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Home My WebLink AboutOC1969-0336 - ESTATE OF LONGDON..dollars representing Pennsylvania Inheritance or Estate Tax due from the following estate: 2%Tax on $_ 6 %Tax 0 n $---c::--=-=--=-,.---rnJ~;.!3 15%Tax on $__~--,--,,---~_ and 60/100..-..-..- --- Date of Death__3_-_1_0_-_6_9----;File No.63-69-336 I RECEIVI;O_ONi HUNDRED NINETY.EIGHT :Sherman Longdon,tier. From:C 0 ArTY II BeVARD GOLDFARB Address COURT SQUARE ARCADE tIASHINGTON t PENNSYLVANIA 1530 ~--~-----~~~~-~--~~-~-------------~ ~~J [""'.[8."[COMMONWEALTH OF PENNSYLVANIA ~I DEPARTMENT OF REVENUE I~I IIII=NO=.M="=0=8=5=3='=7=2=o=F=F=IC=IA=l=R=E=C=EI=PT=o=P=E=N=N=SY=l=V=A=N=IA=I=N=H'=ER=IT=A=N=C=E=A=N=D=E=ST=A=TE=TAX======:::====~ Ii.~Ii il~--~ Date of Payment __J_a_It_1U\_r'Y-=--_2__2'...:,.._1_9_7_0 ----1 Name of Decedent __HA-'--D_._L_'_II_L_O_N_G_D_O_N -1 %Tax on $_ Estate Tax,Act of May 7,1927 'I TOTAL AMOUNT PAID TOTAL TAX CREDIT Less five percentum of tax if Prcav. paid within three months after date of death Plus interest at the rate of __%from _ to _ SEA L $'--19-8.-60--'! $'====il~,1 NOTE:This Triplicate Receipt to be retained for audit ilt'q,&i97-7 //----.",_~l ."Received by·'-..(/".f\.ii II!'-.f> NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the life,--',~..(Sign<ilun:i) tenant or tenont for yeors,as evidenced by this receipt,it is understood thot the Commonwealth shall',..1-)..J ' not be precluded or prevented from hereafter assessing odditional inheritance tax at the deoth of the ""r ./,'17 ,"/1'/__j (.) life tenant or tenont for years whenever it appeors that such additional tax may be legally due and >",-h,(Title.)Q collectible for any reason whatsoever.'>.;, Remarks: County __t'l._'A_S_H_I_N_O_TO_N --I Q!nmmnuUttnltq nf 'l'uu.6ylnnuiu,~li.6: 11mu.6qiugtnu QInuuty,\ KNOW ALL MEN BYTHESE PRESENTS:Whereas,at Washington,in the County aforesaid ) on the 14 day of March A.D.19 69,before me, Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of late of H A Z E L City of Washington :£I'•LONGDON in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and SHERMAN LON G DO N the Executor in said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said committing unto SHERMAN him LONGDON the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring him to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to render a just and true account of said administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I hav,e hereunto set my hand and the seal of said Office at Washington,this f 0 u r tee nth day of ·March in the year of our Lord one thousand nine hundred and six .._..__..__._..____2a.~._.. Register' •. '. =z~0~A....0 ~;:;za0 \I.,i-=I ~~m 0 0 N....III •fiI tlSlI-!Xl A~~a IIIIIIe~........eo.~ #0 MEY~R ~QLDFARB HOWARD E.GOLDFARB ATTORNEYS AT LAW LAST WILL AND TESTA~lliNT OF HAZEL F.LaNGDON . I I HAZEL F.LONGDON,bf t.he City of Washington,Wash- ington County,Pennsylvania,being of sound and disposing mind, memory and understanding,do make and declare this to be my Last Will and Testament,hereby revoking and making void all other Wills by me at any time heretofore made. 1.I direct that all my just debts and funeral ex- penses,including my gravemarker,shall be paid from my residuary estate,as soon as practicable after my decease,as a part of the expense of the administration of my estate. 2.I give,devise and bequeath all my estate,real, personal or mixed,to the following individuals in the following shares: Dorothy Worgul of South Strabane Township, Washington County,Pennsylvania Tommy Worgul of South Strabane Township, Washington County,Pennsylvania Jeffrey Worgul of South Strabane Township, Washington County,Pennsylvania Sherman Longdon of Hollywood,Florida Polly Gwynne of Towson,Maryland Meg Gwynne ~f Towson,~aryla~~ Robert Longdon of Shawnee Mission,Kansas Charlotte Longdon Rader of Glendale,West Virginia Patty Longdon of Shawnee Mission,Kansas -1/9th -1/9th -l/9th -1/9th -1/9th l/9th -1/9th -1/9th -1/9th 3.If any of the above devisees shall fail to survive me by more than thirty (30)days,then I direct that the share ,,'>~~:t<.-.....~'_.....,'•..,.,,..~."J4t "'~\-,~~..~;;',,.,-'A:-~~;:-r.'·;.;..Ii>:....;..;"~~r~_~,..,. .~.. ...,":'~,~\'jo!~~~~..,'~~...::-.~.:";~Vf~"I'"i, .-·7";, --_P-~",_.--,-------._,..."..~..... of said devisee shall be divided equally among all the other devisees who do survive me by more than thirty (30)days. 4.If a share of my estate becomes payable to an individual during his minority,then I direct that the share may be accepted for the minor by the person having the legal care or custody of him,without any further accounting therefore. 5.I name as the EXecutor of this my Last will and Testament Sherman Longdon of Hollywood,Florida.If he shall be unable to serve then I name as Executor Robert Longdon of Shawnee Mission,Kansas.I direct that neither Executor shall be re- quired to file bond in Pennsylvania or any other jurisdiction. IN WITNESS WHEREOF,I,HAZEL F.LONGDON,Testatrix above named,have to this my Last Will and Testament set my hand and seal,this :;1 j day of i'(.TC /3 e r-1966. )}i . I I;'cy.--'q ". Hazel /'-'"/ r1 .<.J!.,../"~,,,JA..,"((SEAL) F.Longdon'-"'/ .,,-) Signed,sealed,published and declared by the above named Testatrix,as and for her Last Will and Testamentj in the presence of us,who,at her request,and in her presence,and in the presence of each other,have hereunto subscribed our names / /':i-/, '/~,/-'...- /.,-//'/-,..../_,.{.~(.;'..-~ ,I,,F'-l ;,'(.,t..C Z ",j .,j as witnesses thereto . ./","! Address i :.~Jx:/ i\ffi~auit (@f Executor (@r i\bmiuil1tratnr ~tntr of 'ruuaylunuin,t 55: C110uuty of IInal1iugtou \ P II b f h d . d h'Notarv Public .d f 'dersonay e ore me,t .e un erslgne aut onty,a :..l In an or Sal County and State,appeared ~~.~~..J.~Q.~G.QQ~who,being duly sworn according to law,deposes and says that he is the executor ~f the estate of .....Hl:\ZEL F LQN.GDQ,N deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of......HAZEL E LONGD.ON , deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made by the above named Executor •~ Sworn and subscribed before me this....2sd..~~ day of CR..~~19 §J}.... ..:~.~. ..~..~/.~.. My Commi~sion expires SHE May 26,19f13 ADDITIONAL INSTRUCTIONS~~h~fttf!>\;~i9~ifiia~t~~ufi\~d within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 lIuurutnry nub "pprni.apm~ttt of the goods and chattels,rights and credits which were of Hl:\ZEL F .LO.N.GDON Jate of ~.;i,.t.y Qt.w:~.§.h.~;Qg.t.Q.n .. Washington County,Pa.,taken and made in conformity with the above affidavit. ) PERSONAL PROPERTY.,a--,t :::z: DOLLARS CENTS Prepaid bill to washington Manor Nursing Home House furnishings at 510 Allison Avenue,Washington,Pa. Prepaid fire insurance premium to Anderson &Pollock Agency,washington,Pa. Prepayment to Pennsylvania Blue Shield TOTAL PERSONAL PROPERTY •REAL ESTATE 2 story house and lot fronting 34.17 feet on Allison Avenue in the 7th ward of the City of Washington,Pa. 121 00 150 00 24 00 30 00 325 00 9,000 00 .",".~. 1~L/S- b3-b~--33£ Inventory and Appraisement IN THE ESTATE OF ..............~~.:m!!:f..~!!Q.:N§.p..Q;N... Filed ;,19..6.9.. Ii , '.J ;S;q.................#...,.,."~c;:(;I)G,,~}~-::---\1,.---:-y">V!~,.--~'rnornr,,-{:;;q r=· g 0 ~~.~ ~""Ii ~"'".O~S;o ..'"~~F-;2~i=~~(,.{)'• '"ent..C c:;::) (""")-4 f""o-.)r-..... -u:::::a: <..0,,) ..t::'cc "';''\1 """""'"r- tf' "=''Ill Ij{1.8[)-cr~3 g8 GOLDFARB &G!t5FARB Court Square Arcade Washington,Pa.15301 .. STATE OF PENNSLYVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,deposeS and sayS that the above account as stated is true and correct as h~verily believe. Sworn and subscribed before me this ..6.6.~.'-... day of ..a..~.._19..R.~_ /)fi"~~~.____.._.___.__ ___.___------_.. NOTARY PUBLIC My Commi~sion expires May 26,l<;?1B Washington,Washi;.gton County Pennsylvania Washington County,ss: 'P~tCA,'/ _.._____~~.__~ Sherman Longa.on I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner pre- scribed ~y Statute an~RJ;L!~fhC::urt'As evidenced by proofs thereof filed to No../;:J..:-l ..¥::LI 8.~I.~_.. WitncvTY hand and official seal thiS d.._~!._.__..._.... day aL_~~_~l/._-_::_:~tL__ Register of Wills ~~ \ ~'0: I i ~i~: oZ .. ........,.' FI L EOJ '69 OCT 7.2 prt 3 47 RUssn,L MMilNOfH~GISTEn OF WILLS WASHlNGTQN CO,.PA. ". ~. ------------------------------------------------- .. '"~"'-'.~, -----'.... The Court is respectfully requested to deterlldne proper distribution in this estate.~~;;::"'NV,,,"Counsel for Accountan,t. .. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY~PENNSYLVANIA ORPHANS J COURT DIVISION No.6"3 -69-3J6 ESTATE OF HAZEL F.LONGDON,DECEASED FIRST AND FINAL ACCOUNT OF SHERMAN LONGDON,EXECUTOR SUMMARY SCHEDULE A PRINCIPAL-PERSONALTY j Receipts page 2 Disbursements Pages 2 and 3 Balance 7,031.00 Receipts SCHEDULE B PRINCIPAL-REALTY page 4 $9,000.00 Disbursements Page 4 9,000.00 $0.00 Receipts SCHEDULE C INCOME-REALTY page 5 Net Balance (Entire net balance consists of cash.) $191.83 $191.83 $1,580.96 Estate of HAZEL F.LONGDON 1969 May 2 SCHEDULE A PRINCIPAL-PERSONALTY RECEIPTS Inventory Filed Transferred from Principal-Realty DISBURSEMENTS $325.00 $8,420.13 1969 Mar.14 Mar.14 Mar.24 May 2 May 26'1 Oct. Oct. Administrative Expenses Russell Marino1 Register of Wills - Probate and Short Certificates washington County Reports ~Legal Advertisement Observer Publishing Company -Legal Advertisement Commonwealth of Pennsylvania -Death Certificate Russell Marino 1 Agent -Pennsylvania Inheritance Tax (partial) Sherman Longdon -Executorts Commission Goldfarb &Goldfarb -Attorneys'Fees Preferred Debts $15.00 14.00 14.00 1.00 750.00 475.00 475.00 .'.$1,744.00 May 12 Apr.18 Aug.14 May 15 May 15 May 15 May 16 piatt Funeral Home -Funeral Bill John H.Hall]Jr.,M.D.-Medical Services Kurtz Monument Company -Grave stone Advance Distributions Dorothy Worgul Jeffrey Worgul Charlotte Longdon Rader Tommy Worgul page :2 $657.00 20.00 110.00 $500.00 500.00 500.00 500.00 $787.00 May 19 Polly Gwynne $500.00 May 19 Meg Gwynne 500.00 May 19 Robert Longdon 500.00 May 21 patty Longdon 500.00 May 26 Sherman Longdon 500.00 $4,500.00 $7,031.00, page ~ Estate of HAZEL F.LONGDON,DECEASED 1969 SCHEDULE B PRINCIPAL-REALTY RECEIPTS Inventory Filed DISBURSEMENTS $9,000.00 ~9,OOO•.OO Bennet Real Estate -Real Estate Commission 540.00 1969 Mar.17 Mar.17 Apr.1 Apr.4 Apr.10 Apr.29 May 2 May 2 May 5 May 5 May 16 May 22 June 3 June 3 June 5 Bell Telephone -Telephone Bill washington-East Washington Joint Authority -House Utility Columbia Gas Company -House Utility West Penn Power Company -House Utility Bell Telephone -Telephone Bill Alice Maxine Rose -Notary on Deed Recorder of Deeds -Transfer Taxes West Penn Power Company -House Utility Columbia Gas Company -House Utility Citizens Water Company of Washington - House Utility Columbia Gas Company -House Utility Citizens Water Company -House Utility Washington-East washington Joint Authority -House Utility West Penn Power Company -House Utility $26.01 4.97 24.00 7.49 25.07 1.00 180.00 6.41 24.00 6.48 51.62 1.08 5.80 .94 May 2 Net Proceeds of Sale to Principal Personalty Account for Distribution 8,095.13 Page 4 $9,000.00I_;; ,,."~ Estate of HAZEL F.LONGDON s DECEASED 1969 Mar.19 Apr.2 Apr.23 May 19 May 2 SCHEDULE C INCOME-REALTY RECEIPTS Rent from 510 Allison Avenues washingtons Pa. Rent from 510 Allison Avenue, Washingtoni/'Pa. Rent from 510 Allison Avenues Washingtons Pa. Rent from 510 Allison Avenue, Washingtons Pa. Return of net pro rata share of 1969 real estate taxes page 5 $57.00 57.00 61.85 12.18 3.80 ..,.S $191.83, Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News,paper Advertising Act of 16 May,1929, P.L.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally appeared before file,a Notary Public in and.for said County D"h d S C '.and State,f~1.C..a.r.A QW.an ,who bemg duly s,worn according to law,deposes and says that he is the §.~~.r.~.t~..r.Y..........._... of the Obs'e,rver Publishing Company,a I'tennsiylvania corporation,and'its agent in thi's behalf;that the said Company is.the owner and puhlisher of the Observer-Reporter,sUCCIessor to The Washington Observer,established September 18,1871,and The Washington Reporter,established August 15, 1808,a daily newspaper of general circulation,printed and publisihed and. having its place of bus,iness.at Washington,Washington County,Penns,yl- vania,where it or its prede'cessors have been established and published continuous'ly for more than six months,prior to the pUblication of the notice hereto attached;that the printed notice or advertisement hereto attached is a ,copy of an official adve'rtisement,official notice,legal notice or legal advertis,ement,exactly a,s printed or published in the Obs1erver-Reporter in its regular editions on the following <Late or dates;.. ....................M~..r.~.h 1.~..,.._..~.s.~.n.4 !.\.P..r.i.J.).J.9.9.9 .. that neither th'e affiant nor the Observer Publishing Company is interesrted in the subject matter of said notice or advertising and that all of the aUega- tions'of this affidavit as to the time,place and character of pUblication are tTU'e.. .,;~.f.~~"'.~/?.t1.{iz;1/~:.0::.. Sworn to and subscribed before me this..l .......day of.A.p.r.i.1....19.6.9 ."'".7t1't1n~,~~~ WASHINGIO'i,V.ASHIIIGTCfl COUNTY MY COf~;MISSION EXPIRES MAY 6.1972 (J -/' ',' '. 63 SOUTH MAIN STREET WU~OD,Pe~mUa (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 t STATE OF PENNSYLVANIA (SS. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,publis~led weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COVNTY 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: ...~Ha.r.g.h ?Q.•....?7...,J.9.9..9.. ............Apr.iL..3..,l9.69 . that tht:affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of this affidav.itfj"e ~ime!?lace an~cter ~u icat'n are true. ~L-:f.s :.::. Editor Sworn to a d subscribed before me this ....3.r.d day of...April ,196..9... ..::;~~~:;:::~;;~:~:t-- Washington,Washington Co.,pW"J • My Commission Expires November 1,1969 .. Estate Notices The Register of Wills has granted letters, testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys. • • • • •• • •• • •• • • • •• LOi·WDON.HAZEL F.,Pec'd. Late of City of Washington,Wash-ington County,Penna.Executor:Sherman Longdon,810HollywoodBlvd.,Hollywood,Fla. 33020 Attorneys:Go,ldfarb &Goldfarb. Court Square Arcade,Washington, Pa.15301 ! W.26762 Observer •Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance.with the News,paper Advertising Act of i6 May,1929, P.L.1784,a,s amended. Commo'nwealth of Pennsylvania,County of Washington,S8:. Personally appeared before me,a Notary Public in and for said County and .State,Ri.c.h.a.r.d S..A C..Qw.an ,who beirug duly s,worn acoording to law,deposes and say~tha;t he is the ?g~.r~.t~..r..Y._. of the Obs1erver Publishing Company,a l'ienrusylvania corporation,and'its agent in till's behalf;that the said Compa;ny is the owner and publisher of , the Observer-Reporter,Bucc'essor to The Washington Observer,established September 18,1871,and The Washington Reporter,established August 15, 1808,a daily newspap'e~of general circulation,printed and pUblisihed and having its place of bus,ines's at Washington,Washington County,Pennsyl' vania,where it or its predecessors have been established and.published continuous'iy for more than six months>prior to the publication of the notice hereto attached;tha;t the printed notice or advertisement her1eto attached is a 'copy of an official advertisement,official notice,legal noHce or legal advertis,ement,exactly a,s printed or published in the Obs1erver-Reporter in its regular .editions on the following date or dates;. ....................M.~.r..~.h Ut,~.s.ll.P..Q.~.p..r.J.l J J.9.Q.9... that neither th'e affiant nor the Observer Publishing Company is interesood in the subject matter of siaid notice or advertising and that all of the aUega· tions'of this affidavit as to the time,PlaC,.e and character O.f ),>Ublication are tm6.'?-pt! ...................,&~"!:::f;,:!."'~:):t:?_.{j__..t.~1::!/.i1.;:.~__ Sworn to and subscribed before me this,..1.......day of.Ap_r.i.L..19.6.9 ..7'#'t1#~;~"~~. WASHiNG [lHi,Wr\SHli~liTll[i COU~HY MY COMMISSION EXPIRES MAY 6.1972 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 (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,publis11ed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COl'NTY REPORTS was established on March 31,1920,and was designated as the official legal publica: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 the following dates: .............M&.r.~.!1 ?Q..,?7...,J9.9..9... ............Ap.r.iL.3..,19.69 .. that th(1 affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and taat all of the allegations of ,h;,'fHMV"(jf;~''"~:~:__~_ Editor Sworn to a d subscribed before me this ....3.r.d :::.Jay oL.Atu::il ,196 9.. ..::;~~~L,:::::,;~,;~;t~ Washington,Washington Co.,piV"J . My Commission Expir,es November 1,1969 Estate Notices The Register of Wills has granted letters, testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys. •••••e '••"•••e _•••• LONGDON,HAZEL F.,Dee'd. Late of City of Washington,Wash- ington County,Penna.Executor:Sherman Longdon,810HollywoodBlvd.,Hollywood,Fla. 33020 Attorneys:Goldfarb &Go~dfarb,Court Square Arcade,Washmgton, Pa.15301 )Df1hr'.,lln :.,,-.;,;.~_,'"'---7.\:..-'.,'"--",-,:,~~... In the matter oC the .-\udit or Account in Estate or_'__HA_Z_E_L_P--"..--"'L;;...O--N_G;;...D-O..:...N:....:...------1 No,63-§9t.=·-~3!]3&6_~~~~~~OOOC .TO THE AUDlTI~G JUDGE: " ., Enter_-..,.,.ffi:;:.tV_,a,ppearance ror_--'S;;z.bu·..s;eO..li:..Jm~a..LnI.-Iu,Ql.I·~nI.!:CjI:J.liJ..I.o~nJ..,:,r----E~x'-l:e::Jc..:.·lU1...Lt..10.J,.·rL-·_ ..,'J/.~. -.,I.~~__,day or Dec-C""\=y b t'P<...,19-.&.2.. N.B.-Counsel shan,by separate p3.per,present a concise statement or each claim,l',"ith 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 mea separate concise state- In.ent In.that regard,. .. PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Estate of ~~~.~..!.:.':~~.~~P.~~"""" Deceased 63-69-336No . Fiduciary...Sh..e..t'm~n..L.(;m.gg9n+...Exec.ut.Qr.. Date of Date of Decedent's death Ma:r:ch..lO+l.9.Ei9 Grant of Letters M.~~.<;::.b l,4.,l~§.~. This is the .F.i.t:S.t..j~nd...F.in~l account filed in this estate If there have .been former accounts filed in this estate,list file number or number and term...NONE.. Election to take .Under or Against will.(cross out one) Date Election Place of; Filed Record '. Name of surviving spouse NONE ~'. List issue,where material:NONE .. Did decedent marry after execution of will?(jndicate~No.Any children born after execution of will?(indicate) ~No.If answer yes,name them , \.,-___.-___-.-_---__- _-_-_-____---_-_..-_.-_-_-__---_-.---_-----.__._---------__-..----..---__---.------ Leg,atees Relationship Interest Fiduciary,if deceased or not sui juris Dorothy Worgul ~Jeffr~y Worgul Tommy ~orgul : Sherman Longdon Polly Gwynne, ~eg qwynne. Robert Longdon Patty Longdon Charlotte Longdon Rader Niece Great Nephew Great Nephew Brother Niece Grand·Niece Nephew Grand Niece Grand Niece 1/9 nlf ~J _•MI •.•,(",'('IA.""'-'1/9----r vvvrrA""v -'1lW1HV \'J .,~WVN'\ \l/~""; 1/9 ~~~~~/!~l~ 1/9 1/9 1/9 List,if exceptions to above: NONE If partial intestacy,give facts: Adeemed:Revoked:Lapsed:Abated:Give Cause: . Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.~ .If any exception gi,ve qJuse:N9.:N~. File copy of Notice and date of mailing ~g:Y.~!11P.~.+...J..Qj,..l.9.6.9 . ... "\. Is estate subject to the filing of a FederaL Estate Tax Return?P.J:9 . Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $...7.5.Q QQ.l pJ.1J.$.dis.c.Q.uJlt . credit of $39.47." If the Will makes any portion ofestate subject to a life-estate,give name and birth date of life tenant N.QN~. v._--_-- --__--------..-----__..---_.._----__-_._._._------._-----..--_-_---_.._-----__----_.._-_..---_-. Give Names and addresses of all unpaid creditors who are legally entitled to notice,tOQ:5liher with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. NONE ('_... Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: All of the 'legatees are over twenty~oneyears of age except the following: "Jeffr~y Worgul,who resides with his mother,Dorothy Worgul,is sixteen yea:r:s of age. '.;"."fourteen Meg Gwnne,who resides with her moth~ri'Polly Gwynne,is .:fxx:&&Sl\I.years 9f age.,' "':['he ,funer~l bill b<;tlance(p<;ti.'d:to Pi<;ttt,Funer<;tl,Home),of ~16 5.00 r~pr~sents.the portlon'pa:t:d'bY"SOClal Secuxlty.It lS lnaddJ.tlon to the $657.00 lndlcated on page 2 of the Account. Balance for distribution per account, Itemize any additional debits not shown by account:$.l.l.~~.Q ~.9.. 10/22/69 -Social Security Total additional debits (Add) Itemiz~any additional credits not shown10/22/,69 -Funeral Bill 10/22/69 -Notaries 10/22/69 -Filing Account Total additional credits (Subtr~ct) Balance for distribution $165.00 $y??.:.Q9 . by account:$165.00(bala nce) $3.00 25.00 $~.~~.~.~.?. $J..!.~.~.?~.~§. If balance for distribution is not in cash,list each item held in kind,giving appraised Value'(or distribution Value); , .....p ~~ )\ \ ,,_.,1 If Family Exemption claimed by Petition,give place of Record:~Q~~_ __._. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:NQ~.~. List any advancement or distribution on account that has been made,and nature and amount of same: As indicated on the First and Final Account advance distributions of $500.00 were made to each of the nine legatees listed below,making a total advance distribution of $4,500.00. Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: Dorothy Worgul Jeffrey Worgul Tommy Worgul Sherman Langdon Polly Gwynne Meg Gwynne Robert·Langdon patty Longdon Charlotte Langdon Rader 1/9 1/9 1/9 1/9 1/9 1/9 1/9 1/9 1/9 .! COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, An~your petitioner will ever pray,etc. to the best of bis__knowledge and belief. being duly_$.w9..rn _doth depose and say that the facts set forth in the foregoing petition are true ..SwQrn __.to and subscribed before me this..~t;4 day Of..4-~19..~.~..~......,,,~~~~ Signature of Officer.~.~.~~IP~Sherman NOTP,RY PUBLIC Title of Officer WASRINbl'ON','w;\-:m:fi fr"FSN·OO,·PfrfllNC••••...••••• .MY CUMMISSION EXPIRES MAY 26,1973Officeexpires . •'!',... Dna ~ J No..§.~.=9.~.":"}~.9__ . Estate of ljb.~g.t..F..•....t~J.'fGJ).QN . ,.......__-.-_---_-----_-_ -_-. Deceased F'/l E DIY '70 JAN f5 AN 9 sa "r. \>• Fiduciary.8HEBMt\N..I;tQNGDO.N-#...EXEC.UT.OR ...~. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Rl'rc Coer!11 K'''''I::i'lllI'Jl~J ""<>"-,L L (....wi".f)tillJl REG/:STER OF W'fL/LS; JlASH/NGTGH'C'O'.,PA•. J"FE Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:paragraph b-c;and divisions thereof:shown on pages 23-24. 1,Written praecipes of all Counsel in the case. 2.Copy of order,appointing;Guardian ad litem,if pertinent.' 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. .............ilQLP.F.~@...&__~_QWf!..\F.J?, Court Square Arcade AttorneyS washington,pa.~~2 I ~~. \.~.. ".' ~1).~h1 f:.1Ot'9\11.~11 '~o'l'gu.lf "'o:ef~Oy ~~9u.l. 9011rS~~l$j £1~G~n~.a~s::rt ZIJt~~~40~, P$tt,1 ~~..Cb$$'lQtt.G ~~lt~;fAOI' !A.mg/.km.JJ~ecut.Qt'og the B~t.!l,J;;oof tl':c <;.bOV0 .~a()Q~·~~tf~t:t!1i fJ.'tG&ttl tkb$Offl~Qof tb.f,)·n('1"i.ts~¢.~~fl11$of!t;~~hU1itCt'l C~t1nw.::i ) )'j.".-~....'"'.-~.." ) ~n t4~<lraurt of <lrammou JUras of lJas4iugtnu <lrauuty. Jruusyluauiu.OOrp4uus·QJ:aun Biuisinn ESTATE OF Hazel F.Langdon, deceased. N 63-69-336o.__-"'-""_'----=~--'_'-'_'-=--_ Inthematterofthe :Pirst and Fjnal Account of__-.::::S:..l:.:h~e:.=.r..!:!m!ll::!a~n~L~o:=..n~g~d~ou.n,,--_ Executor ADJUDICATION AND DECREE And now .Tanuary tL ,19..JSL,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof the balance for distribution in the hands of the Accountant is determined to be $1,5.52.96 and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. e? SCHEDULE OF DISTRIBUTION Balance per account _ Additional debit asked at audit Additional credit asked at audit 165.00 193.00 $J,580 .96 $1,745.96 Balance'_ Deduct Clerk's Casts &Receipts _ AMomey G;;;..o;;;..l::.d_f=-a;;;..r=-b~&~G;;;.o_l;:;.d_f_a_r_b _ Redebit -For purposes of distribution -Advanc on distribution, Russell Marino,Agent,transfer inheritance tax estate liability only, Dorothy Worgul,niece,1/9 residue,credit to b taken by the accountant for funds in the amoun of $500.00 advanced prior to distribution by the Court, Dorothy Worgul,mother and natural guardian of the estate of Jeffrey Worgul,great nephew,a minor,1/9 residue,credit to be taken by the accountant for funds in the amount of $500.00 advanced prior to distribution by the Court, Tommy Worgul,great nephew,1/9 residue,credit to be taken by the accountant for funds in the amount of $500.00 advanced prior to distributi by the Court, Sherman Longdon,brother,1/9 residue,credit t be taken by the accountant for funds in the amount of $500.00 advanced prior to distributi by the Court,- Polly Gwynne,niece,1/9 residue,credit to be taken by the accountant for funds in the amoun of $500.00 advanced prior to distribution by the Court, 647.81 647.81 n 647.82 n 647.82 647.82 0 ~~ "'ft 5" ~ z ~p i 0 :; ,.,.....r::(I) ~ :J 3 a .-to 0 a...."'ft ~ (I) ~ ... t .....a....~ ~ ;: :; " CD s::~ ~M~~ Polly Gwynne,mother and natural guardian of th estate of Meg Gwynne,grand niece,a minor,1/ residue,credit to be taken by the accountant for funds in the amount of $500.00 advanced prior to distribution by the Court,647.82 Robert Longdon,nephew,1/9 be taken by the accountant amount of $500.00 advanced by the Court, residue,credit to for funds in the prior to distributi n 647.82 Patty Longdon,grandjftiece,1/9 residue,credit to be taken by the accountant for funds in the amount of $500.00 advanced prior to distributitn by the Court,647.82 Charlotte Longdon Rader,grand niece,1/9 resid e, credit to be taken by the accountant for funds in the amount of $500.00 advanced prior to distribution by the Court,647.82 No balance ,...~ ...........,JIIIlI ~ I'I 9 ):J \l " No._ In the matterof the Account of of Estate of 1\bjubitntinn nub Ittrtt f:~I LED, Y70 JAN 15 M19 SO ffUSSELL Mlr.RfNO nfGfSTER OF }'fILLS WASHINGTON CO..PIt ~\~~~\~ ~a No......§.~.~.§.~.:.~..~.§....xaoowax In the Matter of the Estate of .....~~~!!f..~~9.J.g9.p..QN.. Deceased )In the Orphans'Court of Washington County,Penna. ) ) RECEIPT iKuum aU mru by l~rsr prrsruls.That J?.~t.t.y.LQng9.Q.:n . d<e s hereby acknowledge to have received from Sb.er.man Long.d.on . Executor,~of the estate of..aaz.el.F.L.angdo.n Deceased the sum ofSix.HWJ.dJ:.ed E'.0J:±.:¥.'::ls.e:v.e.Il and .a2./.~O.O ($§.1.7...~..§~)Dollars in full of the amount awarded me under the Ittrtt of tqt (@rpquns'<l!om of lIlJIusqtngton <l!ounty,'tnnsylnuntu, at the above number. lIlJIUUtss my hand and seal thiS ~day Of t..~19.1.Q . WitneSS......~.......N:....r~ 7(o6i-~t IV.TUK.IJf;l No......§.:2.::6.9..::.3..J.6....~ In the Matter of the Estate of .........~~.~.!!~.~~QN.@.P..9.~.. Deceased )In the Orphans'Court of Washington County,Penna. ) RECEIPT i(uuw all tutu by t4t£lt prt£ltut£l.That.'I'.QJ:rnJl;¥.jf.Q;t;'.g:ul . does hereby acknowledge to have received from .s.h~.r.man L.O.D.gdon . Executor,~of the estate of .I!.?:~.!::J...f..~~.QD..g£9..n :Deceased the sum of ..S.j,..*-H.lang.t:.€!Jj F.Q.r.:ty,r.::S.~:v.e.D.&B.2L~Q.o ($V.:.l.7..II.~.G.)Dollars in full of the amount awarded me under the ieeree of tlye Ql)rplyans'<l!onrt nf 1IlIIaslyingtnn <l!nunly.'eunsyluauia. at the above number.\ Dilnf..my hand and seal tru..._~~k~...day Of _..~.._19.._7.Q, Witness......._...._..._..._....._...._.._.._.._...._....._.._.........-....T~~tu~~_.._(seal) No..6.~.7.:6.9.7.:.3.36 ........~ In the Matter of the Estate of ....~ZEL F.LOlSIGD.QN:.. Deceased )In the Orphans'Court of Washington County,Penna. ) RECEIPT fKUDm all mtu by I11t8t prt8tul8.That J~9.P..~~.!:.~.9.g9.9:9.n . do es hereby acknowledge to have received from Sh.eI:.m.~Long.do.n.. Executor,.~of the estate of .H.az.el.F.L.ongdon Deceased the sum of .S.i.A Hl.l.nd;t;.~d G:.Q.t::t;.Y..7.:s..!?Y.:~.D.e.n.Q:§~LJ...9..Q ($..§.9:.I.::.??.)Dollars in full of the amount awarded me under the mttrtt of t~t (@rp~nus'Q!ourt of 1IlIIns~iugtou Q!ouuty.Jtuusylunuin, at the above number. 1IlIIitutSS my han9-and seal this ~.3 d Witness ~tl.:.~+.. No 6..J.:::'.6..9.:::'.3•.3.6 J6XXXXXXX In the Matter of the Estate of ......f@.~),;;!t :f.:.!!!Q~~:Q.QN... Deceased )In the Orphans'Court of Washington County,Penna. ) RECEIPT 1!(num all mrn hg t~rsr prtsrnts.That.J.?.2!'.9..t.h.Y.....Y.f.Q.:£g.yl........ID.Qt..b.§;r;.....snd....nat.u.t:ia.L..g.uardian of the estate of Jeffrey Worgul does hereby acknowledge to have received from .5hezmau .LongdOJ:\. Executor,~of the estate of ?~?..~.!...JL~;i;1.QD.g.99.D;Deceased the sum of S.i~HW)Q.r.~Q.F.QJ::±.y..o;::S.e~e.n .aod 81./.1.D.O ($6.4.1._81 )Dollars in full of the amount awarded me under the il'trl'l'of tql'(ll)rpquus'Q!ourt of 11lIIusqiugtou Q!ouuty.'l'uusyluuuiu. at the above number. No Q.J.:::6.~.-:::.J.3.6~ In the Matter of the Estate of HAZEL F.LONGDON Deceased )In the Orphans'Court of Washington County,Penna. ) RECEIPT i(l1um all mtl1 by t~tst prtStl1ts.That.~.~E.~.~."!2.¥.~~E.9:~±. does hereby acknowledge to have received from §hg.*-m~.n L.QnggQ.U . Executor,~of the estate of .H.az.el.E.u L.angdo.o Deceased the sum of ..s..i.~Hy.ng*-.~g E.9..*-:t.Y..::~.~y.g.n ~~.!L1Q.Q ($§.~.1.:'l.§1 )Dollars in full of the amount awarded me under the flItrrtt uf tqt (JDrpqans'mum uf .asqingfnn muuntg,Jtnnsgluania, at the above number. No....§.~.=.§..~:::~.~.§.......~ In the Matter of the Estate of HAZEL F.LONGDON......................................................................................................' Deceased )In the Orphans'Court of Washington County,Penna. ) RECEIPT 1Knu1U all men by t4ese presents,That.......l?Q.l.ly.....~w.¥.nP..§J.....mQ.t.h~.t:....sng....ns.t.y.b..sl....9:y.skdian of the estate of Meg Gwynne do es hereby acknowledge to have received from .sh.ex.mao Langdo.o . Executor,~of the estate of H.ii!-.?:.~.J,f...,"J..!9..ngg.Qn.Deceased the sum of :§.:!-.~tl11ng.*-.~g f..QE.!:.Y..:::§.~y..!7..n §§.~/lQ.Q ($.§.1:.7..~..f~.?)Dollars in full of the amount awarded me under the itrrtt of t1Jt (!J)qt4attB'Q!om of lIlIIaB4tttghttt Q!OUtUY,'tuuByluattta, at the above number. Witness .. N 63-69-336 y~yvO::"'OT"-.r~.~.~~.~ In the Matter of the Estate of HAZEL F.LONGDON Deceased )In the Orphans'Court of Washington County,Penna. ) do es RECEIPT i!(UDW all mtu bg t~tBt pUBtutB.That.~~.~.!:l Q"!!Y.g~.~. hereby aclmowledge to have received from Sll.e.;r.m.an.Long.don.. Exec~tor,~of the estate of HE-.~gJ..F "LQ.ugdQn Deceased the sum of .s..;h~tl:y,h.gx;.~.g f..Q;r.t.y.::s..e.y..sm Ch..J~.~.Ll.QQ ($..6.4.7._B2 )Dollars in full of the amount awarded me under the itcrrt nf t4t (@rpqans'<!tnnrt nf masqingtnn <!tnnnty,Jtnnsyluania, at the above number. Witness ;. N 63-69-336 ~,vwvvv0,,"'EJIlo''*~ In the Matter of the Estate of HAZEL F.LONGDON Deceased )In the Orphans'Court of Washington County,Penna. ) RECEIPT iKUDW ull mru hg t~r£lr prr£lrut£l.That 5:.b.~fJ.9.~.~.~~2.n.g:9.Qn :g.~g.~!'.. does hereby acknowledge to have received from Sher.m.an Lo.ogdon .. Executor,~of the estate of .aaz.el .F.Langdo.n Deceased the sum of .Six.HundJ:.ed F.oJ::t.y..~S.e;v.e.n.and a2./.l.Q.Q ($..6.4.'1..•.82.)Dollars in full of the amount awarded me under the itrrtt uf tlIt Ql)rpqaus'aruurt uf DlIasqiugfnu aruuuty,Jtuusyluauia. at the above number. Witness ~..~~.~.. ·d~~~~~a..A--e-,DlIttutss my hand and seal this day of . ··....-..ario"tt"e·LO~~~eal) ., 'ltd "00 N01.DNIHSVt!r\ Slli/A .~O H:J1SI~3tJ ONfli\1Ii -li3SSnH to ~.,-I I..::1 I I ,,:: Form RCC-33 RESIDENT DECEDENT '----MM:ONWEAlTH OF PENNSYlVAN IA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTION.S COUNTY OF ) ~ '~-7-~q ...W~Sa.IN.G.'I'.oN ~·- J IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of the Inheritance an!!E.st,ateTax ;\ct of 1961.) state of ..... County of .} ss: .............................................. ....S.l.i.E.~N J,IQNG..PQN........................................................... of the estate of the above-named decedent being duly sworn,deposlS and sayS Decedent'died ............................Mc:q:::9.P: (Month) Name and address of attorney or} other authorized representative to. whom all correspondence should be mailed. ..7i2;;..,19~y~~)....{;;~~aVing a last will,copy of which is hereto attached.} HQw~rdE •.GQ1dfarb.,..E.sq.. CourtSquareArcade,washing.ton.,Pa.15301....... That as such E~.~.c.1l:t.Qr.deponent is familiar with the affairs of said estate and the property con- (Ex",,"tor·JNtl(j~ 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 TODECEDENT Mo1 11"\"'"1\1::>"';1"\,....a 1 Rank and -Hazel T.1"\,....".non or Dorothv Company,washington,Pa.L.Worgu1 Niece That the contents of said safe deposit box or boxes are itemized under Schedules ~ return,with the exception of the following,for the reasons hereinafter set forth: of this That Schedule A attached hereto and made part hereof sets forth fullv 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 rleposit,savings banks,trust companies,or other institutions,whether individually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cases;all bo~ds,postal savings,treasury certificates or notes and other evidence of in- debtedness of.the Unit-ed States to the'decedent;all obligations,whether by statute or agreement they are desi~naterl as tax free,of the United States,or any state,or political subdivision thereo~or of any foreign countTy,which'--a.'re owned at the .:time of death;all wearing'apparel,jewelry,silverware,pic- tures,books,workS of art,household furniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated market "'l]lIe thereof;all bonds and mortg8lteS held by decedent and of all claims due and owing decedent ,1 t thp.tirnp.of death,and all promissory notes or other instruments in writing for the payment of money of which ctp.cedent died possessed,of whatsoever nature,With interest thereon,if any,giving the face ValllP ,111"1 estimated fair market value thereof,and if such estimated fair market value be less than the face \lillie,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable "to the p.state from life insurance polici'es carried by decedent;all annuity and endowment contracts the proceeds of which were payabl~upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. In the case of securities of close or family corporations,the values reported are as far as possible substanxiated 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 ther.e is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and sUch other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together wi t~the ~air .market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In~the cas.e of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a copy of the deed,trust agreement 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,orjointly with another,or any power of appoint- ment vested in decedent,either individ\l.ally or,joJntly,!ly th~will,de~d,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shoWing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,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 others,plus the date and place of record of instruments effecting the vesti ture of real estate and the date ofac·quisition of personalty,plus the name,agdress and relationsh.ip,if any,. of co-owners 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 unpaid at time of death;taxes accru~d charge.able for period prior to decedent's death (except.those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B","en,"E",and "F"as directed therein,· have been carried forward and properly registered in the Summary. ~~~E:r~eC'Ut~~_~~-_~_. ..1'O.3.o ll~fS~~o~~~gg.~rev.ar.d __.. (Street Number) .~?~.~~~.9~..~~.~.9~.~.~.~~.~.9..?..9.. (City or Town and State) Subscribed and sworn to before me this . .........3...il.:::J:!:::::~l....day of .@~19 .6.9.. ··~N~····~··········..···· · My Cotp.mi~sion expires May 26,19UJ ..·Wth'lhington,Washb.'gton County' Pennsylvania NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Sununary"has been properly completed as above-directed. .~ •~CC-34 (1-64) COM~ONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT SCHEDULE "A" REAL PROPERTY *!.,. I Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located in the Commo!"wealth of Pennsylvania should be described by lot and block number,street and street number,together with a general description of the property,with a reference to the record of the conveyance by which the decedent took title;if a farm state number of a· cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Taxes,assessments,acc':ued Interest on mortgages,etc.,are to be listed on Schedule "F"and must not be deducted from this schedule. ./""- 2 story house and lot front~~feet on Allison Avenue in the 7t~the City of Washington,Pa.The value reported here is the gross sales price of said real estate received from Patsy Nicolella,et ux.who purchased same from the Executor of this Estate by deed recorded May 2, 1969 in the Office of the Recorder of Deeds of Washington County. (1 )(2)(3)/ DEPARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTIONDECEDENT'S MARKET VALUE (Do not write DEATH In this space) Insert this total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of this return. 9,000.00 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" 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) 1. 2. 3. 4. Prepaid bill to washington Manor Nursing Home House furnishings at 510 Allison Avenue, washington,Pa. Prepaid fire insurance premium to Anderson &Pollock Agency,washington, Pa. Prepayment to Pennsylvania Blue Shield 121.00 \ 150.00, 24.00 30.00 L Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X 325.00 ~ Rcc-36 rmmON'l'EALTH OF PENNSYLVANIA TlUNSFER INHERITANCE TAX }~SSIDENT DECEDENT SCHEDULE "c" TRA.NSFEIlS (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)~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)No (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's health at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)__~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)_ (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 the property transferrerl? (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,or which could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)No (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no)_ 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 transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM DESCRIPTION MARKET VALUE (Estimated)DEPT.VALUATION (Dept.Only) Insert this total opposite ·Transfers·,Schedule ·e·in the •As Reported·column on the last page of this return. ..;; .ReC-3S COMMONWEALTH OF PENNSYLVANIA Tni\NSl:~H INHERITANCE TAX RESIDENT DECEDENT .. SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRrCTIOt<iS:This schedule must disclose all property,real and personal,owned by the decedent jointly wi th 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 lmder Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-~wners to the decedent. Description of~operty,Date of Acquisition,Namel unit percentage Estate Address and Relationship of Co-Owners,and Place I Value Share Valuation of Record of Instrument,where Rea~~state.!. DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest Checking account No.422-9540 in Mellon National Bank and Trust Com- pany,washington Plaza Office, washington,Pennsylvania owned joint1 by decedent and Dorothy Worgu1,niece Total balance in said account was $6,354.24.~ D/t ri2'DPt:N'[fj -..1-J'l-&f ! I Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return.3,177 .1~~=....I ~CC·37 (12.63) t'O~I~ll)~\\'EAI.TII OF l'r:~:'\~\'Yl,ANlA THANSFER l1\;HEHlTANl'E TAX RESIDENT DEL'EDENT SCHEDULE "D" BENEFICIARIES ,. - BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATEORNOBIRTH-wise,in estate)fprth this factj)"v -' Dorothy Worgul,82 Anchor Dr.,Washington,Pa.Niece Yes /fJS 1/9--'-; Tormnv Woraul.82 A . !Jr.,wasn~ngton,Pa.Great Nephew Yes YIR/'If 1/9 Jeffrey Worgul,82 Anchor-.. .L.I.L.,_jl,;.UU,rC1.Great Nephew Yes 7/fR/..53 1/9 Sherman Lonqdon,1030 Holl'- wood Blvd.Hollywood,Fla.Brother Yes 813///900 1/9 Polly Gwynne,ll18 Chatterll~igh Circle,Towson,Md.Niece Yes /929 1/9 Meq Gwvnne.1118 Chatterle Lqh'_ Circle,Towson,Md.Grand Niece Yes /9611 1/9 Robert Lonqdon.Irvinq. Texas ,Nephew Yes /9/'1/9 Patty Lonqd..on,Irvinq, Texas Grand Niece Yes ~)/9J12 1/9 Charlotte Longdon Rader Glendale,w.Va.Grand Niece Yes /ft/L/1/9 - \ h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE NONE OF THE "ESTATE OF ~IATTER OF THE APPRAISEMENT HAZEL F.LONGDON Deceased ...,'"'d ::0...~~Sl'...Sl' ::l 0 -~::l '"'d~Sl'......-0'"'0'"'d ~.......g ~ ~'< ~o )-'-;::sIT~Ii<: ~CDp.. ~o't:l CDIirt"<: (Executor-Administrator must complete "As Reported"column #1.) tr:1'".....Sl'.....~ ..., Sl'>:Sl'0-cr CJ...o'"'" .- Year . P.o<THE ~~NO' Late of Cityo~~asl:1~n.:9i:.0n en.=r 0(/)«....,....Ju- ("V')::::--1 x:: 0:.::3=0<Q "C-..".U... 0 -02.': ,0 ""'~C:1- tJ.J ""'W W (.9r-z _J t-tl)<J)- (.....)en-X c:::J ::JC}U) C7l a::W<t; L!-c.o a:::: ... County of vva~hingt()11 Commonwealth of Pennsylvania REPORT AND APPRAISAL HOWARD E.'G0LDFARB,ESQ. Court Square Arcade washingto~,Pa.15301 r' (. ( ( ,. l c.' en C~ ~;>-~m .....-....-....-.>-<o en en tr.I(')(")(")::r ?'"?"?'"~q ~:.M ~--ffi-ffi-En-ffi-ffi~ I-'(.oJ ~;>!'V 'oi :Z :w ..'"0; ()l F.-''0 'N 0 ::o~ b .;..J :~:01 0 .g ......N .;..J :([):.0 0- ~..:: • •"""'t.....·0·..... I-'l\J oo~ !'V1 . 0 c.... :~ r ~-ffi-En-ffi-ffi -ffi ?\.~:",~')~,,<1\"r II ~~ti~ :~. ~.·~o rt ~ ~'~9 [~II t'!(.~o -. ~I .~o ::lo,~8.."\:.~ - -_._----------------------------, Form RCC·IO"DEDUCTIONS ALLOWED IN 'J AND AGENT OF THE COhlMONWEALTH OF OFFICE OF THE REGISTER OF WILLS washington COUNTY STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF $h Z?Zl~l D.,~~=7d Register of Will.,Agent #- ESTATE OF HAZEL F.LONGDON City of washington,washington County,loATE OF __-=---:;;_~-=_--__;.--~ Pennsylvania DATE OF FILING APPRAISEMENT OAT5 OF DEATH _.....:M~a.:=r~c~h=--.:1~0..L,_..:!1!:..:9~6:!.9~_ DATE NO.OF NAMIi:OF PAYEE REMARKS AMOUNTVOUCH"',,- 196 ADMINISTRAT VE EXPENSES Mar 14 Russell Marino.Reaister of Probate &Short Certifi car-1 ~!:::1 E:)00 W1.J.J.s Mar.14 washinaton County Renorts Leaa1 Adverti!:::ement 14 00 Mar.24 Observer Pub1ishinq Company Leqa1 Advertisement 14 00 Mav 2 C'11 +-'h n-r '0;:\T'Io"".f-'h f"t:>,..+-;-r~",,,,,.f-o 1 fIfI 1969 PREFERR E:D DEBTS Mav 12 Piatt Funeral Home Funeral Bill 657 00 Apr.18 John H.Hall,Jr.,M.D.Medical Services 20 00 Aua 14 Kurtz Monument Company Grave Stone 110 00 196~EXPENSES OF MAINTAINING AND SELLING REAL ESTATE Mar.17 Bell Telephone Telephone Bill 26 01 Mar.17 wash.-E.Wash.Joint Author tv House uti1itv 4 97 Anr 1 f"nl"mh;a Gal=:Comnanv House uti1itv 24 00 1).......,..Ll.TATt:>.::+-'Dl'>nn -Comnanv House uti1itv 7 49-.. Apr.10 Bell Telephone Telephone Bill 25 07 I Apr'!'.29 Alice Maxine Rose Notary on Deed 1 00 Mav 2 Bennet Real Estate Real Estate Commission 540 00 M"".,?-..,n-r T'lt:>t:>nC!'l'ran!:::rAr 'l'avt:>C!1 RO 00 ."' .·Mav E:)West Penn Power Company House uti1itv 6 41 i/ Mav 5 Columbia Gas Company House uti1itv 24 00 Mav 16 Citizens Water Co.of Wash.House uti1itv 6 48 Mav .122 Columbia Gas Company I House uti1itv 51 62 June 3 Citizens water Company House utility 1 08 June 3 Wash.-E.Wash.Joint Author tv House uti1itv 5 80 ,~..5 West Penn Power Comnanv House utilitv 94 'Oct ,,,,,.an T~,..::I ~'C!("1r\rnrn~C!C'~n,..,/1'71:::fIfI Oct.Goldfarb &Goldfarb Attornevs'Fees 475 00, COMMONWEALT'a...d .IUfO."fL ......3...~J~o-o f-.r.U.d.:-.J, "V'.'IT~r'1f~-.,-....."'"T TAL 2,685.87>-SII: COUNTY OF WaShington ~'Z,r~L I,SHERMAN J,ONGOON HEREBY CERTIFY,THAT.TO TH£.2.E'2"t7 '17 MY KNOWloEOGE AND BElolEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENS OF I ADMINISTRATION SUBMITTED TO THE ESTATE OF HAZEL F.~DON ~-.oECU.SED.AS DEDUCTION$FOR INHERITANCE TAX PURPOSES.~""-,£-/J .~~. "-_~.-01 ~~""...~,~,(L.5.1 8WDi5 AND 8U88C8'••D ."0",NO TH".i!,;>,,.,..t/DAY""-fJhe~~OngdOnph£/IJA./~ISJ/.-1 /).J ~~hz.r ,/.'a /y~ NOT.A:.RY PUBLIC My Commi~sion expires May 26,19~ Washington,\Vashi;.gton County ",Pennsylvania ".. RCC;81 (2-64) .COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT .SHERMAN LONGDON IN YOUR REPLY PLEAOE REFIER TO 37-197-7 ) In Re:Estate of .:.:H:::;A=ZE:::;·L=....:F:....';;....-=L::.:O~N:..::G:.::D..::O.:.;N _ _____~W~A:l:S~H~IN~G~T;.:::O~N County -FHe No.63-69-336 Dear Mr.Longdon: You are hereby notified that the original appraisement in the estate of Hazel F.Longdon has been filed in the office of the Register of Wills Qf Washington County on December 3 ,19Q2.Said appraisement reflects the folloWing valuations: Re al Est ate _--'---'9....,:...;:0;..;0;..;0;..::•....:;00..:....-_ Personal Property ~3~2~5~.~0~0~---- Jt.Held ~....l6~.~3..a54:IU•.::::2:1:.4___,_-- Total -1=I=.:.L5~J6l:!.J7r..-9u'c.!::24~_ As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Dat e .=.D..;,.e.::.c.:.:ern~b:;..;e:..:;r-::::3J.,_=1.:_96.:...9~_ DATE OF DEATH:March 10,1969 Note:This is not a bill. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of LONGDON, (Last Name) HAZEL F,_o DATE OF DEATH..H,.=..0-...;:6:.L.2__FILE NO.63-69-336 (First Name)(Initial) REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washine;ton 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","COl,and "E". Dated:12-03-69 03-10-69 REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS 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 VALUE AS APPRAISED $---uoo-00 325 00 15,679 24 --t= VALUE AS REAPPRAISED $I -=1= FOR USE OF REGISTER ONLY Tax on $---------4--2% Tax on $---------f--6% Tax on $----------f--5% Tax on $---------f--10% Tax on $15% Exemptions========I==Total Estate -+-__ TOTAL TAX COMPUTATION OF TAX $-------+-- $--------1-- $-------+-- $--------+-- $-------+-- $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 BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $----J AMOUNT OF ESTATE TAX ASSESSED $-----1- Estate tax paid $l- BALANCE DUE $----Jl- Add interest at rate of 6%from ------Ito-----$-------It=TOTAL TAX BALANCE $-------1'PAID $....J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will Administration !No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF HAZEL F.LONGOON Deceased Late of County of WASHINGTON WASH npTON Commonwealth of Pennsylvania REPORT AND APPRAISAL J , Fonn RCC-2-,"'" ,DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 "COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE P:.~~~.:.:r.:?~~.~.??... ~COUNTY ~~.~h.~.~.'?~. FILE NO...??:??:?..?.§. Whereas,~.~.~.~.+.:¥..~~.9.P.:gg9.~late of w.~~.~.:4tg~.<?P.:.. in the County of W.g.~.h,;j,P,.gt..<;P.Commonwealth of Pennsylvania,having died on the J...Q :~~h day of ~gr...Gb.19..6..9 ,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,w..~.~.~9.h~.~y.,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. ~Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purposes $ REALTY: 2 storY house and lot fronting 34.17 feet on Allison Ave.,in the 7 th Ward of the City of Washington,Pa. The valuer reported here is the gross sales price of said real estate received from Patsy Nicolella,at ux.who purchased same from the ExectIDor of this Estate by deed recorded Ma 2.1969 in the Office of the Recorder of Deeds of Washington County.8 9,000 00 PERSONALTY: Prepaid bill to Wash ington Manor Nursing Home 121.00 House furnishings at 510 Allison Ave.,Washington,Pa.150.00 Prepaid fire insurance premium to Anderson &Pollock Agen~,Washington,Pa.24.00 Prepaynent ot Pennsylvania Blue Shield 30.00 325.00 325.00 JT.HELD: ~Seecopyof Schedule "E"attached 6,354 24 Total 15,679 24 form~~~~hbl::::~h:'W~~~1~to~~:~.~o~e~~~c.e~,~.~:e .bove~~~r;.i;~=~;-==~~ti~ .APpri;ijer......&2 . .umber and Street) .......,Penna. (POlt Ofllce) WA.~~f[NGJ'9N"County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ~HAZEL F.LONGDON Deceased. Late of ... viASHINGTON Date of Death,M~~9.h .lQ~..J,9.Q9 . Appraisemel!t Docket Vol.,.3.7.. Page,~.9.7~7.No §.~.~.9:::'.J.J..9.. Filed in Register's Office,I:>.~?.~~~~F ~.L19.~9... Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appmisement,. Appeal fMm Appraisement,. Entered and charged,"."".."""" ',b''"0 f)let 0 1 C)\11·!.IS \-I U..,e v II L ...r,'.'(IVI 8111A\.:10 H3.1..SlfJ3U.oi·l III Vy..J ·1"]]~:;S nu us 6 U\1 SI NVr OL l -.~....,...""".i .:l.[,i !U ,0__.,.. ..-J II /! ;. lJ!IIP!LJ4.._._.--114 .___.....-=-~.,&&O&IiF__"3&L'-.:MWl~~__--:_II!!!!lI"'-" 6%Tax on 15%Tax on 1530~ASHINGTON PENNSYLVANIA File No.63-69-336 Date of Death__=..!!!~~~ Address COURT'8 DARE ARCADE RCC·4 (8-68} , COMMONWEALTH OF PENNSYLVANIA -"lr,II',)II DEPARTMENT OF REVENUE ~ NO.A085371 OFFICIAL RECEIPT 0 PENNSYLVANIA INHERITANCE AND ESTATE TAX !~I 1111=:;============:===============lill: RECEIVED NINI HUNDRD PInY.YHRD and 14/100 --dollars ~I Dorothy t1orgul,Paying on Ind.tiab.representing Pennsylvania Inheritance or Ii Estate Tax due from the following estate:IFrom:C.).~J.iD:X-L-.lKmJU.D....1i!llLm!:QJIlBL --'-~:::::~':::':"~:"":':":::~':':"==:':"::~=:::"'-1 2%Tax on $$I~ $~t.~ $-=n!aMp,c.',,,,,,,,,,,=toOt=::><:'"=-''._$_~9~5~3.~14~_1r.!' $-------- Date of Payment __J=-=an=u=n=--'----==:.=..~1=9..:..1-=O'_____I Name of Decedent _---=:HA=%=6=L-=L..::..ON=O..::..J):;:..O..::..;N=--l %Tax on $$---------11Il1 Estate Tax,Act of May 7,1927 County '_t1...:.;c.A;,...;.'=SH=I=N'-'-'O::...,.:T::...:O=""-----:------l Remarks: 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 _ $__9=..:S=J=.:...=1::'-.:4~_ $---------1 $,--------- TOTAL AMOUNT PAIDSEAL 953.14$===============/1' NOTE:This Triplicate Receipt to be retained lor audit pur!5'f:..197-1 /'-.""\,./l '-_#.7!r I,•_.r "Jifl if • -.Received by \/~.(\JIg.tLx..l l1 PL,0 .....0 NOTE:In accepting the transfer inheritance tax on future estates.prior to the death of the life./,.....·-=<:,(Signahfre) tenant or tenant for years,as evidenced by this'receipt,it is understood that the Commonwealth shall <'./-.A j I I '/1/1 not be precluded or prevented from hereafter assessing additional inheritance tox at the death of thl!....."')_'t'j';.Q f.P.,f'd VI t 1.1.6.VN life tenant or tenant for years whenever it appears that such additional tax may be legally due and .~\;:\(TitIA) collectible for any reason whatsoever.}0