HomeMy WebLinkAboutOC1968-1264 - ESTATE OF JOHNSTON·.~· '.
FORM 67 REG. WILLS
REV. 1-50
Application fur i4rttrrs nf Ailministrntion nn tbr
Estate of ........ ~ .................... ELIZABE:IH .. .M. ..... JOJ:JN:SIQN .............................................................................................................. ..
late of.. ........ The. ... B.o.ro.ugb. ... Q.f .... C.s1>:9..n.~'Q.u1:t'K, .... .W~H~h~TI&~.Q~ Deceased. county, Pennsy van~a,
Bet ore the Register of Wills of W a.shington County
personally appeared .............................. ~Y ... L ..... KE.LS.O .......................................................... _ ......................................................... ..
who, being duly sworn deposes and says that... ..................... ELl~A~J;;1lLN.~~ .... J.QJ~§J..:QJ~L. .................................. ..
age .. JJ...q ..... , having.~. last family or principal residence at ........ !f.~ .... ~.~f.~9..~.~ ... AY.~~~~.L .............. .
(Street nnd Nun:ber)
........................................ Cano.os.b.ur.g, .......................................... :~ ...... , Washington County, Penn.sylvacia,_ djeg_intestate ·~XBorough, M~¥> · -···· ·
at... ............... Canansb.w::g .......................................... , on the ... l9. ... day of.. .......... ?..~P.~.~.~~.~;: ....................................... .
A. D., ,L9 ...... 6.8 ...... , at.. ... 4.; .. QQ ....... :.:. .............. :.:: .... A~~ .. M.; possesseq of personal estate to the estimated· value
$ .... 200.~00 ........... , and ~f real e~tate in '•the: .. Comfuomvealth' of Pe~nsylvania to" the es:imated value of
$ .............. ~ .. ::; ................. , situate in .......................... : .. : ........ :.: ....... : .. :: .......... : .......... i .......... : .... : ............................................................ : .......... , ........... .. ... . ' .................... :~ .................................................................................................................................. ~ ..... ~ ................................ -···········-···········:: ....................... . . ' '
The: names. and addresses of the deced~nt's ~urviving 'sporise. (if any) and other heirs including
heir~ by adoption) are as. follows,
REJ,ATIONSHIP RESIDENCE
. . . . . . . :::::::::::;:~;::::~~::::~~11:6:::::::::::::::::::::::::.::;::::::::::~:::::· ::::~~i.~~:~:::·::::::: ::::::::i.?.i::i~i;,~;;:;,:::A.Y.~?~~:;,:::·::~~:?.:~~~~urg,
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..................... ' ........................... ; ............................................... : ............................................... P..enns.ylv.a.n.i.e ................ l:~.~ .. l.?. .............. ~ .... .
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....... : ... se;~;.tha .... Fo;t".sy.th.e ... , .......................... : ............ niec.e .................. We.dgew.o.ad ... :We.s.t ...... C.a:r.m~.lQ .... :O.;~;.j. ve,
................................................................................................................................................. Ap.t ..... ;2Q.l ..... (.43.4Q.) .... f!:P.TI~.9.~.1.:~.2 ......
u. . . 22003 .................................................................................................................................................. x.:J..t:g;~.,n;~..a .................. -........... _ ................................ ..
....................................................................................................... ................................... ! .................................................................................................... ..
That deponent is over 21 years of age, resides at... ........ l..Z..l. ... :a..~J~QP.:~ .... AY.~P.:~.~.7.: ..... g~.~9..~.~?..~.!g'
............................................ P.ennsy.lv.ania., ....................................................................................................... _ ........... _ ............................... ..
is a citizen of the United States and a resident of Pennsylvania, and respectfully applies for Letters of
Administration upon the Estate of ·said decedent, no letters having been previously issued thereon.
Sworn and subscribed before me this .... .2. .. 1.~ ....
1/ 22Z~B~··-··-... ················
day of ....... ,.· .... ... .. ........................... , A. D., 19 .... 6.8. ...... .
... · ...... ~~~ ........ ..
REGISTER
COMMONWEALTH OF PENNSYLVANIA } SS:
WASHINGTON COUNTY,
And now .................................................................. , 19 .. §.§ .. ., comes ...................... ~:1~J~X .... 1., .. _J.SJ;:~9. ............................... .
who being duly sworn doth depose and say that.. ....... .she .......... wili well and truly administer fue goods and
chattels, rights and credits of ...................... J;.:.LIU.:a.Jr(B .... M.! ..... J..9.~.~1;.Q~ ................................................... , deceased,
to the best of.. ... her. .. skill and judgment in strict compliance with the laws of this Common·:.vealth, mind-
ful of the laws relating to inheritance taxes.
.. .. k?~t~~.-............................ .
REGISTER . •' . ,_ ~-
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APPLICATION FOR
Letters of Administration
I! ESTATE OF
.. ,: ........ EJ..IZABETH .. .M ...... .J.OHNST.ON ............ .' ..
Decease(\
R $ ............................ ..
.................................. c; t;tJ Letters.................... p $ '/.. ................ .. .........
Extr~ Alias .............. $ ............................. .
Certificates ... / . !.. ~· .. ·. $ .............. f.. .... q:.~
Renunciations .. /. ......... $ ............. / ... ~.~.
................................................. : ........... ~.... $ .......................... .
......................................... (2kl J / tYO ................................... L .. £ ................ .
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ESTATE OF
M":" ............................ _ ............ E.t.IZ.ABE'IH."M .... .J.QllNSl'ON .................................................................... ~ ............................. DECEASED
The undersigned .... ; ..................................... B.er.tha .... Eo.r.s;y.the ......... ; ............... M ..................... M ............................................. :amk heirx
of.. ...................... ~Ji.~91?.gth ... M.~~ .... J.QhP..§t.Q.D. .................. :.".late· of .......... .Bo.to.ugh ... o.f, ... Caoo.nsb.ur.g ......................... ..
d · d h b her · h d · · sJ:Iid ecease , ere y renounces ........................ ng t-to a m1n1ster on ..... " ........................ M ......................... ""'""'"""'''''"'""'""'"''""'estate
I • \ •
and respectfully asks that Letters of Administration be issued to ....... " ........... .Ma.J:".y .... L .... .l{,a.l.so ....................................... .. . . . . . . . .
..... -................. -.... -.................................. _ .................................................... --~~ ...................................................... ~ ..... _ .. :···· .. ···· .. ···· ..................................... .
--······ ... ····-· .. •• .......... -............................................................... i ........... . .._ ................. ~ ........... , ...................... _ ....................................................... .
... _ ......... ---········ ...................................................... -..................... .. ...-........... -........................ ,.,_,,, .......... _ .............................................. .
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Estate of .. ELIZABETH ... M., .... J.O.HNSTON ............... { No .................... of
19
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late of .GAN9.NG.B.1ffl9.:, .... ~~I1Il..?.~., .......... , Deceased }
KNOW ALL MEN BY THESE PRESENTS,
That we, .. MA..R~ ... L •.... KELS.O., ... ROBERT .. A.A ... .S.IMONIN., ... an.d ... FRANK .. .D.~ZOMBA., ....... .
all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl-
vania, for the use of those interested in the estate, in the_ sum of ..... FJ.v.~ ... H:UP.QX:e.d ................ Dollars, to
be paid to the said Commonwealth, to which payment, well and truly to be made, we C:o bind ourselves,
joindy-and severally,-for and in the whole, our heirs, executors, administrators, successors' and 'assigns,. and-
each and every of them, firmly by these presents. Sealed with our seals and dated the ................... day of
.. .S.ep.t.emb.er ...................... : ..... A. D., one thousand nine hundred and sixty.~.eight ................... .
THE CONDITION OF THIS OBLIGATION IS, That if the above bounden ........................... .. -· ( ................................................ MARY ... L ..... .KE.!$.0 ......................................................................................................... .
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 administe: the estate; but
otherwise, it shall remain in force.
e presence of: ~. :--~~_;//
.... . i:'j {_.'a::_ it ';-e-.: .aLl (SEAL)
· ...... · .... · :':' ...... ~·.~~ ............. (SEAL)
\:·.~~J!.-?~ ............... (SEAL) .,, {/1 -
............ :..~ ....................................................... (SEAL)
~tatrmrttt of @lurrtu
I, .. _ .. _RO.ll.er.t:__A __ .Simonin ........................ , ·surety in ~he sum of $ ... 5J 0 • .O_Q___ on the
administration bond in the estate of .. __ E.l.i ~g_Q e t h __ M ...... J.Ph!l§ . .t.Q.!L ..... ____ ................ , sa~ that I reside at
_Alpine Road, Can_onsl;?_-gJg 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 .... the.::.B.Q.t:Q.'Ygb. ... Q.f. ... C.a.P.QP.S.ln,t.IK ..... ,
Washington County, Pennsylvania, worth above all encumbrances $ ....... J.!?.~_O.QQ .. !.Q.Q ... , .. ; and that I am worth the
amount expressed in said bond, over and above my just debts and liabilities.
·~-~~~------------· ---
AlP.i.D .. ~ .. J-~_Q.9.g_,__~~§!!.QTI~l?.~;:g__,_~n n s .Y!..'! an ia
Street · P.O.
&tatrmrttt of ~urrty <".
I, ___ .. __ .. _____ _E.r.ank ... D..eZ.omh.a : ........................ , surety in the suin of $ ...... 5.0.0 ..... 00__ on the
administration bond in the estate of ......... E.lizab..eth ... M ...... Johns.to.n ...... ___ ....... _ ..... , say that I reside at
'.tbQ_t'.D.WOQQ_Dr.iyg...,_ .... G.anons .. ~.-Washington County, Pennsylvania; that I am the cwner ·of real estate the D~g. . •
title to which is in my own name and auly recorded, situated in ....... the .... B.mr.o.ugb. ... o.f. ... C.anons.bur.g ... ,
Washington County, Pennsylvania, worth above all encumbrances $ ....... 2.0 . .,.0 .. 00 .... 0.0 ....... ; and. tha: I am worth the
amount expressed in said bond, over and above my just ·debts and liabilities.
COMMONWEALTH OF PENNSYLVANIA, } ~S· WASHINGTON COUNTY, "' .
~·~ Ffiirik~~.{l ·Can=:~---1:.hQ.!':~W.Q.Q.9..J~_g ____ ,_ __ ganonsburg, Pen~a.
Street P.O.
And now S.e.p.teJl,lb.er:d..i, 19 ..... 68.. comes ................... r..§.t~_;t.g_Js. ... C ........ P.~±.I_;t.g.Q ................ _ ................................ ..
who being duly sworn, says that he is acquainted with the financial standing of the securities to the within bond; that
the said obligors have each executed _the said bond and th.3t the sureties thereto are the owners of rP.al estate in their
own right of value more than the pen~ sum of said bond over and above all ·incumbrances and ex911ptions. . ~ d Q:2; ///' Sworn and subscribed before m~ ~~is ............. ~ . .. . ~ e ~ l
dal of ........ : .. .S.ep.t.e_mb.er .................. : .... ,: .......... ;A.D. ~8. · ..... ... · _ ...... !'... --....... ~--
Z.~.'7.2 ........ · ........... ... ~;Notary PubiiO
W"'SHINGTON, WASHINGTON CO., PA,
My Commission expires Jan. 11, --,;?~
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Affi~uit ®f iExrrutnr ®r Abmintatrntnr
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C!Lnunty nf llan4ittgtnn ~
Personally before me, the undersigned authority, a. .................... '!JQ.t..~~.Y .... P..'9P .. ~J£ ................. in and for said
County and State, appeared ............. MARY .... L ....... KELS.Q ......... : .................................................................... who, being duly
sworn according· to law, deposes and says that She is the ~l!tE:®K or administrator of the estate of
.... E.LlZAB.ET.H ... M .•..... J.OJlli.S.l:QN ............................................... deceased, that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of ............................................................................ ,
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 th~ 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~his.2~trator.
day n~~9J:::ri;i .. ~~;v i···l··················hz.~~~;;:;t~;···-······· .7.;:;:;:;2 ...... :~(!·~ · L •• c ............... =........ MARY L. KELSO
ADDITIONAL INSTRUCTIONS
1. An inventory must be filed within three months after appointment of personal repres::!ntative.
2. A s:upplemental inventory must be filed within thirty days of discovery of additional assets.
" ..>. 1 Original and 2 Copies and 2 RCRI-3.4, Under $10,000; 1 Original and 2 Copies :md 2 RCRI-33,
Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Oorer $50,000, in-
cluding Copy of Will and copy of Federal Estate Tax Return. ··
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2
\'
4Junrtttnry attb Appraisrmrut of the goods and chattels, rights and credits-which
were of ................. ELIZABET.R ... M ..... J.OHNS.T.ON ....... Jate of ...... B.Ql'.Q.ugb. ... Q.f .... C.anQn~.Q:QI& ................... . ~ i ~ •
Washington C?.unty, Pa., taken and made in conformity with the above affidavit. -
Checking Account -Mellon National Bank and Tr~t
Company, Canonsburg, Pennsylvania
Savings Account -Mellon National Bank and Trust
Company, Canonsburg, Pennsylvania
. Retirement -check from Department of Public Instruc-
tion -September, 1968
TOTAL
DOLL."'-RS CENTS
688 59
3709 20.
219 15
4616 94
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63-68-1264
No. 540
Inventory and Appraisement
IN THE ESTATE OF
ELIZABETH .. M ...... .JQHNS~ow ......... .. .................................................
Filed~ ................................. : ............................... , . 19.~§ ... .
GRE~NLEE, RICHMAN, DERRICO &
. POSA Wash1ngton·Trust Bldg.
Wasbington 7 Pennsylvania 15301
..... 9
Fonn No. RCC-62 (12-66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER S10.000, UNDER SECTION 701
EFFECTIVE JANUARY 1, 1962. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)
-------~-~-~---------~------------------------------~---_,..,-----~-.. / OF JUNE 16, 1961, j
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OFFICE OF THE REGISTER OF WILLS
County of ... ~P.&h;i:ngt:P.IL ......... .
. . . . . . . . . . MARY. L •. KELSO .. · ................... of .121. Belmont. .Aw.eou.e, . .Cananshurg.,.. P.a.
(Name) (AddreBS)
being duly ----------~!~~!'-~ _________________ .according to law, deposes and says thatShe is tl:e ---~Adm-iri.i-s.t:rarriX----------------------1Exec., .\clm.,Legatee, Etc.)
of the estate oL_~~~~~-~~!~---~-~--}Q~-~'!'Q~------whose last residence was __ JgJ __ ~-~!~~~-~--A<~§-~,-~-~'----------------<No.l Street · burg ·
___ Bo_ro_uP" h __ o£ ___ Canun.s_~ _____ .deceased, and that the whole of the estate of said decedent, who died __ S ~:.n .t.., ___ l6 ... ___ -'-:::l!~ ...
(C' ~ h T h · )' ~ 1Datel ' try, oroug or owns tp -
consisted of: Je
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA. WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS J_~INT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADD:I.ESSES AND RELATDNSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
....
' ·NONE
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Personal Property -I
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Checking Account -Mellon National Bank & Trust Cornoanv 688 59 "'~~~
Canonsburg. Pennsylvania .JI
~;:~\TinQ'!=: Af"rollnt' -MPllon N::~tional Rank & Trust: Cn'llnanv J J'ftf . ~
3 709 '20 ~ "7P 'nJ.
C::~nonsbur~ Pennsvlvania
.Retirement: check from Denartment of Public Instru::tion(l0-68) 219.15 I7J ~-~~: :
TOTAl $4616.94
)
OTE: You may expedite the processing of this return by filing \\lith it, and as a part of the return,
etters from financial institutions or mortgage holders, certifying to E-mounts on deposit or owed by the
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ecedent as of the date of death. Such letters must be signed by a responsible offi::ler of the financial
· stitution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
ccount at the date of death and the type of account, account numbe,r and the exact name or names in
hich the account is registered.
..
Jointly Held Property Estimated
Value .-:.:
"' ' "
-NONE -.
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Transfers within TWO YEARS Prior to Death
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:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
NONE
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
RELATIONSHIP SURVIVED AGE OF LIFE
(If step-children or DECEDENT TENANTS OR
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS.
an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF
forth this fact.) DECEDENT
Harv T. Kelso Niece YeP. -----~
Rert:ha .Forsvt:he Niece Yes -----
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RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
TTnrler wi11
llnrler v.1i 11
RESIDENT DECEDENT , ,. DEBTS AND DEDUCTIONS CLAIM..ED , ,
NOT~ List first five items in the spaces so provided obser~e notations thereon, and instructions ' ... DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN
~EGISTER ONLY
Funeral expenses paid $ $
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *
Counsel fees *
Fiduciary commission *
I
OTHER DEBTS AND CLAIMS
(*) See Note below
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Total
Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,-commission or debt is greater
or less than the estimated amount claimed and allowed. '}/7~ /, ~
.. ~ /.7.. ~~7Ff;e~;;t~~i~ist~~t~;J : ........... .
....... 1-?/.~ .. ~ ... J••·····
(St~eet. Number)
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Having been d~according to law, I do hereby certify that the above appraisement iszap on ~onformity with law on this
.................................. dayof .... ~~··;·p····:--?·.JJ·':-'!".". ..2.-. ~
. ~~·-···~··············~:f.····
In the event that any future interest in this estate is transferred in possession or enjoyment to c.·· · Ia, heirs of the decedent after the
expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the righ~~~aise and assess transfer-inheri-
tance taxes at the lawful collateral r~te on any such future interest.
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in· and for .................................... County, Pennsylvania, do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items ·.vhere a greater or lesser amount
is set forth in the last column to the right in said schedule above, which greater or lesser amount represents th~ sum allowed as a deduction.
Dated:
Register of Wills
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Fonn No. RCC-62 (12-66)
Will .
Administration }No. · ....... -. Year .. · .. .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
...•.... ~J...~~~J3_F;'fH .I~ .•.. JO.IWSlQN ...
. Deceased
Late of ... :B.Ql=QlJgh . 9.£ . C~.I1QP.qQp~g.
County of ..... Ji,Iashington .......... .
Commonwealth of Pennsylvania (_'
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:;:..-; -.. r· .. -:--,
REPORT~ AND~ APPRAISAL
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GREENLEE, RICHMAN, DERRICO & POSA
325 Washington Trust Building
l.Vashington, Pennsylvania 15301
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R C C-81 (2-64)
c·OMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
MARY L. KELSO
(~Administrator).
..
IN YOUR REPL,Y PLEA8E;
REF&:R TO 37-150-2
In Re: Estate of _____ EL_I&:...KB_.ET_. _H_£_1_. _J_O_HN_S_TO_· N ___ _
____ W._AS_HI_N_G_T_ON ______ County_ File No. 6.3-68-1264
Dear Mrs. Kelso:
You are hereby notified that the origi~l
appraisement in the estate of Elizabeth M. Johnston
has been filed in the office of the Register of Wills q: Washington
County on November 7 , 19..2.6.. Said appraisement reflects the
following valuations:
Real Estate __ ~--------~-----------
Pe rs anal Property __ ___;4::u...:• 6~1::6~.9l!:.4~------
Transfers __________ ~~~~~--~----
Total ------~4~,~6~1~6~.9~4~-----
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 froni date of death, interest at the rate
of six (6%) percent per an-num is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date ____ ~N~o~v~e~m~b~er~7~·~1~9~6~8~-------Signe~~< _t!!~
Title W. R. CHAl'ffiY, CH . APPR.Al.SER -
DATE OF DEATH: September 16, 1968
Note: This is not a bill.
RCC-39 (6-67) ..
tOMMONWEAL TH OF PENNSYLVANIA
J TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
JOHNSTON, ELIZABETH M.
FILE # 63-68-1264
September 16, 1968
SUMMARY
. ---' .....
.. -.
FILE # 63-68-1264 ftEPOHT OF INHElUTANCE TAX AFPRAISE.R
I~ the undersigned duly appointed Inheritance Tax A.ppraiser in and for the County of
# 63 Washington _ , Pennsylvania, do respectfully report that I have appraised
the real and personal property as reported in the foregoing return at the values set forth
opposite each item in the last column to the right in Schedules "A", "B", "C" and "E".
Dated: 11-07-68
09-16-68
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for Washington
County, Pennsylvania, do ''•'STlec: tfully report that I have allowed deC.uctions in the amounts
claimed by deponent, exc.;pt 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.
Dated: 11-07-68
REGISTER OF WILLS
INVENTORY VALUE AS REPORTED VALUE AS APPRAISE~ VALUE AS REAPPRAISED
Real Property (Rchedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
$ ·-$ $ _____ _
~,616.94 ~.616.94
J oint-He~d Property (Schedule E)
TOTAL GROSS ASSETS
LESS Debts and Deductions
(SCHEDULE F)
CLEA~ VALUE OF ESTATE
Valuation of life estates or
annui U.es
ESTATE T~X ASSESSMENTS
$
~
4, 616.94 4,616.94
=====·-=====:=· ======:=
----
------
FOrt USE OF REGISTER ONLY COMPUTATION OF TAX
·Tax on$ ____________ __
Tax on $ _______________ . ___ 10% ~---:----~ ------
Tax on~ .~a $
Tax on $ lPi $
Exemptions := :::)
Total Estate _________ __
TOTAL TAX
Less tax previously paid
BALANCE
Less ~% of tax if paid within
$ ____ _
cfo
·r======·--$ ------
3 ,months after death *===============
3ALANCE OF INHERITANCE TAX DUE
Add interest at rate of A% from
to
AMOUNT OF ESTATE TAX ASSESSED $ ______ _
Estate tax paid
BAlANCE DUE
Arld interest at rate of 6% from
to
$ ------
TOTAL TAX BALANCE
PAID
FOR USE OF REGISTER ONLY ADJUSTMENTS
As evidenced by Charitable Exemption
Certificates issued by the Secretary
of Revenue.
$ _____________ __
$_. _____ _
$ ______________ _
$ _______ _
$ ______ _
$
NOTE: Where subsel)_uent 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 ~ No .................... Year
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
... ELIZABEl'H..M •... JO.HNS.IDN ............... .
Deceased
Late of . . .. .. .. CANONSBURG ·················································
County of WASHINGTON ...... ·································
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
-. -~ --=~· -~--~-_,.,_,.,., ~.~--"'""
•.
~
,,·
£'"
' Forin: RCC-2
COMMONWEALTH OF PENNSYLVANIA DATE ....................... N.ove.mbe..r. ..... 7, ...... l.:99.~ ...........
DEPARTMENT 'OF REVENUE . ~RESIDENT INHERITANCE TAX . . COUNTY . ....................... Wa§.b..i.P.s~.9. .. P.: .............................. BlJREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 7 772 7 APPRAISEMENT
FILE NO ................ ?.?..::::.?..~=~~~·~·············-························· ./ -· .. . .
Whereas, .............................. ~+..~~.?.:Q.~~.h .... ~.~ ..... ~9.~~~.9.?.: ............................................. late of ............................ ~.~~.?.~~.~~.~ ................................................
in the County of ..................................... Wa.s.hingt.on ................................................................ Commonwealth of Pennsylvania, having died on
the ................. 1.6 ... th ............................................................ day of .................. $..~P~ .. ~.Il1l?.~.~ ............................. 68 19 ............ , seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ............................ W.~.B. .. ~ ..... Cb.~n~Y. ................................................................... , an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the 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 Deacrlptlon of A net Valuea Made for Inheritance
Tax Purpoaes
$
RERSONLATY:
Checking Account -Mellon National Bank & Trust
Company Canonsburg, Pa. 688.59
Savin£8 Account -Mellon National Bank & Trust
Company Canonsburg, Pa. 3,709.20
Retirement check from Department of Public
I Instruction 212.1~
Total 4.616.94 4,616 94
j
Total 4,616 94 '
I
I
I .
fonn~;·!:;~hb:: ::~~sw<lrll ~~~~~~: ~.~ 0~;~;&~;: ;.P~§E~~;:;;~
~~=z =~=~s:·> . ~~~:. -~ (Post omee)
.................... WA.S.Hl.NG'l'.ON ..... . COU1lty
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ELIZABETH M. JOHNSTON ······························································································· Deceased.
Late of
CANONSBURG ··································································
Date of Df'crth, . §.~.~.~!n.l:?..~:r. ... J.9..,. .... J.:9..9.~ ......... ..
AppraisemeHt Docket Vol~, ................ 'J..7 ............................... .
Page, ..... l5.(b.2 ........................ No ..... 63:::-.6.8:::-.12.64. ....... ..
Filed in Register's Office, .N.oY.~mP.~.J;: .... 7., .. .19 ... 6..$..
Am.ount of tax due, $ .................................................................. ..
DEPARTMENT OF REVENUE·
Received,
Examined and Approved,
Wrote abo.ut Appra.isement,
Appeal ft'om Appraisement,
Entered and charged, ....
.. ·• .. ·~
£
..
.~· ,.. :!
•,
Form RC C -10
OFFICE OF THE
REGISTER OF WILLS
DEDUCTIONS ALLOWED IN
.
STATEMENT.OF DEBTS TH[ SUM OF ............ $ ....... ,t..f.,(,lf .3
oF Washington couNTY AND DEDUCTIONS
DAlE ?:}" . .. .. .. . ,!!'_:&=.a ~~ou.-t~ 0; /(A '~~ ZN~O~;E_;;:N~;:H~ J~ @/J% Register of Wills, Agent ~ ....
ESTATE oF ELIZABETH M. JOHNSTON LATE oF _B~o.::.r=o-=u""'g=h:.......::o;..:f..__,C...,a::.::n....,o._.n=s:;..:b::..:u=r::.cg _____ _
DATE OF FILING APPRAISEMENT -~~<.......:;.;'.;J;_·--l-/1;_. c;::;__-...::&::;.....;..I __ DATS OF DEATH September ] 6 J 1968
DATE NO. OF NAMii: OF PAYEE REMARKS AMOUNT VOUCH&;II
1968
_O_ct.
no ...
.
nP-('
21 Canonsburg Hospital Bill 96
L.. Griffith Funeral Director 1046
Oak Snrin2: Cemeterv O.n_e_ning Grave go
' Ada Champ (Nursing) Last illness '100
J. B. Kelso Dav nursing 25
Dr. M. Cavasina Last illness 132
Gavdos Monument Co. Monument engraving 65
-Po sa 1~ ~rP-Pn1P-P-Rif'hman.nerrif'o & 'Do; .1. . om on t--Fn't" -Fn 11 ,., .... .; ...,,... ·c
!1/25/68 R Marino_ .. .Regist e_r of Wills -
t"::tkins:r ont-letters Sll.OO -
10/f..R R M::trino Res:ri~t" Pl" of Wi 11 ~ --
One ~hort ~.ertifi c.ate i.oo
-
11/.lif..R l<'i 1 i ns:r .Inventorv 6 .00 -
TOTAl RF.T MR URS't<: IVHr.N' 1' 18
1~ J?osa ~reenlee .. Richman .. Derr1co & Attornev1 s fees 12_5_
Marv T. Kel~o Administratrix 1 s fee 230
'l' _0_ T A T. ~10?7
M (
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF --'W;.::..;a=S=-h=i=n:~;;~gt..::t=O-=-n~---&S:
I, -------&.:.MacAu:Rio.JY..__.Jr..t.•a..· ..JKE~..a...J.Stt.l.l.!Q~------------H£REBY CERTIFY. THAT. TO THE BEST OF
MY kNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSD OP'
ADMINISTRATION SUBMITTED TO THE EST.\TE OF ELIZABETH M. JOHNSTON .C•ECEASED. AS DEDUCTION!> FOR
INHERITANCE TAX PURPOSES.
THIS /0 y
C7~~r7~~~~~~~--~g bl
sylvania
DAY CW
m~~~ .... Mai'Y: KelSO)AIIlillistratrix
My Commissiqn Expires: -~~~-~~~~/~~~~~&~~~9 _____________ .
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Form RCC-4-Rl-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA BESIDENT DECEDENTS
979172 OFFICIAL RECEIPT
No. Transfer Inheritance and Estate Tax File No. GJ-~~-1264
DntA n~~erlher 161 19 ,;s ~ :t.J::r::G'i'ON Office REGISTER OF WD.LS. Pa.
';t1A3tiP?r.TON County, ss: Received from ''Br:" t • relao, t
/'r'. , Administrator oe~ of the estate of .:T.!'l.~;-:_;T11 !i£ J C:H! ;:;'rON
who died ~"'ntemher 16 19 6R , the sum of "1'JIPJ!F ::t"' '"fit'> !ri'3"~'Y"Y t!nd n<.,/JOO -... -Dollars,
being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows:
Appraisements Made and Filed Computation of Tax
Real Estate Tax on$ 5% $ Date Valuation
$ Tax on$ 10% $
Tax on$ 2% $ $ 2,689.31 403.40 Total $ Tax on$ 15% $
Personal Property Exemptions * $
Date Valuation
11-7-68 4,616.94 Total Estate $ $ 403.~0
$ Total Tax $
Total $ 4,616.94 Less Tax Previously Paid {if any) $
Total Gross Assets $ 4,616.94 Balance $
Less Debts and Expenses of 1,927.63 Less five per centum of tax if paid 13.40
Administration $ within 3 months after date of death $
Clear Value of Estate $ 2,689.31 Amount of Estate Tax Assessed under
Valuation of Life Estates or Annuities the Act of May 7, 1927. $
Date 19 __ $ Ann iTJ.t<:i'reet at tho Mto o' % 19_ $ from Estate Tax Assessments
to $ Date 19 __ $ 390.00
Total $ 19 __ $ * As evidenced by Charitable Exemption Certificates issued by the Secretary of
_NOTE: In accepting the transfer inheritance tax on future estates prior to the death of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended the hfe tenant or tenant for r,ears, as evidenced by this receipt, it is understood that the Com-by Act No. 381, approved July ll, 1957, and Act No. 207, 1961. Section 302. monwealth shall not be prec uded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional SEA0 1 tax may be legally due and collectible for any reason whatsoever.
Lr000[p[L0@£Lr~ ., / " ~--' "
37-150-2 / I , -..,.:./" . " / . . _ ( ~ .t /' .-~ .. ..-/"* "t r ! • Register of Wills NOTE: This Triplicate Receipt to be retained by the Register of Wills and filed in numerical sequence lor audit purpoaes. IIOORE BUSINESS FORMS, INC., ELIIIRA, N, Y,
'•i
,~.
I
FORM RCC-4-Rl
TRANSFER INHERITANC:& and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
37 150 2' Docket Page I ine ___ _
ELIZABETH M. JOIDtSTON
Estate a.__ ____________ _
OFFICE OF REGISTER OF WILLS
WASHI~IDTON'
Dec~mber 16,
SIGNED AND SEALED AS PROVIDED BY
SECTION 1201. ACT APRIL 9. 1929. P. L. 343
AS AMENDED BY ACT MAY 15. 1945, P. L. 528
RUSSELL M!RIN'O
Register of Wills
1201 (g), Act of April 9. 1929. P. L. 343, as amended. viz:· .. To receive from Registers of Wills all duplicate re·
ceipts for taxes paid to them by executors or adminis·
trators and to charge the Registers receiving the money with the amount receipted lor. The original of each such receipt shall be signed and sealed by the Register of
Wills and transmitted to the executor or administrator,
whereupon it shall be a proper voucher in the settlement of·the estate. In no event shall the executor or adminis· trator be entitled to a credit in his account by the
Register unless the receipt is so signed and sealed by the Register of Wills."
Fill in below name and address of person to whon1
lax receipt is delivered:
To ATrYS. OtmENLEE,RICmtAN,DBRniCO (;1 POSA
325 '~'ASHINGTON TRUST DUILDING
\IJASHINGTON, PENNSYLVANIA 15301
L -'
COPY OF. INVENTORY
ELIZABETH M. JOHNSTON
notary pub lie
MARY L. KElSO
s.
EUZABETH M •. JOHNSTON
68 Mary L. Kelso, .xxxxxxx
· llnurntnrg ani'l AP.praisrmrnt of the goods and chattels, rights and credits which were
of ................ _. ............. : ... ~~.~ .... ~.! ..... ~~~~Q~ ................ late of ............. ~-~~.~ .... ~.~ .... ~.~.~~.~~.8. ........................ .
Washington County, Pa., taken and made in 'conformity with the above affidavit.
-' ' ~ . ' . Checld.ng Account • MelJ,on National .Ba~ .and Tru&t'
Company, canonsburg, Pennsylvania
Savings Account -Mellon National Bank and Trust
Company, Canoa;tsburg, Pennsy~vania .
Retirement check from Department of PUblic lnstruc•
tion -September, 1968
' '
DOLLARS CENTS
688 59
' 3709 20
219 15
$4616 94