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Home My WebLink AboutOC1969-0039 - ESTATE OF COOPER,-;;;. RCC-81 (2-64) .' COMMONWEALTH OF PENNSYLVANIA DE;:PARTMENT OF REVENUE ~U~EAU OF COUNTY COLLECTIONS INHERITANCE TA~ DIVISIOJI! NOT~CE OF FILING OF APPRAISEMENT HARRY E. Informant ~- •· IN :YOUR R~P~Y PLEASE REFER TO 37-177-1 In Re : E s 1;. ate of __.,"':"""'",.....,..,---~RA=YM:;=iO~ND=.-· ..:::0.=.• _C~O~O:;.;P:.;;ER=· =--.-,----,,----_,...,.,.._. Dear Mr. Cooper: You are hereby notified that the original appraisement in the estate of Raymond 0. Cooper has been filed in tQ~ ~ffice of the Register of W,ills qf Washington' County on Januar:y; 22 '· , 192.2_.. Said appraisement reflect's the foilowing valuaticins: · Real E.s t~te ...,...,..,......;...-,.,.,...,,__---.---------- Pe rs oi1a l Property .,· -------_· ..::!1:..~ • ....~.9:.:::8:::2;.!..:::1..t..3__.,. __ Tra~~fer~~-~----~--------~-Total~~~~~--~~~1~·~9~82~·~1~?~ .. ---- As to such ~ax that ,is paid within three death, a, five (5%·) pe:rce;nt discount .i,s allowable. remains unpaid ·after one year from date of death, of six (6%) percent p~:r;-a:~:1nWJ! is· cQarged. months-from date of As toany tax that ,i~tere~t at the rate Any party ,in interest who is agg~ieved by an ap~raisement may appeal therefrom ~s provid~d ·by law. s;gnedAt':~ Q.~ 'l',i tle Wr~R. CHANEY:C APPRAISER DATE OF DEATH: July 25, "1968 Note: This is not a bi.ll.: / .~" c c-3!l. !6-67) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT COOPER, RAYMOND 0. FILE # 63-69~39 July 25, 1968 SUMMARY -~ .. ....... ,; FILE # 63-69-39 ftEPOH.T OF INHE.H.ITANCE TAX APPRAISER I~ the unclersigned fluly appointed Inheritance Tax Appraiser in and for the County of # 63 Washington , Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C" and "E". /~JC7 ~ Q~;f' I NHER;TANCET; APPRAJ S~ 01-22-69 Dated: 07-25-68 REPOR.T OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for Washington County, Pennsylvania, do r·~spectfu:tly report that I have allowed deductions in the amounts claimed by deponent, except as to those i terns where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents :::e:~m allowed0::2:_:;duction. ~~ INVENTORY Real Property (Schedule A) Personal Property (Scheflule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLE~q VALUE OF ESTATE Valuation of life estates or annuities ESTATE T.U ASSESSMENTS . ; FOR USE OF REGISTER ONLY Tax on$ _______ _ Tax on $ _________ _ Tax on ~ ------~~~--~· Tax on $ ------------- Exemptions.:=======:======·---Total Estate _____________ _ !1% TOTAL TAX Less tax previously paid BALANCE Less 5% of tax if paid within 3 .:months after death :.; 3ALANCE OF INHERITANCE TAX DUE Add interest at rate of H% from to REGIST~R OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $ $ *------------2,021. 71= I, 982.13 ·- 2,021.77_ 1,241.74= __ _.::8~0 .• Q~_ $ ____ _ $ _____ _ 1,982.13 := 1,241.74:= 40.39 ======:= COMPUTATION OF TAX * ~ $ ~·'2.42 ·Paid In Full 1-21-69 ----'-"~-'---,.- $ $ __ ., __ _ *===:=== ~= $ __ __:_ __ _ ~·· $===== := (':') As evidenced by Chari table Exemption Certificates issued by tb~ Secretary of Revenue. $, ____________ __ $ ______ _ A~fOUNT 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 $ ______ _ $ ______ _ $ ______ _ $ NOTE: Where subsequent adjustments are made to the above computation of tax by the ftegister of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ~ No ..................... Year ........... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF RAYMOND 0. COOPER ·················································· ............................... . Deceased Late of . . . . . . . . . . NE~v EAGLE ·················· .............................. . County of ................ WA.~I:fi.N.G.TQ.N. ....................... . Commonwealth of Pennsylvania REPORT AND APPRAISAL I. •' •' . . ~, /; • COMMONWEALTH OF PENNSYLVANIA.~ DATE-................. ~ .. ~.~.~:t.:Y.. .... ?.? .. ~ ...... ~.?~.?. ............. . ·= · . IiEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. l 7 l 2 7 RESIDENT INHERITANCE TAX APPRAISEMENT COUNTY ................. !.~.~.~?..~~~.~~································ FILE NO. . ...................... QJ.::.f?..f1.::J..9 ................................... . Whereas, ........................... fiaymQnQ .... 0. .•..... 9.9.9.P~.r. .............................................................. late of ................................ ~.~~ ... ~~.g~~··············································· in the County of ............................... Wa.~.b..i.ngt.o.n ...................................................................... Commonwealth of Pennsylvania, having died on the ................................ ?5 .... t.b. ............................................ day of ................... ~.':lJ.:Y ............................................. 19 ... ?..?. .. , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ...................... W..,.R., ..... C.b.an.ey: ......................................................................... , 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 l\ERSONALTY: Savings Account No. 29640, Western Pennsylvania National Bank, Monongahela, Pennsylvania Total Unit Values $ Appraisement Made for Inheritance Tax Purpoaea 1, 982 ~3 1,982 13 ..................... WN.'.H.:I:N.G'I.'QN ..................................... County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ................ MX.l19NP. ..... 9.~ ..... G.99.I?.~ ...................................... . Deceased. Late of ............................. N.:F;W ... :l!!AG.~ ... . Date of Death, ............ ~.1i.LY .... ?5.., .... J.99$. ......................... . Appraiseme11t Docket Vol., .................... .'?..?.. ........... : ............ . Page, ....... l7.7.~L .................... No .. 63.":"::.6.993.9 .................. . Filed in Registers Office, .. ~.<:l.l}.~.I.:Y. .... ?.?.?. . .19~9. ... . Amount of tax due, $ ................................................................... . DEPARTMENT OF REVENUE Received, Exa:n;tined and Approved, Wrote abo.ut Appra.isement, Appeal f1'om Appraisement, Entered and charged, .... ~· t '' OIU>HANS' COUR,T OF W:ASHI.NGTON COUNTY'· PENNSY~VN'liA ESTATE ~0. CF 1969 RAYMO~D Q. COQPERr deceased PETITION fOR SETTLEMENT OF SMALL ESTA,TE UNDER, SECTION ·202 0~ THE FIDUCIARIES ACT OF 1949, AS ~NDED To the Honorable P. v. Marino, President Judge of said Court: The ~etition of Harrx E, Coo~er, by his attorney, Joseph L. Roff:rnann, res~ec"tf;ul,lX represents: 1. That Ray:rnond o. Cooper, aged fifty-eight years, a resident of The Borough of New Eagle, Washington County, Pennsyl- vania, died on July 25, 1968. 2. That your petitioner, Harry E. Cooper, resides at 4255 Lydia Street, Pittsburgh, Pennsylvania, 15207, and is a brother of said decedent. The petitioner did not form a part of the same household as the decedent at the time of his death. 3. That the decedent was unmarried at the time of his death. 4. That the decedent died intestate and no Letters Testamentary or of Administration have been granted upon his estate. 5~ That the only person interested in the estate of the decedent is a son, of full age, Wilbert D. Cooper, who resides at No. 5119 Lake Drive, Parker, Florida. 6. That no distribution of the assets of said decedent has been made. 7. That the assets of said decedent are as follows: Western Pennsylvania National Bank, Monongahela, Pennsylvania, ---------------------------------------------------------------------------~--- I ' I ~ Savi~gs Account No. 29640, in the amount of $1982.13, as of the date of the death of the decedent. Accrued interest for the period ending December 31, 1968, is in the amount of $39.64, making the total sum available for distribution in the amount of $2021. 77. 8. That the following are the riame~ of all unpaid creditors of whom your petitioner has notice or knowledge: Name Bebout & Yohe Co. Memorial Hospital Harry E. Cboper ' Harry E. Cooper Russell Marino Bett:y E. Wenzel Harry E.. Cooper Joseph L. Hoffmann Kurtz Monument Co. Russell Marino Nature of Claim Funeral expenses Hospitalization Profe~sional services Reimbursement for sum paid to Rev. Lewis for funeral services Reimbursement for sum paid to Big Town Hotel for room rent of decedent Filing fees Notary fees Allowance Attorne:y's fees Grave mark;er Inheritance tax Total Claims Amount Admitted $1188.00 Yes 298.15 Yes 45.00 Yes 20.00 24.00 13.50 2.00 101. 09 100.00 150.00 . .2. 42 Yes Yes Yes Yes Yes Yes Yes Yes 9. Th~t your petitioner has filed a schedule of the assets of the said estate and deductions for inhe.ri tance tax purposes with the Register of Wills of Washington County, Perin- sylvania. A copy of that schedule is hereto attach~d. 10. That a copy of this petition has been forwarded to !!wilbert D. Cooper, son of decedent. Receipt evidencing delivery ll of such copy is hereto attach~d. 11. Your Pet~t~oner therefore prays that the Court, pursuant to the provisions of Section 202 of the Fiduciaries Act of 1949, P .. L. 512, as amended, 20 P.S. 320.202, award distribution of the estate of the decedent as follows: Bebout & Yohe Co. Memor~al Hospital H. J. Ley~n, M.D. Har:r;y E • Cooper Harry E. Cooper Russell .Mari.no Betty E. Wenzel Ha;rr:y E. Cooper Joseph L. Hoffmann Russell ,Marino Kurtz Monument Company W~lbert D. Cooper Funeral Expenses Hospitalization Profes~ional seivices Re~mbursement for sum paid to Rev. Lewis for funeral services ~e~mbursement for.sum paid to B~g Town Hotel for room rent of decedent Filing fees Notary ~ees Allowance Attorney's fees Inheritance tax Grave marker Balance Total $1188.00 298.15 45.00 20.00 24.00 13.50 2.00 101. 09 100.00 2.42 150.00 .. 77'. '6'1 $·2:021'. 77 Ill II I ! It' I I I COMMONWEALTH OF PENNSYLVANIA ' ss: COUNTY OF WASHINGTON Before me, a Notary Publ~c in and for sai.d County an.d I Commonwealth, personally appeared Harry E. Cooper, Petitioner in I~ the Estate of Raymond o. Cooper, deceased, late of ~he Borough of New Eagle, Washington County, Pennsylvania, who, being duly sworn ~according to law, deposes and ~ays that the facts ~et forth ~n )I 1! the foregoing Petition are true and correct, as he verily,believes. II,. ~~ ~I I! II·~ I~ /) Sworn to and subscr~bed ~fo:r;e me this fourth day of January, A. D. 1969. My Commission Expires·: #/?'.1 ) ~ i I~ THE ORPHANS' COURT OF WASH~NGTQN COUNTY, PENNSYLVANIA ,, II ESTATE ~ 0~ 1<[1 ll1] I~ MY~OND 0.. COOl?ER, NO, O}f 1,969 I Deceased JOI~DER I~ n I ~' WILBERT D. COOl?ER., of 5119 Lake Dr~ve, Pa~ker, i'l Flo~ ida, son of Raymond. 0, COOJ?e.t;, d,o he~eby c;~,cknowLed,ge that I jbaye ~ece1yed a c?py of the Pettt±on for settlemerit of a s~ll leitate under ~ct1on 202 of the r1duc1ar1es Act of 1949, as ~ a~ended, and do-hereby join in th~ petition of Har~y E. CooJ?er, ~ peti ti.oner therei.n. I' WITNESS my hqnd and seq! th:i;s r day of ;lanuary, 1 1liA· D. l969. ~ W~tnes::;: . /4·_1&,·;/)f:. ··(~~"··~--~~ (S·EAL) I >t, a (/JH fj ri_/J~t , , l..;". a i;.~v··;~etic:-~ ,,-F!x~~-'- ,., c:..~~u.:-. &.,..,,,.,. Od. -~ lt71 -.. -.~~-,~~'¥ ~ f-~ '-'. -~ i. ' .. ·' , < ,. '"'" · ··-~ • • · . I t F~rm N?~.~-E~:.6_3, (2-61! THIS FORM REQUIRED IN.A:t.t~i~:t.t;~!~(io/lt;Ji.:~R~~:.~,~-~J~:i'~i~:~#.~R $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961, EFFECTIVE 11AN'UARY 1, 1962. (FILE IN DUPLICATE .WiTH"·COPY ()F WI!:~ ATTACHED)~·~:.·:'!.. · , , i ,, , ll • t.';..-·., ·} '. • ~,;··. ~ -:,. ~-:· ':.J~; OFFICE OF THE REGISTER OF WILLS WASHINGTON · County of ......... ; ................ . Harry E. Cooper 4255 Lydia St., Pittsburgh, Pa. 15207, .............................. · ................... of ......................................... · .. · · (Name) . • .... (AddreBB) . . sworn . · · Informant bemg duly ---------------------------------------.accordmg to law, deposes and says that he ts the -------------------------d----------------------------------<Exec., A m., Legatee, Etc.) · RAYMOND 0. COOPER · , of the estate of ____________________________________________ ! __ . ____________ whose last restdence \\ as.. .. (N~:;·-----------------------(iit~~~[)---------------------- -~~~---~-~~-~-~-~---~-~-~--~------------.... deceased, and that the whole of the estate of said decedent, who died --~~_ly __ <_D~-~l-r..J-.~.9.8' (City, Borough or Township) · · . ate consisted of: ·REAL PROPERTY REAL PROPERTY IN P•ENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT. WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADilRESSES AND RELATIONSHIP OF OTHER OWNERS. "' Real Estate Estimated ' Value .. I I ' None ' 0.00 I I ( 1 ' ( . ! '~ t .. t j ' ' ' ' ·' ·• . .. .. '. ~~· .~.., . ' .. ' Personal Property Savings Account No. 29640, Western Pennsylvania National Bank, Monongahela, Pennsylvania $1982.13 Accrued interest for the _period ending December 31, 1968 39.64 ' I ..• . . .. --'1 -.. . ... ' . .. . l _, NOT~: You 111ay expedite the processing of this1.return by filing with it-; and as a parLof the return, letters .from financial institutiolls 9r m,~rtgage hol~ers, certifyi-ng to amounts on deposit or owed by the , · qecedept as of th~ date of dea~h_, Sl,l.Ch lett.ers must be signed by a responsible officer of the financial institution or mortgage holder aYfd ~rtdicate clearly amou~nts 1· of principal· and interest in the decedent's account at the date of deat'~.t<a·irq'~~~~ type of account, account number and .. th~:.ex~~G:r name or names in which the account is registered; · · ~t '~ · • ·-··----___ ., ___ ....__ ----L-.7' .. ; .,.; '·· None ,.I~ ........ ·.·:',, • .:~~~· .... .j.l:·., ,;,.' ~::"~.'·",'I I ', '. .. •'•, '. ~-/ '.· :,,·_(:·.:. :;:/}:;/:>.-:< .. : .. T1;ansfers within TWO YEARS Pri'or to Death I. . None .,,,.,: .C..:Sl.IIUal..L:U~ Value o.oo 0 00 That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly wit~, 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 II'IIICII DECEO~:NT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDEKS TO Dl·:CEDENT None -- - .. -- BENEFICIARIES - BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children o1· DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest, vested, contingent o1· otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE forth this fact.) DECEDENT Wilbert D. Cooper, 5119 Lake Drive, Parker, Florida yes ,, .I Entire son '. . I• - I_.., .. ------------- ··-·---' I '. j ' l . .. I ----- I .·, . ·>''""' : :,.'.,~--:~~i+)\~~;~1\\ .· ·t .. RESIDENT DECEDENT DEBTS AND~D'E:·rit¥eifoN:s::-tLAlMED ·--o--.,, • NOTE: List· first five items in the spaces so provided,· obse~·ve notations ther.eon, and instructions. DEBT 0 R CLAIM ___ ...:.N::..:.A.:..:T:...:U::..:R:::E=--:O::..:F:___:S:.:.A:.:M:::..:E=-------,--=A...:.M~O..:::.U...:..:...NT ~HISCOI~ U M N- T EGISTEI{ ONLY --------· Bebout & Yohe Co.. F:uneralexpensespai<;l $1188. 00 $ l----------------+----"-~----=---:__:__ __________ -+----... --1·------ Joseph L. Hoffmann Harry E. Cooper OTHEn DEBTS AND CLAIMS Memorial Hospital H. J. Levin, M.D. Harry E. Cooper Harry E. Cooper Kurtz Monument Company Farili1y ex~mption (~Ill ncit be allo~ed unless decedent died residing with a spouse or children.) Adminhitration Expenses * Counsel fees * .. .. Fidu~iary commission * (*) See Note below Hospitalization Prof~ssional services Reimbursement fo~ sum paid to Rev. Lewi~ for ftineral services Reimbursement for sum paid to Big Town Hotel for room rent o decedent Grave marker : 1 ; ·' I ' ·' Total 15' 50 100 ool 1-------1-------- 101 ~8 45 20 24 ]50 09 1 15\ 001 I I I ooj I ool oo! ! .. 1--~----~--4-------$1941 74 Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is g-reater 1 or less thari the estimated amount claimed and allowed. Subscribed and sworn to before me this ..................... . ..5~ .. ~~~-~~.~l .. ~:. ~~~~.P.F. ~ ................... . (Executor-Administrator) 4th January, 69 ........................ day of ......... ·.· ............ , 19 ... . ~?.~.~. ~Y.9~~ .. ?.~!:~.~~ ........................ · (Street Number) · · · · · · · · · · · · · · · · · · · · · · NO'tary · ·:Pub'i re: · · · · · · · · · · · · · · · · · · ~ ~.~ ~~P~.:r;gl:l.t ... ~~J.!.J?.S.Y.~ Y.C!-~.~ Ci ... ~. 5 -~ 9.?. (City ur Town and Stnte) Having heen duly sworn according to law, I do hereby certify that the above appraisement is made in conformity with law nu this .................................. dayof .............................................. ,l9 .... . • • • • • • • • • • ; ••• 0 ••••••••............ 0 •••••••••••••••••••••••••••• In the event that any future inter·est in this estate is transferred in possession or· enjoyment to collateral heirs of the decedent after the expir·ation of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer·inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for ..................... · ............... County, Pennsylvania, do respectfully report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount i is set forth in the last column to the right in said schedule above, which greater or l.esser amount represents the sum allowed as a deduction. Dated: ............................................ . • • • • • I• o • ~ • • • • • • • • • • • • • • • o • • • • • , o , , , , , , , , , , • , , , •• , , , , , Register of Wills lN THE ORPHANS 1 COURT OF !~ASHINGTON COUNTY'· PENNSYLVANLA ESTATE- OF NO. OF 1969 RAYMOND 0. COOPER, deceased ORDE~ AND DEC~E · / J , 1969 1 upon -consideration of I th~ for~going petition, it is hereby Ordered, Adjudged and 1 1 Decreed th~t Harry E. Cooper, the petitioner, be ·authoriz~d and empowered to withdraw the funds of the decedent from the Western • 11 Pennsylvania National 'I buHon the:r:'eOf to the ~Bebout and Yohe Co. 1i Memorial Hospital 1il IH. J. LeVin, M.D. I 1 Harry E . Cooper Harry E. Cooper Russell Marino 1, Betty E. Wenzel ,, Harry E. Cooper I' Joseph L. Hoffmann uRussell Marino I I. Kurtz Monument Company 111~ Wilbert I ~ !i I~ D. Cooper Bank, Monongahela Office, and make distri- 'followi~g corporations and persons, viz: Funeral expenses Hospitalization Professional services Reimbursement for sum paid to Re~ Lewis for funeral ser'vices Reimbursement for sum paid to Big Town Hotel for room rent of decedent Filing fees Notary fees· Allowance Attorney 1 s fees· Inheritance tax Grave marker Balance Total $1188.00 298.15 45.00 20.00 24.00 13.50 2.00 101. 09 100.00 2.42 150.00 77.61 / 'f '\, I '~ ,. '·,! ~ ..-~ \ T ~· ;, ~~ ~' :J J~ 1 . -· __ -::. 4,, IN THE ORPHANS ' COURT Of WASHINGTON COUNT~., PENNSYL- VANIA NO. l31, OF 19 69 ESTATE OF RAYMOND O. COOPER, Deceased EETlTlON FOR SETTLEMENT OF $MALL -.ESTATE UNDER SECTION 202 OF THE FIDUCIARI-ES ACT Lf 1949, AS AMENDED L:"(!) :-: :50 ~~: ·. 7._:;J -' :, ,,._.._. ' ,J rt .... .J !-<-~'\ c. ~.-_.. ~ gi~f ],_ vJb · .. ' ' z ----: ' t.::; ~ ~~~i~ ,]if ::; \--t -o ~J~ ~ ,~.J . l=.:. ~JosEP~ L. HoFFMANN ATTORNEY AT LA-w- 242 WEST MA.XN STREET /( MoNONGA.HELA3ENNSYLVANIA 15063 J ?, ~-/ ~ ( \j ~! '· I: 1¥ h ,! -. t- ..Y?,/7~-/ Form No. RCC-62 (2·64l THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961, EFFECTIVE JANUARY 1, 1962. (FILE IN DUPliCATE WITH COPY OF WILL ATTACHED) r.l. . ' .. OFfiCE OF THE REGISTER OF WILLS WASHINGTON County of........................... . . ~~~-~~-~:. ~~~?.~:-......... · ................... of ~~-~?. ~l:'?.i.~. ~-~: .' .. J?~.t:t~A~~9,1},, .~9-.· ... ;1..~~07, (Name) (Address) . sworn . · · Informant bemg duly _______________________________________ .accordmg to law, deposes and says that he 1s the--------------------------------------------~--------------. (Exec., Adm., Legatee, Etc.) · ' RAYMOND 0. COOPER, · of the estate of-----------"·----------------------------------------------whose last res1dence was---------------------------------------------------------------!No.l (Sueet) ~~~--~-~~-~-~-~---~-~-~--~---------------·deceased, and that the whole of the estate of said decedent, who died __ -I~J_y ___ ~~-~---J-~_Q ... §~,.· (Cicy, Borough or Township) (Date) ~'>,.1 consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRAN<l:ES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD. AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value None o.oo . . '• P~rsonal Property Savings Account No. 29640, Western Pennsylvania National Bank.., , • .J ,JI ...,... . -y; 1[9 a'-'l~f' · Monongahela, ·Pennsy 1 vania .Ac.c:t:Ue€i--:i--n-tere-s 'E for the period endinq De·cember-3-li ±-9·6-8 :>z~~ . 3"9-:-64~ • .. --. -. '" .; -- NOTE: You may expedite the processing of this return by filing with it, and as a part of the return, letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the .: decedent as of the date of death. Such· letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at tlie date of death and the type of account, account number and the exact name or names in which the account is registered. I Jointly Held Property Estimated Value -· --< ·-. '-~ None 0,00 - Transfers within TWO YEARS Prior to Death -·- None 0 00 That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT None . -... .. -. - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE forth this fact.) DECEDENT Wilbert D. Cooper, 5119 Lake Drive, Parker, Florida son _yes Entire - - ~, RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE· List first five items in the spaces so provided, observe notations there:::o:.:.n2,_::a:.::n:.::d_;i:::n=-st::r-=u=-ct:.:.io:::n:::s:.:.._ _______ --,-______ _ ~------~D~E~B~T~O~R~C=LA~IM~------~---------~N~A~T~U~R~E~O~F~S~A~M==E----------.-~A~M~O~U~N~T~--mTHIS·COLUMN 1 !KEGISTER ONLY Bebout & Yohe Co. Joseph L. Hoffmann Harry E. Cooper OTHER DEBTS AND CLAIMS Memorial Hospital H. J. Levin, M.D. Harry E. COC?per Harry E. Cooper Kurtz Monument Company Funeral expenses paid Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * Fiduciary commission * (*) See Note below Hospitalization Professional services Reimbursement for sum paid to Rev. Lewis for funeral services Reimbursement for sum paid to Big Town Hotel for room rent oi= decedent Grave marker Total $1188.' .. ~;OO $ 15 100 101 ;98 45 20 24 ]50 $1941 50 00 09 1sl 001 I ooj ool ool 1 I 74 Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,. commission or debt is greater or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this ..................... . ia Street ........................................ (Street. Number) ~ ~-t-~!?R~.:J;"gl:l.~ ... J?~~n~.Yf: Y.~~~~ ... ~-~-~ 9.?. (City or Town and State) '"1 ~ ·;.. .. :';Ji9Jr Ei<pii·es ·' ::l7f/7V ijaving beJ~a~1!!?-$'orn accordi.ng to la:;v:-, I do "ereby certify that the above appraisement is made in conformity with law on this .................. -~-?1-.-<:/... .... i.dayof ..... ~d ...................... : .. -~ ...... 19.~./' /7 ~~ . . ~L ................... ~ .. 4 ..... ~ ........... . Appraiser 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-inheri- tance taxes at the lawful collateral rate on any such future interest. I t ~ Form No. RCC·62 (2·64) Will l Administration 5No. · · · · ...... Year .... . IN THE MATTER OF THE APPRAISEMEN:r OF THE ESTATE OF .M~~ONO .. P. ... C.QOl?;E;J.i.~ .. · ............ . · Peceased Late of; .. ~~vi. ~.qgle · . . .................. . County of .. ~~9!'1Xr:g.ton -' • • • • •c•,• • • • • • • • • • • • Commonwealth of Pennsylva~ia . . ----' c •.• REPORT AND APPRAISAL-. . ~ -. D>_; -'-""' I\) ·. ~ P.J CJ ' -c-= '"'-,.,__r [· f rr'~ '~~ J~. ~~J.":,.~~~~~nD ~ :J {r) -~-~t L-~~,C"' 1 •• "'• ll)i/33 > 4 I; -/ ··\_ '\. · .. r• A_ ·-. --~-·-· ~-=====~-====== RCC·4 18•68) -COMMONWEALTH OF PENNSVLV ANIA · DEPARTMENT OF REVENUE t . : NO. A 0 3 3 0 7 4 OFFICIAL RECEIPT • PENNSYLV ~NIA INHERITANCE AND ESTATE_ TAX . TWO AND l .. .. -~ 42/100 RECEIVED __ _:_ _____________________ __;~~-· _____________ dollors representing Pennsylvania Inheritance or Estate Tax due from the following estate: From:~~-A~PV~~~~~ri~~~~~~Nr--~:-----------~-------------~11 242 WEST MAIN STREET Addr.ess--------------------1 MONONGAHELA, PENNSYLVANIA 1 63•69 ... 39 7 ... 25-68 File No. ________ Dote of Death ______ -! January 21, 1969 Dote o( Payment -------------------1 RAYMOND 0. COOPER Nome of Decedent ----------------1 WASHINGTON CountY----------------------1 Remarks: .. S E A L NOTE: This Triplicate Receipt to be retained for a'"udit purposes. 2% Tax on $ ________ $ ________ _ 40.39 2.42 6%Toxon $ _________ ""-----------lUI 15%Tox 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 date of death Plus interest at the rate of __ %from---------- to ____________ _ T(!TAL AMOUNT PAID I $_· ______ ___; __ 2.42 $-----~------- ·$·------~---- 2.42 $·========== . Received by NOTE: In accepting the transfer inheritance tax on future estates,~priar Ia f.ne death of the life tenant or tenant for years, as evidenced by this receipt, it is understood t~at the, Commonwealth shall nat be precluded or prevented from hereafter assessing additio;,cil inherilance•tax at the death of the_.~.~:::_;,e.~~:::::.!~7,.-;-Lrz:..~~.£:;::...,.::._::--_-:1111 life tenant or tenant far years whenever it appears th'at such a~ditional ta~"inay be legally due and • • collectible far an reason whatsoever. . /'