HomeMy WebLinkAboutOC1968-1371 - ESTATE OF SEIBERTa!ommouwtalt4 of 'tuu9g1uauia.t'
ma94iugtou Cllouutg.j 99.
KNOW ALL MEN BY THESE PRESENTS:'Whereas,at Washington,in the County aforesaid
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on the 13th day of NevEtm\>er A.D.19 67 ,before me,
J.sephine M.Douglas ,Register for'the Probate of Wills and Granting
Letters of Adminis~ration in and for the County of Washington,in t!he Commonwealth of Pennsylvania,
the last Will and Testament of
Dora Seibert aka Mrs.Dora SEtibert
late of Donegal Township in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Alexand~r McIlva~ne
the Executor in 'said Will and Testament named,having'appeared,before me and taken and subscribedI
the oath of office prescribed by law;
NOW,THEREFORE,I,,Register as aforesaid:,do
grant these LETTERS TESTAMENTARY,unto the said
Alexan~er McIlvaine
committing unto him'the administration of all and singular the goods and
chattels,rights and credits,which were of said'deceased,and requiring him
to exhibit a true and perfect inventory thereof into the Register's Office,at Wa'shington,'within ninety
days from the date hereof,and to render a,just and true account of s'aid 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 131;h
.~d'~i of 'NC;vember
nine hundred.apd'$ixtY-,s'even.
in the year of our Lord one thousand
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i.9tate of JennHyluania;!ss:C!1ounty of BaHQingtnn,..Notary Public
Personally before me,the undersigned authority,a :in and for said
County and .State,appeared;:~~.~~~.~.~.~.~~.~.~.~.~.~~~.~who,being duly
sworn according to law,deposes and says that he is the executor ~1IS.~~of ·the estate of
DORA SEIBERT a/k/a MRS.DORA SEIBERT ......deceased,that t~t~.r~gosn€i~~e~¥l:s c~~f.Jtu~nao wn'
complete inventory and appraisement of the real and personal.estate o(M.r.:.§..,p..9..r..~§.~.~.~.~.:r..~,
deceased,except real e~tate 91,ltside the Commonwealth of Pennsylvania;that the'figures opposite each item
of real.a?d personal .es~ate in the forego~ng 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 appraisemen.t of each
item made by the above named Executor Administrator.
S · d b 'b d b f :h'·1st ~.~.'worn an~.su scrz e e o~~me t .ls........................~Uh ./1;Sh .
day of :,,~~~tt..;:..:..::.19 :~~~..·.:" ...:~.~:~.
...:::~~:~.::..~..~..~.::N.Qt..~publiC.Executor~~~iJfl.~
'.VaEl1i1ngtcn~Was~ngtonA:EB11I~~LINSTRUCTIONS l .'•'
·1~'.A~~~nt~~~st t{~fe!,~ithin'thre~moIit~s after appojntment of personal representative ..
2.'A supplemental mventory must be filed'within thirty days of discovery of additional assets.' " .
3.I 1 Original and ~Copi~s and,2·.l~CR,I-.34,Un~e~.$10,000;1,Qriginal,and 2 Copies and·2 RCRI-33;\:
Over $10,000,mcludmg Copy of WIll;1 Ongmal'and 3 CopIes and 2 RCRI-33,Over $50000 in-,'
cluding Copy of Will and copy of Federal Estate Tax Return.' , .. I " .;':.,,REFERENCE FOR 1\DDITIONAL COpy
,~ct of }947 .r.L.51S Sec.5.2,72 p,.,S.4844.2
.lInUtninrua~ll 1\pp~aiBtmtnt of.the go~ds a~d ~hatte/s 'rights and credits which!'DORA SEIB~T,also known as .,.. 'f
were ~f.L.,.~.~..~..:..~9..~.~,~..~.~..~~.~.!late of ~~,~.~.~.~.~:~.~~~.~.~.~:'~..'. • •,•• ..1 ~
Washington County,Pa.,taken and made in conformity with'the'abav~affidavit.' ,
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PERSONALTY:
Household furnishing.and equipment and personal'
effects,all located on realty described below.
DOLLARS'
!$100 00
CENTS
REAl.ESTATE:
ALL those two certain lots of ground situate in
Donegal Township,Washington County,Pennsylvania,and kno
as lots Nos.9 and 10 in the Alexander ~ddition to West
Alexander,Pennsylvania.
THE said lots together front 100 feet on the East si e
of Alexander Avenue and extend back 120 feet,more or leBs~
to an unnamed street;they are bounded on the North by a
15 foot extension of Vine Street and on the South by lot
No.8 in said plan.
SUBJECT,NEVERTHELESS,to the conveyance of the
Pittsburgh or River vein of coal,together with the mining
rights set forth therein,made by James Alexander et ux.t
David E.Mitchell,Trustee,by deed dated January 25,1899,
and recorded in·,the Recorder's Office of Washington County
Pennsylvania,in Deed Book 225,at page 455.
UPON which is located a two-story frame residence
containing seven rooms and no bath.
BEING the same lots of ground which were conveyed by
The Farmers National Bank of ClaYBville~Pennsylvania,to
I.M.Seibert and Dora Seibert,his wife,by deed dated
June 24,1940,and recorded in the said Recorder's Office
in Deed Book 636,at page 649.The said I.M.Seibert die
on November 20,1962,whereupon Dora Seibert,surviving
tenant by the entireties,became sole'owner in fee simple.$4,500 00
TOTAL PERSONALTY
TOTAL REALTY
TOTAL
$100.00
4,500.00
$4,600.00
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
.The within named Accountant being duly sworn according to law,deposes and say s that the above,account
,as stated is true and'correct as..~.~verily beli'eve,s
Sworn and s~bscribed before me this ~.~.~~.
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,day of ,~.,9..~:~~.~~.~:..~19 ~.~.
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/'!'Nary,Public
Washi~gton,~W ~hington Co."P~.
My Commission Expires:April 1,'1972.
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I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statu1te and Rule of Court,as eJenced by proofs
thereof filed to No _!~{/!.·.7.·/.f.4 .
Witness my hand and official 'seal thiSd.C .
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day a!........:::::.::e~::;?!~
.''_.~e~ister of Wills
Wa'shington County,ss:
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The Court is respectfu Ily requested to determine
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•'r proper distribution in this estate.'
'PATRONO,CE~SLER ~J;>WARDSBL..5""'r7."'~-IJ ;)/~~
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The First and Final Account of ALEXANDER McILVAINE,
Executor of the :Estate of DORA SEIBERT,also known as MRS.DORA
SEIBERT,deceased,late of Donegal Township,Washington County,
Pennsylvania.
- - - - -~-........-....-~- -,W ....,~~_ _~_ _ _~
.§.UMMARY
--.................
Account Debits Credits Balance
Principal of Personalty,
S che dule s A.and B $100.00 $71.00 $29.00
Principal of Realty,
Schedules C and D 4,500.00 950.92 3;~49.0~
Income from Personalty,
Schedules :E and F None None None
Income from Realty,
Schedules G and H None None None
Administration Expenses,
Schedule I 654.25 654.25
Family Exemption,
Schedule J None None
Burial,Medical and
Nursing :Expenses,and
Employees!Services,
Schedule K'821.60 821.60
Grave Marker,Schedule L None None
Rents Qf Residence,
Schedule IyI None None
General Claims,
Schedule N 1,020,00 1,020,00
$4,600.00 $3,517.77 $1,082.23
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SCHEDULE A
PERSONALTY,Debits:
Amount of Inventory and Appraisement filed
with the Register of Wills of Washington
County,Pennsylvania,on February 5,1968
SCHEDULE B
PERSONALTY,Credits:
Loss on sale of household furnishings and
equipment and personal effects:
$lOO.OC
Inventory valuation
Sale price
SCHEDULE C
REALTY,Debits:
$100.00
29.00
1968
Aug.19
Amount of Inventory and Appraisement filed
with the Register of Wills of Washington
County,Pennsylvania,on February 5,1968
SCHEDULE D
REALTY,Credits:
Loss on sale of realty:
$4,500.0C
Inventory valuation
Sale price
$4,500.00
4,000.00
$500.0(
,.
Expenses of sale and maintenance"of realty:
1967
Oct.19
1968
Jan.8
Feb.9
Apr.19
June 14
26
Aug.19
19
19
19
28
Columbia Gas of Pennsylvania,Inc.
Columbia Gas of Pennsylvania,Inc.
Columbia Gas of Pennsylvania,Inc.
Columbia Gas of Pennsylvania,In~.
Columbia Gas of PennsylvaniaJ Inc.
MacCartney Insurance Agency
Kenneth ~.Klages et ux.
~rnest R.Weltner,Realtor
John D.Woodward,Recorder
John D.Woodward,Recorder
Columbia Gas of Pennsylvania,Inc •.
Gas for heat
Gas for heat
Gas for heat
Gas for heat
Gas for heat
Fire insurance
premium
7/12th of 1968
local realty taxes
Commission for sale
o·f real ty
Pennsylvania Realty
Transf~r Tax
Local Realty Transfer
Tax
Final bill for gas
for heat
$8.17
8.36
7.77
8.25
8.44
14.00
103.80
200.00
40.00
40.00
12.13
$950.•9"2
IN.fOME
SCHEDULE E
PERSONALTY,Debits:
Non e
SCHEDULE F
PERSONALTY,Credits:
Non e
SCHEDULE G
REALTY,Debits:
Non e
SCHEDULE H
REALTY,Credits:
Non e
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S CHEDUL.E I
ADMINISTRATION EXPENS.ES:
1967
Nov.13
24
27
1968
Jan.10
Register of Wills
Register of Wills
Washington County Reports
Register of Wills,Agent
Probate of will and grant
of letters testamentary
Short certificate
Advertising grant of letters
Payment on account of in-
heritance tax
$12.00
1.00
12.50
120.00
Feb.1
5
Mary L.Francis,Notary
Public
Register of Wills
Affidavit on inventory and
tax return
Filing inventory and tax
return
2.00
4.00
Aug.19
Sept.9
Angeline Sorice,Notary
Public
Register of Wills
Acknowledgment of executor
on deed to Klages
Short ce~tificate
.75
1.00
Oct.8
Oct.21
The Claysville Recorder
Alexander McIlvaine
Advertising grant of letters 10.00
Commission for services as
personal representative 230.00
Oct.21
Oct.21
Oct.21
Patrono,Ceisler and
Edwards
Mary L.Francis,Notlry
Public
Register of Wills
Fee for counseling.personalrepresentatl.tre
Affidavit on this account
and on statement of debts
and deductions
Filing account
240.00
2.00
1'9.00 -
$654.25
SCHEDULE J
FAMILY EXEMPTION:
Non e
..
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SCHEDULE K
BURIAL,MEDICAL AND NURSING-EXPENSES,AND EMPLOYEES'SERVICES:
1968
Sept-.;,~29
Oct.t 21
William G.Neal Funeral Home
H.S.Hutchison,M.D.
Funeral expenses
Medical services during
last illness
$797.60
24.00
$821.60
SCHEDULE L
GRAVE MARKER:
Non e
SCHEDULE M
RENTS OF RESIDENCE:
Non e
SCHEDULE N
GENERAL CLAIMS:
1968
Sept.20
20
William B.Seibert
Glenn J.Seibert
Judgment at No.618
November Term,1968,D.S.B.
Judgment at No.618
November Term,1968,D.S.B.
$500.00
500.00
20 Patrono,Ceisler and Edwards Cost of satisfying jUdgment 20.00
$1,020.00
The Claysville Recorder
Claysville,Pennsylvania
PROOF OF PUBLICATION
In qompliance with the Newspaper Advert~~ng Act of May 16,1929,
P.L.1784,Pa.ra,graph 3,Sub-para,graph 25.
Commonwealth of Penns-ylva 'a,0 ty of·Washington,ss:.
Per.'lonal1y ~eared be or{!-NotW~bliCin and ~or said,County
and State JZ57~A-----~-.--,.~o b.:rJ duyworn
acmord-ing to law,d4f.€L.nd says that he is the q~-
of the Clay,sville Recorder,and its agent in this behaJ'f;th!llt the a·hovenamedpersonisthepu:blilOher of The Cla.ysville Recorder,eetalblislled
June 15,1888,weekly newspa.per of general circulation,printed and pub-
l:i$hed and having its place of bus,inees !lit Clay,s,ville,Wal"hington County,
PelUlJSoylvama where it hws been est!IJbl~hed and 9ublisthed continuously
for more th~n six mon1Jh,s plioI'to the publioation of the notice hereto
attached;that the plinted notice or advertisement hereto attacl1ed is a
copy of an official advertisement,official notice,legal noUce or legal adver-
tisement exactly as pl'inted or pu:blilShed in The Cla.y.sV!ille Recorder in its
r~r issue or issues on the following da<te or da,tes:_
7l LJQif_~_'__Z~__L£I_-I£iZ that neither the affiiant
nor The Olaysville Recorder is interested i;(-the subj -qi'atter of sa'id
notice or advertisement and that a.I .."'.the aDeg '.~~t '"to the time,p,"""and mann.,'"v .;caMon '",~
Sworn and ,.bw,'be<!"'fo~'~e,~~~;~'D;£~/~?ii_______:r~~~---
Notary Po'.l!blic
NOTARY.PUBLIC
Claysville,Washington County
My Comm.Explres Mar.30.1969
)___.__.__•t -__"_.__
~XECUTOR'S NOTICE .'I
Estate Of~DORA.SEIBERT a/!~
I a MRS.DORA SEIBERT decea5.k-rJ_
• !rd,late of Donegal TownsJ:1ip.
:Washington County,Pa.I
Letters Testamentary upon i,}
above estate ahving been gran~-I
('d to the undersigned,notice i::'i
llereby given to those indebt~~U
!~,erlreto tq make immediatepay-j
ment and'to those having claims1
.to present them for settlement.IiAlexanderMcllvainp.
l'33 West Beau Street ~
.Washington,Pa.15301
IPatrono,Ceisler &Edwards
I Attorneys,
80 East Chestnut Street
'Washington,Pa.15301 25-.Jt
(,.,------_....-----'---
(PUBL.lSHED BY WASHINGTON COUNTY BAR ASSOCIATION)
83~:r:tvelIlIJUR:~
Washington,Peoosylvaoia
Estate .88 J
The Re.r of Wills has granted letters,fl'~
testamentary or of administration,in the
following estates.Notice is hereby 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.
Coun~ReportS .
\,
Washington
• • • • • •0 ••••••••••
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 WASHINCTON1 ss
STATE 01'PENNSYLVANIA ( •
Personally appeared before me,a Notary Public in and for said County and
Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and
says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the
official legal peri'odical for said Washington County,publis'hed weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act-
ing as its agent in this behalf;that the said WASHINGTON COVNTY
REPORTS was established on March 31,1920,and was designated as the official
legal publication for Washington County,Pennsylvania,by order of the several
courts of said County,dated November 11,1920;that the printed notice or adver-
tisement attached hereto is a copy of a notice or advertisement,exactly as printed
or published,which appeared in the said legal periodical in its regular issues on the
following dates:
SEIBERT,DORA.a/k/a MRS.DORASEIBERT,Dec'd..
Late of Donegal Township,Washing-tOn County,Penna.
Executor:Alexander McIlvaine 33W.Beau St..Washington.Pa i5301Attorneys:Patrono.Ceisler &Ed-wards,80 E.Chestnut St.Washing-ton.Pa.15301 '
.........~?y..~!.l!.~.~.~~.9..L.~.?f??.
.:Decembe.r 7..,14..,19.67..
that the affiant or the corporation in behalf of which he is acting is not interested .
in the subjcct"P'fuatter of said notice or advertising and that all of the allegations of ".
this affidavit rs ~o..ti ••l're ~.::~':~.:~.":::.;..:.....
~"Edltor
Sworn to and sUb~re me this .'•:.,.:.:
D .."··;·l"JA~~y of...~~.~.~.~!?~.~,196 7...J .,~"';',}:;."":,..;J.\(~::
..../~~..~.
otary Public
KATH&RINE C.YARD,Notar uhlie
Washington,Washington.Co.,pa,.
My Commission Expil'9S
November 1,1969
11n t~r l0rpQUnB"illpurt of lIuBqingtnn (tInunt!}
J
In the matter of the Audit of Account in
DORA SEIBERT;al:k/~
Estate of DORA SEIBERT'
TO THE i\.UDITING JUDGE:
MR'S.
"
No._1371 ....,19~,Jua.
our accountantEnterappearancefor·__::....::.-=-.:..........---::.:....:::.-..:....------..,..:.,------'-------_
:;TRO~q~~l;~L~DS
Francis H.Patrono
11th day of De cember ,19~
N.B.-Counsel -shall,by separate paper,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
DORA SEIBERT
1371 ,19_68 ,~mc
DORA SEIBERT,a/k/a MRS.
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'1"liD!!.Estate of7I>Z
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PIt ~07 In ,.Audit 0'Aeoonnt on
RUSct.-'1 /•.
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AUDIT
Jrarripr for 1\ppraraurr
FOR
accountant___0 •_
PAT~ONO~CEISLER AND EDWARDS
Attorney
_._=--===============
."6~·2
PETITION sua AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form J
Es f DORA SEIBERT,a/k/a MRS.DORA.tate 0 ,.
SEIBERT......._-___-_.-_.._-----__-_.-._____---_-.
I
Deceased
No J.~.7.;J,9.L.;J,.~.~.~.
Fiduciary ~;J,.~.~.~.~~.~.~Mg.~.1.y.!'!-.~.~~.,.
....~~.g.~.~.~.~.~~.~~.~~.~.?.r:~.
lDate of Date of
Decedent's death 9~~:t:.C?~.~.;:~~.I••.J..~~.?Grant of Letters.~.?~.:.~)?~~~.~.!~~.?~;.
This is the g.:i:X.§.t ..~.~~...¥..;.~~J account filed in this estate
If there have be~n former accounts filed in this estate,list file number or number and term .
....................................................,n~Q ~.9..r.~~.~~.~.9.~~.IJ:.~.f?,;.
Election to take no election
l:Jnder or Against will.(cross out one)
Date Election Place of;
Filed no1 ap.p.l.i.Qabl.e Record I.........•.................•.•
Name of surviving spoyse o.o.ne ::.:,;..L:.
List issue,where material:
not material
. l
Did ~ecoedEmt marry afterexecution of ~ill?(indicate)~.No.Any children born after execution of will?(indicate)
,v.N'If '.h'.,l .l'l.X~o.answer yes,name t em ,.
......--.~.--._.._.__-._-.._-.._.-.___--._.---_..-.._.-._-._.---.--..-------.---------_._--__-----_-.._..-_-~- -_..------_._.
Leg.a~ees ••L '.Rel.ationship.:·.:'
..
·1 nterest "~.Fiduc!ary,if deceased o.r not sui juris
ILo:iits .~Ki'ger ,-a/k/a Lo"is -Re'f er·r.ed t.o.as
Kiger Cla'ffey ....':g'ran_ddaughte'r -in
\will
if·.2.0 .pro~;
~ce-eds·of .
personal :
'pr,operty :-an~
.of money in.bank
'sui'juris
:Kenneth.·Kiger,son i.of,p~~~~eds ~f ~~rsonal,..
property and.pJ.m9ney in
bank sui juris
l
List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause:
An ademption occurred:the decedent converted bank accounts in her
.name in the First National Bank in Washington,West Alexand~r Office,
into the names of herself and KennethoK~ger,,as joint tenants with right of
If ·to I . t t . f t survivorship,in''August'of 1967.par la In es acy,give ac s:
The will directs that the house and lot and all personal property be
sdld.It directs that the money from the sale of the personal property andth~money in the decedent's name in the West Alexander First National Bank be
d~vid~d equally.between Ken~eth K~ge~and Lois Ki~er.°It does not refer to the*
.Notice to Interested parties.Have all parties,haVing either vested or contingent Interests and all crediors entitled
to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account
and of call of audit?Yes.~"*proceeds of the reai
estate.
If any exception give cause:..n.9.e.~.c.~p ..t.i.Q.n =..
Fi Ie copy of Notice
and date of -mailing.9.Q:t.ab.el:...2l,...J.9.6.8...an.d..bLo;v.emb~r-...2;J,.,....1.96-8-....................•.............•........................
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Is estate subject to the filing of a Federal Estate Tax Return?l.~.~••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••:'
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.+.gQ.•.Q.9 :.
.If the Will makes any portion of estate subje~t to a life-estate,give name and birth date of life tenant .
,no life tenant......_- -__- --_-_"_ _--____.-_~.
Give Names and addresses of all unpaid creditors who are legally entitled to ,notice,together with the amounts
of such c;laims;,state whether they are admitted to be correct;and whether the claim is denied.
lnO'unpaid cred~tors
Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re-
quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication:
A question may arise as to whether or ,not the~r~"isa partial
intest~cy an~,if there is a partial intestacy,who ~~e the heirs at law
of the decedent.There is some question about the relationship between
the de'Cedent and Lois Kiger,a,Isp"known as Lois Kiger Claffey.
As a consequence of the existence of these'problems correspondence
occurreu between counsel for the :personal representative and Lois Claffey.
'A copy',of'counsel's letter of June 3,1968 and,of Lois Claffey's letter of
July 10,19'68 are enclosed.It will be observed that Mrs.Claffey makes
no claim for any of the property owned by the decedent and states that the
decedent's son,Kenneth Kiger,is entitled to anything which had formerly
Balance for distribution per account,belonged to ,the d~~edent.
Itemize any additional debits not shown by account:$+..tg.~.?!..?~.
Donald McCartney Insurance Agency,
return of unearned fire insurance
premium
Total additional debits (Add)
Itemize any additional credits not shown by account:
""'Mary L.Francis,Notary Public,
affidavit on audit petition
$6.00
$...__...~_~__??:..................6 •°°
1,088.23
1.00
Total additional credits (Subtract)
Balance for distribution
$_J.Jl.Q.Q ~..........•.-1...00
$~.!.~.~.?~.?.~.
j.
,
/.
,-.
If balance for distribution is not in cash,list each item held'in kind,giving appraised Value (or distribution Value);
Entire balance for distribution is in cash.
~-,"if",'-_...
If Family Exemption claimed by Petition,give place of Record:E.~f·~.~~.+.y._..~~.~!J.!.P.t.~.9.n.;i,.$c.lairo.e.d.•
If Family Exemption is claimed cit audit,give name,relationship and basis for Claim:.~9...f.Q.NJ.~y ~.:KeJnP:t.io.n...is claimed.
,
List any advancement or distributi~n on account that has been made,and nature and amount of same:
no advancement or distribution on account ~
,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:
'J
")lenneth kiger,son
"
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......-::.II..:>··"
COUNTY OF WASHINGTON,55:
COMMONWEALTH OF PENNSYLVANIA.
entire balance for distribution
1-;.\.;...I>
The'above named Fiduciary or representative thereof,
being duly ~.w.Qx.n doth depose and say
that the facts set forth in the foregoing petition are true
td the best of.__.__..~.~.~knowledge and belief,1
....._-:~..S.w.Q;:r.n~_._~___to and subscribed before
,-I
me .~.~;s;:19~,Il,{~;Y~_f~:~!'!~~':;"";"')9,~,L ,.
S;gc,~to~e 0(,Offic~r'fi~1a"':'~'
Title""df ··Officer,.,.::,;~·~.?~¥:':'.~~.~~.c:..I .~.•,"I ,-',"f •
Office expi~es;.:;.:,;~Ap',:r.~.~!.l ~~J.?.~.
And your petitioner will ever pray,etc.
~~~"J>h~(Alexander McIlvaine,Executor)
':~/
,,-
No..1.~.7.J..Q.f .l.9.£.8.,
Estate of...12QRA...S-E.J.l3.E.RI.•....aLkLa........•
MRS.DORA SEIBERT
Deceased
Fiduciary.~~.~.~~~.~.:.:....~~.~.?:~.?:.~.t:J:~.L.~.~.~cu[of'
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PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
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Counsel of Fiduciary will submit herewith tile
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:paragraph b-c;and divisions
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
3.Copy of Order appointing Trustee ad
litem,if pertinent.
4.Proof of service of above.
5.Letters Testamentary oj-Administration
C.T.A.or an attest copy of Will.
.6.Copy of inventory arid appraisement.
7.Proof of advertisement of grant of letters
if not filed with account.
8.Certificate of Iiens in case any of the
funds for distribution are from judicial
sale of real estate.
.9.Signed and"itemized elections if any
distribution in kind.
,10.Copy of Federal Estate Tax return'if es-\':
.tate is subject thereto.'.;'
PATRONO,CEISLER and EDWARDS
Attorneys at Law
80 East Chestnut Street
Washington,Pennsylvania 15301
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ESTATE OF
Dora Seibert alkla
Mrs.Dora Seibert,
Deceased
63-68-1371No.._--=-_
In the matterofthe First and Final
Account of Alexander McIlvaine,Exr.
ADJUDICATION AND DECREE
An now November c25 ,19....1!±..-,this matter came on for hearing,
audit and distribution of this session and testimony taken;and thereupon,upon due consideration
thereof of the~al~nce for distribution in the hands of the Accountant is determined to be
$'1,0 7.3 and the account is accordingly confirmed;and it is ordered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance with the
schedule of distribution hereto attached and "rlade a part hereof,unless exceptions hereto,be filed
sec.reg.or an appeal be taken herefrom sec.leg.
..~.
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SCHEDULE OF DISTRIBUTION
Balance per account..
1
Additional Debits -Audit
Additional Credits -Audit
6,00
1.00
$1,082.23
1,088.23
Balance:~t--'-:....,,-I/'~1.f.t..\C\.1-\C;;X ~-.
Deduct Clerk's Costs &Receipts,_--=&_A_d_ve_r_t_i_s_i_n-"'g ~,..'tI.~..27.00
~IAttorney_---'P"--'a=t"-=r'-"'o~n""'o......-'C><..:e::..:i::..:=s~l:.::::e~r .....,_'E""d::.:w::.:a"_"rc=ds~-"&..........P.>=.et""-'t""'i~t'--I
$1,087.23
1,050.23
Kenneth Kiger -Residue
NOTE:Kenneth Kiger is also entitled to refund on over-
payment of transfer inheritance tax,
1,050.23 NO BALANCE
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1,'11:0.nCC-62 (12-66).THIS,FQRM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000.UNDER Sf;CTION 701 OF ACT OF JUNE 18.1981.
ErJ'T~V:~ANUAR'Y 1.1982.'(FILE IN DUPUCATE WITH COpy OF WILL ATTACHED).~V
•OFFICE OF THE REGISTER OF WILLS 'iiJe,r.
WASHINGTONCountyof .
ALEXANDER McILVAINE .33 West Beau Street,Washington,.................................................of .
(Name)(Addreoa)
sworn Executorbeingduly.according to law,deposes and says that he is the -------------------
DORA SEIBERT,also known as ~(Exec.,Adm.,Legate,Ecc.
/MRS DORA SEIBERT ),\-D1-West Alexander,nsylvaniaoftheestateof...:whose last residence was ------------------.•-------------------------------------------
(No.)(Screee)
])_(),,_e_~!'::__!():__Il~_h_~!'__'__m_m_.d'ce",d,and that th,whol,of th,"""of ",id d",d,nt,who di'Jl,,_t_()_b_~':m~_5_!_~
(CitY,Borough or Township).-(Dace)
consisted of:,.~
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANeES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
ALL those two certain lots of ground s ua e 1n
Real Estate Donegal Township,Washington County,Pennsylvania,and Estimated'
Value
known as lots Nos.9 and n the Alexander Add
Alexander Pennsylvania.
THE said lots together front 100 feet on the East side
of Alexander Avenue and extend back 120 feet,more or less,to a
unnamed street;they are bounge~,on the North by a .15 foot exten-
sion of Vine Street and on the South by lot No.8 in said plan.
SUBJECT,NEVERTHELESS,to the conveyance of the Pittsburgh
or River vein of coal,together with the mining rights set forth
therein,made by James Alexander et ux.to David E.Mitchell,
Trustee,by deed dated January ~5,1899,and recorded in the
and recorded in the Rec&rder's Office of Washington County,
Pennsylvania,in Deed Book 225,at page 455.
UPON which is locateg a two-story frame residence con-
taining seven rooms and no bath.
BEING the same lots of ground which were conveye y
The Farmers National Bank of Claysville,Pennsylvania,to I.M.
Seibert and Dora Seibert,his wife,by deed dated June 24,1940,
and recorded in the saiti Recorder's Office in Deed Book 636 at
~The said I.M.Seibert died on November 20,1962,-~m_rmH Dora Seibert,"surviving tenant by the entireties,beca
ea:s mpelltJ sole owner'lin fee s1mple.tlov.&e ,2o;l.:'-
-~~II~
IJ v .,'2/
PERSONAL PROPERTY \
Household fu~nishing;~~d Personal Effects.__1 •~~.~
-.$100.00
.~.
NOTE:You may expedite the processing of this return by filing with it,and as a part of the return,
letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the
decedent as of the date of death.Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account,account number and the exact name or names in
which the account is registered.
".~,~EstimatedJointlyHeldPropertyValue..I
None
'~
-
~.
t ,,,
\,
,-
-
Transfers within TWO YEARS Prior to Death -
\None t
l
((--;..,..
-,t
l ~
(,
t (,
(
That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of
I anothe~,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the foIl~wing:-.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
,
,
,(,I
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\,,
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE
(If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interes~,vested,contingentor otherwise,in estate.).are involved,set OR NO AT DEATH OF IN ESTATE
forth this fact.)DECEDENT
Kenneth Kiger Son Yes
R.D.1,Prosperity,Pa.
Lois Claffey ..'-Yes
Ind i anap()1 i s ,)'(Phdi.aii a ~."-
~....:...~"'..",~:...~.~;..-0..':"-.",,~."fI:"..--=r!;;:L
'"
:,'"",\~,K'.DENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE'List first five items in the spaces so provided,observe notations-thereon,and instructions,
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN.,iKEGISTER ONLY
FU,neral 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 Willsl1if the amount actually paid in settlement of any fee,commission ~i'~,!!bt<7i~~~;~ter
or less than the estimated amount claimed and allowed,,~~,GJ
".~'~Ug·_,·/.'-..~~~SubBcrioo'd and,sworn to before me this., . , , , . ,...., , , . , , , , . ,. , ,..,,~.,.., . , , , , , , ,...,.., , . , , ..'.."',,'~.,.(Executor-~txl~
..•..3,,;,.t~:(:.'~'~ay "!;,/"!Ju,arx .....,19.6~.3 3 ol'!;o;s't,riteau Str'ee t,"0#,",~;.,,",'.'~,",".~Nota,r Public , ,..,..,..,..(St~~~i,N~:';'i)~;i"""""""'"'~~~g~:r$'f~~~~$it .~~~~.y ,,~~bi~~~::/T~:'~s'i~~!,,,i~.....
.;~,r ."
Having been duly swom according to law,I ~~~tify,that the above appraisement is made in conformity with law on this
.....,....,/S~.,....."day of ...,...'~":;;-;p'')',..~.., ,.."19 ..~/e----:vd'L,....'.......~..?xa~.....,....~'-Appraiser
In the event that any future interest in this estate is transfel'1'ed 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'inheri-
tance taxes at the lawful collateral rate on any such future interest..
REPORT OF T
I,the undersigned duly elected Register of Wills in'and for,,~~~~~:Z2a;~~L/:.::,,,:,-:,,,..,,,.County,Pennsylvania,do respectfully
report that I have allowed debts and deductions in the amounts claimed by depon ,except as to those items where a greater or lesser amount
is set forth in the last column to the right in said schedule above,which greater 0 lesser amount represents the sum allowed as a deduction,
Dated:,."",,'"".""",,'""""",.""",.,'",
Regiiilter of Wills
'--"":J -.~
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Form No.RCC-62 (12:66)
OF THE
ESTATE OF
MATTER OF THE APPRAISEMENT
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IN THE
INo Year .Will
Administrationf,•
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DORA SEIBERT
a/k/a MRS.DORA SEIBERT.......................................
Deceased
hd
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!.:West AlexanderLateof .
Donegal Township
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County of ..YV.C!-l?!l.~n~ton......-.:.;
i _Commonwealth of Pennsylvania
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REPORT ANfi APPRAISAL~.'
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PATRONO,CEISLER AND EDWARDS
By
I.
Il.->-<
In Re:Esta te of -"D"-"O~RA::.!·'_·~S~E:!=.IBER~~T~~a~/...!Jkot./.l:lla _
IN YOUR RBP..Y P..BAII
RIPIIR TO 37-66-7
%:£4kL2?t)?~
yJ',R,CHANEY,CHIEF APPRAISERTitle
Signed
(Executor·~·
ALElCANDER McILVAINE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT'OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
October 15,1967
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Real Estate ---J.4"""h5.uOL\oOLt.u,OtlooQi..-_
Personal Property ~J~OO~.OO~_
Transfers .,.--_
Tota1 -.,.-'4*'l,""'.1'~QQ.t:>LJJ•..J.QQ~·:....----
____....J~~NAS~·Hl:I~NMGT"'"Q\,!lN.l_County -File No.94.79-82
As to such tax that is paid within three months·from date of
death,a .five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (8%)percent per an·num is charged.
You are hereby notified that the Original
appraisement in the estate of Dora Seibert a/k/a~.
has been filed in the office of the Register of Wills qf \'iasbingtoD
County on February 15 ,19~.Said appraisement reflects the
following va+uations:
DATE OF DEATH:
..
~xxnm:noomr
Note:This is not a bill.
~.RCr.39 iii-57)
COMMONWEALTH OF PENNSYLVANIA
¥TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SEIBERT,DORA,a/k/a SEIBERT,}JlRS.
FILE #9479-82 .
October 15,J:967
SUMMARY
DORA
FILE #9479-82 TtEPonT OF INHEIUTANCf<:TAX APPRAISER
I!the undersigned ctuly 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
;::::~t_e_e_a_c_h"':"02""i...t_~e:........5_;;::.i6"",n....8_t_h_e_l_a_s_t__co_l_um_n to the right ~edUles "A","SO,"c"and "E~p
10-15-67 ApPRAI ~..
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 deductions in the amounts
claimed by deponent,except as to those items where a greater OT 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:
REGISTER OF WILLS
------------------------
VALUE AS APPRAISED ~V=A=LU=E='~}=\S~__,RE~~AP~P~RA~I~S~E=D
$_----4-,500.00._$------
]00.00._
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
J oint-Held Property (Schedule E)
TOTAL GROSS ASSETS
LESS Debts and Deductions
(SCHEDUL E F)
CLEA..'t VALUE OF ESTATE
Valuation of life estates or
annuities .
ESTATE TAX ASSESSMENTS
I
VALUE AS REPORTED
5;4,500.00
]00.00
=====.=
*-----
~------
L"600.o0.~.
-.1"•"
=====.=======:=
----~\..-------,--_\,
---_:=\\
TOTAL TAX BALANCE
PAID
(:::)As evidenced by Charitable Exemption
Certificates issued by the Secretary
of Revenue.
$='=====1=
$------$------
~--------
$-----'-----
$-------$
$----------
$-------
COMPUTATION OF TAX
$-----<f>.~======\=$------
TOTAL TAX
Less tax previously paid
BALANCE
Less 5%of tax .if paid within
3 months after death
BALANCE OF INHERITANCE TAX DUE
.Add interest ~t rate of A%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
Tax on $t __f>%$
Tax on $·CZJ !t.
Tax on ¢>•'2';1 $~r'
Tax on $._.1~%$..:Exemptions (:::)
:=Total Estate
FOR USE OF REGISTER ONLY&DJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the
Register of WillS,for prop~r reason,same should be noted below,with short
explanation.
p
Will
Administration (No.
I~THE
Year
~...~.;~
~'-
...
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
l)()M .5.}i;:I:13:E:fi'I'.8,/k/~...
Deceased
Late of:....W.•...ALEXANDER .
County of ...WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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Form RCC-2'·.,.-.'...
~.
cJ COMMONWEALTH OF PENNSYLVANIA DATE ......................f..~.p;r..~;r.y....:.J,.5...J.....1.9.Q.e...........
D,EPARTMENT 'OF REVENUE RESIDENT INHERITANCE TAX ............................~~h.~ngt..9.n .............................BmtF:AU COUNTYOFCOUNTYCOLLECTIONS
HARRISBURG.PENNA.17,127 APPRAISEMENT FILE NO..............................9.4.7.9.::.??..........................................
Whereas,.......................................p.9.r..~....s..~.j"p..~r.t:....~/¥/~...............................................late of .....................................W..~.....A~~~~4~.r................................
in the County of ...........................................W.~§.h.ingt.Qn ..........................................................Commonwealth of Pennsylvania,having died on
196..7......,
.
the ..........................l5.....th...................................................day of ................Qc.t.Q.l;g~;r......................................seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,...........................W...R........Chane.y....................................................................,an appraiser duly appointed a~cording to law,
haying 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:I
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 Ufe 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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpOles
$
REALTY:
As per appraisement filed 4.500 00
PERSONALTY:
As per appraisement filed 100 00
TRANSFERS:
.,
NONE NONE
JT.HELD:...,'.......'r .NONE:,NONE
...-..
::.."·f
Total ,.4.600 00,.....
.......;....
'.
~...
..
:
;.....
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Ifonn~;v~t,bl::::rh~worJla/~~~=:~a~o~e~~~b":~ee:i;;,;;=~~>~~~
Appraiser
/'~..............................y ................................................................................................................~~-"...................":..................................................................................................,Penna.
(Poet OfIIe~!
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.........................WA.:$JtI..NG.1'.QN...............................Co Ullly'
RESIDENT-,iNHERITANCE TAX APPRAISEMENT
Estate of
............................PQftA....$EIBE.RT....a/k/a......·..D·~~·~~~~i .
Late of
........................................rl.,..ALEXilNDER ..
Date of Death,Q~t.Q.ber.l5."l967····..·
Appraisemel!t Docket Vol.,')7..: .
Page,6.6.~.7 No 94'19 82 ·
Filed il~Register's 0 fJice,F.e.b.,..l5.t-.19.68..
Amcunt of tax due,$.
DEPARTMENT OF REVENUE
/31/
Received,
Examined and Approved,.
Wrote abo.l/t Appra.isement,
Appeal f1'Om Appraisement,.
Entered and charged,
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-
.,
DEDUCTIONS ALLO~1'/;),i,171
l.,'....$J*1f.,OFFICE OF THE STATEM{NT OF DEBTS THE SUM OF ............$........................
REGISTER OF WILLS
DATE APPROVED 1.i ..~~~...~..f'.1...~...Washington AND DEDUCTIONS
OF COUNTY /3 71'l~Y 7 1-0 ~-C~-h'AND AGENT OF TtlE CO......ONWIiALTH 7/."--.,-,\~
I \Reulste,of ~t\.\~ue"l
vultA §EIB~R,!,c+t.kLa
ESTATE OF MRS.DORA SEIBERT L.ATE OF Donegal Township,Washington County,
Penna.
DATE OF FILING APPRAISEMENT February 5 ,196~ATi OF DEATH October 15,1967
DATE NO.OF NA"'E OF PAYEE RE"'ARKS AMOUNTvouc...~"
I~.r.;~'.r ;:)~,I!;ANV MA1NT,I!;NANC,I!;UJ!K"~A Y :
19~7 19 Columbia Gas of Pennsylvania~as ~or 8 17Oc•Inc.heat
1968 ,Columbia Gas of Pennsylvania,
Jan.8 Inc.~as for heat 8 36
Feb.9 Columbia Gas.of Pennsylvania
pastInc.for heat 7 77
19 Columbia Gas of Penn~h~~ania~as for R-'r.u:;,Apr.heat
June 14 Columbia Gas of Penn~h~~ania~as for heat <>A A
June 26 MacCa~tney Insurance Agency "'ire insurance premium 14 00
19 Kenneth E.Klages et 7/12th of 1968 local realtyAug.ux taxes 10~Qa.
Aug.19 Ernest R.Weltner,Realtor Commission for sale of realt 200 00
19 Woodward,Recorder p'e'nnsylvania Realty TransferAug.John D.Tax 40 00
Aug.19 John D.Woodward,Recorder Local Realty Transfer Tax 40 00
28 Columbia Gas of Pennsylvania,Aug.Inc.Final bill for !ras for heat 1 ').:J~
ADMI NISTF ATIOl'i EXPENSES:
19f17
Nov.13 Register of Wills Probate of will 12 00.
Nov.24 Register of Wills Sho,rt certificate 1 00 ,
\
Nov.27 Washington County Reports !Advertising grant of letters 12 50-
•.1.l::Ibl:1 Mary L.Francis,Notary \Affidavit on inventory and
Feb.1(';R ~f.~~.::-("/:.::.lsPu·Blic +"'V ..."'+"...'"?nn
Feb.5 Register of Wills Filing inventory &tax returp.4 00
Aug.19 Angeline Sorice,Notary ~cknowledRmant of eRicutorPublicoeedtoages 75
S ep1 •9 Register of Wills Short certific.ate 1.00
Oct.8 The Claysville Recorder IAdvertisine-e-rant of letters 10 00
iCommi-s s i on f'or serv1ces as
Oct.?1 Alexander McIlvaine Inersonal renre~ent;:ltive 230 00
Oct.21 Patrono,Ceisler and Wee for counseling personalEdwardsrenre;::entative 240 00
Mary L.Francis,Notary ~ffidavit on this account anOct.21 'P11 hl i ('0 on statement of dpbts &de-2 100
Register of Wills F.iling
-a~U1il:j
Oct.21 account 19 00.,
Oct.21 Mary L.Francis,Notary !Affidavit on supplemental
Public tax return 1 00
(SEE ATTACHED SHEET)
DORA SEIBERT,a k a
ESTATE OF MRS.DORA SEIBERT ~TEOFDonegal Township,Washington County,Penna.
"'u"""mow"":l
THE SUM OF $'~..
DATE ~.If.,:...l!!.=.!f
STATEMEOrNT OF DEBTS
AND DEDUCTIONS
AND AGENT OF THIt COMMONWIiALTH
OFFICE OF THE
REGISTER OF WILLS
Washingto'nOF COUNTY
DATE OF FILING APPRAISEMENT DATS OF DEATH October 15,1967
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH"III
BURl \l\.L.IVEDICAIL AND NURSING ·EXPENSES AND EMPLOYEES'SERVICES:
1968
IWilliamG.Neal Funeral
Sept.29 Home i<'uneral expenses 797 60
~e di c.al serVl.ces durl.ng last
Oct.21 H.S.Hutchison,M•.D.illness 24 00
GENERAL (LAIMS:
1968
!JUdgment at No.618 November
Sept.20 William B •.Seibert trerm 1968,D.S.B.500 00
~udgment at ·No.618 November
Sept.20 Glenn J.Seibert fro ,n"0 T'\'"D tiOO 00
Patrono,Ceisler and Edwards
"'ost 20 00Sent.20 of satisfving .iudgment
TOTAL 2,827 '77 V,CV,(
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Washington Co.,Pa.
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COMMONWEALTH OF PENNSYLVANIA }
WASHINGTON Stl:COUNTY OF ~~".......,:-::-="'==--""=""
ALEXANDER McILVAINE........;-:--------:.:.::;,..:;:....:.:.:.:....::.:...::=-------=.-~iHEREBY CERTIFY.THAT.TO THE BEaT OF
IIolY KNOWLEDGE AND BELIEF.THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENtlD OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF flora Seibert a/k/a Mrs •.Dora DECEASED.AS DEDUCTIONS f'OR
INHERITANCE TAX PURPOSES....~se~be~:?~
~.,...).~~~~"~~(L.5.)
SWORN AND SUBSCRIBED tlE~O~E ME THIS'.21st DAY Of'(Alexander McIlvaine)Oc ber '.~.,,,'68-.,~,
My:.