HomeMy WebLinkAboutOC1968-0969 - ESTATE OF BOOTH":;
PETITION SUR AUDIT
~IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Estate of HALLIE..,F.-....BOOTH.-..
Deceased
No 63::6B::969 ~
Fiduciary ~X..»Q9%B..WJ.~:¥...~.11~.
NELLIE BOOTH SMITH,
........................~.K~~1J~~~&~~.
Date of Date of
Decedent's death .J.Mn~..~~J;h.1 ..19..Q~Grant of Letters J,!,l.ly..J.7.t:ll.,1.9.9.8 .
This is the .f!r.~~.Ji!,n9...f.;i,mtL account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term .
Election to take
Under or Against will.(cross out one)Neither
Date Election Place of;
Filed Record .
Name of surviving spouse NQ ..s.pQus.e..sunri:v.ed : .
List issue,where material:
~.'
Did decedent marry after execution of will?(indicate)~.No.Any children born after execution of will?(indicate)
~No.If answer yes,name them ~:,.
............................._ _.:.--7--- ---::--_"w·_-.,._:'-_.~~~.
Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris
HARRY WILLIAM BOOTH
EDNA BOOTH ARNOLD
MARY BOOTH WILEY
FLORENCE ROMAYNE BOOTH
MIIDRED BOOTH DAVIS
NELLIE BOOTH SMITH
Son
Daughter
Daughter
Daughter
Daughter
DaughteF
Residuary Legatee
Residuary Legatee
Residuary Legatee
Residuary Legatee
Residuary Legatee
Residuary Legatee
List,if exceptions to above:
If partial intestacy,'give facts:
Adeemed:Revoked:
NONE
NON E
Lapsed:Abated:Give Cause:
Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled
to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account
and of call of audit?Yes.~
If any exception give cause:;.
File copy of Notice
and date of mailing 1:I1av.ember...13th.,...1969 ,................•............••"•...•,.,",,..,.,.
Is estate subject to the filing of a.Federal Estate Tax Return?ND............................................................•....•.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..:~:,\-.
If the Will makes any portion 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.
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:
Paragraph SECOND of the Will provides for compensation to "anyone or more of my children"
providing care after signing of·the Will.The only children who provided care were Nellie
Booth Smith and Mary Booth Wiley,both of whom have waived their right to compensation.
Waivers filed with Audit Petition...
Balance for distribution per account,
Itemize any additional debits not shown by account:
Insurance Refund $20.00
Gas Lease Rental.25.00
Total additional debits (Add)
Itemize any additional credits not shown by account:
$..~~!.~!~~.~~.
$...:-A5...60..................45.00
$13,921.32
Notary
Xeros Copies
Loss on sale of u.S.
Steel Stock
$4.001.10
8.50
Total additional credits (Subtract)
Balance for distribution
$~~.•.~~.13.60
$~.~~~.~9.~~.z~.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
CAS H
~-
.,
If Family Exemption claimed by Petition,give place of Record:.
)
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:.
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:
HARRY WILLIAM BOOTH 1/6th residue
EDNA BOOTH ARNOLD 1/6th residue
MARY BOOTH WILEY 1/6th residue
FLORENCE ROMAYNE BOOTH 1/6th residue
MILDRED BOOTH DAVIS 1/6th residue
NELLIE BOOTH SMITH 1/6th residue
NOTE:The Court is requested to permit the fiduciaries to retain
$750.00 to cover Income Tax contingencies.
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 oL th.e.ix knowledge and belief.
............~~~?=:~to and subscribed before
~me this....1....~...day oL.....DeCemhez:;..ll".19...69.
Signature of Officer~4oi..:f::k!i~.
Title of Offlcer 2 .
<ED,rH;L DAGUE N .
Off '-WaShIngton W .'°tarr Pt/&lfoiceexplres'My.Cj•••••.••••••••tJJungtoa.COll1i*U••"'•••••••••
.ommrsslon ["pI ",.,.......~res Mar.26,1918
/.,
And your petitioner will ever pray,etc.
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Estate of....JW,..~J~.);.!.:.J}.99.lli·F·J·R"'.Le..n.g,T_.,.:•.,.......j1
~70 JnJ~L28.,PH 2 39••••.•••.......•...•.......•...I)~ceased
Fiduciary.....MARY;..RQ{lTH..WII,.EY•.aRdILSS.ft..l-Ii IN0
NELLIE BOOTH SMI'l1ll;."GISTER OF WI LLS
Executrices WASHINGTON CO PA......----------------..---......-......---------.-------_...._-----------------...-_."'...
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PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Counsel of Fiduciary will submit herewith the
following/in conformjty with Court Rules
adopted effective December 3/1951/being
rule No,9:paragraph b-c;and divisions
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem/if pertinent.
3.Copy of Order appointing Trustee ad
litem/if pertinent.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.or on attest copy of Will.
6.Copy of inventory and apprc:iisement.
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 ore from judicial
sale of real estate.
9.Signed and itemized elections if any
distribution in kind.
10.Copy of Federal Estate Tax return ifes-
tote is subject thereto.
JAMES R.DONAlDSON
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Attorney.,.
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY)PENNSYLVANIA
ORPHANS'COURT DIVISION
"
ESTATE OF
HALLIE F.BOOTH)
(
)NO'.63-68-969
Deceased.
..
(WASHINGTON,PENNA.NOVEMBER 13,1969
NOT ICE
c
NOTICE is hereby given that the Accountants)whose names appear below)
have filed their First and Final Account,a copy of which is enclosed,to the
above number;that said Account will be presented to the Orphans'Court for con-
firmation on MONDAY,NOVEMBER 24th,1969,and will be audited the week commencing
DECEMBER 8th,1969.
you may appear if you so desire at the time of Audit,but it will not
be necessary for you to do so,unless you want to take exception to the Account,
or to any claim which has been presented,or to present a claim of your own.
MARY BOOTH WILEY
NELLIE BOOTH SMITH
Executrices
JAMES R.DONALDSON
614 Washington Trust Bld&
Washington)Penna.15301
Attorney
t'
Q!nmmnnwtu1t4 nf JtnnSYluania.}lili.Ihtli~tn!ltnl1 cnnunty.
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
,~
on the 17th.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
Hallie F.Booth
late of Amwell Township in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
the
IV1a;y Booth Wiley and Nellie Booth Smith
trices ,.
ExecuQUr in said Will and Testament named,having appeared before me and taken and subscribed
the oath of office prescribed by law;
NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do
grant these LETTERS TESTAMENTARY,unto the said
Mary Booth Wiley and Nellie Booth Smith
committing unto Them the administration of all and singular 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 hom the date hereof,and to regard and comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal
of said Office at Washington,this 17th.
day of July
nine hundred and Sixty Eight
III the year of our Lord one thousand
~..:9h;h~__-A....................................................................................................................._~:r:::..r~""'"U
Register
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I,HALLIE F.BOOTH,of Amwell Township,Washington County,Pennsylvania,do
hereby make my Last Will and Testament and revoke all Wills by me at any time
FIRST:
be paid as soon as may be convenient after my decease.
SECOND:It is my Will that should anyone,or more,of my children,after
the signing of this Will,provide care for me during illness or by reason of ad-
vanced years that such child or children shall be compensated out of my estate in
a reasonable sum for such services.
THIRD:All the rest,residue and remainder of my estate,rea"!and personal,-
I give,devise and bequeath in equal shares to my children,HARRY WILLIAM BOOTH,
EDNA BOOTH ARNOLD,MARY BOOTH WILEY,FLORENCE ROMAYNE BOOTH,MILDRED BOOTH DAVIS
and NELLIE BOOTH SMITH.
FOURTH:I nominate,constitute and appoint my daughters,MARY BOOTH WILEY
and NELLIE BOOTH SMITH,Executrices of this my Last Will and Testament,and di-
rect that my personal representatives shall not be required to enter security in
any jurisdiction in which they may act'.
\IN WITNESS WHEREOF,I have hereunto set my hand and seal this 19th day of
April,'1963.'
ti .-..~/~,//./7 .'ft0Jl~'5 ~)o'.
(Hallie F.Booth)
Signed,sealed,published and declared by the above named Testatrix,as and
for her Last Will and Testament,in the presence of us,who,at her request,in
her presence,'and in the presence of each other,have hereunto subscribed our
names as witnesses thereto.
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;Affi~uuit (@f 1£xrrutnr (@r A~mini!itrutnr
~tatt of 'ttttta!Jlttattta,~as:
a!ottttty of Dlfsa4tttgtntt \
Personally before me,the undersigned authority,a J'!2.~.~.EY.!'.~~.!.;£in and for said
County and State,appeared M.~K¥.~.QQTI:!W.!.Hi:I•.~~.~~.!:!:!~~.9.Q~~~!.~who,being duly
sworn according to law,deposes and says that t he y ane the executor;ox~imm:llDXof the estate of
................................R4~~l~f..~J~QQ~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of ~!-!-.!~E.'.~~gg.~,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item
of real and personal estate in the foregoing schedules are determined and stated by the undersigned to
be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each
item made by the above ?amed Executop ~\~~~,~_,.I,_~
Sworn and subscribed before me.thiS......~I~\If~'~~A·"~TT.:uJ
day ~.....~..<;J;.~9....~....~..'f.....7J..._r....fi~·..1 "'§'~:~~~.:';:~"".~~._~
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-.\'l~IONAL INSTRUCTIONS .
1.An inventory inust be filed within three months after appointment of personal representative.
2.A supplemen!al inventory must be filed within thirty days of discovery of additional assets.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 ,Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
'lIuueutnrg nub l\ppraisemeut of the goods and chattels,rights and credits which
i
were of HALLIE F.BQQ.TH late of ;~.~J.!~'J;.~~.~h.~p..1..
Washington County,Pa.,taken and made in conformity with the above affidavit.
.J
DATE OF DEATH:June 28th,1968.
PERSONAL PROEERTY
LIVING ROOM:
Living Room Suite
Small Stand
Small Radio
.'Sewing Machine
DOLLARS
-5
1
2
1
CENTS
00
00
00
00
KITCHEN:
Refrigerator
Table &Chairs
Stove
Cabinet
Dishes
Kettles
'."'~..
BEDROOM:
Bed
Dressers (2)
Bedclothes
Clock
Ironing Board
Washing Machine
Sweeper
Heating Stove
Carr'd.For'd.
25 00
3'00
2 00
1 00
10 00
I
5 00 I
I
5 00
10 00
15 00
1 00
1 00
3 00
10 00
2 00
102 I 00
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t:t'j $;:I
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10
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Brought Forward
Lawn Mower
1 -$100 U.S.Steel Corp 4 5/8Sub.Debenture -due 1996
Check U.S.Steel Corp.for July 1st payment on above'debenture
Savings Account #S-1505 at First Federal Savings &Loan Assoc.
of Washington,Pa.
Dr.Tripoli -Medicare Refund
REAL ESTATE
1/3rd interest in 66.025 Acres situate in Amwell
Township,Washington County,Penna.,excepting area
,taken f07 highway purposes.Excepting and Reserving
102 00
10 00
78 50
2 32
9,526 23
3 00
$'9,722 05
I !...
coal,'house and barn -"
TOT A L
1,000
$10,722 -
(
00
05
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63-68-969
NO.2419,
l NVENTORY and APPRAISEMENT
IN THE ESTATE OF
HALLIE F.BOOTH
Filed ,1968
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
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;:J:J..~y ---.----------verily believe.
Sworn and subscribed before me this ?Jl?~.~J~~.
day of ..g~_~9J?_~:J;'~~.~._19_..6.9 .
L.----~----A-tJ-I·~----·-·--·······-".----,-~-
#.•••..,"\-'lTII L.DA ..,".,"e..,~-'W....ngtH,Watll1qtoa ClIuaty.PI.
.Mf CommissIon Expires Mar.26,1il73
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?1~~~····--··-:~Nell1e··B-ootli-'SiiifthT---------------------
Washington County,ss:I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribe~by Statute and.J<~lrof,::ourt,>J..s evidence by proofs
thereof fried to No,-.b-:5.:-.b.?--.-g1~.
Witness my hand and official seal this .2J{f!'.~.
day af ~--(hj-~---;-191/L
......~.~_._.._---
Register of Wills
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The Court is respectfully requested to determine
proper distribution in this estate.
~L~(/Counsel for Accountant
...
The First and Final Account of MARY BOOTH WILEY and NELLIE BOOTH SMITH,Executrices
of the Last Will and Testament of HALLIE F.BOOTH,Deceased,late of Amwell Township,
Washington.County,Pennsylvania.
The Accountants are charged as follows:
PRINCIPAL PERSONALTY
To Amount of Inventory &Appraisement
Checking Account -Pittsburgh National Bank
(Omitted from Inventory)
Gain on Sale of Household Furniture
Selling Price
Inventory
Refund from Newspaper &Money in Pocketbook
Refund from Blue Cross
To correct error in Inventory Value of First
Federal Savings &Loan Account
$164.50
112.00
$9,722.05
685.08
52.50
41.00
14.55
214.34
INCOME PERSONALTY
U.S.Steel Debentur~-Interest
First Federal Savings &Loan Association -Interest
PRINCIPAL REALTY
To Amount of Inventory &Appraisement
Gain on Sale of Real Estate -SCHEDULE IIBII
INCOME REALTY
Carnegie Gas Co.-Gas Lease Rental.,
Sale of Hay
6.95
412.70
1,000.00
4,937.98
,,
125.00
122.00
TOTAL CHARGES -------------~-~--$17,334.15
The Accountants claim credit as follows:
PRINCIPAL PERSONALTY
Administrative Expenses,Preferred Debts,and
Other Debts &Taxes,as set forth in SCHEDULE IIAu $3,457.83
~-----
TOTAL CREDITS ------------------$3,457.83
BALANCE FOR DISTRIBUTION -----------------------------------------------$13,876.32
/
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,
S C H E D U L E tiN'
ADMINISTRATIVE EXPENSES:
10-17-69 Old Elizabeth Mutual Fire Insurance Co.Fire Insurance
11-25-68 Old Elizabeth Mutual Fire Insurance Co.Fire Insurance
11-25-68 West Penn Power Company
1-29-69 Mitzie Chambers Insurance Agency
1-29-69 West Penn Power Company
1-29-69 Nellie Booth Smith
3-18-69 Mary Booth Wiley
4-21-69 Lone Pine Fire Department
Electric Bill
Liability Insurance
Electric Bill
,
Reimbursement for Credit Report
Reimbur~ement "for Electric Bills
Putting out fire on farm
$21.00
1.06
27.00
1.06
1.60
2.12
50.00
21.00
James R.Donaldson
'.,
C<;>s ts Advanced:
7-17-68 Russell Marino,Register 2 Short Certificates &Letters
10-17-68 Edith L.Dague Notary
10-17-68 Russell Marino,Register Filing Inventory
12-10-68 Observer Publishing Co.Advertising Letters
12-10-68 Washington County Reports Advertising Letters
Wash.County Reports Copies
10-21-69 Edith L.Dague Notary
$18.00
4.00
4.00
14.00
14.00
2.60
_~2;:..;;.0;..;;.0 58.60
Mary Booth Wiley
Nellie Booth Smith
James R.Donaldson
Russell Marino,Register
PREFERRED DEBTS:
7-30-68 John Shrontz
OTHER DEBTS &TAXES:
7-30-68 Malcolm L.Morgan,Treas.
10-22-68 West Penn Power Company
10-22-68 Curtis C.Cowen,Tax Collector
1-29-69 Mary Booth Wiley
6-20-69 James Quinet
7-8-69 Curtis C.Cowen,Tax Collector
7-23-69 Malcolm L.Morgan,Treas.
Executrix's Commission
Executrix's Commission
Attorney's Fee
Filing Account
Funeral Bill
1968 County Tax
Electric Bill
"1968 School Tax
Reimbursement for Electric Bill
Grave Stone
1969 Road Tax
1969 County Tax
TOTAL -------------------
433.37
880.00
18.00
1,169.00
27.28
1.06
93.24
175.00
12.32
30.69
$3,457.83
•
'.
S'C H E D U L E "B"
SALE OF REAL ESTATE
SELLING PRICE
DEDUCTIONS:
$20,000.00
I
Fether1in &Carl -Commission
Attorney's Fee
Vendor's Share of 1969 Taxes (Bal.)
Share of Estate -1/3rd interest
Inventory Value
$2,000.00
115.00
71.04
$5,937.98
1,000.00
2,186.04
$17 ,813.96
GAIN ----~---------$4,937.98
,,.,
/..
Washington County RepOrtS
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.
1784 Sec.3.paragraphs (3)and (25).
COUNTY OF WASHINGTON )
STATE OF PENNSYLVANIA (SS.
Personally appeared before me,a Notary Public in and for said County and
Commonwealth,CHARLES C.KELLER,who.being duly sworn,deposes and
says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the
official legal periodical for said Washington County.publis~ed weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act-
ing as its agent in t'his behalf;that the said WASHINGTON COl'NTY
REPORTS was established on March 31,1920,and was designated as the official
legal publication for Washington County,Pennsylvania,by order of the several
courts of said County,dated November 11,1920;that the printed notice or adver-
tisement attached hereto is a copy of a notice or advertisement,exactly as printed
or published,which appeared in the said legal periodical in its regular issues on the
following dates:
............P.~.9.~!!!Q.~.r...J.~.A f.9.A J~.Q§.
..._J.~DW!r.y f.1-1~.9.~.
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of .sai~notice or advertis~",~nd tha..t all of the allegations of,hi,,ffid,"i,,,"~''''''f!?'hi-lr 'io "'ru,.
Editor
Sworn to and subs ibed before me this
....~~~y of...J..~mg~.r.y.196 ~.
...../]£{.li~=".t!U-=.
.~NotaTY Public
KATHE~mE C.YARD,rioo!ary Public
Washington,Washington Co.,Pa.'1y Commission Expirest-!gv~mber 1,1969
Estate Notices
The Register of Wills has granted letters,
testamentary or of administration,in tht
following estates.Notice is hereby given
to all persons indebted thereto to make
payment without delay and to those hav-
ing claims or demands to present them
for settlement to the Executors or Admin-
istrators or their Attorneys.
•• ••• •• • • • •• • • •• •
W.26752
Observer -Reportt/r
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the News,paper Advertising Act of 16 May,1929,
P.L.1784,illS amended.
Commonwealth of Pennsylvania,County of Washington,SS:........••..
Personally appeared before me,a Notary Public in and for said County
and State,..Ric.h.ar..d S..•.....GQ:w.an ,who being duly sworn
according to law,deposes and says tha;t he is the S..e.CI.e.t.ar-Y-.
of the Obs:erver Publishing Company,a Piennsrylvania corporation,and its
agent in this behalf;that the said Company is the owner and publisher of
the Observer·Reporter,SUCCIessor to The Washington Observer,established
September 18,1871,and The Washington Reporter,established August 15,
1808,a daily newspap'er of general circulation,printed and pUblished and
having its place of busines's at Washington,Washington County,Pennsyl·
vania,where it or its predecessors have been established and published
corutinuous'1y for more than six months'prior to the publication of the notice
hereto attached;thaJt the printed notice or advertisement hereto attached
is a copy of an official advertisement,official notice,legal notice or legal
advertis,ement,exactly a:s printed or published in the Obslerver·Reporter in
its regula;r editions on the following date or d'ates;.
....................P..~.~.~.mp..~r.l~.,\J.9.~.p..g ~.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 aUega·
tions'of this affidavit as to the time,place and character of publication
are true..t;,?k.:6,"J..,l..;lc?~.
..26 DecemberSworntoandsubSCrIbedbeforemethlSdayof.
....~.~..d.7tt.~d~.
MARGARET M.BRADLEY,NOTARY PUB.kl6
WASHiNGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6,197t
'5:"",k..../~~A
E;tai~~;JEC%TI~ESFr:~~8i?Hde:'
j'cell~'ed,',of Amwell-Township,(),:Washin County,Penna.'
r '~'Lette estamentary upon,the
(aboveest<ite"'having been granted'to :ur.dersigil!id,notice is hereby
gt 9~hPs,.e"in,<,!e,bted ,thereto,to,m mmedlate 'p~ment;and to,thaviirg~claimsrbrdemands to
prese "'"them~'fo,rW;ettl,'e,ment.'
MARY BOOTH wIgl;y''''~J'~~1~r~~O~~6;~ii!U~1.
,R.D.#1 .
Marianna.Penna.15345'.:Executrices
JAMES R.DONALDSON.Attorney~614 Washington Trust Bldg.
I Washington,Penna.15301
68293·Thurs.·3T
1968
-lin t1lr·.®rpl1aun"QJonr!of Rhtfilliug!olt QIOlttttt1.
In the matter of the Audit of Account in
Estat.e of 'HALLIE F.BOOTH
TO THE AUDITING JUDGE:.
63-68-969¥'avVVVVNVNNo.,------''--_-..1.~'It~,...'A\olJ!O.
Enter -=In:.<y appearance for_--:-_J,A:lJC~'c"",Ol.l.U.I.!'.un...t.ga~Du.t..,S...··_.~~"___"~~_
:.
······/~~Gf~·/:.~./.-....~tlr day of .Decembe~.._-''.19--69-
N.B.-Counsel shall,by separate paper,present a concise statement of each
claim.with supporting calculation of any interest claimed.Objections
to an ·account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
.ment in that regard.
.,-..'
I
ESTATE OF
~u tl1t Qtnurt af Qtammnu JUtas af lIas11iugtnu Qta1Udy,
'tuusyluauia,OOrpqaus'Qtnurt Ilittiswu
63-68-969tNo.,_--=..:::.-..::...:::..--:..~.:-..._
deceased.
In the matterofthe First and Final
Account of Mary.Booth WIley &Nellie
Booth Smith,Executrices
ADJUDICATION AND DECREE
And now ,Tannery z.t ,19~,this matter came on f~rheari.ng,
audit and distribution at this session and testimony token;and thereupon,upc:n due con.slderatlon
thereof the balance for distribution in the hands of the Accountant IS determined to be
$',.3,90 7.72 .and the aCCOL,lnt is acco rd ingIy confirmed;and it is o~dered,
adjudged and decreed that the said balance be paid,out by the Accountant in ac.cordance With .the
schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be flied
sec.reg.or'an appeal be tak~n herefrom sec.leg,
~~r()
SCHEDULE OF DISTRIBUTION
Balance per account:---:....I
Additional debit askE'!d at audit'
Additional credit asked at audit
Balance'_
Deduct Clerk's Costs &Receipts~_
James R.DonaldsonAttorney'--=_
Russell Marino,Agent,transfer inheritance tax,
$481.27 Interest from 9-28-69 to 2-8-70
10.44
$13,876.32
7$0.00
$12,63$.01
210$.84
2:r05~6~L_
210$.84
210$.83
210$.83
210$.83
Mary Booth Wiley and Nellie Booth Smith,Executrices,
reaward for income tax contingencies.After the tax
is fUlly settled and the accountants liability ceases,
the balance of this reaward remaining shall fol~ow
the decree of distribution herein·made as it re~ates
to the proportionate shares in the residue and ~o
further formal accounting to the Court shall be
necessary.of this fund,
Harry William Booth,son,1/6 residue,
Edna Booth Arnold,daughter,1/6 residue,
Mary Booth Wiley,daughter,1/6 residue;
Florence Romayne Booth,daughter,1/6 residue,
Mildred Booth Davis,daughter,1/6 residue,
Nellie Booth Smith,daughter,1/6 residue,
No balance
N
).
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c CD
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~
..
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0.....
0-1"
=
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~~
S~a~
.,//
.,~,;
~..
..'
...;
..
IN THE COURT OF COMMON PLEAS OF
WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
NO.63-68-969
ESTATE OF
HALLIE F.BOOTH,
Deceased.
~Ii..~~»J:~~-::s:rt1
Zz:l>(I)
G)Q :I-t-fo;:o.0 0 ::u,~z z .
."'it !:!0'III C :I>0,Z!!l -f z'~lD~>-<S~rrG0_~z (I)
'Z Q 0):Z
.~
I•
'\
WAIVElS OF RIGHT FOR COMPENSATION
~NDER PARAGRAPH SECOND OF THE WILL
'ltd "jr NOiCNIHS'\f)'~
..-l~.:In ")r~1-......·C\7"'~r.s 1.1J,.,_.y '~,.1...,SIv.:t .1
{):N PJ !?1;";)'f ;:Ssn},J
"
""
.,..
,"
6t Z
JAMES R.DONALDSON
ATTORNEY AT LAW
WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA
d HZ N~r OL,.I.
.e a.''.."..."f:{"'.~.!r,"'"'j --~--.f ~I .....i
l'i ..".I \V
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
'c.
ESTATE OF
HALLIE F.BOOTH,
Deceased.
)
(.
)
NO.63-68-969
WAIVER OF RIGHT FOR COMPENSATION
UNDER PARAGRAPH SECOND OF THE WILL
The undersigned,being one of the children who provided care for the
deceased during illness and by reason of advanced years,hereby renounces and re-
linquishes any right to make claim for compensation out of the estate of the de-
ceased and requests the Orphans'Court to make distribution without making any
provision for her under paragraph SECOND of the decedent's Will.
The consideration for this release is that no claim be made by any
other child under paragraph SECOND of the Will,and if such claim be made then
this release shall be null and void and of no further force and effect.
i (Nellie Booth Smith)
November Ji{,)..T·__,1969.
•4
•
Cc -•.~-',~
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
HALUE F.BOOTH,
Deceased.
)..
(
)
,
NO.63-68-969
WAIVER OF RIGHT FOR COMPENSATION
UNDER PARAGRAPH SECOND OF THE WILL
The undersigned,being one of the children who provided care for the
deceased during illness and by reason of advanced years,hereby renounces and re-
1inquishes any right to make claim for compensation out of the estate of the de-
ceased and requests the Orphans'Court to make distribution withoutmaking any
provision for her under paragraph SECOND of the decedent's Will.
The consideration for this release is that no claim be ~de py any
other child under paragraph SECOND of the Will,and jf such claim be made then
this release shall be null and void and of no further force and effect.
;viNovember:J-J..f .,7 ,1969.
,1
..
/
..,l,1
.~f.
IN THE COURT OF COMMON PLEAS OF
WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
NO.63-68-969
ESTATE OF
HALLIE F.BOOTH,
DECEASED.
PAY TRANSCRIPT
..'
.'':~J
{".....,.....lO.
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..........4..•.•'.
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'.JAMES R.DONALDSON
ATTORNEY AT LAW
WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVA~
£~-~_7~'/I
..
---~
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
HALLIE F.BOOTH,
)
<NO.63-68-969
DECEASED.)
PAY TRANSCRIPT
The undersigned hereby acknowledge to have received from the above Estate
the amounts awarded to each by the Adjudication and Decree of the Orphans'Court at
the above number,said amounts appearing opposite the signatures of the undersigned.
Russell Marino,Clerk o.C.,Costs $
Russell Marino,Agent,Transfer In-
heritance Tax,with interest from
9-28-69 to 2-8-70
Mary Booth Wiley and Nellie Booth
Smith,Executrices,reaward,Ior.
income tax contingencies ')
Harry William Booth,son,1/6
residue '.
2,105.84 ~_(_RE_C_E_I_P_T_A_T_T_A_CHE__D_)_
Edna Booth Arnold,daughter,
1/6 residue . ''t
2,105.84 ...,.'__<_RE_C_E_I_P_T_A_T_T_AC_HED__)_
t.&
<RECEIPT ATTACHED)2,105.84 -------------------
Mary Booth Wiley,daughter,
1/6 residue
Florence Romayne Booth,
daughter,1/6 residue 2,105.83 <_R_EC_E_I_P_T_A_T_T_A_CHED__)_
Mildred Booth Davis,daughter,
1/6 residue 2,105.83 <_RE_C_E_IP_T_A_TT_~_C_HE_D_)_
Nellie Booth Smith,daughter
1/6 residue 2,105.83 <_RE_C_E_I_P_T_A_T_T_AC_HE_D.;...)_
•-j.
~---------------.
)'..';
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS 1 COURT DIVISION
"
":;'.f •~.•
ESTATE OF
HALLIE F.BOOTH,
DECEASED.
)··(··)
NO.63-68-969
R E C E ~I P T
KNOW ALL MEN BY THESE PRESENTS,that I,HARRY WILLIAM BOOTH,hereby
acknowledge to have received from MARY BOOTH WILEY and NELLIE BOOTH SMITH,Execu-
trices of the Estate of HALLIE F.BOOTH,the sum of $2,105.84 awarded to me under
Decree of the Orphans I,Court Division of the Court of Common Pleas of Washington
County,dated January 28,1970,at the above number,and I do hereby authorize and
empower the Register of Wills in and for said County to enter and file this Receipt.
IN WITNESS WHEREOF,I have hereunto set my hand and seal at RD 1-..:.:::=--=----
_B_u_r.....;g;...e_t_t_st_o_w_n....;.,_P_a_.,this _---:7_t_h_day of _A;;.;;;;..p,;:;;,r..;;;1..;;;1~,19__7_0__
'I
, ,.,J1
SWORN ANJ)S,Z;'S.CR1Btp)lEFOllE M£THIS .,,'D"Df_""i~~!'~??i~~
I
HUGH A.HITCHCOCK,Notary Public
Hanover Twp.,Washington Co"Pa•
.My Commission l:xpires July 13.1973
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
HALLIE F.BOOTH,
DECEASED.
)
(
)
NO.63-68-969
R E C E I P T
KNOW ALL MEN BY THESE PRESENTS,that I,EDNA BOOTH ARNOLD,hereby
acknowledge to have received from MARY BOOTH WILEY and NELLIE BOOTH SMITH,Execu-
trices of the Estate of HALLIE F.BOOTH,the sum of $2,105.84 awarded to me under
Decree of the Orphans'Court Division of the Court of Common Pleas of Washington
County,dated January 28,1970,at the above number,and I do hereby authorize and
empower the Register of Wills in and for said County to enter and file this R~ceipt.
-x'-_,.....
IN WITNESS WHEREOF"I have her:eunto,set my_.hand and seal at _
.,'\...•.',I~eLL~:dtj~/',this g-'~ay of 'f2jM;..L ",19 7.0
..
1 "
,.
,.
~~~~Lik~(SEAL)
WITNESS:
(Edna Booth Arnold)
r------------------------------------~-------
,,
.-',
>..,.
",,'a ,,
~t '""
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
HALLIE F.BOOTH,
DECEASED.
)
(
)
NO.63-68-969
R E C E I P T
KNOW ALL MEN BY THESE PRESENTS,that I,MARY BOOTH WILEY,hereby ack-
now1edge to have received from MARY BOOTH WILEY and NELLIE BOOTH SMITH,Executrices
of the Estate of HALLIE F.BOOTH,the sum of $2,105.84 awarded to me under Decree of
the Orphans'Court Division of the Court of Common Pleas of Washington County,dated
January 28,1970,at the above number,and I do hereby authorize and empower the Re-
gister of Wills in and for said County to enter and file this Receipt.
IN WITNESS WHEREOF,I have
?;~~,;:~,this
d
hereunto set my hand and seal at _
3dday of -.....:cr;t;r.~;.l;:I?<:...::;(~--;·19 7 {)
_\....-.....l-yY:_2-1f/_.-':M;.,.I,I_-~.!!.:(/.J.::.;;..>1.:...~_~_.._-_.J_....IA~..;::;:~;".;../'1_"_·~..:=::-'~/4-f (SEAL)
V(Mary Booth Wiley)
WITNESS:
I.,
,,
I,,.
"
,,~...
.;-'"~.I·,.,.1-';
i·'•
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS I COURT DIVISION
ESTATE OF
HALLIE F.BOOTH,
DECEASED.
)
(
)
R E C E I P T
NO 63-68-969
KNOW ALL MEN BY THESE PRESENTS,that I,FLORENCE ROMAYNE BOOTH,hereby
acknowledge to have received from MARY BOOTH WILEY and NELLIE BOOTH SMITH,Execu-
trices of the Estate of HALLIE F.BOOTH,the sum of $2,105.83 awareded to me under
Decree of the Orphans I Court Division of the Court of Common Pleas of Washington
County,dated January 28,1970,at the above number,and I do hereby authorize and
empower the Register of Wills in and for said County to enter and file this Receipt.
IN WITNESS WHEREOF,I have hereunto set my hand and seal at _
~~•this "day of ,a~l .19 70
.~;,
WITNESS:,.c;Iu~
..",
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,'PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
HALLIE F.BOOTH,
DECEASED.
)
(
)
NO.63-68-969
R E C E I P T
KNOW ALL MEN BY THESE PRESENTS,that I,MILDRED BOOTH DAVIS,hereby ack-
now ledge to have received from MARY BOOTH WILEY and NELLIE BOOTH SMITH,Executrices
of the Estate of HALLIE F.BOOTH,the sum of $2,105.83 awarded to me under Decree of
the Orphans'Court Division of the Court of Common Pleas of Washington County,dated
January 28,1970,at the above number,and I do hereby authorize and empower the Re-
_~-~~"~~',+:--~~.~-~J"""",,-~_";.~~'';-.,..J"__(SEAL)
(Mildred Booth Davis)
WITNESS:
~'it'.',...•..~-.'"
I ,
"'.
•'.l:_,I'"
"...~...',\'
~~._t-...,'../-.~
~,."
.."",,:$.'~A,,"l;".-:-...
~\-'-\
J'oJ t
,,
,I I II'
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
HALLIE F.'BOOTH,
DECEASED.
)
(
),..NO.63-68-969
I have hereunto set my hand and seal at _
~..
..
KNO~ALL MEN BY'THESE PRESENTS,'that I,.NELLIE BOOTii SMITH,hereby ack-
,•'>,'"
""~..-.nowledg~to have received from MARY BOOTH WILEY and NELLIE'BOOTH SMITH,Executrices
of the Estate of HALLIE F.BOOTH,the sum of $2,105.83 awarded to me under Decree of
the Orphans'Court Division of the Court of Common Pleas ~f Washington County,dated
January 28,1970,at the above number,and I do hereby authorize and empower the Re-
gister of Wills in and for said County to enter and file t~is Receipt.
.IN WITNESS WHEREOF,
-1r)~'./-I-AAJ)",""~~A_'.4~./V\::;...&....-'-'0:t&t2;...L.....;:-=~._'this -1+-'-day of --,-1l4.f~:;.MV>:..L.d-;"""£_)"----'19 7a
!
WITNESS:
, I
~IiIFormRCC-33'
RESIDENT DECEDENT
•.0.
II)
COMMONWEALTH OF PENNSYLVANIA...II
,DEPARTMENT OF REVENUE~BUREAU OF COUNTY COLLECTIONS
COUNTY OF WASHINGTON
J
IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the
Register of Wills of the County where decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
..the.lnheritance.an!iEst,ate Tax Act of 1991.)
HAt£IEO==;~;~:~:::~:OF ··c··o"gn·....·t..y..·}~
Late of Amw..ell Townsh.ip,.W.IiJ.b.hlg~QJl ..
......MARY...BOOTH....WILEY....and...NELLIE....B.O'OTB....SMITH.....
Jlll~of the estate of the above-named decedent being duly sworn,depose
,
!'J,b3 --/tJ /
and say
\},.....
)
/
Executor S
Decedent dJed Jun.e.2.8.th..
(Month)
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
(I~'y)"'"''''''''19.("~~).....,{~~aVing a last will,copy of which is hereto attached.}=
JAMESR.··DONALDSON ..
614 washington Trust Bldg.,Wa.shington,.Pa.•..15301......
are
That as such ~~~£~.tQr..~deponen1slUt familiar with the affairs of said estate and the property con-
(Ex"""tor·Administrator)
stituting the assets thereof and their fair market value.
That atthe time of death there was no safe deposit box registered in decedent's individual name,or jointly
with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent
or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the folloWing,for the reasons hereinafter set forth:
.That :\hedUle A attached hereto and made part hereof sets forth fullv and in'detail all the
real property in'-\!f Commonweal th of Pennsylvania of which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving
,the amount still du~at death,name of mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
o t!deposlt,savings banks;trust companies,or 0 ther institutions,whether individually,or in trust for,.........any other person or persons giving also separately the accrued interest thereon,if any,down to tli.t last
interest day prior to-decedent's death in the case of savings banks,and to the date of decedent's neath.....in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of:in-
debted;ess of theUnlted States'to·the decedent;all obligations,whether by statute or agreement ~hey
are designated as tax free,of the United States,or any state,or political subdivision thereof,or of
-<:'any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,;pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any ,,/-n'd all
other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated
market value thereof;all bonds and mortgaj!es held by decedent and of all claims due and owing decedent
at the time of death,and all promissory notes or other instruments in writing for the payment of money
of which decedent died possessed,.of whatsoever nature,with interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such estimated fair market value be less than the
face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable
to the estate from life insurance policles carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
value ;thereof at such time.
"
L
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,and such 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 answ'e~to each inquiry
contained therein and in the case of transfers ofproperty,real or pe'r~onal,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 ~ach"transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transf~rs intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a copy
of the deed,trust agreement or other instrument creating the trust.Therl~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 instrunient 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 ail property,real and per-
sonal,owned by the decedent jointly with another or others,including intangibie,standing in the name
of the decedent and others,plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-'-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fUlly and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary'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 unpaid at time of
~..
death;taxes accrued charge.able for period prior to decedent's death (except.those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for Obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission 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 columns in Schedules "A","B","en,"E",and "F"as directed therein,.
have been ca"ied fo,.a,d and p,ope,1y ,egi,te,ed in the summa~~~'
Subscribed and sworn to before me this I:l~...hh ~E -R.D.#4,Was ~on,Pa•
................;day of O.c.t.ob.er 19..6..a......../lJ~...... .,b4(J .DAGUE,Notary PUJliCpam~•••;i!..LjJ"",g)·········If'~~;=·.:;~:,,;,It.,Il,~l'~n.~_'m _
.-f\~.Executors
...................................................................................................................................
~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"
RCC-34 (1-64)
COMMONWEAL.TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE IIA"
~EAL PROPERTY
Real property in Pennsylvania,with statement of mortgClge encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the de.cedent as tenant in common with another or others,shou.ldbe identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commo!"wealth of Pennsylvania should be
described by lot and block number,street and street number,together wi th
a general description of the property,with a reference to the recor,d of the
conveyance by which the decedent took title;If a farm state number of a-
cres;also statement of mortgage encum~rances upon each parcel at death
of decedent.Taxes,assessments,accrued interest on mortgages,etc.,are
to be listed on Schedule IIFlO and must not be deduct.ed from this ·schedule.
1/3rd interest in 66.025 Acres situate in
Amwell Township,Washington County,Penna.,excepting
(1)(2)(3)/
DEPARTMENT
ASSESSED VALUE VALUATION
FOR YEAR OF ESTIMATED CAUTION
DECEDENT'S MARKET VALUE (Do not write
DEATH In this space)
-
area taken for highway purposes.Excepting-and Re-
serving coal,house and barn ~:~~.:1-m"IA.>f:I
OA-sJM Y3·¢,/~3.fl ~
I .
,,..
.J JSO.OOIi
.,
I
V
.,.
,,
Insert this total opposite II rea l property",Schedule "A"in the X X X X X
liAs Reported"column on the last page of this return.1,000.00
..
RCC-35
CpMMONWEALTH OF PENNSYLVANIA-
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "n"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,paintings,automobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,•stocks,'mortgages,~otes,together with accrued interest or dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the time of death,should be listed in this schedule.
Item
No.
ITEM
List and describe fully
LIVING ROOM:
Living Room Suite
Small Stand
Small Radio
Sewing Machine
KITCHEN:
Refrigerator
Table &Chairs
Stove
Cabinet
Dishes
Kettles
BEDROOM:
Bed
Dressers (2)
Bedclothes
Clock
Ironing Board
Washing Machine
Sweeper
Heating Stove
Lawn Mower
1-$100 U.S.Steel Corp 4 g/8 Sub.Debenture-dul
Check U.S.Steel Corp.for July 1st payment on
above debenture
Savings Account #S-1505 at First Fed.Svgs.&
Loan Assoc.of Washington,Pa.
Dr.Tripoli -Medicare Refund
UNIT
VALUE
1996
ESTIMATED
MARKET VALUE
5.00
I 1.00
2.00
1.00
25.00
3.00
2.00
~.1.00
ft.'10.00.t.5.00
~
5.00
10.00
15.00
1.00
1.00
3.00
19.00
2.00
10.00
78.50
DEPARTMENT VALUATION
(Do not write in
this space)
.....roO
/.60
0("1.0 0
//06
of5·00
..J-<:>0
of·0 6
/.ao
/0 00
:;.00
s:(:)0
;0.00
15.0 (j
I,00
j_0 0
.S 0 (}
/0.6 0
~.66
10.00
J f.56
C/..J:{
u S,JC,237/
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X $9,722.05
RCC-.3&,
,COM'IfON1\'K\LTH OF PENNSYLVANIA
Tfu\NSl~R INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDULE "c"
TR.ANSFERS
(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)~n~e~'__
(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)_...D..,.O...__
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age of decedent at time of transfer _
(b)State of decedent's health at time of making the transfer.(Note 1).
(c)Cause of decedent's death.(Note 1).
(4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)D.O
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decedent's death?-----(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no)no
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)DO
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or 0 thers -:-_
(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)__Du'~Q~__
(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)DO
(9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)_
NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property
transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans-
fers are claimed tQ be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM DESCRIPTION
NONE
MARKET VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.NONE
{:CM\lt)NWFALTH uF PENNSYLVANIA
ri\\~~rFH r:\Hl~lnT,\NCE TAX
n.F~lnE1\T DECEDENT
•'I ~
SCHEDULE "E"
JOINTLY OWNED PROPERTY
nsrRrcTro~s:This schedule must disclose all property,real and personal,owned by the decedent jointly
wi th another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule
"A",plus the date and place of record of instrument effecting vestiture,but do not include entireties
or out of state real estate value in estate valuation column.Personal property should be listed as in
Schedule "B",plus date of acquisition,and the name,address and relationship (if''any)of'co-o-wners to
the decedent.
Description of'Property,Date of'AcquiSit-io~N-~meI unit perce~t~~-'--E;tate
Address and Relationship of Co-Owners,and Place ,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
Savings Account -First Fed.Svgs.&Loan,
Washington,Pa.,in names of Hallie F.I
Booth or Florence Romaine Booth I
(ct0se~~-~~.~.$700.00 I~~&.-l'i'~~~I)
Savings Account -First Fed.Svgs.&Loan,
Washington,Pa.,in names of Hallie F.
Booth or Nellie Mae Smith &Merle F.Smith/),;;;z;;.t ~..-c-JI1 ,~t J $1500.00
!
I
I
Insert this total opposite "Jointly Owned Property",Schedule "E"
in the "As Reported"column on the last page of'this return.850.00
-------------------------,.
RCC.,.37 .(12-63)
COI\1.l\IONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
BENEFICIARIES AND ADDRES&ES _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
DRRY WILLIAM BOOTH Son Yes 1/6th residue
102 Xanthia Way
Weirton,W.Va.26062 ...
"...
EDNA ARNOLD Daughter Yes -1/6th residue
221 Hutchison Ave.
Canonsburg,Pa.15317
MARY KlII'ITH WILEY Daughter Yes 1/6th residue
Box 111E -R.D.//4
Washington,Pa.15301
FLORENCE ROMAYNE BOOTH Daughter Yes 1/6th residue
320 Bridge St.
waynesburg,Penna.15370
DAVIS Daughter Yes 1I6th residue
Box 131 Godfrev.Illinois
NRl.l.TE BOOTH SMITH Daughter Yes 1/6th residue
R.D.#1,MaT~>:Inn~'Pa 15345
\,
-
(
h
Deponent further says that all the above-named beneficiaries are liVing at this time except below:
NAME DATE OF DEATH RESIDENCE
l --'---__
~IATTER OF THE APPRAISEMENT
HA~~ll!:.F~.»OOtIi .
Deceased
OF THE
ESTATE OF
p",.•
tfo"tl.
:(DH:rt"4
~...,'"t:l ~o ....(1)(1)I-'.~~~l:l ~0 -
rt ~~'"t:l....(1)~....~....-0"'I til '"t:l 16'"'.....i ~....'<
(Executor-Administrator
must complete "As
Reported"column #1.)
t%j
til....~....(1).
(')
'"'otiltil..,
~~CD
I
T
Year .
P.'J THE
(No.Will
~
~
Late of .Amw.~llto.Wt:1l:t1:li,P..I
enc:~
~:>
~..-........-....:-...::l:l
:Cf)W en en -<:0 ():::r ::r g.::r'... .:=nti>
.-:~:::...""-'.....,
o{I>-OO -00 -00 -00 -00 -00
"
County of Was hingt:o.IJ,
Commonwealth of Pennsvlvania.'-•
REPOjT AND APPRAISAL
)...
')
2 I·-·,~
~...j
=~I .!
rr "0(..')-Y W
l'J
L)
..
t:
I
-
Fl'Vt.
-...I.N...
o
Vt:
\o"""'~v v
00 I ....,0 ~~Vt N:O (1)......o 0 N 0 "0_•:.:.0OIOO@-o Vt0c..-
l'
"~
~
~..'
-00 -00 -fP.-00
l
..-;y 9~
--r __5'--9-------:;
..--;1709/
",
,t
-.'
~-oo
1>'-~
~.~
0..
l.J)
~~
()
('
: .>-\~.""or.:"t:l~'.('t~~..~~tv.~(..'"'-~,;-\2..,.\.V ::l\r-
oC)c..
\.AI :0
,I
,
-II
RC Coal (2-64)
COMMONWEALTH OF PENNSYLVANIA
.DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTION'S
INH~RITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
IN YOUR REPLY PLEA8E
REFER TO 37-131-7
MARY roOTH WILEY &NELLIE roOTH SMITH
(Executor ~
In Re:Estate of ~HAL=~L~I:=E~F~.~Ba~O~TH~_
_____..:::W.=AS:::.:H:.:.:IN=G~TO:::.:N::..._County - FHe No.63-68-969
You are hereby notified that the original
appraisement in the estate of Hallie F.Booth
has been filed in the office of the Register of Wills qf Washington
County on March 20 ,19-69.Said appraisement reflects the
following valuations:
Re al Est ate --:!:1...,.L7.t.:.50~.LlO~O!_.__
Personal Property ~9u,u7~2~2~.~O~5~~
Jt.Held ~._;8:::..5~O~.OO=__
Tota1 ---,__....126&.+1"",321!iol2500eLlO",,5L.-_
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date ...::;Ma=r-=ch:.:......:2:.::0:.z,-=1~96~9i:--_
DATE OF DEfll'H:June 28,1968
Note:This is not a bill.
"I Cc-39 (€..~67l'
':O.-.lt.jONWEALTH OF PENNSYLVAIllIA
TR-ANSFER INHERITANCE TAX
RESIDENT DECEDENT
BOOTH,RALLIEF.
FILE #63~68-969
Juen 28,1968
SUMMARY
I FILE #63-68-969 rmrorrr OF INHERITANCE TAX APPRAISER
I.the undersigned duly appointed Inheritance Tax Appraiser in and for the County of
#63 Washington ,Pennsylvania,do respectfully report that I have appraised
the real and personal property as reported in the foregoing return at the values set forth
;:::::to each ~~:~::the last column to the righ~;Z;T~'a(i"¥<?
06-28-68 INHERITANCE TA PPRAISER
REPOJ:{T OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for _ ,
County,Pennsylvania,,'sT'(·(·tfuJl.v report that I have allowed deductions in the amounts
claimed b~'deponent,('xc'j !is to those items where a greater or lesser amount is set forth
in the last column to tile right in Schedule "F",which greater or lesser amount represents
the sum allowed as a deduction.
Dated:
REGISTtR OF WILLS
VALUE AS REPORTED VALUE AS APPRAI SED V~A~L~U~E~A~S:-~RE~AP~P2.RA~I~S~ED!o!
$1,000.00 .~~_$1,750.00.~_$_
9.122.05.___9,722.05.___
INVENTORY
Ileal 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)
CLSAR VALUE OF ESTATE
850.00._
_.J.l.,572.05._
======._---
850.00
12,322.05 ._
======.~~======:=
Valuation of life estates or
annuities.. . . . . . .*__
ESTATE TAX ASSESSMENTS ~__
CO~WUTATION OF TAX
(,:,)As evidenced by Chari table Exemption
Certificates issued by the Secretary
of Revenue.
$=====-L
$-----cI>-1"======._~$-~----
TOTAL TAX
Less tax previously paid
BALANCE
L~ss 5%of tax if paid within
3 months after death
i<OR USE OF REGISTER ONLY
Tax on $•__!')~10
Tax on $C.:P,_o ~Tax on ~$_
Tax on $.__lR%$
Exemptions Ie-(,:,)
Total Es tate _
JALANCE OF INHERITANCE TAX DUE St ~__
Add interest at rate of 6%from
______to $_
AMOUNT OF ESTATE TAX ASSESSED $~
Estate tax paid $~~__
BALANCE DUE $_
Add interest at rate of 6%fromto $~_
TOTAL TAX BALANCE $_-_
PAID $
Fon USE OF REGISTER QNLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the
Register of Wills,for proper reason,same should be noted below,with short
explanation.
Will lAdministration~No.Year .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
..HALLIE...f~.oo01J:I ...
Deceased
Late of .AMWELL TWP •.-..
County of WA.~H:rNGT9N .
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
..
'{T
,'
Fonn'RCC-2 ',.
COMMONWEALTH OF PENNSYLVANIA DATE March 20"1969.......................................................1.........................................
DEPARTMENT OF REVENUE""'..
RESIDENT INHERITANCE TAX ~.....................w.:~~.h~.~~}?~............BuR'EAU OF COUNTY COLLECTIONS COUNTY ..............
•APPRAISEMENT FILE NO......................9.J..~.Q?:::9..9.9...........................,.....HARRISBURG.PENNA.17127
Whereas,..............................~lJ.:;i..~...¥..!!....~9..9.~.l:l...................................................................late of ............................~~.~...~...............................................
in the County of .......................w.~.~b.~.9.,;l ..........................................................................Commonwealth of Pennsylvania,having died on
the ...............................?~....~.b...............,...............................day of .........................~.~e........................................68 seized and possessed of an estate19............,
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
I
Therefore,I,.......................................w..!.~.!.....9..~r,l.~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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest.
I Unit AppralsemenlDescriptionofAssetValuesMadeforInherllanee
Tax Purpoles
$
REALTY:
1/3rd interest in 66.025 Acres situate in Amwell Twp.,
Washington County,Penna.,excepting area taken for
highway purposes.Excepting and reserving coal,house
and barn.1,750 00
PERSONALTY:
Household furniture and equipment 190.50
Check U.S.Steel Corp.for July 1st.payment on debenture 2.32
Savings Acct,First Federal Savings &Loan,Washington 9,526.23
Dr.Tripoli -Ivledicare Refund 3.00
.'
9.722.05 9,,722 05
,.
JT.HELD:
Savings Acct.-r'irst Fed.Savings &Loan ,Washington
in the names of Hallie F.Booth or Florence R.Booth 350.00
Savin~s Acct.-First Fed.Savings &Loan,Washington,
in names of Hallie F.Booth or Nellie Mae Smith &
Merle F.Smith.500.00
850.00 850 00
Total 12.322 05
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con-
fonnity with law on this ..........?'6..2<:........day of ......~~.;;::;;...........c::2 ........~6..P:~-e/e .........<........;;;..~~.~.........
:AppraiSer
~~Z··~>~!.::~b~~··..:·~:.:~t.~~~t).::::::::::::.:..::::.:::::...::,....;~:~~.:
/'(Post Ofllee)
WASHINGTON......................County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
H.~.:r.~.f...~...J3.QQ'f.H..
Deceased.
Late of
AMWELL TW'P •................................-.
Date of Death,~~.~??~.~.9(>.~.
Appraisemel!t Docket Vol.,').7..
Page,.:l:.:?~~7.No 93.~.~.99..9 .
Filed in Register's Office,~.~h ?QJ 19 9.9
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined'and Approved,.
Wrote abo.ut Appraisement,
Appeal f,.om Appraisement,.
Entered and charged,
"
"
~
AND AGENT OF THE COMMONWEALTH
DEDUCTIONS ALLOWED IN
~-~'i!fl Form,RC C.10.
-i-,•
OFFICE OF THE
REGISTER OF WILLS
OF Washington COUNTY
STATEMENT OF "DEBTS
AND DEDUCTIONS
j)
THE SUM OF ...•........$·?.If?~~t~
1-t'~/!~
M'~~~~;..
Register of Will••Ag.~t ~
ESTATE OF HALLIE F.BOOTH LATE OF Amwell Township
DATE OF FILING APPRAISEMENT October 17 t 1968 OATS:OF DEATH June 28 t 1968
Old Elizabeth Mutual Fire
Insurance Co.Fire Insurance
DATE
19p8
Nov.25
NO.OF
VOUCH""NAME OF PAYEE REMARKS
Nov 25
1969.l~n ~9
West Penn Power Company Electric Bill
Mitzie Chambers Ins.A~encv Liabilitv Insurance
_Tl:In ?q
_l~n 29
M",..,.1Q
Apr.21
oct.17
19~8
Tn1 u 1'7
.~
o~t 17
Oct.17
nA~10
Wt:lc:!+Dt:lnn Dnwer f'omnanv
Nellie Booth Smith
Marv Booth Wiley
Lone Pine Fire Department
Old Elizabeth Mutual Fire
Insurance Co.
Russell Marino,Register
Observer Publishing Co.
Electric BillReimbursement for CreditReport
Reimbursement for Electric
Rille:!
Putting out fire on farm
Fire Insurance
2 short r.ert.&Tetters
Notarv
Filing Inventory
Advertising Letters
r.ountv ReDorts Advertisin~Letters
Or-+9.1
.llllv ::l0
Washin~ton County Reports
Ml:Il'"V 'Rol,r1'Wi1ev
Nt:lll ;t:l Rnn+h ~m;t.h
James R.Donaldson
.11 M!:Il'"i no Resrister
.John Hhrontz
Copies
Notarv
Executrix's Commission
Attornev's Fee
Filinsr Account
Funeral Bill
.Tnl"~n U",l,..nlm T --Treas.1968 -T!:IV
Oct 22
o~t 2?
West Penn Power Company
f'urtis c.Cowen Tax ColI.
Ml:Il'"V 'Rnnt:h Wilev
Electric Bill
1968 School Tax
~~}~bursernent for Electric
_tl1no ')0 .T..moc:!Old n~t.Grave Stone
July 8 Curtis C.Cowen,Tax ColI.1969 Road Tax
T.'nn u~,~~,_T --....'1'l'"~!:Ie:!1969 r.Ollntv Tax
.~COMMONWEALTH OF PENNSYLVAN~A:}O'"j'r'I.IO;IV~l((&1Jf~itP-o
COUNTY OF WASHINGTON a8.
W~Mary Booth Wiley and Nellie Booth Smith
••D.U••C.'.'D.'O....,...JA DAY';~~~W;4~d~(L.S.)
I '8~Iyj IJ (}()•'
-z."J,UMA.:!._(L.S.)
--=-r,,~=........~.--..J.:::::~~~~Executrices of the Estate of Hallie F.Booth
...DAGUE,lotary pulllle
Wa.hlngton,Washington County,~9~3
My Commission ExpIres ~'ar.26.
---'-~--~--'-------'---'-~-'---"--'-'--"--:---.---_•.-.-.----'_.--.-.__.,----~~-----.-.-.----
dollarsRECEIVEDFOURHUNDRED.IlIff.ONE and 11/100
Mary Booth Wiley"Nellie Booth Smith,Exerrepresenting Pennsylvania Inheritance or
't:state Tax due from the following estate:From:--.J~IL..a.::UL,--"UlJ!Ull.l3..--U.UI-...milftAldJ.j:w:ft-_-,----=I~1
Address __6_1_4_W_A_S_HI_'·_NG_T_O_N__T_RU_S~T__8_LD_O_·-----1 2%Tax on $$---------1r..J1
1
481.27
$--------u
$,--------·Ili
$,---------IU
$--------$---------1.1
$__8_,0_2_1 1_3__$__4_8_1_._2_7__,,~
%Tax on $$---------m
Estate Tax,Act of
May 7,1927
15%Tax on
:TOTAL AMOUNT PAID
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
~us interest at th9:'~8~f69
__%from,--"I!IV:=a-:&:t-=e---,to _
.'
SEA L
63-68-969 &XIIXIIFileNo.__---'-Date of Death ---l
WASHINGTON.PENNSYLVANIA 153 1 6 %Tax on
No me of Decede nt _--:HA.:.:.-=L=-=L=-.:I=-I~F=_..:....._8.=.00-=-=...::.1'.=.:8'----__--1
February 11.1970Dateofpayment --1
Remarks:
County li--.:..'A--.:..S:...:.H:.:.:..I:.::..N:.::..O..:::..T..:...O.:..:.N~___1
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$,__l_O_.44__~f
$491.11 !~
'=====liU.11
NOTE:This Triplicate Receipt to be rel~inedlor ciu~it-purp!,~i.....1.31.•7...,/0.----.-"1.'.£,'/l.,fl
$'.,~.,/j)~(
I ,'..'./Received by,.:-\d/\t~J ~.;'a,P~""':.Q
NOTE:In accepting the transfer inheritance tax on f~ture estates,prior to the death of the life~";'-(Sig nahJ~.;
tenant or tenant far years,as evidenced by .this receipt,it is understood that the Cammonwealth shall J F 'I )/}Ii
nat be p.recluded or prevented from hereafter assessing additional.inheritance tax at the death ofth~,')<,il'If\,;,';j(..),-t-!./VI/A)
life tenqnt or tenant for years whenever it appears that such'additional tax may be legally due and ...A:::(\"(Title»:J..
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