HomeMy WebLinkAboutOC1968-1605 - ESTATE OF MANESRCC-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
HENRY COOl'
IN YOUR REPLY PLEA8E
REFER TO 37-171-6
In Re : Estate of ____ _:::t.C:!:!;LA2!1R~A~F..!..-'MA~Nc!!E3:::' ~a~/k~/~a~---
_____ ....:.:"lfl.::.:A=.S:.::HI=I"::.:m::..:·T:..::.O..:.::N _____ County -File No. 63-68-1605
Dear Mr. Cook:
You are hereby notified that the original
appraisement in the estate of Clara F. ~~nes a/k/a
has been filed in the office of the Register of Wills qf Washington
County on February l~ , 19_29. Said appraisement reflects the
following valuations:
Real Estate ---'-------'-9-L, ,50:::.:0~·~00~--
Personal Property ________ ~l~5~0~·~0~0~---
Transfers ______________ ~~~~~---
Total ____________ ~9~·~6~50~.o~o~---
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 (6%) percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date February 18, 1969
Title W.R. CHANEY,
DATE OF DEATH: December 17, 1968
Note: This is not a bill.
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JY1ANES, CLARA F. a/k/a LOHNEHT, CLARA F. ¥lANES
FILE # 63-68~1605
December 17, 1968
• RCC-39 (6-67)
·:or>~¥0NWEAL TH OF PENNSYLVANIA
TRA.NSFER INHERITANCE TAX
RESIDENT DECEDENT
• SUMMARY
FILE # 63-68-1605 ftEPOHT OF INH.!1~RITANCE TAX APPRAISER
I. the undersigned 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
opposite each item in the last column to the right in Schedules
Dated: 02-18-69
12-17-68
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for Washington
County, Pennsylvania, do r•;spectfu1ly report that I have allowed deductions in the amounts
claimed by deponent, except as to those i terns 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 ~71~ the sum allowed as a deduction.
Dated: 02-18-69
REGISTER OF WILLS
INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
$ 91500.00,~ $ 9,_500.00 $ _____ _
__ __,1"""'5'-"'-0.._,. 0=0 ·-150. ()()
TOTAL GROSS ASSETS
LESS Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
annuities ...... · ·
ESTATE TAX ASSESSMENTS
9.650.00,_
Q 2 5)2 !12:~-
4.117.8..5. __
$ ___ _
9,650.00
5,532.15 ·-·
4,117.85
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FOrt USE OF REGISTER ONLY CQ'II{PUTATION OF TAX
Taf on $________________ ~% $~----------
Tax on $ .. -r,:}6%.~ 0~;1 .. o :.·· Tax on ~ 4,117.85 ~ ;!)_~2..::4:'.:.!7....:.•_:.0_!.,.7_
Tax on $ , __ lfl% $
Ex.emptions := (':')
Total Estate __________ __
TOTAL TAX $ _____ _
Less tax previously paid *~~====~==~~
BALANCE $ __________ __
Less ~% of tax if paid within
3 months after death *~~~==~==:===
J,\LANCE OF INHERITANCE TAX DUE
Add interest at rate of H% from
to -------
AMOUNT OF ESTATE TAX ASSESSED *-~----
Estate tax paid $ ----~-
(':') As evidenced by Charitable Exemption
Certificates issued by the Secretary
of Revenue.
$-~----
BALANCE DUE $ ______________ _
Add interest at rate of 6% from to $ ______________ _
TOTAL TAX BALANCE $ ______________ _
PAID $
FQR USE OF REGISTER ONLY ADJUSTMENTS
NOTE: Where subsequent adjustments are made to the above computation of tax by the
Register of Wills, for proper reason, same should be noted below, with short
explanation.
Will
Administration ( No.
IN THE
Year ........... .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
CLf.RA F. MA~. <i/k/8:
Deceased
Late of . GAI\TQN.:3J:3U.fi.CX
County of WASH.JNGTON . . ............. .
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
...
. DATE ................... x.~~~.~.~l ...... ~~.~ ..... ~?.?..?
DEPARTMENT OF REVENUE
BtlREA-U OF COUNTY COLLECTIONS
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
COUNTY ........................... ~~.~!!:.?.:?.~~.?.!: ........................... .
,
HARRISBURG, PENNA. 1 7 12 7 FILE NO. .. .................. §?..:.~?.:.~.?..9.2 ................................. .
Whereas, ............................... 9.J.:f:l:.r.9.:...f .. ! ..... ~.?.:~~.~ ..... ?:/.~/.?:. ................................................ late of ........................................ ~~.::.?.::.~.?.~:.~ ................................... .
in the County of ................................ :W.9.-.:?..h~.D:g!,.9.P. ............................... ; ........ , ... :: ..................... Commonwealth of Pennsylvania, having died on
the .................................... ~.7 .... th ........................................ day of .................. P.~.~.~!!.1?..~.~ ............................... 19?.~ ...... , seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, W R Ch e ...................................... ~ ...... ! ............ §..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 Asset Values Made for Inheritance Tax Purpose•
$
1 REALTY:
I ,
All those certain lots of ground known and numbered and
designated as Lots No. 42, 43, and 44 of the Highland
J
Plan of Lots of North Strabane Twp.' said plans being I
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of record in Washington County Plan Book No. 4, page 70. 9,500 00 '
PERSONALTY:
Household goods 150 00
...
Total 9,650 00
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fonn~;•!;:fhb~~ !:%~w~~;;.t~ ~=: ~; ~~~bo~e ~P~~~~~~~~? d.... Appra1ser
~~""""""""""'"""""'"""""""""""''"""' •••••(! 4:?'' .......•..........•.•••..•••••••••... ~~.:
W.AqJII.NG.TQN.. .. ............................ c 0 U'lty
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.. G~ ... .f..~ .... ~":t.LI:.~.$ .... 9:/k/~ ...................... .
Deceased.
Late of
CANONSBURG
Date of Death, .............. P.~~-~~.E?.f ... J.7.., .... J.9.~.?. ........ .
Appraisemel!t Docket Vol., -···-···-.3.7 ................ ·-·-···········-
Page, .... l.:Z:k:~ .......................... No. ·---~2..::~.?.::_;1..§92 ....... .
Filed in Register's Office,F.~?.E.~Y ... J.-.?..1..19~.9. ...
Amount of tax due $ ' ................................................................... .
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abo.ut Appra-isement,
Appeal f1'om Appraisement,
Entered and charged, ....
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LAW OFF11~~9': __ 'P.
DAVID M>cu~INS
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II Was hlngton Cou:~ :L:~n:~l :~:::: b::n:h:f B:::::nm::d C:::n::::g,
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IJ posing memory, do hereby make, publish and declnre this my Last
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lj Will and Testa!!lent, nereby revoking and makine null and void any
II otner Will or Wills by me at any time heretofore mEtde •
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'l il II li 1. _I direct my executor hereinafter named to P8Y
I' il all my just debts and funeral expenses as soon as may be conven-
!1 l! lent after my decease.
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!! 2. I direct my executor nereinafter named to dis-
jl li inter the body of my husband, William Carl Mones, and inter his
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ii body in a lot in Oak Springs Cemetery owned by me, and I further
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!J direct tnat my remains he placed in this said lot beside tne body ji li
11 of my husband. 11 'I j,
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3. I direct my executor hereinafter n2med to sell
'1i jj all my person£.1 propert~r and real estate of whicn I may die siezed
li jj at public sale, converting the 3ame into casn, and I nereby auth-
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jj orize and empov;er my said executor to make as good and sufficient
H 'I ~ a deed as I could do if personally present. i!
'I il H ;; 4. I hereby direct tr2at out of_my sald estate, my iJ li lj 1, executor snall pay all my just debts, funeral expenses e.nd any and " 1! l! all costs incident to my funeral and tne purchase of 2 suitable ii H
·;; tombs tone i::-1 tne lot heretofore mentioned, bearing tne names of H jj ii myself and my nusband, William carl Manes, thereon.
" li !l il u ,, 5. I give, devise and bequeath to my s tep-dau.ghter, ,. ,,
li p Corinne :M8nes, the sum of One (~~1.00) Dollar. !l
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II Wheresoever the same may be found or Wheresoever situate' I t;i ve II
. 1 to my deugnter, Dolores ,Clara l'iit:ne s.
6 •. All my estate~ botn real personal or mixed,
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1 brother, Henry Cook, executor of this my L2s t Will and Tes.tament
II and direct that he shall employ my e ttorney, D.· M •. Cummins, in
I hereby nominate 1 constitute and e.ppoint my
ll the settling of my estate, and direct t.hat my executor shall not ll
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be required to 0 i ve a bond covering the trust hereby reposed in
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H seal this 11th day of Mny, 1945. jl ll
IN WITNESS WHEREOF, I nave hereunto set my hand and
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!1 testatrix as nnd for her Last Will snd Tes tement, in the presence fj 'i
I) of us, who neve hereunto sub~cribed our names at her request end li
Signed, sealed, published and declared by the above
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11 in her presence and in the Presence o each other, on the day and ,., II
11 date above writ ten. II li
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.Affi~auit ®f 1-Exrrutnr ®r .Abministratnr
l'tat.r nf J.rnnnyluania, ( nn:
QJ.nunty nf Ban~ingtnn \
Personally before me, the undersigned authority, a ... NO.t.a.rY, .... P..ub.liQ .................................. in and for said
County and State, appeared ................. He.nr.Y, .... C.Q.Qk ................................................................................... who, being duly
sworn according· to law, deposes and says that he is the executor or ~ of the estate of
Clar.a ... F. ....... Mane.s.,.a/.k/.aC.l.ar.a .... F. ........ M.g,ne.:;? ....... deceased, that the fo;-egoing_schedules const~· tf; a Lehnert Cla~a~·. Manes,a ;a
complete inventory and appraisement of the real and personal estate of..Cl.ar.a ... E' ....... .M.ane.s ... L.a er,t
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 ~~~.
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. .. _ r-· S;worn and subscribed before me this.a.KJli.....
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·' day,of;'"·£.~ -~ · ·· ~ ....... 'ii'~;;;;:~: ........ ..
.... ' ! t ..... ::··"1~r[t.:.~J.7f:.-;,:_""""""""'""""""""""" ' . ?~~---T v.-.. V JRbW~~AL INSTRUCTIONS -. ~
i' .. --1. .An' iriv~ntory must be nEGEMliBn~r!,~onths after appointment of personal representative .
., a-:-. ·J ·~2 . ..-ksupplemental 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-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2
11nurntnrg nub -"pprai.armrut of the goods and chattels, rights and credits which
Clara F. Manes, a/k/a '
were of'C'l:cl.'l''Cf''"F'~· .. ··Man-es·· .. r;onrrert· .................... Jate of Canons.b.ur.g . ., .... .P..a. ................................................. ; •.
Washington County, Pa., taken and made in conformity with the above affidavit. .
DOLLARS CENTS
Personal Property Household Goods l $150 00
Real Estate:
All those certain lots of ground known and number~d and
designated as Lots 42,43 and 44 in the Roy J. Waycho f Plan of Lots,
known as the Highland Plan and of record in the Recor1er's O~fice of
Washington County in Plan Book 4, page 70, said lots )eing mpre par-
ticularly bound and described as follows:
Lot No. 42. BEGINNING on Cherry Street at the N)rthwes~ corner
of Lot No. 43; thence in an easterly direction along 3aid Ch~rry
Street 32 feet to the corner of Lot No. 41; thence in a sout~erly
direction along said Lot No. 41 110 feet to Sugar Street; t~ence
in a westerly direction along said ~ugar Street 32 fe=t to t~e cor-
ner of Lot No. 43; thence in a northerly direction by said Lpt No.
43 110 fee~ to the place of beginning.
Lots No. 43 and 44. BEGINNING at the Northeast ~orner pf the
intersection of Ash Street and Cherry Street; thence ~ast alpng said
Cherry Street 64 feet to the corner of Lot 42; thence South ~long the
line of said Lot No. 42 110 feet to Sugar Street; th~nce We~t along
said Sugar Street 64· feet to Ash Street; thence North along ~aid Ash
Street 110 feet to the place of beginning, upon which is ere~ted a
five room house and garage, of the value of $9500.00.$~.~50_0_00 ___ __
' Total estimated amount of estate $9,650 00
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EFFECT~VE .JANUARY 1, 1962. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)
Fonn No. RCC-62 (12-66) THIS FORM ;REQUIRED IN. ALL ESTATES W;TH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF A ~zUNE. 1 , 1961, ./.
<'# . . . ' ~ .
• OFFICE OF THE REGISTER OF W;LLS -;;'1J" ~-
County of .. Washing:ton. . . . . . . . . . . . ~
... Henr.y. C.ook ............. · ................... of ~~9.i) .. :r'.WP.·.Wc?-~.ll~P.gt9A. 9R~I;:t.Y. t ¥>.C3:: ••••••
(Name) · (Address)
being duly ______ .s.w.o.rn ____________________ .according to law, deposes and says that he is the ____ ~_~§g_~_:I;._Q~------------------------------------
. (Exec., Adm., Legatee, Etc.)
of the estate of ____ C]._g,r_~ __ f_~ ___ M9:J.l§§_: ___ a/-k-/-a-----whose last residence was .JJh ___ ~h~f-~Y ___ ~:I;-~-----------------------------CNo.> (Street) Clara F. Manes Lohnert
.... Canonsbw:g _______________________ .deceased, and that the whole of the estate of said deced ied,_Q.,~c~!!l)2§_~ __ _1._7._tJ 9 6 8
· (City, Borough or Township) . ')t · ID"''
consisted of: . . .
REAL PROPERTY
'1 REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
All those certain lots of ground known and numbered Value
and designated as Lots No. 42,43 and 44 ot the Hlghlana .l:'lan o;r:
Lots of North Strabane Township, said plans being of record in
Washington County Plan Book No. 4, page 70, sa1-a To"'Cs ne1ng more
particularly bound and described as follows:
Lot No. 42. BEGINNING on Cherry Street at the Northwest co ... ner
of Lot No. 43; thence in aneesterly direction alonq said Cherry Street
"32 feet to the corner of Lot No. 41; thence in a southerly dir ection
along said Lot No. 41 110 feet to Sugar Street; thence in a w esterly
d1.rect1on along sa1.a Sugar St:tt:eet 32 "feet l:o "t.ne corner ot Lot 1\10. i:l:,jj
thence in a norther~y direct~on by said Lot No. 43 110 feet t :::> the
place of beg1nn1.ng. ,.
Lots No. 43 and 44. BEGINNING at the Northeast corner o f the inter-
section of Ash Street and Cherry Street; thence East along sa1. ~ Cherry
Street 64 feet to the corner of Lot 42; thence South along the line of
said Lot No. 42 110 feet to Sugar Street; thence West along s Ftl.d Sugar
Street 64 feet to Ash Street; thence North along said Ash Stre ~t 110
feet to the place of beqinninq, upon which is erected a five r porn house -"7
and garage~of the estimated value of $9500.00 ~9,500.00 ~ -gg:a~
(,P'-,_. ., r ~ ....... , -.., -'-"..::J
Personal Property ~-Household goods valued at $150.00 t)-~
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I ' 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 respmisible 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.
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Jointly Held Property None Estimated
Value ~'-· . \
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Transfers within TWO YEARS Prior to Death None .
That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:-, No exceptJ.ons
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
I·~·----------------------+--------------+--,.--------
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 interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
rnrri .n~"> M.:=!n~">c: Mnnr~"> C+-onr:I,,,....J.,+-a..-Sl 00
3151 Wattona Dr. ·s:: J
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•• '. , , " ~·~o.o=>."-' ..._ ..._ ..._V11 f '-"U-'-~ Delores Clara Manes, now n.::~nC"Tht-e::.r Entire estate
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RESi't>ENT DECEDENT E>EBTS AND DEDUCTIONS CLAIMF,;D
: NOTE: List first five items in the spaces so provided, observe notations ther.eon, and instructions.
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN r---~--~==~~~~----------.-------------------~--------------,---------.--IDEGISTERONLY
OTHER DEBTS AND CLAIMS
Funeral expenses paid
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *
Counsel fees *
Fiduciary commission *
No known debts
(*) See Note below
$1,395 00 $
5,532 ,15
-· Total L$5~53~~-~~------~-
Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater
or less than the estimated amount claimed and allowed. . . ~ ~. -~;? ~
. (/ :.c;,c }f. S~bscribed and sworn to before me this .... A .. t1. . . . . . . . . . . . . . · .... · .. · . · . ;:, ,>;:.;~/.' · · . · · · · · . · · · · · .. · · · ·
9 ecut/:,~ .• UliAS!Jtl§tlutor)
. . . . . n day of . . . . ~~ :,:~~ . . . . . . . . . . rsr~;;; ;..;~;,;,;;;. . . . . . . . . ..
. . . . . . . . . . . . . 1.1::: .. ~""" ................ . ······~?~~-
(City or Town and State)
Having been duly sw3~ording to law, I d&~by rtify that the above appraisement is m)l~ in conformity with law on this
................. /J..H. ....... dayof .. ~~· .......... _ ... ~ ...... ··z····:?79 .. /:""" /J
................ ~ .......... ~ .. ~ ....... .
A raiser
In the event that any future inte1·est in this estate is transferred in possession or enjoyment to co a raJ heirs of the dec ent 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.
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Fonn No. RCC-62 (12-66)
Will " Administration }No. · ...... · .. ; CYear .... .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Clara F. Manes, a/k/a
.Claxa. E •. Manes. L.obnert. .... -.....
Deceased ·
Late of ... Canons.bu:r::g , J?.a •...........
County of . ~~.!:!J::l~n<J"!=~I?-"·: . . . . . . . . . . . . . . . . . --
Commonwealth of Pennsylvania
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REPORT: ;AND -APPRAISAL -.,-)
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Form RC c-10
OFFICE OF THE
REGISTER OF WILLS
J
OF COUNTY
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWE'o IN
' .
THE SUM OF . . . . . . . . . . . . $ .§; .£:...,1{'-/S
DATF. APPROVED ............ ~~/.-!-.~? ········s-·········
~2T ~;;~::;:;;~, ~~ C:% fF4::f.f!: w'?:,~
Clara F. Manes, a/k/a L.ATE OF 1 1 2 Cbe:t::q_l St Canonsbm:g: ,Ea. ESTATE OF c-rara F. t\anes L~hf7JE .n~-/;; _, Y December 17, 1968 DATE OF FILING APPRAISEMENT DATii OF DEATH ·v I
DATE NO. OF MIL OF PAYEE REMARKS AMOUNT VOUCH""
, n ............ ~11 Mr:~rinn R~=!aister Letters Tesi-r~m~">ni-.=~rv s Hi 00 -
-·' .... ()hC!o,.uov-P11hl;C!hincr rn Prnnf nf nnh1iro.=~i-inn 14 00 .... ~
") TAT.=~c::hi naton r.onntv Reoorts 14 00
4 Mollie R. Cobern Witness to Will 6 00
t:; William E. Speakman Funeral Director 660 00
6 Leonard L. Zvsser, M.D. Medical services 15 00
7 n T 'Ui crrll">rm;:m M__. D. II II 105 00
8 Ambulances. Inc. Service 20 00
q F..=~c::i-Arn Air Lines Fliqht to Canonsburq 914 55
1 0 Gandv Medical Center Drugs 25 00
ll Richland Cemeterv 120 00
12 Tamoa Osteooathic Hospital Services 473 10 ....
"' -'"' ~
1 1 ~.=~nnv MPniro.=~1 renter Tamoa Services 25 00
1 .::1 .T R .Tove. 0. D. Services rendered 50 00
1 !:) Marciano Funeral Home Services in Florida 735 00
16-"' Hen.rv cook Executors fees 482 50
1 7 n M rnmminc:: Attornev Fees 482 50
1 Q 1\T,..., ... +-'h !=:i-r.=~hr~n~"> M11nicioal Assessment 880 lao Autnorlty
l5h , n u~~-·· ,,...,,...,lr l\Tni-.=~rir:~1 fppc: n;:,;r'l 4
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20 Kurtz Monument Marker 475 00
21 Olive Plants Secretarial service 15 00 -
$5,532 15
COMMONWEALTH OF PENNSYLVANIA }sa: COUNTY OF ~1asbj ngton
I, Hen:t:~ Cook HEREBY CERTIFY, THAT. TO THE BEST OF
lloiY kNOWLEDGE AND BELIEF, THE FOREGOING 18 A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP'
ADMINISTRATION SUBMITTED TO THE ESTATE OF Cla;ra Jf o Ma:R:8S a/J'ia DECEA8ED. AS DEDUCTIONS FOR
'""'""••CE ""' PuRPOa... Clara F. Mane~rt ~
(L. 5.)
SWOR(:f;;D SUBSCRIBED BEFORE ME THIS ;?%t:tf'DAY Of' ?'~
.A.A J / .h A_,~ .p-18 (/ ~£l, ~: 0 17-r-(7!]7~
~ cP -"' #,~.
MY COM SION EXPIRES -
DECEMBER 12. 1970
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