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HomeMy WebLinkAboutOC1968-0948 - ESTATE OF MARTINr ,PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY ~ Testate Form../ Estate of...'f,;IMARD..MIm.T.lJL . ,-,..~,"'.-,._..-....-.....-__-_--. .--.----_~.._"':.:.:.:..-~=. Dec~ased No....?~?...:..J~~...Q..~~~.~.~~.I ...~.~.?.?.....~!...~!., .·Fiduciary:.Jj:~Y!~~.~.:.~.!:..~.;-.~.~.~:.~~9:..~;-.Y.. Date of .,.-Date-of .....:- Decedent's death~:.M~~~h-.,J.~.I.:J~.~I ::.:.::..Grant·of··L:.etters.::~~E.~J?;:.??!:).??.?:..: . Th' .th ..First,and Final...'f'l d "h't tISISe,.......................................•.....account I e In t .IS es a e -.~.~ If there have been former Q!=counts filed'in this'estate,list file.number 'or number and.term ~.......•......................'. Election to take Under or Against will.(c.ross out one) Date Election Place of; Filed Record .:. Name of surviving spouse ..<!h-.~.~.~.~.Y ~.~~;-.!:~~=:. List issue,where material: -. Did decedent marry afte'r execution of will?(indicate)~.No.Any children Dorn after execution of will?(indicate) ~No.If answer yes,'name tliem ::. Charity S.Martin List,if exceptions to above: If partial intestacy,give facts: Adeemed: Wife Revoked: 100% Lapsed:-Abated: I 'I Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9.paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.No.. If any exception give cause:. Fi Ie copy of Notice and date of mailing . .. Is estate subject to the filing of a Federal Estate Tax Return?X~.~. Actual payment made on Pennsylvania Transfer Inheritance Tax,Amount $.5.0.0.'-0.0 . If the Will makes any portio~of estate subject to a life-estate,give name and birth date of life tenant . Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. None Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: Balance for distribution per account, 'Itemize any additional debits not shown by account:$??1.~~?~.~?. Henry G.Haod &Sons,refund of insurance premium $137.00 Robert D.Vance,refund of insurance premium ,30.00 Total additional debits (Add) Itemize any additional credits not shown by account: <l:167.00 $22,785.18..'. Clark &Company 50.00 Total additional credits (Subtract)$?~~~.50.00 Balance for distribution $??l.n?~.~?.. If balance for distribution is not in cash,list each item held in kind,giving a~pra!sed Value (or distribution Value); 35 shares Mellon National Bank and Trust Co~patny at 74~---------$2,598.75 2030 shares Dunn-Mar Oil and Gas Company at $3.00 -----~----------6,090.00 Bond-American Legion-Edward Scatt Linton Post $175 Home Assn.-----1.00 Office Furniture-~-----------------------------------------------­ Oriental Rugs ---------------------------------------------------- Library ---------------------------------------------------------- Prints and Pictures ---------------------------------------------- Silver ----------------------------------------------------------- Paintings -------------------------------------------------.------Autogr~phs ------------------------------------------------------- 50.00 1,500.00 1,000.00 2,000.00 500.00 1,500.00 . 3,000.00 " 'j I Il ""-'-'' ".."_..-oM _:,'l \~ If Family Exemption claimed by Petition,give place of Record:~. •..•,""~•••.".,''''',L'"7)(t °l'''. If Family Exemption is claimed at audit,g'ive name,relationship and basis for Claim:. Chari ty S.Martin,wife,Family Exemtpion'_._._ _.._.,.~~......•'. ':r~',\:,:_...._..._• List any advancement or distribution on account that has been made,and nature and amount of same: -.:.~-..,----. 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: Suggested.distribution of the balance shown,both in cash and in kind to be,'.1 distributed to Mary Ma~tin Murphy and Edward Scott Martin,Executors of the E~tate of Charity S.Martin,Deceased. COUNTY OF WASHINGTON,55:1COMMONWEALTHOFPENNSYLVANIA. The above named Fiduciary or -representative thereof, being duly -s-wg.r.n doth 'depose and say that the facts set forth in the foregoing petition are true to the best of __their..knowledge and belief. ..............,~!!5>.E~.~--to and subscribed before .......!'••' me this.~~.:f~.d'~'y,pf ~~P.~~!ll~~L 19.Q!L.. }/'.". """"f)'.J)W ~.ISignatureofOffice/~,..I.~ Title ofOffice~~:~?~.?:;-.Y...~~?l~£. 4'p Office e)(pires J?~.QJ.~!J.Xy tQ.,1.9.6.9 . Washington~cWashington County,Pennsylvania And your petitioner will ever pray,etc. J-i I s-j/I~......~1.7.A , ..~..llJ~. t[: -,-" '-~ No...~.'!.?.....}~~_.~!!~~~~.'...~~~~..~..._-~. Estate of.EDWARD MARTIN.......--._.-_ __-_..-_.__----_. Deceased fiduciary....tl~~.y...~~!.~~~._~~EP.~Y...~~~------_... ·~~~~:':~..§....J1~_~.~J_t:l.I ..A~~~.~~.~.!E~~~~~__~r.~ PETITION SUR AUDIT FROM WHERE DECED~NT 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:po rag raph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.·Proof of advertisement of grant of letters if not filed with account.. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. Edward s.Martin Attorney ~2 'tr-: / / (... / ~ 1;" ~\ mus4iltgtnn <!tnnnty,ss: I,~~~.~p.~.~~.~~.~.P.~~J~!~.~Register for the Pr~bate ,of ~Vills and granting Letters of Admil1istration,11t and for.the County of IVashington and Conunonwealth of Pe.msylvania: T0 ••••~.~~y.~.~~.~.~.~..~~!p..~I.~~.~~.~~.~!:'.~~.~~.~.~.~.~.CTA Adm.inistra torut all and singular}the goods and chattels}rights and credits rCllwi1ling unadHlinistered}which '((}ere of _ .........~~~~.~~..~~.~~.~-_late of the said County, deceased)with a copy of deceased's will annexed}GREETING: .... Whereas}the said EQ,.w.~r.g.J1.l!r.t.:;.JL . ,his l'f'd his .W'll d T ...IIL _I etl!1'le}rna.e ,;,.,..ast 1 an estament In writing} 'l(}hich was duly proved on the ~.9.t.b day o/-..J1~.:r.gJL .4.D.}L9.~_1 having}'lCJhilst ~.~.;. lived}and at the tin:e o/-.~~.{tecease}divers goods and chattels,rights a'''ld credits}within the said County}by n'leanswhet'eof the.full disposition and power of gnnting letters of administration thereof}is manifestly kno'wll to belong to 'me;Therefore desiring that the goods and chattel~}rights ar.d credits which were of -', the said deceased}and which remain unadnlillistered}/'Ita}'be well and truly administered}converted and disposed of a'cco'hiing to the ~tenor and effect of the s:.zid deceased's wlll and according to law}I do hereby grant unto you the said !i!~Y....~!~.~!~~~~.p.~r ..~~~~~~.~~.~~.~.._.?!~~.~~.~. ..........-.__.._.__.._--_..~__.._-__-_.._.._.._..__----_--____--':'-::-----_---_..___-..__. .............................................................-(-in whose fidelity in thi~behalf 1 ".Jery much confide})full pO'lcer by the tenor of these presents}to administer the goods,ch(J,ttels,rights and credits remaining ,~--------.. unadministe-red}which were o{the said deceased}within the said Coz,nfy}as also to ask}collect levy}re- cover and receive the credits whatsoever of the said'deceased}which at the time of-....~~.~death were owing} br did in any way belryng to....h~mand to pay the debts in which the-said deceased stood obliged}so far forth as the said goods and chattels}rights and credits will extend}acc.Jrding to their rate and order of law; especially of well and truly'administering the goods and chattels}rightt and credits remaining'unadminister- 'ed}which were of the said deceased}.according to the tenor and effectiif said dece1,sed}s will}and according to law;and making a true and perfect"inventory and conscionable a:ppraise1nen:the~eof}and e;'hibiting the same into tize Register}s Office}at Washington}on or before the._.._day 0/-. next}ensuing}and also a true and 'just account,calculation}and reck~ning of your administration}upon your solelnn 9,~~P:,to render at the 'expiration of six n:.onths}or when legally thereunto re- quired;and I do by these presents ordain}constitute and depute you}the said . ...........~.I!r.y.~.~r.~.;.~~!".P.~y.'!~.~~~~.~~.~~..•....!i~~.~~_ _. administrat ors CTA of all and singular the goods a1.d chattels}..~ights and credi~s}which rem.ain unadministered and 'lohich were of the said deceased}7c:ith a copy of said deceased}s Will annexed}. 'within .the limits aforesaid;.sa7Jing harmless and forever inde11lnifyinr;'me (I,nd aU other officers against all persons by reason of )'our administration aforesaid)and saving aU others their rights}&c. aJu W'rstimnug 1f4rrtnf.1 ha-ve hereunto set my /tand and affixed tke seq.l of said office at .29th March .Wa.;lllngto 1t}the day 0/-::;_ _!n the year of our Lord ; one thousalld nine hundred aJld ~.!~~I:.~.~.Y.~~~.._ . ! ! ! I,Edward Martin,of the Borough of East Washington,Washington County,Pennsylvania,do hereby make,pu~li,sh and declare this my Last Will and Testament,hereby revoking all other wills or writings ~,~ in the nature thereof heretofore by me made. (1)I direct that my Executor,hereafter named,pay all my just debts and funeral expenses as soon as can be conveniently 'done after my death; (2)I give,devise and bequeath to my wife,Charity S•... Martin,all of my property,real,personal and mixed,to be hers absolutely; (3)I hereby give my Executor full and complete authority to sell any real estate,at either public or private sale,upon such terms and conditions as she shall consider most advisable,and to make deed or deeds for the same with the same authority as if I were living and present; I nominat"con!=ltitute and appoint CharityS.Martin Executor ..of this my Last Will and 'Testament. WITNESS myh~nd and seal this 31st day.of December,1934. Edward Martin (SEAL) Signed,sealed,pUb~ished and declared by the above named Edward Martin as and for his Last Will and Testament in the presence of us,who,at his request and in his presence and in the presence of each other,have hereunto subscribed our names as witnesses hereto. David M.Curran Mildred T.Pi;2er ~. ~,'-"'-.. -'":'-.. .~-.- •,,,~."-;...c......... O"l ':::i' ~.~if) (")0_1 ...'~2-1 :;::o:::~ ··;~U.~«~~ .I C'J jc::..,..........1 .•W .~(IJ 1_1--if)<nl/)_ .;,I-:::>c..? '..-g o:;w .{:~~0::: {n<.nc:",......1 .....--."....,...-, THE FIRST AND FINAL ACCOUNT OF EDWARD S.MARTIN and MARY MARTIN MURPHY, ADMINISTRATORS C.I.A.OF THE ESTATE OF EDWARD MARTIN,DECEASED,late of East Washington,Washington County,Pennsylvania. The Accountant is charged as follows: TOTAL as shown by Inventory and Appraisement Salary -Dunn-Mar Oil and Gas Company Mellon National Bank and Trust Company,Dividend Bell Telephone Company of Penna.-Refund Robert D.Vance -Refund on Auto Insurance Income Tax Refund Pennsylvania Blue Shield Interest -American Legion Bonds Total Assets of Estate Total Amount of credits claimed by accountants Balance due $28,147.93 712.60 147.00 13.32 115.00 1,079.31 76.58 12.50 $30,304.24 11,686.06 --------.,.,----------------------r---------------""T-..., .'. THE ACCOUNTANTS CLAIM CREDITS OUT OF THE ASSETS OF SAID ESTATE,TO WIT: DATE NAME OF PAYEE 1967 April 5 Ralph E.Piatt Rev.Joseph R.Hookey Rev.Edward L.R.Elson 7 Washington Co.Reports 10 Observer Publishing Company Robert D.Vance Agency REMARKS Funeral Expenses $1,657.12 Funeral Services 50.00 Funeral Services 100.00 Adv.Admr.Notice 12.50 ""II 12.50 Premium Admr.Bond 70.00 May 2 Josephine Douglas,Register 27 Lybrand,Ross &Montgomery 26 Edward S.Martin Carte Blanche Exp.of trip to Wash.D.C.81.35 TranspOIlation ""36.96 Preparing Fed.Inc.Tx.Ret.45.00 5 Short Certificates 5.00 On Acct.Trans.1nh.Tax 500.00, Cert.Copy of Marriage Record 1.00 """ 21 Amercian Express June 21 28 """Reimbursement-1nv.Filing Fee 3.00 July 10 W.C.Hager,Tax Collector Balance 1966 ~age Tax 7.30 10 """" " 1st Q.1967 Wage Tax Dec.10 Simon White Sons 1961 Monument 406.00 Apr 11 5 Annex Pharmacy Drugs West Penn Power Company Electric Service 5 Columbia Gas Company Gas Service 91.71 Bell Telephone Co.of Pa.Telephone Service J"H.Clutter Newspaper (Post Gazette) Washington Meat Market Groceries 162.37 S.B.McWreath Dairy Milk 12.62 J.Paul Proudfit,M.D.Services Rendered Last illness 127.00 19'Bernard Berman,M.D."""100.00 5 Ambulance &Chair Service To Hospital " " 23.00 29 Clark &Company Preparation of Return 35.00 29 Chaity S.Martin Widow's Exemption 1,000.00 20 Edward S.Martin """ 20 ~ry M.Murphy On Acct.Ati.ty.Fee Balance"" On Acc t.Admr.Fee Balance " " 1,000.00 500.00 I 1,000.00 SOO.O( $'7,68~.06 _J :.0:---., THE WASHINGTON OBSERVER WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May,1929, P.L.1784,Paragraph 3,Sub-paragraph 25,as amended. Commonwealth of Pennsylvania,County of Washington,SS:...........• Personally appeared before me,a Notary Public in and for said County Richard S.Cowan ..and State,,,,who bemg duly sworn a~cording to law,deposes and says that he is the $.g.~..~..Y ~1:r..~.~5 • of the Observer PUblishing Company,a Pennsylvania corporation,and its agent in this behalf;that the said Company is the owner and publisher of the Washington Obse'rver,established September 18,1871,a daily news- paper of general circulation,printed and published and having .its place of business at Washington,Washington County,Pennsylvania,where it has been established and published continuously for more than six months prior to the publication of the notice hereto attached;that 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 Washington Observer hi its regular issue or issues on the following date or dates;l\.p.ri.l 6..,.1..3.~.ng ~.Q..,J.9..Q?. ............._-..__-_-.. that ·neither the affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the allega- tions of this affidavit as to the time,Pla~endcharacter of publication are true...~ ....------.----/:-- --. Sworn to and sUbscri~~before me thiS.2~y~.9.9..7.".. ..--~~!.?C ___~::~z~~\ .U MARGARET M.BRADlEY,NOTARY p~.i WASHINGTON,WASHINGTON COUNTY : MY COMMISSION EXPIRES MAY 6,196J ..""A NOTICE ------------------------------------------------------------- Washington County Reports ~~~'M~X~~~~~, Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION I PROOF OF PUBLICATION 'In compEance with the Newspaper Advertising Act of May 16,D29,P.L. 1784 Sec.3,paragraphs (3)and (25). COUJITY OF WASHINGTON} STATE OF PENNSYLVANIA SS. Personally appeared before me,a Notary Public in and for said C)unty and Com.nonwealth,CHARLES C.KELLER,who,being duly SWOr:l,de~es and says:that he i~the Editor of the WASHINGTON COUNTI REPGRTS,the offici~l legal periodical for said Washington County,publis'hed week\:l :1aving its place of busines,at Washingtor.,Washington County,Pennsylvania,and is act- ing .~s its ager.t in this behalf;that the said WASHINGTON :::mJNTI REPJRTS was established on March 31,1920,and was designatec a,the official legal publication for Washingtor..County,Pennsylvania,by order of the several courts of said County,dated Novcmber 11,1920;that thc printed not:ce or adver- tisement attached hereto is a copy of a notice or advertisement,ex<ctty as printed or pt:blished,which appeared in the said legal pcriodical in its regulor isst:es on the follovring dates: that :he affiant or the corporatio.1 in behalf of which he is acting is not interested in the:sub.jcct matter of said noti:e or advertising and that all of the allegations of lhi,rofidf;'{}l;;l~,"d -e:~~. ~Editor~}~::~;I:::h;'~m ..,'<-.<,_ .....~~. ~otary Public 'Oll!iE-f,tINE C.YARD,Not y ublle tliashlR!Jton,Washington o,?a. My COrAnission Expil'es November 1,1969 Estate Notices The Register of Wills has granted letters, testamentary o~of administration,in the folbwing estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ir:g claims or demands to present them fCor settlement to the Executors or Admin- istrators or their Attorneys. e.o.ao •••••••o ••• MARTIN,EI:'WARD,Dec'd. Late of Bor,)ugh of Bast Washington WasJ:1iJ.!.ston County,Penna.·'Admmlstrat·)rs C.T.A.:Mary M.Mur-phy,Edwl!Id S.Martin,27 S.CollegeSt..Washmgton,Per.na.Attorney:Edward s..Martin 27 SCollegeSt.,Washlng:on,Penna.. , "~i ] STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant s being duly sworn according to law,depose and say that the above account as stated is true and correct as_.___t;h~y veriIy bel ieve. Sworn and subscribed before me this_...1.~.~. .- -~~~_--~. CASIM~R D.KNODLE,Notary Public WASHINGTON,PA.W.'SHINGTON COUNTY ,:.){commiSSion Expires Feb.10,1969 WOlshington County,ss:I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule ofCcurt,as ev~ced by proofs thereof Hied to No....&.3.=f~J..~.fR/j ,...J Witness my nd and official '5eal thiS._:J(p:~. day of lii!iiiii.-19(p.o. .........___..__._~_-_._. Register of Wills ....,...;:l 00Q0/CD..d .......,0 c:.:> 0 -<!...,,!l:l ......,.'d CD 0 ~~CD '""....;Qij-'0 ...,:>.'-I'l :i {?--CD d CD ~(,,-'"="-CD .~......~0 N\)Po ..., I-i ...,t~...,-<~~"'.(."..I'l ~J '.'".,:~~:~~;:l-"'"",v 0v,__"'~~::.:J c:.:>~c:.:>ro ~I'l odR'/f'rt""'":8 ~~'\',,')~),~:,....1.11-~!~'~"O .;...,l-(~R'f:!S'Tr~;"I'\hj .~.~~'.""I';0,-\~';LLS 0 CD ,~...,..d~..., 0 ~I'l co!'d "',I'l ""-<..... r;..o Ji:1 Eo<<9-....~8,"~.,&1,,~I::J::: .~-< .,-J~ "<~~ ~~:~~~ ~l~ oz t, \. .~,'.. .~l ....~ .;..'.....-...;..;.;. .1 ""\J 'Y }''' 1/ L /\,.1[jj•.~ ..__":)~_41 •\ (/ \\\ \\ '~. \, 1 Ii//' / •• )The Court is respectfu lIy requested to determine proper distribj;i;15~ ...~.Counsel for ACCO-toL COP Y 1\ffi~nuit (@f iEXtrntnr "<tr 1\~mini!itrntnr j;tatt of Jrnnsylnania.f !UI- C!lonnly of lIas1}ingtnl1 (- Personally before me,the undersigned authority,a NQ.t~.r.~f!J.Q.U.~_in and for said County and State,appeared ~!:y M~M.y];.phy !l..~g ~Q.w.~!:.Q s..L..Me..J;:.tJJL _wh(),being duly sworn according to law,deposes and says that theyaiith~or administrat8str'lne estate of ........................................,f;.Qw.~J;'.4 ~.r..t.in deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate ~~.~~!.~~I.~~!L ____, deceased,except real estate outside the Commonwealth of Pennsylvania;that the figu::-es opposite each item of real/and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made'by the above named Executor Administrator. ~SIMIR D.K::t;~;~::::::2~:~~f~:;::,:::-c-}~1:~:_-~~~S--CTA WASHINGTON,PA."'Jrli:-<GTON COUNTY ADDITIONAL INSTRUCTIONS My Commission1E.xPirA;rf~~vtlht~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 a'nd 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies c..nd 2 RCRI-33,Over $10,000,including Copy of Will;1 Original and 3 Oopies and'2 RCRI-33,Over $50,000,including Copy of Will and copy ofFederal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.1.513 Sec.5.2,72 P.S.4844.2 1Jnnrntnry anll Appraisrmrnt of the goods and chattels,rights a1td credits which were or.:_.·_:~.q~.~~.~~~..~JP.:.late of·..····~Q·!:Q!Jgh .Qf.~~.!'!..t W~.~h1ng!;.Q~__ Washington Cou,nty,Pci;,taken and made in conformity with the above affidavit. / REAL ESTATE -None PERSONAL ESTATE DOLLARS CENTS Cash -Checking Account -Mellon National Bank and Trust Company -Washington Office Automobile -1958 Cadillac Sedan -Sold April,1967 Oil and Gas -Co-partnership,Rush County,Kansas Common Stock -Mellon National Bank and Trust Company 35 shares at 74ft; Common Stock -Dunn-Mar Oil and Gas Company 2030 shares at $3.00 Bonds -American Legion -Edward Scott Linton Post #175 Home Association;2~$100;1 c $50.00 Office Furniture Oriental Rugs Library Furniture Prints and Pictures Silver Paintings Autographs TOTAL 6 283 18 500 00 125 00 2 598 75 6 090 00 1 00 50 00 1 500 00 1 000 00 3 000 00 2 000 00 500 00 1 500 00 3 ,000 00 '28,14~,~S;93 c. Lu -J--ft~L .' I I I I ~!....-:i'1>1:1....!I 1II1 I 1 ....... !I ~~ ·11 1 I::! I '1> ! ;:i i I ~....I;) I "'lI I ~'<: j I l::l 1 I ~~1:1... j I r:n i ~~ d I ~~ ii 1 .... J I ~, 1 ~... I ~ ....i <':> I I ~. ·1 .... II II r-='.;:';-;:---.-"~':'-·~====-=::::::~::--.:'=~~~-~~"'-~---I!II'----IIIII!I__--"'-"''''-1\/' In the matter of the Audit of Account in ',". -I Estate of.-'E-'D_W_A_R_D_MAR__T_I~N---------,-l No.948 _·3_r_d--..,;Qu~a_r-,t-,,-e=-r_-,.19~:A.A. to TO THE AUDITING JUDGE: r~c-'.c..... ('"\---I,."J.t'•~~.-\ Enter .....;MY=appearance for__--=Ma=r=-y.L-.:.;M:.:a:.::r:..;:t:.:i:.:n:.:.....;Mu:=r:::....Lp;;:.h:J..y---=a:.:n.:..:d::..;.....:E::.d::.w=a.::.r..::;d7:'.(.!.:,S~·••---=M~8=-r::...::.t=i.:..:n:L,_.~--~_<=:_, t.::4r!A "\".:..:A:..:d..:.m=i=n.:..:~=-·s::....::.t::.r.:;8:..;:t:..;:o:..;:r:..;:s:.......;C=-T=.:A:.:.-..:...----'r';,-:-=-:~==-l\J_··--:-::_,.t ;.1 ~.., -'----------------:-------,-----------------....,.;~.~.:......:..;-::-.----=.;:.:...-;----=~~.....)~s{-o I I! ~t~/Of:E- S .;.::{.,day of septtember ,19~ "IN.B.-Counsel shall,by separate paper,present E,;'concise statement of eac:, 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 shaH file a separate concise state· ment in that regard. No.~,3rd Quarter ,19q8A.K. In re Audit of Account in Estate of EDWARD MARTIN , I. .:A U D I T PRAECIPE FOR APPEARANCE FOR MARY MARTIN MURPHY AND EDWARD S. MARTIN,ADMINISTRATORS CTA l:.... ~" r" :. t· Edward S.Mar~in Attorney IN THE ORPHANS'COURT OF WASHINGTON COUNTY IN THE MATTER OF THE AUDIT OF ACCOUNT IN ESTATE OF EDWARD MARTIN ( ) (NO.948 3rd QUARTER,1968 A.D. ) ( ELECTION TO TAKE IN KIND TO THE AUDITING JUDGE: Edward Scott Martin and Mary Martin Murphy hereby elect to take the following "items in kind,and respectfu~ly re.quest that the Court make distribution of these items to the Estate of Charity S.Martin: 35 shares Mellon National Bank and Trust Company at 74~----~$2,598.75 2030 shares Dunn-Mar Oil and Gas Company at $3.00 ---;."2:-:-----:6,090.00 Bond-American Legion-Edwin Scott Linton'Post $175 Ho~e·jAssn:·.-·~.OO." Office Furniture -----------------------------------~~-~---.- Oriental Rugs --------------------------------------..:-_;--_~:Library~~------------------------------------------~;~~~~ Prints and Pictures ----------------------~~~~---~~.(,,~..-, Silver ----------------------------------------------:-----~:Paintings ~-~ Autographs ---------------------------------_----__---~·d_ ;50';'00 1,~OO.00 1,~.QQ.;00 2,G,ODJ.00 500.00 1,500.00 3,000.00 September -~-~,1968 -tiUW ..J2J,JIfra;,. 7/n~--,)"n_L r-_A 'A /L ~ ~(J ,~ Executors of the Estate of Charity S.Martip In the matter of the.....r.lr.~L9,.ng..F.'Jt).a.L.. Account of ~?E.Y..~?-E.tt.l~.M~IQhy..?_!fg . Edward S.Martin Administrators C.T.A•......................................}. ESTATE OF Edward Martin ....................................}. Deceased. 948No Of 19.§.?,WAx ADJUDICATION AND DECREE And now .9.c;.~g.~§F.~/',19..~§..,this matter c·Jme on for hearing, audit and distribution a't this session and testimony taken;and thereupon,upon due consideration the.reof the balance for distribution in ,the hands of the Accountant is determined to be $.22./7-3.5 ..13 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 pert he.reof,unless exceptions hereto be filed s.ec.reg.or an appeal be taken herefrom sec.leg. '.167.00 .. r.. ~~o.~---f/4 --~-----~T-.-.-.-------~----lYr-----U(~'5;fr SCHEDULE OF DISTRIBUTION . Balance pe'r account ~. Additional debit-asked at audit Additional credit asked at audit 50.JO $22,785.18 Balance . Deduct Clerk's Costs &Receipts . Attorney Edwar.d.S Martin . 38.00 Mary Martin Murphy and Edward Scott Martin,Executor of the estate of Charity S.Martin,widow,now deceased, residue,including cash,35 shares Mellon National Bank and Trust Company stock;2030 shares Dunn-Mar Oil and Gas Company stock;Bond-American Legion-Edward Scott Linton Post #175 Home Assn.;Office furniture; Oriental Rugs;Library;Prints and pictures;Silver; Paintings;Autographs;all held in kind and dictributed as such at the appraised value,subject to contingent Federa Taxes,22697."8 No balance ,No.2~~_....Of o'i 1 ro.-,)68,-0 I'"19..",._...,./A·t·Ii [ I ~.<>....,~.:~ In the matter of the account of .,.','to'")..:i:~"»,!J n"3••1: rw-:,;r-~I --if)';'iJR:(lisi;::};T"-':,",:iL'Ls., 118 of Estate of Edward Martin i\illUlliratinn aub mrrrl'l' ~2 ~t-~4' Form RCC-33 RESIDENT DECEDENT :>-~?0 .:?..<:)6 COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF .........wAs.JUNG.i.Qt.93...12..~:J.17 .. IAWORT~VT:This return must be completed in detail and filed in duplicate,wi:h will attached,with the 'Register of Wills of the County Yhere decedent 'resided;Return is due within one year after date of death,unless an extensi0n is granted by the Secretary of Revenue.<Section 703 of .._the.Inl~u~ritllnce_.lln~.E.~t!lte .~ax A,c:of HHIL) IN THE MATTER OF THE.ESTATE OF }AFFIDAVIT OF ------------~:..~~;;.~~;;;;;t)--------------:=RATORS Late of .J4AS.HING.T.QN.........County C.T.A. and say state of P.ENNSyLyAN.IA } •.ss: County of WASHIN.GTON.: . ....,M{!;!;,y ~.r..t.~.11 MI,l.J;.p.hy.~.n4 EgWgr..g Sc..9..t..t..Ma;!;,.t;.,.n , ' ,.. AdministratorS CTA of the estate of the above-named decedent being duly sworn,d~pose .Bft1JQIXr Decedent died ~:~~h~l9.,),:i.;;;.;j ,:!9'('~~'i"'{~::::::t~eaVing alast will,copy of which is hereto attached,} :~ho:rN:almulet:Oo:ir::s:prO:n:d::::::::oO:U;..le=~Oer}".,E9Wa.r.d S.•...,.M.ar..t..in ,.., . 27 ·S.··Col-lege ..Street.,..Washington,Pa•...mailed. Th t h administrators CTiL,.,,",'f 'I''th th If'f 'd t t d th rtaassuc~eponen..,U amI lar WI e a airs 0 sal es a e an e prope y con- IEx"cutor·Admini.lralor) stituting the assets thereof and their fair market value, That at the time of death there was no safe d~posit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or inde¢edent'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 DEPO~iT BOX RENTED RELATIONSHIP OF JOINTINWHICHDECEDENTRENTEDASAFEDEPOSITBOXINNAMEORNAMESOFHOLDERSTODECEDENT Washington Office Edward and Charitv S Marti Wife Mellon National Bank and Trust Company That the contents of said safe deposit box or boxes are itemized under Schedules B &E of this return,with the exception of the following,for the reasons hereinafter set forth: That Sc.hedule A attached l1ereto and made part hereof sete.forth full v and in"detail all the real property in the Commonwealth of Pennsylvcnia of which decedent tied having an interest therein.It also sets forth the mortgage encumbrances UpOT.each parcel of real pr'operty at the date of death,giving the amount still .due at death,name of mortgagee,date,rate of in1erest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed v,aluation of each of said parcels,the estimated market value thereof as of date of death of deeedent. That Schedule B attached hereto and llade part hereof sets f;lrth fully and in detail all personal property wheresover situated owned by the decejent at the time of dea:'h;all moneys left by the decedent .~t the time of death,whether i~decedent's immediate possession,stcnding to decedent's credit in banks of deposit,'savings 'banks,trust companies,or other institutions,wt.ether indi'/idually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any;,,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cases;all bonds,postal saVings,treasury certificates.or notes and other evidence of in- debtedness of the United States to the'decedent;all obligations,wlether by statute or a~reement they are designated as tax free,of the United States,or any state,or political subdivision thereo~or of any foreign country,··'which !l-re·owned at the tillle of death;all wearinr;apparel,jewelry,sIlverware,pic- tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and 'any and all other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated market value thereof;all bonds and mortgae:es held by deeedent and of all claims due and OWing decedent at the time of death,and all promissory notes or other instruments in writing for the,payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,ff any,giVing the face value and estimated fair market value thereof,and if sueh estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation'~s ~o each·item;all moneys payable to.,·the estate'from life insurance policles ca'~ried by decedent;all ~nnuity and endowment contracts the proceeds of which were payable upon the death ~f the decedent;and al~the corporate stocks and dividends due thereon and unpaid as of the date of deat~,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities cwned by the decedent at the time of death,with the market value thereof at such time. ;' .In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature''of the agreement) together with a statement setting forth the character of the business,its location,~ndsuch other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.·It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to Whom transferred,the relationship of the transferees to the decedent,the proportionate share received by'each transfe~ee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the.schedule a co~y of the deed,trust agreement or other instrument creating the trust.Ther,~is also set forth in said schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either individually or jointly,by.the Will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shOWing which of the beneficiaries named in the decedent's Will,.if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That SChedule E attached hereto .and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effe~ting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationsh~p,if.any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fUlly and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including fUneral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and rUdiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and Impaid at time of ~..death;taxes accrued chargeable for period prior to decedent's death (except.those allowed under Section 651 of'the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance thereWith. That the totals of the appropriate col~s in Schedules "A","B","C","E",and "F"as directed therein,· have been carried forward and properly registered in the Summary. )n.~~~~~~~~Subscribed and sworn to before me this R. ..j{d.··-day of J~19 ~8.. ....................~./j ~.. CASIMIR D.KNODLE,Notary Public WASHi[';GTON.PA.\'.•iHiNGTOl'l COUNTY N,y COinmission Expires Feb.10.1969 NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. I J R~C-34 (l-p'41 COMMONWEALTH OF PENNSYLVANIA DEPARTMEti!T OF REVENUE BUR.EAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT SCHEDULE IIA" -REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid as joint tenarit or tenancy by entireties,report on Schedule "E".Property held by If,.,.the .de.cedent·as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commo!'lwealth of Pennsylvania should be described by lot and black number,street and street number,together wi th a general description of the property,with a reference to the record of the conveyance by which the decedent took title;If a farm'state number of a· cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Taxes,assessments,acc':ued Interest on mortgages,etc.,are to be listed on Schedule IIFlO and must not be dedu,cted,from this schedule. NON E , (1)(2)(3)I DEPARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTION DECEDENT'S MARKET VALUE (Do not write DEATH In this space) Insert this total opposite "real property",Schedule "A"in the X X X X X "A's Reported"column on the last page of this return. COMMONWEALTH OF PENNSYLVANIA 'TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent;at 'the 'time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but payable at death to'another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts~must be listed,despite the fact that they are not of the administered estate. Tang1ble personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank, stocks,'mortgages,notes,together with accrued interest or rlividends,salaries 'orl,wliges,insurance pay- able to the estate,or firluciary in sairl capacity,partnership interests,interest in anyundistributed estate of or income from any property held in trust,under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this sche~ule. Item No. ITEM List and describe fully UNIT ESTI~~TED VALUE MARKEl'VALUE ,, DEPARTMENT.VALUATION (Do not write in, this space) I 1.00 1 200.00 c "to,· 2.00 ,060.00,' SO.GO 50.GO ! 15.00 U.~ aJ.GO 25.00 0 5.00 10.00 • S.OO 10.00 0 ~val~'" ., GOld _la,walch Gold rocket -,tc$ 4 'at."&11,1 04tL~""aJld flo Hot 12 aif1.,•Gel'dlA,ancl Ametieao Manufactur.25.00 lU.c.l1aneo~'frop".....t144U8't ac.deale 80048.UNK Cel'tlflctt•••eto••aU pr••enUd $tVal'lou. ,....by vuiolJl organi..tlona aad lndt,,1cIual•• 3. S014~1~,19&1 fCJr 4500.00, ••Of.ice f\mlltur:e 8. 9. 4. 14. 10. "tQ8~ql 1100 8OO~ CMb 1a Cbeoktaa Account:..Hellon HatlctMl 1*k &~t ~.tfa8billacoza Offiee coauou Stock ..*lloQ ••tonal link &!rUet ~;J$...,tt $74.1'pel'.bOn ~u $t4eiA iii '~1:0il ciJld ca.CO..,ao»Iban.At $2.00 11.80Ddt .-14vU4 seote UoQ'!B lO,e 1"-,l,,*,LOatoQ HQa lMoc14tloD I $lCO.OO l $$0.00 16. ,' It.n\Ulbuof :th...bavti been taken by the hmalyl- vaol8.R18~orlcal _net "'tum CODDl....on tor 4e. POlt tn t~_cbi"..BuUd1aa to Ben's,."UI'g. ~lat."V ...~!!l'_J:'GU.&Goa 'COmpbY for MfUt ..1967 712.60 Mellon N4tlo.l BQnk &ttu..t Company J)1vldend 24.50 '12.60 • 24.SO • Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"cdlumn on the'last page of this return. x X 15,810.03 , cOmrON~\1EALTH OF PENNSYLVANIA Tfu\NSFER INHERITANCE TAX RESIDENT DECEDENT " SCHEDULE "c" TRANSFERS (1)Did decedent,within two years of death,make 'any transfer of any material part of his estate,without receiving ,a valuable and adequate consideration,therefor?(Answer yes or no)"Yea (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?,(Answer yes or no)No. (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _·~8~6~__ (b)State of 'decedent's health at time of making the transfer.(Note 11. (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No. (a)\Vastl"~ere'any possibility that the property transferred,might return to·transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What ·was the transferee's age at time of decedent's death?__ (5)Did decedent in his lifetime make any transfer without receiving a valuable am adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the pro~erty transferred? (Answer yes or no)No (b)The right to designate the persons who shall possess or enjoy the ?roperty transferred or income therefrom?(Answer yes or no)__~N~o~·_ (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others , (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to pay income to or for the benefit of care ·of transferor?(Answer yes or no)No (8)Did decedent,at 'any time,transfer property,the beneficial enjoyment of which·was subject to Change, because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)No (9)If the answer to (8)above is in the affirmative,was the power to alter,amenj,or revoke the inter- est of the be~eficiary reserved in the decedent alone or the decedent and others? (Answer yes or no), NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on whieh said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM DESCRIPTION MARKET VALUE (Es timated)DEPT.VALUATION (Dept.Only) 1 Ca.h Gift from April 1..196$to Dec.31.1965 to Idward $.and Suzanne Q.Martin 2.C••h Glft from April'i.1965 to Dec.31,1965to 3.CUb Gift during year 1966 to ldVard $.and Suaatine C.'Hartin 4.ca.h Gift ciui:inS·year 1966 to _1:1 Me and Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. 900.00 900.00 1,.000.00 1,000.00 3,800.00 C.CM~h):'\\\lFt\UH vi·'PENNSYLVANIA f1\.\\:.'FFH fXHFH.lTANCE TAX lW~rnE;\l'PECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY nSrRl"(:TIO~S:This schedule must disclose all property,real and personal,owned by the decedent ,jointly lI'i th another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as ir.dicated tmder Schedule "A",plus the'date and place of record of instrument effecting vestiture,but do :lOt include entireties or ouf of state real·estate value in estate valuation column.Personal property should be listed as in Schedule "8",plus date of acquisition,and the name,address amI relationship (if any)of co-o-wners to the decedent. ,. Description of Property,Date of Acquisition,Name I unit percentage Estate Address and Relationship of Co-Owners,and Place i Value Share Valuation of Record of Instrument,where Real Estate.\ DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest ~l'Go04fJ Gnd Pum1ahiDa ..follOW: ••':P.~t One tlble 8loctd,C84ngo ~~14bl.._Soc,•• OM ....~ two ~e•ere end alcle~d Vltbmi,rol' Ono 8ervJ.Qs Table ODe T4ble Four lAq»a ~ ODepiUO · Blabt CluJ"'"....&1_.blu 0.CO,,.~le tw (2)Bound Tableo One de8k Aod 8OOkcaJO 8e'lOft t.empal 'ireplace "lla='.(tide fl:ODl _ito RouH WOCi) With 41:-'CODU1Dloa 1Jl$dIle 'lbrto CI4U«t One .....flrOm the PoD.-.Oil Aao ..fOl10W1D8 'a.C1ebaIII ruroiC.cu One settee 1'0.Cb4uo tw at•.,.ttl.. TtIo I'Oclcel'. ....cabbtsge·CUttot' 0Iae -'k OM table '!\tINe ·llOCM,ive Chat . Fou . ODe CODIJOle tobie ODe OllIe.lablo.eo 8D4'_b1. ODe t'elev1e~D Set~!9!!Twin Ded. IWO Side t4bl_ 1'hree Cbain ODe Dl'OSeOf ead ODe ChtffOD10J'Four"".Total II "~:?~O10.OC 5O.0Cl 75.00 50.00 10.00 100.00 10.GO 40.00 25.GO SO•• 100.00 '5.00·a5.00~OO~OO.OO 1 '0.00, 10.00 25.00so.00 25.00' ~oo.oo ~OO.OO 20.00 50....•00. 1iSO.GOI~.OOI 25.001 25.GO 20·00 I10.00, 115•00 ,20.eo 10.GO I ilso.oe.-I lq·OO I 30.00 I7S.oo 20.00 I 1/. 1/2 1/1 l/a 1/2 1/1 1/• l/a 1/2 lIt. 1/2 ,1/2 '1/2 1/2 1/2 1/2 t/2 1/2 1/2 1/2 1/1 1/2 .1/1 l/t 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2In1/. 1/. 1/2 1/2 1/2 1/2 1/2.920.00 III II ·1I I !:i I III I!IIj Insert this total opposite "Jointly Owned Property",Schedule ·"E" in the"As Reported"colWTBl on the last'page of this return. SCBBJ)UI.B:"1#(COBTJiruID> JOINTLY OWNED PRORIlft (PAGJ 2) " 10.00 5.00 s~oo 10.00 so.00 5.00' 2S~OO ~~OO 10.00 %O~·OO II, I I tI.1•, 112 lit 1/2 1/2 1/2 1/1- 1/1 1/% 1/2 1/2 1/2 1/2 1/2 l/a 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 111 1/2 1/2 1/2 1/2 l/t 112 1/2 1/2 1/. SO.QO 20;0() 15.00 10.00 30.00 30.00 25.00 10.00 20.00 15.00 10.00 10.00SO.eo 2S.00 .2j~OO 10.00 '1.00 "1.00 MDBOOM One old ~. ODe'Cba1r B§I!OO! 'lbree Chairs '1ve Bmall Tables 1'Uo Bookcases five J.aqnl Gne IDublc Bed ODe Chiffonier ODe Dreaaer One~t of nrawer.(ra.German) SUlIOOH ''!WO,&;11'8 (Set) One Table BIDlOOMAND BATH "nfin Bed. 1'breeTablee 1 Chait One DafIk 4 lamps THIRD P'LOOa 1 Da.venpor~n.o tap_ lJ!S!@I BAU.AND BOBBY ,JlOO!I Bookca$ea _eo Tables ''nfDLamp8 ¥Our Chalr. tAUNDlY 'Dryer WUhtr Mangle .GaS·Range Tables II LlBB.ARY aND SMUJ..1.I1SRARY ROOI!l ! One JlllVeUpOrt '1.00 Oae Setcee.10.00 'ive Cham SO.00 One Table 20.00, One Coffee Table 10,.00 One lngJ.i.b .tepa 25.00 'three J.ampa (ODe i4mPmade from Gen1ID Sbel1)30.00 t I· 8BGS AND CAUBTs Baaement ·hall find adloiniag rooms Guest Room . Bedroom Ro'l 1 Be4room No.1 Orlenul Ruua t Dlnlng Booml~•is Living Boom (second Band)131 1{24 Hall SlJ x 16 2 1Jmall Ruga .iIl U.l1 6 foot ·Btair ·ttwmer Up8t81raLlv1ns Room 12 K 15 OIL PAIBTIBCS•It 011.'PatntiDp at $100.00 10,,00 '1/1; 3O~OO t/2 ··2S.00 1/2 SO.OO 1/1 250.00 1/2 400.001/2 .150.00 1/2 40.00 112 SO.GO 1/2 200.00 1/2 &00.00 1/2 2 ~278.00 1/2 1,139.00 , .-. •.1 ramm AIm PICNUIB But SO Small loUD hUts We of e nreao..e1K large Fol1o 16fna1deDts.Sm11 Polio Btatorlca1 i'l'tnte GeDeral ad Rha:w.n~.30 GIall 1'0110 Pr1llw. 42 Klacel1aDeou small follofr:J.nte Htecellaeoaa 7 I.aip fOlio ~1Ata troa Sceries.~·ia1oaa ad 8eDtfaentala.11 folio·: Total 2.000.00 1/2500.00 1/2500.00 1/2 ~.OOl/1 ".00 liZ' 330:.00 I 1/2 460.00 1/2 490.00 i 1/1 5,000.00 11/2,:-2,500.00 \ f IIII 1-.3S0.00 1 I1/2 1/'1. 1/2 1/2 .112 1/2 1/2 1/2 1/2 1/2 . 1/2 1/.2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 ,1/2 1/2 1/2 14l 1/%).712.50 1/2 I ~-74\14.25 .14\l/Z 14".2J "'~74\1/2 74.25 I74\1/2 5,902.88 200.00 ,200.00 300.00 .1.600.00 1.,000.00 2,700.00 l ;,...; J 6,,000.00 ;. 2,000.00 '200.00 200.00 I SO.OO 200.00~200.00 1.000.00 1,000.00 250.00 #250.00 "'50.00 j 200.00 UO.GO .,:150.00 t ,SO.OO :50.00 t.I IIItI ""' 011 and.Gu Property,auah County"l{au8U 1 .13698630 m~kiD3:interest-Acquired by r Deed .of Tr:uet~<bat"April 20,1954;;II"!Sold as of November 1,1967 for $106.60 .1/2 3J3.3~~otal 1/2 interest I .I ~9tlOO.4~ 'l'BIS:W·.lOlNTPB.OPIR'lY OF IIIlAnDlfAllTD AND CHARm SCO'l'THAllTIN, BIS VIP'I,ACQunwi AT,VARIOUS TIMBSDUJlINGjmam MARB.iAca.lIT IS PlLBD lOR INPORMlTIOli lUIJOSllS ONLY:AND·IS Nar TAXAm..a~·IT lIS NOTIHCLUDJD IN TBB SU!l!WiYOP ma GROSS TADBLB BSTA'.tIOFI~MAR~Ilf.~m S.II(AR'fIB DIID NOV8HBIR 12,1967.,.All'thus items are INCLUDBD ~IR SClIIDUI&"Bi OF TIll APfBAlSAL OF BIR BSTAT&.I Ii:, Mellon Natlooal ·Bank and '1'l'ust Company 1 Qbmon -Stock,~Co"'01Iller Charity S.MartinWtfe certificate No.10407,May 7,1958 i 100 sbarea I Ccx:tiflcate Ii,?015511.MaTch 9,1959 2 Sharea . certificate No.0%2301,lIsrch 7,1960 2 Sharea Certificate-No.029315.Harch 13,1961 2 Share. Certificate 110.Mi828,February 3,1962 IS9 Shar. Total Total GLASS,CHINA AND SILVIIl SilverServf.ce Punch'Bowland CUps ·.Silver Platea Gla•• China BOOKS OP AU'J:OGRAllBS Prealdenu SeDate of Penna.1883 Misc.Items,Autographa,etc.(Brief CUe) rtamed ~Item -Geo.·'WaahblgtoD Framed Item ..Lincoln Misc.Items ...Brief cae Constitutioneignera Daclar4tioa 81gn8rs Civil-val'...Vol.l' Civil WAr •Vol~2 'NeW~Yot'k Governors Vice hoidenU ehief .1uotiCeD General.&Mmtra18 ·40thA:cmgreu·.- Senate &House .1871 ,.. RCq-37 (12-63) C'Ol\tl\lON\r~.~I.TH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "0" BENEFICIARIES ( h BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH 1'\0....4 ..~,G 16.._.4_••~If ...."..............""._.as.__•.,.....,.v,~~ -,-" ',' ,- " , " .,", , , :.' , " ~ ,'.,. ,..... Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE Charity S.Marcin November 12.196]147 La HD1l1eAve.t W&lhlngtol1,ra. ~IATTER OF THE APPRAISEMENT// J ,.Will • Administration (No. D.'THE OF THE ESTATE OF .Year -i..,TT.~ i I, '_.00. (Executor-Administrator must complete "As Reported"column #1.) 0 ~'"d ~......~~0 ~...e:..'":::l VI VI VI 0 ~.....:::l '"d~e:..... ~...0xVI't:l~'"d ~.CT'... (b 0 ~'t:l trl ~... VI ........'<~....~ '.,.,c, -": ~.~}:: I:) ....:e:PWAA.P...MARrrN .. Deceased 'J --Late of ...B.QRQ:UGij..Q;Jf..F;AS.l'...WAS.ijJN.G'l'o.~..I'j' REPORT AND APPRAISAL Commonwealth of Pennsylvania iJ f\) enC o':•.~~".'0.\o'~>-~................>-<:W en ennn?"::T'?" Ci ~~--- ~~9>~-00 "* •t-'::1-'>-:\0 ::w :V1:....:v :...Z VI :0"1 ::00 :00 0 !:I::l........:t-'::0 :6 fi::0 ::0 ~-:.:.:.'g- :0 .0 .0 .........:w :0 :w (1lc-- -00-00-00-00-00-00 ~'::h >-«\:~~\.~;r. ~:tJ,,~cto~21.,:)11 t,:~":S:.:....-:~:~2. .~:Q,:::l~:r.:IIc-..Lv::~~~ I ~r- ..-.., ';"-'~;;"1-f I •t ~~..-, .1"f 'j 'IfI fi f ~ 1 I ' r--'"I j 1 -_., i LJ ........,--'.........J '.. W.MH:l:];r~Gro.N.County of c., \ j tt f I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEA.E RE'ER TO NOTICE OF·FILING OF APPRAISEMENT MARY MARTIN HURPHY &EDWARD S.MARTIN (~Acministrator), .In Re:Estate of ED...;;.."'-vI"'-AR;..;.;·D;;;....;.N.;......;;.Alr;.;;;T..;;..I;;.;.N _ WASHINGTON County -File No.9392-239 Yo~are hereby notified that the original appraisement in the estate of Edward Martin has been filed in the office of the Register 'of Wills qf l'Jashinr.:t\)n County on May 13 ,19 68.Said appraisement reflects the following valu~tions: Re al Estate --'=.......:::iIO.""'·?~.~~.....:.:-::;.:!·.,:::;:~::;,o2:..·__ Personal Property l~,5~i8=1~O~.~O~-~~__ Transfers 3~,L:8~OO~·~.t.:O~O=__ Total ---,_~1....9'"',..,.6:-.1.xQ.....jp""'Q....3--_ As to such tax that is paid within three months from date of death,a five (5%)percent discount·is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is chargee. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date May--=---::13;....:I'-·_1~96_8 _ II ~,, "\ t I iIl:,, DA'l'E OF DEATH:~1arch 19,1967 ,, ." Note:This is not a bill. , " i '. .,~c -:q (6 -64)"''-, .,(If' rOVMONWEAIJTH OF l'E;N;N$YLVANI:\ TH:\N,~FF.ll INHFRITANC;';T.~X R.H;SIDEKT DECED~NT' lMRTIN,EDWARD FILE #9392-239 --_....- March 19,1967 'SUMMARY FILE #9392-239 ftEPOH'l'OF INHERI'l'AriCF.TAX APPRA.ISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of #63 Washington ,Pennsylvania,do respec tfully 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 "ll"~"B","c"and "E". Dated:05-13-68 ~a :22:ti2~ 03-19-67 .I NHER I T ....NeE T APPRA~~~-'~ REPORT OF THE REGISTER OF WILLS I,the'undersigned duly elected Register of Wills in and for .. Count~J,Pennsylvania,do respectfully report that I have allowed d€ductions in the amounts claimed by deponent,~xcept as to those items where a greater OT lesser amount is set forth in the last column to the right in Schedule "F",which greater or :lesser amount represents the sm.allowed as a deduction.~:'.#~/-J~•~> Dated:~~4H7~ REGISTER OF WILLS VALUE AS REPORTED VALUE AS APPRAISED V.;..=A=LUE='.....;}=\S.::;.....,RE=·AP=-=P~RA=I:-..::S"""E=D $'-$.-$------15,810.03 ._15,810.03._.::::"---_ 3,800.00 ._3,800.oq~·.__--..::::-_......(.;) rI,.., I J ! .,-c , ,..~~:J-------·--r-'"""-=-·-----fG~-:­rr3 1~1-------.--UJ""'-----:u......_ 19,610.0~;.U ::'"l () =======:=L,::::-:"1:::'=~:=i;P=====:= -(.I) (..',') - 1 19,610.03:= =====.- $------ Valuation of life estates or annui ties ..•.••.. INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) J oint-Held.Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEA..8.VALUE OF ESTATE ESTATE T~~ASSESS~mNTS $------.::--. CO~~UTATION OF TAXFORUSEOFREGISTERONLY Tax on $•__5%$_ Tax on !t 10~t~.<:1?---Tax on ~.2<11 *_ T ax on $.__15%$_ Exemptions :=(':') Total Es tate _ TOTAL TAX $___ Less tax preViously paid $~==========.__ BALANCE $------Less 5%of tax if paid within 3 months after death $~==========:=== (:;:)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE ~-------- Add interest at rate of 6%(rom to $--------AMOUNT OF ESTATE TAX ASSESSED *_ Estate tax paid $_ BALANCE DUE *_ Add interest at rate of 6%fromto *_ TOTAL TAX BALANCE $_ PAID $ 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 celow,with short explanation. ~-;~~~;"~.f·--·-~~~~#--·2,r..==v--~~:';"';"~=---=-=- ...,~~......~....:~."'.~l'",';" ~".~.,";.,•..:i-·.,_..,;,,,1o :•.r ~ Will {N Administration'~o. "I~THE i •. ..Year ~IATTER OF THE APPRAISEMENT OF THE EST.-\TE OF ..: " EDWARD MARTIN ........ Deceased .Late of . County of . ~~..:W~$lU.WQT.ON...... .WASHINGTON . Commonwealth of Pennsylvania REPORT AND APPRAISAL : .' -/'- .. II <J -,---- Form'R2C...~'. .' DEPARTMENT OF REVENUE. BUREAU OF COUNTY COLLECTIONS HARRISBURG,PENNA.17127 COMMONWEALTH OF PENNSYL"VANIA RESIDENT INHERITANCE TAX APPRAISEMENT' DATE l.1~y.~?l..:!?~.?.. COUNTY W~.~~.~~.:t?.~.!l .. FILE NO...??..?.?.:?..?...9._.. Whereas,~9.:~~9.:~~.~~.~late of ~.~~~.~.~.~.?~.:. in the County of J:~:~~h.~.~.~.<?~Commonwealth of Pennsylvania,having died on the J.9 t..b day of ~.~J1 ;..'";19 ~?;sei~ed and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,..............................yf..~.~.~.....gp.~~.......................................:........................,an appraiser duly appointed according to law, I haYing been designated to make a fair and conscionabl~appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit AppraisementDescriptionofAssetValuesMadeforInherltancaTaxPurpoles ;$; REALTY: ~-... NONE NONE ,.... .. PERSONALTY:.•..._~".._-----., As per Schedule "B"15,810 03._--- ----,... TRANSFERS:.---....3,800 00AsperSchedule"c".. .._.-..-_.. JT.HELD:..,, NONE NONE I Total 19,610 03 , . .'I I j fonn~~V:'::~hbl:~::~~.~~~}::~:;~~E~:~~a~~~~~~:;;?: ~~·····d~·,.;;ij...........................•.................................. ................~...................-............................................................,Penna. IPan OfBe.1 , ,-- '. .......................Y.(i\§tI:P.'r.Qr.9~..COUllty ~.·-ro· ,.,< '-;''.. -----..--..... }. ~ RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .....................JglW.J\lW MA.~r.~. Deceased. Late of .........................................~.•...WASlUNG.'l.'QN '..: Date of Death,Mar.ch...l.9"1.967 :. Appraisemellt Docket Vol.,3.9.. Page,~7.5~l.Q No.·93.9.~~.Z.3..9 . Filed in Register's Office,May 13.".19 ~8. Amount of tax due,$_.. DEPARIMENT OF REVENUE Received, Ex-a.mined and Approved,. Wrote abo.ut Appra.isement, Appeal f"om Appraisement,.. Entered and charged, '. '" " -....~~-;.~~;:.-~-..,~..::.- 1 i <: ...{...~ ,. WASHINGTON,PA.W..SH My Commission Expires Feb.10,1969 .~. I \0.fa~/~1::/,~c/0~.'.Form RCC·IO DEDUCTIONS ALLOWED IN..... THE SUM OF ............$--.f..d,{:.!.:...!JdFFlCEOFTHESTATEMENTOFDEBTSREGISTEROFWILLS Washington AND DEDUCTIONS D.~TE APPROVED .............._..........[-:...~.=?.f.OF COUNTY AND AGENT OF THE CO"'MONW5ALTH J4~~~~~A :/fJY~-;l3j/&/c/'%Regllter of WUi.,l\genl ESTATE OF EDWARD MARTIN LATE OF East Washington,Washington County,Pa. .F-~-·Cf DATE OF FILING APPRAISEMENT .TUfte Z8,1967 DAT5 01"DEATH Mar·:h 19.1967. DAT'i967 NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCH"" Apr.S.1 Annex Pharmacy Drugs 75 41 2 West Penn Power Company Electric Service 22 84 3 r.o1umbia Gas Comnanv Gas Service 91 71 4 Bell Telephone Co.of Pa.Telephone Service 16 98 c;T If {'lIlTt-.:>r Newsnaoer (Post Gazette)4 90 6 Washington Meat Market Groceries 162 37 7 c:R -n"i rv Milk 12 62 ~J.Paul t;e~dfit~M.D.Sef.v.Rendered last illness 127 00m"n on.II ""100 00 10 Ambulance &Chair Service To Hospital ""23 00 1 1 u ...l ....l.l<'1)<\'"t-t-,1 es 1 6,7 12 12 .Funeral Services SO 00Rev.Joseph R.Hookey 1':t Rpv.F.dward L 'R.Elson Funeral Ser"illces 100 00 7 14 Washington Co.Reports Adv.Admr.Notice 12 SO 10 1"nbserver Publishin2 Company """12 SO 16 Robert D.Vance Agency Premium Admr.Bond 70 00 17 ("",,..t-o U1",n,..l.0 Rxn.of trio to Wash D.C.81 35 ~~~~American Express Transportation ""36 96 T.vhrand RosS Fv Mont£omerv Preoarin£Fed.Inc.Tax Est.45 00 May 2 20 Josephine Douglas,Register ,5 Short Certificates 5 00 June 21 21 """On Acct.Trans.Inh.Tax ,~~ 26 22 Edward S.Martin '.Cert.Copy of Marriage Record 1 00 28 23 """Reimbursement-Inv.Filing Fee 3 00 Tu1v 10 24 tJ.C Hal?er.Tax Collector Balance 1966 Wage Tax 7 30 10 25 W.C.Hager,Tax Collector 1st Q.1967 Wage Tax 26 SO I nee.10 26 Simon mute Sons Monument 406 00 I 1968 Anr 2q 27 Clark &Cornnanv Preparation of Return 35 00 I 29 28 Charity S.Martin Widow's Exemption.1 000 00 2q Edward S.Martin On acct.Attorney IS Fee 1 000 00 I I 30 Edward S.Martin Balance ""500 00 , 31 Marv M.Murohv on acct.Admr.Fee 1 000 00 32 Marv M.Murohy Balance ""500 00 -i 11 'Rilt.J~r d ~.Martin Reimbursement for Prob.of Will 17 SO I 1./i •c:M",..t-in "fnr li'i 1i,-,o fee for Ace 16 00 35 Clark &Company l'reparation of Fed.Return SO 00 I J~0'l 'ic, Total ~-,~1:.6...,~~...... COMMONWEALTH OF PENNSYLVANIA }ss: COUNTY OF Washington I,Edward S.Martin HEREBY CERTIFY.THAT.TO THE BEaT OF NY kNOWLEDGE AND BELIEF,THE FOREGOING IS AJUST AND THU It STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENsa 0 ... ADMINISTRATION SUBMITTED TO THE ESTo\TE OF Edwar~5 4=·£·ucno..~INHERITANCE TAX PURPOSES. r ~1 (L.S.) SWORN AND SuaSCRIBaD BEFORE Mil THIS .2 s #r~.,~n4Y 01' .e.ca.g &c?oa+--'£) .CASIMIR D.KNODLE,Notary Public, '.INGTON COUNTY ,. ",.,:. .'. (J ,fti-/I::J~.llJ'",''''~f.:~ ',! ," , •J '", !..:~. ,., "' . I I~~.J _'. ..." \ .,,....r 'I "t II't ',t.: .;"-;'-",..,....I ,'"""._-",:-J'":•..J,:._"t.~_.,:......,:1 .../":.~.-'11"" ',:. ";'1 .,11 r " ,. .'' 1'\ "'fl \11 (,:,.I. ~i :.'" ',' " . I ;, '.1,I I , ,, r.......-· \' " ." I'" r ~\" oj )J :1' tJ....,1 (. i' J.i ,. :1 (J: " I ". / JI..i RESIDENT DECEDENTS File No~._ COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax ~9FormRCC-4-RI-3-66 No.909849 Date June 22,19-.!!!.... Office REGISTER OF WILLS,WASHINGTON Pa. vlASHINGTON County,ss:Received from Ed.S.MartiJl and Mary Martin Murphy (Executor,the estate OLf ED_W_ARD__MAR_,_TIN _ who died March 19 19 67 th f FIVE HUNDRED and nO/l00 - - - - - - - -Dollars__, e sum 0_, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax NOTE:In accepting the transfer inheritance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the lile tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. -AL-,-' 500.00 -Regfster~ills MOORE BUSINESS FORMS,INC.,ELMIRA.N.Y. ~y»~ $======== $500.00 ---% {1~/~/ 7/11 SEAL Total Tax $_ Less Tax Previously Paid (if any)$============ Balance $_ Less five per centum of tax if paid within 3 months after date of death $============= Amount of Estate Tax Assessedunder the Act of May 7,1927.$_ Tax on $5%$ Tax on $10%$ Tax on $On Account 2%$ Tax on $I5'Yo $ Exemptions *$ Total Estate $ *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 July 11,1957,and Act No.207,1961,Section 302. to _ Total "Add interest at the rntA nf from _ .Ll~JOMPIETE 36-275-10 $.- $,------ $, $---=--- $.'T~"I' Valuation Valuation $,------- $,------- Total $)------- $------ Total ®OOD~D~£[L Date I5ate Real Estate Personal Properly Total Gross Assets Less Debts and Expenses of Administration Clear Value of Eslate Valuation of Life Estates or Annuities Date 19__$_ _________19__!:$======= Estate Tax Assessments Date 19__$,_ _....:....-19__!:$========= NOTE:To be delivered to taxpayer by Register of Wills FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 36 Page 275Une........1"""o'--_ Estate OLf_-=ED=~i:=.;1ffiD=-=MAR::..::=T::..::IN~_ OFFICE OF REGISTER OF WILLS ____-"W.u;AS.......H""'INwG.....TO~N __'Pa. Date ..!<.Jun........"e"---"'2""'-2~,__19~ SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APffiL 9.1929.P.L.3~ AS AMENDED BY ACT MAY 15.1945.P.L.528 JOfEPHlNEM.DOUGLAS Register of Wills 1201 (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive from Registers of Wills all duplicato 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 suchreceiptshallbesignedandsealedbytheRegisterof Wills and transmitted to the executor or administrator. whereupon it shall be a proper voucher in the selliementoftheestate.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: ATTY.Effi'JARD S.~1ARTIN 27 SOUTH COLIIDE STREET WMH INGTCN,PENNSYLVANIA L 15301 • I ~":'. ..) ," l:J