HomeMy WebLinkAboutOC1969-0404 - ESTATE OF DARBYForm RC C-10 DEDUCTIONS ALLOWED IN J
DATE
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OFFICE OF T~E
REGISTER OF WIL'LS
STATEMENT OF DEeTS
AND DEDUCTIONS
THE SUM OF , ..... .
' ESTATE oF a/k/a w; i 1 iam wasco LATE oF __ ~B~o~r~o;u~g~h~~o~f~C~h~a~r~l~e~r~o~i~-----------
.-./ Darby
DATE OF FILING APPRAISEMENT <;-'-2._ j'-t0 Y OATS: OF DEATH -A:.Ma::a:.:r,_C=h:...-.:2~4'""''-'1=9..:::6:...9:!..-____ _
NO. OF NAM&: OF PAYEE REMARKS · A·MOUNT
VOUCHiiOJII:
HAROLD L. SCHROCK Funeral and burial arrangemejilt 1922 00
louinet Monument company Grave Marker 300 00
or. Joseph J. Buch !Medical Care, last illness 10 ~oOO
Charleroi-Monessen Hospital Hospital care, last illness 65 .oo
lwashinaton Countv Reoorts Advertisina T-Atters 14 00
valley Independent Advertising Letters lO.S,Q
..... ,1.. .. ._,t.,.r
Joseph Sitte Notary Fees 5 .oo
Russell Marino, Reg~~~t~r of Probate 37 50 ................
Guy Rodgers Probate·services 25 .oo
I
J'ohn E. Costello Attorney's Fees 12,00 p.o~
,.
! TOTAL I 14,38 ~.oo -·-~·---r-! !
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COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Washington sa:
1, william T. Darby and Harold R. Darby HEREBY CERTIFY. THAT. TO THE BE8T OF
,_,_. ___ _
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I \,:JILL I il T./i· ;.[ " ., '>DV ' , n ·,· • LJht~LJl.., also known as WILLIA~ ~ASCh DARBY, of
the Borou.7h of Cr:e.rleroi, 'Jashin;;ton County, Comr'",om·rc_al th of
Penrsylvania, do hereby mate this, mv last ~ill ard Testament.
1. I hereby revoke any and all Wills, Testaments and Cocicil~
by ~e at "ny t~n1e· har~to~Ol"r ~~~~c .... ·~~ -~--.l . .l.l . ! v ::: . .L . c;: :~-.::l'._t .......•
2. I non:in.:!.te and appoint rr,y sons, WILLIAIVl T. Dr!.RBY and
HAROLD E. DAPcBY to be co-executors of thj s, my last T·Jill and
Test~ment and I direct that they snd each of them shall be ner-
mitted to serve without bond.
J. I direct that my executors promptly pay, from out of the
proceeds of my estate, ::;,11 qf n'iy ~ust debts, including tr.e ex-oen-
ses ~f my funeral and the costs of ·adrninistr3tion.
4. I give, devise and bequ~ath all of my property, w~ether
the ::;s.me be real, personal or mixed unto rny exeet~.tors :;nd I c:ireC"'"
for the
best obtainable ~rice, at the earliest ~ossible date under t~
5. I ,2'ive, d~vise and bequeath unto rry ~tiife, J).F.AH 3. DARBY
0 ne t}:ird of 311 ~y estate as the ~~me shall have been determined
. -----· .. -::"-~'
by :::y executors.
6. In the event tta.t my ·,fife, JdL~.H B. ~·.".tmY · sho:.1l:i elect
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incton County, Penrsylvania, th~-same ~hall be withdra~m from sy
executors po1,:er to ss 11 and r:1y vdfe shall be pcrr: i tted. to retain it
as a portion of her jnterest for such.purposss. It she..ll be
conclusi~ely presumed that the said real estate shall be valued
at )12, COO. CO and the sar~le sum s h3.ll be deducted fro:n her share
othe.rv:ise obta::'_nab1e. That is, shr~ i.tifill be entitled to one:.::tr:·trd ·
of my 2state .and shall receive the .sa~Ld real estate at a fixed
value of ;-i~l2,00C.OO indetErtf_ini·r.::r. 3.f1Y b-a1::.nce due her.
7 ~, . t' f ' . . t . T d. t th • .uur1r.;::r ce course o :;c·mlr:ls r::;;t~on, -lrec · .tdt my
executors pay to my ~ife tte sum of t125.00 per month for her
maintenancej which sum shall be deducted from my wife's share at
the time of final distribution, the said 2125ACO oer month being
deemed an advancement.
$. i~ll of the rest, residue -::md ret:.ainder of my estate, I
r,ive, devise and bequeath equally to my four sons, ifiLLL,l-~ T.
Dn.HBY, CEitHL.SS H. Dh.HBY, H~.hOLD E. Dn.hBY and. .r:.OBEFLT G. D!~R.BY
in fee simple forever .•
9. In the event that r1y ~-'fife, S.'-'.H;,H B. D;;_RBY should have pre
deceased me or in the ever,t ti::.at we should meet our deaths in a
comr:;on di~aster. _then I give, devise 3.r.:d bequeath all of cy
oronert~J', 'Hhether t},e sa:-::e be re01 :;_ ·,· D_, ersonal or rnixed unto r:1y ' .
executors in tte aaDe ~snner as aforesaid and direct the equal
division of tr:e r.:roceeds aconcr my four sons Drevious l v r:er: t ione.d •.. --. -~-~-----::.--"'·----....;>=--.;:..-.~·--·-·-""··-----
10. In t r~e event tr at :~r)y of rr;y sons afo ren ar"ted sho.u}.d have
predeceased me, t·h,n I r::i ve, d~~vise ar:d bec;ueat.h .his or their s:a r=.=
or shares to his or their children equally.
11. In the event any of my sons n3.ri'ed herein shall be indebte':.i
to my estate or to ;; e at the tirr:e of n:y de::1.th, then his or their
., .
, .. ·' . ' ,.. ·-~
·"' ·-·. ' ... ~ . ---~ ·_'.':_{_' j
·, -·.
share or shares sr·:ill be reduced by the a;~m1nt of U·e said debt.
IK. '~HTkLS0 ·.vEJ::;R:::;OF, I have hereunto SE .. t niy hand and seal to
this'· my la.s t ,/i.ll ar,d Testament on this 26th C: JY of January, 19 57.
1 d 'l' h -1 1 ' l d' sea~e , puo 1s e~ ana aec are oy
V/ill iam \V:. Darbv, :.tL~o kno'"·'n as '.iilliam "' '
\:las c~. Jarby, the Testator above named,
as his '.iill in the presence of us; 'ti·ho
9.t rn 3 request, in his I'resenc e and in
the presence of each other, havir,g hereto
subscribed our nan:es as >·-ri tresses r.ereto •
. ,. ,r . ' .
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1\ffi~auit ®f i.Exrrutnr ®r .Abmintstratnr
i'tatr of Jrnnaylnanta. t BB:
C!Lounty of Dllaaqtngton \
An inventory must be filed within three months after appointment of personal representative.
A supplemental inventory must be filed within thirty days of discovery of additional assets.
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; l 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
1Juurntnrg nub ~pprut.armrut of the goods and chattels, rights and credits which
of .... ~~f.l.tt.~~wil\~~.~~fi~6~~.: ................... late of ....... a9..~.9.~.9P.: .... Q!. ... Q}.?.:!.~.~;.Q~ ...................... .. were
Washington County, Pa., taken and made in conformity with the above affidavit.
Checking Account:·, Mellon National Bank &
Trust Company
3200 shares of General Motor, Common Stock,
at $79.75 per share or
800 shares of pepsi Cola ' Common Stock,
at $46.00 per share or
Six Room Frame Dwelling house situate at
323 Meadow Avenue, Charleroi, Pa.
~·-.. ---.... ~--
TOTAL
I
DOLLARS CENTS
12,21. .55
i 255,20(~.00
36 '80( .oo
8 ,00(~.00
312,21 ~.55
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Form RCC-33
RESIDENT DECEDENT
• ..
COMMONWEALTH OF PENNSYL VAN lA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
·COUNTY .OF
J
WASHINGTON
IMPORTANT: This return must be completed in detail and filed in duplicate, with will attached, with the.
Register of W.ills of the County whel'e decedent resided; Return is due within one year after
date of death, unless an extension is granted by. the Secretary of. Revenue. (Section 703 of
. th~ Inl}eritllnce_.fJ.n!f E.f!tate ~ax A,ct of 19!)1.)
IN THE MATTER OF TlfE·E~TAT~ OF.. } . . /k/ .11 . W AFFiDAVIT OF WillJ.am w. Darby a a Wl. J.am asco .......................................................................................................................................................................... b...................... EXECUTORS
(State full name of decedent) oar y . '
Late of .Ch.~.~J .. ~~9.~ L ........... , ......... W.~.§.P~I.:l..9 .. !:.9.P.: Colinty A~
Pennsylvania State of .................................................................................................................. , .. :.}ss:
County of ... W.~l?l.:l.J.::~.9~<?~ ............................. , ............................... .
.... W;i., .. l;:l,.;i.,~ ...... T .. ~ ........... P~~PY ..... ~9.sl .... ~.H.~;: .. Q.!.9 ....... R.• ...... P~:1:7.PY., ..... .
William T. oarby &
Harold R. Darby
of the estate of the above-named de~edent J,eing duly sworn, depose and say
ExeeutorS
Decedent · dJed .......... M.~:r.::.~.~. ?.~.?..
(Month')
........................... (Hay) ......... , 19.~~~~, .... ,{ ~aving a last will, copy of which is hereto attached. }
o therNaa:etha::i:::r:::r::e:tttao;;:: ~:} .... J.ohn .... E • Costello' . Esq... .. ................. ..... .. . . .............. ... ......... . ....... .
whom all correspondence should be. 418 Wa~J:l~~91:'?I1 1:\V~J:l:tl~, Ch~rlero~, ~~!l:I1~¥~Y..~!l:~~ ............................. .
mailed.
That as such Executors deponent is familiar with the affairs of said estate and the property con-
( l•:xeeu U>r·Arlmin ist.rat.or)
stituting the assets thereof and their fair market value.
That at the time of death there was no saJedeposit 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 tlue exception of the following:-·
NAME AND ADDRESS OF BANK OR OTHER UiSTITUTION THIS SAFE DEPOSIT'BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
Mellon National Bank .and Trust co. WJ.llJ.am w. oar by
H'i:fth str22t and Fallow:field Ave.
Charleroi, pa.
That the contents of said safe deposit box or boxes are itemized under Schedules __ PL_&_B __ of this
return, with the exception of the following, for the reason.s hereinafter set forth:
That Sc.hedule A attached hereto arid made part hereof sets forth full v and in'·detail all the
real property in the Commonwea~th 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 deathj 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 mar~et value thereof as of date of death of decedent.
That Sch~dule 8 attached hereto and mad'e part hereof sets forth fully and i~ detail all personal
property wheresover situated owned by the decedent at the time of death; all moneys left by the decedent
at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks
of deposit, savings banks, trust companies, ·or other institutions, whether· individually, or in trust for
any other person or persons giving also separatel.y 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 bonds, postal savings, ~reasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent~ all obligations, whether by statute or agreement they
are designated as tax free, of the United States., or any state, or political subdivision thereof, or of
any· foreign country,·which are owned at th~ time of death; all wearing apparel, jewelry, silverware, pic-
tures, books, works of art, household furniture, horses, carriages, autol!lobiles, boats, and any and all
other personal chattels of whatsoever kind or nature, left by decedent,. together with the fairly estimated
market value thereof; all bonds and mortga~es held by decedent and of all claims due and owing decedent
at the time of death, and all promissory notes o_:r other instruments in writing for the payment of money
of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face
value and estimated fair market value thereof, and if such estimated fair market value be less than the
face value, it sets forth briefly the reasons fo:r such depreciation. as' to each i tern; ail moneys payable
to the estate from life insurance policles carried by decedent; all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent; and all the_ corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest\ thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death, with the market
value thereof at such time.
,., .. ... " .
In the case of securities of close or family corporations, the values reported are as far as
possible substantiated by financial statements of the corporations, showing the assets and liabil:i ties
thereof as of the· date of death. The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business, and in support of the value of such interest, there is annexed to
said schedule, financial statements showing the assets and liabilities of said co-p!l-rtnership or business.
A capy 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 b~siness as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submi~ted, It should also set forth in itemized form, together with the fair market value
thereof, any other property owned or bequeathed by the dec.edent 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, with:iin two years of decedent' s_
death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or
after death, said schedule sets forth the nature and value of such property, to whom transferred, the
relationship of the transferees to the decedent, the proportionate share received by each transferee and
all other facts of a pertinent nature 'regarding"said transfers. In the case".of transfers intended to
take effect in possessidn or enjoyment at or after death, there is also attached to the schedule a co):ly
of t!he deed, trust agreement or other instrument creating the trust. Ther•~ j.s also ~et forth in said
schedule a list of all property, real and ~e:sonal, with its value, which paEses at decedent's death by
virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint-
ment. vested in decedent, either individuall-y or jointly, by the will, deed, or other instrument of another,
with a copy of the instrument creating such po.wer,attach_ed: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 decefl.ent' s will, if any, died prior
to decedent, the dates of their death, their issue, andthe relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all pro]lerty, 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 of acquisition of pe-rsonalty, p1us the name, address· a.nd relationship, 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 accrued. charge.able for period prior to decedent's death. (except_ those_ allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga-
tions, if any. It is agreed that the fiduciary will present proo,f of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the
estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,.
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this ........ J..~ .. J.h
. . .. day of ..... A.p;:_;J., ............................. 19 .... ~.9. ...
(Street Number)_ . 323 Meatlow Ave., Charlero1, Pa •
........................................................................................................................................
. ;;_ (City or Town and State) ...
NOTE:· Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None", and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required under the paragraph above relating to Schedule "B" are attached. Also make
certain that column #1 in the "Summary" has been properly completed as above-directed.
~--------------------------------------------------~
1 ..
R C <;.~34 ,( 1-641
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEIDULE "A"
-Rf:AL: PROPERTY .
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Where property heid as joint tenarit or tenancy by entireties, report on Schedule "E". Property h~:"ld by
the .de.cedent 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 shoutd be
described by lot and block number, street and street number, together wl th
a general description of the property, with a reference to the record of the
conveyance by which the decedent took title; If a farm· state number of a-
cres; also statement of mortgage encum~rances upon each parcel at death
of decedent. Taxes, assessments, accrued Interest on mortgages, etc:.,are
to be listed on Schedule "F" and must not be deducted. from this schedule.
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
Six Room Fram dwelling house situate at $3165.00
323 Meadow Avenue, in the Borough of
Charleroi, washington County, Penssylvania,
being more particularly bounded and
described as:
ALL that certain lot of ground situate in
the Borough of Charleroi, washington
County, Pennsylvania, known and designated
as Lot Number 357 of the Plan .. of said
Borough, fronting Forty (40) feet on the
west side of Meadow Avenue, between Third
and Fourth Streets, and extending back of
uniform width One Hundred Five (105) feet
to Blythe Alley.
BEING the same lot which was conveyed to
the said Betty Louise Kent by Mabel Kent by
Deed date March 31, 1944 and recorded
in the Recorder's Office of Washington
county, Pennsylvania, in Deed Book Vol 678
page 81.
(2)
ESTIMATED
MARKET VALUE
(3\ I
DI:PARTMEHT
VALUATION
CAUTION
(Do not write
In thIs space)
$8,000.00~~
. .... -: .. ....,.. ... ' ··;'
j
Insert this total opposite "real property", Schedule "A" in the X X X X X
"A's Reported" column on the last page of this return.
$8,000.00
•. ,RGC-35
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent, at the time of his death. Property owned by the decedent jointly with another or others
must be listed under Schedule "E". Intangible personal property, titled in the name of the decedent, but
payable at death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta-
tive trust accounts, must be listed, despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household
goods, and furnishings, books, paintings, automobiles, boats, etc.)
Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, . . stocks, ·mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay-
able to the estate or fiduciary in said capacity, partnership interests, interest in anyundistributed
estate 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)
'-----+------~-------------------------------------------~-----+------------~------~-------r
Checking Account, Mellon National Bank
and Trust company
3200 ~hares of General Motor, Common
Stock
12,212.55 ~
$79.7e 255,200.00
800 shares of Pepsi Cola, Common stock $46. 36,800.00
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
X X $304,212.55
CO~P.IfON'.Irn:ALTH OF PENNSYI~VANIA
TTtANSFER INHERITANCE TAX
RE~IDENT DECEDENT
SCHEDULE "C"
TRANSFERS
(1) Did decedent, within two years of death, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) NO
(2) Did decedent, within two years of death, transfer property from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) -=-N'-'0=---
(3) If the answer to (1) or (2) above is in the affirmative state:
(a) Age of decedent at time of transfer -----------
(b) State of decedent's health at time of 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 torf0ansferer 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?~N~0~---
(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 transferred?
(Answer yes or no) NO
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom? (Answer yes or no)~N~0~-----
(6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent
alone or others NOT APPLICABLE
(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 ye.s oil' no) --=-N'-'0=----
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)~N~OL-----
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
NONE
Insert this total opposite "Transfers", Schedule "C" in the
"As Reported" column on the last page of this return.
MARKET VALUE
(Estimated) DEPT. VALUATION
(Dept. Only)
&..::-" RCC-38
COMMONWEALTH OF PENNSY:bVANIA·
THI\NSFER INHERITANCE TAX
P.F.SIDENT DECEDENT
SCHEBULE "E"
JOINTLY OWNED PROPERTY
INSTRl'CTIO!'iS: This schedule must disclose all property, real and personal, owned by the decedent jointly
with another or others, including intangibles, starnding in the name of the decedent and others. List
real estate first, as entireties, or joint tenants, giving brief description, as indicated tmder Schedule
"A", plus the date and place of record of instrument effecting vestiture, but do not include entireties
or out of state real estate value in estate valuaticm column. Personal property should be listed as in
Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-awners to
the decedent.
Description of Property, Date of Acquisition, Name I Unit
Address and Relationship of Co-Owners, and Place 1 Value
of Record of Instrument, where Rea] Estate. !
NONE
percentage Estate
Share Valuation
Insert this total opposite "Jointly Owned PrQiPerty", Schedule "E"
in the "As Reported" column on the last page Df this return.
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
Entire
Property
Value of
Decedent's
Interest
. ----
. "-
RCC-37 (12-63)
Ctl:\1:\ltl-:'\\\'E:\l.Til OF PE7\~SYYl.:\NJ:\ • TRANSFER 1:'\IIEHITA!'i'CE TAX • . " ' RESIDENT DEL'EDE!'i'T ,,
* SCHEDULE "D" ~1 HI. '• 'tl i!P. ~3ifi&~IJ;>It\
BENEFICIARIES
BENEFICIARIES AND ADDRESSES .. RELATIONSHIP SURVIVED (If step·children or DATE INTEREST OF \State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY
have an interest, vested, contingent or other-are involved, set STATE YES IN ESTATE
wise, in estate) ' forth this fact.) OR NO BIRTH
Sarah a. Darby .. ·-wi£e Yes 4/15/1888 ....
323 Meadow Avenne
Charleroi, Pa.
William T. Darby Son Yes 12/21/10
601 Seventh st.
Charleroi, Pa.
Charles H. Darby Son Ye:s 3/21/12
603 Schoonmaker Ave.
Monessen, pa.
Harold R· Darby Son Yes 1/2/26
323 Meadow Ave.
Charleroi, pa.
Robert G· Darby Son VP~ n/11 /?P.
302A Mohawk Trail
JClinton Sherman Air Force Base
·~Oklahoma
!
I
Deponent fUrther says that all the above-named beneficiaries are living at this time except below:
NAME I DATE OF DEATH RESIDENCE I
l~U t<.;X ~~PT.LUN::>: AJ....J.... J..., lV .LNG
\Vill
Administration ~ No. Year
P.ll THE
~lATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
......... <' -"-"'':"
William w. Warby a/k/a William Wasco .. . /,., ....... !.... ······
Deceased Darby
?~-,.,. \
Late of .. J3or()\19h o:f Charleroi
:;.·
Countv of Washing tort . . . . . . . . .. . . . . . . . .
Commonwealth oft..Aennsvlvania .. . m ~ .... }
t.O
:::0 ?.!; • rr1::0 v . i .,. . ~-~ ~~RT :XNo ·AJ!C&AISAL-~ ..
-~rn ...,. • ~~ ...J '.I,
~:3: 'J"> :E;:o r=z:
·:o "
.~ }:il • -~
0
..;~--:.--:::;.-
<..:
r-o
(/)
,::j -~ ;.,;
·J ..... .-""""·
0
\.0
~ .
~·o-. ..
,
'
.. ·f. II
· ..
f ..
'~
·:-
(Executor-Administrator
must complete "As
Reported" column #1.)
0 .....:J '"0 ::0 ..... ..... ('!) ('!) 0 ~ ..... e:.. "' ::l "' "' "' 0 ........ ::l '"0 .....:J ('!) e. ..... .....
ll' "' 0 :>< '"0 "0 $l> ('!) 0"' ..... .....
(b 0 ~ "0
t:rl ('!) ....
"' ...... ...... '< $l> ...... ('!)
C/)
c:::::
~ ~ > ::0 w C/) C/) .....::
(") (") ?" ?" ?"
q ~ ~ ......... ......... .........
~ ~ .fn ~ ~ ~
.:w :w "H :o > N ·~ Vl ... :-. :(X) ::0
l\) :tl.):-.. ('!)------
II
...... : ..... O'o ,_
N N 0:::; .._,..II
•• 0 8" :.
'VI l/1
~ ~
h ~· ·~ 0-.. ~.
'"" ·~
.fn -
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l/1 0..::::
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..
•'
R C C-8 I (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVE~UE
BUREAU OF COUNTY COLLECTIONS •
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
WILLIAM T. DARBY & HARLD R. DARBY
(Executor ~·
IN YOUR REPLY PLEA8E
REFER TO 37-203-4
In Re : Estate o f ____ .;.;W=II=.I=.I=AM=-..:..:.vi.:_• .....:D:.:ARB=;.::Y_a:=;j/c..:k:.:!./-=a::___ __
_____ W:.:.;;A:;:;;;S.:.;;H;:;::I..:..:.N_GT=-O..:..:.N;,__ ____ County -File No. 63-69-404
Dear Mr. Darby:
You are hereby notified that the original
appraisement in the estate of William W. Darbya/k/a
has been filed in the office of the Register of Wills qf 'Washington
County on April 23 , 192..2_. Said appraisement reflects the
following valuations:
Real Estate -~-----__,..;;8~, 00::..: ;,0;.,•;..:0:.:0;..,...-
Personal Property ____ -~3~0~4~,_2_1_2_.~5~5-
Transfers _________ ~~--~~
Total __________ 3~12~-~a~2~·~5~5~
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 W1paid 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.
Date April. 23, 1969
DATE OF DEATH: M.arch 24, 1969
Note: This is not a bill.
RCC-39 (!5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
Estate of DARBY'
(Last Name)
WILLIAM
(First Name)
~1}'.,
(Initial)
SUMMARY
:-:i~'·----DATE OF DEATH----.:3::_-_2......:4_-..::...69:___FILE NO.
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
63-69-404
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 i tern in the last column to the right in Schedules "A", "B", "C", and "E".
Dated: -----'0=4<---=2«-3-~6::...!9'--------
03-24-69
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. f2 ?b~·
'_./ t "ac:..---
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
297,823 55
annuities . . . . . . . • . . .. . . . . . . • . $------+--
ESTATE TAX ASSESSMENTS $ _______ _J___
VALUE AS APPRAISED
$ s.ooo 00
304.212 55
312.212 55
14,389 00
29$,823 55
FOR USE OF REGISTER ONLY COMPUTATION OF TAX
Tax on $ ---:=::--:==--"=-= --~-Tax on$ 297 ,823.'55~" 2% $
@ $ 17,869 41
Tax on $--------5% $
10% $
15% $
VALUE AS REAPPRAISED
$ ____________ -+---
Tax on $ ---------+--
Tax on $ ----------+--
Exemptions========l==
Total Estate ------------1---
TGTAL TAX
*
$
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
:Less tax previously paid $=======4==
BALANCE $--------+---
Less 5% of tax if paid within
3 months after death $=====~==
Add interest at rate of 6% from
-------to-----
AMOUNT OF ESTATE TAX ASSESSED $---------+--
Estate tax paid $ ______ .____
BALANCE DUE $ _________ __,~. __
Add interest at rate of 6% from
--------~10-----$-------~~
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
Administration ~ No.
IN THE
Year ........... .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
WILLIAM W. 0.J\IiJ:3Y a/1{/a.
Deceased
Late of . CHARLEROI . .. ·················
County of ... WA$HIN.G'l'ON. .
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.J
' I
Form. RCC-2 . '
COMMONWEALTH! OF PENNSYLVANIA DATE ................. ~.~.~~.: .. :?.~.:, .. · .. ~.?.?.?. ..... ...............
., DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX Washington ' .;.. COUNTY BUREAU OF COUNTY COLLECTIONS . w . .............................................................................................
APPRAISEMENT '·
FILE NO .......... ?.~.:?.~.:~.~ ............................................. HARRISBURG, PENNA. 17 12 7
Whereas, ....................................... W.~+..+..~m. .. .W.L .. P.~r.:t>Y. .... ~/~./~ .................................. late of ......................... gP.:~~.~~9~ .....................................................
in the County of ......................................... ~~.~~-~!:':~<?.!:': ............................................................. Commonwealth of Pennsylvania, having died on
the ........................................ ?.4. ... ~.h ...................................... day of ...................... ~.~~I,l ....................................... 19 ... ~~ .... seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, W.R. Chaney .................... , .................................................................................................................. , an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future :interest.
Unit Appraisement Description of Asset Values Made for Inheritance Tax Purpose•
$
REALTY:
Six Room frame dwelling house situate at 323 Meadow
Ave., in the Borough of Charleroi, Washington Countn
Pa., see Deed Book Vol 678 page 81. 8,000 00
PERSONALTY:
Checking Acct., Melihon National Bank & Trust Co. 12,212.55
3200 Shares of General Motor, Common stock 255,200.00
800 shares of Pepsi Cola, common stock 36.800.00
304.212.55 304,212 55
Total 312.2~ 55
Having been duly sworn acsr2}ng to law, I do hereby certif~t th_e ove appraisement is made in /tn-
fonnity with law on this .............. ~~·············day of ;:;;?27~;; ;z;_; ~9 ii':'
' raiser
.~;~~~~~~·t·)···· ···················· ···································
Penna . ............................... ,
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
WILLIAM W. 1?.~.~~ .:i/1<:/~
Deceased.
Late of
CHARLEROI
Date of Death, ..... ~.~~----~4.~---~-~§-~ ........................... .
Appraisemellt Docket Vol ............ 37 , ···········································
Page, ........ ?93..:74 ...................... No ... 9.3.:~~29.~4.94 ............. .
Filed ~n Register's Office, ...... ~P.~_g ___ ?.?. .. ~ .. 19.§.~ .. .
Amount of tax due, $ ................................................................... .
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abo.ut Appra.isement,
Appeal fyom Appraisement,
Entered and charged, ....
J "
•
' '