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Home My WebLink AboutOC1968-1033 - ESTATE OF SHRIVERC!lnntntnnntNtl1~nf 'tnnnylvanta.!llll. lIIu!lqingtnn muunty,). I,Josephine M.Douglas ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to administrator William P.Shriver of all and singular the goods and chattels,rights,and credits,which were of WHEREAS,the said Morris Township Leslie D Shriver Leslie D.Shriver late of Washington County,deceased, GREETING: late of m the county aforesaid,lately died intestate (as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County, Josephine M.Douglas by reason whereof the power of granting administration thereof doth belong to me;I therefore,confiding in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here- by committing unto you full power to administer the goods and chattels,rights and credits,which were of said deceased within this Commonwealth,you having taken and subscribed the oath of office pre- scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits, which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's office,at Washington,within ninety days,and to render a just and true account of your administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of .the laws relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and caused the seal of said Office to be affixed this 27th day of May ·in the year of our Lord one thousand .Sixty-sixnmehundredand• ... ~ t'I ~...(l)...til ~t-l +oot.....ts1(l)~Z t=t:l M .-f'\•\f.J ~t (j)~G, P"t:Y ~Ii ""3 a I' III .....M ,.. <: _. CD 0 := Ii "'%j -'ts1...+oot~...-'t=:= 1. 2, 3, bary Jane Smit~,Notary Pub1ic WamJington,Wa~hlngton.;county,Pa. My Commission Expires' '-..\ ~;'1\4ti~nuit (@f iExrrutnr (@r 1\~miui!itrntnr jltatr of 'rnn5ylnanta.f 511- mounty of lIal11Jtugwn (- Personally before me,the undersigned authority,a N.Qt.g,;r.y.P.u.bli~in and for said Oounty and State,appeared 'Wg1.tCl:.P.!:~.~e.p.!:.t~:.~!.:who,being duly. sworn according to law,deposes and says that he is the ~~~~~~administrator of the estate of ............................~.~s.~~P .•.:...s.BRI~.R deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of...........I:!.~S.~~~...;Q..,.:...S.H.RlY.~.R........, 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 ~:~n€¥Administrator. dJ;~_:~~~~;;~tkir~tL.};.if~e~-__._ .L !.~lJ"~'-01 =c.=dJ'...L.............~IDt:-Administrator . .ADDITIONAL INSTRUCTIONS An.inventory must be filed within three months after appointment of personal representative. A supplemental inventory must be filed within thirty days of discovery of additional assets. 1 Original and 2 Copies and 2 RCRI..34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,Over $10,000,includ!ng Copy of Will;1 Original and 3 Oopies and 2 RCRI-33,Over $50,000,ineIuding Copy o£.Will and cOI?Y of JederaI Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 ,";.., 1Juurutnrg null !\pprni.armrut of the goods and chattels,rights and credits which were .{t:.: of::L~S..U.~P S.H.RlVE.R..late of M.Qr.r.JI;L.T.9.WD,e.b.;i.,p ·.!._ _Washington County,Pa"talun and made in conformity with the above affidavit. /, ( DOLLARS CENTS Cash Pontiac Sedan (Junk) Ford Sedan (Junk.) , International Dump Truck (Jtihk) 1/2 interest in Estate of Robert Shriver"Deceased: Cash Distributed Proceeds"Sale of 6 x 6 Chevy Truck Proceeds"Sale of Dodge Power Wagon Proceeds"Sale of X...7 Drifter Proceeds"Sale of 1/2 T.Ford Pickup Proceeds"Sale of 1956 Jeep Bank Account...B1anding Office of First Security Bank of Utah (Security on Mining Bond) Cash held by Robert Shriver Estate Lease for Metalliferous Minerals issued by State Land Board of the State of Utah dated July 15"1963"Lease No.20719"Lease Application #20719"for a 20 year term"covering the following described land sitU:l ted in San Juan County"State of Utah"to"'wit: Township 36 South"Range 18 East"SLM.Section 16:NE 1/4 NE 1/4"SE 1/4 NE 1/4"SW 1/4 NE 1/4"containing 120 acres Lease for Metalliferous Minerals issued by the State Land Board of the State of Utah #ML 6028"application #4224"dated 2...19-54 covering the following described rea11and situated in San Juan County"State of Utah"to-wit:Township 36 South"Range 18 East.. SLM.Section 16:N 1/2 NW 1/4 166 19 None None None 3"928 43 150 00 112 50 175 00 500 00 50 00 800 00 468 50 100 00 100 00 r ~ .-. 'II',~ Inventory and Appraisement IN THE ESTATE OF ..........L;g:_S..LI.E I2.•~.S..HRlY.E1L _. }'iled _..,19.__. " .J """2 ~2~, Mining Permit No.597 issued by the Navajo Tribe and approved by the United States Department of the Interior~ Bureau of Indian Affairs~WindowRock~Arizona~'to Harry Binale,Census No.17299,a Navajo Indian~of Mexican Hat~ Utah~covering the Mitchell Butte Claim containing 98.41 acres~ in Navajo County~Arizona and in District B of the Navajo Indian Reservation~which was assigned to Robert S.Shriver by Harry Binale and Anita Binale by the Assignment of Navajo Tribal Mining Permit dated October 26~1964~and approved by the Navajo Tribal Council on January 28~1965.(Expires 1-1-69) TOTAL $ None 6~550.62 p ~3-tJ-/oo3 . NNO.e2~oU , / ~ INVENTORY AND APP;1AISEMENT IN THE ESTATE"OF IE SLIE D.SHRIVER" DEC 'D ,~•,, :, •J j., ,, -"'J -r-,... I •.~.~ ~-.J.--r-L! (.I) .--: , ..., -. ~.. ....; ...... l.n ----... '-"". I I ! CJ '{- Inv.Dit l.Z..page ~ ·Peacock,KeJ.J.er &Yohe ,Esq., '...l~_--.. .'. ,. IN THE ORPHANS'COURT OF WASHINGTON COUNTY"PENNSYLVANIA FIRST AND FINAL ACCOUNT OF WILLIAM P.SHRIVER"ADMINISTRATOR 0 b THE ESTATE OF LESLIE D.SHRIVER"DECEASED. No.I t'~of 1968~A. A. SUMMARY' PRINCIPAL -PERSONALTY SCHEDULE A Receipts,Page 2 Disbursements~Pages 2 and 3 $6~550.62 6,642.56 Balance ...Principal--Personalty PRINCIPAL -REALTY SCHEDULE B Loss:$ ( -91.94 Receipts"Page 3 Disbursements,Page 3 Balance -Principal-Realty $None None $ I_T d", None INCOME -PERSONALTY SCHEDULE C Receipts,Page 3 Disbursements,Page 4 Balance -Income-Personalty $52.71 None $52.71 INCOME -REALTY SCHEDULE D Receipts,Page 4 Disbursements)Page 4, Balance -Income--Realty $None None $None BALANCE Loss:$ (.;.39.23) NOTE:The Administrator will provide funds to balan~-e the Account. -1- 196 6 May 24 May 26 June 13 August 19 November 10 1 9 6 7 January 4 1 9 6 8 SCHEDULE A PRINCIPAL -PERSONALTY RECEIPTS Inventory and Appraisement as filed TOTAL SCHEDULE A PRINCIPAL -PERSONALTY DISBURSEMENTS Administrative Expenses: Josephine M.Douglas,Register -Grant of Letters Washington County Reports -Advertising Letters Obs erver Publishing Company'"Advertising Letters Josephine M.Douglas,Register - 1 Short Certificate Josephine M.Douglas,Register - 1 Short Certificate .' Josephine M.Douglas,Register - 1 Short Certificate $ $ $ ~I 6,550.62 6~550"62 14.00 12.50 12.50 1.00 1.00 1.00 July 24 Russell Marino,Register -Filing Inventory and Appraisement and Account Peacock.,Keller &Yohe -Accountant's Attorneys Mary Jane Smith -Notary Fees Preferred Claims: Dr.Bernard Berman,M.D....Medical Expenses \" Dr.D.McCarrell Dunbar,M.ri:'~'~M.~.dical Expenses ~:'..'" Washington Hospital.;.Hospital Bill Brownlee Funeral Home -Funeral Expenses Kurtz Monument Company'"Grave Marker -2- 20.00 525.00 10.00 66.00 89.00 399.65 1.,342.50 - 170.00 . ..'l~('),....."...-- Other Debts: Beneficial Finance Co.-Account 489.61 Uniontown Production Credit Association -Account 1..953.75 Canonsburg Milling Co....Account 535.05 H -lJ M Sh .Widow"Family Exemption 1..000.00 -_e.en.rIver.. TOTAL $6"642.56 SCHEDULE B • PRINCIPAL -REALTY RECEIPTS NONE $NONE TOTAL $NONE SCHEDULE B PRINCIPAL -REALTY DISBURSEMENTS I NONE $NONE TOTAL $NONE SCHEDULE C INCOME ,;,PERSONALTY t RECEIPTS Royalties -Rebel Mine Leases: 6-26-67 $17.20 12-19-67 1 4.53 1-24';'68 5.22 12-11-67 25.76 TOTAL $52.71 - -3- I " ..,.-,..',.~'. I SCHEDULE C INCOME -PERSONALTY DISBURSEMENTS NONE $NONE TOTAL $NONE SCHEDULE D INCOME -REALTY , RECEIPTS NONE $NONE I $TOTAL NONE SCHEDULE D INCOME -REALTY DISBURSEMENTS NONE $NONE TOTAL $NONE I -4- \ - ·1 .4 THE WASHINGTON OBSERVER WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION , In compliance with the Newspaper Advertising Act of 16 May,1929, P.L.1784,Paragraph 3,Sub-paragraph 25,as amended. Commonwealth of Pennsylvania,County of Washington,55:. Personally appeared before m€,a Notary Public in and for said County and State,Ri.c.ha.r.d S.•....C.o.wan ,who being duly sworn according to law,deposes and says that he is the.....S..e.C..~..y.......~....'r.r.e.a.S. of the Observer Publishing Company,a Pennsylvania corporation,and its agent in this behalf;that the said Company is the owner and publisher of the Washington Observer,established September 18,1871,a daily news- paper of general circulation,printed and published and having its place of business at Washington,Washington County,Pennsylvania,where it has been established and published continuously for more than six months prior to the publication of the notice hereto attached;that the printed notice or advertisement hereto attached is a copy of an official advertisement,official notice,legal notice or legal advertisement,exactly as printed or published in the Washington Observer in its regular issue or issues on the following date or dates;Ma¥~.1.,June 1 and l.4..,.1.9.6.6 . that neither the affiant nor the Observer Publishing Company is inter€sted in the subj€ct matter of said notice or advertising and that all of the allega· "tions of this affidavit as to the time,place and character of publication are true..~d..~ Sw"n to and '"b"~;d:~::;;~;o:;:W WASHINGTON,WASHINGTON c~Ut MY COMMISSiON EXPIRES MAY 6,1968 ,"~;;:''''~-.'-';:,"~o'1l'~:,',~.,,';:."",t,-j~",<",,~:~'.,\0', ADMINISTRATOR'S~·NOTIGE<'"ESTATE OF.....LESLIEU;j\SHRI., ·IVER.deceased'late of'.:Morris'Town..!ship "',.f .,..'".,.',~1ILetters'of administratIon upon','theaboveestatehavingbeen~ranted'tof r'the .underslgnedi~'nohce .IS herebyt.given to those;indebte'l--thereto tol -make iminediate'paym,~nt:lmd,to''-;,thq,se having claimsor7.abn~iJa$'·to:present them for:settlemeht.,:;William ,Po Shriver'•IR.D.2 \ Dunns Station,Pa.PEACOCK,KELLER &YORE.Attorneys , "23721.Tues.·3t' Washington County ReportS r Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON ) STATE OF PENNSYLVANIA (SS. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn, deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the ofIicial 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 COl'NTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: ............J.Mne.G..,9..,~.9.,~.9..9.6.. , Estate Notices The Register of Wills has granted letters: testamentary or of administration,in the following estates.Notice is hereby given to all persqns 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• •• • • • • • • • • • • • • ••• SHRIVER,LESLIE D.,Dec'd. Late of Morris Township,Washing-ton County,Penna.' Administrator:William P.Shriver, R.D.2,Dunns Station,Penna.Attorneys:Peacock,Keller &'Yohe68-70 E.Beau St.,Washington,Pa,. that the affiant or the corporation in behalf of which he is acting is not interested;,'h,"hj,,,m'''oc of ,,;d 'od~m 'd"':~"d ,h",11 of 'h',allegations of ,Ill,,ff;d,,;,'"~'hm~.f'~ Swom ""d ,,~,m,,h;,'--'~"-'''Ed'';;; 16th June 6::::~=:::e:::::··;··::~.:~::.:::" Nt ry Public KATHERINE C.YAR otary Public -Washington,Washington Co.,Pa. .My Commission Expir,es ·Nive.mber 1,1969 .-':l~:..1~ STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,deposes and says that the above account as stated is true'and correC'tas .~~verily bel ieve's • Sworn and subscribed before me this _?.:!t.h__._. doy of ._.}~_ty . _ .19_J?_~. ~O~,J=~U 1/ ,Mary Jane Smith,Notary Public Washington,Washington County,PI. My Commission Expires Ftlbruary 28,196ft Wa1shington County,ss: ..91~.;t~----------------- I do certify that I have given leg'al notice to all persons concerned of the filing of the within account in the manner prescribed by StO'tU'te and Rule of Court,as evidenced by proofs , "i 3·~t 2-t ISO-.thereof filed to No ..__..__. Witness my hand and official 'seal this_rJ._~_~. n ,~,,~G<tdayof_._~---,- --.----------------..19__:. Register of Wills H .\'....Q .'~...,..., 0 1i1 ---..~....~1 0(..;:l 0...,0i=l H 0 ~:i=l;:l +-!~0 ;:l0~C1l ::a 0<.)-~..."-.<:l ....<.)<.)'8 ,,...,0 a <.)............<l1 '.f I o·... 0 0 <l1~I ~'.-l ,]~~1..:...,s ....~\\..~"'"'0 0~"d.C1l ~~~i ...,--"4 i=IC1l ~Q)~r:..i-l '.rn .....~~0 A::~..:....,-~--,..~'.,C1l <.)~....'.r .....iE 0"-1 ~H ~-.f .....,..t'0.~...,N ri:'l ./~......,0 ...,t~Eo<Q)...,~~~<l1 ,t>.)i=I<l1 ;:l ~!ri:'lEo<;.-I:,.-l r'C''.;r-~:-J I "1 0 ~U1 C\cd:H <.)J'g~'''''J <.)ri:'l I::!"f':r .'..i 03 ;03\t}!~'.-l:''''j '"f --'i'[I'"~1I1:·.;LLS i=l ...... ~\I •:a C1l ~...,"0:~...,...,rn ~i U1 1:::a '~'~'M 0 '(~0 Q)cd!Q)~~...,.<:l U'i +>:cd ~..., (J):'.-l 0 ~'~~.-I i=lH::::l ~'.-l:'00II1j~i=l 0;~'tz<l1 M ,4 ~I . ~, 1- "'p..I ...,._ ~. , /. ~ --------.."-~, •, i ~*r • .. 1:J' The Court is respectfu lIy requested to determine proper distribution in this estate. Counsel for Accountant PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY ~estate Form / Estate of L.E.SLlE P SHRIYER.'. ............................._--_-'j"""-"--".""_.--.._..- ----~_.._.._..--------. Deceased -No ~Q.?}..S?L).~~~::A.A. Fiduciary..:William..~.......Shri~~.r.,...Administrator .__ ___._---___-___::;._____------_,. ~~cl ~~cl Decedent's death A.p-r.il l.2.,.1.9..R.Q Grant of Leltters Mgy...21.J,A.l;l.9.Q . This is the .Etr.~t..~ng...Etg~L ~~accou·nt filed in this estate If there have been former accounts filed in this estate,list file number or number and term . ...........,___-__-_____..______..-----_-_.__ __ __--_-_..---_._----_--. Election to take None Under or Against will.(cross out one) Date Election Place of;. Filed Record . Name of surviving spouse Hele.n..M Shriy.e.r.~. List issue,where material: Paul S.Shriver Donald L.Shriver William P .Shriver Did decedent marry ~fter execution of will?(indicate)¥~No.Any children born after execution of will?(indicate) ~No.If answer yes,name them . Leg.atees Helen M~Shriver Paul S..Shriver Donald L.Shriver William P.Shriver Relationship Widow Son Son Son Interest 1/3 2/9 2/9 2/9 Fiduciary,if deceased or not sui juris Sui Juris Sui Juris Sui Juris Sui Juris / List,if exceptions:to above: If partial intestacy,give facts: Adeemed:Revoked:-lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.~ If any exception give cause:. File copy of Notice and date of mailing Au.gusi..2.6.~1.9.6B..........................................................•.....................,, Is estate subject to the filing of a Federal Estate Tax Return?.N.9.- . Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $N9.n~_..,.._. If the Will makes any portion of estate subject to Q life-estate,give name and birth date of life tenant . ........~~p.~. Give Names and addresses of all unpaid creditors who are legcilly 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: Total additional debits (Add) Itemize any addifiorigJl credits not shown by account: ,. Total additional credits (Subtract) Balance for distribution $. $. $. $. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); Pontiac Sedan,Ford Sedan,International Dump Truck Assets from 1/2 interest from the Estate of Robert Shriver,deceased: Bank Account -Blan.ding,;:;'Office of First Security Bank of Utah -$800.00 ~ Cash held by Robert Shriver Estate -$468.50 ~.;.'"'.. Lease for Metalliferous Minerals issued by State Land Board of the State of Utah dated July 15,1963,Lease No.20719,Lease Application #20719,for a 20 year term,covering the following described land situated in San Juan County,State of Utah,to-wit:Township 36 South,Range 18 East,SLM.Section 16:NE 1/4 NE 1/4, SE 1/4 NE 1/4,SW 14 NE 1/4,containing 120 acres -$100.00~•> Lease for Metalliferous Minerals issued by the State Land Board of the State of Utah #ML 6028,application #4224,dated 2-19-54 covering the following described real land situated in San Juan County,State of Utah,to-wit:Township 36 South, Range 18 East,SLM.Section 16:N1/2 NW 1/4 -$100.00 ~ Mi.)iing Permit No.597 issued by the Navajo Tribe and approved by the United States J Department of the Interior,Bureau of Indian Affairs,Window Rock,Ari~ona,to Harry Binale,Census No.17299,a Navajo Indian,of Mexican Hat,Utah,covering the Mitchell Butte Claim containing 98.41 acres,in Navajo County,Arizona and in Di~trict B of the ~Navajo Indian Reservation,which was assigned to Robert S.Shriver by Harry Binale anCt Anita Binale by the Assignment of Navajo Tribal Mining Permit dated October 26, 1964,and approved by the Navajo Tribal Council on January 28,1965.(Expires 1-1-69)-None c:-.- If F '1 E .I'd b P ... I f R d'Accountamiyxemptloncalmeyetltlon,give pace 0 ecor . If Family Exemption is claimed at audit,give name,relationship and basis for Claim:. List any advancement or distribution on account that has been made,and nature and amount of same: None Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: As to cash and property taken in kind: Helen M.Shriver -1/3 Paul S.Shriver -2/9 Donald L•.shriver -2/9 William P.Shriver -2/9 COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly J~~9.:r..~doth depose and say that the facts set forth in the foregoing petition are true And your petitioner will ever pray,etc. ~,.,.,.,.,.,.. to the best of hi.s knowledge and belief. ..,-"Swo:pn"'-l-';,,,~,:v~~tJb\!.11 J;!'lGCi(1Il','1;,IL"':bl8!-OpCl')riA,we;r(),IH(~(1 ,_,,,,.',,.".•~'.····to ana Subscrlbea before ,'.~.,.J .'..).~~.q aL.'IIJ,,j}'."-~., me thiS...l(j ,dacth~..,(92·····.·········_·i?19..~,j ../~..r . Signature of OffiCe!{/iJ..~~U......~ Ttl f Off''Ck:7 .--t-U _./I 11 /. ..I ~.0 Icer J~~. Qffic'e expires J.:.d:.,c:f2.)y I:l.?Cj . Mary Jane Smith,Notary Public Washington,Washington County,Pl!-.~ My Commission Expires F1lbruary 28,1969 \~ " No ~g.~~?~~.~~.~_A.A. Estate of L.E.SLlE D•...SHRLV.ER . ,.~.('\ I I I .•_) Deceased ~~",.~,.~'••..J •I ,f'.."":l Fiduciary WjJJj.~.m P~.s.hr.i.y.er _. r!l~~~.~1_~)'''-"J ..................f.'.:!:.'..~~:.ri'"~.~:.~.s...--.- ' 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:paragraph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return ifes- tate is subject thereto. ..l?E.ACQCK•...~.l-.~~.~..~..Y.9.~, Attorney ~2 51T.'\;'J :~'].t.~:1·~1C.;;~·.:l"l I..S:..J GO :V I:J G I::r C~31 C!:~..\,. .In t4r (@rp4ans'Cttnurt nf lIasQingtnn Cttnunty In the matter of the Audit of Account in Estate of,_--=L=E=S:..:L=I::::E=-=D=-:.!----=:S:.=H=R:..:.=..IV:..;.E=R=-l TO THE AUDITING JUDGE: ,' f-- f-- No.1033,~of=--~....--'-,19-.2lL,A.A. -) Enter_-,--_-'=O:."u""r"---,appearance for_-=-th=.=e:.....::.A=-c=.=c:..:o=-:u='n=t.::a=n=t --'-~--'-_ ~~KELLER &YORE 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. c' (I (7",o No.1033 of ,19~,A.A. In re Audit of Account in Estate of LESLIE D.SHRIVER AUDIT fJrarripr fnr i\pprnraurr (0 FOR (0 Accountant I «:;:J" i.: ~. , -j ..., () \,"}.-< (/) 0_1.,I, I-~--; •.' .'1 L.~.J0.:: c' PEACOCK~KELLER &YORE AttorneyS ~2 / No._..JQ~~..Of In the matter of the...f..tX'.$.t..~nQJi:in~L . Account of Y!.~~.~~_'?:!P.-..~:?0E~Y.~~}. Administrator 3Ju tqr OOrp4uns'Q1nurt nf lIusQtngtnn OInunty 19...?$......~ESTATE OF Leslie D.Shriver,---.---.----_---.---__-.----..--.-------_._----_. Deceased. ADJUDICATION AND DECREE And now.._..__._..Qc;.t.Q.P..~'!.__._.1...1--..,19_5?$...,this matter came on for hearing, .audit and distribution at this session and testimo~aken;and thereupon,upon due consideration thereo2She <'!gifClte for distribution in ,the hands o.f the Ac.countant.is d~term.in.ed tOr be$.3.9.,..._...__.._..__...,,_and the accoul1t IS accordingly confirmed,and It IS orde ed, 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 an appeal be taken herefrom sec.leg. $_J_~...~.~..9:?' pO (/1 '-.4J-~''''''/.;J.00~#Y~,M,'??t7 Ie,/4',I;eel. 39.23 defic~$ .Balance___._.__.._.._ __-..--.-.----------.--------.-..------. Balance pe'r account.._._...__.__...._._......:....---------..--.--.---.-.....-.---.. SCHEDULE OF Deduct Clerk's Costs &Receipts.__ . _..__.__._.--. Attorney B_~?:~S?_~~}_..~~~1~_~_~__X~h__~__---..--- . Contribution to maintain assets in kind for distribution, Helen M.Shriver,widow,1/3 balance, 12.00 1519.73 489.50 $51..23 deficit $1,468.50 Paul S.Shriver,son,2/9 balance,326.33 Donald L.Shriver,son,2/9 balance,326.33 William P.Shriver,son,2/9 balance,326.34 No balance NOTE:Included in the above balance for distribution a e the fono ing assets, held in kind and distributed as such at the appr ised value and in the proportionate shares as set forth'.therein,per lectionfil d: 1.Bank Account -Blanding Office of First Se urity Bank of Utah (Security on Mining -Bond) 2.Cash held by Robert Shriver Estate 3.Lease for Metalliferous Minerals issued by State Lan Board of the State of Utah dated July 15,1963,Lease No.20719,Le se Applic tion #20719, for a 20 year term,covering the follOWing described la d situated n San Juan County,State of Utah,to-wit:Township 36 South,Rang 18 East,SLM ..Section 16: NE 1/4 NE 1/4,SE 1/4 NE 1/4,SW1/4 NE 1/4,contai ·ng 120 ac es. ~-- 0-t\0 ~r;r ():J Z () 0- 0 -+!J t:; c :r .-r (1) 'tf m :J l' 0 .-r 3 t:; -t\ 0 0-t\-+ -' .-r , t ..,m ~ ..,, 0 0 t-+ -t\ -' -t\ III b .-r:r = m ~=t:; ~ S~::l ~ ~ t> ~ t> .! 4.Lease for Metalliferous Minerals issued by the State and Board e)f the State of Utah #ML 6028,applicationf4224,dated -19-54 co ering the following described real land situated in San Juan Count,State of tah,to-wit: Township 36 South,Range 18 East,SLM,Section 16:N /2 NW 1/ 5.Mining Permit No.597 issued by the Navajo Tribe and approved by the United States Department of the Interior,Bureau of ndian Affa rs,Window Rock,Arizona,to Harry Binale,Census No.17299,a avajo Indi n,of Mexican Hat,Utah,covering the Mitchell Butte Claim containing 98.41 acr s,in Navajo County,Arizona and in District B of the Navajo Indian R servation which was assigned to Robert S.Shriver by Harry Binale and Anita Binale b the Assig ment of Navajo Tribal Mining Permit dated October 26,1964,a d approve by the Navajo Tribal Council on January 28,1965.(Expires 1 1-69) " ...... o ..... I'"~...."'--} .....'. 0-h 0 ~ m ():J Z en () .....0 -+!=l t::Y 0 c :::r ..... lll- ~. III :J =0 .....3 t::Y -h 0 0 -h -' ~ ..,III ~ ... .... 0 0 -' -h -h b .....:::r = III ~=t::Y :-0 S~.., ~~ ~ ~,~ ...,..,--, .!-,- "-~ r..: I"-'---" (/)...,)."::>. 0 '''':) IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA. IN RE: ESTATE OF __________.LESJ"'11~~J2_'___~:ntRJYJ~~R _ KNOW ALL MEN BY THESE PRESENTS,That,__j~1111i~m__E~__~lu.·iY~x._ the sum of __T1u;~~_~_JiYll~:1J:~~s;LT:w.:~ntY_-::_~J~__9.,n-_c;l._~:JLt9_Q _ ($__3_4JL_34 )Dollars in full of the amount awarded me under the Decree of the Orphans' Court of Washington County,Pennsylvania,made at No.1.Q_3_3_.9LJ_9f:LtL . WITNESS my hand and seal this ~_l day of -------------;....a....-...L-,1 9-_(~... Witness: -~~------------(SEAL) IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA. IN RE: ESTATE OF _______________LEsLJJ~U2~SIU~n?]j,;Ji _ KNOW ALL MEN BY THESE PRESENTS,That,:eg._uLS.__~hriy~J;·_ the sum of __ThJ:'_e_e__Hillldr.e!LTw.enty_-=_8.ix._and_3..3L100 ------------------------------------------------------ ($S_~Q__"__S_~)Dollars in full of the amount awarded me under the Decree of the Orphans' Court of Washington County,Pennsylvania,made at No.tQ_S_~__QLJJH3_8 ~. WITNESS my hand and seal this ~day of ~-----------------,1 9 '-" Witness: IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA. IN RE: ESTATE OF __!::-_~~~!)~~J;?_!~RR!Y_~_~_ KNOW ALL MEN BY THESE PRESENTS,That,Helen_M~__Shri1l-eIJ__widQ_w _ th e sum 0 f __J~'_Ql1_:r__Hl1Jlci!:~5L~~ghty::-}!jI!~__~mt .-~_QltQ-9 _ ($_A89~_5_Q )Dollars in full of the amount awarded me under the Decree of the Orphans' Court of Washington County,Pennsylvania,made at No.__tQ_a~LQL19BJL ~. WITNESS my hand and seal this l}day of ~---------------------,1 9---'-t. Witness: .-,J J7 'l./·.1~&~~'1tt.L2Ji__~----------------(SEAL) IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA. IN RE: ESTATE OF _________LESLJJ~U2_'~UtRJYJi~R _ KNOW ALL MEN BY THESE PRESENTS,That,J2Ql1g,lc,LL_'Sb_tiy_e_r --_ the sum 0 f __'r..h!'_eJiLlj:JJ,Xl,g!'_e-<LTw.eJ!tY--::_~;i.x_al1g_~_SL1QQ -~_ ($__.32-6_._.3.3 )Dollar.s in full of the amount awarded me under the Decree of the Orphans' Court of Washington Coun~y,Pennsrlvania,made at No.1_O_3.3_.oL19.6B -:... :~.,.J ~._II.WITNESS i Y ha.nd ~nd seal thls day of ,------------'1 9----:1---. Witness: -------------------2._ .'-. ,." (--I • " ~"tJj,,_. CO ...cT 0I:"l ,$I)VJ 00 cT VJ rt.l CDt1 0 H 0 H.ltt.J H.l I-' t:l ~•0' Q) t:l Cf.l lij 53 (')H~~~.. • 1 -I -I'._-.;,~1 11 I',I' 1.,..t r...,... "..-------- -------~ Form Xo.RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 18,1961,j EFFECTIVE JANUARY I,1962.(FILE IN DUPL!CATE WITH COPY OF WILL ATTACHED) ,,.., ._~T OFFICE OF THE REGISTER OF WILLS County of ..W9-f3.h~I}.gtQp.. . .William.:P.•.Sh.r.iv:er 'of .I.l,.R,.#~~.P\lME?$tq.t~QJJ,.P~P.A~Y~YMi.a,. (NlLIfte)(Addresa)/ being duly -S.WQrn .according to law,deposes and says that he is the Adm..inisi:r.atQr ---- .(Exec.,Adm.,Le atee,Etc.) of the estate of_•...LES_LI~__P...__SJI.RIYER whose last residence was __Re__D...__'___D_ (No.) M.Qrris__T.QW11.sb_:i,lL .deceased,and that the whole of the estate of said (City,Borough orl'ownship) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANGES PON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES.ADDRESSES Aim RELATIONSHIP OF OTHER OWNERS. ", T Real Estate Estimated T1 Value ONE NONE T T I . Personal Property Cash 166 19 Pontiac Sedan (Junk)None Ford Sedan (Junk)None International Dump Truck (Junk)--.-----None 1 1/2 interest in Estate of Robert Shriver..Deceased:- ,1 ,1 f.<"1 Cash Distributed 3..928.43 Proceeds.Sale of 6 x 6 Chevy Truck [-~\150.00 _ Proceeds.Sale of Dodlte Power Walton 112~50' .-1 1 <1 -1 Proceeds Sale of X...7 Drifter 175.00 ...._1 Sal e of 1/2 1'.Ford T).'.1.1 r 500.00.,-- Proceeds Sale of 1956 Jeen 50~00' ,_,.1 1 ,- Bank Account ..B1andine-Office of First Securitv Bank of Utah (Securitv on Minine-Bond)(----800.00· (Continued on Exhibit "A"attached hereto) N _'1 .,1..1 1 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 ~NONE NOE - ~- I I i c1 -".£.1.,-~\-" ,'-"i L c~ i "1 [ '\,- -,,-L -- ~- ,:...- -'s»-, Transfers within TWO YEARS Prior to Death NONE NONE T 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 NONE l'IIl 1\1 tt;I'll'1\1 H: -. BENEFICIARIES BENEE]CIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE , lINTEREST.OF--(If step-children or DECEDENT TENANTS OR \'I(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent orotherwise,in estate.)are involved,set OR NO AT DEATH OF _:I~ESf1TE.:::[ 1 forth this fact.)DECEDENT - Helen M~Shriver Widow Yes -,l/3rd\1 /,,J.-, R.D.#1 ~'-~-,-~-,J -,,1 _ Dunns Station Pennsvlvania "-••~<...~,_. - Paul S..Shriver Son Yes.c ~2/9ths---- R.D.#1 1 -~--,.....'-'-' D1lnns Station,Pennsylvania -r--.~, Donald L.Shriver Son Yes 2/9ths R.D.#1 ~.-,~--Dunns Station Pennsvlvania --)I -~----i 1 -.1 ~-1 Willi!:ll'Yl .p ~Son Yes J.?Jiqt1h~1 R n #2 ..-~,.1 -,.i ~j Dllnn~C'..._...~__P Ivania r' ,• EXHIBIT "All Cash held by Robert Shriver Estate Lease for Metalliferous Minerals issued by State Land Board of the State of Utah dated July 15,1963,Lease No.20719,Lease Application #29719,for a 20 year term,covering the following described land situated in San Juan County,State of Utah,to-wit: Township 36 South,Range 18 East,SLM.Section 16:NE 1/4 NE 1/4,SE 1/4NE 1/4,SW 1/4 NE1/4,containing 120 acres Lease for Metalliferous Minerals issued by the State Land Board of the State of Utah #ML6028,application #4224,dated 2-19-54 covering the following described rea11and situated in San Juan County,State of Utah,to-wit:Township 36 South,Range 18 East, SLM.Section 16:N 1/2NW 1/4 Mining Permit No.597 issued by the Navajo Tribe and approved by the United States Department of the Interior,Bureau of Indian Affairs,Window Rock,Arizona,to Harry Bina1e,Census No. 17299,a Navajo Indian,of Mexican Hat,Utah,covering the Mitchell Butte Claim containing 98.41 acres,in Navajo County, Arizona and in District B of the Navajo Indian Reservation,which was assigned to Robert S.Shriver by Harry Binale and Anita Binale by the Assignment of Navajo Tribal Mining Permit dated October 26,1964,and approved by the Navajo Tribal Council on January 28,1965.(Expires 1-1-69) TOTAL .-) '. None $6",550.62 It \rJ Ii.t., DEBTS AND DEDUCTIONS CLAIME'D' ''". , RESIDENT DECEDENT.....:....:..,..---------------------------------------------------.~TE.:.~ist first five items in the spaces so provided,observe notations thereon,and instructions Funeral expenses paidB-rownl pp Fllneral Home ... ____~D::..::E::..::B::...:T~O~R=___=_CL=A=IM::........__--___r-------'N::..:..::..::A-=-T-=-U~R=E:-O-=-=-F--=S:.:.A=M_=_E=-----r_=A=M:..:O--=U:.-N_T,--~THISCOLUMN r-IKEGISTER ONLY $1 342 50 $ Administration Expenses * Counsel fees * Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Helen M Shriver Peacock.Keller &Yohe P .,Kpll pr &Yohp Fiduciary commission * 1 000 00 ;..,72 00 525 00 Nnnp I OTHER DEBTS AND CLAIMS (*)See Note below Dr.Bernard Berman,M.D.Medical Expenses 66 100 Dr.D.McCarrell Dunbar,M.D.Medical Expenses 89 00 Washington Hospital Hospital Bill 399 65 I j J Kurtz Monument Company I Grave Marker 170 00 Beneficial Finance Co.Accouht 489 61 Uniontown Production Cr~it Association Account 1,953 75 Canonsburg Milling Co.Account 535 05 Total 6,642 56 Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this,, . ,..2{tb ..9f~.!?y(~~. ~~Administrator) 91],y~".\.day of 00 00 ',".J~ly 00 00'19.Q~.R.D.#2~,''_\''z-i1 00 "(St~~~t'N~~b~;/.. .'"..~-1r ...·"Tfr:·....-!~···.;,>.(~.Y.'-,~.."";--:(~.),..·r;l"'~"l ..l:l:''"'2'mith,Notary Public ••o I,Washington,Washington County,Pa...:o.UnnR .Stq.t:J,QA,.P.~M$y.lYAJ;1.1.q." . My Commission Expires '(City or Town and State)Fi1bruarv 28.1969 Having been dUlY,sw,orn according to law,I do'::reby c~at the above appraisement is ma~e in conformity with law on this ...................;f!~dayOf····~r················./?,#9.t::.E-/)~r~/L ~:z~(/f..,t:•...._~-;'t../'./J'(.....F.:-..•... Appraiser In the event that any future interest in this estate is transfelTed in possession 01'enjoyment lIateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THJEYE~ISTEROFWILLS I,the undersigned duly elected Register of Wills in and f~~2.~.t"~.~~.....County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by depone~,'cept as to those items where a greater or lesser amount is set forth in the,last column to the right in said schedule above,which greater 0 'I ser a~ts e sum all,owed as a deduction. D '..~rJ-.?..·d?f:~.......... "&gi;;';;Of ",iii;'. .... Fonl1 Xo,RCC-62 (12-66) Year ..'....~••••e;••• -< IN THE l;No.S,() Will Administration -),) ,) -i\ ,. '-< ,M.AtTER OFTHE 'APPRAISEMENT --<)y-' ), -) " )OF THE --<"'-< ESTATE OF L., ';,-) -) :~L~S.:r..~.'b.'.~.IWJ.V~~. "Deceased I-' '-< Late of ..lVI.QJ;':rj.~.AQW:IJ.f?PJp . ),-) ,),) " lCountjr of .VI.~~p:ipJ~~Qn~•••••-d...I-••-"'-'_••••• ", \1'() Commonwealth of Pennsylvania ,),"<-.; j ()\)REPO~T AND APPRAISAL-, .! "'--... r-~..r-u(/; ...~// ;; --J r---J J -,-; CJ ,""L., '-< ...... <"1 ~" r '-< ...~ -'" ...... R CC-BI (2-64) COMMONWEALTH OF PENNSYL ¥ANIA . DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT WILLIAM P.SHRIVER (~Administrator). IN YOUR REPLY PLEA.E REFER TO 36-201-6 I In Re:Est a te of ~I~,I::::iS~L~I:=E~D..!.•....:S:::.:HR=I::...;V~ER:=.··:..-_ _____~W~AS:::.:·H~I~N~-G:.=T~ON~County -File No.9282-239 De ar M:r•Shriver: You are hereby notified that the original appraisement in the estate of LesJie D.Shriver has been filed in the office of the Register of Wills qf Washington County on August 9 ,19 68.Said appraisement reflects the following valuations: Re al Est ate ,..--:=-=~"'=""-- Personal Property ~6,,5~5~0_.~6_2~__ Transfers ~-___:,.._,_-- Tota1 -.;..-.Jo!6~.5"-5~0:U.uo6:=2__ As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date .....;A:.:.ug~u~s:..:::t-L9L.,-=1~9:..:::6~8 _ DATE OF DEATH:.Apri1 12,1966 Note:This is not a bill. Signedpf C~Q dt)k' Title W.R.CHANEy,~{EF APPRAISER ESTATE INSOLVENT ..'R(~-39 (6-64) :'O\fMOKWEALTH OF PFNN~YLV,\NI:\ ~'\AX:3FEH.INHERITANCE TAX RFSIDENT DECED~NT SHRIVER,LESLIE D. FILE #9282-239 April 12,1966 SUMMARY I.the undersigned #63 Washington FILE #9282-239 the real and personal opposite each item in nSPOl1.T OF INHERITANCE TAX APPRAISER duly appointed Inheritance Tax ~ppraiser in and for the County of ,Pennsylvania,do respectfully report that I have appraised property as reported in the foregoing return at the values set forth the last column to the right in Schedules "A","B","c"and "E". Dated:08-09-68 04-12-66 08-09-68Dated: REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for Washington w , County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts claimed b J'deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. ESTATE INSOLiENT VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$*------6,550.62:=6,550.6~_ I. INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) J oint-Held Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLE~q VALUE OF ESTATE ======:= Valuation of life estates or annUl ties . • . • . • • •$_ ESTATE TAX ASSESSMENTS ~_ COMPUTATION OF TAXFORUSEOFREGISTERONLY Tax on $!)%d> ;---~~,J Tax on $.~'".!. Tax on ~<Tiff $ Tax on $Ifl'1o $.---, Exemptions (,:,) :=Total Estate TOTAL TAX Less tax previously paid BALANCE Less !)%of tax if paid within 3 months after death $-----$=====~=$------ $=====:= (';')As ev.idenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE $_ Add interestat rate of 6%from to $_ AMOUNT OF ESTATE TAX ASSESSED *_ Estate tax paid $__ BALANCE DUE ~_ Add interest at rate of 6%fromto $_ TOTAL TAX BALANCE *_ PAID $ FOR USE QF 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.Year . I~THE ~IATTER OF THE APPRAISE},IENT OF THE ESTATE OF LESLIE D.SHRIVER Deceased Late of . County of ....}10~tf?I$'l'~~..... WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL "" ~ Fonn RCC-2 .DEPARTMENT OF REVENUE..BUR~U OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 -COMMONWEALTH OF PENNSY~Y~JA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~~?J.~.2.§.?.. COUNTY W.~.~.hYl..gt,.~:9:. FILE NO ~???:?:?..~. Whereas,~~.~l.,;t.~P.~$..hr.;!,.y.~.r late of J1.9.:r..r.~~'.I)m.~_. in the County of ~~.~.h.~.!l.~9.I.l Commonwealth of Pennsylvania,having died on the ~?~~day of ~P~.~~19...?~..,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~.~.~.~9..h~.!.1~.Y.,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest.1============================;;:======-=====_. REALTY: NONE Description of Asset Unit Values $ Appraisement Made for Inheritance Tax Purposes NONE 1---------------------------------------+-----flI------+--IPERSONALTY:, As per appraisement filed 'IlRANSFERS : NONE JT.HELD: NONE Estate Insolvent Total 6,550 62 NONE NONE 6.'5'50 62 form~;V:fh bl:~:::h~wl»"rlaCCO;~o~::~a~o~er~~~:=~~=~e;;~;el~~.~ /...-..AppraIser / ~~~~~;)•••••••••••••••••••••••..•••••••......;~~~~. ••••••••n"••.WA~tI:1,.NQlWN.County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of LESLIE D.SHRIVER Deceased. Late of MO~I.~'I'wP· Date of Death,A.p;rJ.l .l?J J.99.9.. Appraisemel!t Docket Vol.,3.9.. Page,?9..~:::-.§No 9..???:::-.?J..9.. Filed in Register's Office,A\l,g1Jl?.t.9.J..J9..9.$... Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ftt A ppra.isement, Appeal f,.om Appraisement,. Entered and charged, '" " ..