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Home My WebLink AboutOC1968-1298 - ESTATE OF JOHNSON------,-----------~--·--·-----------------· ... ..~. a!nmmn,uwralt4 · nf ~ruusyluauia. } 55 llasl}iugtnu C!lnuuty. . · KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the CoLnty aforesaid on the 20th day of November A. D. 19 67 , before me, Josephine M. Douglas , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in ~h·e Commonwealth of Pennsylvania, the last Will and Testament of David G. Johnson late of City of Washington in the County afore~aid, deceased, (a true ·copy whereof is to these presents annexed), was duly admitted to probate; and Susie Barber the Executor in said Will and Testament named, having appeared before me and taken c:nd subscribed the oath of office prescribed by law; NOW, THEREFORE, I, Josephine M. Douglas , Register a:: aforesaid; do grant these LETTERS. TESTAMENTARY, unto the said Susie Barber committing unto her' the administration of all and singular ~he goods and chattels, rights and credits, which were of said deceased, and requiring her to exhibit a true and perfect inventory thereof into the Register's Offi,ce, at Washington, within ninety days from the date hereof, and to render a just and true account of said administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of thE laws of this Commonwealth relating to inheritance taxes. ... .... .· -. IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Office at Washington, this . .,-~· twentieth ~ \ I. ,"0 A ~t'f -· 'J day of November in the year of our Lord one thousand nine hundred and sixty-seven • . .. ~ .. .. . ~--_I m~ . . ............. ~I:Yd.Lt........................... ...... ..... . R:~~;-~~~-~············ ( . . - \.0 C'\l .. (/') VI O...J ;~~--~ c : ·~ C:::?.,..: . ..., <X:LL.. I ~ i : ~u ! .. ':... ' -.!a,:: ....... ...Ju.J --l n U-lr--~t (/J (/') <f>--~ :::>c;, •·-: (-'\aJ ~ -0::: II> Q") ('"") u'> ·- '· . • . ---·t-:... _.._ __ -c'_~~-~-.... _ i .... , --· --s..· .t-. .. - ·: . ' I i ' I I I ! I ' ! : : : '! ! ' . l I~ llJ> i< !H jt1 l'il t• !~ !O ~~ !tn !o !2: ~~ r . -•[.-) (./•, ') -. _, r-- ";..Jr- ITI (/) -1 )> -1 ITI 0 '11 ,._. ' . "' • -.. --=·- 1..) "\ ..... -I -' ! · . .......... ~~..,.··rt~v •.· ~~"""\."~~~;:-:~ .... "t" i· .c;·1 Jh'\..:·.-• ... ~ .:;;; :A.,; .... , .. · ... · ' .. i='ti.O.IV;( C. C:J.'.i.i-'01.1.. " · · . ~ '" ·. ·. · · • · trrc·."~-, .c1r • •. ·,w ........ . . . . ~la<~l*,+i;;.·,.:.• .. · •,,(,,;,.,'.;.,,.~ • .; i'ri,.; . .!;,j:.; •,;_,;'•1' ' ;, QoOi'•'"d :.:j .. ;::: ... ;,:;; .. ,.;,•o.r,;,•"""'••~...:..........:....... ...... ;, M <;.., .. -....._ ......... _......."'-"'-';J' 11 I 'I II jl .,, !i I l . I 1 Washington '; LAST WILL AND TESTAMENT DAVID G. JOHNSON I, DAVID G. JOHNSON, of the .City of Washington, County, Pennsylvania, do hereby make my Last Will· and I , Testament; and revoke all ~wills by me at any time II heretofore made. I I !I I! 11 /the expenses of my illness and funeral. FIRST: I direct the payment out of my estate of I SECOND: I direct my Executors, hereinafter named,) /Ito erect two tombstones, one on the grave of each of my deceased I II sisters, Sadie Toliver and Lelia. Warren, in the Washin8ton Cemeter~, !leach one to cost not more than $250.00,-which includes the base 1 1 'I I I ·~· II upon which .the .. s_tone iS to. ~~plac~~ :, .<;1.~ ' , ,.. . ' j . 1 THIRD:··,···-: . I give ·and bequeath to my sister, Janettej ,! Harris. Davis, of 6414 South ·Park Avenue,. ·Chicago, Illinois, all tl ' . r . l! of the sterlin~ silverware in my bedroom which is wrapped and has I· II I! her name placed thereon, and all china plates marked "Cauldon, ! ~England" and the additional three china plates presently located II in the closet in the dining room. li FOURTH: ·r give and bequeath to my nieces, Nora l ! ' ' ! jWise and Susie Barber, both of Washington, Pennsylvania, all of I Jlmy dishes, si~verware, bedding and linens, each to receive an equa~ !!one-half (1/2) share of all of these things. I II!; ,II FIFTH: I give and bequeath all of my Savings ~ Bonds to my sister, Janette Harris Davis, of 6414 South Park il . ,~Avenue, Chtcago, Illinois. II li I' II -~-------.-..-.,....._.......~ =-====~-~-~--~·---~--~ .. ~~~----------- l . l v I ; II I l I I l l SIXTH: I give devise and bequeath my real ,. estate situate at 260 Forrest Avenue, Washington, Pennsylvania, to. my sister, Janette Harris Davis, her heirs and assigns forever. ·: ., ·; SEVENTH: I give and bequeath the sum of One ;: Hundred Twenty-Five ($125.00) Dollars each to the two sons of my !' .. , ~.nephew, Millard Price, and if either predeceases me then his share: ' is to go to the surviving one. ;, '· ' EIGHTH: I give and bequeath the sum of One Hundred '· •, .. ($100.00) Dollars to my niece, Betty Joyce Wise, of Washingt.on, , . . , :~ Pennsylvania. ·•' E NINTH: I give and bequeath the sum of Two Hundre<;1 :· ~ ! ;l 1: ($200.00) Dollars to my niece, Helen Jones, of Portsmouth, Virgini~. :j ii ,. ~ ; ,. ,. TENTH: i I give and bequeath the sum of One Hundred 'i .. ($100 .00) Dollars to Fran::es Williams, the woman who nursed my ,, " :·! ;; wife so well during her illness, of Lincoln Heights, Washington ii ;1 County, Pennsylvania. h •• ·: i ~ ELEVENTH: I give and bequeath the sum of One Hundred ;,1 ,; ($100.-00) Dollars to Flossie Robinson, a dear friend of my wife, .. o· ' ;: of Washington, Pennsylvania. ;i TWELFTH: I hereby give and bequeath the sum of ·:One Thousand Five Hundred ($1,500.qO) Dollars to my nephew, Andrew· .=· Wise, of Washington, Pennsylvania. THIRTEENTH: All the rest, residue and remainder of my estate, real and personal, I give, devise and bequeath to my 2. .:: fl?MWI!'I'••If!!JB"i'EW"*·• .. :. sister, Janette Harris Davis, of 6414 South Park Avenue, Chicago, ' :; Illinois. FOURTEENTH: I nominat~, constitute and appoint Susie ,:Barber of 117 East Chestnut Street, Washington, Pennsylvania, as i' ;: Executrix of this Will, and I direct that she shall not be required . ~ ! 'i . ') ! !t ! :; to enter security in any jurisdiction. in. which she may act; but i ~ ::should the said Susie Barber fail to qualify or cease to act as i! ~=Executrix, I hereby designate and appoint Louis E. Porter of 305 ,. li ~-~Reed Avenue, Houston, Pennsylvania, to act as Executor in her stead ji :l ., iiand I direct that ·he shall not be required to enter security in : ~ n :: any jurisdiction in which he may act. 1/ . ,l, q :! il 1~ IN WITNESS WHEREOF I have set my hand and seal to this ~ ~ \\my Last Will and Testament, this .,~J4}day of 1'1acc ;;· , 1967. ii I ~ ~ I' !' ij " n ii •' ! ~ ;! ,. .. ,, ' ... ~: I . ~ : * * * * * * Signed, sealed, published and declared by David G. !. Johnson, the above named testator, as and for his Last ~.Jill and . Testament, in the presence of us, who at his request, in his :. presence, and in the p-resence of each other, all being present ;'at the same time, have hereunto subscribed our names as witnesses .. Residing at ,f'J-?11 (lf f/111)., ;f{;c. I ~. t f. [ I I l ' I t f I ~ I I I C I t I [I i I 1 I ~ t ; TlJ 3{-0 7-Y~ J Affiltnuit (@f 1£xrrutnr ®r A~ministrutnr ~tatr nf Jrnnaylnania. t lUI:. Cltnunty nf lilaaqingtnn \ P all b f h d · d th · NotarY.. Public · d f 'd erson y e ore me, t e un ers1gne au onty, a. ............................................ -................................... man or Sal County and State, apPeared ....................... S..JJ.S .. .IE .... ~.AE,l}.g,B, ......... -........................................................... who, being duly sworn according to law, deposes and says that J~so*. the executor~tc~~ff~of the estate of .. P.AY.JP. .... G. .. ~ ..... J.QB.N§.Q~J ..... ~./~/~ .... P.b..Y..!P../_ .. ,_ .... -..... dece'ased, that the foregoing schedules constitute a · complete inventory and appraisement of the real and personal estate of.P../.tY.J.O .... J..QHN.S.Q.N. ............. u. ...... """'' deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death, based upon a just appraisement ·of each item made by the above named Executor ~p;; day-~~~~~~:.::~~:;~--~:~~:~::~~~~~::~~ .... ~:~~~~:~~::= l-.. ·-··-... -.......... -......... E;~;~~:~~-- . ADDITIONAL INSTRUCTIONS . 1. An inventory must be filed within three months after appointment of personal representative. 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in- . · eluding 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 D~U¥t)U~~Y J'bWN~rnJ'?kUJ~nt of the goods and chattels, rights and credits which were of .......... DAY..ID .... J.OHNS .. QN. ........................ -.......... _ • ..Jate of ...... Ci.ty. ..... o.f ... N.as.hio.g.t.Qn_ ........................... " Washington County, Pa., taken and made in conformity with. the abuve affidavit. DOLLARS REALTY: All those two certain lots of ground known and desig- nated as Lots Nos. 177 and 178 in Linn's Addition to Washington, being in the Sixth Ward of the City of Washington, Washington County, Pennsylvania, upon whic~ are erected a frame double house and a small five room .·frame dwelling -For more complete description see Deed Book 619, page 103 and Deed Book 619, page 102 $7.200 TOTAL REALTY - - - - - - - - - - - - - - - - - - - PERSONALTY: $25.00 U.S. Savings Bond dated Nov. 1942 $25.00 U.S. Savings Bond dated Sept. 1943 $25.00 U.S. Savings Bond dated Oct. 1942 $25.00 U.S. Savings Bond dated March 1944 Checking Account in Pittsburgh National Bank, Wash. Pa Savings Account in Pittsburgh National Ban~, Wash. Pa. 1 Lot of household goods (junk) Refund from Anderson & Pollock-unearned ins. prem. Refund from C. J. Tripoli, M.D. overpayment of bill TOTAL PERSONALTY ·-- - - - - - - - - - - - - - - - - $7.200 38 37 38 37 72 5,204 29 9 62 5,529 CENTS 00 00 20 68 20 09 52 36 50 00 47 02 TOTAL ESTATE - - - -t>l2--'" 729 02 ... I ......... , ........ 6·; -r /,:.~ r-·· J·-··, n"'l'r ~ " u 1 . =~ : -)j .,._, -~ STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ SS: The wi~hin named Accountant being duly sworn according to law, depose and say that the above account as stated is true and corre~'t as ............ ---~-~~---~9-~~--------verily believe. ~ ~ ~~ ·--s~r'ber-··--------------------------------------Sworn ond subsc :ibed f b:fore me this .. _____ [ ____ -------~· day of : ... ! ........... 9.~~-C?.l?.~_;: ___________________ 19~~---.... . -----'_---~~-----------·-·\ .. ' . . Washington, Wa~h~ngt~n·county, Pennsyivania Myr commis's ion, exj:>ires·' Feb. 20, 19 71 .... " 1.~ ~... . ..... :. C\.1 Warshington Co,.unty, ss: 0 LL1 I ---' l -- ' ~ . 4 ~ • .. "\.! .• I do certify that I have given legal notice to all persons concerned of the filing of the within ac-count in the manner prescribed by Statute and Rule of Court, as evidenced by proofs thereof filed to No .... /4._{_(!._9 ___ / .. 'l~-_( Witness my hand and official ·seal this .. &: ............. . 4?.~ ~{ doyoL __ _ ·:_:-.:~iii~: Register of Wills -----. ..----,.,_ \.0~ __ ._..;:·_-<_. -~--.---.... --*_-_~_~ _._.,..--....:.---: __ -_____ ~-----ro ------ 11(7 1 t:: ;:l io 0 f) I 0 \~o Q) ..c:l ~: .... ..., J~ 0 . I L F [) ..., ... ' ' 't:l Q) -I Q) 0 I ..., l'l Q) ~ "' Q) ... ~ .. ·-" r----8 p;j 3 . 41 ..., ' !..;JJ ...... 1 s:l -'~ ;:l :~'<~ 0 !'t:l <.) <.) l'l tU tU ';IC_-~::..L! :.~1\i:~J l'l &; .-;ElJ_;;-,l .• ~ o;: '.1 !LLS ....; :a ..., ..., "' -~ -~ 'bl! 0 Q) Q) p:: ..., ..c:l ~~..., g . f 't:l "3! s:l "' < .-i ... -. ;. ·" ; "' . ' .. ·--ir----'--.-... ".---~--~-~::.:....--~- J '. o\ .· 1,': •' cO .:__;->-·' I ! ' I II , . ..,~d''~UIWHv; .. ,.,. 0 ,,. , .. ' < ;) ,, c) n '''· '\. ' ,-, ~ ? .,..,_ • :;-• 'V •. ~~".., 1;\:",!)/7~-//'..,~ ,. v, ..... ~ '-.,' "'~-()~ '~I .;.t..c:. ~ .li) \. -.·"-~ r;; '• .. l:? . ",J ~~ '· \\•( ..... ~. ' ' / _/ ( ~ .. ,. \\ "" ~' ' .• ", .J.~ . (\, •• : .__, I.. 'J • .. "'' .. :..._....,...,. c_ "~~ ~~ .... ~ ,.,"" .. ~-~-~~,~~:.~.~ ...... ';:p,•' ._l-•' The Court is respectfully requested to determine. pmperd;.,,;f~t e~~ ,,_- The First and Final Account of Susie Barber, Executrix of the Estate of David G. Johnson, a/k/a David Johnson, Deceased, late resident of the City of Washington, Washington County, Pennsylvania. PER INVENTORY AND APPRAISEMENT Income: Rents: December, 1967 January, 1968 February, 1968 March, 1968 April, 1968 May' 1968 June, 1968 July, 1968 August, 1968 September, 1968 105.00 105.00 105.00 105.00 105.00 105.00 105.00 105.00 105.00 105.00 Interest on Savings Account.in Pittsburgh·National Bank for April, 1968 Interest on U. s . Treasury Bill received 8/12/68 Interest on U. s . Treasury Bill received 11/7/68 Additional Receipts:. Social Security Lump Sum Benefit ) . ' Refund of overpayment of gas bill fro~ Columbia Gas Sale of personal property Appraised Value Sale of real estate Appraised Value (• 29 o 50 I 29.50 7,200.00 7,200.00 Purchaser's pro-rata share of 1968 taxes Refund from Bell Telephone Company TOTAL AMOUNT OF ASSETS Total amount of credits claimed BALANCE DUE $12,729.02 1,050.00 74.08 55.68 49.60 237.60 22.18 NO GAIN NO GAIN 68.29 .89 $14,287.34 3,678.82 $10,608.52 The Accountant claims credits out of said estate as fol- lows: PAYEE H. D. Burch Mortuary H. D. Burch Mortuary Bell Telephone Company Columbia Gas of Penna. Wash. -E. Wash. Joint Auth. West Penn Power Co. West Penn Power Co. A. D. Wise Charles J. Tripoli., M. D. Citizens Water Company Columbia Gas Co. of Penna. J. C. McCleery C. W. P~illips Richard Harkom, M.-D. Sun Paint Store West Penn Power Company Columbia Gas Co. of Penna. REMARKS Funeral Bill · Death Certificates Telephone Bill Gas Bill Sewerage Electric Bill Electric Bill Cleaning premises & removing trash Medical Services Water Bill Gas Bill Appraisement of ·R.E. Repairing Roof -Medical Services t I .t ·~ t , · Repair·dw~lling Elect.ric bill · -. -' Gas Bill AMOUNT $1,143.00 2.00 14.86 9.33 4.41 1.95 1.05 36.00 64.12 5.40 22.18 50.00 19.84 30.00 5.29 1.06 38.61 'I ' Wash. -E. Wash. Joint Auth. · .. ·Sewerage 3.97 West Penn Power Co. G. G. Salisberry West Penn Power Co. Harry R. Cook, Collector Simon White's Sons Harry R. Cook, Collector Citizens Water Company Electric Bill Plumb~ng Electric Bill 1968 City Taxes on 260 Forrest Avenue Markers for Lelia Warren and Sadie Toliver 1968 City Taxes for 262-264 Forrest Ave. Water Bill & Sewerage 1.06 11.70 1.06 31.04 298.00 60.86 13.19 ... ' ·. - Page 2 of credits continued: PAYEE West Penn Power Co. Washington Hospital Malcolm L. Morgan, Collector Malcolm Morgan, Collector Anderson & Pollock Harry R. Cook, Collector Simon White Sons Susie Barber Frank C. Carroll & Alexander Mcilvaine Russell Marino Observer Wash. Co. Reports Quinn Banks Anderson & Pollock Marie Guidos Marie Guidos Russell Marino Russell Marino Alonzo Cushenberry, et ux. Susie Barber Frank C. Carroll and Alexander Mcilvaine TOTAL • REMARKS Electric Bill Balance due 1968 County Tax on 260 Forrest Avenue 1968 County Tax on 262-264 Forrest Avenue Extended coverage ins. 1968 School Taxes Cutting date on stone Reimbursement for tele- phone calls Reimbursement for following costs advanced Letters Adv. Letters Adv. Letters Death Certs. Insurance prem. Ack. Deed Affidavits Filing Inventory Filing Account 23.50 12.50 12.50 2.00 28.00 1.00 6.00 4.00 17.00 106.50 Transaction Stamps to Deed Executrix's Commission Attorney's Commission r AMOUNT I 1.26 I 8. 25 1 , 13.68 ' 19.08 I ! 11.00 103.49 28.90 10.00 106.50 72.00 714.34 714.34 $3,678.82 Observer -Repor;_ter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Ad-vertising Act of 16 May, 1929, P. L. 1784, a:s am~mded. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally appear·ed. before me, a Notary Public in and for said County .•. and State, ········-~-~~~~t .. ? .. '! .... 9.QW~~---············· who beinig duly S>worn ' according to law, deJ:ses .and says tha,t he is the ... S.e.c.~.y ... : .. & .... Tr.ea.s • · ·. :>~-; ~~cu~~~~TibE. l of the Obs·erver Publishing Company, a Penns·ylvania corporation, and its l ESTATE OF .. DAVID G~JOHNSON,, agent in this behalf,· that the said Company iS> the owner and pu•blisher of · · d.e.ceased.late oflC.ity of Washington.} Washington· Cou~tY. Pennsylvania. ~ the Observer-Reporter, sucCiessor to The WoaS>hington Observer, established \ Letters Testamentary upon the September 18, 1871, and The Washington Reporter, established August 15, above esta~e' having~been granted to 1808 d. '1 f 1 · 1 t' · t d d bl' h d d the unders1gned;'Jall persons having , a· a1 y news•paper .o genera c1rcu a wn, prm e an pu IS e an ; claims against :the . estate are re· havin'g its place of busines•s at Washington, Washington County, Pennsyl-., quested to make known the same to vania,. where it or its 'predecessors have been established and published I the undersigned or his attorney and~ continuous•ly for more thanlsix months• prior to the publication of the notice 'all persons indebted to the deceden~ , . . are requested to make payment to hereto attached; tha,t the. printed notice or advertisement hereto .attached the undersigned without delay. ~s a copy of an official adve·rtisement, of.ficial notice; legal notice or legal SUSIE BARBER. Executri~ advertisement, exactly as printed or published in the ObSierver-Reporter in 117 E. Chestnut Street r.l Washington, Pennsylvania ' Alexander Mcilvaine and its regular editions on ·the following date or dates; ............................................ Frank c. Carrol _ ........................ .P.e.c.ember ... 4 . ., ..... ll .... an.d ... .l8.~ .... 1.967................................ ; 33 A~~r~;~u street • that neither th<e affiant nor the Observer Publishing Company is intereS>ted Washington, Pennsylvania · 67183-Mon.·3t i:J. the subject matter of s•aid notice or advertising and that all of the allega-1 t:ons• of this affidavit as to the time,z;. I~ and chada tef.::'f publication ' ,', -,~J.l'-·~ ~ r a~-e true_. . ·~~ • ~ '" ........................... ~' ............. , ................................................. .. Sworn to and vr. 28752 subs~,fore me this .. l~ ... day .J!J'Q·~-~~-mP..~-~ .... 1967 FU~.n!.~i,f,~;f{~ WASHINGTnN. Y/I.SHINGTON COUNTY MY COM~ISSIOU EXPIRES MAY 6, 1968 r -. W ashingtoD COunty ReportS ~JU..~ 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 W ASHINCTON) STATF. OF PENNSYLVANIA ( SS. Personally appeared before me, a Notary Public in and for ~aid County and Commonwealth, CHARLES C. KELLER, who, being duly morn, deposes and says: that he is the Edit::Jr of the WASHINGTON COUNTY REPORTS, the official legal peri·odical for said Washington County, publiShed weekly having its place of business at Wasl:ington, Washington County, Pennsylvania, and is act- ing as its agent in rhis behalf; that the said WASHINGTON COVNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Wasl-.ington County, Pennsylvania, by order of the several courts of. said County, dated November 11, 1920; that the printed notice or adver- tisement attached hereto ie a copy of a notice or advertisement, exactly as printed or published, which appear~d in the said legal periodical in its regular issues on the following dates: December 7, 14, 21, 1967 that the affiant or the corporation in behalf of which he is acting is not interested "' . in the subject matter of sa.!d notice or advertising and that all of the allegations of !:· <h;, ,md,.;, ~· "' ~ pbre ·~d """'~'h' ';"/~ '" ',ruo. ~ ~ ............... ~ ... : ...... L:;cc.;.lu.:.rL) ~ ___ _( ·::-· "_Editor j Sworn to and subs 1 ed before me this . ~-:--..... ·· , .-· ~--:·<, i'~·(~~~ .-,')~' .. ~J~-~J .. ~ ... day of ...... P.~~~!!L._~-.r:;···--·--··• 196 .. .'7... .,!.~1, .. 1:t!;;;i; . ~ c-<;\· ,.;1::) ..... .... . ~_; __ e ........ ·····---~ ., - otary Public KATHE-RINE C. YARD, Nota ubllc Washington, Washington Co., Pa. My Commission Expir~s November 1, 1969 Estate Notices The Register of Wilts has gr<.cted letters, testamentary or of administration, in the following estates. Notice i& ll.ereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys . • • • 0 ••••••••••••• JOHNSON, DAVID G., Dee'd. ~ate of City of Washh:gton Wash-mgton County, Penna. ' Executnx: Susie Barber 117 E Chest-nut St., Washington, Pa. · Attorneys: Alexander Mcilvaine and Frank; C. Carroll, 33 W. Beau St Washmgton, Pa. ·• . -lJn t~r ®rp~ans' arnurt nf llas~ingtnn. ~nunty In the matter of the Audit of Account in Estate of DAVID G • .JOHNSON, a/k/a No. 1298, _ ___::O::...::f,___ ___ , 19..6.8.._, A.A. DAVID HOHNSON, Deceased TO THE AUIXITING JUDGE: Enter ____ o.:..u.=.=r:.__ ___ .appearance for ___ ~S:!...u~s~i!=..le..___ .... Bu;a;&..rr...bii.LIOe~r~, --L.:Euxue:::..L.c..uuut_rL...L.i ..llx.,..._,o~f---ltc.Jhu..e~--- above-captioned estate. ---=1=-=3:.....-_day of ___ _,D""'e,.,c""'e""'m,...b......,.,e""'r~ __ ,, 19_6_8_ N. B.-Counsel shall, • by sep!;.rate 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. j " ~.·' r. . • ~ J V') C'.J .• .·' . ' (/) ~·-~-; "'~ 0 L -' l·. ·~ (' ~~/~~--!, (:· · .• ~- No. 1298 , Of , 19_Qj!_, A.A. In re Audit of Account in Estate of DAVID G. JOHNSON, a/k/a DAVID JOHNSON, Deceased. AUDIT Jrarripr fur Apprnranrr FOR Susie Barber. Executrix. Mcilvaine & Carroll Attorney ~·2 ~. ---~. ~--~------·-.·~ ~~-----------,.--,~ PETITION SUR. AUDIT Testate Form J IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of ........... PJ.\Y.ID ... J.QHNS.ON~.--a/k/a __ : ______________ _ No. ______ J~9..?. ... ~r--~~-~~-'---A-~ .. A: _____________ _ ·······-------------~----JJAY.JP. .. G .. ~---J.QRNS.QN,_ _________________________ _ Fiduciary ...... S.~~-i.e.. ... B.ax-.be.t:., ____________________________ _ Executrix. Deceased Date. of Date of .-. . Dece9ent's ~eath ....... .No:v.embe.r .. ll., ... ~9.6J ________________ Grant of Letters ________ N.avemb.er ... 2.0~---19.6.1----------------- This 'is the ... : .... .F.ir.s.t .. and .. F.inaL ..... ~-----------------------.-account filea in ·this estate If th~re hav~ be~n former accounts filed in this estate, list file num·b~r or number and term .... ~----~~~~----------------- Election to take None Date Election Place of; Under or Against will. (cross out one) Filed ----------------------------------Record ------------------------------ Name of surviving spouse .. ________ ... _________ .None ................ ----------------... ___ -.... : .. ------... ---.... ----.---......... -------.-.. -.--.-.. ------------ List issue, where material: ~~' . ... !f '"' Not applic:able. ..; •\~ •11 ~i- ""'I -~ ., Did decedent marry cifter execution of will? (indicate)~ No. Any children born after execution of will? (indicate) ~ No. If answer yes, name them ..... ________ -----------------------------______________________________________________________ . ________________ ._. __________ ... -' : ; .c:; ~ • . . • .. . -·---------·-----·------------------·------·-------------------·-------------·····---------------------·----------------·--·-----------------------··············-······------------------ Legatees Janette Harris Davis ·Nora Wise Susie Barber SONS. OF' NEPHEW, Millard F. Price Wilfard C. Price Betty Joyce Wise He len Jones· Frances Williams Flossie Robinson Andrew Wise MILLARD PRICE: Relationship sister niece no:te?. ni,::!ce niece none none nephew Interest Fiduciary, if deceased or not sui juris specific bequest, ·personalty pers~nalty $125!00 $125.00 $100.00 $200.00 $100.00 $100.00 $1,500.00 devise_& residue .... List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: Personalty described in Items "Third", and "Fourth" were actually junk and worthless~ therefore bequests to Nora Wise and Susie Barber listed above have abated.· If partial intestacy; give facts: none Notice to interested parties. Have all parties, ,aving 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. No. If any exception give cause: ........ None ___________________________ _ File copy of Notice mb and date of mailing ............................ ~.<?.~~------~~---~]_,_ __ J_~_§ft ................................................................................ .. Is estate su~ject to the filing of a Federal Estate Tax Return? ............ NQ .................................................................. · ... . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ...... None .......................................... .. If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant.. .................. .. ..................................... ~ ....................... :· ............... : ..... ~~~-~--.......................................................................................... . Give Names and address~s of all unpaid,. creditors who are legally entitled to. notice, together with the amounts of such cl9ims; state whether they are admit~ed 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: Item Second of the Will specifies for the erection of two tombstones, "one on the grave of each of my deceased siste~s, Sadie Toliver and Lelia Warren, in the. Washington Cemetery·, each one to cost not more than $250. 00, which includes the base upon which the stone is to be placed". The total cost of the stones was· $298.00,· therefore, this provision was complied with entirely. Balance for distribution per account, Itemize' any additiona'l debits not shown by account: $ .... 1.0~6.08.,.52 ......... . Insurance premiums (rebate) Anderson & Pollock $9.00 Total additional debits (Add) Itemize~ any additional credit's $ ...... 9 ... 0.0 ................... . not shown by account: Affidavits · Certifying Copy of:Decree $2.00 .50 Total additional credits (Subtract) $ ....... ?. .•. :?.Q .... ......................... Balance for distribution $ .. ~9_,_§}~-~-Q~ ........... .. If balance for distribution is not in cosh, list each item held in kind, giving appraised Value (or distribution Value); Cash ------------------------------------------------------ $25.00 U.S. Savings Bond dated Nov. 1942 valued at $25.00 U.S. Savings Bond dated September, 1943 valued at $25.00 U.S. Savings Bond dated October, 1942 valued at $25.00 U.S. Savings Bond dated March, 1944 va~~ed at . ...::·~ $10,463.85 $38.20 37.68 38.20 37.09 \?"• J ,. IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF ) ) DAVID G. JOHNSON, ) No. 1298 of 1968, A.A. ) a/k/a DAVID JOHNSON, ) ) Deceased. ) MEMORANDUM The real estate listed in this estate consisted of two parcels of ground, one of which had erected thereon a frame doubl house, and a small five room frame dwelling. The double frame dwelling is known as 262-264 Forrest Avenue, and the small five room frame dwelling is known as 260 Forrest Avenue. Rent received in this estate was as follows: 260 Forrest Avenue @ $55.00 per month for 10 mos. $550.10 262-264 II II @ $50.00 II II II " II $500.QO Total rent received----------------------------$ 1,050. The real estate was sold as follows: 260 Forrest Avenue sold for 262-264 Forrest Avenue sold for Total sale price $3,700.00 3,500.00 $7,200.00 The Will specifically devises 260 Forrest Avenue to Janette Harris Davis, sister, and therefore, Mrs. Davis is en- titled to the real estate converted at $3,700.00, plus rents received from this pro?erty of $550.00. Mrs. Davis also, of course, receives the bonds which were specifically devised, and the residue of this estate. Frank C. Carroll Attorney for Estate 0 If Family Exemption claimed by Petition, give place of Record: ........................ ~~~~---------:·--------------------------------------- If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ........ ---------------------------------------- . List any advancement or distribution on account ithat 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: Janet:te Harris ,:navis[, sister Savings Bonds, Realty (sold) & Residue · . .: ... ,. ..t.,; SONS OF NEPHEW MILLARD PRICE: Milla~d F) Price Willard c.· Price $125.00 $125.00 $100.00 $2.00.00 $100.00 $100.00 Betty Joyce Wise, niece Hir£an· Jones, niece Frances Williams Flossie Robinson Andrew Wise . $1,500.00 COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly .... ------~~QX'JL .............. 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 oL ........ her ............... knowledge and belief. S . - , . . ------------W.QX'.tL:.-------'·-.f-~-::··----to and subscnbed before me t~is .. ~iJ.~----·---d6~~:; __ _.~~Qy_~W;>-~~;J---------------19 .. §.~.. ~~~---t.{3~~'I:~J. ............................ . ;: -· -. ,-~ . . Signdture ·of Officer.:::: ...... !:'~~d.· .. ~-:-:.~::vJ ~ ~-~·- Title ~f Officer ..... ~-~~-~gt~;l;'.Y. .. ~'JP.~!-~------------------····· ----------------------------------------------------------------------------------------- Washi.ngton, Washington County, Pennsylvania. Office expires ........... F.eb..ruar¥---20.., ... 19.7.1.. .......... .. . ............................................................................................................. . ..- . ~. \ " l\·' , ... "'" .. ., No . ' Estate of ... l)AJJ.II). .. J.Q~_N.?.QN~.--~l~l.?. ..... . . Ph.Y.IP-... G.! ... J.QH.J§QN_, ______________________________ _ Deceased • Fiduciary ...... §.~~J~. _Barber -..................................................................... .. .. ---............ _. __ :f,;~~~ M t X: t~. ~-........................... . PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL ;" Counsel of Fiduciary will submit herewith the following, in cc;>nform ity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown ·on pages 23-24. 1. Written praecipes of all Counsel in the case. Copy of order appointing Guardian ad litem, if pertinent. Copy of Order appointing Trustee ad litem, if pertinent. Proof of service of above. Letters Testamentary or Administration C. T. A. or an attest copy of Will. Copy of inventory and appraisement. Proof of advertisement of grant of letters· if not filed with account. Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. Signed and itemized elections if any distribution in kind. Copy of Federal Estate Tax return if es- tate is subject thereto. Alexander Mcilvaine and .... Fr.ank ... C ..... Caz:r.al.l ............................. . Attorney ~2 •'. .. ~. . \ ~"~ ~ ~} < • ·~ .., 0'"-, ' ~ ~ , , • 1· ~· I ·' I r-··,::~c:~ '·: ~ .. }.~ ;·~) ,&"' •• ~ r: ~' ~ ' ~ \ ... , : ~ ~· .. s ·· . . , . .. , " 1 ~ ~ -~ -~~ ~ J ,.... ::,.,.' ;:;..J~ ; '. ~ • ·.• ':'1 " 1 ':'I 1 •• i . • '-· ~" ' • ~ ; --~ J 1.. .~ ~ .. ~ •. :~ : ~ : J :~--.~ ::,~ ~·:~.:~ c;: :.·.~:~~LS • l (· "; -· ~ . .. ~ \ ~~ .\ •' '.;),.-.. .I -' ... "'\ . ,. • . t.' ~ --------------- ~n tqr ®rpqnus' Qlnurt nf llnaqingtnn <trnunty ESTATE OF ..... P..~Y.~-~-9.: ... !.9.~~~9-~1---------------------------·--· . Deceased. 1298 No ............... Of 68 19------------, -:J!i:.A. In the matter of the: .. ftr.$J.9-J.l.d.E.tna..L _______ _ Account of ....... ~~-~-!~--~§.);'_Q~~-l----------------------- ---------------------------------------------:g:~~~-IJ.t:r..t~------------· ADJUDICATION AND DECREE And now ....... !.~~~~~~------------·--------·--~-0 ........ , 19 ... 9.~., this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thi'Oof the balance for distribution in the hands of the Accountant is determined to be $ ...... ~.615 •. 0.2. ____________________________________ and the account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balanc8 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 :;ec. leg . J ......... .... ---~---ed? \0 SCHEDULE OF ~;~~~;~~~;~~$ . .L.'f~ f ~ -Bcilance per account.~,---... _.-------------------------...... ------------------------------------..... Additional dEbit asked at audit 9.00 Additional credit asked at audit 2.50 Ba I a nee ....................................................... _ ............................................. . Deduct Clerk's Costs & Receipts................................................................ 31. 60 Attorney ........... M ~.U.Y.9: t.9: ~. -~-. Q §.];'_:f. Q 1!. ............................................... . Russell Marino, Agent, transfer inheritance tax, 1402.0~ Janette Harris Davis, sister, specific bequest of saving bonds, held in kind and distributEd as such at the value c: s shown and including $25 U .. s .. Savings Bond dated Nov., 1942, at $38.20; $25 U.S. Savin·J3 Bond dated Sept., 1943, valued at $37. 68; $25 U.S .. Savings Bond dated Oct., 1942, valued at $38. 20; TJ .. 3. ·Savings Bond $25 dated March, 1944, valued at $2~. O't~; specifically devisEd real estate converted at $3700. C{• plus accumulated rent~ of $550.00, 4401.17 Millard F. Price, grandnephew~ child of Millard Price, a ne·phew, legacy, 125.00 Willard C. Price, grandnephew .. child of Millard Price, a nephew, legacy, 125.08 Betty Joyce Wise, niece, legacy, He len Jones, niece, legacy, Frances Williams, legacy, Flossie Robinson, legacy, Andrew Wise, nephew, legacy, Janette Harris Davis, sister, residue, $.10.,.608 __ 52 $10,617.52 $4,780.16 $4,655.16 > ty c_-_) =· ty .... ~ ~ .... -· = = ~ = ty s ; .\' ~ ~ ~ ~ J J ·~'~· 4 .'; ~ ,,_;"/'j 0 0 ~ n m (ll n 0 0 c: ..... C1) :::l ..... 0 0 ~ ~ J 0 \ :::l ..... ~ C1) 3 0 ..... ..... C1) .... 0 ~ ..... ~ C1) z 9 0 ~ ' ----------u---------~------------~----------------------~----------------~~ jl '. • • "j IN THF. ORFfiANS v COURT OF WASHINGTON COUNTY 1 PF.NNSYLVANIA IN RE: ~STATE OF DAVID G. JOHNSON, Dece_ased. '·. . . . . ) ::. '. · · ·· ) .· · No. ~ RECEIPT 1298 of 19 68 1 A .A. - I I i I I AND NOW, this day of.--------' 19 69, i -~---I I, the undersigned, hereby acknowledge to ha·ve received from _______ s_u_s_i_e __ B_a_r_b_e_r _____________ , Executor k«M~RiKkKB~mr, of the David G .. Johnson Estate of , Deceased, the sum of ----------------------------- One Hundred twenty-five and no/100----------------($ 125.00 ·Dollars, in accord with the dis.tr1bution of tha Adjudicati(m and Decree of the Orphans'· ·Jourt ·_of' Washington ·county, }Jennsylvania. I I I I I . I ) j I WITNli!SS m:y hand· m d seal the day of' , ----~------------'I ,• '.: -:;··· .·'··· ..... ,,·;. ,.··: • i • .:. • 19_22. ' . - . IN THB ORHIANS v COURT OF WASHINGTON COUNTY, PF.NNS.YLVANIA . ) :· ·. ) . · No. 1298 l of 1cp8 1 A .A. -IN RE: ~STATE OF DAVID G. JOHNSON Dece.ased. R E C E I P T AND NOW, ';his $/f.. day of. ~t' ~ ' 1969 . -'! r, the undersigned, hereby acknowledge to have received from ------~S~us~i~e~B~a~r~b~e~r ___________ , Executor ~' of the I I I I I I . \ ($ 125.00 ) : Esta-te of _____ D_a_v_i_d __ G_._J_o._hn_s_o_n ______ , Deceased 11 the sum of One Hundred twenty-five and no/100----------------- Dollars. in accord with the dis.tribution of th~ Adjudicatinn and l Decree of the ·Orphans'· Court 'or Washington County, fennsylvan1a. WITNESS Tlf3 hand. md seal the /feft_ ds.y or 7{J.· ... ' . <' .~ . . :. . '··;. ,.··.· ,j. ·' : ' IN THF! ORF!iANS v COURT OF WASHINGTON COUNTY" W.NNSYLVANIA IN RE: BSTATE OF DAVID G. JOHNSON, Dece_ased. . ) : '. ) · No. 1298 l R E C E I P T of 1968 , A .A. - . i I I i I .3~ ' 1969 .: ~-----------~~~~~------I I I AND NOW, this day of ---- r, the undersigned, he~eby acknowledge to have received from _______ S~u~s;ie~B~a~r~b~e~r~----------' Executor ~~r, qf the Estate of ----~D~av~id~G~·~·J~o~h~n~s~o-n~-------' Deceased, the sum of One Hundred and no/100------------------------------($100.00 Dollars 11 in accord with the dis_tribution of tha Adjudicatinn and Decree of the Orphans'· Court ·or Washington County, Pennsylvania. I I i ! I . \ ) ; WITNESS my hand end seal the ____ day of -----" 19~ •. Wltnesss ·,. . · . . .. :. ':.·; . .. ··: . ' . :· : .. ,., .... . · .. ~·.··.·.::·.>. J~c:v' I ---------------------. _· ..... ;" ·.· .. ;·,. . /~ _ ... :i· .. ,~· .. -;, .. ··,:: B_ett)Tie1Se .· ·';::>···\:· ...... · .. -~ . '· .... ~ . • •• ~ • •• , ~ 1, •• ~. tSEAL) ' IN TI-fF! ORFf:IANS v COUF.T OF Wf\SHINGTON COUNTY, F.NNSYLVf\NIA IN RE: ~STATE OF DA~ID G. JOHNSON, :pece.ased. ' '' ' ) :·. ·. ) .' · No. 1298 l 'R E C E I P T of 19 6 8 , A • A • - .I I I I AND NOW, this i _______ day of. __ ~~~·~~~~~~~~-· 19~,~ ' I I ,I, I, the undersigned, hereby acknowledge to have received from ____________ s_u_s_i_e __ B_a_r_b_e_r ________ , Executor Admimi~~~~ of the Estate or· ___ n_a_v_i_d __ G_. __ J_o_h_n_s_o_n ___________ , Deceased, the sum of '!Wo Hundred and no/100·--------------------------·---($ 200.00 Dollarsj) in accord with the distribution of the Adjudicatinn and Decree of the Orphans'· Court ·or Washington County, Pennsylvania. I I I ' l ) i I -------' • I IN TW. ORFfiANS 9 COURT OF WASHINGTON COUNTY, PF.NNSYLVANIA IN RE: ~STATE OF DAVID G. JOMNSON Dece.asei. . ) :· . ) . · No. 1298 l R E C E I P T I I i I AND NOW, this -~--day of.--------» 1¢1.._, i I I, the undersigned» hereby acknowledge to have received from ________ s_u_s_i_e __ B_a_r_b_e_r ____________ , Executor xmmtmt»~~, of the Estate of ___ ..;;;D..;.a;..;.v..;;;i..;.d;._:;;G..;. . ...;;;.J..;.o.;.;h.;.;n;;.s .;.on;;_ ____ __.._, Dec e as e d 11 the s urn of One Hundred and no/100----------------------------($ 100.00 Dollars, in accord with the d1s.tr1but1on of the Adjudicati0n and Decree of the Orphans'-Court 'or Washington County, Pennsylvania. I I I I l \ ) i WITNESS ~1 h~nd m.d seal the ____ day of _____ ....... , .·', .•. I I 19~. ....... ·.. . ... . ... ~·. \ . · W1 tness l . • l, . \ . .. . . ' ~·.. . .. . . . .. ; . . ·· .. : ·,,. . . I ----------··-· ·: . .._. ;~ :.:·.: ·'. 1.1n.f4,a4UAt!Jfdf~SEAL) .. ·,:· ·'''·. PranceS" Wiil!t'ms 1 · .. "; i .. :.~·; ~: \'' .. ·~ ~:· ·.. :: ~ ~-" · .. ~·.·· .. t.·,·: -~ IN THF. ORPijANS' COURT OF WASHINGTON COUNTY, PP.NNSYLVANIA IN RE: ~STATE OF ~r>A VID G •· JOHNS ON, Dece.ased. •. . ) :·.: .. ) _. · No. 1298 l. ,· 4 .~ ,· ' 1 'RECEIPT AND NOW, this of 19 6 8 , A • A e - I, the undersigned j hereby acknowledge to have race 1 ved from ____ s_u_s_ie_B_a_r_b_e_r ______ , Executor ~mkfktt~Jt, of the Estate of David G. Johnson , Deceasedg the suin of --~~~~~~~~~------- One Hundred and no/100------------------~-·:--------($ 100.00 ' Dollars, in accord with the dis.tribution;-of the Adjudication and Decree of the Orphans'· Court ·or Washingt'on County, Pennsylvania. ' I I I . I ) ! WITNESS rrrt hand .md seal the ____ day of -----' .. 1,·;. 19~. ,.··: . ' ... . : ., '• -. .' .. ~'. :·. :: . . ' . : ' Witnessz ________ .·_ .. ·.·.:·:; ·,<,; IJ2reW: !t~ ,~;-AL) ~ . ~ . ·:. . • •--I __ ·. -;: ,,·.; ~ Rob1nson . i . · .. ~ · .. " '· . . i ---~~ -----rr--------------~-------:-------------------.-------, .A ~ r , IN THF. ORfijANSV COURT OF WASHINGTON COUNTY, PF.NNSYLVANIA IN RE: ~STATE OF DAVID G. JOHNSON, Dece_ased. : ") ) No. 1298 ~ R E C E I P T -l I I i AND NOW, this day of -"""!'----.....;~:;..1 .;.....----~---· 196...2_.1 r, the undersignedg hereby acknowledge to ha:ve received from ----~s~.u~s~i~e~B~a~r~b~e~r ______________ , Executor Admimis~~~, of the ·Estate of --~D~a~v~i~d~G~·~J_ .. o~h~n~s_o~n------~--' Deceased, the sum of One Thousand five hundred and no/100-----------------($ 1,500.00 Dollars, in accord wit'r_ the d1s.tr1but1on of tha Adjudication and Decree of the Orphans' Court of Washington County, Pennsylvania. ) I I I I I \ I I ' ' ! ·: I l WITNESS m7 hand and seal the _____ day or ----------- I I i . 19~. .. 1.·; .·. '.' ,. I .... . ··. \' .. : : . ~~ .. ·' . . ' fSEAL) I I. -Witness a . :· ' .·. · ........... ·.~-.·-'_ ~-. • ""'?.A '' · ..... ~ .,. Y/· /~ ------------------------. . ,· , , . · ·, \ .. :_,_·,· ... fin ew -.-:··.(. ;:;~: .... \: ~·-·-~·:·a~ ~.::·:: ..... -.:: .. '····7~ , L "' • , ~ .._ I ' IN THB ORFijANS' COURT OF WASHINGTON COUNTY, FP.NNSYLVANIA IN RE: BSTATE OF ·"DAVID G. JOHNSON Deceased. . ) :" . ) : No. 1298 l R E C E I P T of 1968 1 A .A • - I I i I . I day of __ Ma__,r;..c-..h--. ___ , 19 69 , i -I AND NOW, this 2Dth r, the undersigned, hereby acknowledge to have :received from ' I I I I __ s_u_s_i_e_B_a r_b_e_r __ ,;::..._E_x_e_c_u_· t_r_i_x __ , EJlj&~~1H."X~ of the 1 ... ·.Jj ! Estate of David G. Johnson. , Deceased11 the sumsof . \ $6s{~0ti8u~~gd$~~~e 0ftugar~dt~6~E/~~ight and 20/100 ($ 6.,948.20 ) ; Dollars 11 in accord with the dis_tribution of the Adjudication and Decree of· the Orphans'· Court of Washington County, l>ennsylvan1a. I ; ' .. WITNESS my hand: end seal the 20th day of March , -----·;: .. :· ;, :: r.·;. •' ... :·~·: d .:· :0 ,, . .. . ~ . ·vd ··oo I~Ol!J.NHJ.S\11~ Sllllt\ :JO U31SI53~ ONIH\f~ 113SSOU :or £ ~d 52 HVU 69, '0.311.:! , ~ ..... .> • Form RCC-33 COMMONWEALTH OF PENNSYL VAN lA .DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS RESIDENT DECEDENT COUNTY OF ... W ... A ... S .... H ... .I. ... N .... G. ... T ... O ... N ............... . I~WORTANT: This return must be completed in detail and filed in duplicate, with will attached, with the ·Register of Wills of the Coun~y where decedent ·resided; Return is due within one year after date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of __ th~_Inl)eritance_.~n!f.E.!!t!lte .-:rax A,ct of 1~91.) IN THE MATTER OF THE·ESTATE OF } AFFIDAVIT OF ........ DAV.ID ..... .G ..•...... J.OHNS . .ON.., ....... a/.k/.a .... DAV.ID.............................. EXECUTOR ute of .............................. W.:~::;.~~::=:.~~~·>·····~·~.~~ .. ~~ county ~g~R County or ..... ... Pennsylvania.-........................... } . ss: .. wash-ington······································-· State of .................... . . ................................................................................ $ .. Y.,.$. ... i.§_ .... :6.f.ltP.g.I ....................................................................................................................... _ ............................................. . Eueutor or the estate of the above-named decedent being duly sworn, depose S and say S Decedent· died ............ .N.ov..emher ...... l.L .. (Month) .............. (j;;;·;·;···········• l~·Z;,:;)··· .. { ;;;~~aving a last will, copy of which is hereto attached. } Name and address of attorney or} other authorized representative to whom all correspondence should be. mailed. ..... .A.l~xan9.e.x .... MG..ll:vain.e. ... .an.d .... F.:+. .......... l.c . G ........ C.a:r.x.Pll 33 W.. Beau Street That as such ...................................................... deponent is familiar with the affairs of aid estate and the property con- ( EXI!Cll tor·Aclminislrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DEC~DENT NONF. That the contents of said safe deposit box or boxes are it~mized under Schedules ____ of this return, with the exception of the followlng, for the reasons hereinafter set forth: That Sc.hedu/e A attached l!ereto and made part hereof sets forth full v and in··detail all the real property in the Commonwealth of Per~sylvania of whic~·decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each of said parcels, the estimate(,! market value the~of as of date of death of decedent. That Schedule 8 attached hereto and made part hereof sets forth fully and in. detail all personal ••• t "· ·~ property wheresover situated owned by the decedent at the time of death; all moneys Je~t~by the decedent at the time of death, whether in decede:-tt' s immediate possession, standing to de·c~e~t' s~credit in banks '" ..... .;.,._ .• •·r.i~~~/. of deposit, savings banks, trust companLes, or other institutions, whether individually, or in trust for ..; . , ~ any other person or persons giving also separately the accrued interest thereon, :ff any, down to the last interest day prior to decedent's death in tJ:!e case.·of savings banks, and to: the .date bf decedent's death ·....-:: . in all other cases; all bonds, postal savings, treasury certificates or not'~~;;,an9<other evidence of in- debtedness of the United States to the decedent; all obligations, whether by~tafufe:6.r agreement they . . are designated as tax free, of the Unir.ed States, or any state, or political sugdivisiori thereo~ or of any foreign country, which are owned at the time of death; all wearing apparel, jewelry, ·silverware, pic- tures, books, works of art, household furniture, horses, carria&es·, automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, left by decedent, together with the fairly estimated market value thereof; all bonds and mortga~es held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instrumen~s in writing for the payment of money of which decedent died possessed, of ~hatsoever nature, with int~rest thereon, if any, giving the face value and estimated fair market value thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciati·Jn·as w each item; all moneys payable to the estate from life insurance poli<:1es carried by decedent; an annuity and endowment contracts the proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends due thereon and unpaid as of the date ·of death, bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedenr. at the time of death, with the market value thereof at such time. In the case of securities of close or family corporations, the values reported are as far as possil;ile subst.an!tiated'· byJ financial statements of the corporations, showing the assets and liabilities thereof as of the· date of death. The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business, and in support of the value of such interest there is annexed to said schedule, finan·cial 'statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business, its location, and such other facts pertaining to the ousiness as may be pertinent to a fair and just appraisal of the decedent's 'interest therein must be submitted.· It should also set forth in itemized form, together with .the .fair market value • " • . 1 4 -thereof, any other property owned or bequeathed by the deced~rit'at·the time of deatn • . !: The Schedule C attached hereto and made part hereof sets forth a· tr.tie' answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to tftke effect in posiession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received'by each transfe~ee and all other facts of a pertinent nature regarding s.aid.· transfers •. In the case of t~ansfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. TherA is also set forth in said schedule a list of all property, real and personal, W·ith its value, which passes at 'decedent's death by virtue of the exercise by decedent, either individually, or jointly_ with another, or any power of appoint- ment vested in d~c~,g~nt, eith~r··iqdividually: or jointly, by th.e will, deed, or other instrument of another, with a copy of the instrument creating such power fi~tf!-.f~:f!t.o. \the:~~chedule. , ,, I I ~ J 1 ' ~ 1 t I , • That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death, the nature of their res- pective interests, ·their relationship, if any, to the decedent, together with the ages at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, andthe relationship of such issue to the beneficiary. That Schedule E attached hereto .and made a part hereof sets forth all property, real and per- sonal, owned by the decedent jointly with another or others, including intangible, standing in the name of the decedent and others, plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty, plus the name, a:dd·i"ess and relationship, if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's .estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's commissions paid or to be paid; cost expended for burial trusts, tombstones or 'gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and tmpaid at time of ~ .. death; taxes accrued charge.able for period prior to decedent's death. (except. those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that. the fiduciary will present proof of said claimed obligations upon re- quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,. have been carried forward and properly registered in the Summary. Subscribed and swoin to before me this .......... ./ ... '1.. ......... .. _-1 ~'"77. ~ ••• l (,1 9, ~ ~ .... l.a .......................................... : .................................... . ................ ~ ................................... day of ........ ~19 ............. .. --·············--~~ ············--.............. Ji~~·;:·~=txee.L--------. Notary 'Pu.b lie (Street Number) Washington, Washington County; Pennsylvania ............... W.?.§.l:ri.ng.t..9.n.,. ..... P..e..nn9 .. Y.lv..a.nt.a .............. .. My commission expires Feb. 20, 1971 (City or Town and State) NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "~one", and in case the assets include'rare and unlisted securities, securities of close or family corp6rations or an interest in any co-partnershi~ or business, that the data and statements required under the -p·ar:a:graph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summ_ ary" -has: been properly completed as abo:ve-direc ted. ·. t ' 1. . : -RCC-3~ (1-64) ' ,.,tOMMOI':WEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT. SCHEDULE "A" tEAL PROPERTY Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel .at death of dece- dent. Where property heid as joint tenant or tenancy by entireties, report on Schedule "E". Property held by the .de.cedent· as tenant in common with another or others, should .be identified as to quantum of interest and the estimated v.alue should be that of the. decedent's interest only. The real property located In the Commottwealth of Pennsylvania should be described by lot and block number, street and street number, together wl th a general description of the property, with a reference to the record of the conveyance by which the decedent took title; If a farm· stale number of a- cres; also statement of mortgage encum~rances upon each parcel at death of decedent. Taxes, assessments, acqued Interest on mortgages, etc.,are to be listed on Scheduie "F" and must not be deducted. from ·this schedule. ALL those two certain lots .of ground known and designated as Lots Nos. 177 and 178 in Linn's Addition to Washington,. be:ing in the Sixth Ward of the City of Washington, Washington County, Pennsylvania, upon which are erected a frame double house and a smal five room frame dwelling -Fore more com- plete description see Deed Book 619,page 103 and Deed Book 619 J.-page 102 Insert this total opposite "real property", Schedule "A" in the "As Reported" column on the last page of this return. (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH $900.00 1;255.00 2,155.00 XX XXX (2) (3) DEPARTMENT VALUATION ESTIMATED CAUTION MARKET VALUE (Do not write In this space) $7,200.00 $7,200.00 I ,t;.C9-35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangib~e and intangible personal property owned individually · by the decedent, at the time of his death. Froperty owned by the decedent jointly with another or others must be listed under Schedule "E". Intangible personal property, titled in the name of the decedent, but payable at death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta- tive trust accounts, must be listed, despite the fact that they are not of the administered estate.· Tangible personal property should be listed first (e. g. jewelry, wearing apparel, household goods, and furnishings, books, paintings, auLomobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, . . stocks, ·mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership interests, interest in anyundistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule. Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION No. 1 2 3 4 5 6 7 8 9 List and describe fully $25.00 u. s. Savings bond dated Nov. 1942 $25.00 u. s . Savings bond dated Sept. 194 $25.00 u .· s. Savings bond dated Oct. 1942 $25.00 u. s . Savings bond dated March 194 ~ Checking Account in Pittsburgh National Bank, Washington, Pennsylvania Savings Account in Pittsburgh National Bank, Washington, Pennsylvania 1 Lot of household goods (junk) Refund from Anderson & Pollock -unearned insurance premium Refund from C. J. Tripoli, M. D. -over- payment of bill Insert this total opposite "Personal Property", 3chedule "B" in the "As Reported" column on the last page of thi5 return. VALUE MARKEr VALUE (Do not write in this space) 38.20 37.68 38.20 37 ·. 09 5,204.36 29.50 / X X $5,529.02 i. ·'-~cc-·17·· (12-63) C'Ol\11\lON\\"EAL TH OF PENNSYYLANIA ' TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES ·AND ADDRESSES State f~ll names and a~dresses of all who h ave an interest, vested, contingent or other wise, in estate) Janette Harris Davis 6414 South Park Avenue Chicago, Illinois 1\T. T.T·' "!: ~~~-~~-520 Maple Avenue wasn1.ngton, .Pennsy1van1.a ·Susie Barber 117 E. Chestnut Street, Wasliington, Pennsylvanl.a SON& OR NRPHF.tJ MTT.T.ARn PR Millard F. Price 188 James Street, Newark, Willard C. Price 185 James Street, Newark, Betty Joyce Wise Washington, Pennsylvania Helen Jones Portsmouth, Virginia .Frances Williams 2819 Wilson Street, Lincol Washington, Pennsylvania Flossie Robinson 216 Lincoln Terrace, Was hi Andrew Wise 520 Maple Avenue Washington, Pennsylvania SCHEDULE "D" · BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are invmlved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH sister yes· ~Eecifi& be~l.tast & !Vl.S e re: 'i lue . ves Personal tv ··~--- niece yes personalty lrr.F.· yes $125.00 ~· J. "~VeS S12'l oo ~. J. niece yes $100.00 niece yes ! $200.00 none: ves SlOO 00 1 Hill~ I .. none: yes $100.00· 1gton, Pennsy vania neohew ves .. $1.500.00 . Deponent further says that all the above-named be·neficfaries are living at this time except below: NAME I:·ATE OF DEATH RESIDENCE NONE Will Administration ( No. P-1<. THE ·----··--·-------------;·-··.----·-----·- Year :\lATTER OF THE APPRAISEMENT OF THE ESTATE OF DAV.lP .JO».N.S.OI.t, _fJ,/.1</.~ ... PAVlP. G • JOHNS ON, Deceased Late of. G :i ty .. <:>.f. ... Wa.$ h.:Ln.g t. Pn......... . ...... County of ...... W .:1!31:l:i.I18.t:.oJ:1 .. Commonwealth of Pennsylvania REPORT AND APPRAISAL $'1-;l'j _ .• , '!''! ''l.t~lil C',:·.;, 'i' .r •. ";·;·,•:;,.J ., .. '-v ;, lt_;.::;l[_J G l : I t:J c ~ c.::_ J :: :.~r Ci :1 -, I """ .:·. I , .I '·-;;._· (Executor-Administrator must complete "As Reported" column #1.) 0 .... 0 "' "' ...., llo> X llo> C" en- trl "' ..... llo> ..... (1) - .... _. ·- ~~~ 1-' N ... ........ ~ \0 • b i-.) > -~ ~ ~ ...., '"d ~ .... (1) (1) llo> .., e. ::l "' "' 0 ..... ::l '"d (1) e. .., .... "' 0 '"d "0 (1) .., .., .g ~ (1) .., ...... '< C/l c: ~ :;::: > ~ --w V> C/l ......:: n n ?"' ?"' ?"' q ~ -~ ~~~ ;VI: ......... -;: "-\,., til =' ;VI :N o :N :o~=' 0\.o :o ";:) ..... CD :. :. ~ ._ :o :o 8' ;N :o c.. ~ -€P-o --·\_ t . ~ -~-:(J\ : > -~· :· ~-\~"' . ; : : 0 ~ ~-· ;~· ;~ ct ~-~· :~ .. :or.~ ·:""': ;~: 3~ ;~.: :~'() -· ' .... .,.._ .• ... -~ :. i ~~ ~ o g_ II '4 : ~:()~ II t i I I I ' I I I OFFICE OF T><li REGISTER OF WILLS OF _..:..:W-=a:..=S..=.h::.::i::.::D=..~:g::l-t=-O=..;n;:.:...__ COUNTY AND AGENT OF THE CO"'MONWEALTH / c;f: ff' ft'tf r '\ ;;;. STATEMENT OF~ DEBTS AND DEDUCTIONS a DEDUCTIONS ALLOWED IN ESTATE OF _D~a~v'-:!i~dL· _,J.!.:o!:!.h!ll.ID~Sc.!.Ou..D.~...._ ____ LATE oF _ _:C~i.!:t~y__::O~f:........!W~a~S::::....!..!h:.::!:i:.!.;n!.,l;g~t~O:!.!n'-!...-_____ _ 7. //-//-C.7 OAT& OF DEATH DATE OF FILING APPRAISEMENT ' DATE NO. OF NAMii: OF PAYEE REMARKS AMOUNT VOUCHSO" H. D. Burch Mortuarv Funeral Bill .~ 11 lli.~ ()() H. D. Burch Mortuarv Death Certificates 2 00 Bell Telephone Comp~ny Telephone Bill 14 86 Columbia Gas of Penna ~::IS Rill a -~~ Wash. -E. Wash. Joint Auth ~PT•7PY~P'e /, /,1 ....... West Penn Power Co. Electric Bill 1 qr:; West Penn Power Co. Electr.ic Bill 1 nr:; trash ~ A. D. Wise Cleaning premises & removinP"II 36 00 Charles J. Tripoli. M. D. Medical Services 64 12 Citizens Water Comp.sny Water Bill 5 40_ Columbia Gas Co. of Penna. Gas Bill ?? lR J. c. McCleery IAooraisement of R. E. r;o 00 c. w. Phillios Reoairin2' Roof ? ... 1"\ ~ I . Richard Rarkom, M. D. ~edical Services 30 00 Sun Paint Store Repair Dwelling I c:: ,('\ West Penn Power Company Electric Bill 1 nc.. ..... I !columbia Gas Co. of Penna. Gas Bill ~~ ,., ·--·-- Wash. -E. Wash. Joint Auth. Sewerage 'l ,.,. ... . West Penn Power Co. !Electric Bill 1. G. G. Salis berry !Plumbing 7 1 , =...:...- West Penn Power Co. ~lectric Bill ., -~-1" - I I I i Harrv R. Cook~ ~~3F~p~~~g~ -.r, m~-- Simon White's Sons S~die T£}iv~r Markers or Le 1a arren & 298 00 IHarrv R Cook C6I!ecfor .. ...-: .... E.QJ:Ie.s_t Avenue __ 1 JfQh"R r.; t-v rr;"x.,~ ,;.tc-;;..-;h',"':'?~a . --w-86-- Citizens Water Comoanv Water Bill & Sewera2:e _,_.., 11 n I West 'PPnn n Co F:lec.tric. Bill ~ ~, .L ~ COMMONWEALTH OF PENNSYLVANIA }sa: Washington ' . COUNTY OF I, Susie Ba:t:ber HEREBY CERTIFY. THAT. TO THE BE8T OF MY I<NOWL!DGE AND BELIEF, THI!: FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPEHSES AND EXPENSES OP' David G. Johnson. AD ... INISTRATION SUBMITTED TO THE ESTATE OF -=-="""'-'=-=-~~~~-==-"'""'""------DECEASED. AS DEDUCTION$ FOR INHERITANCE TAll PURPOSES.:. -0 ' ':1Ei5 ~k ~===--!::=-.:=-..:~ __ ::._...:_ _______ <L. 5. I SWORN AND SUBSC~:Bf;D BEFORE ME THIS --::-:=,----DAY Of' -----A...-. ·~. ·qc:_o~e~!~e~ · /I'~J:L , ~L Notary Public W-~a-sTh~iLn~g-t~o~n~,~~~~~~a~s~h~i=n~g~t~O~n~C~O-U-n~ty--,~p~e-n-n~sY1vania. My commission expires Feb. 20, 1971 I STATEMENT OF DEBTS & DEDUCTIONS ESTATE OF DAVID G. JOHNSON, DECEASED. Page 2 ------------------------------------------------------------------- Washington Hospital Balance due 8. 25 . Malcolm L. Morgan, Col. Malcolm Morgan, Co 1·;-·-....... y •.. , •... ·••• .l9...68 .. --County ··· Ta·1£'-.Gft·~2~ ..... .,. ......... " ............. _ '"' ., ., Forrest Avenue 19.08 Anderson & Pollock Extended coverage ins. 11.00 1 , Harry R. Cook, Collectoi.------... -12.6JL.S.choo.l .. :ra~e~~-~-.~-·,. .. --,.. 103.49 · . ····-.: ·~ •.· • .·,, .... r.~ ~· ·-, .. ,. ,, ... .,.~~~~. \ . A Simon White Sons Susie Barber Frank C. Carroll & Alexander Mcilvaine, Attorneys Russell Marino Observer Wash. Co. Reports Quinn Banks Anderson & Pollock Marie Guidos Marie Guidos Russell Marino Russell Marino Alonzo Cushenberry, et ux. Susie Barber Cutting date on stone Reimbursement for telephone calls Reimbursement for following costs advanced Letters Adv. Letters Adv. Letters Death Certs. Insurance prem. Ack. Deed Affidavits Filing Inventory Filing Account 23.50 12.50 12.50 2.00 28.00 1.00 6.00 4.00 17.00 106.50 Transaction Stamps to Deed Executrix's Commission Frank ~~(carroll and Alexand~ Mcilvaine ~~~I. ~orney's Commission TOTAL 28.90 I 10. oo 1 I j 1o6 .so I I I I ! 72.001 I i 714.34i I ... RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT SUSIE BARBER (Executcr ~- IN YOUR RE~Y PLEA8E REFER TO 37-67-8 In Re : Estate of ____ _;D:..;A;:..V~ID:::._.=G..:..• _J:...O:..:H.::.:.N-=S-=O.:..:N _____ _ _____ W._A_S_H_I_ID_T_•_)N ______ County -File No. 9480-195 Dear Mrs. Barber: You are hereby notified that the original appraisement in the estate of David G. Johnson has been filed in the office of the Register of Will& qf Washington County on December 2 , 19~& Said appraisement reflects the following valuations: Real Estate ---'---------7L..•c2::.::0~0~·~0~0- Personal Property ____ ~----~5~·~5~2~9~·~0=2- Transfers __________________ ~-=~-=~ Total --~-------=12~_~,7~2~9~·-=0.::.::.2_ As to such tax that is .?aid within three months. from date c·f 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 rai.e of six (6%) percent per annum is :::barged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by ·taw. Date ____ =JiiX~~D~e~c~e=m~b~e~r-=2~·~1~9~6~8~---Signe~L/L ~ e ~ ·Title W.R. CHANEY, ~ ~PFS.AISER DE.TE OF DEATH: November ll, 196"! Note: This is not a bill. . .. l'-ICC-39 (6-67) COMMONWEALTH OF PENNSYL V AI'UA TRANSFER INHERITANCE TAX JOHNSON, DAVID G. FILE # 9480-195 November 11, 1967 .. ..__ __ .. RESIDENT DECEDENT SUMMARY FILE # 9480-:-195 n .. EPOHT OF INHERITANCE TAX APPRAISER I~ the;pnrlersigned duly appointed Inheritance Tax Appraiser 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 opposit~ each item in111thel1ast column to the right in Schedules "A", "B" ;--~=·"C" and "E". . r . ·'' nate rl: 12-02;68 11-1i-~767~--------INHERITANCE TAX APPRAISER ' REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for ____ -._..:.._ .. ------- Count~, Pennsylvania, do r··~sper:tful.ly report that I have allowed deductions in the amounts claimed by deponent, exce-pt as to those i terns where a greater o-r lesser amouCJ.t is set forth in the last column to the right in Schedule "F", which greater or lesser am:mnt represents the sum allowed as a deduction. Dated: REGISTfR OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED Real Property (Rchedule A) Personal Property (Schedule B) Transfers (Schedule C) $_L_200.00 ·-$ 7,200.00 $ _____ _ 5t529.02 5,529.02 <T oint-Held Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEA~ VALUE OF ESTATE Valuation of life estates or annuities ESTATE T~X ASSESSMENTS ; ,. 12,729.02 12,729.02 =====·~ ======·-======== $ ___ _ ~------- fOrt USE OF REGISTER ONLY CmiPUTATION OF TAX Tax on $ _____________ , ___ ~% ~----~------ Tax on $ . __ 10% t _____ --:-- 'I ax on <1>._, 2r11 rr. ~·. 1 ·.~ ;,,-----..,.~~ Tax on $____________ . Exemptions.~=============~(· Total Estate ________ __ TOTAL TAX $ _______ __;__ Less tax previously paid *~==========~=== BALANCE $ -------L~ss ~% of tax if paid within 3. months after death $ '\ =======:= JALANCE OF INHERITANCE TAX DUE Add interest at rate of n% from to AMOUNT OF ESTATE TAX ASSESSED $ _____ _ Estate tax paid BALANCE DUE Add interest at rate of 6% from to FOR USE OF REGISTER ONLY $ -------- TOTAL TAX BALANCE PAID ADJUSTMENTS (':') As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. ~-··-------------- $ _____ _ $ ______ _ $ ----------------$ ----------------$ NOTE: Where subsef)uent adjustments are made to the above computation of tax by the Ilegister of Wills, for proper reason, same should be noted below, with short explanation. ·I Will Administration ( No ..................... Year ........... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF DAVID G. JOHNSON ............................................................................ Deceased Late of . WASHINGTON ............................................................ County of ....................... W@..lfl:N.czo:r.O.r-J ................ . Commonwealth of Pennsylvania REPORT AND APPRAISAL "" ,. I . ' .. .. COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ................ I.>.~.~~~:t>..~.~ ..... ?..~ ...... ~.?~?. ............ . .. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG. PENNA. 1 7 1 2 7 COUNTY .......................... ~~~.~.~~.?..~ ...................... .. FILE NO ...................... 94$.0::l._9.5. .................................... .. Whereas, ........................... P~Y.id. ... G: ...... !l.ohn~~m .................................................................. late of ............................. W.~.~.b.in&t.QR ........................................... .. in the County of ............................. .W~~h.:41gt.9.n ....................................................................... Commonwealth of Pennsylvania, having died on the 11 th day of November 19 67 seized and possessed of an estate ............................................................................................... ·············································································· ........... , subject t.o Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, .......................... W .. ~.R .. ~ ..... 9.N.i..~~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 Description of Ane~ Values Made lor Inheritance Tax Purpoaea $ REALTY: All those two certain lots of ground :known and designated as lots Nos. 177 and 178 in Linn's Addition to Washington, being in the Sixgh Ward of the City C•f Washington, Washington County, Pa., upon which are erected a frame double house and a small five rood frame dwejlling -For more Com- plete description see Deed Book 619, page 103. 7,200.00 7,200 00 i'.lili:SUNAL!fY: u.s. Savings bonds 151.17 Checking Account in Pittsburgh Natiorlal Bank, Wash in~ on 72.52 Savings Account in Pittsburgh National B..,nk, Washington 5,204.36 1 Lot of household goods (junk) 29.50 Refund from Anderson & Pollock -unearned insurance pre. 9.00 Refund from C.J. Tripoli, M.D. -overpayment of bill 62.47 5,529.02 5,529 02 Total 12,729 02 fonn~~'!;:fhbl:~ ::~:.wCl<"lld"~~~~~: ~.~ :r·~·~~··=~n.~·~2 ;zz/~' .~::: I I I I I I I ' I I ,------,---;-;--,--:---::--·~-- WASHINGTON ............................................................ , ........ . Cou11ty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of DAVID G. JOHNSON Deceased. Late of WASHINGTON .... ····' Date of Death, ....... ~.<?.Y..~~.~.~ .... JJ.-:.l .... J.-:9.§7 ................ . Appraisemel?t Docket Vol., · ................ ?..7. ............ ::················ Page, ....... 9.7.-:-:-.$. ........................... No ..... 9~ .... 94.~9.-:-:-.J-95 Filed i1~ Register's Office,DI:l.C:.I:l~.~~ .... ? .. ~ ....... J9 ... ~?.. Amount of tax dtte, $ ................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, <'l'"'· '4 ~ •. _1. I ;,~n .P·. ~ (~!;'):~u Wrote abo.ut Appra.Jf.!l!fltf~!{ ·r.:,, .. ;,,.,:o: .. , ............................ . ... • ....... ~ ..,,, ~ ·J c l : c 1-'!J Appeal ft'om Appraisement, ......................................................... c····:r:·;r··~T·r·····i············· .. ···:··:·········· Entered and charged, d.., ..... ~ ........ ~ .... ~ .... .' ... : ..... : ...................... : .... . S~l:·~-:'J" ;::··-~:J (., 1 : 1 ~ • t ~ .•. I:~ ., ...; : t 'J sz : c 1!'1 l •• ~ : r.·::) :--~I 0 -~ --,1 J -. I , ... ~ ... '\ i ~ c<l !·' I~ ., . ,