donald Filby,a/kia,
Mr.Donald W.Filby
Dec:eased
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:
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:
)No.63-68-899
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PAY TRANSCRIPT
,We,the undersigned,do hereby on the date set forth below,
acknowledge to have received from Pearl Day and Fern Hyatt,
Executrices of the Estate~Donald Wilson Filby,a/kia,D.W.
Filby,a/kia,Donald Filby,a/kia,Mr.Donald W.Filby,deceased,
late .f North Franklin Township,Washington County,Pennsylvania,!
Ithesums~set forth below,being the bal~nce in distribution due I
ius,in said estate,awarded by the Decree of Distribution of the i
IOrphans'Court of Washington County,Pennsylvania,dated April l5
r
l
1969.
In Wi:;.ess Ylhereo!.!.we have hereunto set our hands and sealsl
this dd'day of ~,1969.
i
III
Pearl Day,sister,1/2 residue
Fern Hyatt,sister,1/2 residue
(Sea!.).
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IN THE ORPHANS'COURT OF
WASHINGTON COUNTY,PENNA.',_.N~.6~"~-68-:899'~
Estate ofi
Donald Wilson Filby;'a/kia,
D.W.Filby,a/kia,
Donald Filby,a/kia,
Mr.Donald W.FilbYI_._
fleceased
~;a ~
<nC;;:::0 ~-f<n Clrr;p f\). -~r-CJ ~W TRANSCRIPT~~:.;:f Tlr-..,..r---'-0 l ,iJ..
~
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B.,A.Franks
ADAM L.SANDERS
.A'l"l'ORNEYSA.T LAW
W'ASHINGTON,PA.
·YY·1\.:!tH'J:NU"J'QN 'l'H.UST B'i'JII..DING
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01(
Form No.RCC·62 (2·64)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000.UNDER SECTION 701 OF ACT OF JUNE 18,1981,v"i
EFFECTIVE JANUARY 1.1982.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)~,
.\~~3---b Y~f7lf
OFFICE OF THE REGISTER OF WILLS "':'/
Count~·of . , ,Washinat9h ..., , ,, D ' . W h't PPearlDayII-~ager r~ve~as ~ng anA a.F,~tp..I:1Yatt""""""..".,',.""....,.""'"of ~~p.~:J.,.:r;Ai;l~,J::",q:r;~...,1?;r'y'9A,),...P,).,'14''422
(Name)are (Address)l'ieW YarK,l'i.r.
being duly S~QJ.:.~__.._..according to law,deposes and says that ~eys the ~e~ut.QX'_s..______._..(Exec,Adm"Legatee,Etc.)
of the estate of D.onald..W__..F.ill>.Y-....__._whose last residence was _.._41O_J~les.t.l!1aiden..S.t --.-.(No.)(Street}
Washingt.o.n'*.._P-anna.a deceased,and that the whole of the estate of said decedent,who died ....Ma3l__27_,1.96&.(City,Borough or Township)(Date
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRAN0ES 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
Value,r .,
P~rsonal Property
."----------_..-----.-
....--,
--~-~-----------------
..--~----~----------------------
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______ReaWy·..~-'.-------==;;;:;;;:~~;;-----------t_-----
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 i:lterest in the decedent's
account at the date of death and the type of account,account number and the exact name or names iin
which the account is registered.'
Jointly Held Property
nnnp
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Transfers within TWO YEARS Prior to Death
pone
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G','O'
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Estimated
Value
~..i:-
That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as ager.t 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 0#:>1'NAME AND ADDRESS OF BANK OR OTHER INSTITUTION RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME O~1i~MES 9X_.~._..-..HOLDERS To)DECEDENT.;-......_-
nnno
.
BENEFICIARIES
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BENEFICIARIES AND,ADDRESSES ..
RELATIONSHIP SU:{tVIVED AGE OF LIFE.,(If step,-children-or TENAN.TS OR INTERE-ET~OF
(State full names of all and their addresses who have illegitimate chUdren DECEDENT ANNUITANTS ,{'BENEFICIARYSTATEYESaninterest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE
r -'_f.o!:t~.!~~~a£tJ __,DECEDENT~'~~....-.~~.-~..:.-----------------------------.....-.
Po.....,n~\1 sis1:er ves ...-~.l.J?_.':•..:1,
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t"h ..n01 ,.,...;10'"P~rk
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New York,Npw York 14.d..??
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~ehold Cooda••n r
'KiteMa..
QuaU~1 gu r,ange
cab1_t bu.s pc.t=.aJdut ..t
hlglddn
.t...iron
beDCb
cJoQbl.eto=catdDet
kitcbea cut
Syrian btwl
ataO!'
10.00
5.00
15.00
5.00
1.50.so
1.00
1.00
2.50
.50
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-.ima,chi_olon'
wall ,.,kat
1'eIIpl.Hi ri
ReA 11"T.-v...aUlld
ng c1eanel"
electric Ian
coffee table
a leg Ubi"ary tabl.
book stud ;
-ad_cab1..~
desk
II1r1"Or
plctue ,
4001:cld_(new)
electric Singe&'It chair
..&dio
ti1t back'chalJ:
living t'00ta -c:ha!r
6 ta.blo 1aJIpiJ O~SO
G.8.a1R'a-ic ...It •.
Wahl electJrlc clippeR
e1ectd.C fan
e1eCtrleclock
"anftl~.#111
bu80ck
old wato'"..ad!o
Hocw...PQ#tablo s...per ,
ball Z'UftDe1'"
12 x 12 eatpet .
curtaiu .
.hip clock
coo&d.110 ut..i1.
dltbta
...
10.00
1.00
10.00
15.00
5.00
1.00
2.50
10.00
1.00
.50
10.00
1.00
.1.00
7.SO
~'.50
1.00
10.00
2•.10
.1.00
6.00-
5.00
1.00
1.00
1.CO
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5.00
1.00
-3.00
.1.00
10.00
1.002.co
5.00
10.00
BeDeb
*10=Idp.
ad table
wu4robe
vSctrola cawOlit
8i~aewl.ni 'aachl...
t'bor .lectl'tc -aogU
BuggV.robe
ua11 'toola.
1 box aaebW.t tool.
.8ee0Jld Bedrooa-tiU'6100-;
"pc.beckooa 8lait..
night .ted
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1.00
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4.00
1.00
2.00
1.00
4.00
10.00
0.00
10.00.so
1.00
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.S tt~at4IPladdel'
_tal :1ICk..n t801.
bnad "an%'........
pr"R%.coekft
tudea tOO~
lCa)tao w..he~
J tube 1.50
G.a.Itef.ltuai,:r
6 It.atep1adde..
ch&i..l~
clock
buttet
cabS_t 'bu.
4 attugltt chain 1.2S
.1...10 .."
......apt.t..,.
dnp leat tel.'
Pb.t.lc.nf~i,.I''''tu
·.taDd
J allah-a '.!SOplattot.toeke-
floOr 1-.
Ub1'aq table
,,.,JC 12 _".
....itaad.a,.t••
wall at"_.w.tv aad~b
...h at..,
tl'Oll1au Max.
double bed
•tad
cld.tterobt
au•!2!!a pcIl'eh cJud.n '••as
papltxtag boar.
blow torch
.....1 ...111
M-W pQWe¥'"aa d.tl.(.-11)
:'to '
..
1.00
1.00
1.00
80.00
1.00
1.00
.50'.00
lS.00
1.50
5.00
1.00I.eo
1.00
1.00
1.00
1.00lao••
10.00
5.00
15.eo
.50
1.50
5.00
.10•••s.oo
1.00
1.GO
2.50
1.00
1.00
1.00
1.00l.eo
.so
.50
1.00
1.08
18.GO
1.00
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RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE'Lis~rstfive items in the spaces so p~ovided observe notations thereon and instructions.-·f ,,
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN
IKEGISTER ONLY
Funeral expenses paid $$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *
Counsel fees *
Fiduciary commission *
OTHER DEBTS AND CLAIMS
(*)See Note below
.
,,,
Account will b ~filed in due course of estate
."
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,
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.
.
Total
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of an~fee,commission or debt is greater
or less than the estimated amountdaimed and allowed..l(h ~~". .
Subscnbed and sworn to before me thIs......................111.Mo.ger..Dr.J.v.e.,..Wash1ngtQn,..~.a.r I (Exe(.ut(l~
·····.I'.···;····..I·dayOf.J ry......".,1969.;t -~*7~~.~~/.1~.I ~...FP~li~~"""""'".~.
..~~~.......~~."...~
My Com.Exp :Mar .26,1971 Notary u 11c G1:l.~P~.J,..~~.~~~.~~..r~~":"~+yPI:l.,.R.P •.l,
Washington,Washington CountY,Penna.New York~CtW~wT?'a~State)14422
In the event that any futul'e interest in this estate is transfelTed in possession or enjoyment to ollateral heirs of the decedent after the
expil'ation of any estate for life 01'for years,the GJmmonwealth hereby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respectfully
report that I have allowed debts and 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 said schedule above,which greater or lesser amount represents the sum allowed as a deduction.
Dated:.
Register of Wills
{,
Form No,RCC·62 (2·64)
,:~INO year .
IN THE
MATTE~OF THE APPRAISEMENT
OF THE
"ESTATE OF
Donald Wilson Filby,a/kia,
D.W.F1lby,a/kia,
Donald Filby,a/kia,
Mr.•.DODa,la..W•..F.i Iby .
Deceased
Late of ..North.F.z:anklin.Township '--
County of Washington .
C()mmonweali1i~f Pe~risYlvania
,t
REPOkT:AND 'APPRAISAL--
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Adam L.Sanders
B.A.Franks.Attorneys
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RC C-BI (2-64)
COMMOt'lWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTIC~OF rILING OF APPRAISEMENT
PEARL DAY &FERN HYATT
IN YOUR REP~Y P~EA8E
REFER TO 37-128-9
In Re:Estate 0 f ....",.......---,---,--.:D:.=O:,:;N::.:AL=D....;W:.:...:....,..=F..:I:.=L::B.:.Y__.,...-_
_--.-.,.....,.....",....:W:.;.;A~S~H~IN~G::::=T:..::::O~N__.,.....,.._.,.....,........County -File No.63-68-899
YQU areherepy notified that the ..original
appraisement in tl1e estate of Dona1dW.F'ilby
has been fileq.in the office of'the Register of Wills Qf'Washington
County on IlaPJJfq:;;}r 29 .I.1 :l,.9,Ja.Said appraisement reflects the
following valu~ti6n$:
Rea~Es'j:.ate _...,.-.,....,.__.,....,.-,....,---._
personal Property~__.,....,....,.-~7~,~3~4~5~.=1~7__
Transfer s -.-...,..,.,...--.-....-'__.,....,..,....,.,"",=-=",:,"""::"..",....,,,,...-_
Tota:)..,.....,...."...".,....".......,.,..,..---..,._..,...-....,;.-....,...,.,7J...:.1..<3:::14:'-5~.1:.J7l..._
As to such tax that i~paid within three months·from date of
death.a five (q%)percent di$count is allowable.As to any tax that
remains unpaid after on~year .from date of death.in1ierest at the rate
of six (6%)percent per ann~is charged.
Any party in interest wl10 is aggrieved by an ap~raisement may
appeal therefrom as provided by law.
Dat e _-.,.,.._J::..;a::.,:n:.;::uar=....y.......::;2,L,9,L•.,...:1~i?;.::6~·9;..,.,----,---,.,....,.Signe4,Uf ~e 'A;-W
Title W.R.CHANEY _APPRAISER
DATE OF DEATH:May 27,1968
Note:This is not a bill.
RCC-3~~(6.67),
COMMONWEAL TH OF PENNSYLVANl;A
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
FILBY,DONALD \,of.
FILE #63-68-899..
May 27,1968 .,---.
SUMMARY
I~the undersigned
#63 Washington
the real and personal
opposite each item in
05-27-68
01-29-69
H.EPOHT OF INHERITANCE TAX APPRAISER
duly appoin~ed Inheritance Tax Appraiser in and for the County of
,Pennsylvania,do respectfully report that I have appraised
property as reported in the foregoing return at the values set forth
the last column to the right in Schedules "A","B","C"and "E".
dUe!~e..,";4Y/
"IN~TAX APPRA~-
Dated:
FILE #63-68-899
BEFORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for ...
County,Pennsylvania,do rl~spectfully 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 VALUE AS REAPPRAIS~D
$'-$$------7,345.17 7,345.17
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
J oint-Held.Property (Schedule E)
TOTAL GROSS ASSETS
LESS Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
7,345.17
=====._-
7,345.17
=====.-======:=
Valuation of life estates or
annuities ....•...$---
ESTATE TAX ASSESSMENTS $------
..
COMPUTATION OF TAX
TOTAL TAX BALANCE
PAID
~.:.._-------
As evidenced by Charitable'Exemption
Certificates issued by the Secretary
of Revenue.
$------
$-------
$--------$---------$
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%fro~
to
AMOUNT OF ESTATE TAX ASSESSED *_
Estate tax paid $_
BALANCE DUE
Add interest at rate of 6%from
to _
FOR USE OF REGISTER ONLY
T a'x:on $________f5%~__...;...:.__'___~
Tax,on $.__10%$__~~__:J
Ta:x on ~2~$':..'~•__
Tax;on $:~~--....;,----
E~emptions :=(:::)
Total Es tate------
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the
negister 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
........PQ.N.i\PJ...W.~F.I..:q3:y'.
Deceased
Late of N.~..F.RANKLr.N..'l'~'W.~: .
County of ......WA.5.HI.NG....
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
t·'J
,."
DEPARTMENT OF REVENUE ..
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
,.COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ~.~~!.y.??~~.??.?..
COUNTY ~~~??::?~.?.r.>:.
fiLE NO...2?:.9..?::::.?9..?__..
Whereas,p.9..ool.,.q w..~f.Jl.,p.y late of ~.!~~~.~.1<:;L.~~.~P~.
in the County of ~~.~~.~~.~.9..~Commonwealth of Pennsylvania,having died on
the ?7....~~day of ~y.19..t??,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,W.~R.~9.h~.p,~y.,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate Is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future Interest.
Description of Asset
PERSONALTY:
Amount received in June,1968,from Pittsburgh National
BAnk,Washington,Pa.,for illlauthorized withdrawals
Unit
Values
$
Appraisement
Made for InheritanceTaxPurposes
from Savings Acct.
To exact amount received from Joan ~lias Filb,
Estate in January,1969
Household goods
650.00
6,283.17
4l2.00
71J.t;17
Total
7.34.5 17
7.345 17
Having been duly sworn according to law,I do hereby c~fY that the above appraisement is made in con-
formity with law on this d!z...;;;;/L.day of ~&.......dZ~::..~·;z;:::J ~........~c..Y.....~~~~::..;J:~....&-5.~.
Appraiser
..·~·~~·············..·~·..(Ii..····..~·..;;;;d···St~~~·t·i··········..······..·······.
~..c:;A:/.....,Penna.
(Post Ofllee)
.,;.
{/
.........................WA$fl.:I.NQ'rQN..County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
DONALD W.FILBY.................................................................................................................
Deceased.
Late of
N.FRANKLIN 'fWP •....................................-.
Date of Death,~y ?.7,J.99..~.
Appraisemel!t Docket Vol.,~..).7..
Page,lZ.8~.9 No.,93..~§$~.~,99..
Filed in Register's Office,c!~~~y ?9.1.J9..9.~.
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and ApprovedSl1IN,..JO ..8J1Si':)'3.U :.
Wrote abo.ut A ppra.isemeQtiICl.~.~~..}!.?~~.0.~..
......· ······..··g:.Z..·:..·ti ·'t,M ·9l···,,·ooV..m·5'[
Appeal fM»!Appraisement,~~.
;~;;;;~.:;~;;~;~,.•.........···C)§··l·\·.·A;·········
.............................
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,~
1671.44THESUMOF$..
Form RCe·IO
OFFICE OF THE
REGISTER OF WILLS
OF _W~a~s~h~i::.;n=gwt:..:o~n~__COUNTY
AND AGENT OF THE COMMONW5ALTH
,.
STATEMENT OF DEBTS
~AND DEDUCTIONS
DEDUCTIONS ALLOWED IN -J]
L.,ATE OF North Franklin TOtAlJ:u;b.ip,Wa18A..Co.,Pa.ESTATE OF Donald W.Fi Iby
DATE OF FILING APPRAISEMENT _J..t....c:au.D.L._..Ll..;:;9!,!tt:i.J2rr·.•DATE 01'DEATH _J:M:.lia~y--,2....74-,-.lJ..::9t.\6,lJ80-_
DATI!NO.OF
VOUCHEIit NAMi:OF PAYEE REMARKS AMOUNT
1968
-
T••1 ••1 1 'Rnc:::c:::pll M~riDo 'Rpn ~•,t:inn Will 10 .00.7'
I Tnl "..,..,TA1..c.h;....Co T ...."..1 .Tourn~l Aciupr .arant of l2t.~lAo 00
7'
Tnl ..Q ~W2St Penn Power Co.la~t elec bill OT dp~'n 10 76......
.Tu1u Q 4 Col.Gas of PEnna.la~d:aa.s hi 1 1 aT npt""n 10 88
.Tnl u 17 ,I:)Citizens Water Co.l::.c.+...hill aT ,.1..........,.1 A A()
Ann lQ 6 Sanford Finder npht:aT -",on C::;()()()
I 10AO
,
I T..n n 7 Humm2ll Funeral Home funeral of deceased 1 1?7 c::;n,
T-...A M....l ....,..,-·nnp not:~ru Tppc:::-;_·.....c.?nn
.T::.n 0 ,..,.11 M~rino Rl::>n fi1ina i ·.QS .d.()(",
T_...In ......Pnhl;c.hin"r'n ...:I.-nr~n+n~10 1A n(j
T_...11 ArI""".T ,..-"~TPP ":l7?nr,
T"",..,1?J.I....lo,..,,..,•nnl::>Tooc:_At"'t"'t:Jt n R.J<'..,()()
T_...1":l "..11 M"",..i,..,n 0 ....,..~;1';,..,,,--,,..,+1A nn.....-,--...
.....~,_........~
'"ffl!A/;l .Qlldi't ".,"'",~n
ft..~.;+.~n~+.!:l lQ no
---+-----+---+---------------+--------------+---t---
I--+--+---+------------~----------___;--__f--i
(L.5.)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX PURPOSES.
}S.:COUNTY OF Wash;ngton
We x Pearl Day and Fern Hyatt HEREBY CERTIFY.THAT.TO THE BUT OF
MY KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU I!SfATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENIIES OP'
ADMINISTRATION SUBMITTED TO THE ESTATE OF Dona Id W.EiIby 0EC5A8aD.AS DEDUCTION5 FOR
-0/'L h acrL »~~w;::;,N~ND 8~B~CRI~ED fJEFOR~E THill /01 PAYoPf.l.P,q _7
~~-'/I .~A ~/.'~"',,,8 77~"),,~~,,"(ad:C~;:;;;.::;;;..-.._
""NotKry Pub14,IJ·J
My Com.Exp:March 26,1971
Washington,Washington County,Penna.
Pal
Dollars,
HESIDENT DECEDENTS
File No.63-68-899
no/IOO
COMMONWEALTH OF PENNSYLVANIA
OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax
Form RCC-4-RI-3-66
Office REGISTER OF WIUS.WASHINGTON
WASHINGTON County,ss:Received from Pearl Day &'Fern Hyatt
(Executo of the estate OLf .....D~Ou.:NL[lA....L~DL..JWL..a..._FL:.e&..I.LlL.uB~Y _
who died May 27 ,19--6..8 the sum of TWO fUINDRED SIXTY and
being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows:
No.949088
Date,__A_u--=gu_st_1_9--=-,_19~
r
Appraisements Made and Filed Computation of Tax
NOTE:In accepting the transfer inheritance tax on future estates prior to the death oftheIiletenantortenantforyears,as evidenced by this receipt,it is understood that the Com-
monwealth shall 'not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantforyearswhenever:t appears that such additionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever.
273.68
$=======
Balance $_
Total $260 _00
*As evidenced by Charitable Exemption Certificates issued by the Secretary of
Revenue under Act of May 28,1956,P.1.1757,effective June 1,:957,as amended
by Act No.381,approved fuly 11,1957,and Act No.207,'1961,Section 302.
~~~~~OIWi",
Less five per centum of tax if paid
within 3 months after date of death $======1::3=_=6::8===
Amount of Estate Tax Assessed under
the Act of May 7,1927.$_
Tax on $5%$
Tax on $10%$
Tax on $2%$
Tax on $On Account 15'7'0 $
Exemptions *$
Total Estate $
Add interest at the rate ofl--%'
~om-----------_
to _
Total Tax $_
Less Tax Previously Paid (if any)$===========
37-128-9
$,-------
$,-------
$
$,-------
$INCOMPLETE
Valuation
Valuation
$------
$------
Total
$,-------
$------
Total
Date
Date
Total Gross Assets
Less Debts and Expenses of
Administration
.Clear Value of Estate
Valuation of Life Estates or Annuities
Date ]9__$_
________19_.2::$=============
Estate Tax Assessments
Date,19__$_
________19_.2::$=============
Real Estate
Personal Property
NOTE:To be delivered to taxpayer by Register of Willi!MOORE BUSINESS nRYS,INC••ELMIRA,H.Y.
,--,
,
FORM RCC-4-RI
11IANSFER INHERITANCE and/or ESTATE TAX.•
BESIDENT DECEDENTS.
RECEIPT
:",
-'J
!~
r..;:.
Docket 37 Page 128I.jne 9."----
,,
DONALD W.FILBYEstate01-£_
OFFICE OF REGISTER OF WILLS
WASHINGTON P~
Date August 19 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.528r.
'~
_.!
"
.;
.~
-.
-',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 tax..s paid to th..m loy ..",..cut..rs or admini,,-trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterof
W;Ua and I1'lID!Iwill..J 10 Ih<>6Hooutor ..r ..<lminiot...t"••whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executo.r or adminis-trator be entitled to a credit in bis account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills:'
'Sll1M .:10 H31Sm3H
Fill in below name and a:ddres8 of persoQN~~~~nJ'J3SSnH
ta:x receipt is delivered:
ADAM L.E~irJnE~~I
To-------
L
91 .CldV 6961 I ;"
,-