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Home My WebLink AboutOC1969-0251 - ESTATE OF WEIMER'1 _'CC-3~(5-68) isCOMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of t:\[Edmer (Last Name) lrJi 1)iam (First Name) H. (Initial) DATE OF DEATH 8-8-68 FILE NO.63-69-251 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_.lIJjW~a~s~hu.i.,(.Jnl.§g'"'"'t..uoiLJn _ 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","e",and "E". Dated:October 20,1970 REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed.,a dedoetion.~~~~ Dated:October 20,1970 REGISTER OF WILLS VALUE AS REAPPRAISED $-------+--1,662 90- 1,662 90 1,701 90 INSOLVENT_----I~TE 1,662 90-----'1,~7-01-tw:_ VALUE AS REPORTED VALUE AS APPRAISED $$1,662'90 INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or --t= FOR USE OF REGISTER ONLY Tax on $~--2% Tax on $------------1--@ Tax on $5% Tax on $10% Tax on $15% fu~ptioos * Total Estate -1-__ TOTAL TAX COMPUTATION OF TAX $-------+-- $------~- $---------4-- $---------4-- $...,-------+-- $..1--__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::~t=== BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $----1 AMOUNT OF ESTATE TAX ASSESSED $----~L- Estate tax paid $-.ll- BALANCE DUE $---lL- Add interest at rate of 6%from ------'lto-----$-----~t=TOTAL TAX BALANCE $----~.PAID $--1 FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will !...No.AdmInIstration IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ..·V'JILLIAM·vVEIMER .. Deceased Late of SOUTH.STRABA..NE..'l'QWNS.H;I)'. County of..WASHIIDTON. Commonwealth of Pennsylvania REPORT AND APPRAISAL .'~, ~ ...... DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS BAaRI8BURG.PENNA.17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE .....Qy.tq.l?~~.?9.~~.?I~....... COUNTY 1'Iashin,gt.QD..__.. FILE NO q3..::.99::?2.~__. Whereas...Wj,..l.;Li9.m..J'r.~.im~;r......................late of $():tlt.h.:~~I'.a.b.a.!:l~~.<?1fJ!l~.~.~P..... in the County of W9..$b.ingtQn..Commonwealth of Pennsylvania,having died on the ~.~gl1:t.!:l day of ~~t.J-.~~....19 6?,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I..y.~:~~9..~~~.E:ly.,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 Ufe 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 A...t Unit Valull $ Appralaem.nt ;, Mad.for Inherit...;~ Tax PurllOlll ,:;';~ Personal Property: ~A++lpmen+.l"lS a W,..onp-fll1 Death Claim v.Blodvlin.Fox at TOTAL :&STATE INSOllVENT 1.662 .'.' 90 90/, ""~". .f,· ..:~ .....".~ ~""-\ .. '1<), ..; Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con·,< fonnity with law on this40~day Of~~m;.;;p,;;;:..~..~ ................ • (II umber and Str.et) ..'tu~om;j ..··PeDQ. I~I,"';:;;::.~..-:"',_'.'""~~t~.~~ RESIDENT INHERITANCE TAX APPRAISEMENT Ii stote of WASHINGTON ~.:.::....~..:.- County .t\ -~.i "~I'" tI I! ~< ..1-.;hi#ii'j' L t';;,".'<, \ WILLIAM H.~ilEIMER'Deaased, Late of SOUTH STRABANE TOVJNSHIP . Dol<'of Death,8....8....68 . AppraisClllel!t Docket v'oi"'",.3-7 ... Page,.190-J..No,93.~99~~51.. Filed ill Registl!r's 0 Jjice,QGT,?Q ....19..70 Am-Ouni of tax due,$..'.""",'..'__.....<..',........, DEPARTMENT OF REVENUE Receivcd, Examined and Approved,.<,............__.. U-'rote abo.ut Appra.isement,,..__,.,........,,..,.__ Appeal iYOHI Appraisement, Entered and charged, _.-=~ I I ) FORM 67 REG.WILLS ~EV.1-50 Application for ijrttrrs of Abmini.atration on thr Estate of.WILLlA.M H WE.IJ:te.R ". late of S.Qy.th S..t.r.ab.an~IQY.m§.b..i.p.,Deceased. Before the Register of Wills of Washington County personally appeared I.4..p..g~M~.r..g,~.~.~.. who,being duly sworn deposes and says that...W.!11.!A..~B;.!~I~g . age.......1.5.....,having......hi.s..last family or principal residence at....2.1Q.....LQ.c.9.§.1;;A.Y.~P..9.g ;e.~.1;;.~.",.. (Street and Number) .......W~.~g~.'!:l:g~2~,Washington County,Pennsylvania,died intestate (City,Borough,Township)Twp .--.., at...Lac.U.s..t A~enue.,.s .st.r.ab.an~/on the 8.t.bIay of A.ygy.~.t .. A.D.,19 6.8 ,at..9..:..2Q ;~..M~,.possessed of personal estate to the esti~ated value $....::':.:':'..:'.:.:.::.:::.::',and of real estate in ,the Conuhonwealth of Pennsylvania to the estimated value of $:'::::.:.:.::-:.:::.:':'..'::,situ ate in :'::.'::.:.:'::.:':'.:.:':':. .",................................................................................................................................................................................................................................................... The names and addresses of the decedent's ,surviving spouse (if any)and other heirs including heirs by adoptiQri)are as follows. J REI,ATIONSHIP RESIDENCE YA_J'•··~f.Yub1a·~~···_···· .......................................................................................................,,..~'". ........................................................................................................,~. ........................................................................................................................................"1'. That deponent.is over 21 years of age,resides at...~.!Q Y?~~~.~~y.~.~~~~.~.~.~..?.. .......W~.~h;tngt..9.g.."J?!?.np..~y.ly.~It~g.3 . is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. .~;{~-Sworn and subscribed before me this . d~69dayof7~~,A.D.,19 .. ..........~?k~:._. REGISTER COMMONWEALTH OF PENNSYLVANIA'}SS: WASHINGTON COUNTY, And now h.I:::.r.7:..~:~,19 6..9..,comes LINDA MARQllI.S,.. who being duly sworn doth depose and say that..$..b.~L will well and truly administer the goods and chattels,rights and credits of W.t.llt.~J:'9 B W.!?~m!?..t:.",deceased, tv the best oLhe:I:....skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn and~cribed before me IbiS•...:?:..t....J!!:.Y ..;.p'Q-',z-J day OL.pi':~.".•"",,~A.D.,19l.L.~~.;".L".21!..?:!.p.~"._.""." ......·f ..·~~:::;:~..·;..·¢..~;,~1?...· ·. REGISTER •./ :1 '..,; 1 -( :4 1//1 A.&.~-~r?-=2-n APPLICATION FOR Letters of Administration ESTATE OF ...............W!.~~!A..N H.~~J~lt . Deceased R $. Letters......................................................0)p-c- P $;t:....~.. Extra Alias . . . .$.................................................. Certificates.I $'/~t;I........................1 . Renunciations f $(c./()...................................................... ..................................................................$. ..................................................:-.;Total :ry •......~T....·....·..f1JIJ.A......·..'J· ....................--1 .1 vrrr rr.......~..~..~'t'J :;.;;:.;..t .. i... \- 'oJ I' 'I , I-I rl ...,~.... ;:---::.J F~J (.f) ~"'.... :-: ) ow ~2 I I ! CJ Attorney ,.,*, GREENLEE,RICHMAN,DERRICO &POSA ATTORNEYS AT LAW WASHINGTON TRUST BUILDING /J ''3 t WASHINGTON.PENNA.~d? I::J /3 ,I.J / ESTATE OF ............................._W!J~1!.~tl..~~);~.R".DECEASED The undersigned m9..!;.h~.!..2 §J.§..t.:.~.r.€m:g p..k.Q.th~.I and heirs ~a.s~.t~i.~~~M.~u.~.E~e~.enns.yIv;i'nIli'.~late of S.o.u.t.h S.t.rabane T.Qwnship.l . deceased,hereby renounces t.he.ir right to administer on his.estate and respectfully asks that Letters of Administration be issued to Linda Mar.quis . \ Signed in the presence of: .................................................................................................................. .................................................................................................................. .................................................................................................................. ~2 i' i ....)1""f I Ii 0 ":,,,J Nm Z Czn-~-oz ~-..-.,... of 19...... Estate KNOW ALL MEN BY THESE PRESENTS, '. Th,t..W··...·.·.·..fE:;~':~;~~,~"~e~~••.•••~•..•.~.=.~"/.~••.•..••.•...........•.....••••.• all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- vania,for the use of those interested in the estate,in the sum of .T.I/f!..~.e:.......f.I.~.~r..~:.d.:.......Dollars,to be paid to the said Commonwealth,to which payment,well and truly to he made,we do bind ourselves, jointly and severally,for and in the whole,"our heirs,executors-;-administrators,"successors'and"'assigns,.and each and every of them,firmly by these presents.Sealed with our seals and dated the (1 tf:'.day of ..6~~~A.D.,one thousand nine hundred and~/~~.~. THE CONDITION OF THIS OBLIGATI9N IS,That if the above bounden . .................L.:/#.4).A 11tfl.8J.?!.O . Administrator or any of them,shall well and truly administer the estate according to law,this obligation shall be void as to those who shall so administer the estate;but otherwise,it shall remain in force. Sealed and delivered in the presence of: ~ttltttltl'tlt of @lurl'tn I,.. .._..p_Q__~_~__C_±,1__~0_?~~-~~-~--(..:.~-----..---..----,surety in the sum of $~_~~_~..__~=....on the administration bond in the estate of ..-......-!J6..lli~-;'V-'-..Ll-:..---w..f:_L;;.':!>..?-r..-T.J.-~..'.J..:....--......---..-,say that I reside at -....---61lpJ;"sLJ1.r:Lre..d!..~!..~{1filJ.&!J.,Washington County,Pennsylvania;that I am the owner of real estate,the title to *hich is in my own name and duly recorded,situated in .f..d 0.f..f?.t~f..)Jl!!.B.q,__, Washington County,Pennsylvania,worth above all encumbrances $__..jJ;__q,!!....t!.....:=......;and that I am worth the amount expressed in said bond,over~and above my just debts and liabilities. .&tatttltttlt of jlurl'ttl I,..fi:~':"J(!.L ....1._f;.~~~:1__BLL:.........,surety in the sum of $.3J!..,q :__~on the administration bond in the estate of WLI.LL<t,-~"....__.JJ _LVf:J..h;~X.......__d_c~.~~_,......,say that I reside at .......__€__.B__L\I__CL__N-..5..B.:I!...&..C;...._..__.......,Washington County,Pennsylvania;that I am the owner of real estate,the title to which is in my own name and duly recorded,situated in ,{!.IJ..().!.ri...ry.1..13..!!..(i.l::,, Washington County,'Pennsylvania,worth above alI encumbrances $?::c:)_~_e.q:_:_~:__.._....;and that I am worth the amount expressed in.said bond,over and above my just debts and'liabilities. .....~~£t.f1.~.h~. ....--....------..It.ak:.¥.\..!-Ala..Q.i.-!J..LL.__...C.;z~£-:n sfiY_:!.~~ Street P.O. COMMONWEALTH OF PENNSYLVANIA,} ~s· WASHINGTON COUNTY,•'".0 -.J - And now fi.h:!::...t..19.&4 ,comes...J ..~..r..B.!.~.!~~~~.J1R..~.~.~. who being duly sworn,says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of ~alu.e more than the penal sum of said.~over and above all incumbrances and exemptions. '"h J-//G".-L-··~~Sworn and subscribed before me t is ----------X....--....------../UA..(.l e day of ....•~~~~~¢'-...k-.._~__.._._L ..-__"-~..._ ---_.------_.---_..---------~-----.. LJ J'- II 1111 No.~'~§~l':":?~~_ A~tUiui!itrntinu 1Bnu~ IN THE ESTATE OF WILLIAM H.WEIMER And now F_...!~U__~.5 ,19 9..9._ Bond approved and Letters issued to )----~INP.A~-MARQQI~-------------_ ......Ii'-i;::"'1 ,i~,r---~;:;; Cf'I(~) -------whO--W&s--d\;U.y--quali.f.ied.::::;------------ +"r-.....J :,r.,......".II-,,--'-"--:~-C:•i j ,--------------------------;aussell:_Mar..1llo ~_~ci .,).'~_.Register <./)'" o Lv Bond Book 63___________________Page __#_7._ ATTYS:GREJ!2JLEE#RICHMAN#DERRICO and POSA BADZIK PRINTING ~9 DONORA ,' ,\ I "' ?.,t• ~; I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA. In Re:Estate of ) )20-/of l~d:WILLIAM H.WEIMER,)No. ) Deceased.) PETITION FOR SETTLEMENT OF A SMALL ESTATE The petition of Unda Marquis,Administratrix of the Estate of William H.Weimer,deceased,respectfully represents: I.That Letters of Administration were granted to the Petitioner on February,1969.(Bond Book Letters of Administration attached). ,Page • 2.That the only assets were the proceeds of a law suit for the death of said decedent of $1,662.90 (the balance being awarded to the said decedent's heirs at law under the Wrongful Death Act). 3.That the Administratrix has paid $1,662.90 in funeral bills and other expenses and has filed the proper forms with the Inheritance Tax Department to show the estate is insol- vent. 4.That the Estate Notices were published in the Washington County Reports,and The Washington Observer-Reporter. (See attached exhibit) 5.That there are no unpaid creditors in this estate. -WHEREFORE,your Petitioner requests settlement of said estate under Act 202,and discharge of the Administratrix from any further accounting or duty in this estate. And she will ever pray, .' STATE OF PENNSYLVANIA ) )ss: COUNTY OF WASHINGTON ) Before me,the undersigned authority,a Notary Public, personally appeared LINDA MARQUIS,who,being duly sworn accord- ing to law,deposes and says that the facts set forth in the foregoing Petition are true and correct to the best of her know- ledge,information and belief. Linda Marq6is Sworn to and subscribed before me ~tlli~;-~~6d day Of~,1970 .~-~/ No~a~y ~.ub lie . ...-'......~.. :My:,Coriimission Expires: ,''t~, MYRA·J.HAR$H.IY Piitillc.Wasmll~olt.Washington Co. My commission Expir"Merch 12,l~73 Washington County Reports 63 SOUTH MAIN STREET Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L.1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON} STATE OF PENNSYLVANIA S8. 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 :Ticial legal periodical for said Washington County,published weekly having its Ice of business at Washington,Washington County,Pennsylvania,and is act- dIg as its agent in this behalf;that the said WASHINGTON COVNTY REPORTS was established on March 31,1920,and was designated as the official legal public~tion 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 thefollowingdates: ..._.lV4l.J:;.cI~···.6.J 1.3..,20..,1969 . ........................................................................................... that the affiant or the corporation in behalf of which he is acting is not interested in .the ~Ubj:c(}lotterf.said notice or ac~ing11n~th3>~ll of the allegations of thIS affIdaVIt t ti~~,~ce and (U.er oh~uWa~are true.·UIm~ Sworn to an~dbefore me ~.., • · • : ·Ed·it~; .....21it~~y of...N~r.c,h ,196 9 .........Lt~..L~.~_ •N i ry Public KATHERINE C.YARD,Notary p~lie Washinuton,Washington Co.,Pa. My Commission Expil'6S November 1,1969 ~..I"I Observer •Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION ____...~~...~c""".~........-..........__...'_.__1 Estate NotIces The Register of Wills has granted letters. testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys. •• •• • •• •• • •••• ••• WEIMER,WILLIAM R.,Dec'd. Late of South Strabane TownshipWasJ:1i~gton County,Penna.'AdmmIstratrix:Linda Marquis 910LocustAve.Ext.,Washington,Fa. Attorney:PatrIck C.Derrico Green-,lee,~ichman.Derrico &Posa,325WashI.ngton Trust Bldg.,WashingtonWashmgton,Pa.15301 ' In compliance with the NewsIJaper Advertising Act of 16 May,1929,P.L.1784,~s amended. Commonwealth of Pennsylvania,County of Washington,S8:. Pe,rsonally ap,peal'ed before me,a Notary Public in and for said County and State,B:i.~h~.r.g ~..!gQW~P ,who being duly s,worn according to law,deposes and says tha;t he is the S-e.c.r.e.t.a.r.y .. of the Obs1erver Publishing Company,a PteunSiYlvania corpomtion,and its agent in this behalf;that the said Company is>the owner and publisher of the Observer-Reporter,succ'essor to The Was>hington Observer,established Se,ptembe,r 18.1871,and The Washington Reporter,esrtablished August 15, 1808,a daily newslpap'e~of general circulation,printed and published and having its place of bus,iness at Washington,Washington County,Pennsyl- vania,where it or its predecessors have been established and published continuous'1y for more than six monthsl prior to the publication of the notice hereto aHached;th~t the printed notice OT advertisement hereto attached is a ,copcy of ancofficial advertisement,official notice,legal noUce or legal adve,zotis,ement,exactly a,s printed or published in the Obaterver·Reporter in its regulaT editions on the following dlate or dates;. ..........................F.~.p.r.~.~.r..Y.~JL M.~.r..~.h Z ~.~9 J.4..!J.9..~.9... that neithe'r the affiant nor theObseTVer Publishing Company is interested in the subject matter of said notice or a;dvertising and that all of the aUega- tions'of this affidavit as to the time,place and character of publication are tme..,c c.r::t:.::~.l.~t.-'V.. -A~MIiiISTRATR~1i"·~ ESTATE ,OF WILLIAM H:"WilMERdeceased~late.of South StrabaneTownship,'Washirigton County.Pe'!m•. sylvania.4 .~.,..,.'Alf ~ Let.t,erse,Of !Administration uPOI1 thUj..above estate haviriglbeen granted't~ tJ:1e,,undersi~ealifnotice is he~bygIven-toI'those.~'lridebte4 thereto·:tGmakeimmediate,jipayment and tl).those haVirii~eliiuns;or.demand,,topresent'them'ffor/}settlement,.c LI~DAMARQU'HVi910·'.Locust cAvenue Extension., Washington.)\Eenrisylvania. '.,'GREENLtEE,,R1CHMAN,i",<DERRICO';&:·OSAf ,By:Pa ,'Derrico c c Atto 4.i,.':.!'i325rS!,;l,.:Bui.Idfn.: Was sylvan:ia!':'~iil'1690SO;.Frl.~3T '*.~r.'...._.•_ Sworn to and 'N.28752 subscribed before me this...JA.,~ay J1......Mc~Xf..h ...J969~~~!~~~~ WASHINGTON,WASHI~GTON COUNTY MY C9MMISSION EXPlflES MAY 6,1972 QInmmanmraltq of 'rnnByluania,t 55. lIa5~tngtnn a!nunty.\ I,RUBsel1 Marino ,Register for the Probate of Wil~s and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to Linda MarqUi s administr a t r ix of all and singular the goods and chattels,rights,and credits,which were of William H.We imer WHEREAS,the said William H.Weimer South St~abane Township late of Washington County,deceased, GREETING: late of in the county aforesaid,lately died intestate (as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County, Russ ell Marino 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 Washington,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 25the day of F'ebruary in the year of our Lord one thousand nine hundred and Sixty Nine {2 ~\...............v...~.A.~ RUSSELL MARINO,Register. ~ !:s t'I:).......... il-"to:; iI-J ~ }-l ttl i!-"1-4 ~Z 0~t,tj ...... t !P::en >~r t:Y lO ~~ar'-~.i(J)~=~.... ;:])ttlt:i ..... i ~~I .........=i =I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA. ORPHANS'DIVISION In Re:Estate of ) ) WILLIAM H.WEI~R,)No.of 1970,A.D. ) Deceased.) AND NOW,this;'2,Fday of~~~:..-~~:::::..,197(), on consideration of the annexed Petition,·is ORDERED AND DECREED as follows: The Administratrix,LINDA MARQUIS,is hereby discharge from any further accounting and is hereby relieved of her duty as Administratrix of this estate. Form No.RCC-62 (7-69)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961, EFVEC'I'IVEJANUARY I,1962.(FILE IN DUPLICATE WITH COpy OF WILL ATTACHED) ", *OFFICE OF THE REGISTER OF WILLS County of ..Y?~~A~J;lg1;:9P:. ...I4~~~.~~H~~~'.'"of .9.10..W.C\1S.t .A.v.e•..Ext.t ..Washington,.Ea., . .(Name)..(Addreu). being duly ._.~~~.~_..according to law,deposes and says tha~e is the _~~~~_~§_t~_~_t~_~~__._._._._.._ .(Exec.•Adm.•.Legatee,Ecc.). of the estate of..__R~l~~~~:J:t~._.w~_~~_~~whose l~st residence was910__.w.cust..A:v.e..._Ext.._ .(No.)(Street) __w.~~h~~g~Q~.2_J.~_~~~.?.~~..._._.deceased,and that the whole of the estate of said decedent,who died Augu.s.t.__8.,.._19.68(Cicy.Borough or Township),(Dace) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, ,WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES Aim RELATlONSH~POF OTHER OWNERS. - Real Estate Estimated Value t'... I fJ --. i Personal Property Settlement of a Wrongful Death Claim v.Blodwin Fox at No.69," March Term.1969.A.D.$1.662.90 \. ./~~o'/tJf\ " - .-/' Total $1,662.90 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 the date of death and the type of account,account number and the exact name or names in which the account is registered. Jointly Held Property 'Estima~d Valu~ , None .'.1,- <r ."i~C .. ,-- ...",--... .-p'~~,.I ~}.~ - .., .0 Transfel's within TWO YEARS Prior to Death ,.... ... None '. ~.,I ~. . 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 ...tbDRESSES' RELATIONSHIP .SURVIVED AGE OF LIFE '(lf step-child-rEm 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.c .-forth this fact.)DEOEDENT':~ " r -.....-.,. ..-. 1':'~~,... RESI.DE~T DECEDENT DEBTS AND DEDUCTIONS CLAIMED Funeral expenses paidRobertC.Gordon ~!Jneral NOTE.:List first five items in the spaces so provided,observe notations thereon,and instructions. --.,DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN,-----=----=-=-=---=:...:..:---=-==::..:::=---··---.---·----=..:..:c::.=--=-='----=-=-------:==--------,----:=:.::...:::...::.:..:;--IoIttEGISTER ONLY $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees *I . Fiduciary commission * OTHER DEBTS AND CLAIMS (*)See Note below -Admi~istration Fee ·Ambulance Bill R.Marino-Register of Wills -Letters Washington County Reports -Advertising Estate Observer Publishing Co.,-Advertising Estate Greenlee,Richman ,Derrico &Posa 25.00 11.DO 14.00 14.00 50.00 ,,.,. Total 1,701.90 Note:The estate agrees to advise the Reg.ist~r of Wills if the amount actually paid in settlement of any fee,commission 01'debt"is greater 01'less than the estimated amount claimed and allowed.S""";;:~d'wo'"to ,be'::'m,th;,Urid~IiDU~~~~~ .................~....·'c;.:t ',r ep ember.,',19.70 ..9.10..Locust .AV.e •..Ex.t •.................~~/.~.....::MYRA J.I-IARSH (~treet Number) ..N6th'a:tri'~.'~ub 1~~'!lingk6ii '~,,'PUbli~Washin.gton;.:~~h~~gt~~~h:l..llgtQ:Q,..J?~'P.1l~~.Was ngton Co.,Penna."NY eommisslon ExpirOi ' ,(City or Town and State) Having been duly sworn"according to law,I do hereby certify that the above appraisement is made in conformity with law on this.................&O.~day of ~,19 ..?~ ......(v..e···~············~k~;:···· In the event that any future interest in this estate is tl'ansferred in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer·inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF )fJIE RE~ISTEJ;4?,,!_WILLS I,the undersigned duly elected Register of Wills in and foJ/V ~~.~,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 :::''''h/~;,~,:;;~m;;.~h'nght,~'~'d .':h~d"l~bOV"wh;,h g"at""I"""~@~"~... Register of Wills c::::>-r=- r!I rII! ...- Form No.RCC-62 (7-69) Will l"Administration iNo..c;;1'.5.I ...Year ..e...9 IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF . ..,~~.l:+~~~.~'!•~E:~~.~:r;, . Deceased Late of .9.l:Q.~9~~~:AVf!.....~~1;:~..., ..Washington,Penna. Couiltyof Was.bingto.n . COnUn~nwealth Ii!PJ-nnsylvanuJ '1tif,..A...J ~.en G')c:c::::>:::z:-(iJ r'):--•• -(n rr ~....z _.,....J .• REPORT,).A:ND:APPRAIS~Lt=1:;:;.)--- CJ'r--::~0 _.'~....J~-~--0 (....B :E :;-- 'r-;::-&::" ""Or-a?>Cn ... '." ~ /.. 1-'~':.~,,' , •('\.<'..'.;/'","'1 "J •••••f'~~"".' .(;t 1,_,.1 ." t't •I 4o', H,< r ~-,-,---------'---------:;.;:==~ ESTATE INSOLVENT Not.:This is "Of a bill. ::;.,: Chief Appraiser 37-190-3 IN YOUR R.PLY PL.... R....R TO Title Signed ....t/~lt:.;;.;.-~~=T-~~/&~/h~U'~J __._ William Chaney. (~Administrator) COMMONWEALTH O'FPENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Linea K.Harquis Real Estate --='.....,.~~_---- Personal Property ~1~,~6~6~2_.~S~)O _ Tran.fer......,.....,._I"""1"~-_ Total I~,_6_6_2_._90_·_ In Re:Estate of__...ltJAll.IJiwlwlwi.i;l8wIDI-.J,;IHL..-..llIW.s:;e...l.;IDJJ.I,I;O.er.L:...-_ AnT party in intere8t who is all,lrleTed b7 an .ppral....nt "7 appeal therefrom as provided by law. ____.J,WJA[.i;l."~Sl:Ju;J;u·:t:l~g~±...O~:t:l--...County -PUe No.63-69-251 Date ~0~c:::..:t::.::o~b:.;::e~r....:::;20::;;.L...:::l=-'9;.,L,7..::;0 _ Dear Mi~s:Marquis: A.to 8uch tax that is paid within three .onth.froa date ot death,a five (/54)percent discount 'is allowable.As to any t.s th.t remain8 unp.id after one ye.r from d.te of death,interest .t t.he r.te of sis (e.)percent per annum 18 ch.r~ed. You are hereby notified that the~_o_r_l_'g~i_n_a_1 __ appraisement in the estate of ~~ll_'ll~l_'am~_~_le~im~ear__-___ has been filed in the office ,of the Reglsterof W111s of Washington County on October 20 ,191.Q..Said appraiseaent reflect.the tollowlnll valuation.:- ~~ Rcc·et (2-64) DATE OF DEATH:August 8,1970