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HomeMy WebLinkAboutOC1968-0985 - ESTATE OF HILLS--.~-~..--.-,.----;-----.--.,.----,-•...,...h~, PETITION SUR AUDIT .,.~ '"'IN THE ORPHANS'COURT OF WASHINGTON COUNTY Estate of ~p.Rn~·~~__.HI~~_$:. Deceased No...--9)-:--§-~-::~-?-~-.----..---: -_._.._A.A. Fiduciary...._J..)Jr;y_:.M.9:~...Kt.:ng.,_._J;:.~~_QY.t~.:lK_. ..---__..-_-__ _-'O_~~._ . Date of Dote of Decedent's death._g.~1y_..~.~.I••)·.~.§.?_.__._.._..Grant of Letters._.__._..'!.~.~y.._.~.~.!J~_~.~_ _ . This is the.._.....¥.:~_~~_"!:.._~~9-...~_~~_~!.__.__..___.__...._.__..account filed in this estate If there have been former accounts filed in this estate,list file number or number and term.__ _..:..__.___. ._ _.._..____ __.__._.__..__.__.__N.QD-.~._.._..__. ___._.__....___.._.__.._._ _._.._..__..__._. xa~fPf6C~ W.~K&M~H~~(cross out one) Date Election.Place of; Filed __~9_~~_._.._.._._.Record __._. Name of s~rviving spouse._._..~.9.~~.__._.._ ___._.._._.._.__:. List issue,where material: NO ISSUE Did decedent marry after execution of will?(indicate)~X No.Any children born,after execution of will?(indicate) X~.No.Jf answer yes,name them._._.._...._..__.__._.__.___.__.__"_. Leg.atees Union Dale Cemetery Epis~opal Church Home Relationship None None Interest Bequest Bequest Fiduciary,if deceased or not sui juris Mabel Newton Second cousin Specific legacy Adriana Anglin Jean Meyer st.Margaret Memorial Hospital St.Barnabas Free Home Trinity Episcopal Church List,if exceptions to above:Adeemed: None None None None Npne Revoked: " " Bequest Bequest Residue Lapsed: " " Abated:Give Cause: If partial intestacy,give facts: NO EXCEPTIONS NONE 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 t··.No excentionanyexcepIongivecause_:.c:__••• File copy of Notice ..,".,.' and dote of mailing....~.9.Py....9.t..~H?tt9.~...Qt..~g~tt.t...g9.t~.9:..;f.§l:;l.,.....f.fL,...J.9.Q.~....at:t:.~~,J:l~p...b,er.e.:trQ.,.,." ·:; Is estate subject to the filing of a Federal Estate Tax Return?..~~~.~~9.P.Y:..6J)~9 h~.+.~~j,:t;:.D.,.~.._,'~';'~:;..-- Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.....NQ.:r;H~...p..aiQ..•................................ If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant... NONE..-___..-.--_..__--_..-_.__..__._-----_.__--_-.-_..-__-..-..-__------_.._-_.__. 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: NONE Balance for distribution per account, Itemize any additional debits not shown by account: See schedule attached. Total additi"onal debits (Add) Itemize any additional credits not shown by account: See Schedule attached. Total additional credits (Subtract) Balance for distribution $_-_. $. $..§.~.I.:?9.1.t.f.Q . 1,060.20 290.23 $..1.Q.,3.3l..l7 . If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); Cash. "-.; .~ I _~"_,~_.. /' \.",i> IN RE: -..- ESTATE OF NO.63-68-985 ADRIANA HILLS, Deceased Additional Debits: 21 Ford Motor Co.Note,due 3/17/69 Matured 3/17/69 Mar.5 G.M.A.C.Note (6 3/8%) Redeemable 4/2/69 1969 Jan.7 G.M.A.C.Note due March 3,1969 Matured March 3,1969 $49,482.67 50,000.00 $19,791.00 20,000.00 $49,737.87 50',000.00 517.33 209.00 262.13 Conversion of American Sugar debenture: Appraised at Sold for Co. $405.00 ,385.74 (19.26) After di~covered assets: Silverware and miscellaneous costume jewelry "'91.00 Total $1060.20 Additiona!Credits: appraisal silverware 10.00 certified copy Will 9.50 additional compensation 54.00 additional compensation 54.00 Registered &certified mail 1.86 short certificate 1.00 Russell Marino,Reg. 24 Register of Wills Postmaster Sherman H.Siegel as counsel Lucy Mae King' as Executri'x' 1969 Feb.14 A.T.King Washington County Personal Property Tax Dept.- personal property tax 146.37 The Bakersfield Californian advertising 13.50 Total $290.23 Adriana Anglin Jean Meye~L)~~(Q ~ -------~--~-~.--,---.------------~~.....-......-------~~~'-..0::...._-- ...... \" If Family Exemption claimed by Petition,give place of Record:~~!.1.~?~.'!:~~~~.~. '.If Family Exemption is claimed at audit,give name,relationship Q'nd basis for Claim:____...... NONE List any advancement or distribution on account that has been made,and nature and amount of same: Mabel Newton -diamond sunburst pin appra:ised .at $60.00 and pear~~~. ~ecklace appraised at no value under Item 3 of cod1cil) No.1.~./_Platinum diamond bar pin appraised at $40 .00 under Item -:;~~~ of Codicil No.1._Sapphire and diamond ring appraised at $25.00 and SIDlitair~ ring appraised at $40.00 under Item 5 of Codicil No.1. (See receipts attached herewith). 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:\ 1. 3. 4. 5. 6. 7. Payment Of aud±t costs and Transfer Inherifance Tax. Reaward to Executrix $1,000.09 for tax contingencies to be paid to residuary·legatee after tax clearance is obtained without further order of Court. $1,000.00 to Union Dale Cemetery of Pittsburgh,Pa.under Item 1 of Codicil No.1. st.Margaret Memorial Hospital of Pittsburgh,Pa.the sum of $1,000.00 under Item 6 of Codicil No.1.- $500.00 to St~Barnabas Free Home under Item 7 of Codicil No.1. $5000.00 to The Episcopal Church Home under Item 8 of Codicil No.1. Residue unto Trinity Episcopal Church of Washington,Pa.subject to erection of a chancel window as a memorial to the memory of decedent's parents,John Dows HillS,D.D.(1857-1934)and Clara James Rogers Hills (1855-1943)under Item 9 of Codicil No.1. COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ~~g£.~doth depose and say that the facts set forth in the foregoing petition are true to the best oL h~.r knowledge and belief. ~ ...............$.WQr.!:l to and subscribed before me this A.th.da of Mar~h C5 ;.lX..6!1.. Signature of Officer.....~. Title of Officer .'.:'~(;':!.~':':r:••-:.f•.,.~•••••••••••••••••• •..-._.....OiL;),IW.E''''',"···b"cW""3f-;'''''~","ON .a.'r ,"".J Off' e .es ,~v (',.ftII....:...;L ,....~~·.........Ol 4..Ice xplr ...............................•..,..,............•....................'"'/L./,~J71 And your petitioner will ever pray,etc. ~--~--~------------------------- ~-",.,.,,_""'~'!' " Il .~ , \ ,_~..,,I '~.~ .. No..._._..~J.::§_?_::.~.~~.._..A.A. Estate of_.__.__~P"g;J;l\NA HILLS.................-........-............-....._.._......O'-...._ Deceased Fiduciary ._~~.9~.._~~.E?__JS~!-l_9.:.l ._..... ~x.e..cJJ..t.rix __...__._.._.___._.___.._._..__.. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court·Rules adopted effective December 3,1951,being rule No.9:pa rag rdph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in th~ 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 WiII. 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.) SHERMAN H.SIEGEL,ESQUIRE.........__...__....................woo._....WOO"""""""__...... Attorney ~2 •J S11rA-i .:/0 H31SnJ3HDN1HVl,/113SS0H 9S : 6 UV fa HdV 6961 0.31/.:/ I . ., j •,.l .. ~------------------------------....., SHERMAN H.SIEGEL ATTORNEY AT LAW WASHINGTON,PENNSYLVANIA WASHINGTON TRUST BUILDING IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA Episcopal Church Home 4001 Penn Avenue To Pittsburgh,Pennsylvania IN RE: ESTATE OF ADRIANA HILLS,Deceased ) ) ) ) 63-68-985 NO.xmt)OO{XX:¥X~XXX NOTICE OF FILING ACCOUNT AND AUDIT PLEASE TAKE NOTICE that the Account of Lucy Mae King,Executrix .of the above captioned Estate,has been filed in the Office of the Register of Wills of Washington County,Pa.,at the above Number,and that the same will be called for audit before the Orphans I Court at Washington,Pa.,at the Session of said Court beginning week of March 17,1969 at 10:00 0'clock A.M.,at which time and place you may appear and ,be heard,if you so desire. Dated at Washington,Pa•• February 24,1969. SHERMAN H.SIEGEL, Attorney for Accountant. Notic~pt Aud~t mailed February 24,1969 to following:... Unio.I1-Dale Cemetery 2200 Brighton Rd.,Pittsburgh,Penna. Mrs~;Mabel Newton 368 Gilbert st.,Ridgewood,New Jersey Mr~.Jean Meyer 2 Azalea Circle,New Smyrna Beach,Fla. st.Margaret Memorial Hospital 245 46 st.,Pittsburgh,Pennsylvania St.Barnabas Free Home Gibsonia,Pennsylvania The Episcopal Church Home 4001 Penn AVenue,Pittsburgh,Penna. ~X~M~X~XE~~KMM~X%X~MMXMMXXXXXXXKHKXXHHHMXSX~¥XNXKM~M~XMM¥XRHMMX~XXXXX Notice of Audit and copy of First and Final Account mailed Feb.24, 1969 to following: Trinity Episcopal Church East Beau St.,Washington,Penna. 811111\.:10 l:l31S1fJ3HONaHtN113SS0l:l 9S :6 bJV fZ tJdV 6961 G31ld !~.'- .._,-II Q!nmmntttuta1t4 of 'tttttByluauia.}ss.lIasbittgtol1 <!tOUttty, KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,m the County aforesaid on the 19th.day of July A.D.19 68 ,before me, Russell Marino ,Register for the Probate of Wills ana Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of Adriana Hills late of.South Strabane Township in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and Lucy Mae King I E trix.'d W'II d T d h . d b f d k d dtle•xecu~111 sal I an estament name,avmg appeare e ore me an ta en an subscribe the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino grant these LETTERS TESTAMENTARY,unto the said Lucy Mae King. ,Register as aforesaid,do committing unto Her the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring Her to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to render a just and true account of said administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this 19th. day of July in the year of our Lord one thousand nine hundred and Sixty Bight ltd -dL?9_ ....................................~:..~/~ Register f I " .. ..... C\i ff~ C)(00)..... ., LAST WILL AND TESTAMENT J i!whiCh I have the power of appointment under the Will of my deceased ,, I~ ,j Father,John Dows Hills,I give,devise and bequeath unto TheI,,., i iI i.t,I,I \ I· r,, / ,/:-'/.!I r.I .!d '/ --,,:-,.1.;..(...;'..;...<..;.1_,"_!.;..'__':,-/:...)I_~.;..i_/.;;;,7,..----:.!---"\'·_~.;..!_.'_".;...'.:..''1:-''.;...'__(SEAL) III .~ ., J!'.!.~.-..~..t''. l.,~ f!I!, ·f·~ I IIj (I II I 1j I I!, set my hand and seal ':J Signed,sealed"published arldpe*lared by the above- 11 TRUST COMPANY"of Pittsburgh"Allegheny County"'Pennsylvania,. !IExecutor of this my Last Will and Testament.· I ' .IN'WITNESS WHERE or ,I"ADRIANA HIL!&,the Tes tatrix, " .have to this my Last Will and Testament" II thisthel.;t1dday of March,1953• . 1 ..,'"II ,I"1IiIIIIIi IIIi'II named Adriana Hills"as and for he"r Last Will and Testament,in II 'the presence of us"who have hereunto subscribed our names at "1 1 . I 0' J her request as witnesses thereto"in the presence of the saidIiIIiTestatrix.and of each other ftII'~ 'I!IIIII '0,i'IIi'I 1\'l!®!lIi,Ii li dii1I'Ii IiI!i~Ii!j IfIiI!;, :-1 ii I I ".. '··~·---·";-·rr~~-~·-..--~----"..,Ii 'iIIilII 1II':1:1II!i!I III' LASTLY:I appoint PEOPLES FIRST NATIONAL BANK AND ,; ",.. " " H -~,.•li'~.'•.~~r~;;..:IF' ...,. -~\ :! -\ .~,i, CODICil NO.1 ...'-"'~',~..,. '.!,IJ....r. '''';,.;; .'~ 1.,_I h~reby .modify Item Second of my sa~d Will am direct that /..I .,;\•I,ADRIANA HILLS,do herebymak~this..aB:..~,~.~'F"a Codic.il,I to my Last will and Testament dated,llareh·19,1953.• graph to remain as therein set forth. , II\ . II III I i f !,f ) " ',.":.' "....~.~......-'.-,.,.",•-=-... (..'..J.~',j ", ..,'. I hereby modify Item Third of my .said e Will by increasing ,/..••~t t ,"-__..1._".• the legacy to the Union Dale.cemetery of ,Pittsburgh,Pa.,be increased from Three Hundred Dollars ($300.00)to One Tho~sand Dollars ($1,000.00)for the ,".••,",1,'",.'., purposes therein named. the sum which my Executor may expend for the erection of a celtic cross on .'"J"". the cE!metery lot in Union Dale Cemetery~All othe-pr~visions of said para- .....;i-'~•t.·..~""..-~•... from Five Hundred Dollars ($500eOO)'to Seven Hundred Fifty Dollars ($750.00) 3.I give am bequeath unto rrt'J second cousin,Mabel Newton,of 368 Gilbert Stre~t,Ridge,'Tood,New Jersey,my diamorrl sunburst pin and nw pearl necklace,said leg~cy to be free of all taxesCl .<.;.: r . ~~_r-_ i!'. ;'':,:,~.:~':;'4.I give and bequeath to Tny,namesake,Adri.ana Anglin~of 180,' 11 Shirlee Court,Bakersfield,California,my platinum di.amond bar pin,fr.ee of II ",.",,,,""",,':.'.,I all taxes.'.',';"'.. ".",''."",,; I I '.,'5.'t give and bequeath unto my friend,Jean Meyer,of 2 Azalea.!f II Circle,NeoN Smyrna Beach,Florida,my sapphire am diamom ring,and a I !I solitaire ring,which were given to me by my mother,free of all taxeso IIIIII"··''":'6 •.I give am bequeath 'U."lto the St.Margaret Memorial HOSPital,'i;1 "'!of Pittsburgh,Pennsylvania,the sum ofOne Thousand Dollars ($1,000.00).! 117.'I give'am bequeath unto st.Barnab~s Free Home,at Gibsonia,"I II ')I1:Pennsylvania,the sum of Five Hundred Dollars ($500.00 0 !!I., il'.·8.r'give am bequeath unto The Episcopal Church Home,40011 If I'Ii'.II Penn Avenue,Pittsburgh,P~mnsylvania;.the sum of Five Thousarrl Dollars , L I!I ($5,000.00)...... Ii 9.I revoke Item Fourth,being·the residuary clause of my said 11-··' 11 1IIIIll,l..·liIid '4.Ii Ii"Ii' ~...p- ,'' ., ,::'~;':i;"::'.'" ;.. ,,~~'•:''~f?fl'~;,;~,~.~?}~;- i ".t~ ~, {,,Ji,i'\•1 I ,'~, 'I, " fI f~ I ,,-, !;, !. ,I,:i '1 fI i l Il I I1I I' f rI! t Ji\ 1 I k., i,, I 1 111 !tII •t j i,I .......'."."."-..::'~.\~:.......~_:;:';.-.~=.-;..•., .All the rest,residue and remainder of my estate, herein bequeathed be used for the erection of a'chancel window of whatev~r kim and whereVer situate,inclu1ing all property •..:."".":;..,...'':''<.',-..•:.~":......'•.~. Will of my deceased 'father,JohnDows Hills,I give,devise am bequeath unto Trinity Episcopal Church of Washington,Pa.,as a memorial to the memori of my parents,John Dows Hills,'l)~D • (1857-1934)am Clara Ja~es Rogers Hills '(18~5-1943).It is .',';';my des~~that Five 'l'h~usand Dollars ($5,OOO~00)of said residue "' and estate over which I have the power of appointment under the.',... ,Ia~estate 2t:::::d::~::o:~::t::t~:tt:h:l:::n::'::::::t:~~::erty !Itivailable for payment of pecuniary legaci~s bequeathed in my sa1d Will and I!CodiCile ,. I "II'Should I die within thirty (30)days from the date hereof',and Ii the bequest to Trinity Episcopal Church shall ~hereby fail,I direct that ,II the bequest to,The Episcopal Church Home~4001 Penn Avenue,Pittsburgh,, IlpennsvIVania,in item Fourth of my Will dated March 19,1953,shall remainI4,'' il in full force andeffecto ' II 'LASTLY:I hereby revoke the last paragraph of my said Will I Ii '"II wherein I appointed Peoples F"i-rstNational Bank and Tr'..lst Company of Pittsburgh I' lJ 'Ii '[,II as Executor of said Will,am in lieu thereof,direct that the fol~mring I llitem be substi'tutoo:11,1il.IIIi LASTLY:I name,constitute and appoint.Bessie Bo I :II "'II!i ,Moore'as EXecutrix of this my Last Will and Testament 0 In theIi I,II,'event that said Bessie Be tJooTe shall fO'['any reason be unable Ii Ii!!I"1i'to act as such Executrix,I then name,constitute and appoint i h ''~I 11 ,I, 1!.I r L2 / ',! \1 /f r;l1/t./i..,vi,1~,.~/t,14/(SEAL)! ;l ! .:;I,II ,.1!I,~H' ,!'"."•'IitI'"1 Will,and in lieu thereof,dire~t that the 'followi'ng Item besubstituteds ", .....:.::.7;t;,>",,-·:,,;r1l{~ , .~.~;-.. "~4 •~'.,'f...:--.~.'~......,;.....,......... ..,..~-:-"..~_.-~'·.....,-·r···"~:"····_..~·"-'-':--~-.--~'--'-'-'-'.,.....----._-- .II I:I! I Page U3. _...".-_._....,.__._~--_..-_..~....,-~.~---.~~T-: I·i .'j 'i •i i II :{ lII III1I<I j II I r I. I I Witness.! II II I .'''~'I Witness ·1 -.' "' .,....',,'.'",',,1..,_.__• ..,-~__4-• ....", M~1-',;,~.,1.• ..t..• ~.- .'.l :'r.~"t'...<r,':,. .~.f'. .....~.....,...," .-~'.....,. , "_.....r .'~~'....."'. ".-:,'1 ~.,.".~~-:~.~. ''.'< ........"~.-'. ~~1,/ ..' ,~:.." ....~ ;;......'" r~~~_-. "•••"~>." ".-~"'".;,I '-,','.i ...... 1 ."II.../ :.~~~~;~~:-;~'". ;0(,-.,••""::-"..... as .Executor hereof;Pittsburgh National Bank•. ~'\',~'",,~.;',' ~-..~,".".,,;. ~.".. ",~..- J 1,0'~:'...,L: 'C.);IN WITNESS WHEREOF,I,ADRIANA HnLS,the Testatrix,have unto ';-'::.(.::-~. ,",~.~ ......, ..-.~.'t . .'.''!~':.::~.~.).. as am for Codicil No.1 to her'Last Will and Testa'llent dated March 19,1953,i l Iaswitnessesthereto,in the presence of the said Testatrix,and of each other. ~~•';,.~:,.!in'the "presence of us,who have hereunto subscribed our names at her request ...'.~1·':..,'·~-.r:,;.."_..:'(./~ Sfgned,.sealed,published arrl declared by the above-named Adriana Hills I ,..,.. '......-.-.>'. . /this Codicil No.1 to my Last Will and Testament dated March 19,1953,set-~-' my hand and seal this the!5 'day of November,1960.·. ..'.:'...;;'1.- I I 11 II I •... •i ~ •j" t \I!!i! t.,. ; ·1 i! !I, I.1 II! I \ 1IIi I \ I~I I .','"..i f -..:.,,; Vlitness , ~. , I '7 ,h It:C~SEAL) ~-·r .- ....... .'........- .,f'. -....) 2 '. NO. >, CODICIL I name,constitute and appoint Lucy Mae KingLAS'rLY: ",",.~ .-Signed,sealed,published and declared by the above named Adriana to act as'such Executrix,I then'name,constitute and appoint "event-that said Lucy Mae King shn.ll for any reason be unable ."as Executor hereof,Pittsburgh National Bank. "."<.. as Executrix of this my Last Will and Testament.'In the II11il II" IIII I,IN WITNESS ilHEREOF,T,ADRIAN/I.HILLS,the Testatrix,have unto III "..-II this 'Codicil No.2 to'my Last VIili and Testament dated March 19,1953,set rrrj' IIII hand and seal this the~!,rr6ay of February,1962. il!i1111 I!I;IiIIn!Ili 'III~,ilIi 11 Hills as <imd for 'Codicil No.2 to her Last Will and Testament dated V:arch 19, II!!~ G II 1953,in the presence of us,who ha'le 'hereunto supscribed our names at her ;J!i .~":.Ii request as vTiti:l8sses thereto,in the presence of the said Testatrix,and of "j!d each other.l!.:::; I!!I!i 1IHItI,I:Hi\ HII'ijIi11n~j iI1\;1qI',I'iIInl. ji;! II t .,;~~~~~~~,::~!~·~·~':.~x~~.·~:.i'~~·hi.t:~;~:~:.;~~/~~~.~:..,.~~.;~~.,~~~j1.-~~·.~~,"~·'~~~~'~",A~:/t.-.l~~t'';;_;~.'.('I 'f~ .:'...__..........-..-~-7-J _....:._~...-__......~.,_._~.~~~"tl i,_....-._----~~------_....._-........_-.-~~........~-.--.--..........-fl •.~-....._.•--.,..._-'..,- J III.qIi,II!,IIiIi1-''l -----~"'-........-'n~'...._I i I iIi I,.A])RIAN:'\HDJLS,do hereby.make this as and for a Codicil to my I !l II!lII Last Will and Testament dated March 19,1953.q I II .I!IBTheExecutrixnaTi1(~d ill 0odicilNo.1 to myWill.",Bessie B.Moore,!I -!' nljhaving died Febr-uary 12,1962,I'now rev-oke the last paragraph of by said ji ".-I Codicil No.1 and in lieu thereof direct that the follov!ing':item be substituted: t! Affibauit (@f 1£xerutnr (@r Abminilltratnr l'tatt nf 'ttltl591uanta,t 5S: C!1nunty of 1ItlJa!l~tn!lton ~ Personally before me,the undersigned authority,a ~9.:!::~;:x.~Y,;e.!.~.~..in and for said County and State,appeared LllCX MAE KIN~who,being duly sworn according'to law,deposes and says that s he is the executor lIlX~«KHr of the estate of ...................N?g;!;~~?:.±~.~.~deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of...ADRIANA ,HI.LI,$., 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 named Executor K~~Xt1@{X .a os~.~}jr.;;:~:.a.;,;~...;~nthi,22nd....).4...~~;~otX"""" ~~::,~:~::B:~:::~~~c~~~:c····~~~~;~~···IjTRUCTIONS My ComlTf·.~ionA:l1\inveritor:yJmlf~tiQe filed within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-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 3Juurutnrg aub !\pprai5rmrut of the goods and chattels,rights and credits which ADRIANA HILLS South Strabane TownshipwereofJateof,,. Washington County,Pa.,taken and made in conformity with the above affidavit. PERSONALTY: Mellon National Bank and Trust Company -Savings account DOLLARS 1082 CENTS Pittsburgh National Bank -balance checking account 162 shares American Tel.&Tel.cap.stock at 50.94r 74 shc';l.res American Cyanamid corn.stock at 27.875 1419 8252 2062 39 28 75 475 shares Chemical Bank N.Y.Trust Co.cap.stk.at 67.50 32062 50 405 00 130 15 31826 06 60 00 25 00 2 00 40 00 40 00 2 00 5 00 No Vi lue 13 15 150 50 77795 71 20 shares American Sugar Co.5.44%pfd.stk.at 10.875 $500.00 American Sugar Co.5.30%sub.deb.due 4/3/1993 at 81 475 warrants Chemical Bank N.Y.Trust Co. Estate of John Dows Hills -balance due decedent Sunburst pin 1 diamond cluster ring 2 bar pins 1 diamond solitaire ring 1 diamond bar pin (platinum) 1 Elgin watch 1 carved ivory case 1 string costume pearls Observer Publishing Co.-refund subscription Washington Manor -refund TOTAL REALTY: NONE 217 50 63-68-98,5 No.2070 Inventory and Appraisement IN THE ESTATE OF ..........:,~.P..B.IANA :uI.LLS .. Filed ~.~Y.:~~.~.E ,19 §..~. f·..,.,,c..~ :>r::-'r'l;:J,..-., ~~.)~) ~:~.J?~.':2 ..... --j;- "..~.- o- j '"1--..-)'co ::0.r'i-; -":::.Jr':',;,0 vJ 0 U).. LV .t;::.. ""'9SHERMANH.SIEGEL,ESQUIRE 215 Washington Trust Bldg. Washington,Pennsylvania STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,depose sand sayS that the above account as stated is true and correct as ~.I:.~__..verily believe. Sworn and subscribed be;fore me this }.~~. of ...._'!_~_~~.~~y _._..19 §9.. ..__Ot0t.~. r.lARGt.'E,B.".!lS,r~ct;;rf Public )Y"t..SHING'\......;.J.WASl-flNGTCN My CommisSion Expires Februa~o27~~!m Washington County,ss: --?~7~~·~·---·------------··--·--:::.'::.~-7·-------------------· t5 I do certify that I have given legal nome toal!persons concerned of the filing of the wit~cco~in the manner prescribed by Statute and Rule of ~~t,as ~idenc~proofs(/) thereof filed to No __.rri~-.-J\l.'---.-;"',-....,r ~~ Witness my hand and officia~1 th~m ..... r-z 0 '-0 .""(I)....,day of......................................•..._-.........19 . U1 •.............___.._•..,__9.l __. Register of Wills;''''''Ifr I ~.~ ....+>+>0 ~I:l::I 0 ri1 cd+>0 +>=0 p:;I:l ::I c5 H ::I 0 ~i Q)0 rb~<)..c::....~<) <)'Hi +>0 0 <) ~I-li I~'J 0 tJ)~.~L -.I)+>.!<:-!J:~ri1 '"~1 ..'0 Q)0 ~tJ)t_Q)0 .... H Uj +> 1 I:l ~H (1)i Q)0 Hr;:.'"'8 I:l 0 H ~i Q)i8 ri1 ~.~::c:ri1~~0 IS39 ~(!J +> fil ...-Ii l''J ~:/0 +>'-..'P;I 2 ;15i +>~ri1 ~E-t F:J::co:.;•=H~~s::i oi ::I fil E-t 0 tJ)'H:s::!<)'0rn<)I:llifilH~i 'Hi r.'rA - cd cdp:;~i .:.Ji ..~to.l I.,~~f""!.F'rJ =::c:~'01 R~G~3T,-,"r!\--:;'l S .,.;~~I 0 .~:a ~Q) F:J::s::i (1)1 '..I tIlL.....+>0 +>~.~.....'"z co:coi +>OM0cd i~i +>s Q)~Q)~-!J!i;:..c::.=:~~+>Ul!0 ....=I:l ri1I-li Ui 0 ::c:<)'Hi ~:'0 tJ)0 ~j Hi =a::~A~~;Z ~0.-<.... -~ :;t .I ( , I "__4._~ .',"- ----------r J ... " ~'--'. "•/fIIi ,.- , , .. .'. . I '"). r . /" The Court is resp proper distributio Hu II y requested to det€'rmine n this estate. ~~A~ ....,. FIRST AND FINAL ACCOUNT of LUCY MAE KING,Executrix of the Estate of Adriana Hills, deceased,late resident of South Strabane Township,Washington county,Pennsylvania. THE ACCOUNTANT CHARGES HERSELF AS FOLLOWS: Inventory and Appraisement: PERSONALTY $77,795.71 REALTY .NONE $77,795.71 To gain on conversion of assets as per Schedule A 987.61 To income received'as per Schedule B.1,001.46 After discovered assets: Medicare refund 12.00 TOTAL DEBITS $79,796.78 TOTAL CREDITS 10,235.58 BALANCE $69,561.20 THE ACCOUNTANT CLAIMS CREDITS AS FOLLOWS: 1968 July 30 Piatt Funeral Horne Burial expense A.T.King Appraisal fee -jewelry Simon White's Sons Monument "-Aug.7 Observer Pub.Co.Advertise grant letters 19 M.W.Graham,M.D.Medical services 1,293.29 5.00 750.00 14.00 70.00 29 Russell Marino,Reg.2 short certificates 2.00 Lucy Mae King Reimbursement for telephone calls and registered mail 8.34 Dec.31 Lucy Mae King alc Executrix's commission 1,850.00 Russell Marino,Reg. Washington Co.Reps. Russell Marino,Reg. Post Master 8.00 1.95 9.50 3.00 $25.50 14.00 II II Reimbursement for: Probate Will Advt.letters Certified copy Will 3 short certif. Filing Inventory &balance letter -Certified &registered mail II II II II 15 5Dec. 7 Sherman H.Siegel 1968 July 19 22 Aug.2 1969 Jan. -.'.•• 1969 Jan.7 Margaret Plymire Witness to Will Beulah M.Peel """ Margaret Bails Notary fees Lucy Mae King Balance Executrix'corom. Sherman H.Siegel Counsel fees Russell Marino,Reg.Filing this Account TOTAL CREDITS 5.00 5.00 5.00 2,150.00 4,000.00 16.00 $10,235.58 ~--~-----------------------------------.,.....~ • ACCOUNT OF ADRIANA HILLS SCHEDULE A .CONVERSION OF ASSETS 20 sh.ares American Sugar Co.5.44%cum.pfd. Sold for Appraised at 74 shares American Cyanamid Co. Sold for Appraised at 162 shares American Tel.&Tel. Sold for Appraised at 475 shares Chemical Bank N.Y.Trust Co. Sold for Appraised at $210.74 ·217.50 2060.84 2062.75 8580.78 8252.28 32730.28 32062.50 (6.76 (1.91 328.50 ..·667.78 SCHEDULE B INCOME ACCOUNT 1968 Sept.27 American Cyanamid Co.-dividend Oct.1 American Tel.&Tel.Co.-dividend GAIN 987.61 46.26 97.20 Chemical Bank N.Y.Trust Co.-dividend 2 American Sugar Refining Co.-interest 8 GMAC Note purchased due 12/30/68 Purchased $9870.58 Redeemed 12/30/68 10000.00 285.00 13.25 129.42 Nov. Dec. 23 Ford Motor Co.Note Purchased due 12/30/68 Redeemed 12/30/68 5 Ford Motor Co.Note Purchased due 12/30/68 Redeemed 12/30/68 12 Ford Motor Co.Note Purchased due 12/31/68 Redeemed 12/31/68 $4948.40 5000.00 24779.89 25000.00 34841.38 35000.00 51.60 220.11 .158.62 TOTAL 1,001.46 ------------------------------------, '\~L Observer·Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION 68174·Wed:·3T EXECUTRIXiS NO',rIESTATEOFAai'ianaHills;'. late .of,South ..'StX:~PWashington~Co;;'I'enLetterS'Testam e,above:.~estate ·l1living .'bee.nted'~to'the'undersigned,.all persons hay' !lng claiins . e ~statearerequested~to wn"the:sametotheundor.his"attorneyand:all bted·'to .the de-cedent.a .'to niake'pay-•med to ·signed·without delay...Lucy Mae.Kii'i35ButtonwooaWashkgton.,Executrix"Sherma 215 W sWashmgton, Attorney. Sworn to and W.267!!2 In compliance with the Newspaper Advertising Act of 16 May,1929, P.L.1784,alS amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally ap,peared before me,a Notary Public in and for said County and State,Ri.c.b.~.nL.~..~G.Qw.an ,-;ho being duly sworn according to law,deposes and says tha;t he is the S.ec.r.e.t.arcy........_... of the Obs'erver Publishing Company,a f'lenIlJs,ylvaniacorporation,and its agent in this behalf;that the said Company is,the owner and publisher of •the Observer"Reporter,succ'essor to The Washington Obs'erver,established Seprtellllbe,r 18,1871,and The Washington Reporter,established August 15, •1808,a daily newsvape,r 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 continuous'1y for more than six monthsl prior to the publication of the notice hereto attached;th3Jt the printed notice OT advertisement hereto attached is a copy of an official advertisement,official notice,legal notice or legal adve,rtisement,exactly a,s printed or published in the Obs1erver-Reporte,r in its regula;r editions on the following date or dates;.. ..............................J..utY-2.4..,3.1 and..;Aug.us.t..7.19.6.8 . 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 characte,r of publication are true.'-,<:::J:-----..I e ................................~.tJ.~~N'Y. 'U~:~;~N~:~~~:~~R~968 MY COMMISSION EXPIRES MAY 6.1972 ,.,", Washington Coooty Reports ~~ Wasbington,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 WASHINOTON ) STATR 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'hed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COUNTY 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: July 25,_1968.........................._--. August 1,8,1968 that the affiant or the corporation in behalf of which he is acting is not interested "'h,,obj""m'U""f~~~"''d.vertising and that all of the allegations of this affidavit as to the ~~racter o~publi~e true.,. e-.-~c::;,/Jf~t ~J-/ ..-------.-•••;,'n...........~!_.~~••••••••••••••••••••-;;;;:;.~~~~~"----1 Editor Sworn to and subscribe'd---het~me this _~"'-'--<---._..-_.---_.--_.•.-- KAWTHE;~'NE;C·YA •Notary Publlo ashlngton,~l\s~ington Co.,Pa.~y CommlsslQn Expires NQvel1lUElf 1,1969 Estate Notices The Register of Wills has granted letters• .testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys. •• • • •• • • •• • • • • • • • HILLS,ADRIANA,Dec'd. Late of South St bWaShingtonPenn:a ane Township, Ex:ecutrix:Lucy Mae K''tonwood Ave Wa h'lUg,35 But-Attorney;Sh'erma~IUgton,.Pa. WaShington Trust Bti·SIegel,.215ton,Pa.g.,WashIUg- lin tQP (@rpQUUll·(!lourt of IIUllQiugtou Cltouuty In the matter of the Audit of Account in ADRIANA HILLS,deceasedEstateof_-=-=...:--:-l TO THE AUDITING JUDGE: No.63-6?-_9_8_5 ,19__•A.A. my AccountantEnter~appearance for'---:._---:_ 21st day of.•19__6_9 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. /6 L.u -.J--. lL.. toIn e .• 0') ~ -...C\J ~~ 8523 0(1):<:-.J-::::!O::.=s: $4,.<"0-.Jo::-Jk.JI.A.J:-."'CI)"'-~oQ::i;t No.63-68-985 .19 •A.A. In re Audit of Account in Estate of ADRIANA HILLS,deceased AUDIT Jrarripr fnr i\ppraraurr FOR ~~<2Y--l1~e K~_Execut_rix=-__ SHERMAN H.SIEGEL,ESQUIRE Attorney .-.============== ~",2 In tltt ataud af Qtammnn 'lens af Itnsqingtnn ataunty, Jennnylnnnin,®rpqann'ataUd Bittiswn ESTATE OF No.63 -68-985 Adriana Hills , Deceased. In the matter ofthe First andFinal Account of Lucy Mae King, Executrix ( SCHEDULE OF DISTRIBUTION ADJUDICATION AND DECREE And now April /7 ,19~,this matter came on for hearing, audit and distribution at this session and testimony ttJken;and thereupon,upon due consideration thereof the balance for distribution in the hands of the Accountant is determined to be $70,331 ,17 and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or on appeal be taken herefrom sec.leg.~1 .:!t.~ Balance per account _ Additional debit asked at audit Additional credit asked at audit 290.23 $70,621.40 Balance'_ Deduct Clerk's Costs &Receipts 1 Attorney Sherman H.Siegel 67.00 ILucyMaeKing,Executrix,reaward for Federal Tax I Contingencies.After the tax is fully settled and the accountant's liability ceases,any balance of this reawardl remaining shall fo How the decree of distribution herein made as it relates to the distribution of the residue and n further formal accounting to the Court shall be necessary Russell Marino,Agent,transfer inheritance tax, 1000.00 24.75 Mabel Newton,specific bequest in kind of diamond sunburst pin and pearl necklace,held in kind and distributed as su h at the appraised value,credit to be taken by the accounta t for items advanced prior to distribution by the Court,! Adriana Anglin,specific bequest in kind of platinum II diamond bar pin,held in kind and distributed as such at the appraised value,credit to be taken by the accountant I for item advanced prior to distribution by the Court, Jean Meyer,now known as Jean Meyer Shepard,specific bequest in kind of the sapphire and diamond ring and the so litaire ring,held in kind add distributed as such at the appraised value,credit to be taken by the accountant for items advanced prior to distribution by the Court, $69,239.42 60.00 1$69,179.42 40.00 $69,139.42 65.00 $69,0'74.42 Union Dale Cemetery of Pittsburgh,Pa.,legacy,in trust for permanent care and maintenance of family lot,plus interest due on legacy in trust,1046.64 $68,027.78 0 >::J Z....n ~p~lr s ....:rc(l)i a 3i00~............... ~0a........ ~'".:....:r=(l) t =. ,I..=6, S ./~E J j \'~-.L .,J J I •j ~.,J 'oj ~ ••.,J \\ J -J_J J oj :J rlC Y) _L J J ,. J. ~_J __ Ju j !r -J. j ~j o J _0 J J.J 1 j _. \.j ,J j ...A-.J I 1 .......-J J",\j ,.J J '"J j ~J Lo cj C.-J , o~ '"J j .\,J .j,0 J j :j.0 j _J.\._ \J /. St.Margaret Memorial Hospital of Pittsburgh,Pa., legacy, St.Barnabas Free Home,at Gibsonia,Pa.,legacy, 1000.00 500.00 $67,027.78 $66,527.78 The Episcopal Church Home,Pittsburgh,Pa.,legacy,5000.00..,, TriD;ity Episcopal Church of Washington,Pa.,residue,a a memorial to the memory of the parents of the testatrix as set forth in Codicil No.1,with particu~ar attention to the expressed desire of the testatrix that $5000.00 of sai bequest be used for the erection of.a chancel window as such memorial,j 61527.78 I.1 I .I $61,527.7;8 No balance " ,•>,J . j J ,j ~\ .Yl-,\..; \.\ J ,.J 0 ,)....v ~~ ~:J -z 8 -+~:r ;c lD 0) a 3 ....~O 0....i ,1 j ." ...J 0 J ....L -, -+:r j -~lD "J J ,J ~j ,J J j .JJ. jJ J ~.J ~j J ':"'Jj ('m .. a LU ~-...J-LL IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA IN RE: ESTATE OF NO. ADRIANA HILLS, deceased RECEIPT AND RELEASE I,MABEL NEWTON,formerly of 368 Gilbert Street, Ridgewood,New Jersey,but now residing at 55 Norwood Drive, Toms River,New Jersey,do hereby acknowledge that I have received from Lucy Mae\King,Executrix under the Will of Adriana Hills, the diamond sunburst pin and the pearl necklace bequeathed to me in the Will of said Adriana Hills. MABEL NEWTON b ",i~.kDated:Octo er~7 1968. '~ '"':.'( ) ."-~ • (, IN THE CQURTOf CO,M,MON;I?LEAS, Q;Jf W,A,SHJ:NGTQN COUNTY'f'PENNA. (ORPHANS'G:OURT DIV ..l-NO.63":'68-985 IN RE: ESTATE OF ADRIANA HILLS, deceased PAY TRANSCRIPT ..W<Jfj-i 0-;c..o ~~~7'I':'U e:-!!"""""'-.'~>rn ',c:c:::,:'2 0 (.0 :u:;r-1:::({]U1 .,-~--'\f'" =::l r~'''lG~[1'r-. ~ t -·1 ~~...a e,.~.::--.::-~--1 :::~ ('")-:::J -o ..~'"c:::;)-..-.r~""OrO <J'1><J'I co, SHER.MAN H.SIEGEL ATTORNEY AT LAW': WASHINGTON,PENNSy;;l.NIA WASHINGTON TRUST BUlLDINC \v """ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. (ORPHANS'COURT DIVISION) IN RE: ESTATE OF NO.63-68-985 ADRIANA HILLS, deceased PAY TRANSCRIPT The undersigned hereby acknowledge to have received of Lucy Mae King,Executrix of the Estate of Adriana Hills, deceased,payment in full,in accordance with Schedule of Distribution of the Court dated April 17,1969,a~"fOllows: ;Jc:l.t'~.:t~//f~f Russell Marino,Clerk,costs $67 .00 ..~ Russell Marino,Clerk Lucy Mae King,Executrix, reaward for Federal Tax Contin- gencies Russell Marino,Agent,transfer inheritance tax Mabel Newton,specific bequest Adriana Anglin,specific bequest Jean Meyer now known as Jean Meyer Shepard,specific bequest 24.75~:::R....u-s-s-e-:;1;-:;1;--:M~a-r-l..,..·-n-o-,--=A-g-e-n-:t~--i See receipt filed with 60 .00 Audit petition· Mabel Newton See receipt filed with 40 •00 Audit petition Adrlana Anglln See receipt filed with Audit petition 65.00-:;J,....e-a--:n---;M~e:-y-e-r---n:-:--ow-;-k--:n-o-w-n-a-s--l Jean ·Meyer Shepard UNION DALE CEMETERY OF Union Dale Cemetery of Pittsburgh,PITTSBURGH,PA. Pa.,lega;9Y·1046.64 BY .See recei Treasurer tached. St.Margaret Memorial Hospital of Pittsburgh,Pa.,legacy 1000.00 ST.MARGARET MEMORIAL HOSPITAL OF PITTSBURGH, BY See receipt attacheo Treasurer A. \i-r. .... ... I ST.BARNABAS FREE HOME st.Barnabas Free Home at Gisbonia,Pa.,legacy $500.00 BY .See receipt attached Treasurer THE EPISCOPAL CHURCH HOMETheEpiscopalChurchHome, Pittsburgh,Pa.,legacy 5000.00 BY See receipt attached. Treasurer TRINITY EPISCOPAL CHURCHTrinityEpiscopalChurchof Washington,Pa.,residue 61527.78 BY .See rebeipt ~ttabhed. Treasurer '--- - IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. (ORPHANS'COURT DIVISION) IN RE: ESTATE OF ADRIANA HILLS, Deceased NO.63-68-985 ) RECEIPT AND RELEASE The undersigned hereby acknowledges to have received of Lucy Mae King,Executrix of the Estate of Adriana Hills,deceased,payment in full of the legacy bequeathed to Union Dale Cemetery of Pittsburgh,Pennsylvania,in Codicil No.1 to Decedent's Will,for the permanent care and maintenance of the Hills'family lot,in the amount of One Thousand and no/100 ($1,000.00)dollars and I hereby release and discharge said Executrix from any further claim or demand of said Estate. IN WITNESS WHEREOF,I have hereunto set my hand and seal this .4¥zf,(,day of ~,1969. UNION DALE CEMETERY ... BY IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. (ORPHANS'COURT DIVISION) IN RE: ESTATE OF NO.63-68-985 ADRIANA HILLS, Deceased RECEIPT AND RELEASE The undersigned hereby acknowledges to have received of Lucy Mae King,Executrix of the Estate of Adriana Hills,deceased,payment in full of the legacy in amount of One thousand and no/IOO ($1,000.00)dollars bequeathed to st.Margaret Memorial Hospital of Pittsburgh,Pennsylvania,under Codicil No.1 to Decedent's Will and I hereby release and discharge said Executrix from any further claim or d~mand of said Estate. IN WITNESS WHEREOF,I have hereunto set my hand and seal this d2#day of ~•1969. ST.MARGARET MEMORIAL HOSPITAL .BY~~Al:~- Executive Director St.Margaret Hospital ,t ..I SHERMAN H.SIEGEL ATTORNEY AT LAW WASHINGTON,PENNSYLVANIA 15301 WASHINGTON TRUST BUIL.DING AREA CODE 412 TEL.EPHONE 225.1830 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. (ORPHANS'COURT DIVISION) IN RE: ESTATE OF ADRIANA HILLS, Deceased ) ) ) ) NO.63-68-985 RECEIPT AND RELEASE The under~igned hereby acknowledges to have received of Lucy Mae King,Executrix of the Estate of Adriana Hills,deceased,payment in full of the legacy in amount of Five hundred and no/IOO ($500.00)dollars bequeathed to St. Barnabas Free Home at Gibsonia,Pennsylvania,under Codicil No. 1 to Decedent's Will and I hereby release and discharge said Executrix from any further claim or demand of said Estate. IN WITNESS WHEREOF,I have hereunto set my hand and seal this OJ <f day of ~•,1969 . ST.BARNABAS FREE HOME BY '.IAdministrator IN THE COURT OF COMMONPELAS OF WASHINGTON COUNTY,PENNA. (ORPHANS'COURT DIVISION) IN RE: ESTATE OF ADRIANA HILLS, NO.63-68-985, Deceased RECEIPT AND RELEASE The undersigned hereby acknowledges to have received of Lucy-Mae King,Executrix of the Estate of ~driana Hills,deceased,payment in full of the legacy in amount of Five thousand and no/LOO ($5,000.00)dollars bequeathed to the Episcopal Church Home,4001 Penn Avenue,Pittsburgh,Pennsyl- vania,under Codicil No.1 to Decedent's Will and thereby release and discharge said Executrix from any further claim or demand of said Estate. IN WITNESS WHEREOF,I have hereunto set my hand and seal this 24th day of..April ,1969. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA· (ORPHANS'COURT DIVISION) IN RE: ESTATE OF NO.63-68"'-985 ADRIANA HILLS, Deceased RECEIPT The undersigned hereby acknowledges to have received of Lucy Mae King,Executrix of the Estate of Adriana Hills,deceased,payment on account of the residue of said Decedent's Estate in amount of $61,527.78, bequeathed to the Trinity Episcopal Church of Washington, Pennsylvania,under Codicil No.1 to Decedent's Will, subject to the express desire of Decedent that $5,000.00 thereof be used 'for the erection of a chancel window as a memorial to the memory of my parents,John Dows Hills,D.D. (1857-1934)and Clara James Rogers Hills (1855-1943)." IN WITNESS WHEREOF,I have hereunto set my hand and seal this . TRINITY EP~SCOPAL CHURCH OF WASHINGTON,PENNSYLVANIA BY ~ ~. '.. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. (ORPHANS t COURT DIV.) NO.63-68-·985 IN RE: ESTATE OF AD lUANA HILLS, deceased PETITION FOR DISTRIBUTION OF AFTER DlSCOVERED ASSETS (DECREE'WITHIN 1 SHERMAN H.SIEGEL ~::::J:,p.f"Tl::a Cf)C)c -=-Cf) ::---Cf)(" Z -,-.J,f'lC)fTj r--/:d ,_._ ;;;:;.:>-"-"Tl,. <:")~.•o ~~o~~~~ .~ /;' J~~1~~!f: ..c::n t.o ::::., ~ --. ~ -0:::r c.....> -t::" Q ~....• ~....., r -.'--.•j ; l~--h ATTORNEY AT LAW WASHINGTON,PENNSYLVANIA WASHINGTON TRUSTBUILDING ,/d ,)"y3S' IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. (ORPHANS'COURT DIVISION) IN RE: ESTATE OF NO.63-68-985 ADRIANA HILLS, Deceased PETITION FOR DISTRIBUTION OF AFTER DISCOVERED ASSETS TO THE HONORABLE JUDGE OF SAID COURT: The petition of Lucy Mae King,respectfully represents: 1.That your petitioner was granted Letters Testamentary on July 19,1968,by the Register of Wills of Washington County,Pennsylvania,upon the Estate of Adriana Hills deceased. 2.That your petitioner filed her account which was audited by Your Honorable Court and Decree of Distribution was handed down by Your HonOl;:'able Court on April 17,1969,awardir g the residue of said Estate unto ~rinity Episcopal Church of Washington,Pennsylvania,in accordance with the terms of Decedent's Will. 3.That your petitioner has discovered additional assets of said Estate consisting of the following: 74 shares American Cyanamid common stock appraised at 27.875 Dividend check of American Cyanamid Company dated March 28,1969 Total $2,062.75 23.13 $2,085.88 4.That your petitioner has sold said securities receiving a net amount of $2,375.92 which reflects a gain over the appraised value of $313.17,making available for distribution the sum of $2,399.05. 5.That attached hereto is a copy of the Will of the Decedent as filed in the Register of Wills Office for said county in Will Book 106 page 142 , a copy of the First and Final Account filed by your petitioner and a copy of the Decree of Distribution. 6.That your petitioner suggests the following distribution of the additional assets as follows: Balance for distribution $2,399.05 Register of Wills -filing Supplemental Inventory Margaret Bails Lucy Mae King -notary fee -Executrix's'commission $3.00 1.00 119.95 Sherman H.Siegel -counsel fees Register of Wills -filing this petition .and decree 119.95 -5.00 248.90 Balance to Trinity Episcopal Church of Washington, Pennsylvania $2,150.15 WHEREFORE,petitioner prays Your Honorable Court to direct her to make distribution as set forth above. COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF WASHINGTON assets Personally appeared before me,the undersigned authority,LUCY MAE KING,who being-dUly sworn according to law, deposes and says that the facts set forth in the foregoing petitio are true and correct to the best of her knowledge,information and belief. Sworn to and subscribed before me this 24th day of July,1969. WASHINGTON.wr....HINGTON co..P4 My Commission Expires february 27,1971 " ~. LAST WILL AND TESTA?/iENT I,,ADRIANA HI4LL~,of the City of Wa:Jhington~VJashington County,Pennsylv8..l.'1ia,do hereby make,publish and declare this to bs =y Last Will and Testament;hereby revoking any and all pre- vious wills and codicils by me at any time heretofore made~ FIKST:I direct that all of my just debts and funeral expenses be fully paid and satisfied as soon as may.be ?onveniently done after my decease o out,of the principal of my general es ta te" the permanent care and maintenance of our family lot~and I direct Hundred Dollars Ci~300..00)fro~which the income shall be used for that all L'1heritance taxes on said legacy be paid by my Executor' "' 1I i'i CEMETE;r1; [ [ II I I S}~COND:I give:!devise and bequeath to UNION DALE Pittsbu::....gh,Allegheny 'County,Pennsylvania,the sum of Three THIRD:I direct my Executor hereinafter named to place a Cel tic cross as anionumentti'Ofti"~Jithecemetery lot in Union Dalo Ce;::JG tory af01....esaid,?at a cos t not in exces s of Five Hundred Dollars '(;~5()O ..00)for'the purpose.In the event that the C'os t of'such a crO.'33 is prohibitivo.l'I direct that a plain cross be 50 ar'ected in accordance with my wishes which are Imown to my ~7.ecutoro I also direct that a headstone be placed at my grave~ 5i~ilar to those at the graves of my Father and Motherw FOURTH:All the 1"'0:3 t,res Idu0 and remaindor of Dy +-'(;1 Cor~onal an(~mlx"'d of "rll..,~r_'vel>l'~ind ,.........l~,c:,'.'..":~~..._ip+-:lor.,e3va'~G)r''D.;,pv OJ '_,~u;)Vi ","uV ~Clo",_••__..... ~~d whorc8oovcr ~ltuato,including all proporty anf Jstate:over ':Ii"11cb.I have tho power of appointmont undel'"the \'Jil1 of :.:y de:CD:1S0d :';j.tho:'.;1 John Dov/s Hills,l/I give JI deyise a.nd bequau-ell U~1tO 'I'b.0 =-~~:::'8cODal Church Home,4001 Ponn Avenue,Pittsbul"'L;h,p(H'-'1::1-:l:"vl.lni:l .. ____'_'.(S~~,:'.~·,! ... LASTLY:I appoint PEOPLES FIRST R~TIONA1 BJu~K .~~D T~UST COMPANY,of Pittsburgh)Allegheny County,Pennsylvania; ~~8cutor of this my Last Will and TestamentQ IN WITNESS \'iH12R~OF.,I,ADRIANA HILLS,tho Tea ta trix~ ,', no..va ..1-'""illS to tllis my Last Will and Testament, the /./?:{''fday ot:March,'195311 ~/ ..' set my hand and seal • j .I Signed,sealed,'published ajd ~o91ared by the above- named Adriana Hills,as and fo~her Last Will and Testament;inr the presence of us,who have hereunto subscribed our names at her request as witnesses thereto,in the presence of the said Testatrix,and of each othero U~....::'",a .7~!(?~~./.'..,.'./Vii tness. I(,(./~)fJ,UHitJ-h//Witness. U I ------------------------------------------------------, J COD T:ClL NO.1 l,ADRL6..:"i1A HIT,TS,do hereby m;1ke this a:::and for a Cod~.ci1 t.o l':lY Lz.st "iill and Testament dated E:n~ch 19,19530 l~Ihcreb:,'r.;odify Item Second of ITry said Vii11 arD dj.;,1 cct that t~o lcr:.:1cy to the Union Dale CcmctC:l']of Pitt::;burGh,Pa.;I bo incrc.;.:sd i'r'vr~ T}~'e~Hu~red Dol18r8 ($300vOO)to One Thou~and Doll~~~(~l,OCO.OO)r0~tho 2..I hereby modii'"'J Item Third of my said Will by I :;:-:0:;:Five Hur.cred Dollars (~500o;OO)to Seven Hundred Fifty Dollar:.>U:750"OO) '0::(3UZl 'which mY'Executor may expend for the erection oi a cc'::"tic .,,;;;:cs~O~'l -=';18 .::~~,:~terJ"lot in Union Dale Cemetery.ill otha-provisions of s~d parc:.- as therein set forthQ 3..I give aIn bequcJ.th unto rr:y socond cousin,}..:ab~:l Ncvr\:..ca;of 355 Gilbert street,Rid~e~ood,New Jersey,~J diamo~d su~burst Pll1 ~nj ~. necklace,said legacy to 00 free of all taxeSe he Ic;ive and bequeath "GO rrq namesake,Ad~iana AnGli..-:"of 1805 ~/ '::::-:irleo Court,Bakersfield,California,my platinum diamond ba:.~'9:L.':~.t:.;;;\j of 5..I ~ive and cequeath unto my frierid,Jean ~.:G:r8r)of 2 .;,zcleav Ci=cl~.:I 1-Jcw Sr:JYJ."T.a Beach,Flo:~ida,ITry sapphire am diamor.d ring,oS.l1d "" solit~ire ring,which were given to me bJr my mother,freoof all t~x~s~ 6..I give and bequeath unto the st.Margaret.11eillol"'i£.:?OS~:)~tal of Pittsburgh,Pennzylvania,the SUi11 of One Tho'mland Dollar.s (z'~l,CCO...OO)~ 7..I eiV0 ar.d bequeath unto st~Barnnbos Fre0 H0r.18,r.-C Gib:..:o~b., .?c:.;.3ylvaniCl,the sum of 1i'ive }rundred Dollars (:~500~Oo)~ 8..I give am bequeath unto The Episcopal Church l-:Oi:;~;.:.i.:'';'':'' Pcr.:.j;'/cfr..:.e,Pittsburgh,Pcnn~ylv~:ni!l$the Stun of 'Five Thouss.r:.:i DollilrJ l \, .....:'...... /I • I I.I. -. 'nT~~~.....;i:'~J.;a~1d Jon .l.:wu thereof,direct t.hat t,he follGv'inO'"t+8","be.":""b'~~'J..'~"''.''''''•t..>...v ........y ""'"~'"t.J U 'v~: of whatever kird "nd ..r'r,e""~'vrY,,"'~ituat·:>i.nclujinr~a1_"_f ""'rO'("e::-+''J'.~~,.,-........~~~~'"",)_t"'-.---Uti and Will of my deceassdfatht::l·j John Oov,s Bill:;>~I give,devis<::am bequeath unto Trinit.y Epi;;:;copal Church of 'tTashinf,ton,Pa.,as a t,(;'!i101~ial to the memory of r:;y parents.):John Dows Hills"IJ.j)" (1857-193h)ani Clara,James Rogers Hills (1855-1943).It is my desire that Five Thousar.d Dollars ($5,0000)00)of saUi :,c;;;idue hcrein bequeathed be used for the erect,ion of a chanGcl ·if':"':.do,r as such mer.10rial,) . I declare that it is r.lyintention to blend the anpo:lnted u::-operty .s.:xl c:statc with n;y individU:'1.1 propel"t.y so that the blended estate \'Till 'c~ a7<:iiJ.able for payment of pecunl,n....j'legacies bequeathed in my said Will and Codicilo Should I die within thirty (30)ctays irom tht:date hc::-eol.,p ,~nd t:t:t 'o,::qL:cst to Trini:bJ Episcop~~l Church shall thereby fail,I di:-ect that t~c bOquC3t to The Episcopal Church Home,4001 Penn Avenue,Pittsbu=g~, ?::;':,'msyl'/ani.3.,in item Fourth of my Will dated }~arch 19Jjl 1953,51-'.3.11 rer:~in ~n f":l fvrce and effecto L.I..STLY:I hereby revoke the last paragraph of -qy's:::.i:i \'liU ~~e:-eL~I appointed Peoples First Natio~l Bank and Trust CompailY of ?ittsbur£h ::i~;b:F.:(;utOl·of said VillI,am in lieu thereof:l direct that the follo",-ring it:;;;}[,2 ::iubstituted; VSrLY:I D.ame,constitute ann appoint BessiE:B~ }f.oo".!"c aD Executrix of this my Last VillI and ·re~J"t..;.:.li:.nt~ c..,cnt that ::;,1id Bc~;,,;ie Do>i:lcora shall fo:any reaso:,b:: . I /I .'.,"l ~,~.,,....) \,.;..';'."-j as ExecutOl~he:reof,PittsburGh Hational Bank\) this C<xUcil Noo 1 to rrrJ La3t WUl / 1,.S-:{\;~'y.......,·,,~1 n"'·4 se""l +h~C'+he _'aay&,l..1l~.l..".'••\...Co.:V.Jt..W "" and Testmaent da'c,ed March 19,1953Jl set of Nove:nber,19600 .., 1)./_;/j .(-,.,'/.,,,.,.'f"..-"k I /,.'~....',/f....v ,v ,~..,........\._.:. /'.)./).~' I ....!,.I .,.//!(,;,.~) S::e-I~eJ,sealed,published arc decl,:tT.'ed by the above-na,11oo Adriana Hills :l.:1 the p'!'8sence of ·us,who have her£:unto subscribed our r.a:.-ncs at :1er request ~s witnesses th2reto,in the pl'esencc of the said Testatrix,and of e<:l~h other.. ~'ritncs$0 i!, .- f FIRST AND FINAL ACCOUNT of LUCY MAE KING ,EX,eoutrix of t?:ie ,Estate of Adriana Hills I deoeased,late resident of South strabane Township,Washington..,..,' County,Pet;lnsylvania. THE ACCOUNTANT,CHARGES HE~SEtF AS FOLLOWS: Inventory and.Appraisement: PERSONALTY REALTY' $77,.795.71 NONE $77,795.71 To gain on conversion.of aS$et~"as perScheduleA To income received.as p~r Sdledule B. After discovered assets: 987.61 1,001.46 Medicare refund 12.00 TOTAL DEBITS TOTAL CREDITS $79,796.78 10,235.58-.... BALANCE $(;9,561.20 THE ACCOUNTANT CLAIMS CREDITS AS FOLLOWS: ", 1968 ..• ;July'3()Piatt Funeral;:Hoz.ne..Burial:'sxpense A.T.King Appraisal fee...;jewelry. Simon White's,Sons 't-1onument Aug.?Observer Pub:·Co.·Advertise 'grant letters 19 M.W.:Graham,.M.D.'Medical services O'.•... 29 Russell Marino,Reg.2 -shOrt certi£fcates 1,293.29 5.00 750.00 14.00 70.00 2.00 Lucy Mae King Dec.31 LUcy Mae King ..'Reimbursement for telephone calls and registered mail 8.34 ale Executrix'S commission 1,850.00 61.95 9.50 3.00 8.00 1.95 $25.50 14.00 Reimbursement for:' 't." H.Siegel kussell Marino~Reg.-Probate Will Washington Co.Repe~Advt.letters Russell Marino;Reg.Certified copy .-Will _. 3 short'certif. 'Piling inventory &balance letter certified ~registered mail' Post Master - 15 Doc.5 7 Sherman i968 July'19 22 Aug.2 1969 Jan:' Witness to Will 1969 Jan.7.Margaret Plymire Beulah "M.Peel ,'fl fI II 5.00 5.00 Margaret Bails Notary fees LUcy Mae King Balance Execut~ix'comm. Sherman H.Sieqal Counsel fees Russell Marino,Reg.Filin9 this'A.ccount TOTAL CREDITS ,' .-. 5.00 2,150.00 4,000.00 16.00-....~ $10,235.58 " , ... .'. i J••• •.. .. ,. ..~'I .- ".' .',- ,'" ~.~., ,,I :,.1 '.F',, ", t··~ ".,ACCOUNT OF ADRIANA,HILLS~;,..,o"'-"'"~~~~~,..'"I' ",' ,',"SCHEDULE,A.' CONVERSION OF ASSETS'"' ............-;~...--..~~-..,..~~-- .20 .shares American Sugar Co.5.44%eum•.pfd~'~. ~-...'." ." ~..' "Sold for'"'' .Appraised at:.. $:hO.74 217,.50..~.........~ (6.76) 74 shares AmericanCya~amidCo'-,..,,""..~-., ,Sold for . 'APpraised 'a.t ',',;.2060.84 206~L 75 (l.91) .,162 shares American ~el·.s'Tel. ........,. ., t Ii .,.I,'~~ 475 shares Chemical'BankN',>,y:Trust Co.','"',. ,I 328.50 "'987.61 8580.78 8252.28 ,, GAIN ',32730.28 32062.50 ...t ..,.•1..0 .t· .~..'.....,\,, .'II.'" ;;......''"~, 'Sold'for' .ApprEd.sed..at .,', ,.'r~II-•• ~t • SCHEOUL~','~::; INCOME ACCOUNT .'., ",'.''.Sold for.,~'"", ,Appraise~at . ,.~,....~. ,'. ~.. ,... ,'~..t:.'t -,f ,I" .,. " :1 / 46.26 97.20 285.00 13.25 ,....,i ,.' I .... 2Alne~ieari sugar Re.firiing ,co ..-interest ". 1 Amer'lean Tel.&'Tel ~'Co;.,-dividend. ChemioalBank N.·Y.·TrusteO.-oividend "' 27 Americ~cyanam~d:C():"-'4iv~dend., Oct.' 1968 Sept'. 24779.t39 25000.00 ......l...~:,'".,y'~. Nov. ..~~'~g~C.tN~!,~,purchas!!44,u6;"f2/3P/69 .' r /Purchasad",•;,d.$,9870 .58 ' Redeemed 12/30/68 10'000.00 >.t '~••",;,j':',...'.',:J.'f,- ''i1 .. :'23 .1?ord,,~M(,tO:t!Co •.Note ..~.~'." " 'p'urchased'due12/30/68'$4948.40', ,Redeemed'"'.12/,30)69'.15P9~.00,'~.J.••,J'~-~..'t-,.,"~'.",.',~,~,,!",";,I 5 Ford Motor Co.Note; -Purchased due 12/30/68 Redeemed 12/30/68","..-~ " Si.60 220.11 12 ford Motor-Co.Note'.,c I Purch'ased due '12/31/68 ,34841 ~38 , Redeemed 12/31/68 e.'35000 ~,OO': .".," ••,__I DeC. ,...,;.. ,.' 158.62 TOTAL t;001.46 " .I"~,.. .' ••..j,' .'~.... ,....' ;. ~., , !i , ESTATE OF I Qhllu"t l1f QhllltUtl111 ~Th\itl1 ut ~Uht1d~iugtn1t .~Jl\UU,tlllhrUUiU,®l·Vl~Ultlit Qhl1U"l iliuhliuu No.63 -68-885 In the matter ohhe First and Final ,Account of Lucy Mae KinIJ. Executrix ADJUDICATION AND DECREE $70.331.17 ,"I Bolonce _ ,And now A('rJl .17,19 69,this matter come on for hearing, auditand distribution at this session and testimony taken;and thereupon,upon due consideratio'n ~ncrc.;)f the balance for distribution in ihe hands:of the Accountant is determined to be "S~Q"1~':'•J '(i:l and tre ,accou~t is accordingly confirmed;and it is ordered,;; adjuGged,and decreed that th?\said balance;be..paid qut by the Accountant in accordance with the ;: schedule Qf distribution hereto:attached and maoe a:part hereof,unless exceptions hereto be filed iI seS.reg.9i an'pppeal be takel1l herefrom sed!leg.,~!i',II ,;.,",,~j'":;,;j 11:1 I Ii ;'I .1'""I.!,._I I"""j!Ii 'i:;-I &1 I!By the Court,illIi,,)"':'_.I' i !i 'I'i~!I ::~~I it i il /s/P.V.Marino,Po J.Ii ('~ :11 Ii ~~.Ii :j oj i :\SCHEDULEilOR'D}STRIBUT:ON !!. =,~,;=============j==1=;t;=:;:;:~='=·~·==;I~1===============j: Ba\:a~:ice per account -J;jl.l_.,...':'~··--;.;I!______$6D,561·20l~dditionaldcbit asked at .audit Ii t~II 1060.2C 11 II ~Ii $70 J 621.40 290.2::'If.dciLtional credit asked at audit Deduct Clerk's Costs &Receipts,_ At:orney Sherman H.Sieqe1 I 67.0C $70,264.17 j 'Lucy 1\18,eKing,Executrix,reaward for Federal Tax Contic0encies.After the tax is fully settled and the accountant's liability ceases J any balance of this reawarc remaining shall follow the decree ofdistribution herein made as it relates to the distribution of the residue and nb further formal accounting to the Court shult be necessar~,1000.0C Hu~:::;elt Uadno,Agent,transfer inheritance tax,24.7[ Iol:abel Newton,specific bequest in kind ofJdiamond sunbu 'st pin and pC3.Tl necklace,held in kind and distributed as such at the Clp~raised value 7 credit to be taken by the accountant for items advanced prior to distr"lbutlon by the Court,60.0C l~driar.a Anstin,specific bequest in ldnd of platinum dl.irflond b8.r f;in,held in kind and distributed as such at the apf;rai::;cd value,credit to be taken by the accountant :cr iter:.advanced prior to distribution by the Court,40.0C $69,264.17 $69,239.42 $69,179.42' I J c:J.n M:eycr,nov,known as Jean Meyer Shepard7 specific J br;q1.,;e::t in l~ind of the sapphire and diamond ring and tho :::oHlz:.l.rc:rtng,held in kind and distribu,tod us such at the ~hj~ai=:;cd v'::'lur.:,credit to bo tal{cn by the accountant for it0m~::d'/:J.ncc::d prior to distribution by the Court,65.0C Ur.10n ·Dale:Ccr.'lCtcry of Pittsburgh,Pn..,legacy,in trU3~ [(jl"';,(,1'::l~lr;r.;rlt C~_1.rc and maintenance of famiLy lot,plus l:JLc....(;.::;L ducon lcg::cy in trust,.1015.G( $G8,087.78 ~~~----------------------------..,..--"1-----"1-----------, 61527.7B , i I I ii , '\i \, I ! 1 St.Margaret Memorial Hospital of Pittsburgh,Pa., legacy, I St.,Barnabas Free Home,at Gibsonia,Pa.,legacy, rr:~e EpipcOI:a.l Church Home,Pitts:burgh;It)a.,legacy, ",':;'~',1 [11 II ,'r,~I,',::~..:~:.~-~~....t'li I' " ,,""I 'I~'!':'';,,II ~.~~.1 'Tl~~r,ity Episcopal Church of 'iNashiti<Jtori,ll'a.,residuG,,~ a l'l'lC:l10i-ia.l to the memory of the I~arcnts of the testatrix.,I "11 3S set forth in Codicil No.1,with varhcular attention to n~e ~xp:"essed desire of the testatr~?,that 1.5000.00 of sal .L bequest be used for the erection ofl~chandel window assu~~~m~morial,"r,II '...II ' I::'"i ,,':,j',;..;II;~II,:i!';'.:;.;;i:i II ~I, i~1\::,~,..:::':;:";',';~~:II t~I!' i Ii ';,~"::~~,c~II E il 1000.0C 500.0C 5000.0C $67,027.78 $66,527.78 t•.••. , ! I ! I l:, i~'~ I , II!iI; I!II'!l' } I' I t fI~; ~!i. fI, I·;' ~, "I "\ k•"~, i:, ~[' I\I, O'" i·\' f·;1 ~. r i.'? ! \t· : I ! IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA (ORPHANS'COURT DIVISION) IN RE: ESTATE OF ADRIANA HILLS, Deceased .. ) NO.63-68-985 DEC AND NOW THIS· R E E ~r;:_,_tf..·/J~day of~969, I upon consideration of the within petition and upon motion of Sherman H.Siegel,Attorney for petitioner,it appearing to the Court tha the additional assets referred to in the annexed petition,after deduction of costs and expenses,are distributable to the Residua y Legatee under the terms of Decedent's Will,the balance for distribution from the after discovered assets being determined to be $2,399.05,distribution thereof is directed to be made by the Accountant as follows: Balance for distribution Register of Wills -filing Supplemental Inventory $3.00 $2,399.05 Margaret Bails Lucy Mae King -notary fee 1.00 Executrix's commission 119.95 Sherman H.Siegel -counsel fees Register of Wills -filing this petition and decree 119.95 5.00 248.90 Balance to Trinity Episcopal Church of Washington,Pa.$2,150.15 This decree shall not affect the reaward to the Accountant for Federal Tax contingencies made in the Decree dated April 17,1969, the balance of which shall be distributed to the Residuary Legate after the Federal Tax contingencies are f Estate. .( !\ffi~uuit (@f 1fxrrutnr (@r !\~mittistrutnr @Ilate nf 'rttttayinattia,t 55: cnnuttty of lIa!i~ittgtott ~ Personally before me,the undersigned authority,a ~9..~.~~.Y.r.Y.:Qli..9..in and for said County and State,appeared ~~!?y ~~~~~g9:who,being duly sworn according to law,deposes and says that S he is the executor liD{Xdm.1X««M:KlXof the estate of ...........~£~J9.-.~.~~.~.!.!~..(deceased,that the foregoing schedules constitute a I t · t 7 d . f th I d I t f Adriana Hillscompe e mven or)an appraIsement 0 e rea an persona esta eo ,. 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 named Executor Administrator. da~~;~~:~~~:.:.~~:.~.~~;:~6;.:t~S •..2Uh··_..4 ~~:~~, Mit~ihAiis~~·~I~~~;:;:~~..INSTRUCTIONS W-IIIOHfNlJ";'lN.WA~!lI~,1~~!,:<,DfJ'••••M!l~~m~~f~)~~ep,~~qr!irn~~~,~7 f}lrI withm t~lree ~on.ths ~fter appomtI?ent of person~l.representatIve. '2.'A supplemental!mventory~must be fIled withm 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 bU'.!:'·.!:" lIttuttttnrg aull!\pprai.atmtttt of the goods and chattels,rights and credits which Adriana Hills South Strabane Township were of ·late of . Washington County,Pa.,taken and made in conformity with the abrrve affidavit. PERSONALTY: 74 shares American Cyanamid common stock appraised f at 27.875 .~. DOLLARS 2062 CENTS 75 t.,~,~,?1-,fY~ .'SUPl?L~NTl\L ~.--."...:: Inventory and Appraisement IN THE ESTATE OF ........................8P..B.lf.tN~...B.J..1rl;r...§..I•••••£tg9..§.g,§.~d Filed :!..~.~¥.:,19 ~.? 1 t::::J...s: ~>::0c:nl"rJ:;:;t;J :::c0C:::~(;)C;1 4)-i,en-jrT7rc, 0.:::.0;--'~Or= o 'iT::::::9~~~"",-'~""Or--l;:Jl;'f"""~ ,(.t).Q ..C"') (.C) :::::-§-t....l ~-~-~ -l:" C;:) .- -r-r¥'::~"..............---....~. ;--~,.. f'i7 SHERMAN H.SIEGEL,ESQUIRE 215 Washington Trust Bldg. washing toll,penllsylvanIa ....9 tJ-{)~79'-11-3 0 ~~ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. (ORPHANS'COURT DIVISION) IN RE: ESTATE OF ADRIANA HILLS, deceased ) ) ) NO.63-68-985 RECEIPT The undersigned hereby acknowledges to have. received of Lucy Mae King,Executrix of the Estate of Adriana Hills, deceased,payment in amount of $2,150.15,being after discovered assets consisting of 74 shares of American Cyanamid common stock and Dividend Check of American Cyanamid Company dated March 28,1969, pursuant to Decree of the Orphans'Court Division of the Court of Common Pleas of Washington County,Pennsylvania,dated August 13, 1969 and filed at No.63-68-985. IN WITNESS WHEREOF,I have hereunto set my hand and seal this day of August,1969. TRINITY EPISCOPAL ..CHURCH OF.-WASHINGTON,PENNSYLVAN~A BY --_.' I".;i\.,.l.,••,~_, r,,)C;,~ ",',,..'l ••'r ~~,. \-..-'.-.,. .., \ .(. f ... ";".., .. " r,~~ ,••"'I j ,,,.'t>, .~~ J ,~), ~f' SlllAi .:10 M31Sm3H ."~0<ONnJ\f~'J ~n3ssn~_. ~f ~ .,Iv •£"'ld 6;''\)-i'S.any 6961..~ I ·0 \. ·O31[~~b>"l::-. rr(j\. IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA IN RE: ESTATE OF NO. ADRIANA HILLS, deceased RECEIPT AND RELEASE I,JEAN MEYER,now known as JEAN MEYER SHEPARD, formerly of 2 Azalea Circle,New Smyrna Beach,Florida,and presently residing at P.O.Box 421,Edgewater,Florida,do hereby acknowledge to have received from Lucy Mae King,Executrix under the Will of Adriana Hills,deceased,the sapphire and diamond ring and the solitaire ring bequeathed to me in the Will of said Adriana Hills. Dated:October .~1 ,1968. IN THE COURT OF COMMON PLEl\S or Wl\SHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF ADRIANA HILLS, deceased NO.63-68-985 RECEIPT AND RELEASE I,ADRIANA ANGLIN,formerly of 1805 Shirlee Court, Bakersfield,California and presently residing at 4108 Hinsdale Avenue,Bakersfield,California,do acknowledge to have received from Lucy Mae King,Executrix under the Will of Adriana Hills, deceased,the platinum diamond bar pin bequeathed to me in the Will of said Adriana Hills. Dated:March 21 ,1969. ........-.... .'Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF w.~.s..I.I.~~.(rJ:'Q~. 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 with1nr one year after date of death,unless an extension is granted by the Secretary of Rev e.(Section 703 of .th~.Inheritance.an!!.Est;ate~ax .t\ct of 1~!J1.) IN THE MATTER OF THE ESTATE OF }AFFiDAVIT OFADRIANAHILLS..·.·H · ··································i"St~t~Hf~ll··~;;;~···~f·d~~~~t)..······;·~~·h·i~·~~·~~:~H Late of ...S.o.uth.....strahaneH.T.o.w.nship./.....H......County .......H.H H..HHHHHH...H HH..H..HLUCY .MAE.'H'KING.H...H..HH . »X9@liXtX«CXXX of the estate of the above-named decedent being duly sworn,depose S and say S .Executor Decedent·died ......................July..... (Month) •••••••H••16 ,19 6.8.,r testate leaving a last will,copy of which is hereto attached.} (nay)(Year)L il{tX«HK Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. $h~:r.:"InCln tI..~S.,i.~g~.:l.I E§q:qJx~. 215 Washington Trust Bldg.WaShington,PennsylvaniaT5301 ·.·.H ..H..H..H . That as such Exe.~.)J.:t.r.ix.deponent is familiar with the affairs of said estate and the property con- (Executor·Administrator) stituting the assets thereof and their fair market value. That at the 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 IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO.DECE:DENT 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 Sc.hedule A attached hereto and made part hereof sets forth fullv and in"detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage enc~brances upon each parcel of real property at the date of death,giving the amount still due 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 of deposit,savings banks,trust companies,or other institutions,whether individually,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 Uni ted States to the decedent;all obligations,whether by statute'or agreement they 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 and all other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated market value thereof;all bonds and mortga~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 ~o 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. -. )', 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 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 transferee 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 cORY 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 pa~ses 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 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 carried forward and properly registered in the Summary. Subscribed and sworn to before me this .d2:.~ •••••••mm-m da;:1~mm19.§~~";;;;;:~~~.'_.._. .y'."':y'"-~../.U>-"",,,,',..,.,.,~~.~......•...}..?~.~.i:..~9.~~9.9..9:~y.~.~.~~. MARGARE1 Kl~-"J Public (Street Number) WASHINGTO'WAC-...·W''''''''....0 .•Ph.Washington,Penna.15301MyCommissionExpiresFebruary27,1971 ··..·i'city -;;···T~:;;;~····~;ji ..·st;;,~j"········. 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. RCC-34 (1-64) COMMON1'!EALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BOREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX ' RESIDENT DECEpENT ,StH~D~LE UA" -REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule liE".Property held by thede.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!"wealth of Pennsylvania should be (1)(2)(3)/ described by lot and block number,street and street number,together wi th DEPARTMENTageneraldescriptionoftheproperty,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;if a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this space)to be listed on Schedule "F"and must not be deducted from this schedule. N 0 N E Insert thi s total opposi te ureal property",Schedule"A"in the X X X X X uAs Reported"column on the last page of this return.NONE SCHEDULE "B" PERSONAL PROPERTY RCC-35 ""t.o COMMONWEALTH OF PENNSYLVANIA 'TRANSFER INHERITANCE TA,X RESIDENT DECEDENT ,,," 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,notes,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 Mellon National Bank and Trust Company- Savings account Pittsburgh National Bank -balance checking account 162 shares American Tel.&Tel.capital stock at 50..9,4_ UNIT VALUE ESTIMATED MARKEl'VALUE 1082.43 1419.39 / 8252.28 DEPARTMENT VALUATION (Do not write in this space) 74 shares American Cyanamid common stock / at 27.875 V~( 475 shares Chemical Bank N.Y.Trust Co.vi' capital stock at 67.50 20 shares American Sugar Co.5.44%pfd. stock at 10.875 $500.00 American Sugar Co.5.30%sub. deb.due 4/3/1993 at 81 ;>. 475 warr~nts Chemical Bank N.Y.Trust Co.Y Estate of John Dows Hills -balance due decedent\.~~Cc~'-P1(,?t:/~1-1.~~~'1~'i". 1 diamond cluster ring 2 bar pins 1 diamond solitaire ring 1 diamond bar pin (platinum) 1 Elgin watch 1 carved ivory case 2062.75 32062.50 217.50 405.00 130.15 31;.826.06 2.00 5.00 1 string costume pearls Observer Publishing Co. Washington Manor -refund refund subscrip ion No value 13.15 150.50 Insert this total opposite "Personal Property",Schedule;"B"in the "As Reported"column on the last page of this return. x X 7~795.71 RCC-30.,00 00M\WN1\'K\LTH OF PENNSYLVANIA Tlli\NSl~R INHERITANCE TAX ~SSIDENT 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)No (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 _ (b)State of decedent's heal th 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)No (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)N~OL-__ (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)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)~N~o~_ (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 to 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 NON E 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 .C(\M\I\JNWFI\LTH OF PENNSYLVANIA tl(\\,"S}'FH rXHE1UT,\NCE TAX rtF:~InEN'T DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY D;srRrCTIO~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 tmder 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 ofAcquisit-ion,Name I-unit perce~t~~-'-l-E;-ta-t-e-I Address and Relationship of Co-Owners,and Place 1 Value Share Valuation I of Record of Instrument,where Real Estate.!-l. NON E DEPART~AENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest II I,VI\J,I I ' i I I Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. NONE I'---~~-=--oJ1 flCC-37 ...(12-63) l'nmtt)~\\'EAI.Tli <'1r:pj.:;"::'\~YYI.ANIA THANSFER 1l"IIEHITAl'\l'E TAX •- RESIDENT DEL'EDENT J. SCHEDULE "0" BENEFICIARIES \ h - BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Unl.on Dale Cemetery 'D;,.P"",nnculu::ani::a Nnnp .... J - Episcopal Church Home.A"'"Do,...,,...,21. Pittsburgh,Pennsylvania None Bequest Mabel Newt~nr::.r::.n.T"\...~~70 Toms River,New Jersey Second cousi~yes Specific legacy Adrl.ana ~n~.Ll.n1805ShireeCourt Bakersfield,California None Specific legacy Jean Meyer _.!P 1"\n~"A')' Edqewater.Florida None yes Specific legacy ::>t:.lvlargaret:lVlemOrl.aJ.nospl.It:aJ. '0;1""•,...,....1-,~"~T""""';""1\1,...,...,"'".... oJ ...- ::>t:.Jjarnaoas ,r"ree nome 1\1,...,...,,,,,,....t-,..~,."""~"~T""""';""... Trl.nl.ty Epl.sCOpaL Cnurcn 1\1,...n "'"R"",cinll"'"1.1"",..1-,;'Donn"" J - Deponent further says that all the above-named beneficIaries are liVing at this time except below: NAME DATE OF DEATH RESIDENCE ~IATTER OF THE APPRAISEMENT OF THE ESTATE OF Will Administration t No. P.II THE Year . (Executor-Administrator must complete "As Reported"column #1.) C1 .....,'"ti ::0..,...(l)(l) 0 ll>..,ll>'"::s '"..... '"'"0......::s '"ti.....,(l)e:...., ll>...0'"x '"ti '0ll>(l)0-'....., ;-'0 ..... '0 '< ~(l)... '"..........'<ll>.....(l) ADRIAN1\.HILLS Deceased Late ofSouthStrabane'I'ownsh;i.p. =-'rl .. REPORT ~ND APPRAISALJ'-' Commonwealth of Pennsvlvania~~_.," (,. (. enc::~~II i I >::0 en en en 0-<: n ()()II ~p-p-p- q ~~.............................. -00 -00 -00 -00 -00 -00 -....J :!Z :-....IZ >-....J :0 :-....10...::s :..:::1 '":-....1 :(1):-....1(1)~~ :~:~:""......U1 :U1:0 ~ :.:..~ -....J :-....I:(t:......:I-'.c.. Washington :-0 i i .=-=l ,: ,...J C<..W Lo) '-1 County of SHERMAN H.SIEGEL,ESQUIRE 215 Washington Trust Bldg. washington,Pennsylvania ~-oo-oo-oo"""-oo >~ t:J(t~2"l~ ~.~ ~r.c.. , i II j R CC-SI (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT LUCY !vIAE KING .(Executor ~. IN YOUR REPLY PLEA.E REFER TO 37-132-7 In Re:Estate of_,...--__-..:.A::D:.:.;R=lA:..::.::NA:.;.....:Hc:.;I::=L::I5=-------- _____-W-AS-HI-N-G-TO..;,..N--_--County - FHe No.63-68-985 Dear Mts.King: You are hereby notified that the original appraise~ent in the estate of Andriana Hills has been filed in the office of the Register of Wills qf Washington County on Febrwry J ,19..6.2..Said appraisement reflects the following valuation~: Rel;l.l Estate ...,...;.._ Personal Property ~7~7~,~7~9~5~.~7=1...,...;..__ Transfer s __..,..-_..................,-....................._ 'rota;I........._.....--....,.-_-7L..J7u,~6:..J.9""'-5.L.t7ul!::..-_ As to such t~x 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 proviqed by law. Dat e __--r-.;F::....::;eb::,:r:..,;ua=r:...ly~4:..z'--;::i~9=.69.!-,.--- Title W.R.CHANEY, DATE OF DEATH:July 16,1968 Note:This is not a bill. RCC-39 (6,67).. COMMOHWEAL.TH OF PENNSYL.VANIA T~~NSFER INHERITANCE TAX RESIDENT DECEDENT HILLS,..ADRIANA FILE #63-68-985 July 16,1968 SUMMARY FILE #63-68-985 rmpOHT OF INHERITANCE TAX APPRAISER I.the undersigned duly appointed Inheritance Tax ~ppraiser 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 opposite each item in the last column to the right in Schedules "A","B","C"and "E". Dated:02-03-69 07-16Jp78 REPo~r OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for _ County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts claimed by deponent,except 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 sum allowed as a deduction. Dated: REGISTtR OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $,~$$~---~-77,722.71 77,795.7& INVENTORY Real Property (Schedule ~) Personal Property (Schedule B) Transfers (Schedule C) J oint-Held Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE _~n_~_95.71 =====:.--..- 77,795.71 =====:...-..-....=======:= Valuation of life estates or annuities ...•$--~- ESTATE TAX ASSESSMENTS ~---------------,-- COMPUTATION OF TAXFORUSEOFREGISTERONLY Tax on $.•_._5%%__--.-_ Tax on $,_._10%~--;- ~~::~i ::~~ Exemptions~==~======== Total Estate __ TOTAL TAX $_ Less tax previously paid *~~~======~~ BALANCE $-------Less 5%of tax if paid within 3 months after death $======:- A~evidenced by Charitable Certificates issued by the of Revenue. / ExetnptionS~,6retary i / $------- $------- $-------$ TOTAL TAX BALANCE PAID BALANCE OF INHERITANCE TAX DUE ~-------- Add interest at rate of 6%from to $--------AMOUNT OF ESTATE TAX ASSESSED *_ Estate tax paid $__ BALANCE DUE Add interest at rate of 6%from to FOR USE QF 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,~ith short explanation. Will (. , .No.AdmInistration IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ADRIANA HILLS Deceased .. Late of . County of S.STRABANE TWP..-. WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ ~.l' Funn'RCC-2 COMMONWF;ALTH OF PENNSYLVANIA DATE """""""~,~?F,~r.x",?!.,,,,,~,?§..?................ Di'IARTMENTOF REVENUE RESIDENT INHERITANCE"T,AX Washington,-COUNTYB.'jREAU OF COUNTY COLLECTlQNS .........................................................................•.................. APPRAISEMENT FILE NO."...."........".f?J..:"§9:.9.?5.."".....".._.""..",,........HARRISBURG,PENNA.J 7127 Whereas....................................A..g;r.~.~.~....~.~J.:.+.!?.....................................................................late of .....................................~..~.....~~:.~?~.z:.~.....!.~~..... in the County of ...................................~~.~~.~.~.~?.~...............................................................Commonwealth of Pennsylvania.having died on the ...................................}A....~~.........................................day of ...................~~y...........................................19....~.?..seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore.I.............................................y.r.~.R.~....'Oh?,n~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 deeedent 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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpoles $ PERSONALTY: Mellon National Bank &Trust Co.1,082.43 PittsburJ!h National Bank,Checking Acct.1,419.39 Stocks (In vafious co.,see appraisement)43,130.1$ Estate of John Dows Hills,balance due decedent 3l,~26.06 Jewelry 174.00 Observer Publishing Co.-refund subscription 13.15 ~vashinQton Manor -refund 150.00 77,795.71 77,795 71 Total 77,795 71 Having been duly sworn according to law,I do hereby ce~y~at the above appraisement is made in con- formity with law on thiB .........",.;>~.......day of ..................-,-....~,.Z'.................:f5l...~.cz:. ......~......~Ao......................~......7h....'/.e......"....L Appraiser ~~;;;,..;;;).................................................................................................Penna. (Poet OlUee) " WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ADRIANA HILLS Deceased. Late of S.STRABANE TIIT>•..............................-. Date of Death,~.~y .+.?L.J9.?.£3._ . Appraisemel!t Docket Vol 37,. Page,)J.~~.7.No..??:.~§:::-.9..?.2 . Filed in Register's OfJice.F.:E3.1:>.~~y .J.-'..19 ?.9.. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra.isement, Appeal j1'o-m Appraisement,.. Entered and charged,._.•/, Form RC C·lO OFFICE OF THE REGISTER OF WILLS OF _---....:.W~A;.:;;S;;:;.H=I;;,;.N:...;G;;.;T;;;,.O;;:;.N_'___COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS,' AND'DEDUCTIONS DEDUCTIONS ALLOWED IN THE SUM OF $L~£.;l.s;,£,p D'''r~~:/Sd'p Reglater of Willa.Age~t ESTATE OF __~AD~~R::!:I:£.AN~A:.:.-~H~I:.:L:l.!L:!.!S~L.ATE OF SouthStrahane Township DATE OF FIL.ING APPRAfSEMENT ---l£~--/..::....=~:.-.=~;..oIf':'-__DATS OF DEATH -....J.J..1QI.;L....1~y~1I:-lG9-r,-:l:l~~'"'G~a~----- DATE NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCH';" 1 9 b 8 Julv 30 Piatt Funeral Home Burial expense 1291 2q.. 'b.'T'Kina 'b.nnl"';:!i C:::::I'f,:>,:>_.;6T.T"'"....u r::nn- Simon White's Sons Monument 750.00 'b.11rr 7 Observer Public:::hina ('n ....,.t;c:::P ,1LJ.nn 19 M W Graham.M D Med;~a'~~-~~~("",:><::in Inn ')0 P11<::<::I:>11 M""l"';n""Do,...')...l-.",......,...o,.......~+~')Inn , J Reimbursement for tele~hone ILucvMaeKinq(""::If,s EVrpa;<::i-,:>l"'':>~m",,;Q hA I Dec.31 Lucy Mae King alc Executrix's commission 1HI:)O 00J~9 D 9..<::1..n H S;errl:>l P,:>;f"....I.T::.n 7 1968-- ~~19 Russell Marl.no,Reg.Probate Wl.ll $25.50 7 22 Washinaton Countv Rennl"'ts 7\~:ise 1I:>1LJ.nn 8/2 Russell Marino,Register Certified copy Will 9.50Q/1r::"""":l ,..l-.",.......,...o........~+~.,nn 12/5 " ""Filing Inventory and......_,-~~~,n nn. Post Master cert~fied &registered~~_e:;1 or:: •-;;;r;;T .T::In 7 et Plvm;.re W;i-nl:><::<::to wil'"\.r::nn "RI:>111::1h M Pee]"""I:::Inn Maraaret Bails Nnr::ll"'v f,:>pc:::r::nn Lucv Mae Kina Balance Exe~l1tr;x ro"mm;<::<::;"l'?1 c:;n nn Sherman H.Siegel Counsel fees 4000 00 I P"C!C!I:>11 M:::I ...;n""Do,...I"[;'I~'~",,,,,...."h~,..16 00 I~.OJ 'T'r)ral 11 n')~r::Ir::Q - \ COMMONWEALTH OF PENNSYLVANIA }ss:COUNTY OF Washington I,Lucy Mae King HEREBY CERTIFY.THAT.TO THE BEaT OF IIoIV KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OJ" ADMINISTRATION SUBMITTED TO THE ESTATE OF AdriBBa Hills DECEASED,AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.,-.j ~7?j-'~(L.S.) SWORN AND SUBSCRIBED BEFORE ME THIS 7th DAY 01'-T"""",:::1"'"\7 .......18.6..9--\....;l~/l n"'r:~Af/......, r~AR(.\~PI~"f ~OJ"'rr P',"'ic~,f.)._......l '.•.-.~-~'J ~u. WAnHIW""..{.)....,,~,")t":\. My COXr-;i.':')""v0'',~.""•••~...,'I?1171t\I .&1........,.,,I . ,.'"'.'\\......",.....;'"...\\\..'.(.,~" FOTIn No.RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER .io.ooo.UNDER SECTION 701,OF 'ACT OF JUNE 16.1961. EFFECTIVE JANUARY 1.1962.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)&);t.J!-CJ'y~" \J ~SUPPLEMENTAL ~ OFFICE OF THE REGISTER OF WII.:;LS County of WASl{:r;~G':J;'ON . Lucy Mae King 35 Buttonwood Avenue,Washington,Pa•..............................'of . (Name)she (Address) being duly ~_~9_~~.according to law,deposes and says that 1*is the Exe.cu.:trix _ (Exec,.Adm.•Legatee.Etc.) of the estate of Adri.ana__Hil.ls whose last residence was -~-------------------------------------------------------------(No.)(Street) ___________________________________________________.deceased,and that the whole of the estate of said decedent,who died 2._.I...4._=_t_f _ (CitY.Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value ,, Personal Property 74 shares American Cyanamid common stock appraised at 27.875 2,0,62.75 . ,. NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered. ~~-,,~--~~~~-~,~~~-~---------------------------------.... Jointly Held Property Estimated Value --"~. " -,,' - - Transfers within TWO YEARS Prior to Death That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT Trinitv Eoiscooal Church 1'"1=><::;nl1l=> Washington,Pennsylvania - - .-.~ I SUPPLEMENTAL RE..§IDE~T DECEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE'List first five items in the spaces so provided,observe notations thereon,and instrpctions. DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN ltEGISTER ONLY Funeral expenses paid $$ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Russell Marino,Register Administration Expenses *8 00 Sherman H.Siegel &Counsel fees *and Notary fee 120 95 Margaret BaJ.ls,Notary Lucy Mae King,Executrix Fiduciary commission *119 95 I OTHER DEBTS AND CLAIMS (*)See Note below ! \ -. Total 248 ~O Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission or debt is greater 01'less than the estimated amount claimed and allowed. Subscribed and sworn to before me this ...2 4.th . ........................day of ~1A+y',19..~.9~MARG'~~;~····· ···~E;~W········ ~5..a\l:ttQnw.QQ<.l.}\.:V~.I)}.l~. (Street Number) Washington,Pennsylvania 15301 •••••••••••••••••••••••••••••••••••••••••••'.0 •••• (City or Town and State) My Commission ExpIres february to/,!~/J. Having been duly sworn ~c~ing to law,I do here '!certify that he above appraisement is mad.in conformity with law on this ................../<..:C21',day of .p L:),J9.t.~.r7 ~ ........A::.-~~...:..eo Ap RIser In the event that any future interest in this estate is transferred in possession or enjoyment to coIlateral 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'inheri- tance taxes at the lawful coIlateral rate on any such future interest. REPORT OF T~EGISTER I,the undersigned duly elected Register of Wills in and for......<-1'.:1l.?:-.-tn..~;;r.+~~~""",,- report that I have aIlowed debts and deductions in the amount,s4:laimed by deponent, .s set forth in the last column to the right in said schedule above,which greater or Ie s .amo t re sents the sum allowed as a deduction. Dated:~L~.~~./rP~./....~J.'..!.!...'..~..~..,.7-"~"".Register ol ~n;.':-:"l L. ; "!' Fonn No.RCC-62 (12-66) WillAdministration INo Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ...........MR:rA~~.Ij:J;Y~$J . Deceased L te f co"+-h Straba:n1!>TO~shipa0........'~'::U""'".~•••••,••••• >m ~-en <;")c:::::-_ ::I:-v",c;:Jz$ashing9:onCountyof....~..._•....,...;.:-:-...1-'1"('.••••<".1.,,1"'"• -i AI r-t..vo.(......,J.Commonwealt~f~e!!;!1sYlvan&... @P~~MENTM. ".r--t.....,).REPO~~APP£AISAL SHERMAN H.SIEGEL,ESQUIRE 2.15 Washing.otn Trust Bldg. Washington,Pennsylvania ~I 37-132-7 : '., RCC-81 (2-64) COMMONWEALTH OF PENNSYLVAN IA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS • INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT LUCY MAE KING (Executor ~' IN YOUR REPLY PLEA•• REFER TO In Re:Estate of A:.=D::.;R:.:::IA='.::.N=A=-.:..::H=IL=L=S~_ ____----!W~A~S~H:!::!IN~G~T~O::!.N County -File No.63-68-985 Dear Mr K"s.::Lng: You are hereby notified that the ~supplemental appraisement in the estate of Adriana Hills has been filed in the office of the Register of Wills qfWashington County on .August 15 ,19~"Said appraisement reflects the following valuations: Real Estate --,_...,..---- Personal Property ~2~,~O~6~2~.~7~5~__ Transfers ___:_---- Total -.,..-_..:2,s.;.O~6~2::.1.~7""'-5 _ 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 (5%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Dat e ---AAugu.ldl!f>.ld.,i;S;ut.........l...J.5..,.,~l.1o.9Z-!6J.:.9z----- Title W.R.CHANEY DATE OF DEATH:July 16,1968 Note:This is not a bill. ~. .' R C(;-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of HILLS (Last Name) ADRIANA (First Name)(Initial) DATE OF DEATH 7-16-68 FILE NO.63-68-985 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Was.hington Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". Dated:..=-08=--...:.1~5--.::_69~~~ 07-16-68 REPORT OF THE REGISTER OF WILLS REGISTER OF WILLSSUPPLEMENTALAPffiAI Dated:__--'0;;..;:8;...-=15"'----'6,...9'---_ I,the undersigned duly elected Register of Wills in and for Washington \.County,Pennsylvania,dorespect~ fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedul ,which gr r or lesser amount represents the sum allowed as a deduction. 2,062 7-5-.. 2.062 75 248 90 1,813.S5. $2.062'75 2.062'75 248 90 1,813 85 VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$-------+-- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or (*)As evidenced by Charitable Exemption Certificates issued I by the Secretary of Revenue.$ t= $ $ C $ COMPUTATION OF TAX $---------4--$---------4--$---------4-- $-------==:-+_-$__.__..:::2~7:2=--+U..::..::....S-_ ___----ll- TOTAL TAX BALANCE :-----~~ PAID $-Jt= BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6%from_____to _ AMOUNT OF ESTATE TAX ASSESSED $-------1 Estate tax paid $..... BALANCE DUE Add interest at rate of 6%from -----...(t,o----- Less tax previously paid $======9,BALANCE $--' Less 5%of tax if paid within 3 months after death $========= TOTAL TAX FOR USE OF REGISTER ONLY Tax on $--+-__2% Tax on $-+-__6% Tax on $----------+---5% Tax on $10% Tax on $1.813 185 (~ ~~pti~s * Total Estate ---'"___ FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will Administration t No. IN THE Year . ..L".~.i J ';'n " MATTER OF THE APPRAISEMENT OF THE ESTATE OF .APRIA.NAHLLL$... Deceased -t r / / ~,I"-I," -~,.. l-l I Late of . County of S.STRABANE TWP. .....WASHINGTON /J 'I/,I Commonwealth of Pennsylvania REPORT AND APPRAISAL ..1 Forin'RCC-2 DE~AkTMENT OF REVENUE.. BUBiZAU OF COUNTY COLLEC'mONS HARRISBURG.PENNA.17 127 -COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~.~~.~.~?::?~~?..§.9.. COUNTY ~~.~~.~~. •FILE NO..9~..9.?::9..?.2 _.. Whereas,Adr.a.ana Hill..~late of 9..~9.t..r.9:'p.@~1}olp . in the County of w.e.~~.~.gtP..D.Commonwealth of Pennsylvania,having died on the 16 th day of July 19 69.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,:w.~.R..,.Qb.~~y.,an appraiser duly appointed according to law, having been designated to make a fair and conscional)le 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 s~.ch future interest. PERSONALTY: Description of Asset SUPPLEMENTAI..APPRAISEMENT Unit Values $ Appraisement Made for Inheritance Tax Purposes at 27.875 !'It.n/'!k l.. ,. .sed I , 2,062 ~5 ~Total 2,062 75 I-------------------------------=--,,----il------if-----=--+-:.-I I-----------------------------------"'----+----tt...:,-----+--l --------------------------------------+----tt------t---j "./ ..:.fI / ,,,,.. 'i l' I J, \/~ I SUPPLEMENTAL APPRAISIDjENT ..........................WASHJNG..'r.QN.......................COU'lty-., Original Filed February 3,1969 RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .APR;r.ANA B.lk;r,$.. Deceased. Late of S.STRABANE TWP...............................................................................:. Date of Death,~-g;l,..y..J.9...L.+..99.f3.. Appraisemeilt Docket Vol.,.:!.7.. Page,13.Z~7 No 6~.6..$~9$.5 . Filed in Register's 0 ffi.ce,.A1\gv,.~.l...5..,.19 6.9. Amount of tax due,$,. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra.isement, Appeal f,.om Appraisement,: . Entered and charged,. I '.. \ ~.. I : / -.:...~._•...,.;..<-"),;. 4"-::-- :~:=--: ._.~:::.;~~;:i}~;:;;~.::.:'-...;~:.I'_-:;.'~";;'.•... • • J ;,'It ~ Form RC ColO OFFICE OF THE REGISTER OF WILLS OF Washington COUNTY I AND AGENT OF THE COMMONWEALTH .::i,'~-f-yrf SUP P L E MEN TAL STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN THE SUM OF $.u~.Z 9.q Register of Wills,Agent Adriana Hills South Strabane TownshipESTATEOF--'-LATE OF _--..:.-=-..:..:...-:.~,;.;._____.,;..;....__.::__ DATE OF FILING APPRAISEMENT C.:....-_-_/._6_'....;C....;.::;..7__DATE OF DEATH __~J~Ui::l!:.y.t-..:!1::.:6~,---=1:.:9~6~·~8:...-_ lOA E fi9 NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH"" Ap .23 67 00RussellMarino.Clerk costs.. \ - I I I \ ~r--- I - /' 0"/ / COMMONWEALTH OF PENNSYLVANIA }S.:COUNTY OF WASHINGTON I,T.ucy Mae King HEREBY CERTIFY.THAT.TO THE BEaT OF, NY KNOWLEDGE AND BELIEF.tHE FOREGOING ISA JUST AND TRUE srATEMENT OF DEBTs,FUNERAL EXPENSES AND EXPENse OF ACMINISTRATION SUBMITTED TO THe:ESTATE OF Add ana Hills DECEA8ED,AS DEDUCTIONlO FOR INHERITANCE TAX PURPOSES.4 1l4J 14,@¥,(L.5.) SWORN AND SUBSCRIBED BEFORE ME THIS 19th DAY OF , ~M~18~ .~l·r~:r.~.j±"f~JXU ~•.'."\J'..j i:\t:;:~'1,,~1'J '7 ~Ei;w-r r '~..:I ..~:::.(".-..:,.;.'___"'.'t'~~'27 1971 ........I .....~:...,1,i I lJn tbt (@rp~uns'<!tourt of lIusl1ington atounty IN THE MATTER OF THE AUDIT OF ACCOUNT In re Estate of ~~~J~.,~~.~~~~No 9J~.~§~.9,65 J.~.t Clt:zrerm,19.6.9.,AA ..~~~r ..~~~.~.~~.~~.~~.!~~~.~~~~.!~.~~.g~.~'-~~.~y.,. A~ Date of death ~~.~~~~§.~._._~~.?~.Date of filing Inventory Appraisement .P..~~...,.4.1-19.~~.L _ . A~ft~x TO THE AUDITING JUDGE: Enter my appearance for Personal Property Tax Due Wash[ngton County,viz: I TE M 1969 $50~.00 American Sugar sub deb 5.30%1193 475 sh Chemical Bank of N.Y.Tr. 1968 @ 76.00 @ 72 ..7C: Valuation 380 •00 omi tted $560.00 American SUP'ar sub deb.C:..~O~1 QQ~@>.80 7~ 1967 omitted $500.00 America.n SUI:tQT'sub dAb ~/~O( ~. 1966 omitted $500.00 American S~gar sub deb. 1965 omitted $500.00 American Sugar sub deb. 1964 omitted $500.00 American Sugar sub deb @ 100.00 ~()().()() .. \ Year Inventory Assessment Valuation 120/0 Assessment Tax at Appraisement Returned Penalty 4 Mills 19 69 34935 ...34935 --139.74 19 68 405 Yes 455 $0 1.82 1b7 445 Yes 500 55 2.00 19 66 500 Yes 560 60 2.24 19 65 525 Yes 590 65 2.36 19 6JJ.535 Yes 600 65 2.!~0 Please make check payable to Washington County Personal Property Dept. 100/0 Collection Penalty ...-6.99 132.75 .18 .08 2.08 .20 .19 2.39 .22 .33 2.79 .24 .49 3.09 .24 .63 3.27 TOTAL CLAIM I Ih6.37*5%'is paid before August,1969 The foregoing is a statement of all items taxable as they appear in the Inventory Appraisement,Affi- davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate. ...........7.~.~day of ~~.C?~19..~.~.....A.V.CAPANO,Solicitor •( ... J2MA-~F·.I-',~, No..6.3.":,,.6B..S).85·····1s.t...qtfJ!rm,19····69-...,AA In re Audit of AccouQt in Estate of ..J:ru~r.:.~.,A-.RlrJ;A~A..__ ______.. AUDIT 'rarripr for i\ppraranrr FOR· WASHINGTON COUNTY PERSONAL PROPERTY TAX A.V.CAPANO, Solicitor ~9 SlllM .:10 H31S193H ONIH\1W 113SS0H 95 : 6 WV ti3 HeN 69S1 03l'Mj ,~