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HomeMy WebLinkAboutOC1968-1609 - ESTATE OF CHANEYPETITION SUR AUDIT IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of ..... ~.P.J.'r!L.W.~ ... Gg~~¥_, __ .. <J~.9-~9-.l?. ~.<J ... ___ .... __ No ..... ~-~-::§.?.::.~-~~-~----·-·------·--------------··········· Fiduciary ..... S.b.e.rma.D. .. H .•.... SJ~.g~J_,_ .......... ~----·-· Executor, ............................................ , ............... . Deceased Date of Date of . ~ · Decedent's death .... .P.~9-~~~~----~-'---J~-~-~---------·······-···--Grant of Letters ....... !?.~~-~~-~! .. }.9_L._~2-~~--------------~--- This is the ..... F.i.J:s:t .. and .. .F.inal .................................. account filed in this estate If there have been former accounts filed in this estate, list file number or number and term ................................... , None filed. Election to take Not applicable. W~®x:mK~il<lU{~~X (cross out one) Date Election Place of; Filed ···········----------···-··-······ Record -----··-------·---·---------·· Name of surviving spouse .............. ~P.~~§-~.--12~~-~~-<?.~-~~-~~---~~-<?.!:9:!:!.1.~-~------··---·--------------------------··----··------·-·-----·· List issue, where material: Did decedent marry after execution of will? (indicate) :mis. No. Any children born after execution of will? (indicate) 'It®. No. If answer yes, name them:····························-,····-~----·:········---·-·············----·---·--·-······.·····-------·---------------·-----------· Leg.atees Relationship Interest Fiduciary, if deceased or not sui juris Jane c. Abell Daughter Specific legacy and 1/2 residue Katherine c. Yard II Specific legacy, devise and 1/2 residue List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: No exceptions. If partial intestacy, give facts: None. Notice to interested parties. Have all parties, having e-ither 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. MIH. . If any exception give cause: ...... N9 ... ~-~Q.e.P..tJO.:r::!:R.r ...... . . . ~ ~ . . File copy of Notice · · and date of mailing ..... G.9.P.Y. .. QJ .. ~QJJ.9.§ ... 9.t .. ~~<J!.t.. .. <J~.t.~fl ... N:~g~~t. .. ~.9 .. ( .. J.~§~ ... ~!.l:9.~.<?.~.~~---~~-;~~?:-th • Is estate subject to the filing of a Federal Estate Tax Return? ............. !:J.?..~ .................................................................. . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ .. Jf~J::::JJ.c;tJ;"Y. ... ~-~-~---l.!1.Q.~ ... I?.ai.d ... . $1140.00 ($1200. 00 less 5% disc.ount) If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant ..................... . No life estate . .................................................................................................................................. :. ................................................................................................................................................................................................................................... . Give Names and addresses of all unpaid creditors who are legally entitled to notice, tog.ether with the amounts of such claims; state whether they are admitted 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: None. Balance for distribution per account, Itemize any additional debits not shown by account: Overcharge in Account for filing Inventory. & Account Henry G. Hood & Sons·-insurance refund Col~li\bia Gas Company -refund Total ·additional debi~s (Add) $ ................................... . Itemize any additionai credits not shown by account: Sherman H. Siegel, .Esq. ...,.., Executor~ s. commission Malq6lm Morgan,; Co. Treas.-Personal property tax 1250.00 179.74 $ .. ~.9 . .r •• 4.7.J.!.7..~ ............ . 9.00 28.00 41.00 $ 20 ,5it9. 79 1,429.74 Total additional credits (Subtract) $ ................................... . Balance for distribution 19,120.05 $ ................................... . If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); Household furniture $500.00 Balance in cash ~- ' If Family Exemption claimed by Petition, give place of Record: ......... NQD.~' ... C.l9-..ime.d_. __________________________________________ _ If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ........ ---------------------------------------- List any advancement or distribution on account that 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: '}\ft~x payment :of .balance of Inher.i tance T.axes and audit costs, balance to be .awa:r:-ded as fol~ows: 1. Household furnitur.e .. and~furnishings_,appraised ... at __ $.500. 00 in equal shares to Jan•e c. Abell and Katherine C. Yard under Item 2 of Will. .2. $7,500.00 to Jane~C~ Abell under Item 3 of Will, being legacy spe.cifically charged against real estate. ··'I 3. Balance ~to Katherine c. Yard under _Item. 3 of Will tqer.e being no residuary estate for distribution. COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ............. sworn ............. doth depose and say that the facts set forth in the foregoing petition are true his to the best of ________________________________ knowledge and belief. Sworn . ------------------------------------------------to and subscnbed before me this ........ ~."!::h.day Signature of Officer .... Title of Officer ......... : ...... WJ!~~R;I_l, ~~~!J!~!~.'X--~~~!~~---···· Office ex pi res ............. -~~Y. ~Q!1J!!ll~~J9.~.~~P.~~~ .f~-~~~~f1.?!..}.~!-~--- • ,. • No. ---------.6.3 ..... 68 . ..-.1..6.09-------·------·---------- Estate of ....... ~P;J;Tft ... W.! ... ~Ji~~-~X_, ___ : ________ _ deceased Deceased Fiduciory ....... .s.hel:man. . .H .•... Sie.g:el.,. ...... . Executor PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in conformity 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. 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 or Administration C. T. A or on attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account.· 8. Certificate of liens in case any of the funds for distribution ore from judicial sale of real estate. 9. Signed and itemized distribution in kind .. elections if any 10. Copy of Federal Estate Tax tote is subject thereto. return if es- Sherman H. S~_E?.g5!.l., ... E.sq~i·r-e····· --------------·----·-------·--· ·-·-:Attorney ~2 .. Yd ·-o<J ~Ol~NUISYM SlliH" .:W ijJ!SW3lJ OND~t;t~ l1Jssnu "•· ,,22 Z Wd 12 ~OH 69, ·a 3 ., L:J ;f .. ·. .... -·' •, ' . . . · \ ,, ~-.; ... . ,;, .. SHERMAN H. SIEGEL ATTORNEY AT LAW WASHINGTON, PENNSYLVANIA WASHINGTON TRUST BUIL.DING )N THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ) ESTATE OF EDITH W. CHANEY, deceased ) 63-68-1609 NO.. ~~XX«Xifx~ To ) Mrs. Katherine Nicholas Apt. H-3, 426 E. Wheeling St. ) Washington, Pennsylvania -NOTICE OF FILING ACCOUNT AND AUDIT :J?.LEASE TAKE NOTICE that the Account of Sherman li. Siegel, Executor of the above captioned Estate, has been filed in the Office of the Register of Wills of Washington County, Pa., at the. above -Number, and that the same will be called for audit before the Orphans 1 Court at Washington,_ Pa., at the -session of said Court beginning t.Yednesday, Sept. 10, 1969 at 10:00 o'clock A.M. ,EDSTat which time and place you may appear and be heard, if you so desire., Dated at Washington, Pa., . August 20,-1969. SHERMAN H. SIEGEL, , Attorney for Accquntant • P. s. You had previously received copy of First and Final Account filed in your Mother's Estate. Please note that in the Audit Petition there will be approximately $1250.00 deducted for. Executor's commission. Notice of Audit rnailed:August 20, 1969: ~ Mrs. Jane C. Abell 152 McKean ffienue, Donora, Penna . • Mrs. Katherine C. Yard Nicholas Apt. H-3, 426 E. Wheeling St. Washington, Pennsylvania 15301 "' -q en :E·:::u LC )> IT! ::0 ::z:: r c: (:) ~G")(/) ..:: rn =<nc.n Z-lrn f",J G'? rn r--\:;:J -i::.:Or 00 ... -o z...,.,s:: ::X > o:E;o ,...;.., o __ r-z -or-o r"'o.J )>(f) CJ..) ..... j C!!nmmnuwralt4 nf Jruusyluauia,} 'llan~iugtnu QI:nuuty. !i1i. KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, m the County aforesaid on the 30th. day of De camber A. D. 19 68 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of Edith W. Chaney late of Borouhj of _East Washington in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Sherman H. Siegel the Executor 111 said Will and Testament named, having appeared before me and taken and subscribed the oath of office prescribed by law; NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do grant these LETTERS TEST AMENT AR Y, unto the said Sherman H. Siegel 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 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 30th. day of December m the year of our Lord one thousand nine hundred and Sixty Eight /.) -~ ~ ' ......................... /~ ................. ~ ..... . Register -' ... : .. :.. . ~"'-'"" -- " ! '· .J LAST WILL AND TESTAHENT . I, EDITH W. CHANEY, of the Borough of East Washin;;ton, Washington C01.mty, Pennsylvania, being of sound mind, memory and unrlerstc;.nding, do hereby make and publish this my last Will and Testament, hereby revoking all Wills by me at any time heretofore made. ITEM 1: I direct that my Executor hereinafter named shall pay all of ~ just debts and funeral expenses as soon as convenient after my decease. ITEM 2: I give and bequeath ~ household furniture and furnishings unto my daughters, Jane C. Abell and Katherine C. Yard, to be divided between them as they shall determine. ITEM J: I give and devise unto my daughter, Katherme c. Yard, the property where I reside consisting of a brick dwelling house containing three (3) apartments and kno·wn as No. 102 South Wade Avenue in the Borough of East Washington, Washington County, Pennsylvc.nia, on condition, however, that my said daughter, Katherine C. Yard, pay unto my daughter, Jane c. ··Abell, the sum of $7 ,SOO.OO vrithout interest vrithin one (1) year after my . ' i .J death .• I .I I ,, :.i I l ., 't ·' .; ITEM h: All the rest, residue and remainder of my estate, of vrha tever kind and iYherever situate, I give, clevis e c.nd bequeath unto my daughters, Jane c. Abell and Katherine c. Yard, in equal shares, LASTLY: I nominate, constitute and appoint Sherman H. Siegel ( as E..""{ecutor of this my last Vfill and Testanent and direct tbat my said Executor shall not be required to furnish bond in any jurisdiction in which he may act. IN WITNE...SS VIHEB.EOF, I, EDTI'H W. CHANEY, the Testatrix, have unto this my last '?fill and Testament, set rrr.:r band and seal this !Li{' t£) day of November, 1964. Signed, sealed, published and declared by the above-named, EDITH ;v. C}lJtNEY, as and for her Last TVill and Testament, in the presence of us, who have hereunto subscribed our mmes at her request as witnesses thereto, in the presence of the said Testatrix and of each other. I i\ffibuuit ®f 1fxrrutnr ®r i\bmiutatrutnr ~tatr nf Jrnnayluania. t ss: C!Lnunty nf Baa~tngtnn \ Personally before me, the undersigned authority, a ........... ~9..~.~!..¥. .... ~.~!:?.~.~9. .......................... in and for said County and State, appeared ........... §.t;.~E.~.~~ .... ~ .. : ..... §~.~9..~.~:: .. : ............................................................ who, being duly sworn according· to law, deposes and says that he is the executor df~Htlili of the estate of .. ~~.~!-.t; .... ~ .. : ..... ~.~.~~.~¥..L .................................................................. deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of... .... ggJ:~h ... W..~ ..... fJH~}}.~Y. ................. ,. 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 deter ~. ed and stated by the undersigned to be the fair value of said items as of the date of the decedent's de at ; ased upon a just appr · s ment of each item made by the above named Executor ~~MX Sworn and subscribed before me this ....... ~.?.~.9.... l of ............. !I.~JY. ............... ~1:-·:·~!:z.. 1 .......... '.Rcf"p£·;~ .. ~ ............. : .. :) ... ; ... , ... ~ , .. ~~~~;~o~oN .\ .... S~tNGTo:'co .. PA. ADDITIONAL INSTRUCTIONS ~\~y C~D-Jli;P,ke.ri. ~ y;~riii:is~ibt2fll~tl7Within 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- cluding Copy of Will and copy of Federal Estate Tax Return. were REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec: 5.2, 72 P. S. 4844.2 1Juurutnrg auil .i\ppraisrmrut 'of the goods and chattels, rights and credits which of ................ ~.?..::.:.~ .... ~ .. : ..... ~~~~~.: ............................... Jate of .. .J?..9..EQ.~9'.h .... 9..t ... ~.~§.~ .... W.~§.h.!.~.9:."!::9.D:.t.. Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS. CENTS PERSONALTY: Pittsburgh National Bank (Washington Office) -balance checking account Household furniture REALTY: Lot of ground in Borough of East Washington, Washington County, Pennsylvania, at Southeast corner of South Wade and East Wheeling Street, fronting 60 feet on th East side o:e South Wade Avenue and extending Eastwardly of the same width 173.5 feet to lot now or formerly of Jonatha Allison heirs. Being major portion of Lot No. 20 inN. K. Wade Plan of Lots (Deed Book 5 A, page 23) . -upon whi.ch is erected a 3 story brick apartment house known as 102 South Wade Avenue. For legal description, see Deed Book <rJa page /Jtf Total 1673 01 500'' 00 2173 01 3000' 00 5173 01 ~· . ..c t£-~~7:7 t~-he-/~o! Inventory and Appraisement IN THE ESTATE OF EDTTH W. CHANEY Filed ....... <!~!¥. .... :?.} .................................. , 19 .... ?..~. ·,:1 '£;"0~ ~t;:!c if> ':..! (/! :::.c (,/"! (/l :::::.~rn ..c-ro.r-'"'· ..• , r ...-; .,_--. oo;c; z -n 17 0-......; ?J o~~ .. c:n c;p c.-~ f"'-) '~ ~ :::: -- ~ _.,.,. r" rn 0 ~ . r~ -··.--o t.t' -o(/) ~ . ... ~ ~~· SHERMAN H. SIEGEL, ESQUIRE 215 Washington Trust Bldg. wash1ngton, Pennsylvania ~9 c()b g() W-d3f .., FIRST AND FINAL ACCOUNT of SHERMAN H. SIEGEL, Executor of the Estate of Edith W. Chaney, late resident of the Borough of East Washington, Washington County, Pennsylvania. THE ACCOUNTANT CHARGES HIMSELF AS FOLLOWS: Inventory. andZAp~raisement: PERSONALTY REALTY To additional assets: Bell Telephone Co. Washington Manor Rentals collected Conversion of real estate: Appraised at Sold for $ 2,173.01 ' 23,000.00 refund refund $23,000.00 23,000.00 TOTAL DEBITS TOTAL CREDITS BALANCE THE ACCOUNTANT CLAIMS CREDITS AS FOLLOWS: 1968_ Dec. 31 Piatt Funeral Home Burial expense John R. Wheeler Rubbish removal $25,173.01 .72 12.50 260.00 -0- $25,446.23 ' 4,974.44 $20,471.79 $ 1,147.30 12.50 Citizens Water Co. Water service-102 S.Wade 32.18 Columbia Gas Co. of Pa. Gas service-102 S.Wade 345.74 West Penn Power Co. Elec. service " " " 76.73 1969 Jan. 28 Home Launderers Account due 10.74 Mollie Kotche'r " " 40.00 Washington Cemetery " " 9.00 Feb. 25 Russell Marino, Reg. Short certificates 7.00 Wash.-E. Wash. Jt. Auth. Sewage service-102 S.Wade 24.84 Mar. 24 Grant E. Hess, M. D. May 8 S. White's Sons Bal. medical services Lettering monument 10.40 29.00 1969 June 16 Sherman H. Siegel, Esq. Reimbursement for: 1968 Dec. 18 Reg. of Wills Probate costs $19.50 1969 Jan. 2 Wash. Co. Reps. Advt. letters · 14.DO Observer Publishing Co. Advt. letters Costs on sale of real estate: Bennet Realty Broker's comm. $1380.00 State transfer tax on deed 230.00 Local transfer tax on deed 230.00 Estate's share 1969 taxes 158.51 Suzanne c. Wells Witness to Will Barbara c. Fisher II II II Margaret Bails Notary fees Russell Marino, Reg. Filing Inventory and Account 1969 Feb. 28 Russell Marino, Agent a/c Inheritance tax Less 5% discount $1200.00 . 60.00 33.50 14.00 1998.51 5.00 5.00 5.00 . 28.00 $3834.44 . 1140.00 Total Credits $4974.44 Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May, 1929, P. L. 1784, as am~mded. Commonwealth of Pennsylvania, County of Washington, SS: .........•.. Personally appeaved before me, a Notary Public in and for said County and State, ....... ~!.~.h.~.!'.Q .... ~.! .... g.Q~.~-~---···············• who being duly &worn according to law, deposes and says tha;t he is the .... S..ec.r.et.ar.y ............. . of the Obs,erver Publishing Company, a Bennsylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of the Observer-Reporter, succ1essor to The Wrashington Observer, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspaper of general civculation, printed and published and havin'g its place of bus.ines's at Washington, Wrashington County, Pennsyl- vania, where it or its predecessors have been established and pnbUshed continuous'lY for more than six months' prior to the publication of the notice hereto attached; thaJt the printed notice or advertisement hereto attached is a ·copy of an official advertisement, official notice, legal notice or legal advertis-ement, exactly a:s printed or published in the Obs1erver-Reporter in its regular editions on the following d1ate or dates; ........................................... . ......................... ~-~-~-~-~-~Y .... ~ ...... .J.Q .... ~-~9. ..... !.7. ....... J..9..Q9. ................................. . that neither th~ affiant nor the Observer Publishing Company is intereslted in the subject matter of s1aid notice or advertising and that all of the aue.ga- tions' of this affidravit as to the time~lace and characte·r of publication are true. _ j ..£/ , Lcrt.-... xa.~ .................................................... ( .............................. .. Sworn to and w. 26732 '"b'«lb•d b''"" m• tb~i .. day or..:I.•.tltl.~.r.Y .. J 969 ·~~~;;····~~ WASHINGTON. WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6. 1972 Washington County Reports ~ 63 SOUTH MAIN STREET Washington, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 178·~ Sec. 3, paragraphs (3) and (25). . CoUNTY OF W ASHINCTON } STATF. OF PENNSYLVANIA ss. 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 periodical 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 COl'NTY Rr:PORTS was established on March 31, 19?0, 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: ....... J'anu-a-J;'y ... .g..,.. .. J..e-., .... 2-3-, .... 1969 ............ . that the affiant or the corporation in behalf of which he is acting is not interested in the subject ~l~~r o said notice or adve~g and/ha~l!_gf the allegations of this affidavit a~ time, pl~ and ch*.ayr of tth ,J"fiblrJioJt'are true. / c !?)[(_,;~'-:! ~ . !. )(!___.L--{_;2)~- -----------::::::=-q ...... L. .......................... ,.... ....................... .. ~ ~------:_:,.~ Editor Sworn to and s~cribed before me this ---. ........ 2._¥-_;Yiay of ....... Jan.uar.y. ................ , 196 .. J) .. ....... ~dL.~..< .. ~--~ .... =-· otary Public KATHERINE C. YARD, No Public Washington, WashinJton Co., Pa. My Commission Expi~es November 1, 1969 Estate Notices The Register of Wills has granted letters, 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 them for settlement to the Executors or Admin- istrators or their Attorneys . • • • • 0 •••••••••••• CHANEY, EDITH W., Dec'd. Late of Borough of East Washington, Washington County, Penna. · Executor: Sherman H. Siegel, 215 Washington Trust Bldg., Washington, Penna . Attorney: Sherman H. Siegel, 215 Washington Trust Bldg., Washington, Penna. STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law, d , se sand sa~ that the above account as stated is true· and correct as ............... h~-----------------------verily believe. 1 Sworn and subscribed before me this ........ ?.?.~-~----- July 69 day of ----------------------------------------------------19------------ ~~~-~--/::-~---------WAS~;~~:~ A'iHlNGTON CO., PA. My Commission Expires February 27, 1971 W01shington County, ss: ~ ~! "'-..! C?9 :. J-~- ·~! ~ "1 ,,l: ~: ~ I l ~ ~ ci z I do certify that I have given leg·al notice 'to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court, as evidenced by proofs thereof filed to No.b.~.:-~1-::-_b_a_Q _____________ ., Witness my hand and official •seal this ..... J~!.-~------- day af ______ -~---------------a;;-·: ------_--------19 hl __ -------~-[(~----------------- ~ 0 .... Register of Wills Q) 1---l •.--{ ~ tJ1 Ul r>::l r-1 Q) 01 Q) -.--{ (/) . :I: s:: ct:l s lo-1 Q) ..c: _.,_ '- (/) ....., ~-....., 1=1 " 0 0 0 <11 ~ 0 ...... :>, Q) ~ 0 ~ o r t ~ , <11 -- 0 ----:::)- ~ 0::. I C1 ~ ----~ p ' _ _, ,. "'!' <nouutu - ln "" malt<e or the A"dlt or Ao<o.,nl ln l ~""~o<~-~ED~H _li._CHANEY, de~eap_ed-~~ . --· ----------:-------·----------------·------- -... ...-------------·· ---------~--~----·----------· --··-.... ---·---------------------------------------.---------------- --------~---------·--------------·--· __ p ____ ----------- -------------------f'---· ' ,·_1 l ' ~-1 :; ' ~ -~ '' ·)• "'"' I · N. B.-Coun~Pl !lhall, by ~~·parate p:~pr·r. ~prr!>"i'n a cor .. ·i~P st:~tcmrnt of each claim, with supportinL:. ealculation or any inlPrcst daim.•d. Obj .. ctions to an nccount as. fill·d. ~h;tll IH· conci:"rly !Hated in a ~Pparatl' p.tp •. r. Council 6ll~IH·~ting-projl('r dl«tril>ution ~hall fih~ a '''para!" I"On..:ise stat•·· ntrnt in that n:~~;nrd. · ''Vtd ···.0:0 :N.O.it) t\l'lHSV.tt\ Slli~A\ ~0 ~B11S!l~.3ll O!U~'\1 !Y~ '1'13 S 'S1HJ E 2 2 "d l2 fiON 69, .'Q 3l i:) ~n t4t Qtnurt nf Qtnmmnn Jllru.a nf llu.a4ingtnn Qtnunty, Jrnu.ayluuniu, ®rp4un.a' <t!nurt tlitrl!i~n ESTATE OF N 63-68-1609 0---~--=-.:;;__:=..::...c:::...<_. ______ _ Edith W, Chaney, In the matter of the Firat and Final deceased, Account of_~S.~w~oh:!ll.e .... rmw.~awnu..· ..-~H.iu,~S~io.5oie:_ego£e...,l __ Executor ADJUDICATION AND DECREE And now November ,2/ , 19__Qi_, this matter came on for hearing, audit and distribution at this session and testimony token; and thereupon, upon due consideration thereof the balance for distribution in the hands of the Accountant is determined· to be $ 1 ~120,05 and·the account is accordingly confirmed; and it is ordered, adjudged on decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribu'tion hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. ____ . / SCHEDULE OF DISTRIBUTION Balance per account ________________ _ $ 20, l1ll I 79 78.00 $ 20,549. 79 Additional debit asked at audit Additional credit asked at audit 1Y:g9.7!t Balance'--------------------- Deduct Clerk's Costs & Receip :ij_------------ Attorney ____ ....;S~h=e:..:rm:.=:a:;;.:n::.. . ..::H.::;.:•:......:;:S:.:i:.:e•g~e;.::l:...-______ _ Russell Marino, Agent, transfer inheritance tax~ Jane c. Abell, daughter, an undivided 1/2 inter~st in household goods and furnishings, held in $ l~ .. l2Q. 05 37,00 ()$ 19,083.05 ~-~7.~() -1~-3 -t. 7 (1~·""-'•/Ji.:~. ii-1·. 14.10 ·'\ $ 19,068,95 M: .)1/.ICJ-/:l. -3-/, ~ (l~.A 0~~~* 250.00 ~,_..,. kind and distributed as such at the appraised value, Katherine c. Yard, daughter, an undivided 1/2 interest in household goods and furnishings, hfld in kind and distributed as such at the apprais d value, 250,00 Jane c. Abell, da.ughter, legacy, as charged on land, as set out in Paragraph 3 of the will, 7$00.001 Katherine c. Yard, da.ughter, balance remaining from funds derived ~rom the conversion of spec if.ical1y devised real estate that was subject to a charge, as distributed just hereinabove, I $ 18,818.95 $ 18,568.95 $ 11,068.95 No balance ~ 0 .... ~ fr :J z 0· -+ p v-+t ~ 0' :r ~ c (1) 0 :l 3 .... 0 0 .... i -· ... a t 'f\.1 ..... 0 "' er - ,. = g. "" d (/) . (1) ~:;j~ .:t::: Qt;' ~ • § Q... "':t 3J:; (::}~ ~l.i...,r.:; t:Y ':'"--, C;~ f\...1--1' 6 ~ -; o:; f- ~ wWu-I~\ tt) s-~· ~ .:.!i::t <.I}· (.1) ~ l.t c:::r, ~(;~ ··~ .... _ ~ a::· UJ. "" • ~~ ~ c;· 3J r ., ""·' --.: 'J _. __ :_rl • . -' ., ' e IN·-!.'fHE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, . to • .: \ ,4. ' . PENNA ' ! r r 4 . ORPHANS' COVRT DIVISION.· .. , : ' .. . ~~· .IN' BE: -· ESTATE OF ( •\. EDITH W. CHANEY,· z ' ~ Deceased . .J >-UI z z Ill II. i 0 1-~BEFORE: X II) <( ;: ~ ' ~'APPEARANCES: Iii 0 .J ~ 2 0 ' ::TIME: :t 1-,... C\1 IIi a: ·' ' \ .. . ' ' ) -' ) r l ")' . ,. ') ) ) No. 1609 ofJ968 HEARIJNG ON AUDIT THE HONORABLE P. VINCENT"_MARINO, Pres ide nt Judge of the s?-id~ Court. SHERMAN, H. SIEGEL, ESQ.;. of Washington, Pa., representing. the Accountant. Wednesday, September 10, 1969, at 10:00 o'clock A. M., EDST. / ~THE COURT: a: 0 II. Number 1609 of 1968, the estate of' Edith W. Chanty, Ill a: 1-a: :J 0 u· .J <( deceased. The Executor is Sherman 'H. _Siegel and the atto.rney. is Sherman H. Siegel. Mr. Siegel? u iL MR. SIEGEL: If Your Honor ple'ase, I have the necessary papers ... 0 for the audit of this account. In this estate, Your Honor, the deceden left a will in which she ~eque:athed her household furniture and furnishings in equal shares· to _her two daught~rs and we_ ask that the Court award. t~e furniture to the two daughters in accordance with the will. THE COURT: And they will make division of it? ... • 2 MR. SIEGEL: Yes. The decedent further devised the brick __ .... _ dwelling house· which: she ·ewn_ed at the corner· of East Wheeling Street and South Wade Avenue unt~ her daughter, Katherine, provided that Katherine would pay the daughter, Jane, $7500.00. There is no resi~ue !!: z oC ·> .J > CD z z Ill a. i 0 ... Cl z X CD oC of the estat~, everything having been specifically bequeathed and devised. Katherine has agreed that the full $7500.00 be paid toher sister, Jane, and that whatever remains in the balance of the. estate ' ·~ be awarded to her, less she would assume the administration costs and Inheritance Taxes. There are no. unpaid claims. ~THE COURT: Is there anyone else in Court interested in this· ..: u a: Iii c ... ~ u c decedent's estate? ( NO RESPONSE) ~THE COURT: The audit of this account is ordered closed by the :t 1-.... " IIi a: Ill ... a: 0 Q, Ill a: ... a: :I 0 u .J oC ij 'ii: "'' 0 Court. ' ( AUDIT CLOS~D ) . . . . w -. • t • • '>.'.:.. ' . ·.-.·;:t -~~/.,.. .. -~~::-~,;.· •. i( :z o( ~- = z .z .Ill a. i 0 ~ z :r Ul ..... -~ t -~ !!! Q .J ---------;-:--- ~ . .. •' ... I hereby ce'rtify that the proceedings ana evidence are con_--~-.. . . . -. ;:-~ ... ~ ···' . . tained fully and accU;rately ln the notes taken by me ort the 'hearing. of' the ! ' ,. above cause, and that this copy is a correct. transcript of the satr:le. . . . '· '< 0 ' . . • ' . ~ :• ,· .. I ' .:c_ .. • . o. ·The foregoing record of the proceedings up~:m·.th~-hearing ofth ~ ··':. ... . . ~ . . ~ ":•. ~ ' ' . -.......... . . . ..,.. . ~ above cause is hereby approved and~directed to b~ filed·::~ · .: ···• ... ~ ui a: i 0 a. Ill II: "" a: :J 0 0 .J. < 0 .ii:. "' . o· I • I .j l . -' -~ ' ··~ "1.. • . , . -··~···:_.~~ v::,.~ '• ,.. ·. ~' .. -... . . t• I • ,~ ...... ... .. ·. . -... ~ ;. -~ . (-... . . ·' # .. i ' · . ... t ''! . ~· ....... -... , ;._. ~" ' .. .... 0 ., ·. ·: .. . r· c~cjJ(:iJ 1di tl! •v, ;Uii.i-•;J ~..~ .. ~ l:)i,!.& ' ) ....... . ' . . ~ ' , ... · ·' . '•' • . , ' . • ' > <:~ ~· ....... · . I ' ·t t;. . ' . ;-.. ·' ..• .;;:·. -' l.. .. .1'1 : ,, I ~ ,i .. - .. . .. .• .. ~~ . y '~ ) ., .. ' ,, i ·' .•. .: ,, ·1.~-.-. ,., ·-· ... _' ·~·. :1_11 •I ~, '., ,'j ~~- " ,... , . e '· I / '! IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNA. (ORPHANS,. COURT PIVISION) IN RE: ESTATE OF NO. 6 3-6 8-1609 EDITH W. CHANEY, deceased . PAY TRANSCRIPT The undersigned hereby acknowledge to have received of Sherman H. Siegel, Executor of the Estate of Edith w. Chaney, deceased, payment in full, in accordance with Schedule of Distribution of the Court dated November 21, 1969, as follows: Russell Marino, Clerk, costs Russell Marino, Agent, transfer inheritance tax $ Jane c. Abell, daughter, undivided 1/2 interest in house- hold goods and furnishings 250.00 . r Q_ .. ~ . J e c .. Abell Katherine C. Yard, daughter, undivided 1/2 interest in house-~~ . · , ~iF hold goods and furnishings 250.00 · /~v~ ··· ·· · . · Katherine c. Yar Jane c. Abell, daughter, legacy 7500.00 J~7Ab~il~ Katherine C. Yard, daughter, balance . \ ' 1 f.~_ A;_~ "-\.•_. ,.._ ·- . i -" .. .;J • "'/",,. ' 11068.95-~e Katherine c. Ya j 6 0 : G"i l·ld E 830 6961 03ll:l \ ........ ' \ . ..... · •·' Form RCC-33 --. COMMONWEALTH OF PENNSYL VAN lA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS RESIDENT DECEDENT COUNTY OF ......... W.J.\.S..~.~~.G~O~ ........................................ . IMPORTANT: This return must be completed in detail and filed in duplicate, with will attached, with the· Register of Wills of the County where decedent resided;-Return is due within one year after date of death, unless an extension is granted by the Secretary __ the_InlJ.eritllnce __ lln!f.E.f!t;ate 'l'~x ~ct of 1{!!.)1.) of Revenue. (Section 703 of IN THE MATTER OF THE·ESTATE OF ;} EDITH w. CHANEY AFFIDAVIT OF ·························· .................................. (.st~t~··"f;;Jj"··~~~--·~f ·d~~~~t·)··········· .. ····. ....................... .... EXECUTOR Late of ......... ~.Q~Q~9:l.t ... 9.~ .. Ea.l;3 .. t; .... W.~~.n.;l..P.q.t.~.mc ~~ ::.~ .; .... ;:::~=~~:~---~--=}" . . ........ . ............................. Sherman ..... H .•...... S.ieg:e.L............ .. ....... .... .. ...... ............... ............... . . ........ . .. .. ...................... ......... ... Executor of the estate of the above-named decedent being duly sworn, depose s and say S Decedent died ................... De.Qe~:~ ................ 4 .. <ii;;;) ....... , 19(~!~····{ ~~ving a last will, copy of which is hereto attached. J -Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. .... SHERMAN ... H... S.IEGEL., ..... ESOUIRE .................. . 215 Washington Trust Bldg. washingtOn~· PennsylvanfaiSloi··· Th t h Executor d · t · f ·1· 'th th ff · f 'd t t d th rt · a as sue ...................................................... eponen Is am1 Iar WI · e a airs o sa1 es a e an e prope y con- <Executor-Administratorl 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 . IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX NONE THIS SAFE DEPOSiT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO_ DI!:CEDENT That the contents of said safe deposit box or boxes are itemized under Schedules ______ of this return, with the exception of the following, for the reasons hereinafter set forth: That Sc.hedule A attached hereto and made part hereof sets forth full v and in"·detail all the real property in the Commonwealth of Pennsylvania of which 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 estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings banks, trust companies, or other institutions, whether individually, or in trust for any other .p~r~on,'or persons givipg also separately the accrued interest thereon, if any, down to the last • I . interest/day prior to decedent's death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent; all obligations, whether by statute or agreement they . . I are designated as tax free, of the United States, or any state, or political subdivision thereof, 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, carriages, automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, left bydecedent, together with the fairly estimated market value thereof; all bonds and mortga~tes held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of whatsoever nature, with interest 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 depreciation-as to each item; all moneys payable to the estate from life insurance polici'es carried by decedent; all 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 decedent 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 possible substantiated by 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, financial 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 business 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 thereof, any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true 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 take effect in possession 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 transferee and all other facts of a pertinent nature regarding said transfers. In the case of transfers 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. Thert~ is also set forth in said schedule a list of all property, real and personal, with its value, which pa~'ses 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 decedent, either individually or jointly, by the will, deed, or other instrument of another, with a copy of the instrument creating such power attached to the schedule. 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 Sc/Jedule 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 i~ 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, address and relationship, if any, of co-owners to the decedent. That Sc/Jedule 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 unpaid 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 sworn to before me this ....... 2 .. 28.4 ......... . Clay of July ... , ... """""'(:E;;~~t~~ltiia~f""""'"" ........... .. ............... -......... -... ?..l.:-.? .... W.~$.h.~.ng_:t;o.n .... T..r.us..t. .... B.ldg ............ -... -.. --.. (Street Number) ~~-~-~~~~:!::~.~-~ ...... ~~~~~ .. ! ......... J~ .. ~-9..:!. ......................... .. (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 "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached._ Also make certain that column #1 in the "Summary" has been properly completed as above-directed. .. RCC-34 (1-64) · COMMONWEALTH OF PENNSYLVANIA ~DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece- dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by the decedent as tenant in common with another or others, should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be described by lot and block number, street and street number, together with a general description of the property, with a reference to the record of the conveyance by which the decedent took title; If a farm state number of a- cres; also statement of mortgage encumbrances upon each parcel at death of decedent. Taxes, assessments, accrued interest on mortgages, etc.,are to be listed on Schedule "F" and must not be deducted from this schedule. Lot of ground situate in Borough of Wast Washington, Washington county, Penna., at Southeast corner of South Wade and East Wheeling Street, fronting 60 feet on the (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH East side of South Wada Avenue and extendin2 Eastwardly of the same width 173.5 feet to lpt now or formerly 6D Jonathan Allison Heirs. Being major portion of Lot No. 20 in N. K. Wade Plan of Lots (Deed Book SA, page 23). Upon which is erected a 3 story brick apartment house known as 102 South Wade Avenue. For legal description, see Deed. Book 1J1o page 119 v, 13 -I ;). 91.P I ~ 'i' () -~ -1-' 9-E. W;, l H. Insert this total opposite "real property", Schedule ''A" in the X X X X X "As Reported" column on the last page of this return. (2) (3) DEPARTMENT VALUATION ESTIMATED CAUTION MARKET VALUE (Do not write In this spoce) '1\. 23,000.0~~ 23,000.00 R,CC-35 , COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually by the decedent, at the time of his death. Property 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, automobiles, 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 or 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. List and describe fully VALUE MARKEl' VALUE (Do not write in this space) 1. Pittsburgh National Bank (Washington i ~~ Office) -balance checking account 1673.01 ~ 2. Household furniture 500.00 t ~ / Insert this total opposite "Personal Property", Schedule "B" in X X 2173.01 the "As Reported" column on the last page of this return. ' rcc-% CmP.IfON'I'EALTH OF PENNSYLVANIA TIUNSFER INHERITANCS TAX ~~SIDENT DECEDENT SCHEDULE "C" TRANSFERS ' ., (1) Did decedent, within two years of death, make any transfer of any material part of his estate, without receiving a valuable and adequate consideration therefor? (Answer yes or no)~N~o~. __ __ (2) Did decedent, within two years of death, transfer property from himself to himself and another or others (including a spouse) in joint ownership? (Answer yes or no) __.N.,.o~---- (3) If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer ---------------- (b) State of decedent's health at time of making the transfer. (Note 1), (c) Cause of decedent's death. (Note 1). (4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no) No (a) Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition? (Answer yes or no) ________ _ (b) What was the transferee's age at time of decedent's death? (5) Did decedent in his lifetime make any transfer without receiving a val_u_a_b_l_e--an-d--adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a) The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no) ---~~~~0~------ (b) The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no) No (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent alone or others ________________________________________________________________________ ~-------------- (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) No (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer yes or no) No (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in th~ decedent alone or the decedent and others? ' (Answer yes or no) __________ __ NOTE 1: The answers to these questions should be supporter! by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans- fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based. NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E. ITEM DESCRIPTION N 0 N E Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) NONE DEPT. VALUATION (Dept. ·Only) RCC-38 -: COMMONWEALTH OF' l1ENNSYLVA.NIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to the decedent. Descrip.tion of Property, Date of Acquisition, Name I Unit Address and Relationship of Co-qwners, and Place Value of Record of Instrument, where Real Estate. ! First Federal Savings and Loan Assn. Washington, Pennsylvania -Joint account n/o Edith w. Chaney or percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest Katherine c. Yard $5227.63 1/2 taxable 2613.82 1'~ ~· Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. 2613.82 h . .. COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses of all who ave an interest, vested, contingent or other· wise, in estate) Kf:~erA~~ C12Iillfi4 Whaal!na ~ Washinqton, Penna. Jane c. Abell ...... , .. --.. ....... , ... ~ .-,ve. Donora, Penna. SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH t:. ~peoifio devise and ... JOI .. lA daughter yes r~;~.d!A ran~ ._, ., ;pecific legacies an4 aauqbter ves 1 ~I'} .,..,.,.. ~-Au .... _,-- Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE Will Administration ! No ... /~Of Year .... ~.J: ...... . DJ THE ~lA TIER OF THE APPRAISEMENT OF THE ESTATE OF .. EDITH .. W •... CHANEY .. Deceased Late of Borough of· East--Washington-··· County of ... lfl.l::Jil¥19t.O.Il ..... Commonwealth of Pennsylvania REPORT AND APPRAISAL "'V d ··n~J W' . "'H \ 1i <::'V M r;, ..., vi.·-' t .J .~' . Sll\M :!0 )j3.LS\~3l:1 ·::. ON\ti~n ll3SSfl1l . ttl 1nr G9· s~\~~ st!GEL, ESQ. 215 washin9)pa,Tr,p4t~ldg. washington,\J~sy~ania 15301 . I ~: .. (Executor-Administrator must complete "As Reported" column #1.) 0 'a ..., '"d ~ '"1 '"1 ('!) ('!) 0 ~ '"1 e:.. "' ..... ::::l "' "' "' 0 ::s ...... ::::l '"d ..., r:t'. ('!) ~ '"1 '"1 -0 ~ .... "' X '"d "0 ~ '< '"1 ('!) C"' 0 '"1 ~ § "0 ~ t:%:l ('!) '"1 .... "' '< .... a> ~ .... 0. ('!) ~ t'1 0 '0 (D 11 t.t '< -... ' ~ t.t V) f: c: 8-~ ~ ... > ~ ~ ..;... ---.....:: w U'l V) ~ (') ?" ?" n o5 ~ • • • - ~ -&') ~ -&') -&') -&') ..., w ..... K) NW > .. .... : : 2!'!-.. , "' .;4 0\ :o .... o ~-QO ... •!1 NQ ('!)._. t;ft ~ :(1 ~Q 'g-.. •• • •• '"1 <» <D 00 .... ('!) w w .... o c... ~~~~~~ ~: ~· :~~~ ~· ... . ' ~ N' . : u ~· """-a~- ·~· -~· ·~ •a r:: r:-v ~ c §_-11 . . ·~· f -~· -~· • (), • ::::l . . ."'. 0 ('1: .~· N . . ~..::: II , J {"" ' Form R~ cfo '-. DEDUCTIONS ALLOWED IN ·• ,... ~ ... ;;.OJ~ E OF THE p~ bf--j6;JC( { STATEMENT OF DEBTS AND DEDUCTIONS t.t~3 ~, o 1 THE SUM OF ............ $...... ... .............. .. . REGISTER OF WILLS OF _ ___!W~a~s!=!.h:!..!.:i~n~g'-'t!::.:O""n~-COUNTY AND AGENT OF THE COMMONWEALTH Regi~~ Wills, Agent v ESTATE oF __ ---:E::.:d=i-=t~h:........:W.!..!.... ~C~h~a~n.::.:e..,y"""-'_ L.ATE oF Borough of East Wasl:liagto:R T 1 ?~ 19c9 December 4. 1968 DATE OF FILING APPRAISEMENT -.1.11 ..L11u~Y'I---'..JJ._,,_~.;:;z..u~-DAT5 OF DEATH _:~~~~,___;~.--:!.....!JL!.l.----- DATE NO. OF VOUCH lOIII NAME OF PAYEE REMARKS AMOUNT 1 9 b 8 Dec. 31 1 9 6 9 .T~n ?R Feb. 25 Mar. 24 June 16 Piatt Funer~ 1 HemP · John R. Wheeler Columbia Gas of Penna West Penn Power Co. Mollie Katcher Washinaton Cemeterv Russell Marino, Reg. -.... Grant E He!=:!=: M n !=: fA7h; +-of,... c,...,...,... Sherman H. Sieael. Esa. 1968 no .... lQ 'Don" n-F m;llC! -' 1969 I "R, .... ; "'1 "''0 1147 30 Rubbish removal-102 s w~nP 1? lr.;n ~"'' ho 'lAC: 1'7 A 7. Elec servir-F>-11 11 II 7h 17~ 10 04 II II 40 bo II II n hn Short certificates 7 bo ?Ll IQLJ. , n IAn ...,.,... '" '::1 '=-::T IV ReimhnrfloTno"Lt for· "T ...,. ~-~ . '· ~ ~ ~ -.,., :n ~•• o "-IO.o;;)U o '-'V o ~'-"'t:"V.L '-o;:> n.~~.L ;:)I;:: .1.1:::: 1..\..I::::.L;:) .L<±.UU Observer Pnh 1 i <=:hjna ('n l~nUI=>'r"i-; C!O , o+-+-o't"C" 1 A hn Bennet Realty Broker's comm. ,... -· -.:> ~.oa.~.o~:: I...L a.u;;:, .L I::.L ~.oa.A uu u~::~::u. Local transfer tax on deed Suzanne c. Wells Witness to Will Barbara c. Fisher II II II 1380.00 .::.:su .-uu 230 00 5 . ., 0 ·"''O· l·n COMMONWEALTH! ~ENNSYLV~~~~vv Washington COUNTY OF ----------- 88: .. Total 3834 37 • ..t A ~1 ,., 1 !=:ho'r"m::.n H Sieae} HEREBY C~E , THAT. TO THE BE8T OF MY K~OWLI!:DGE AND BELIEF, THI!: FOREGOING IS A JUST AND TRUE SfAT;JJNT OF DEBTS, FUNERA; EN&ES AND EXPENSES OF ADM • N •s<>A "ON suo• >n<D '" '"' ..,. "' o• Edith W . ~~ ~~ .. •. . ' -ff~;' n ·:~ :• D<DuCT•o•• •o• INHERITANCE TAX PURPOSES. ~~jl_x ,J J 1 /JAil. ll'J-1~""'-- SWORN AND SUBSCRIBED BEFORE ME THIS -~2:w2"-'!n:.!ld::L_DAY OP' ~~~~~---~-~~-~,8~ My Commission Expires February 27, 1971 --l-::.::..;:,._:_:~~=~--=------lf--___::::::...,~-(L. S.l . -.,... ... ~ r .. ... -..... ' ~ .• 'll. • . .. :-.._~ \ ·' -'. ~ .... ' :.......-. r , ... -• ..._,.. __ . . ·.1 ·;-··. ) ' ~ r / . ' .) . . r -~· . • • '.• t ' IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNA. In the matter en :bhe Audit of Account filed in the Estate of ) o.oo o1 death I[,. -'I ~ f_ \ No. _itl-68-16Q9 , Term, 19 __ • A.A. Ch:aney, Edj th Jll. Decea'f<l ) Docket3.J_ -/?~ -.< __ TO THE AUDITING JUDGE: Enter my ·appearance for the Commonwealth of Pennsy!VIania, claiming tl"ansfer inheritance tax in lfue above estate, as follows: ~:·appraised Vialue of Estate: Realty~-------............. ·············-------·············-··································:.:.:···;;,;;···-;;;;.;···..,.~--., ~' ~-~ 17},~/ "--------Personalty _______________ ............... ····--------·----·-·········---------·-----·-----------···-···-·-·· Additioll!al Assets per Account, Subject 'to Tax.·----------------··· ·-------------·········-···-····-----···--····--$ ________________________ __ Addi'tional Assets per Audit, Subject to 'DaX ............ _u ......... m····m·m-.................................... m.m----.!:-IW't; 9 ~ f'l...3• GROSS VALUE··-·---·------------------------------------------·········---···-···---------··--········--· $ _________ 1 __________ _ CR. Debts <and Expenses per Account; see Note $ ____ _ $ ________ _ $ ________ _ Additional Debts and Expenses per Audit $ ______ _ $---~---$--~---· $ __ _ TOTAL DEDUCTIONS, $ CALCULATION Gross V.aJlue ----------···------------Zs'i 7)r () / Less Deductions -m.............. l.f. q 1 P ~&-~- Clear Value mmmmm··-· __ -~ z., 31r1~ ZO?.,!>~ ) -----------··---- $ ~ Tax------- able at ) 15% 'f $~------------·--- 1 L} lf/10 Total Tax-------·-------·--· ---------------------------------------··-------------·-------------------·-------·-$ ____________ _ Less amount previously pa:id -·--------·----······-·-----------------···-------------------___ $ _ / 'fr-(/1) J 0-{) --· I y;{Q Balance·-··-------·-------·---------------·--·-·--··-··········-·-··---------·······--·····-··--·---------------·········-·-$ _____________ _ TAX PAID ON ACCOUNT ${1 vo, 11> $ ,.,,... $,, ,..~~ $ _______ _ Interest ____ yrs. ___ mos. ____ days @ __ % ----·--------$ $ I ) I ,. .. •. No •. __ _ _______ Term, 19 __ , A.A ESTATE OF Deceased PRAECIPE FOR APPEARANCE FOR COMMONWEALTH OF PENNSYLVANIA ~5 ,•>:...-~·~:·~..,: ..• : /' .. ·: ·.,,· ... :...: -- ' .... :~.---~~~-:~.:~:· .. ;:;·-~: ---- -···- R C C-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT I~ YOUR.REPLY PLEA8E REFER TO In Re: Estate of ____________ ~r~n~T~~~~·~~-£•~G~H~A~~-~r.~Y ________ ___ ___________ __:.\>:.:.1!-t.:.:S:.:.H:.:I:.:.·r.=:O:..:'I:..:;l'-!.'N::....· -------County -File No. 63 ... 6Hwl609 Dear Hr. Sioeel.~ You are hereby notified that the OY'ill'h'l.al appraisement in the estate of t;;dit.t. ~·. ChM'!AV·- has been filed in the office of the Register of Wills qf \iushinrton County on 1tul.v 2S , 19£. Said appraisement reflects the following valuations: Rea 1 Estate _______ ...:2::::3-=.'...:000..::..:.-=._..::.co.::._. __ Personal Property ___ ~2~-~~l~7~3:..:•~0~1~-- Jt • Hf'..."id 'P'il-:a>n.:s-.fe-:t-:5{: _______________ 2:::.--.:~-.• ~6l~~L.8::.;:;2:...~-- Total --------~2~7£,?~-~~l6~.~8~3~--- 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 annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Signed Title Decerber 4, 1968 Note: This is not a bill. / •' RCC·39 (!5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of CHANEY (Last Name) EDITH (First Name) w. (lni tial) DATE OF DEATH 12-4-68 FILE NO. ~8-1609 REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E". Dated: __ -.::..07..._-....:;;2=8c_-=69~. _____ _ 12-04-68 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for 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:------------- 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 annuities . . . . . . • . . . . . . . . . . . . $. _____ --+--- ESTATE TAX ASSESSMENTS $ ______ ..___ REGISTER OF WILLS VALUE AS REAPPRAISED $ ____________ -+--- 27 786 83 FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on $ ---------t-- Taxon$--------------r--< Taxon$-------------+---Taxon $ ___________ -t-- Taxon $ _________ -t--- Exemptions========l== Total Estate --------1--- TOTAL TAX 2% $ 6% $ 0 $ 10% $ 15% $ • $ Less tax previously paid $========l== BALANCE $--------+--- Less 5% of tax if paid within 3 months after death $=========== Add interest at rate of 6% from -----to ----- AMOUNT OF ESTATE TAX ASSESSED $-------+-- Estate tax paid $--------~-- BALANCE DUE Add interest at rate of 6% from ----------~·0------ (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. $----------~---- $----------~--- 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 Administration ~ No. IN THE Year ........... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF . EDITH. :VJ •. CHANEY Deceased Late of .. E •.. \'lASHINGTON ........... . County of . . WASl!UNG'l'ON ... Commonwealth of Pennsylvania REPORT AND APPRAISAL .:-- .. ' . DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 12 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE JuJ;y ~ 1968 COUNTY ...................... ~~~~-~!?:~.?.~ ........................... . FILE NO .................... 6;3.!!"-6.8~160.9 .............................. . Whereas, .......................................... E.cti.t.h ... W .•..... C.~n.~Y ...................................................... late of .......................... ~.~ ..... ~a.:.~?~.~~~.?.~ ..................................... . in the County of ..................................... Wa.shi.nton .................................................................. Commonwealth of Pennsylvania, having died on the .................................... 4 .... t..b. ........................................... day of .................... P..e.c..e..mb.~r. .............................. 19 .... 6.$. .. , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, .......................... W.R. ...... Chaney ..................................................................... , 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. Description of Asset Unit Values Appraisement Made for Inheritance Tax Purposes REALTY: $ T.n+. nf!!.round situate in Borough of West Washington. Washin!!.ton Count.Y. Penns.Ylxania. At Southeast corner ~ fee-6 on the East side of South Wade A.~enue and extending Eastwardl v of _the same width 1 ?1 .'5 feet to lot now or formerly of Jonathan Allison Heirs. Being major portion of Lot No. 20 in N.K. Wade Plan of Lots. (Deed Book 54, oae:e 23) Uoon which is erected a 3 storv brick aoartment house known as 102 Wade Avenue. 23,000 00 PERSONALTY: Pi t.tshur!!h N.d.i nn1=1l R::mk ( Washinr:rton Office) 1.6?3.01 Household furniture. 500.00 2.1?3.01 2.1?3 01 JT. HELD: ~ PPnn!';vl~ni.<~ -.Tnint. Ar.c.ount n/o "RrHt.h W _Ch;:~nPv or Katherine C. Yard. 2,613 82 Total 27,786 83 .... WASHINGTON ......................... County ·~ RESIDENT INHERITANCE TAX APPRAISEMENT Estate of $~B.MAN. .. ti.! ..... $.~.0$:L,..,, .. ,, ......................... .. Deceased. Late of ..... l!;.~ .... WA?.I1:I:N.Q}QN ............................... . Date of Death, .......... De.c..e.mb~.r ... 4., .... 19.68 ................ .. Appraisemel!t Docket Vol., ............... 3.7 .............................. .. Page, ........ 172~2 .................. No ....... 6~.68~160.9 .... .. Filed in Register's Office, ......... July ... 28., ... 19 .. 69 .. . Amount .of tax due, $ ................................................................. .. DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appraisement, Appeal f1'0m Appraisement, Entered and charged, .• ,. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG. PENNA. I 7 I 2 7 €0MMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ......... ~.~.?.:r.:.~~.:r.:Y. ....... ?..~ .. ?. ........ ~.~.?~ .. . COUNTY ..... :VJASHTNG.'f.O.N ........... #.63 ....... . FILE NO ....... ?..?..: .. ?.~.: .. ~ .. ?. .. ?. .. ~ ................................. . EDITH W CHANEY WASHINGTON Whereas, .......................................... ~ ........................................................................................................... late of .............................................................................................................. . in the County of ......................... }~1.\.~.~~.~g-~9.~ ................................................................ Commonwealth of Pennsylvania, having died on 4th December 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. Description of Asset JT. HELD PRES. : JT. Sav. Acct. #21233 held in the FIRST FEDERAL SAVINGS & LOAN ASSN. , WASHINGTON, PA. , in the names Unit Values of EDITH W. CHANEY or KATHERINE C. YARD. Opened 5-26-66 Balance as of date of death, ~ 5,227.62 ! taxable $ Appraisement Made for Inheritance Tax Purpoaes 2 nl.1 fl2 2 61 82 \vASHINGTON County FILED; ---=============~~ RESIDENT INHERITANCE TAX APPRAIS~'fiOY 21 PM 2 2 3 Estate of RUSSELL MA.RfNO EDITH \v. CHANEYREGfSTER OF WflLS ················ ··························· ·············jj~~~iHINGTON CO .• PA. Late of \vASHINGTON ················ ··················································· Date of Death, December 4, 1968 AppraisemeHt Docket Vol., ············-3-7-································· Page, ...... 17.~.~--~·-·················· No ........ §}:::-.§..f?.:::J-.. §.9.~ Filed in Register's Office, .......... F.e..b. ..•....... ~.8 .. J96..9 .. . Amount of tax due, $ ................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appraisement, Appeal fMm Appraisement, Entered and charged, .... ---------- ) I I RCC·4 (8-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NO: A 0 332 2 3 OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE A~D ES~ATE TAX RECEIVED -~O~NE!£_-"=T..!!H~O~U.!:!S:nA~NMD~OuNE!:!..........Hu.U!.L.NbX.D!l.JRwE~DLL.....JF~.:...~O..uR.lJTuYL--_....cawnwdL--_.!Jn.uor/..L.] uOuO -:-'_....__,_"'--:' __ ,.__, .. ..___,_..___._~_dollars representing' Pennsylvania Inheritance or SHERMAN H. SIEGEL excr. Estate Tax due from the following estate: From=--~==~~~~~-=~~==2-~~~~-----.------------------------~----~~---------------lml Address 215 '1/ASHINGTON TRUST BUILDING WASHINGTON PENNSYLVANIA 15301 File No. 63-68-1609 Date of 12-4-68 Date of Payment ___ F __ eb_r_u_a_r....:y:___28..:...,_1_9_6_9 __ --l EDITH '". CHA~"'EY Name of Decedent ------------------------------1 County ______ W_A_S_H_I_N_G_T_O_N _____ ----l Remarks: NOTE: To be delivered to loxpoyer SEAL 37-172-2 2% Tax on $ _________________ ... __________________ lfall 15% Tax on $. _________ $ __________________ 1111 % Tax on $ ________________ $ ________ _ Estate Tax, Act of May 7, 1927 TOTAL TAX CREDIT Less five percentum of tax if paid within three months after dot~ of death Plus interest at the rate of __ % from----------------- to __________ ~----------- TOTAL AMOUNT PAID $ ______________ _ $ 1' 200.00 $ __ ....:..6....:..0..:....• ..:....00=----IH/ Received by ---#-_;_;!:.=-:L-=.=.,-=--....t!:...=--=:..;...::..__ ____ ~~----- NOTE: In accepting the transfer inheritance tax an future estates, prior to the death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the---J(J;."d__:'):::1:]~~~~~C!.~~~=z:_ _____ t1j life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for a reason whatsoever. ·vd ··oa JWLemwsvM SlliM :!10 ~31SI~3U ON'nrrrJ llJssnlf £1 2 Ud 12 RBH 6g,-- :c(J 31 L:f