The URL can be used to link to this page

Home My WebLink AboutOC1969-0003 - ESTATE OF LOCY·--. ' RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION I NOTICE OF FILING OF APPRAISEMENT HINETTA E. LOCY (E~~ Administrator) IN YOUR REPLY PLEA8E REFER TO 37_52_6 In Re: Estate of ____ ....:A:.:..:U,_,T:..:::I~N:........:..::Hc.:..• _,L~O=.!C"-'Y:........:::a:L./~kL.:./a~---- ____ W~A:..::S::..:.H:.:I:::N::G..:..TO::.:N~--'-----County -File No. 9459-105 Dear Mrs. Locy: You are hereby notified that the o~ig7n,; appraisement in the estate of Austin H. Loc a~ has been filed in the office of the Register of Wills qf WaShington County on April 5 , 196.8.... Said appraisement reflects·the following valuations: Real Estate _______ _al~8~,7~50~.o~o~-- Personal Property _____ ~5~·~2~7~7~·~4cl __ Transfers ____________________________ _ Total -----------~2~4~.0~2~7w·~41~-- As to such.tax that is paid within three death, a five (5%) percent di~count is allowable. remains unpaid after one year from date of.death, of six (6%) percent per annum is charged. months-from date of As to any ~ax that interest at the'rate Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date~~·~~·~~A~p_r_i_l~5,~1~9_6_8 ___ _ ·~ . Jf~-:.::' .. :~ ...... DATE OF DEATH: August 19, 1967 Note: This is not a bill. J ---~--r" LOGY, AUSTIN H. a/k/a LOGY, AUSTINa/k/a LOGY, AUSTIN HARRY ~CC-.79 ( 6-64) COVMONWEALTH OF PENN~YI.VANI.\ T!tAN ::' F'F.H I NimH. IT AN C!': TAX R.~S !DENT DECE~.RNT FILE # 9459-105 ··---···---- August 19, 1967 SUMMARY FILE # 9659-105 H.EPOH'l' OF INHERI'l'ANCF. TAX APPRAISER I~~the undersigned duly appointed Inheritance Tax Appraiser in and for the County of ff 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 "A"1 "B", "C" and "E". Dated: 04-05-68 08-19-67 REPORT OF THE REGISTE~ OF WILLS I, the undersigned duly elected Register of Wills in and for------------ County, Pennsylvania, do respectfully report that I have allowed deductions in the amounts claimed by deponent, ~xcept as to those i terns where a greater or les.ser 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: REGISTtR 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) $ l8,750.0p_ $ 18,750.09_ $ _____ _ 5,277 .4;1._ 5,277 ·~- TO'fAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLE~~ VALUE OF ESTATE Valuation of life estates or annuities ESTATE T.U ASSESSMENTS 24,027.4)._ 24,027.4f._ ======:= ============:=== =============:=== $ ____ _ $ _____ _ FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on $ _____________ ; ___ R% $ _________ __ Tax on $ . __ 10% $ ______ _ Tax on $ .~ $ _______ _ Tax on $ . __ lR% $ ________ _ Exemptions=======:=(':') Total Estate ________ __ TOTAL TAX Less tax previously paid BALANCE Less 5% of tax if paid within $ ____ _ $ =====~= $ ------ ~ months after death *~==========:=== BALANCE OF INHERITANCE TAX DUE 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 to -------------- FOR USE OF REGISTER ONLY $ ________ _ TOTAL TAX BALANCE PAID. ADJUSTMENTS (':') As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. $ _____________ _ $ ______ _ $ ______ _ $ ______ _ $ ----------------$ 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 .......... . ~THE Year ........... . ~lATTER OF THE APPRAISEMENT OF THE ESTATE OF . Jl.1JS.'I'.~ .. H..~ ... IP.9.:Y .. a/'K:/ fl. .. Deceased Late of . . ......... AMWELL ... 'rWP. County of WASHINGTON ............................... Commonwealth of Pennsylvania REPORT AND APPRAISAL ,. ~- £_ I ' • Form RCC-2·. COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ........................... A.P!..~J.: ..... ~.! ...... !..?..~~--··················· • DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7·1 2 7 COUNTY ....................... ~~-~? .. ~~~.?..!.:~ ............................ .. FILE NO. .. ..................... 9.4.2.9.::::~9..?. ..................................... .. Whereas, ............................................... A.l.l.~.t.i.n .... H-.... LO..QY ... ~/'fr./~ ................................ late of ....................... Amw.~l.l. ... !.WP .................................................. .. . th c· t f Washinaton . . ,......., ... ·Ith. f p I . h . d' d m e oun y o ............................................................. ::::~.:o ................................................................. \JUmmonwea o ennsy vama, avmg Ie on the ..................................... .l.:.9. ... :t.h ...................................... day of ................. A.~¥.~.~.: ....................................... 19 .... ?.7 .. , seized and possessed of an estate subject t.o Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, .................... , .............. W~.R ........ COO.n~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 llfe 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. . ~ ·-· ----- Appraisement Unit Description of Asset Values Made for I nherltance Tax Purpoaes -. ... $ ----·- REALTY: As per Schedule "A" 18,750 00 --.. -·--·-- PERSONALTY: . ... As per Schedule "B" 5,277 41 ---- TRANSFERS: . ------· .. NONE NONE .... .. ... JT. HELD: ' -~ '. ~ ----.. ' NONE NONE •. ... . -.. ---- ,. ..Total .. 21... 027 L..l ' ' ' ! I I ' ' I ' I I (, ... W.AS..HJNG.TON...... ......................... c OU?Jty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .... AV$'t.J.:N .... I:I.~ .... W..G.X. ... ~/~/~ ................... . Deceased. Late of .......... ~-~ ... TWP. .•............................. -·-········ Date of Death, ................. Av..g:y,~t. .... l9., .... l..9.67 ............. . Appraisemel!t Docket Vol., ...................... 37 ........................ . Page, ............ ?..?.~.~---·················· No ........ 9.4.5..9::::~.95. ............ . Filed in Register's Office, ....... f\.g_:i..~ .... 5..~ ...... 19 .. 9..$. .. Amount of tax due, $ ................................................................ __ DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal fMm Appraisement, Entered and charged, .... ,_. ;. ;,·r (Form where decedent died intestate) 11u _tqr ®rpqaus' Qlnurt nf llas~tngtnu <trnunty . ESTATE OF \ No. 3 of 1969 AusriN H. LOCY, also known as AUSTIN LOCY and AUSTIN HARRY In the audit of the First and Final Acrountcl Minetta E. Locy, Administratrix ~.Qg_¥. .. ~. .................. : .......................................................... : ....................... . Deceased The petition of. ..................... .Mine.t.ta ... E .•.... Lo.cy. ......................................................................... .. (Name of Petitioner} respectfully represents : ................................................... ~ .... : ................. _. .................................................................. . (a) The decedent died ....... A.~.g~-~-~ ..... ~-~ .. ~....}J~-~:7. .............................. , intestate and (Date) letters of administration on ...... h.~.!?. ....... estate we;e granted ... .J?.~P-~~-~Q-~.!: .... J.§ . .~ .... J967 . {Date} as per record thereof appearing in Administration and Bond Book No .... §.~------~---· at page ........ 15.3.......................................... .. State (I) whether de- cedent was married or unmarried; (2) if mar-no ried, whether a husband or wile survived and 0 f his or her name; (3}. whether or not there was any marriage settle-' ment; ( 4) whether or. not family relation was· maintained until deced-. ent's death; and (5): .. whether the· decedent· left children or issue of' deceased children. Decedent was survived by his widow, the Accountant herein;. marriage settlement~ family relation maintained until death decedent. Three children, listed below. ' (b) A~:the time of death, the decedent's domicile was ~=.the Com-. j monwealth of Pennsylvania, to-wit, at.Amwe.ll....To.wnship.,~.-~.W.ashing.t.an ... County_, (Town or Township, S~ate and Nation) Pa 0 and residence -vvas at ......... s.ame .............................................................................................................................. . (Town or Township, State and Nation) (c) The names of all persons having. any interest as heirs or next of kin with the names of their deceased parents, to show relationship if they take by representation are as follows: NAMES Relationship Interest Of age, sui- juris, or not, (write yes or no). Name of Guardian, Trustee or Committee, if any, or beneficiary, manr..er and place of record· of appointment and is bound suffi- cient to cover and protect share. Minetta E. Locy Ronald H. Locy Dennis A. Locy Rita Guthrie Wife Son Son Daughter 1/3 2/9 2/9 2/9 Yes Yes Yes Yes State exceptions, if any, giving names and dates of death and the names of their executors or administrators, or the names of their issue as the same may be mater- ial. Describe type of notice. All of said parties m interest are living, except None. (d) All parties having any interest have had ........................ notice of the filing of the account by their joinder herein. ,(, I. I / ,~ -~,.---~ ~- 1 '( l.~. 0 Insert word "not" where necessary. If taxable state wheth- er tax has been paid. ) H too many for the space, annex a list there- of; if no such cia ims, insert the word "none." If any creditor or other claimant has not re- (e) Balance for distribution per Account $ ... l6.,.7.78 ..•. 59 (f) Additional debits, not shown by Account (Itemize) None $ ............................. . (g) Additional credits, not shown by Account . '\-:~. (Itemize) 1/7/69, Register of Wills, on account inheritance tax $300.00 1/7/69, Regi~ter of Wills, Short Certificate · 1.00 . ·301.00 $ ............................. . $ ... l6 . .,..47.7 .•. 59 (h) Claim for exemption has been made, and has ........................ been paid. ·(i) Tlie estate is ................ :.subject to the payment of inheritance tax to the State of Pennsylvania. (j) The e'state is ... )~9..:t .......... subject to the.payment of the county 4 mills tax. (k) The estate is ..... ~9.:t .......... subject to the payment of Federal inheritance : tax. (I) All creditors (and other penons who have complied with Rule II, Sec. 9), of whose claims the accountant... ..... ~~-!? ........... notice or knowledge, have ........................ received actual notice of this audit; the amou~ts of their claims and whether or not they are admitted to be correct are as follows: None ceived actual notice, that ract must be stated. I (m) Rita Guthrie, daughter, with joinder of her husband, Indicate such claims as transferred all her interest in the estate tO the .WidOW and Other titi~db~ose~ur~~er~;en~~: two children 'by assignment dated December 2, 1968, attached here- and give detailed infor-t d b d d d t' d D b 2 1968 · d d d ' D d mation concerning such 0, an Y ee a e ecem er , , an recor e l.n ee . security or preference. Book 1289, page 1094, copy attached hereto. . The widow became the sole owner of Parcel One by deed from said two other children and spouses, dated February 12, 1969, and recorded in Deed Book 1293, Here insert a reference · d h • th t h' ld f~/!~i~d~~!~i~~::~;:ir~ ;,~Kij page 47_1 , copy attache ere to. Sa1.d o er wo c 1. ren statement of any mater-became the sole 9Wners of Parcel Two and Parcel Three by deed ial facts not already f th • d d t d F b 12 1969 d d d ' D d given. If none insert the rom e Wl. OW a e e ruary 1 , an recor e l.D ee lt~n;·n~h':~;· has been Book 1293, page 467 , copy attached hereto. All personalty dis- ~h~t£~~ sh~u1/~~:~i,~ posed of. No credits or charges desired by the distributees. stated here. Said two other children join with widow accountant in executing this Audit Petition to confirm all of the aforesaid. State kind, form and character of property composing the balance for distribution, and if any part thereof is not cash, whether or not 1 there has been any elec- tion to take such part in kind. •"-..... ... , __ (n) The balance for distribution consists of property in kind, form and character, as follows: Real estate, per inheritance tax appraisement, as follows: Parcel One Parcel Two Parcel Three $ 8,500.00 250.00 10,000.00 $ 18, 750.001· ... Are there any advance- ments by decedent to be considered on distribu- tion and has any distri- bution on account been made b.y accountant to any distributtee? If prior accounts have heen filed, -list number and term. (p) See (m) supra. ( q) Give brief location of any real estate sold. None. (r) None. 0 ' ·} ' . - i"'i . ·• « ... ~-j .:...: ~· :~\ •. . .. ,, :~herefore your petitioner asks that distribution of principal and income be awarded to the persons thereunto entitled and suggests that the balance of princt,ipal and income should be awarded respectively as follows (shares being stated in proportions but ·not in amounts) :-. . . Parcel One to Minetta E. Locy, an undivided one-third as widow of the intestate decedent, and the balance by two deeds, one from Rita Guthrie, et con, dated December 2, 1968, and r~-· corded in Deed Book 1289, page 1094, and the other from Ronald H. Locy, et ux., and Dennis A. Locy, et ux., dated February 12, 1968, and recorded in Deed Book 1293, page 471 • Parcel· Two and Parcel Three to Ronald H. Locy and Dennis A. Locy, an undivided two-ninths each as children of the intestate decedent, and the balance by two deeds, one from Rita Guthrie, et con, dated December 2, 1968, and recorded in Deed Boo.k 1289, page 1094, and the other from Minetta E. Locy, widow, dated I February 12, 1968, and recorded in Deed Book 1293; page 467 • County of Washington, ss. ~ t' t _ , ~. :--'.!fie above named petitioner being duly SW?rn ~~ doth depose and say that the And your petitioner will, etc., :· :_,'""facts_ set forth in the fq~egoing petition are true -"' to,· the -besf of h ... ~-~--··· ..... : ... knowledge and belief. J, -Sworn -to and subscribed before me this t' -; . -17th day oL ....... Feb.r.uar.y. ........ , 19 ..... 69 .... . . . :v !Go:ll •. ~.o«.!. ..... ~ .... C!-.!~.: ~ ..... . LOUISE L CARSON, NOTARY PUBLIC WASHINGTON, WASHINGTON CO., PA. , .... _ .... -.... MY'COMMTSSIOrt·EXP1'RES·st?-T:--l5;--l9W·----·····------················ \, , I './' ,.:, r' \ j f n, .-:·1 F.ORM IN CASES OF INTESTACY No ........ ~ .... O.;f.. .19..6.9. .................. X'l!mJX~X.XXXk.X f \. , · tt ... ·a ' . . "::~ ;t~ ' \_, _':, ·, __ f, 'li9 \tftR >f:~ ~1\ ,3 ~1 ·' IN THE ORPHANS' COURT · WASHINGTON COUNTY, P A. AUSTIN H. LOCY, aiso known-- as AUSTIN LOCY and AUSTIN Estate of .HA.RRY ... LOC.Y.~·················--······················· · De·ceased. Sur' account of ....... ~~-~.!::.~.~~----~ • Locy, ----------------------------------- Administratrix -------------------------------------·-···-··········-·····--·-·-------······················ ============================~~ PETITION SUR AUDIT In Conformity with Court Rule III, Sec. 5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1. The letters of administration. 2. A copy of the inventory and appraisement. 3. Proof of advertisement of the grant of letters, if not filed with accountant. : 4. An appearance for those represented. 5. Inheritance tax receipts, if any. 6. Certificate of liens in case any of ·the funds fo.r distribution are derived from the sale of r,eal estate. 7. Copy of Federal Estate tax return, i'f· estate is subject thereto. ' 8. Signed elections to take in kind, if a~y. SAMUEL GOLDFARB Attorney for Accountant. ~2 . .· •' .. ~ ' ' ·,' ·:·-~· . ,; . . . --·~ . ( . '. . 6 .. G: "' (.: j ~ 1\ll t I'S 1\" ;!\\ .,,Uv~&Lli;> ~-,~'Qt\\t'\·~"v · ~ .. ..; -~ :-.--:~:-.:· -:~. ,··:,,.:'"':'-~· f.t,t_.G\$1,~:t.t:-Of ~t\X$ >· '.. ';-.~-· ;;.· ,:.,< ~ ..... :";"'~· •ViAS·\:·H."GlCN· co ... ~Ai.' -, .. :-. , . ..., , '·""' .~.::t'r ...... t--..: j "\\ '. "1 .~. '.J) ,; '\ -tt . f)"' ~ ·" ..... ' ' , :f..)~,, ci'' ~" V > '-;_. •"> ..... ~ .-1 ( ,• ""J'""' l~ 0~· ~ ~..... 'J ~ ~ ~ ._. «:iS ·""· "" n ~ -ia .~ .. d"' '" ' A. !i- ' '."""' '" .._..., .· ~ ·~ \/'~.~--~~y· ~ . ':. ~ ~·.' , .. aLnmmnnwraltq of Jrnn.ayluania) 55• llllht!Iqingtnu C!!nunty, ) I, Josephine M. Douglas , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, to Minetta E. Locy administr a.trix of all and singular the ~oods and chattels, rights, and · Locy a./k/a Austin Harry Locy credits, which were of Austin H. Locy a/k/a Austin late of Washington County, deceas~d, GREETiNG: WHEREAS, the said Austin H. Locy a/k/a Austin Locy a/k/a. Austin Harry Locy late of Amwell Twp. in the county aforesaid, lately died intestate (as is affirmed), possessed of divers 'goods and chattels, rights and credits, within the said County, JOSEPHINE M. DOUGLAS by reason whereof the power of granting administration thereof doth belong to me; I therefore, confiding in your fidelity, do by these presents grant unto you these LETTERS OF ADMINISTRATION, here- by committing unto you full power to administer the goods and chattels, rights and credits, which were of. said deceased within this Commonwealth, you having taken and subscribed the oath of office pre- scribed by law; requiring you to well and truly administer the goods and chattels, rights and credits, which were of said deceased, and to exhibit a true and perfect inventory thereof into the Register's office, at W al)hington, within ninety days, and to render a just and true account of your administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and caused the seal of said Office to be affixed this 15th day of September in the year ·of our Lord one· thousand nine hundred and sixty-seven. J -~ ';·. i' I ~.· ~ .. :X:. ... < c::: ~ ' ~ +-= ~ m 1-4 I ::X: z b M ..-t\ t 8 U'1 ~ .t-3 :(') :·> t:Y, ~ lt-< ,-~ a i., M -· i'-..... = =~ 0 -· :'-..... !"%j m :tu l cor .... : ... +-= :c+ ~ :o ... ,. -· b = .·; :·; ' ··.·; j: 1,! ·' .. ~: . ~~. .·": .. ~_.~?-~ ..J/.r/6 j COPY OF INVENTORY '. MU.tta B • LooJ A•tlD a. t.oq~ aNa AatiD LooJ Jfot&l7 Publlo ••••• oct Auatta llan7 Loor AuatiD a. LoOJ' aa aloNRid ....... 14th March .. Is/ llinetta E. Looy ...... .. ... /s/ Lou.1Se L. Carson (SEAl,) LOUISE L. CARSON, tiOTARY PUBLIC WASHINGTON, WA:>H)::GTON CO., PA. MY COMMISSION EXPIRES SEPT. 15, 1969 AuiallJI111l\r~ ~. tdtlat~the goods and chattels, rights and credits which were . LocJ and Aat1A san, Loo7 .-..11 ,.OWUblp of ............................................................................................................................................. late of ................................................................................................................................... . Washington County, Pa., taken and made in conformity with the abuve aDidavit. DOLLARS PBRSO&\L PROPBllftl 1187 ,.OM ODe too uuoll 1107 •ol'd at• toa t:raok 1184 Cb.e'Qolet eedaa Bl&U Aqu cow .a,ooo Blaoll AAIU bull 1 PlutftlDI equlpMot CUOid.oa acoount, Pittu•&b ••t1oaa1 Baa Aocoua'M noelftble •ao.oo a.:rua B BoDd, lduacl ~uu, 1918 11 ....._ r.1a-... Fwael, lao. o 11.04 . 100 100 100 lt& laG aaa 810 a? .., 70 l 1/00 totenat TeDaut Oil uad Ou Lltaee · Well lotenat 1/8 lahHat Laubaob. Oil u4 Gaa Leaaa Well lia._..t tl,lft RIAL BSI'ATB 1 PABCBL OIBt . ALL '&bat __.tata pUOel cw bact ot 1aDd eltuaw lD A1rwell Tonabtp, Waabiqtoa C:0UtJ1 PeDUJlYUla1 belal •• puti.Oalulr b011Dde4 aad duor~ u·to11cmn BIGIIQIIIfG at a pota$ la a·publtC.I'O&d leadlDI fzroa tb. Villa .. ot Lou Pt.De J wla.t.o!l poila\ .ta -. oo.new of laaa of Bune11 •ruee, luu A. lloaiasv latate ud u. wtaata pnUaa, , .... aloq atd 10ac1 SOtatb aa• •a• •••' a dta• \aace of ts.ao ••• -a pot.a\J u..nce &outb t•• oo• WHt a cU.atuoe ot IM.G , .. ,, a.oce lU.Ytal aaict 10&4 u4 ~ otbel" 1aa4 of t1ae puttl•• of the fint put llonb 17• oo• ••• a dl.ataaoe of 171.n f•t to u boa ptaa tlaeace loa-til l.t• &7• But a dlstaDOe ot a.1a , .. , to u tttoa pia& tUDOe liOI'tb 67• 03• Baa\ a dtJttaDC• of 88.08 t .. t w a poet oa llae of 1ud _of AaW11 Toaablp SCbool DU. tncta tuace Boutb _ u•. 8 1 ... , a dt.ataoce of IN.OO t•ta 'tUDOe Soutb sa• 111 But a cllataaoe of a01.10 t•t to a DOf.Dt iA_ 'l'u. lll1e CN.kJ t1aeace f aaid Gfttl& aDd &lODI :\IU 01--J.aDCI Olllutilil'l 7iiiirSOUft 11• so• But a cUe• CENTS 00 00 00 00 00 00 .. 00 ., 08 00 00 u -r ' -: E~ 0'1 AUSTIN B. LOCY, a/k/a AUSTIN LOCY and AUSTIN BARRY LOCY, DECEASED -Inventory and Appraisement (Continued) Dollars Cents tance of so.oo feet to a pointJ thence South e• 31' East a distance of 212.00 feet to the place of beginning. Containing 6.5185 acres. TOGETBBil WITH and UNDER AND SUBJECT to exceptions# reservations, oil and gas lease, easements, etc. ap- pearina in the record chain of title. BEING the same premises conveyed by deed of H. c. Sims and Mary 81Dls, his wife, to Austin Locy, dated August 4, 1948, and recorded in the Office of the Recorder of Deeds of Washington County, Pennsylvania, in Deed Book 747, page 324. PARCEL TWOs ALL that certain tract or parcel of land situate in Amwell Township, Washington County, Pennsylvania, bounded and desc~ibed as follows: BEGINNING at a white oak which is the Southeastern cor- ner of a tract of land now belonging to Grace Locy and formerly belonfina to Barry Looy, thence along said Locy tract North 57 20' West 419.91 feet to a point in the road leading from Lone Pine, Pennsylvania, known as State Highway Route No. 62072J thence along said road the fol- lowing couraea and distances: North 68° East 240 feetto a point~ thence North 81° 00' East 165 feet to a pointJ thence South 88• 00' Bast 280 feet to a pointJ thence North 64° 15' Bast 132 feet to a pointt thence North 45° 42' East 811.99 feet to a pointJ thence North 48° 151 East 319.24 feet to a point in said roadJ thence along land of J. Wildon Moninger South 22° 48' East 570.4 feet to an iron pipe~ thence through lands of Frank I. Moninger South 65° 17' West 946.3 feet to an iron pipeJ thence 88° 17' West 273 feet to the place of beginning. CONTAINING .14.91 Acres, according to survey of J. T. Donahoo 1 C. E. , made June 23, 1951. "~JQ~f!alltf~BB AND SUBJECT to exceptions, reservations, oil and gas lease, easements, etc. appearing in the reco~d chain of title. BEING the same premises conveyed by deed of Prank I. Moninger and Mar.J G. M~ninger, his wife, to Austin Locy, dated July 24, 1951, and recorded in the Recorder's Office aforesaid in Deed Book 806, page 397. PARCEL TBRBBc ALL that certain tract of land situate in Amwell Township, Washington County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a white oak, at corner of lands late of D niel Baker, now of Kathryn Bambarger, north 71° 16' east 1191 feet to an iron pipe on the west side of the public road leading from Ten Hile to Lone Pine; thence by lands late of Levi Sowers, now of BoyB. Shidler, in or near said public road north 00 ° 38' west 641 feet to an iron pin on the east- erly side of aaid road; thence by same and in or near said road north 7° 54' east 386.1 feet to a post on the easterly side of said roadl thence by other lands of the grantors, and in or near said public road north 8° 9' west 330.8 feet to an iron pin in the westerly edge of said road; thence by same and in or near said public road north 21° 42' east 264.8 feet to an iron pin in the center line of said public roadJ thence 2. 8,500 00 250 00 ..,. . 1- -.. ~'D fll AUSTill B. LOCI 1 a/k/a AUftllf LOCY aJld AUSTllf BARRY LOCI 1 DIC3ASID Jnvento~ and Apprateeaeat ,(Cootlnuocl) b)' -llOJith to• 10' wat ut.a '"'· to a poetl. taDCe bJ ... oortJa 81° 34' ,.., aM.s '"' to a ctoub • wtld cluii'I'J tNeJ Ut.euce by-.n~a 1a• aa• wat 1a.e , .. , to aa eillat lacla Wild olaen7 UMJ tlleaoe bJ 1aacl late of a. c. 81_..r, DOW of J. WUdoa JloDinpr, aoutb 1e• a• wat 1718.0 fMt to a poiatl tbeDCe bJ lud · late ot Daalel BU., DOW of Kat.Up 8ubupl'1 •utla 88° G' _., ffi.O t•t to a pollltJ tlaeDCe b)' .... , 8CM1tb 81° U' .. , lNI.O f•t to a 1dliu oa:c:,a the place of beliDiDS• Coatat.Dlq 77.ft acl'ell, I to aa,_, Mde bJ J. T. Doaalloo, Bella tend SUn.,ol', &epu.bft 1, 1851. TOGBTBIB WI 'Ill aad ODD All) 811WBCT to .-.p'loaa 1 .....,.wattoaa, oil ud ... J.eaae, -••eata, etc. appeutiq la tile neoN chaia of title. · Dol lap IDiliO the -l)ftldaetl coawe,.e4 bJ dMcl ot Da'rid PNatoa Paul ud Blaacbe au. Paul, bla wife, to A\WtlD ~aoq, dated Sept••r D, 1962, aad NCOI'da4 lD the U.OOI'del''• otfloe donaald u DeN BoU aa, ,... 1sa. a,aoo q.o tli,IIO 00 a. .... 1 !:' .-.. ;;...,.....~, . .._, ~ \ ' IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN THE ESTATE OF AUSTIN H. LOCY, also known as AUSTIN LOCY and AUSTIN HARRY LOCY, DECEASED ) ) ) ) NO. -:::J=-----of 1969 ) ) ) The FIRST and FINAL ACCOUNT of MINETTA E. LOCY, Adminis- tratrix of the Estate of AUSTIN H. LOCY, also, known as AUSTIN LOCY and 4USTIN HARRY LOCY, late of Amwell Township, Washington County, Pennsylvania. The Accountant is charged as follows: Inventory, as appraised for inheritance tax The Accountant claims credits out of the assets of·said estate as follows: Register of Wills, Letters and Short Certificate Washington County Reports, advertisement Letters Observer Publishing Company, advertisement Letters Register of Wills, filing Inventory Chambers Insurance, Bond premium John H. Shrontz, Funeral Kurtz Monument Company, Monument Washington Hospital, account Ambulance and Chair Service, account Clark & Co., account 1967 Income Tax Martin Lumber Company, account Russell Bros., account Lone Pine Service Station, account Montefiore Hospital, account Paletta's Sales & Service, account Neurological-Neurosurgical Associates, account 1967 School tax ·, 1968 taxes $24,027.41 19.00 12.50 12.50 7.00 28.00 1,400.25 725.00 9.60 51.00 25.00 70.79 108.16 228.98 27.59 50.00 36.00 25.00 206.82 309.26 I -(\, ~ bl • • I l ~' .. ~ ~ • < Rebecca Reese, judgment note loans Bureau of Employmen~ Security, taxes U. S. Treasury Department, Withholding taxes Minetta. E. Locy, Family Exemption Samuel Goldfarb, Attorney for estate . . Notaries Register of Wills, filing Account R E C A P I T U L A T I 0 N TOTAL ASSETS TOTAL CREDITS BALANCE .. 2. L---~------~-------------------------------------------------- 1,400.00 1.60 266.77 1,000.00 1,200.00 12.00 16.00 $7,248.82 $24,027.41 7,248.82 $16,778.59 Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION (..;._ Ih compliance with the Newspaper Advertising Act of 16 May, 1929, P. L. 1784, 8JS amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally appear-ed before m'El, a Notary Public in and for said County and State, ....... Ri.c.b.a.rd .... S. .•.... Co.w.a.n ................. , who being duly sworn according to la~, deposes and says tha;t he is the -~~-<; .. ! .. y ..... ~ ... T.r~.a.s • of the Observer Publishing Company, a Plenn~ylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of ·the Observer-Reporter, sucC'essor to The Washington Observer, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily news.paper of general circulation, printed and published and having its place of business at Washington, Washington County, Pennsyl- _vania, where it or its predecessors have been established and published continuous'ly for more than six months• prior to the publication of the notice hereto attached; th8Jt the printed notice or advertisement hereto attached is a copy of an official advertisement, of.ficial notice, legal notice or legal advertisement, exactly as printed or published in the Obsrerver-Reporter in its regula;r editions on the following date or dates; ........................................... . ....................... S.e.p.te.mb.e.r ... 21., .... 2.8. .... a.nd .... O.c.t.o.be.r. .... 5 . ., .... .1.9..6.7. ... -that neither thte affiant nor the Observer Publishing Company is interested """-~ · in the subject matter of_ said notice or advertising and that all of the all-ega- ' tions' of this affidavit as to the time, place and characte-r of publication •are true. .. ...................... ~-~~-......... . Sworn to and '" w. 287!52 subscrie _!>';ore me this ... 5 ...... day or..O.c.to.ber ... l967 .... Y#~-~--~~~~:··~~ WASHINGTON, WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6, 1968 ··-. ~,. . :•ADMINISTRATRh{ .NOTICE ·:STATE OF Austin_.\H .. Locy, also \nown as Austin' LOcyJ. and Austin larry Locy deceasedflate or Am- (ell Township, Washingt0n County, la. -~ .. f,, t Letters of Administration upon the ~bove estate having been'.granted to e undf!rsigned, all p·ersons having aims aga.inst the estate are re· uestecl to. make known the ;;a me to he unders1gned or his attorney and I persons inctebt,ed to the decedent 1-!re requested to make payment to ( ,he undersigned without delay. ' Minetta .E. Locy Administratrix • I R. D. 4 Washington, Pa. 15301 lSamm;l Goldfarb .. Attorney 1 514 Washington Trust Bldg., Washington, Pa. 15301 , • • . • 67121-Thurs·3t --.;~.-.. ~ry "t _._ •• ~ . ·' .------------------------- WashingtOn County Reports Washington, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, paragraphs (3) and (25). CouNTY oF WASHINGTON) STATE OF PENNSYLVANIA I 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, publisbed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in t'his behalf; that the said WASHINGTON COl!NTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: ......... Se.pte.mbe.r ... 2.1 ..... 2.8 ............................... . ......... Q~t.Qb.~;r. ___ ~_, ___ _l~§._?. ___ _,, ............................. . ....... ~da~------·-------~-~Jg_P..~.r ........ , 196 .... .?.. :~=-:::;~N~ Washington, Washington Co., ~·J • ~v••• . . . My Commission Expir-es • November 1, 1969 .-F.state Notices t e Register of Wills has granted letters, •.:.--~tamentary or of administration, in the ' 1 owing 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. • • • • • e • • • • • • • • • • • LOCY, AUSTIN H., a/k/a AUSTIN LOCY a/k/a AUSTIN HARRY LOCY, Dec'd. . Late of Amwell Township, Washing-ton County, Penna. . Administratrix: Minetta E. Locy, R. D. 4, Washington .. Pa. 15301 Attorney: Samuel Goldfarb, 514 Wash-ington Trust Bldg., Washington, Pa. 15301 I I \ ' ·STATE OF PENNSYLVANIA,. WASHINGTON COUNTY, t SS: The within named Accountant being duly sworn according to law, deposes and say s that the above account as stated is true and correct as ......... she _____________ :::~----------verily believe.' Sworn and subscribed be·fore me this ___ d__~---- "; >doy'01;;fl~---·············· l9t2.;t: ..... ~~--~-0~ .A , . LOUISE L CARSON, NOTARY PUBLIC ' ,~ ' ' • ·WASHINGTON, WASHINGTON CO., PA. . ,, 'l WtY 'coMMISSION EXPIRES SEPT. 15, 1969 Washington County, ss: 'l, m ~ 0') .-.I '++4 . ~~ ci z ! ,' it'' '·~· I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribe~ by Statute and Rule oU:yr, as evidence by p~oofs thereof fo led to No. ]1 f'f/t.. .... ... . . .· .. " .· _ •.. Witness my hand and official seal thi~ _____ :_·~ __ ::_· day of ... ':t?fM:d.! ______________________________________ : __ :_ 19~2. .. ~-~-W;ii;··-· -~ ' r-; ... P:1 1 35 { "!· • \. ~ ·- 'j I, -~ ' ' I ' (:_, ~· . ~ • ,._ -" \ ·.·. , · \H!lo # •·• •• , -\ . ·. ij J,_ •-<\· ~C\j.f,· .. (': • • • -~ 0 • • • "' ·:~ .: ~ \"' n il . -.. '..) F. ,.,... ~ . ' ~-.. ~ ' -~ , !V\.\ . .,,e_,f ... ""' "._·,, l l. '-:.:u./ ' ~ . ·, __ r ' . \ ', . '· . ' . ; ·(I 3Jn tqr (@rp qan.a · illnurt nf lla.aqiugtnn Q!nuntg In the matter of the Audit of Account in Estate of AUSTIN H. LOCY, also known as AUSTIN LOCY and AUSTIN HARRY LOCY. DECEASED TO THE AUDITING JUDGE: No. 3 of 1969 Enter ____ m___,;y _____ .appearance for_-:--~---.=.A=-c=-=c:...:o~u=n:....:t:..:a=n:....:t:..._ ___ ...:...._ ________ _ N. B.-Counsel shall, by separate paper, present a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. j No. 3 o~ _:1:..:9:.....6_9 _____ ,XDUXXX..~~x In re Audit of Account in Estate of AUSTIN.H. LOCY, also known as AUSTIK Loc.;y-anCflrUSTIN HARRY LOCY, DECEASED AUDIT Jrarripr fnr ~ppraranrr FOR __M~netta E. Locy·~'-- Administratrix Accountant Samuel Goldfarb ·~®>2 Attorney lin tqr 00rpqans1 ainurt nf llasqtngtnn Olnunty ESTATE OF No .... ?.. ________ Of 69 19 ............ ,~ . A~~-~t_t!:_H_._ __ l!g~_y} ___ ~/"!:1~-------------------------· In the matter of the .... f.J:r!?.L?.:DQ. __ fi~?.-L ... . Austin Lacy, a/k/a Account of .. ~ .. Min~tt_~-~-LLQ~Y.~------: _____________ _ Austin Harry Lacy, Deceased. _______________________________________ .f:.:g~t_~t§_~~-~~~~-------- ADJUDICATION AND DECREE And now .......... M~~-<;:.h ________________________________ ?--/ ... , 19.9.~---, this matter came on for hearing, audit and dis-tribution at this session and testimony taken; and thereupon, upon due consideration trr~o47~e ~§lance for distribution in 'the hands of the Accountant is determined to be $ ..... L ....... "--···-----·-··--·-·---···-·-·--·--·-··--·--and the account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in a~cordance with _the schedule of distribution hereto attached and made a part hereof, unless except1ons hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. Balance per account ............ ------------····----------····-··-·--·-··········--·····-····-----···· Additional credit asked at audit Balance ... ·---·-------·--··--·--·-··--·-··--····-·---·-·--·-------···---·····-·-···-··--·-······---····------· Deduct Clerk's Costs & Receipts ........ ---··---··-··--·-·-----------·-·-·-·---·---·----·-··------ Attorney .......... ~§.}P~-~-l .. G.<?.l9J~:r.R ..................................... ------·-···-------·--· Russell Marino,. Agent, transfer inheritance tax,. $43.43 Interest from 11-19-68 to 3-30-69 at 6% .. 74 Minetta E. Locy, widow, an undivided 1/3 as widow of th intestate decedent and the balance by two deeds, one from Rita Guthrie (otherwise entitled to an undivided 2/9 interest) et con, dated December 2, 1968, and recorded in Deed Book 1289, page 1094, and the other from Ronald H .. Locy et ux and Dennis A. Lacy et ux, dated February 301.00 32.50 44.17 12, 1968, and recorded in Deed Book 1293, page 471, 6681. 86 Ronald H .. Lacy, son, an undivided 2/9 interest as child of the intestate decedent and the balance by two deeds, one from Rita Guthrie -(otherwise entitled to an undivided 2/9 interest as child of the deceased) et con, dated · December 2, 1968, and recorded in Deed Book 1289, page 1094, and the other from Minetta E. Locy, widow, dated February 12, 1968, and recorded in Deed Book 1293, page 467, 4859. 53 Dennis A. Locy, son, an undivided 2/9 interest as child of the intestate decedent and the balance by two deeds, one from Rita Guthrie (otherwise entitled to an undivided 2/9 interest as child of the decedent) et con, dated December 2, 1968, and recorded in Deed Book 1289, page 1094, and the other from Minetta E. Lacy,. widow, dated February 12, 1968, and recorded in Deed Book 1293, page 467, 4859. 53 16 477.59 $ ....... ! ........... . No balance I \)-) ~ I t "-.) N· "-.J :::r Ill ·S· .. X: .a ::r r-...J ~ \ ·~- X:: -c:n W-c.o .. ' j (/) .4. 0.....1 0.. ;z:_ .....1 • ~:;c> <!:;::p<..) ~U-:z: o· ' o. -. a: 1--_. u.J r..;!) I.JJ!--:Z: (./)(.{)- v)-X :::><!>c/) a;::l..l.l<t 0::? .· -J • L ~ t:Y ....... = t:Y -· """ ta ..-+ -· = = ta = t:Y ~ ~ """ ~ ~ ~ ' J J:. .J -~- 0 ...,.. 0 m n :I z Ill n 0 0 -+ 9 --t- c :::r CD :I CD 0 -'to 3 0 ' ...,.. 0 ...,.. -+ @" ., . 0 0 ...,.. ...,.. ..... :::r CD :c .' . ., .; J. J ;>•• ;> .) J- .J . ~-J J " .l '>'• J j '· '"' r -,j \ '· ~ .. J ··, \ ~ J ._) .. ( .... .··. J j L... ) .. ..... jc .. ., ------.-----------------------------------------------------------------------~--------------~--~ / RCC·4" (8-68) COMMONWEALTH OF PENNSYLVANIA,, DEPARTMENT OF REVENUE ,, NO, A·O 3 3 0 3J OFFICIAL RECEIPT • PENNSYLVANIA INHERITANCE AND ESTATE TAX R EC El V ED _________ T._.HB..l.LUE.:uE.:.........~H..ui..ull'iJUID..uR.uE.:uD.L-<a:u.n.u.d........._.O.LlO.LJ/'-1'-'0.LlO.J-...!=--==--=-,__,-=--=-=--=-=--=-=--=-=--=-=--=-=--=-=--=-=--=-=--=-~-=--=-=--=-=--=-,__,-do II a rs Minetta Lacy, Admr. representing Pennsylvania Inheritance or From: ____ ~~~uwt~~S~amu~~e~l~G~o~l~d~f~a~r~b¥-·--------~-----------E-st_a_te __ T_ax __ d_u_e_f_ro_m __ .t_h_e_f_o_ll_o_w_in_g __ e_st_a_te~:-------------l~ File No. %.59-J 05 Name of Decedent ___ ___._,A""'U..,.S.......,.,I""N___.,L~O~C-=Y-------t Remarks: S E A L 2% Tax on $ ____ ..,.O""n.__...A...,c...,c....,o.._un ...... t..,_ __ _ 6% Tax on $ __________________ _ 1 5% Tax on $ __________________ _ % 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 _Q__%.from ll-19-68 to ________ ~D~a~t~e __________ _ TOTAL AMOUNT PAID $ 297.62 $ $ $ $ $ $----------1~1 $ __ ____,,.........2 ...... _..3 .... 8 __ $=====3=00=·=0=0== Re,elved by ~ 'Zh~ NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life ~~~"'/ure) /£~· NOTE: To be delivered to taxpayer tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall nat be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant far years whenever it appears that such additional tax may be legally due and--:--~-.-?.lF"-"""""'""'(,::T:o...ijl.,.-11',}("--.....e.~;,__:::=-=-==------llll collectible for any reason whatsoever. 'J"' I f' I '· Form RCC-33 RESIDENT DECEDENT ···--· COMMONWEALTH OF PENNSYLVANIA :DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF j I~WORTANT: 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 of Revenue. (Section 703 of th~_Jnl)erit!lnCe_.!ln!i .E.!:!t!lte .1'a?C A,ct of Hgn.) IN THE MATTER QF ;ruE·ESTATE ·oF I AUSTIN H. LOCY, a;k;a. AUSTIN LOCY and AFFIDAVIT OF A.USTIN ..... HARR~···t!i'-~iy;;!~~~~.£~~~ED.................................................... ~D.Ilcx RIX Late of ........... ~~~~f!gl~~~-~-~-~ .. '. ................................................. County ADMINISTRATDC _, _ . PENNSYLVANIA :::.::. :~~~~~;~;~~-: _-:_:--~--=:_-J .. ,. rix ................................................................................................................................................................................................................................................................................................................. . AdministraMK of the~ estate of the above-named decedent being duly sworn, depose S and say s . . Decedent· dJed .................... August ...... l.9 ...... . (Month) (llay) ..... , 19 ...... 6.7 .... ,J ltXOlli~"'iKXDUOliX1XxmtX«mi-XXiK~HlliOOMa!: } (Y.,.r) l intestate N~me and address of attorney or} ................. Samue.l ..... Go.ldfarb .. , ...... Es.quir.e...................... . .................................................................................... .. other authorized representative to whom all cor respondence should be. ... . ....... f>.l4-J'l~§.J.l.;j,;~g1:.Q;g .... 'r..:XOUS .. t. .. B..lQK,. .. , ...... W.~§.A.i.AK't.PP..., ...... P.a. .. , .............. l.P.S..Q..l mailed. Administratrix . That a.s such ...................................................... deponent is familiar with the affairs of said estate and the propertY: con- ( l•:x.,r.u tor-Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of· the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSiT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT .1.~one 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.hedul~ A attached !1ereto 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 o.ther person or persons giving also separately the accrued interest thereon, if any, down to the last interest day PTior 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 othe~ evidence of in- debtedness of the United State~ .to .the decedent; all obligations, whether by statute or agreement they . ~ 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-. . ~.1 tures, books, works of art, household furniture, horses, carriages, automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, left by decedent, together with the· fairly estimated market value thereof; all bonds and mortga~~;es held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other 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 -co 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 a·ccrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent ~t 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 itenrlzed f~rm, together with~ the' fair' marke·t value thereof, any other property owned or _bequeathed by the decedent at th.e tiine 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 poss~ssion or~'~njoyment at or after death, said schedule. sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transfe~ee and all. other facts of a pertinent nature regarding said :transfers. In the case of t~ansfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a coJly of the deed, trust 1!-greement or other instrument creating the trust.. Ther•~ 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 de.cedent, either individually or jointly, by the will, deed, or other instrument of another, with a copy of the instrument crea.ting such ~owe~ attached 'to the. schedule. • ., , r That Schedule D atta_ched hereto and made part hereof sets forth the, names and addresses of all persons beneficially.interested iri 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, and the relationship of such issue to the beneficiary. That .Schedule E attached hereto .and made a part hereof sets forth all property, real and per-· sonal, owned by the decedent jointly with another or others, including intangible; standing in the name of the decedent and others1 plus the dat,e .and place o:f record of instruments ef'fecting· the vestiture o:f real estate and the date of. acquisition of personalty, plus the name, address and relationship, if any, of co-own·ers to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary' s commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and tmpaid at time of '\ .. deathj 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 ciaiming and allowed, that the same will be reported to the Register of Wills, and that the amount o:f 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 ................................ . ', .......... .J.Y..: .. ~ ...................... day of .... ~ ......... 19 ....... §.~ .:~~~ ... d!.. ... L~ ........................ . ~~ktf ... ~ ....... o.L ..... C!J.~ ........... .. LOUISE·L CARSON, NOTP.RY PUBI.!G WASHINGTON. WASH'H~GTO!~ Cu., PA. MY COMMISSION EXPIRES SEPT. 15, 1969 .. .... R ........ n ......... 4 ............................................................................................... .. (Street Number) .. ... W..asb.ington., ..... Pa ........... l53.0.1.. .............................. . (City or Town and State) NOTE: Before signing a:ffidavi t 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 r·elating 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 DECEpENT ..... SCHEDULE .. A" -REAL PROPERTY ~ ~ Real property in Pennsylvania, with statement of mortgage encumbrances up_on each parcel at death of dece-_ dent. Where property heid as joint tenant or tenancy by entireties, report on Schedule "E". Property held by the d_e.cedent· as tenant in common with another or others, should .be identiHed as to quantum of interest and the estimated value should be that of the. decedent's interest only. ( 1) The real property located In the Commo('lwealth of Pennsylvania should be described by lot and block number, street and street number, together wl th a general description of the property, with a reference to the record of the conveyance by which the decedent took title; if a farm· state number of a- cres; also statement of mortgage encum~rances upon each parcel at death of decedent. Taxes, assessments, accr.ued Interest on mortgages, etc.,are to be I is ted on Schedule" F" and must not be deducted. from this schedule. ASSESSED VALUE PARCEL ONE: ALL that certain parcel or tract of land situate in Amwell Township, Washington County Pennsylvania, being more particularly bounded and described as follows: BEGINNING at a point in a public road leading from the Village of Lone Pine, which point is a corner of lands of Burnell Frazee, James A. Moninger Estate and the within premises,· thence along said road South 83° 45 West a distance of 99.80 feet to a point~ thence South 74° 00' West a distance of 354.4 feet~ thence leaving said road and through other land of the parties of the first part North 17° 50' West a distance of 378.63 feet to an iron pin;. thence North 14° 57' East a distance of 402.18 feet to an iron· pin~ th~nc~ North 57° 03' East a distance of 89.08 feet t< a post on line of land of Amwell Township School District;. thence South 44 ° 45' East a distance of 264,00 feet~ thence South 33° 15' East a distance of 251.50 feet to a point in Ten Mile Creek;. thence from said creek and along line of land of Burnell Frazee Soutp 19° 30' East a distance of 90.00 feet to a pointl thence South 6° 31' East a distance o~ 212.00 feet to the place of beginning. Containing 6.5185 acres. TOGETHER WITH and UNDER AND-SUBJECT to exceptions, reservations, oil and gas lease~ easements, etc. appearing in the record chain of title. BEING the same premises conveyed by deed o -H. C. Sims and Mary Sims, his wife, to Austin Locy, dated August 4, 1948, and. recorded in the Office of the Recorder of Deeds of Wash- ington County, Pennsylvania, in Deed Book 747 :-page 324. ¢.V' _ ~ PARCEL TWO: ALL that certain tract or parcel of land situate in Amwell Township, Washington County Pennsylv~nia, bounded and described as follow~ : BEGINNING at a white oak which is the Southeastern corner of a tract of land now belonging to Grace Locr and formerly belong- ing to Harry Locy, thence along said Locy tract North 57° 20' West 419.91 feet to a- point in the road leading from Lone Pine, Pennsylvania, known as State Highway Route No. 62072 ;. thence along said road the fol- lowing courses and distances: North 68° East 240 ·feet to a pointl thence North 81° 00' 1 (Continued) FOR YEAR OF DECEDENT'S DEATH / Insert this total opposite .. real·property", Schedule "A" in the .. As Reported" column on the last page of this return. X X X-X X J-1-0- (2) (3) DEPARTMENT VALUATION ESTIMATED CAUTION MARKET VALUE (Do not write In this spoce) ( --/ G""~k'~ 8,5oo.oo,..,~ I r SCHEDULE "A" REAL PROPERTY (Continued) East 165 feet to a point~ thence South 88° 00' East 280 feet to a point;. thence North 64 ° 15' East 132 feet to a point;. thence North 45° 42' Assessed Value East 311.99 feet to a point;.' thence North 48° 15' East 319.24 feet to a point in said ro~d; thence along land of J. Wildon Moninger South 22° 48' East 570.4 feet to an iron pipe~ thence through lands of Frank I. Moninger South 65° 17'-West 946.3 feet to an iron pipe~ thence 68° 17' West 273 feet to ·the place of beginning. CONTAINING 14.91 Acres, according to survey of.J. T. Donahoo, C. E., made June 23, 1951. TOGETHER WITH and UNDER AND SUBJECT to · ex- ceptions, reservations, oil and ·gas lease, ease-. ments, etc. appearing in the record chain of title. BEING the same premises conveyed by deed of Frank I. Moninger and Mary G. Moninger, his wife,· to Austin Locy, dated July 24, 1951, and recorded in the Recorder's Office aforesaid in Deed Book 806, page 397. ~~~-/) . PARCEL THREE: r-..,.-~~ ALL that certain tract of land situate in Am- well Township, Washington County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a white oak, at corner of lands late of Daniel Baker, now of Kathryn Bambarger, north 77° 15f east 1191 feet to an iron pipe on the west side of the public road leading from Ten Mile to Lone Pine; thence by l~nds late of Levi Sowers, now of Roy B. Shidler··, in or near said public road north 00° 38' west 541 feet to an iron pin on the easterly side of said road~ thence by same and in or near said road north 7° 54' east 386.1 feet to a post on the easterly side of said road~ thence by other lands of the grantors, and in or near said public road north 8° 9' west 330.8 feet to an iron pin in the westerly edge of said road;. thence by same and in or near said public road nort~ 21° 42' east 264.8 feet to an iron pin in the center line of said public road;. thence by same north 70° 10' west 224.8 feet to a post;. thence by same north 81 o 34' west 584. 3 feet to a double wild cherry tree;. thence by same north 18° 25' west 162.9 feet to an eight inch wild cherry tree~ thence by land late of H. C. Slusher, now of J. Wildon Moninger, south 76° 48' west 1713.0 feet to a point; thence by land late of Daniel · Baker, now of Kathryn Bambarger, south 36 o 42' _east. · ~· 772.0 feet to a point~ thence by same, south 36° 55' east 1342.0 feet to a white oak tree, the place of beginning. Containing 77.74 acres, according to survey made by J. T. Donahoo, Registered Surveyor, September 1, 1952~ TOGETHER WITH and UNDER AND SUBJECT to exceptions, reservations, oil and gas lease, easements, etc. ap- pearing in the record chain of title. BEING the same premises conveyed by deed of David Preston Paul and Blanche Hans Paul, his wife, to Austin Locy, dated Sept. 23, 1952, and recorded in the Re-· corder's Office aforesaid in Deed Book 843, page 195. Est1mated Market Value A Department Valuation I "': .· · .. ,;,._,..> ~~0.00 'inrf . ;:tt.oJ. (I / ' - ·' '\ ·- RCC-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", Inta~gible 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 of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule. Item No. ITEM List and describe fully UNIT VALUE ESTIMATED MARKET VALUE DEPARTMENT VALUATION (Do not write in · this space) 1967.Ford one.ton truck 1957 Ford 3/4 ~on truck 1964 Chevrolet sedan Black Angus cow Black Angus 6ull Plastering equipment Checking account, Pittsburgh National Bank Accounts receivable $25.00 Series E Bond, issued June, 1956 27 shares Delaware Fund, Inc.@ 17.04 2/50 interest Tennant Oil and Gas Lease Well Interest 1/8 interest Laubach Oiland Gas Lease Well Interest Insert this total opposite "Personal Property", Schedule "B" in the "As Reported" column ·on the last page of this return. ........ $2,000.00(.• .~· ' lOO·OO oK-,..., soo • oti __. O.l<· .. ~ 1oo,: oo _, o.~~"'l' ' . ~.. 165.oo.· -. rJ'5!~r 150.00,// 0!. /'1 82.8,.86 e'l(~·· .. · ~ I 875.00 1r /-. 27.47 '·#fo 460.08 .~/ ~J 701.00 1~. 1 • 00 ) '1""' X X $5,277.41 "" . COmiON\I'EALTH OF PENNSYLVANIA TilANSFER INHERITANCE TAX ~SSIDENT 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)-AN~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=-0=-· ____ _ (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 m'aking 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) ___ N_o ______ _ (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) 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 valuable and 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 th~· property transferred? (Answer yes or no) _N~o~---- (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, o:t.which could revert to decedent under terms of transfer or by operation of law? (Answer yes or no) 1'40 , (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 the decedent alone or the decedent and others? (Answer yes or no) __ ~N~O~·---- NOTE 1: The answers to these questions should be supported 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 transfe'rred, ·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 Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) DEPT. VALUATION (Dept. Only) \ R.c c -:m ·:. ' . . CCM~hJNWF1\LTH l)F PENNSYLVANIA T'Hi\i\:::;FFH fKHElUTANCE TAX llF~IlWNT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY LliSTRl'CTIO~S: 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 tmder Schedule "A", plus the date and place of record of instrwnent 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 arid relationship (if any) of co-owners to the decedent. Description of Property, Date of Acquisition, Name l Unit Address and Relationship of Co-Owners, and Place ; Value of Record of Instrument, where Real Estate. l None I -.;,~ I . I Percentage Estate Share Valuation I I I I I I I I I I ! j Insert this total opposite "Jointly Owned Property", Schedule ·"E" in the "As Reported" column on the last page of this return. I I I I DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property None I I I I I I I Value of Decedent's Interest .. + .............. - RC.e-;31 .(12-63) C'OI\11\IoNWEALTH OF PENl'iSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State f~ll names and a~dresses of all who have an interest, vested, contingent or other- wise, in estate) Minetta E. Locv Ronald H I.ocv Dennis A. Locv 4-· ... ,.,, ,. SCHEDULE "D" BENEFICIARiES RELATIONSHIP (if step-children .or illegitimate children are involved, set ·forth this fact.) ·wife . Snn ·Son SURVIVED DECEDENT STATE YES OR NO Yes Voc DATE OF BIRTH INTEREST OF BENEFICIARY IN ESTATE 1/3 '1/~.· . ·-... 1 ./').. Deponent further says that all the above-named beneficiaries are living at this time except below: None I I·• NAME DATE OF DEATH RESIDENCE ·:·.:. ..._ "\, •' ' \ I ( . ':l-·:-· :"'"; -:- ::, .., ") ! -..:s- '). "'"' ~ ..,_:yo r\ ---.... --~Ji. -·-~----u~ ··--·· .. -;-.( Will Administration t No. ................... Year .......... .. P.-1 THE .\lATTER OF THE APPRAISEMENT OF THE ESTATE OF AUSTiN H. LOCY, a/k/a ···AUSTIN LOCY and If ~:S.'I'~ ~ .IIA.:It:ttX -~~~-....... .. ' · Deceased \_, Late or. .Amwell ... 'r9WP..~At.P. .. County of -~~~J:l.ington ..................... ·-···· Commonwealth of Pennsylvania REPORT AND APPRAISAL ,.,., Sll!t.\ .-:;; &Ji ~/;)]~ 0:/ttJ'.f~~ "IT:JSSn~ 0 ~:-: a IU u -,;:; 1 .•9-"' r ~ , . ., ' C:"' "f y ~ ...... ...,......, 0 ::r -~.1 ·-~-~ b I ~I SAMUEL G WFARB ATTORNEY AT LAW .. '-' . # ~ ~l.4 wasn1ngt:on Trust: Bldg. Washington, Pa. ,_ ;._ ..... . ,.,, -~ _--;. __ _ ) ·; ----·~--~ --'____,..::.._~~--~-~- f tf "').J - t?--xr£~ ~ ( .1 ;. },'·. --. . ',].~ ! '•,.,) . ·~ I /.' "' r· ·. ~, / I 7 'J--- / (Executor-Administrator must complete "As Reported" column #1.) 0 .... 0 Vl Vl ~ < ll:> X ·ll:> 0" (b' t%:1 Vl ji) ..... (!) «> ~ -fh 1-1 ...;) : ... :C11 :tv :...;) =!. :w:.. : 1-1 .«> ~; -fh (). : - ~- ~'<(_,: if ~; . ... ~i· ~ "'0 ::c .... (!) (!) ll:> .... e. ::s· Vl Vl 0 it' ::s "'0 e. .... .... 0 Vl "'0 "0 (!) .... .... 0 ~ "0 (!) .... ,.... '<: Cl) c: ~ ~ > : ::c ---.....:: w e,i) U'J 0 0 ?" ::r ::r c) t!5 > ;: :: :: ..__. ..__. ..__. ~ «> «> ...... > ~~ cr. "' ..., t.;)l.\) ::c_ ~tn Cll,_ i-.:10 -g..__. ~ •: .... .... ~0 (!) 1-10 :::... ........ «>-Y!o«> \;L,_ ~~ ,-,,, "' -:~~. : t:l ~ -~1':: :~ :~2-t:; :~: -~3 ........ :~ :~;· :,"-.' g_ :" :<J ........ :Q () •.; .,. ~; t --.~· " ._) \.. ..3-<:: 7 / Form RC C·lO '"""''"' mo " ~~ \ b ~ OFFICE OF TME REGISTER OF WILLS '·. ; ' ... STATEMENT OF DEBTS THE SUM OF , , ......... . OF __ W...,A"""""SH~I""'N..,.G,_,T:.;::O~N.:...__ COUNTY • .AND DEDUCTIONS AND AGENT OF THE COMMONWEALTH DATE .11 us 1..1.n n. .1...1ocy, 'd. I r..t 'd. V • ESTATE oF Austin. Locy and LATE oF --=A=m=w=e-=l:..::l:...-:T:...:O::..W:.:..:n::.s=h:..::i:..&:P~-------- Austin Harry Locy, Deceased DATE OF FILING APPRAISEMENT MarCh 14, J 968 OATS OF DEATH -~A'-l'i&ilg!!r'Ul::iS-"t.......IJL.:9~,r-J.~..Z~9.c6u;7 ___ _ NO. OF VOUCMiiJit NAM&: OF PAYEE REMARKS Letters and Register of Wills Short Certificate Washington County Reports Advertisement Letters Observer Pub. Company Advertisement Letters Register of Wills Filing Inventory Chambers Insurance .T ... 'hn U' ~'h .... nn+'7 !Bona prem1um I 'C'··-~-... 1 Kurtz Monument Company Monument Washington Hosp1tal !Account Amhnl~nl'!P ~nil 0.h~ir Service Account Clark & Co. Account 10l:'7 T-,.~-~ ,..,...,..,. . Martin Lumber Company Account Rn~~P-11 Rro~ Account I.onP 'PinP SPr-vit!P Station Account Account AMOUNT 19 12 12 7 11 tl~~ 725 9 51 25 '70 108 228 27 50 ' 00 50 50 00 ~~ 00 60 00 00 '7Q 16 98 59 00 36 00 D<:~lo++"" '"' s~lP!=:: & Service --+·A~lc~·c~o~tu~nt~t----------+--~:__p~ Neurological-Neurosurgical I'J.~c:.nrt..;..,.+'....,.,... Ac>c>t"\11T\t 25 00 1967 School tax 206 82 'lno I).L:_ 'Rohoc>c>"" 'Rooc::.""' Judmnent note loans 1 400 00 Rn,..""'""" ni' "Rm,..lnvmP.n_t Sec Taxes 1 60 266 77 u s . Treasurv Denartmen t Withhold i!!_gc__::t.=a:::x:=e:::S:__ ____ -+__:=-=-=--+-...:....::- 1,000 00 11,200 00 - Minetta E. Locv Famil~~e~P-~t~i~o~n~-----------+~~~~~~ I Samuel Goldfarb Attorney for ~~s~t~a~t_e~---------~~~--+--- Notaries 12 00 Register of Wills Filing Account .... 16 (}0 1-'""' I~ ' "7 'f. s-r-e., ~ 5\, } \,. V' I . '(/) ~-,o , COMMONWEALTH OF PENNSYLVANIA } COUNTY OF WASHINGTON SS: 1, Minetta E. Locy, Administratrix HEREBY CERTIFY. THAT. TO THE BEIIT OF MY kNOWLEDGE AND BELIEF, THE FOREGOING IS A JUSt .,AND ~U i:.STATEMENT AE ,P-EBT$, FUNERAL EXPENSES AND ZXPENSUI OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF AUS 1n • OCy' at K/ a A * *' H .QE.CMfED. AS DEDUCTION5i FOR INHERITANCE TAX PURPOSES USt1n LOCy anQ .nUS '-1D arry .I...IU\.#y . -~~ ~ ~7 "'' SWORN AND SUBSCRIBED !IEFORE ME THIS OAY Of' --------------------------18 __ __ ru [b -~