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HomeMy WebLinkAboutOC1968-1424 - ESTATE OF BOOTH)" RCC-81 (6-71) .. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT "'WESLEY C.BROUNCE (Executor or Administrator) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division / In Re:Estate of __RO_B_ER_T_C_._B_O_O_TH _ WASHINGTON County -File No.__6_3_-6_8_-_1_~2_4 _ Dear MR.BROUNCE: Y h b 'f'd h h ORIGINALouareereynotlIetatte==~"--=:-::-::-==-=:--_ appraisement in the estate of ROBERT C.BOOTH has been filed in the office of the Register of Wills of__~.:.::iAS==::::H:.:.:IN=G:..=TO=N _ County on NOVIDffiER 30.,19~,Said appraisement reflects the following valuations: Real Estate ----,-_-.."...._ Persona I Property ---'3~h=o5~.~OO:...::....._ Transfers _ Jointly Owned ~.,__=-=----- Total ~3~i6~5..:.....00_:__ 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 nine (9)months (fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive; and twelve months when death occurred prior to December 22,1965)from date of death, interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date _N_O_"VEMBER 30_,_1_97_2 _ DATE OF DEATH:SEPTEMBER 28,1968 Note:This is not a bill... FRED TOSISigned _ Title AP_P_RAI_SER__1 _ ESTATE INSOLVENT ...... RCC-39 (5-66) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of BOOTH,ROBERT C. (Last Name)(First Name)(Initial) DATE OF DEATH 9-28-68 FILE NO.63-68-1424 REPORT OF INHERITANCE TAX APPRAISER WASHINGTONI,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _ Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in th~last column to the right in Schedules "A","B","C",and "E". INHERITANCE TAX APPRAISER FRED TOSI ~NOVEMBER 30,1972Dated:__-"'-'....;..;;.;'-"=..;;;;..;:c:""'O:;..;;..L-=~""-_ REPORT OF THE REGISTER OF WILLS '. I,the undersigned duly elected Register of Wills in and for WASHINGTON County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:~197.<RUSSEll MA~INO ......-.... 1, ESTATE INSOLVENT VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$$-------+-- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $-+__2% Tax on $~o Tax on $--------+_- Tuoo$lK Tax on $15% Exemptions * Total Estate _ TOTAL TAX COMPUTATION OF TAX•$------------+--$------~I--- $__--___.--4-- $-------+--$__-_---4__ $------1._- (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death :::::~~:~t==. BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $__---...J AMOUNT OF ESTATE TAX ASSESSED $--------IL. Estate tax paid $~-'L---. BALANCE DUE $.....JL- Add interest at rate of 6%from t= ------ltIO-----$-----....' TOTAL TAX BALANCE $-_--~ PAID $__---- FOR USE OF REGISTER ONLY ADJUSTMENTS . NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. ;_._---_..._------ Will l No .Administration ) IN THE Year . r:,. MATTER OF THE APPRAISEMENT OF THE ESTATE OF ROBERT C.BOOTH Deceased Late of .....CARROLL..TWP.•...... County of ..\I!J\~ING'l'.9N . Commonwealth of Pennsylvania REPORT AND APPRAISAL ~'.:... l f .., VI., ".... Punn ilCC-2 .C£PARTM~~T OF REVENUE,....- BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.J 7 J27 COMMONWEAL'NI OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~9Y.~?9.",.+.9.7?. COUNTY ..W.A§H,;tN.QT.QN .. 61-68-14""FILE NO :~.. ROBERT C.BOOTH CARROLL TWPWhereas,late of . in the County of w.~~~.~g,~.9.~Commonwealth of Pennsylvania,having died on 28th SEPTEMBER 68 .the ..day of 19 ,seIzed and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~~~~,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 Asset Valuas Made for Inheritance Tax Purpoles PERSONAL $-~, SEE COpy OF APPRAISEMENT ATTACHED 165.00 ESt"A fe iJIVsDL 1/£IV-r.. -- '~.....,.00 T--,. •00 T -- .00 T.'1,302.00 -- L302.f.lOS l,302.00T -- L190.00--1.90 --100.00 365.00-11.00 -1,302.00 T ~~- - ep f'b~-I ..- : ~~,,,,,.........-.i- , ;t .........................\'lASHIN.GTON.........................County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .........R'Ol3.~R'r.G.!!;eQ'Olli . Deceased. Late of CARROLL Th1'. Date of Death,SE?TEl\jjER.·.28,1968·····.. Appraiselllellt Docket Vol.,3...7':':':.. Page,~.24~9 No.63.~6.8.~14.24 . Filed ill Register's Office,NOV.•....JO.,19··.···12 A11UJUnl of tax due,$:..:. DEPARlMENT OF REVENUE Received, Examined and Approved,. Wrote abo.l/t Appra.isement,,. Appeal f;'om Appraisement,·. Entered "and charged,. :-/ -5.' ...-. >:.. . J ~. -':-;• ....--...,...---------------------------_.~~"-_..---~.~._~----_.~----'--..-~_.---------,., Form No.RCC-62 (7-69)THIS FORM REQUIRED IN ALL ESTATES.WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,./ ,f:of~J!:q_rE ~ANUARY 1,1962,(FILE IN .DUPUCATE ..WITH·CO~Y OF }X'liL ATTACHED)I -//J /L/'~~l."fj .......''...f.LJ':;;-G::J 0 -/;2;C*"~FFICE 'OF TH'E REGISTER OF WILLS (~? County of .::W~~h~J.1g~~n . ....,..·~~.~~~X .~:.,~~,ql}~.~~.'of .F-.•..P.·..~.z..Vp)+~y..JAI].oJ ••f\101l.Q1J.g.Q1).ela"..p'a. (Name)(Addresa) being duly .__~_~~E~_._...according to law,deposes and says that he is the -..-....~~·~·~Nef:~I;;::iegaree:E[cT--------------- of the estate of .~_?_~~_!-~~_:~_?_~_!_~.~..}_~_:..whose last residence was E-~{NR-~----~-~·1..·Bi.gg,~-I~&Q~-d~---.MQ.IlQJl - g ah_~_!_~-'.~~_~_~_:~.?:..~.._~.':'_.:_..__..deceased,and that the whole of the estate of said decedent,who died ..--2l~~(l9.)·~..--··----- (CilY.Borough or Township)ale consisred of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. EstimatedRealEstateValue . Per,sonal Property Checkin~Account maintained at Western Pennsylvania Na~ional (~7 Bank Monon~ahela Office Monon~ahela Pennsylvania $716S 00 ...-"'),.,o ...I~ t/ l\OTE: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 an:ounts on deposit or owed by the c.ecedent 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 princip-'3.1 and interest in the decedent's £ccount at the date of death and the type of account,account number and the exact name or names in which the account is registered•• ,..--,~.~----~'~---~~,~-~-~------""-------------------!IIIII----~ Jointly Held Property ,...Estift'ia~~,-·"'.lue-, - - - Transfers within TWO YEARS Prior to Death That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT - 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 BENEFICIARYaninterest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT - - I..".•,._...."....e'.. ~ESij)EN:r DECE:;DENT DEBTS AND DEDUCTIONS CLAIMED ~OTE'L'ist first five items in the spaces so provided observe notations thereon and instructions,,,DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN KEGISTER ONLY Funeral expenses paid $1,190 DO $litin M Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses *1 Do /~ 100 ~O I /()A)~Counsel fees *. Fiduciary commission * : OTHER DEBTS AND CLAIMS Fi1 ing fees '11 ~O (*)See Note below tl ~ I .' I .•... ", ,.. " Total do ''30Z.a t1oz.,tXJ:jll, ........W~?J~.Y..9.~..~:r:9:q~<;:~. (Executor-Administrator) .R~..p!..~.~.,..V~J~.~Y.J~W . (Street Number) .~?~~.~.g;~?-~~.~?.?~?:~.~y'~y~.~~.~. (City or Town and State) In the event that any future interest in this estate is transferred in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'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. I' REPORT 0f/'l'Hi)JtGISTE~OF WILL~. I,the undersigned duly elected Register of Wills in and fOr ...~~l-.:..~County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amourlts claimed by deponent,e ept as to those items where a greater or lesser amount:::::,th :n tD:Ert~~l~h;~~;h;~~;~p"r;t:.ahO~bi,~gr ..t"0'"..a~t~,ad'dU",,:... Register of Wi/l'4 . ~-_:~'....'.- ~{t -'... Form No.RCC-62 (7-69) WillAdministration INo Year . \ " () IN THE MATTER OF THE APPRAISEMENT ......... F'.,,'-. <~' OF THE ESTATE OF ROBERT C.BOOTH JR.......................'!. Deceased ~t Late of .R~;.I1~..#.4;..~~¢l.g~..~9~.d;,.... '"Monongahela,.Perina. County of ..~~~?-~:~.&~??:...." .'".... '. rn ~ !.•.."-'..~ -+="..."", U"'1 "U:::x: Commonwealth of Pennsylvania ,.g ~_J 1 ::;0;::;:;;:J '"£:.rn ;:;::::J -- Uh-,G'"::c=2l::.-REPO.tS-:J.::A.N-D AP~AISAL--u'(I) Z -:In~)rn r- -;::0;-o·.-,a _.j..;r..--q::!:-·0 __!> o -'l::;o;r=:::;;;-0"--»Cl)0 "" Paul A.Simmons,Esq'. t· Ii f HORMELL'"TEMPEST,.SIMMONS, BIGI &MELENYZER S'ec'ond 'and CIless·'Str.eets Monongahela,Pennsylvania 15063 ~ FI I _".c .- FORM 67REV.1-50 REG.WILLS Applicatinn for iGrttrr5 nf l\llmini5trattnn nn thr j Estate of ~.Q.~~g:r 9..~J~Q.Q:!'.B.:l J.R.:.. late of.9.~.~.~9.JJ.....'!:9..w.TI.§.hJp...2 f..~.:...2 ,Deceased. Before the Register of Wills of Washington County personally appeared ~.~.~.!.~y.9...:~.E9.~.~~.~_.. who;being duly sworn deposes and says that.....~9..~.~E.~~..~~.~9..~~.?:!E..~. age..?,Q ,having.~.!.~last family or principal residence at...~..:.P.:.!C.?..L ~.~.9..~.~~9..~.9..?.. (Street and Number) .....MQ.uQngahela ,Washington County,Pennsylvania,died intestate (City,Borough,Township) at..~.Q~~.~.I2.~.~'!)~p...~..,g~..~; ,·on ·the.?§;~llay bf..-::..~.~.p..~.~~J:?;~.E.:::::::..:~: . A.D.,19.9.~,at..9...:..0.Q :£.,M.,possessed of personal estate to the estimated value $..P.nk.rim~n ,and of real estate in the Commonwealth of Pennsylvania to the estimated value of -,. $NQ.!1.~,situate in N.Qn~_:_. The names and addresses of the decedent's surviving spouse (if any).and other heirs including heirs by adoption)are as follows. RELATIONSHIP RESIDENCE .................................................................................................................................................................................................................................................,. .....p..~.1?9.E?:h A9.:~~.Q9..th W.~;.~:...g..:.P..~:.1L?y~.~.!.~y.!.~!}. ........................................................~Z:~~?~.~g~.~~.~.~.?~.~..~!.?..9..~}. That deponent is over 21 years of age,reside3 at......R•.D..•.1l.2.,.....v..all.ey....I.nn.~:...Mono.ngahe.la,.. .....W..#..~.hJ.gg.t..QP.:~9..~TI.t:.y..1 ?.~D.!1.~.y.1.~eP.:t.~:. is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. Sworn and subscribed before me this...g..f...~.. day ~Q.s.~.9;.~.;r.,IA.D.,19 9.JL .. .........//..~.!1..~_~_.. REGISTER 4~·t:··~···············..··..····- ...(':....;........-1""~;:~"-- ....;.~~#.~__. COMMONWEALTH OF PENNSYLVANIA }.SS: WASHINGTON COUNTY,4 And now .QE:.~g!?~.E.?.::...~,19..~.~,comes ~.~.~.~.~.Y.~.:~E·.~~~~.~. who being duly sworn doth depose and say that...hg will well and truly administer the goods and chattels,rights and credits of B.Q1?~.!;:.t G...~J~Q.QJh"~.t...~,deceased, to the best of....hJ§.skill and judgment in strict compli~ce with the laws of this Com~onwealth,~ind­ ful of the laws relating to inheritance taxes. ..~ Sworn and subscribed before me this..!:.f.'.. day of ~~.~.§JL . ............/. ... REGISTER ~/~., J '''i i" ~c23/~ 2rJ ~'c.,:1-c-?-11/2-'I' ~ "\, 1;01• , ,',.~J.' ,',.i< .., ~v, '. APPLICATION FOR Letters of Administration ESTATE OF - ......."R.Q~J~arr.G..,~.QQ.J.'.tl.~J.R.,~.. Deceased R $,. Letters..,..................................................../)0 &- -,P $~.:::.. "Extra Alias ---........' $. Certificates .~~P $:-0 (./ Renunciations ,(..$.:.::::~:::::~:::: ~~..~~"~:s $.. ..........................,..,(.,J f /']-~(/.....t·:·~:·,·;···········f·:)····Total r.:c:..'.1 .. ..................~~K~·..;;;.···.:;·~~~·::::::::::::::: ". -u:::.: '-' r~~~'<•.''f;! o ~.;- :i- ""J By f\) ~TEMPEST &SIMMONS ""...;--",.' Attorney ~2 !fLtl24~3 .I?jl~ ESTATE ,OF .,RQ~.ERr.C.,~.Qo.r.H.,J.RA :.'DECEASED ' The undersigned P~.t?Q~.~h..Ann ~.QQth _ _ _ _..:.and heirs of ..RQQ~.r..t...~.!••Jk)9.th~...J.f.!..late 0:Q~p::QJJ ...r.Qw.n.!?hJp..1•••r.~.!. deceased,hereby renounces h.~.;:right to administer on P.~.~.~9.~g~.~estate and respectfully asks that Letters of Administration be issued to .w:~.~1.~y.G.~~?;.9~~~.~:L.~.~. ........g.~P.~.1t.~.L..Y..~1.~.~.y...}.~~.~~~.~~.~g~.h.~1.~.~p.~.·+.?9.§.?.__~. .....-- - ---- - -~--------.-- ---- - --- -- ---_.-~.._;:;_._. -__--_---.----_._-- ----.-----.:.._~_ _..-_... ..._-------------_._--.--__---_._---,_---_-. :~.....- - - -_.-_e.__~__0 _.___~e ,_.._ " ..._.._----_._._-_._--__._---~.----!!.'--""5 ii ;; ::1 "i; _;~~~0~~t~~.~~~ ............................................1 __. ".;'" '.~. ,~:ILE'0 P;j 1:2tl :u 111 Z C Z ()-» -I-oz \ ....", / Estate of ~.~?.~!..~~..~13,().~.~~.1.~~.~} C No of 19 . late of a,..:r.r9.~J 'I'Wp.~,Deceased . .KNOW ALL MEN BY THESE PRESENTS; Wesley G.Brounce as :Principal and Uni.ted States Fidelity andThatwe,,,:. Guaranty Co.Baltimor~,Md.Surety ............................................................................................,. all of Washington County,Pennsylvania,'are held and firmly bound unto the Commonwealth of Pennsyl- vania,for the use of those interested in the estate,in the.sum of )jl:i.v.e.~B.undr.e.d Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves, jointly.anq severally,for.,and -in the ~holej-our-heir-s,-executors,administrators;-successors-a-nd~:assigns,-and-- each and every of them,firmly by these presents.Sealed~i.th our seals and dated the .2..~.~~day of ............:?~.~?~.~.!'A.D.,one thousand mne hundred and ..~~i..t.Y ~~gP.t . THE CONDITION'OF'THIS OBLIGATION IS,That if the above bounden ..................w~.~J.~Y ~.~j~:r.~~~~:: : . Co, 'yo".cU~Jta~Y·"'fid(SIl~~"':ty ~~.ltj..mO.:r.~:A..M......~.~~.~.t.E L) ~. Attorney ........................................................................( t'tatrmrut of @lurdy Sealed and delivered in the presence of: Administrator or any of them,shall well and tru.!L.administer the estate according to law,this obligation shall be void as to those who shall so administer the estate;but otherwise,it shall remain in force. ..-------.---r---.-----.. v I,---------."-------------_.._..........__•surety in the sum 'of-$~-.---_on the administration bond in the estate of --------....__.._,say that I reside at ---------~-----------.Washington County,Pennsylvania;that I am the owner of real estate.the title to which is in my own name and duly recorded,situated in ________, Washington County,Pennsylvania,worth above all encumbrances $..__.._.._.. .._.;and that I am worth the amount expressed in said bond,over and above my just debts and liabilities. .~----_._----------.--_.__.--------------------------.-----------------------1--- P.O.Street .._----------------------------------------------.--- itatrmrut of i'urdy I,------..----------.--....---.-----..--................_,surety in the sum of $....__.._..._....on the administration _bond in the estate of ..------...-----------.-..---..--..--..------..........,.say that I reside at --......-----:~---------------.------------...--....-------------....-------.Washington County,Pennsylvania;that I am the owner of real estate,the title to which is in my own name and duly recorded,situated in _, Washington County,Pennsylvania,worth above all encumbrances $-----_.....;and that ~am worth the amount expressed in said bond,over·and above my just debts and liabilitie~.. ......................................................................................................................... _...-----------------.'--'-- Street P.O. COMMONWEALTH OF PENNSYLVANIA,l WASHiNGTON COUNTY.~SS: And now ,..............................19_...........comes ___ who being duly s~orn.says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this _ day of .._.__.._.._....__.....A.D.19 ....._----_._----------------------------------------------------- '>1lf--~ t #2316 r '" "~ No.__63~_6_8~.l424 c,-'/ } '. , ~- 1\bmittiatratintt 1Buttb .~.\ ,;" IN THE ESJ.ATE OF"I C\l And now .9_g.t.9.R_~!'__.3J._'_____,19 9.tL Bond approved and Letters issued to ..". or "\ v') ::~l~.-_..J Cr.;::.~,.....~!'- ~LJ _!.~_.. ........ Q.: ~......: a LU f--".-'.-~",~fiE L'-'-. -__RO-B.ERr;r:';_t£~a._QP_TH_,__~~.__._..__.-._... ()c~-"r~- .-u'-c.= ,'') t J \:.',)'...,,,~ i (" ld'I) " ";, ,Sf :'\):,j f ______~~.~l~y.gL__~.~~_~~_~~__.__;._.._ -..,--_~g_~~.~_~_.._~~~y'...g_~~_!~_f.~~_~__.... ____._R~.~_~~_!J....~§..:rj.,AQ_.._........_._. Register Bond Book ------------.6,3...--------Page __.._96.._ BAOZIK PRINTING ~9 DONORA ~ \ .. -----------... I ·'.,..i'r ,..~t'-l IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVANIA ESTATE OF ROBERT C.BOOTH,JR.,) ) DECEASED.) PETITION FOR DISTRIBUTION UNDER SECTION 202 OF FIDUCIARIES "ACT OF "19"4"9",.AS""AMENDED,.2"0""P.S ."320"."731 TO THE HONORABLE,THE JUDGES OF SAID COURT: The Petition of Wesley G.Brounce,respectfu~ly repre- sents: 1.Robert C.Booth,Jr.,the deceased,a domiciliary of the Commonwealth of Pennsylvania,died intestate on September 28,1968; 2.The decedent's personal estate consisted of a checking account maintained in the Monongahela branch of Western Pennsylvania National Bank,containing Three Hundred Sixty-Five ($365.00)Dollars at the time of his death;(See Exhibit A) 3.There are no legatees under the Will as decedent died intestate; a 4.The decedent was survived by his spouse,Deborah Ann Booth; 5.There are no persons entitled to distribution who are not sui juris; 6.No family exemption is claimed; 7.Administrative expenses and debts of the estate are as follows: Funeral Expenses (Paid by decedent's mother,Mrs.Elizabeth Hines) $1,060."00 , "..'...'.'.')...--'..r-,. Funeral Expenses $125.00 (Opening Grave) Paid by Wesley G.Brounce Legal Fees and Filing Fees (Not Paid -Hormell, Tempest,Simmons,Bigi & Melenyzer) 100.00 11.00 There is no tax due the Commonwealth of Pennsyl- vania.(See Exhibit B) 8.There are no claims not admitted; 9.The following are unpaid creditors whose claims are admitted: Hormell,Tempest,Simmons,Bigi &Melenyzer (Attorneys'Fees) WHEREFORE,your Petitioner respectfully petitions this Honorable Court to award the Estate of Robert C.Booth,Jr., Deceased,according to the annexed decree. HORMELL,TEMPEST,SIMMONS, BIGv&ELENYZER •Q '"-":., l I , I I I 365:00 ., CURRENT BALANCE 10/03/72 STATEMENT DATE SERVICE _ -CHARGES - National Bankl~It' AMOUNT 'ESTATE OF ROBERT BOOTH %WESLEY BROUNCE EXECUTOR R 0 #2 MONONGAHELA,fA. ACCOUNT NUMBER .-.J M 04-2-360461 MO.DAY I~~--,-_./NUMBER I I I9:0~72 36~00 I _11 _ L DATE "T-'om ~~~DATE "T--R CHECKS AND CHECKS AND R CHECKS ANDAAAMO.DAY N OTHER DEBITS MO.DAY N OTHER DEBITS MO.DAY N OTHER DEBITSsss~--- - DATE-·"~.'DEPOSITS AND AMO.DAY ~OTHER CREDITS -I I,, ·-Tr--....-------.._____.,.-._ I II I I XHIBTT .,A'I'I~~=====~~~=~~=====~=~=====~~---~---~-~~---l' eXPLANATION OF --OVERDRAWN LS-L1ST OF CHECKS MC'MISCELLANEOUS CREDIT MD'MISCELLANEOUS DEBIT TRANSACTION CODES RC'CREDIT REVERSAL RD'DEBIT REVERSAL SC'SERVICE CHARGE d:' ..-f • n• Consent of the agent of the Commonwealth of Penns.ylvania for the Collection'of Inheritance Tax. EXHIBIT "B" PETITION .... COMMONWEALTH OF PENNSYLVANIA ) )55: COUNTY OF WASHINGTON ) Before me,the undersigned authority,personally appeared W_E_S_L_E_y_G_._B_R_O...U_N....C.....E _ who,being,duly sworn according to law,deposes and says that the facts set forth in the foregoing -------- FOR DIS:TRIBUTIO,N verily believes. before day of SWORN to~and subscribed f::::L; me this ~~ ~,i9iJ . -........ G LEAVITI NOTARY PUBLIC"AL\'IN • .-WA":,HINaroN.WASHINGTON COUN~75~'Y COMMISSION EXPIRES MAlt 3.1 I.l·;'rnber.Pennsylvania Association 01 Notaries ...-.-.......;t ..4, IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVANIA ESTATE OF ROBERT C.BOOTH,JR.,) )NO.""o'f DECEASED ~)----- PETITION 'FORDTSTRIBUTTON UNDER SECTION '2'0'2 OF FIDUCIARIES.... ACT OF 1'9'4'9,AS'AMENDED,.'2'0 P.S'.320'.731 , D E 'C R E E AND NOW,thfS/!-day o'f",k'",1972,upon consideration of the foregoing petition~nd pursuant to the pro- visions of Section 202 of the Fiduciaries Act of 1949,as amended, 20 P.S.320.731,and upon motion of Paul A.Simmons,Attorney for the Petitioner,the Estate of Robe~t C.Booth,.Jr.,Deceased, consisting of Three Hundred Sixty-Five ($365:00)Dollars containe in a checking account in the Monongahela Office of the Western , Pennsylvania National Bank,Monongahela,Pennsylvania,is ordered to be distributed and is awarded as follows: HORMELL,TEMPEST,SIMMONS, BIGI &MELENYZER,Attorneys Wesley G.Brounce Mrs.Elizabeth Hines $l1:l!.00 26.67 2Z:7..33 Payment and distribution are accordingly so decreed and, the Western Pennsylvania National Bank is authorized and directed to distribute the estate to the above-named individuals. NO.'. . . . .of'----- HORMELL.TEMPEST.SIMMONS BIGI Be M ELENYZER ---.;:-- ... ..,) C'_--. -;., l.".o,.lc.o BOOTH,JR., \--.. -.------,,-- ESTATE OF ROBBRT C. ATTORNEYS AT LAW 423 THIRD STREET CALIFORNIA.PENNSYLVANIA "t 1--.-.f'(,.,.":('I IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNA. DECEASED. ~1jf?E T}_T TON. ~~/J z·r~~~~\f)h'..-:-r ~1xn -:.~' ()&,1 t ,-~:b~~:~'1 tf-;:E;:; :} ;. If , 1" .' 11'I