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FORM 67 REG. WILLS
REV. 1-50
J\pplirntinn for Jjjrttrrs nf A!lmtntstrnttnn nn thr
Estate of. ...... .Beat.r.i.ce .... Waods. ........................................ -........................................................................................... ; ......................... .
late of .............. ~~~.9.~.~J.?.~.~S:.t .... :P.~.~~.~Y.!.Y.~.~-~.~ ....................................... :., Deceased.
·Before the Register of Wills of Washington County
personally appeared ........ 1..~9.~~.~ .... ~.9.~.~~.~ ................................................................... ; ............. -................... _ ................................ .
who, being duly s\vorn ·deposes and says that.. .... ~.~~.~.r..~.~.~ .... W,QQ.Q~L ................................... ~ .......... _ ........ : ..................... ..
age ....... §~ .... ; havingJ~~-~ ..... last family or principal residence at .... ~.Q?. .... Y..~J~.~Y. .... Y.!-.~lY .• .Te.rr.ace .... ..
(Street and Numbec)
C..~.D.QP..§l.Qyr.g.,. .... J?..e.J.U:UU!.lY.!UJ.i.~ ............................... : ........ , -Washington County, Pennsylvania, died intestate
(City, Borough, Township) - -·---· --·
at...~.~~.~.!~.g.!9..~ . .a ..... ~~.~~.§.f..!Y..~~.!~ ...... , on the ... !~.,.day of ..... ~.~~.~~.'f.:'J..: ............................. -.................... .
A. D.; 19 ..... ~~ ...... , at... ..... ?-.. ;.~.9. .. :-:~.~.M..! .............. ; ..... M;, possessed of personal estate to the estimated; value
$Y.:P.~~.g~ ........... , and of real e~tate in~ ~the: :co~onwealtl:i of :Pennsylvania to the estimat~d v~~ue of
$.~.~~~~~ .......... , situ~~ e in .......... : ........ : ...... ; ........... :."; ....... ; .. ~ .......... : ........... : .......... : .... ~: ................ -................................ _ ...... : ........... ; ........... ..
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........ !· ........ ! ... ~ .................................. ~ •••••••••••• •••••• ··~·· •••••••••••••••• : ....•••••••••••••••• ···~· ......... ; ..................... ~ .................................... _ ................... -••• ···~·· •••••• ··:·· •••••••••••
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The names, and a~dresses of the decedent's surviving' spouse (if any) and other-reirs including
heirs by adoption) are as . follows~.
RESIDENCE . .
~9.XQ:t.~.Y. ... ~i.9..~ ...................... : ............... : ........... : .......... :.~.~-~-~~~ ............... ~.~:~ ... Y.~.!.!~.Y.. ... Y..!~.! ... ~.~~~-~~-~,1 .... ~~nonsburg
Eugene Woods . · .. --. · ·son 742 Railroad Street · Houston Pa. ......................................................................................................................................... ...................................................................................................... .
······································································································· ····•····························· ........................................................................ _ ........................... ..
....................................................... .-.................................................................................. , ........................................................... -....................................... ..
I • • • •
................. \ ...................................... ~· ............................. ~ .......... ~ ................ 0 ........................................................................................ 0 ....... ~ .............. :. ~ ............ .
........................................................................................................ ........................................................................................................... ,_,, ........................ ..
That deponent is over 21 years of age, resides at ...... ~.8.~.P. .... M~1.n. ... S..tr.~e.:t ....... W.ie.:c.to.n.t-............. .
--.
... ~~.!?.~~.~ .... 9.~!o!.~.!:Y..t ..... ~~~.~ .... Y..~.!".g.!~.!~ ............................................................................................ ; ................ -........................... .
is a citizen of the United States and a resident of Pennsylvania, and respectfully applies fc·r Letters of
Administration upon the Estate of said decedent, no letters having been previously issued thereon.
Sworn and Subscribed before me this-.. .:Z. .. ~ ... ~. --:7..~.~ /'_ cr·
................................................... , A. D., 19~_ .............. .
Jln~
REGISTER
COMMONWEALTH OF PENNSYLVANIA } SS: .
W AS:::~~l.?.£~.9 .................. , 19-L.:.C~mes ......•....... ~.~?.."."': . .'~.~:':".~.:~~=--··-···········-···········
who being duly ~:~~·depose and say that ......... ~~ ............... will well and truly administer the goods and
chattels, rights and credits of ......... J?.~.~-~r.19.~ .... ~9..9.9:.~.......................................................................................... deceased,
to the best of.~~.~ ....... skill and j~dgment in strict compliance with the laws of this Commonwealth, mind-
ful of the laws relating to inheritance taxes.
¥
Sworn an su cr' ed before me this .... d:~ ............. ..
~~ day of, ............................................ "/t,. D., 1.9 .................. ·
...........•.... d.~~ .................. ~ ....•...•
······-······~·
REGISTER
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' -APPLICATION-FOR
Letters of Admihistration
-
ESTATE OF
.............. ~.~.a..t.r..1.~.~ .... w:o.o.d.:;s. ..................................... .
Deceased
R $ ............................. . -· Letters . ,. ....................................................... . ~xtra Ar p $ .......... .fl.,. tl O
-1as .............. $ ................... :::::::::::
Certificates . . . . . . . . . . . . . . $ ............................. .
Renunciations . . . . . . . . . : . . $ ............................. .
.................................................... ; ... : ......... $ ..................... .
..................................... ' . /:J 15' f!, ;:_·tt "':: ...................... !./..':~..... v-Total ·.-1 '· ~ ...................... ..
....................... ;.-;; ........... :.,_; ......... , ... ::.;~~ ........................... ..
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Bloom Bloom, RosenQer~ & Bloom ...................... ! .............................................................................. .
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~~ Attorney
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Estate of Beatrice Woods
} No ................... of 19 ........ .
late of ._ ... O.~P.Qr.tS.P.~J.rg .......................... , Deceased
KNOW ALL MEN BY THESE PRESENTS,
. Thomas Lowt·her as Principal and United. States Fide 11 ty and That we, ............................................................................................................................................................................. .
Guaranty Co. Baltimore, Md. Surety ........................................................................................... , .................................................................................................... .
all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl-
vania, fot the use of those interested in the estate, in the, sum of .... F.JY.~ .... ~~n..q_r..~.q ................. Dollars, to
be paid to the said Commonwealth, to which payment, well and truly to be ·made, we do bind ourselves,
----join dy-and -severally, -for ·and· ih the ·w-hole; our-heirs,-' ... executors, . administrators; successors-an:I·-assigns,-and
each and every of them, firmly by these presents. Sealed with our seals and dated the .. 20tA'! .... day of
.................... ~~.P~.~-~?..~.~ ........... A. D., _one thousand nine hundred and ....... ~~?C.~.Y ... :E.~.S.!_l~ .............. .
THE COND.ITION OF THlS OBLIGATION IS, .That if the above bounden ...... _ .................. ..
................................................ ~h.:9~.~ ... ~~-~~-~~-~ ............................................................................. ,_,,,,., ................ .
Administrator .................................................................... · .......... or any of them, shall well and truly administer . . ...... .... .. ...
the estate according to law, this obligation shall be void as to those who shall so administer the:-.~state; but
otherwise, it shall remain in force.
Sealed and delivered in the ·prese11ce of: u~~~anty
Co. Baltimore • Surety~-~ ~~~:' Fact. : ~:
....................................................................... (SJAL)
&tairmrnt nf ~urrty
I, --------------------------····:···-·····-········ surety in the sum of$ ... __ ____::: ____ on the
administration bond in the estate of -·· -------------····--····--·-····· say bat I reside at
----------·----------·-· Washington County, Pennsylvania; that I am the owner of real estate, the
title to which is in my_ own name and duly recorded,. situated' in ·····························································:·······-······························
Washington County, Pennsylvania,. worth above all encumbrances $--············-·····--:···------; and that : am worth the
amount expressed in said bond, over and above my just debts and liabilities.
··-·------------------------"":'·------------------------------_:_ ________ _.:_ _____________________ _
·------------------------------------------------Street. ,P.O.
&tatrmrnt nf ~urdy
I, --····----···-·-·----····--·-------···-···· -~---······················ surety in the sum of $ ................................ on the
administration bond in the estate of -····--··--····-···-:-_:'-.-. ··--·····-·········-·········---------·--··········• say U·..at I reside at
-····-----------·--·----··········--:.··········---· Washington. County, Pennsylvania; that I am the owner of real estate, the
title to which -is in my own name and duly rec?rded, situated in ................ :_. .. , ................................................ _ ............................. ,
Washington County, Pennsylvania, worth above all encumbrances $-···············--·-·····-····--·········:; and that 1 am worth the
amount expressed in. said bond, over and above my just debts and--liabilities. -
····-·······································································-···········--·--··························
i ·--------------------
Street P.O.
COMMONWEALTH OF PENNSYLVANIA, }
~s-WASHINGTON COUNTY, "" .
And now ......... ,.............................. 19 ............ , comes .............. ·-··························································--··········--···--······--···-······--···--·············: .. .
who being duly sworn, says that he is acquainted with the financial standing of the securities to the \\ilthin bond; that
the said obligors have each executed the said bond and that the sureties thereto are the owners of rea! estate in their
own right of value more than the penal sum of said bond over and above all incumbrances and exen:ptions.
Sworn and subscribed before me this ··············--···-
day of ······················-~---·-···--······--·······--····-······-····--··-···· A.D. 19 ___ __ ------------------------------------------------------------------
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N THE COURT OF COMMON PLEA
pF WASHINGTON COUNTY, PENNP.
ORPHANS' COURT DIV.
No.
In re:
ESTATE OF BEATRICE WOOr:J~
Deceased
ORDER
PERTAINING TO BOND
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LAW OFFICES
BLOOM, BLOOM, ROSENBERG & BLOOM
WASHINGTON TRUST BUILDING
WASHINGTON, PENNSYLVANIA
---,
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE:
ESTATE OF
BEATRICE WOODS~ NO. 63-68-1246
DECEASED.
ORDER PERTAINING TO BOND
TO WHOM IT · MAY CONCERN:
The undersigned, the Register of Wills of Washington County, Pennsyl-
· vania, does hereby certify:
1. That a copy of the Order of the Court i~ the case of
Thomas Lowther, Administrator of the Estate of Beatrice Woods, deceased vs.
Russell Bonner and Ashland Oil and Refining Company vs. Wesley Pollard, at No.
421 November Term, 19681 A. D. 1 in the Court of Co:mn.on Pleas of Washington
County, Pennsylvania, Civil Action-Law, dated July 13th. 19':'1 , 1971, has
been filed with the undersigned.
2. That the undersigned has determined that the said
Administrator shall be required to post an additional bond, in the amount of
_____ N_o_n_e ___ ; and that a bond in the said amount has. bee:1 approved by
the undersigned and filed of record.
This Order is made in compliance with Section 3 of the Act of July 28,
1953, P. L. 659 1 20 P. S. 1153.
July 13th. 1971
------------• 1971
Register of Wills
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A TRUE COPY "\·~
BOB A. FRANKS
ATTEST PROTHONOTARY
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IN THE COURT OF COMMON PL
OF WASHINGTON COUNTY, PEN
CIVIL ACTION-LAW
No. 421 NOV. TERM 1968 A. D.
THOMAS LOWTHER, Admr. of Es
of Beatrice Woods, deed, Plffs.
vs
RUSSELL BONNER and ASHLAND
OIL AND REFINING COMPANY
Original Defendant,
VS
WESLEY POLLARD.
Additional Defendant.
PETITION FOR PERMISSION TO
COMPROMISE AND FOR ORDER
DETERMINING DISTRIBUTION
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LAW OFFICES
BLOOM, BLOOM, ROSENBERG & BLOOM
WASHINGTON TRUST BUILDING
WASHINGTON, PENNSYLVANIA
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.of ~ion arising under the SUrvival Act in favor of the Estate of
Beat:tice Woods, or arising un~er any ot~er act or lawr and the .said
Administrator shall make the following ~iaposition of the sum
. .
recovered by him under the SUrvival Act:-·
(a) 'l'o Thomas Lowther, Administrator of the
Estate of Beatrice Woods, for further accounting
·to the orphans' Court ·of washington CoUnty, Pennsyl-
-vania, $2,896.30.
(b) To Bloom, Bloom, Rosenberg & Bloom, Attorneys'
fees, $1,666.66.
3 • That trhomas Lowther in his capacity as Administrator
··of the Estate of Beatrice Woods, is authorized and directed to . . '
e~ecute and deliver to Russell Bonner and Ashland Oil and Refining
Company, upon payment by them of the awn of Four Hundred Forty-
"' Seven ana 04/100 ($447.04) Dollars, such Release or Releases as
shall be necessary and proper to release the cause of action arising
unaer the Wrongful Death Act o~ arisiruJ under any other act or .
law7 and the said Administrator shall make the follawing ili.aposition i
of the sum recove~ed by him under the wrongful Death 1\Ct:
. (a) ~o Eugene woods, son, $223.52
(b) To George Woods, son, $223.52
4. ~hat the Prothonotary of washington county, Pennsyl-
vania, is ordA~ed and directed to eriter a judgment in the amount
qf Pive ~housand (~S,OOO.OO) Dollars in the above case.
5. That Thomas Lowther, Administrator of the Estate of
Beatrice WOods, is ordered and directed, upon payment to him of
.the wme-ntentioned in the foregoing Petition and in this order by
~he oriqtnal defendants, to execute, in person or by attorney, any
necesaa~ .and p.toper satisfaction of said Judgment, to the end that
I " ·.·all. c:Uttses of .a.etion arising against RUssell Bonner and Aahlanc3
·---oil"' ap4 Refining Company out of the accident described in the
._ foregoing Petition shall be forever satisfied, terminated, and
<lischarged. . (?'(} ~ ~
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Form No. RCC-62 (6-70) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961,
EFFECTIVE JANUAR"/1, 1982. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) r~' \.
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\ OFFICE OF" THE REGIS'l"ER ·OF WILLS
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. ~.l County of WASHINGTON . il d . SIGMU.L\IU L. BLOOM, ESQ. · · · · · · · · · · · · · ·200 ·Wa·sh1.ngton Trust Bu l.ng
;a~O.Q~, .. ~~QQ~, .. ~P.E!l?~l?~~. 9c .. !}~9.Q1:1 ........ of ... W~:S.l}~p_gt9n~. ~~~P.~Y;t.~~fl.i:~ .. 1.~~9.~ .... .
<Name> . Attd¥8€!'!{ for the Estate of
being duly -----------~Y.?_<?..~P: ________________ .according to law, deposes and says that he is the_~-~-~:t;:_~~_9-~ __ :W99.~~-! ___ g_~~-E?..~-~-~g_, (Exec., Adm., Legatee, Ecc.)
BEATRICE. WOODS , . 805 Valley Vie'\'1 Terrace, · of the estate of----------------------------------------------.. ------------v. hose last res1dence was---------------------------------------------------------------CNo.l C5rrtttl
-~~n-2-n..~-~~E._g __________________________ .deceased, and that the whole of the estate of said decedent, who died --~~~-: ___ ~§-~---~-?.§_8
CCiry, Borough or Township) (Dare)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES 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
--
-
.!
-
s.ooo.oo s.ooo.ooo
-5-596.96--
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Personal Property
Recovery under The Survival Act of April 18, 1949, P.L. 512,
Section 601, 20 P.S. 320.601, filed at No. 421 November Term,
1968, .A.D. $5,000.00
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NOTE: You may e?CI'edite the processing of this return by filing with it, and as a part of the return,
letters from financial il}stitutions 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 h~lder 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
None
Estimated "lfalue .,.
None ·. ~
-------------------------------------------------------------------------rl~~~------
Transfers within TWO YEARS Prior to Death
None None
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:-None
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 '
RE.LATIONSHIP SURVIVED AGE OF LIFE
(If step-children or DECEDENT TENANTS OR INTEREST OF tStil~~bl names of all and their addresses who have illegitimate children STATE YES ANNUITANTS .BENEFICIARY
an interest, vested, contingen~ or otherwise, in estate.) are in.volved, set OR NO . AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
EUGENE WOODS Son Yes of age 1/2· ±nterest
1<-J:~ L'.O.J...J...LVQU ul...LCt::l ..
Houston, Pa.
GEORGE WOODS Son Yes of aae 1L2 inter_eat
No. C-8982~ P.O. Box 9901 '· Pittsburgh, Pa. :l523.J ' ..
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\'"'RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED 'i NOTE. lJist 'first five items in the spaces so provided observe notations thereon arta instructior.s ' ' ..
• DEBT. OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN . -~EGISTER ONLY
Speakman Funeral Horne Funeral expenses paid $1,025.( 0 $
Family exemption (will not be allowed unless
.Letters -$9.00 decedent died residing with a spouse or children.)
Bond 10.00 Administration Expenses • 19. ( 0
B.loorn, Bloom, Rosenberg Counsel fees • 1.666.E 6 I
& Bloom
Fiduciary commission •
OTHER DEBTS AND CLAIMS
(•) See Note below
The washington Hospital Last Illness 2,566. 0
Louis N. Sellon Ambulance Service 40. ( 0
Dr. Ross Richardson Last Ill~ess 155. ( 0
Dr. G. T. Tibbens Last Illness 100. ( 0
Dr. Yale Koskoff ·Last Illness 25. 0
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Total $5,596. ~6 S'>ttr.4 f
Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of an!' fee, commission or debt is greater
or less than the estimated amount claimed and allowed. 6·· . . . . . . . ..-""Y7. • .A . .-;' .. ""' . ...,·.~ .. "" .. _jl .. i .. ~. 4_ . . / ....... , .. .
Subscribed and sworn to before me this ... ~.th. . . . . . . . . . . . . . ._r. ~:-•. -:~ . .-;..-.f". ., ~
. ·£E:r:e.:u.tor-Adminjgtrat01') S~grnu . . Bloom, .t;Sq. .
......... ·rr:.·. · ......... day o~f .. A~.l;"~). ............ , 19. 7.~ 1;3.~9.9~'-.~+~<?~t .. R<?.~~.I?-~E¥:l=:9 .. ~ -~~~?.~.
. ROWEN I:: EBELING, NCTJl.RY PUBLIC (Street Number)
.. · .. · .. · .. ~ .. · · · · ...... ~!~.tttr.Jnis:.·.o~;~:::00Fe~~uuna_zt S..:.!:?.7 200 Washing-:.on Trust Building u"''"" .00• ..., ".1 .-"'""' w_q.p_}J.;i;p_gt<;>n, .. l?.~nl;l.~Y-~YC!ln:!-.q. . .+~~.Q;t, ..
(City· or Town and State)
In the event that any future interest in this estate is transferred in possession or enjoyment to collatHal heirs of the decedent afte1· the
expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the rig:1t to s.ppraise and assess transfer ·inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF TruEGIS ER OF ILLS
I, the undersigned duly elected Register of Wills in and for .. .'. . . . . . . . . . . . . . . . . . .) ........ County, Pennsylvania, do respectfully
report that I have allowed debts and deductions in the amounts claimed by depone , exc?~\ itens where a greater or lesser amount
is set forth in the last column to t~e right in said schedule above, which greater or lesser amoln~nb tho ••m allowod .. e d•dud;on.
Dated: .. .lb..~.~: ......... \. .. t.~.)........... . ............ ~~.J~~~--J······· ~--~ Reti~ler of Wills
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Form No. RCC-62 (6-70}
Will' Administration lNo. · · ........ Year .... .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
..... J?:E.J.\ 'fRJ; C~ .. W9~I?~ ............... .
Deceased
Late of . Borough of Canonsburg
•••••••••• 0 ••••• 0 •• 0 ••••••••••••
County of . ~~~~-~l!gton •••••••••••• 0 ••••••••
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
$1?
4-1' 13
·"' COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
RCC·B1 (6-71) 17127 IN YOUR REPLY PLEASE
REFER TO ..
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT 37-148-9
THOMAS LOWTHER
(~E Administrator)
In Re: Estate of BEATRICE WOODS
WASHINGTON County -File No. 63-68-1246
Dear Mr. Lowther,
You are hereby n oti fi ed that the=-==o::-r::::-=i::::g:-:oi=n"'-::a::-:l:o--------------
appraisement in the estate of BEATRICE WOODS
has been filed in the office of the Register of Wi lis of_-'-'W~A.,S"""HI~N....,G"""TO....,.,.N,__ _____ _
County on April l 0 , 19_23, Said appraisement reflects the following
valuations:
Real Estate _____________ _
P·ersona I P roperty __ -"'5'-£,_,0"""0~0"-,._0"'"0,.._ ____ _
Transfers ______________ _
Jointly Owned-------------
T ota I _____ ____,S~,L..:0"--'0"--'0"'-'."-'0,_,0:<...._ ___ _
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 remoins unpaid af-er nine (9) months
(fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) 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 11ay appeal therefrom
as provided by law. · ·
Date April 10, 1973
ESTATE INSOLVENT
DATE OF DEATH: January 16, 1968
Note: This is not a bill.
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RCC-39 (5-68)
COMMONWEA-LTH OF 'PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
•' .
SUMMARY
Estate of WOODS
(Last Name)
BEATRICE
(First Name)
DATE OF DEATH 1-J 6 68 FILE No.63-68-1246
(Initial)
REPORT OF INHERITANCE TAX APPRAISER
1, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of \VAsHTNGTON
Pennsylvania, do respectfully report that I have appraised the real and personal property as ~eported 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".
~?!w ~~ INHERITANOE TAX APPRA SER
Dated: __ A.._p=r_i...;_l_..:::l..::.O...!.., _..:::1-=-9-=-7-=3 __ _
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for WASHINGTON County, Pennsylvania, do respect-
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 Schedule "F", tch g ater or lesser amount represents the sum
allowed as a deduction,.
Dated: ________________________ _
INVENTORY VALUE AS REPORTED VALUE AS APPRAISED
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
$ $·----~~~~~--5,000 00
Joint-Held Property (Schedule E).
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
annuities . . . . . . . . . . . . . . . . . . . $------------4---
EST ATE TAX ASSESSMENTS $ -----------'----
FOR USE OF REGISTER ONLY COMPUTATION OF TAX
$-------------4----
$ ____________ -4----
Tax on$ 2%
Tax on $ ------------------+----{ill
Tax on$ 5% $--------~----4-----
Tuoo$ 1~ $ ____________ -4----
$--------------~---
VALUE AS REAPPRAISED
$--------------4----
Taxon$ ~
Exemptions *
Total Estate ______________ --~... __ _
TOTAL TAX $--------------L----
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue;
Less tax previously paid $=======4==
BALANCE $---------+---
Less 5% of tax if paid within
3 months after death $======:::===
BALANCE OF INHERITANCE TAX DUE $ ------+-----
Add interest at rate of 6% from
----------to ---------$ -----------L---
AMOUNT OF ESTATE TAX ASSESSED $----------+---
Estate tax paid $-------------'---
BALANCE DUE
Add interest at rate of 6% from
----------~10----------
$----------~----
$ -----------+---
TOTAL TAX BALANCE $ ------------1----
PAID $----------~---
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 ............. : ...... Year
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
.a~A'l:'R:U:;e. ... WQ.PD..S. ...... .
Deceased
Late of .... GMONSBU.RG.
County of WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.·
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Fonn RCr.-2
• -DEPARTMENT OF REVENUE
BUREAU OF•COUNTY COLLECTIONS
I~ ' ; .,..
HARRISBURG, PENNA. 1 7 1 2 7
COMMONWEALTH OF PENNSYLVANIA .. ' .. -RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ........ Apri.l. ...... l0..,. ....... 1.9 .. l3 ..................... .
COUNTY .... Y.!.~.§.h..i. .. ng_t_g.n_ ____________ ........... .
63-68-1246 FILE NO. ························-···················-········· .. ··········---·--········ ... ··
Whereas, ............. ~-~.AT-R.±.G..~ ..... W9..9.P.§ ............................................................................. late of ........ G.AN9.N..o?..~.P.R.G ............................................................ .
in the County of ..................................... ~~~~-~-~.9.?;.9.~ .......................................................... Commonwealth of Pennsylvania, having died on
the ................. 1.6.th. ............................................................. day of ....... J.~Jl.MX......................................... 19 ...... 6.~ seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ................. F.RAN.CES ..... LEO ....................................................................... , 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.
unit Appraisement
Deaorlptlon of Aaaet Values Made for InherItance
Tax Purpoaea
$
PERSONAL:
Recoverv under th Survival Act of April 18 1949,
p .L. 512,. Section 601, 20 P.S. 320.601, filed at No.
:
421 November Term 1968, A.D. 5.000 00
·-~ --.. .. .. .
ESTATE INSOLVENT
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fonn~~·;:~hb:: ::%;,:,w<>rll ~~;~_:e~· ~.~ o~~~~ c.·~":~=?:·~~~~
· · Appraiser ?"' .................................................................................................................................................................... W (Number and Strtet)
....... : ..... : ............................ ~ .......................................... , Penna.
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............ , ........ .WASHINGTON ................... :..................... C oimty
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
·BEATRICE WOODS . ;··························································::···············:··················::··;·······::······;.···:········· · · Deceased.
Late of
CANONSBURG
Date of Death, ................... J.-:-::J.§:::-:.9.~ ................................ . j: .
Appraiseme11t Docket Vol., ....... 3.7. .......................... : ........... .
Page, .... .:1..4.?.:::-:9. ...................... No ... 9.~.:-::-.§~.-:-::.+. .. 4.4..9 .... .
Filed in Register's Office, .... :~P~-~J ..... .+..9 ... .19.:.T3.
Amount of tax due, $-······················:········································· .. ··
DEPARTMENT OF REVENUE
Received,
Exa.mined and Approved,
Wrote abo.ut Appra-isement,
Appeal f1'om Appraisement,
Entered and charged,
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