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HomeMy WebLinkAboutOC1968-1199 - ESTATE OF LONGIN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. ~ r'..,I 'Jo.'l NO.II~~of IN RE: ESTATE OF LOLA LONG, 1968 "i ". ~ ,,' " ... -,) \ 'if, e (AI Deceased PE'l'ITION FOR..~E!TTLEMENT OF SMALL ESTATE u~~Q~L\~~.-.r •,~,~~=v I.-• <"l'-;'1":0 (,1j'~=:c;::-I,]-~~J ~f [ /-'-,-...--r-- t--._.--~;i..-:.;)~~0(/)0 Lv.. 0 -...J SHERMAN H.SIEGEL ATTORNEY AT Lnw WASHINGTON,PENNSYLVANIA WASHINGToN TRUST BUILDINC ,LJ,f;C/~1 /~~-- : .' IN THE ORPHANS'COURT OF WASHINGTON COUNTY',PENNSYLVll.NIA IN RE: ESTATE OF NO. LOLA LONG,..' Deceased of 1968 PETITION FOR SETTLEMENT OF SMALL'ESTATE", TO THE HONORABLE PRESIDENT JUDGE OF SAID COURT: The petition of Harriett C.Davis,respectfully represents: 1.That Lola Long 7 a resident of the City of Was~ington,. Washington County,Pennsylvania',died at the age of.fifty-seven (57)yea~s on June 2,1968,leaving'her Will dated January 16, 1968,wherein she devised and bequeathed her eritire estate unto your petitioner.A true'anc.correct copy 'of.said Will is attachec hereto and made a part hereof. 2.The'only.asset cf the Estate of said decedent-was the'Social Security burial benefit payable to :the~'decedent who paid the burial expense of her husband,Ralph C.Long,who died January 13,1968. 3.Decedent because of the condition of her health was unable to collect said Social Security burial benefit during her lifetime. 4.That your petitioner as sole beneficiary under the Will of decedent,is entitled to payment of·said Social Security burial benefit. 5.That your'petitioner has paid the burial expenses of ., the decedent in amount of $1060.00 to Robert E.Hummell Funeral Home.and has no knowledge of any unpaid creditors of decedent. WHEREFOP~,petitioner·prays your Honorable Court \pursuant to Section 20~of the Fiduciaries Act of 1949,to settle I the Estate of Lola.Long without administration and to award to your petitioner as the sole legatee of Lola Long,deceased,the iSocial Security burial benefit of Ralph C.Long. Pet1t10ner . ~. i •,- COMMOffivEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON .. SS: ." Personally appeared before ~the undersigned I authority,HARRIETT C.DAVIS,who being·duly sworn,according I to law deposes and says that the facts set forth,in the foregoin petition are true and correct to the best of her knowle~ge, information and belief • ..,;!(/~::(!::~"::'.:::. Sworn to and subscril:ed be'fore me this'.'dlo d.;dayo of August, 1968. MARGAR Bl\\lS,Notary PubliC SHINGTON co...P..... WASI'IINGTON,w~1911'My~Coltlmission Expires February VI . '.., ,\ \ \ --..........--..----.~..... LAST WILL AND TESTAMENT do hereby make and publish this my Last will and Testament, I j I i I ~,LO~.'~,O:G ,of the City of Washington,washingt~j County,Pennsylva~ia,being of sound mind,memory and understandin I'IIhereby I I II,I :'I' I ij Ii IIII revoking all Wills by me at any time heretofore made. II'/I I'IEM I:I direct that my Executor hereinafter Ii I"named shali pay all of my jus~debts and funeral expenses as soonI I as cO:lvenient after my decease.-J-/\.I I J£k"~.aJ..{.tA<//Uf,~~I i~W4~1J It ~I 1~~a-~ I~LR-~~~)rJ!1'dv I ~ttuJ h07.~J:C 4 ~I J4t)v.Mf(!,.~. I U 'jIeP".LP ~~I LIk-----"I '~-fL-UJ /;.~~/~t{cu~ ~r~~I.~~~J ~C rx0·tl~ aa fi,e.w:tJ!;1,-t/;;:;o ~f~tvLLf "~" "II }~iA.$~V II I f., i!I I : IIl'f I I I i ~j I • ,\ ..~ 'I I II IN WITNESS WHEREOF,I,LOLA LONG."the Testatrix •I have U:lto this my Last Will and Testament,set my hand and seal r II this /Io-f(day of January,1968..,I II 75'/,.'/f (SFALI I Signed.sealed.published and-d-e-cl-a-J,r....e-d~b.;;.;;y~;f-:h::-'-e-a-b-o-v-:-;""":'~.,-~.....am--I.':-ed~/T-LOLA I LONG,as and for her Last Will and Testament,in the prese ce ofIIus,who have hereunto subscribed qur names at her request as !'I witnesses thereto,in the prese Ii!of the SJt1idr'/esta.tri~and ofeachother.I~., II ~P:;~:Ud~;~:::::::: 'I I •J IN THE ORPHANS'COURT.OF WASHINGTON COUNTY,PENNSYLVANIA IN RE: ··ESTATE OF NO.II f9 of 1968 LOLA LONG, ··Deceased .1 'O-RD'ER'_(;i ~/ AND NOW THIS ..•/I~day Of~,1968,,on· consideration of the within petition and upon motion of Sherman H.Sie~el,Attornei for petitioner,pursuant to Section 202 of the Fiduciaries Act of 1949,the'property of Lola Long,deceased, consisting of a claim for the Social Sec'urity burial benefit in amount of $255.00~payable to said dec'ederit,by virtue of the death of her husband,.RalphC .Long,is hereby awarded to Harriett C.Davis,sole beneficiary under the Will of Lola Long~deceased, and a certified copy of this Decree shall constitute sufficient authority to the Social Security'Administration to make said payment :to the said Harriett C.'Davis.' .... FOI1I1 No.RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 18,1981,'7'·; EFFECTIVE .JANUARY I,1982.(FILE IN DUPUCATE WITH COPY OF WILL ilTTACHED)-.V .':... OFF'ICE OF THE REGISTER OF WILLS County of .,WASHIN(;~.QR ,...., ,.... .........ij~;r,:r::i-~.~t..G,..Qq.Y.~E?,...•.'of .~q 7..v!~~.i;:.~~~?e:~..~~~.'..~~.~~~.~~~.~~!..~~~ma. (l'ame)(Address) being :!uly ~~_9.~~-------------.ac~ording to law,deposes and says that ~~~the _j9_!~_~__9:.~~_~~?_~~E_~!?_::::!X __(Exec"Adm"Legatee,EtC.).Lcng of the estate oLLoJ.a_..LQng g/J5,I.~__J:._Q!.g,,~_~_!___whose last residence ;"'as L (--- (No.)Street) ho d'd __~~~~~,_*9:§~~- COOle) REAL PROPERTY ______..deceased,and that the.whole of the estate of sai (CitY.Borough or Township) consisted of: REAL PROPERTY IN PENNSYLVANIA.,WITH STATEMEl'T OF MORTGAGE ENCUMB (i;ES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE N ES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. ,' Real Estate Estimated Value , l N 0 N E -. ---.,. - . Personal Property cial Security Death Benefit on decedent's husband,Ralph C. na.awarded to informant by Decree of Orphans'Court dated mtember 11.1968 at No.1199 of 1968 $255.00 Not.taxab ~~ /- - - So Se Lo 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 dearly amounts of principal and interest in the decedent's ~~,:a:,ccount at the date of death and the type of account,a.ccount number and the exact name 0:1'names iIi l ~hich the account is registered..' a ' Jointly Held Property Estimated Value,..,ll", I i I - N 0 N E \ o•.,." \ ".,\"'IIi·--J'.)..-.,; - 0\",;. '\ Transfers within TWO YEARS Prior to Death \, !=:,:.p rprll estate desl"'!rinHon 4,000.00 attached 1 -C;OO 00 t;t;0 00~:;{<1..._ ------/;f....·,r'~ -. .. ., ~.'. 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 IllI - - -N 0 N E BENEFICIARIES BENEFICIARIES AND ADDRESSES 0 RELATIONSHIP SURVIVED AGE OF LIFE (If step-childr~rior DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have iliegitimate 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 faet.)DECEDENT Harriett c.Davis 407 west Mal.den St.~llTAT""",},;~'l'I:T~n;~Nit=>r"t=>vp!=:-- . - : , ""'0 ". i .i~ ESTATE OF LOLA LONG-a!k!a LOLA B.LONG Trans£e::::-s within TWO YEARS"prior"-tn"de"ath: ALL those two (2)certain parcels of land situate in Blaine Township,Washington County,Pennsylvania, separately bounded and described as follows: FIRST:Bounded on the South by Main Street and fronting thereon 56 feet and extending back of the same equal width 264 feet to an alley;bounded on the West by land of Walter R.Grose;on the North by said Alley; and on the East by lot now or formerly of D.F.Wilson . •I" Street and UPON WHICH is erected a frame dwelling ~6-7~~~~~ SECOND:Bou:lded on -ihe North by Main fronting thereon 60 feet and extending bac~of the same uniform width 264 feet to South Alley;bounded on the , West by lot -formerly ·:>f Dr.John,McCabe's heirs;on the South by'said Alley and on"the East by lot of John Reeves. UPON WHICHAs erected a frame bungalow."~ll0..0 I~~..._.IJ _~•t1..:?P oJo ...._.._.-~,p'_~1:...~:-·--/~.a't~,ro'O, BEING the sane as conveyed by the decedent,Lola Long, to Lola Long and Harriett C.Davis,as joint tenants with right- of survivorship by deed dated January 26~1968 and recorded in Deed Book 1274 page 979. I .<:s REfUDENT DECEDENT DEBTS AND DEDUCTIONS CLAI!'dEn f.NOTE'List first five items in be spaces so provided,cbEene notations thereon,and instructions. Funeral expenses paidRobertE.Hummell J DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN:,ll r-----=-=-=---=-=..:.--=-==::.::=...-~,--_,_-------=..:.:..:..=--=-=---=-=----=:..:..:..:=-------r-----'=~:.:...:...:T-----lo~EGISTERONti:¥' $1060 bo $1 ro-H Sieael r Esa. Sherman H.Siegel Esq. Family exemption (will not be allowed unless decedent jied residing with a spouse or children.) Administration Expenses *advanced Counsel fees * 11 250 DO 00 Fiduciary commission * OTHER'DEBTS AND CLAIMS (*)See Note below Ambf;la8ce &Chair Service 20 00 M Monument ?A:O':O@,9E~~'_~~:.Vault Co.I"""~J~.(N::I "1968 School Tax '"1968 Road tax 31 28 Fetherlin &Ca,rl Broker's commission 240 00 John D.Woodward,Agent Transfer stamps on deed 80 00 ~!:L C Nargaret Bails 'Notary'fee's 3 00 Malcolm Morgan,Co.Treas.County ,tax (1968)43 21 Russell Marino,Register Fili:lg Joseph Flack will and,..,16 50papers,.. \ Total ?110 102 oK- Note:The estate agrees to adviEe the Register of Wills if the amount actually paid in settlement of any fee,-commissi·)n or debt is greater or less than the estimated amount claimed and aJlowej. ~ubscribed and sworn to before me this .2 4th ..g/~?t..e~..£t~;. (Executor-Administ..ator) ........................day of ....Oc::::·tober-,19·68 ~~~. MARGA E.BAilS,fie-tor]Public WASHING:i 'WN3HING'~N ce..PA. .407..We.st.Maide.n..St . ,(Street,Numbe,,) Washington,Pennsylvania (City or Town and State) is made in conform:ty with law on this (,~~'~~"~,....Q.,~.~/:......,. Y'-::"ppraiser In the event that any future i::1terest in this estate is:transfelTed in possession 01'enjoyment to ateral heirs of the decedent after the expiration of any estate for life 01'for years,the Comnonwealth hereby expressly reserves the right to appraise and a3sess transfer'inheri- tance taxes at the lawful collateral rate on any such futu:.-e interest. REPORT OF THE I,the undersigned duly elected Register of Wills in'and for ...County,Pennsylvania,do respectfullly report that I have allowed debts and deductions in the a::no its claimed by deponent cept as to those items where a greater or lesser amount is set forth.i~helast column to the right in said schedule above,which greater or ser a nt r.e.p.r.e.s.e.n.ts.,.t.h~.e..s.u.'m.~.a.l.l.owe..,.d.r.a.s.a.,:.e.d.u.c.tl.'o.n...'" Dated:.)f.b~..~~./f:~!:...._ Regil;ter of Wills i l r j ,. J~!...;......-~ ,.." " FOlln No.RCC-62 (12-66) •~·,.:Will I•-I..'" •.1,,:AdmlnIstratlOn No Year . IN THE. MATTER OF THE APPRAISEMENT OF THE ESTATE OF .LOLA.'Ii-QNG..a/k/.a.LOLA .~.•..I1,.Q~Y. Deceased ~ \ I, t ."."., (. "~-.. .. ---..: ",....-. f'-... 'J ~,{\'.,. ~\,..-". 'I ,~. Late of I ••••••••••••••••••••••l•••••••••f. .,' I, County of Washington...........". Commonwealth of Pennsylvania,-..../i. .,Cf]c..,=0 _. ~m;::::,'........ 'REPORT£"KND A'PPRAlSAL.en ~~......'.;;-.... -IC/)4 Ir.....1"":""l::v ,-en --.0:"f--'"1-'::'f==E~'~1-"-'~:;:-..j ! '-0 r----.en f\)'---" .f:::.. 1\) / ~. j L .J ."..~".j', :~.. " \~ t'I I' i ...,.--..~ :SHERMAN H,;SIEGEL ,ESQ. 215 Washington Trust Bldg. Washington~Pennsylv~nia ---- I. ·. COMMONWEALTH OF PENNSYLV]\.NIA SS: COUNTY OF WASHINGTON Personally appeared before me,the undersigned authority,HARRIETT C.DAVIS,who being duly sworn according to law deposes and says that she .is the informant with regard to the estate of Ralph C.Long who died January 13,1968:that she was a niece by marriage to the decedent;that by-deed dated April 1, 1966,which was twenty-two months prior to his death,the said Ralph C.Long executed a deed conveying the property described in the annexed Inheritance Tax Return to himself and his wife,Lola ,Long,as tenants by the entireties;that at the time of the execution of said deed,to wit:April 1,1966,the said Ralph C. Long was 58 years old;that he had been afflicted with pulmonary emphysema but that he was in fairly good health and had a life expectancy of several yep.rs i .that on or about the day before his death,decedent \\Tas,stricken with a coronary thrombosis and died within 24 hours;that this affidavit is-given for the purpose of overcom~ng the presumption that said deed was made by decedent to himself and wife in contemplation of death. SWorn to and subscribed before. me this .24th day of October, 1968 ... 'G~'..;.... Notary Pu Tv1ARGI",:T BAILS,Nohlry Public V1ASH":r.J:G10N.WACH1NGTON co••pA,. My Commis~ion Expires FebruarJ 27,1971 RC C-S\(2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUt·iTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OJ -FILING OF APPRAISEMENT IN YOUR REPLY P1.EA8£ REFER TO 37:-168-4 j HARRIETT C.DAVIS -v' Informant In Re:Estate 0 f --,.......:L::;O::.;LA::.:....:::L~O~N.:.G.....:a~/...:k~/..::::a:....,..------- ____---,W:..::AS=.:.H:.::IN::.:.=.GT.::..:O:.:N~County -rHe No.63-68-1195 Dear Mrs.Davis: You are hereby notified th~~the original appraisement in the estate of _ _Lola LOng aik!a has been filed in the office of the Registe~of 'Wills qf Washington County on December J3 ,1~~.Said appraisement reflects the following valuations: Real Estate ,.....,..----.....,. Pe rsona1 Property.....,.,.....,..--.,..--.___ Transfer s _-..,...__-_--'5:..,.,..J.5~Q~Q:.&'.~Q~b..,._,.,_._ l'0 tal ..,._..,.----..,.--..,.-----,--.,;.l5"",.,,5,1./,00,1./,',,.J.OOW'.;L.'__,.. As to such tax ~hat is pa~d within three months ,from date of death,a five ~5%)percent di~count ~s allqwable.As to any tax that remains unpaid after one ye~r f~om date of~eath,interest at the ra~e of six (8%)pe~cent per annum is charged. Any ?arty in intere~t who is aggrieved by an appraisement may appeal therefr·:>m as provided by law. Date _---"'D!.Se<..l.c.i.Se<.Um.u.b!.Se.....r~1.,.l3~,--r.,1.:z.9!J.6J,,1.8 -'-- DATE OF DEATH:June 2,1968 Note:This is not a bill. .\: Rcc-39 (6-67).. ':OMMONWEALTH OF PENNSYLVA~IA TRAN~·FER INHERITANCE TAX RESIDENT DECEDENT FILE #63-68-1195 LONG,LOLA a/k/a LONG,LOLA B. FILE #63,68-1195 June 2,1968. SUMMARY rmrOHT OF INHERIT~NCP.TAX APPRAISER I!the undersigned #63 Washington the re~l and personal opposite each item in duly appointed Inherit~nce Tax Appraiser in and for the County of ,Pe~nsylvania,do respectfully report that I have appraised property as reported in the foregoing return at the values set forth the last col~mn to the right in Schedules "A","B","C"and "E". D~ted:12-13-68 06-02-68 REPORT OF THE REGISTER OF WILLS I,the undersignej duly elected Regis ter of Wills in and for Washington Cour:.ty,Pennsylvania,::10 ""spe~:tfuJ.l.y report :,hat I have allowed deductions in the amounts claimed by deponent,ex:::ept as to thos~i terns where a greater OT lesser amount is set forth in the last column to the right in Schedule "F",which grea(gter lesser amount rep.resents the sum allowed as a d~duc tion..~~ Dated:12-13-68 '1~--/'7d~t/tvf REGISTfR OF WILLS VALUE AS REPJRTED VALUE AS APPRAISED VALUE AS REAPPRAISED $.---$$---------- INVENTORY Rea:!..Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS LE~~Debts and Deductions (SCHEDULE F) CillA.!1 VALUE OF ESTATE 5.500.00 5,500.00 5.500.00 5,500.00 2,130.03 2,130.02._-.-- 3t 369.98 3,369.98 ======:= V~luation of life estates or annuities . . . • . . . . ESTATE TAX ASSESSMENTS ../ $---- $------- COMPUTATIJN OF TAX , PO,R USE OF REGISTER ONLY 'l a,x on $•__!'i%*-..:.._ Ta,x on $.__10%t,__-...:..---- Tax on ~20&% T;(tx on $3,369.98 :-@$--:5,...,,0....5-.5.,.,.0.,-. E~;emptions :=(:::) T 9,tal Es tate _ TOTAL TAX $_ Less tax previously paid *====~======,=== BALANCE *_ Less 5%of tax if paid within 3:months after d.eath $======:= (:::)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BAL.:'tNCE OF INHERITANCE TAX DUE $,------- Add interes tat rat.~(·f 11%from ~to :,$_'~_ AMOUNT OF ESTATE TAX ~SSESSED *_ Estate tax paid.$_ BALANCE DUE *_ Add interest at rate of 6%fromto $_ TOTAL TAX BALANCE $_ PAID $ FOR USE OF REGISTER moLY ADJUSTMENTS NOT"2:Where subsel]uent adjustments are made to the above computation of tax by :,he Register of Wills,for proper reason,same should be noted below,with short explanation. I • # Will l Administration \ .' No. ,-t IN THE Year ,/ J / MATTER OF THE APPRAISEMENT OF THE ESTATE OF LOLA ..LONG ..a/kla-..-....'--ri~~~~~-d ---....-............ Late of _..WA.$..I:UNG:J9l\l __.. County of _....__........WA$}IJN.G:'N.l\T......--..-...,........- Commonwealth of Pennsylvania REPORT AND APPRAISAL -,. I \ :l .. \. (ll DEPARTMENT OF REVENfrE' 'BUREAU OF COUNTY COLLECTIONS'~ HARRISBURG.PENNA.77 127 Form:.iCC-2 ...,'.CO.MMONWEALTH OF PENNSYJ.VANLA,.,~ RESIDENT INHERITANCE TAX APPRAISEMENT D~T~p.~~~~~.~~~?..~~.~§.~. COUNTY y.1.~.~h.~~.9.!!.. FILE NO...9J..::.~.?=.J::~.9?_~. Whereas,J.!9J.~~9.ng ~/~/~late of _~~~.~.~.~.~.~~~. in the County of W.~.~.h.~.ngt..9.n Commonwealth of Pennsylvania,having died on the ?,nd day of June 19 6.8.,seized and possessed of an estate subject t.o Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,w..,.R."J;,h~.n~y ,an appraiser duly appointed ac~ording 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 far 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 futur~interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purpoles $, TRANSFERS: All these two (2)certain parcels of land situate in Blaine Twp., ~i ...on Count.v.Pa .senaratelv bounded and described as folloll/S: FIRST:Bounded an the south by Main Street and fronting thereon 56 feet and extending back of the same equal width 264 feet to an alley:bounded on the West by land of Wal.ter R.Grose:on the \In'Y't.h hv l'\::\;Ii Allev:and on the East bv Lot now or formerly of D.F. '.u.;,"'I'" SECOND :Bounded on the North bY Ham Street and fronting thereon 60 feet and extending back of the samed uniform width 264 feet to South Alley:bounded on the West by lot formerly of Dr. John McCabe's heirs;on the South by said Alley and on the East by lot of John Reeves.5,500 00 I I I , i I Total 5,500 00 forrn~;~fhb~:::I:h:.~~,J~ol~~:~a~o~e~p~~r~iseiii~~~2'AppraIser ~.........................•.......•.........-..................................................................................... .(Number and Str~t) .................... ................(~._.............................................................,Penna. (Post OffillV) ........-....~..-'! .......................W.A$..l:l.:r:N.G.'1.'.9N.~,cOU1lty , --' RESIDENT INHERITANCE TAX APPRAISEMENT _;.;-", Estate of .......................LQLA LQ.NG.a/k/a ' : . Deceased. Late of _.' ..............,WA§JJ;;I:N.G'I.'QN...,:~:;. Date of'Death,.:~l:m~?.L..+..9(>.~<.. Appraiseme/!t Docket Vol.,-:?.7 -::jpfllf Page,1..~~::::4 No 9.?::.~§::~J.:9..?. •j"~ Filed in Register's Office,p.~.~.~ml:?~r.+.J..lP.19,f>.~. Amount of tax due,$~:::.. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra.isement, Appeal f,.om Appraisement,.. Entered and charged,,0 . '.. ." ." 'fi ',P; (.' ~ t, 'f