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Home My WebLink AboutOC1969-0417 - ESTATE OF GEORGEPETITION SUR AIJDIT - Testate Formt/' IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of ....... KAT..I.E ... B .•.... GEQRGE, ... al.s.Q . .ktw.wn __ No ..... -~~--:: .. ~.9. .. :-... 1-:P __________________________________ _ ..................... !-!-.:t> .... MTJ~, ... G.~_QRG.~.~---·······-----------------· Fiduciary ........ G~.<? .•.. P~ .. :f'X.~?;~-~~------·------------------ Executor Deceased Date of Date of Decedent's death ....... M!-!-.:r.£!Lf1..a .. J.9.~;2 ............................ Grant of Le!tters ........... A2.~.U-... fi ... J.9.t?,9. .......................... . This is the .. : .. f.:ir.~t ... 9:J:J..d .. .F.in:.aL .................................... occount filed in this estate If there have been former a"ccounts filed in this estate, list file number or number and term ................................... . Election to take Date Election Place of; Under or Against will. (cross out one) Filed ......... NQ:n..t;!................ Record '····'··········----·········· Name of surviving spouse ............ N9.n~---···-···-·----------------···············-------·-·····-------·-----------------------------·-----·----------············· List issue, where material: Did decedent marry after execution of will? (indicate)~-No. Anychildren born after execution of will? (indicate) Yes. No. If answer yes, name them .................................... -........................................................................................ -... . ·----------------------------·-------------------------------------------------------------.;.·-------------------------------------------·----------------·-;.· .. !----·------------------------· Leg.atees Relationship Interest Fiduciary, if deceased or not _sui juris Julia Louise Cline Daughter All List, if exceptions to above: Adeemed: Revoked Lapsed: Abated: Give Cause: None If partial intestacy,:give facts: 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 give cause: ............................................ .. ~ File copy of Notice and date of ma i I ing ............. ~~~ .. ~~.l?.Y. .. ?.~--~~~~.C:.~--~~~~~-~;~E~~~!?. .......................................................................... . Is estate subject to the filing of 9 Federal Est<;Jte ~ax Return~ ... , ... , .. ,.:·;--:ri~---······························································ Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ..... N~g-~---··················:························ If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenanL .. N9 ............ . ....................................................................................................................................................................................................................................................................................................................................................... Give Names and addresses of all unpaid creditors who are legally entitled to notice, together wiith the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. All creditors have been paid. 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: None r , -~ '\' Balance for distribution Per account, Itemize any additional debits not shown by account: $ .... ~!.~~-~}: ................. . Total additional debits (Add) $ ................................... . Itemize any additional credits not shown by account: c ' .. . ~ . ., ' ' .. Total additional credits (Subtract) ' $ ................................... .. Balance for distribution $ 678 6 ___________ : ___ } ____ : _____________ _ If balance for distribution is not in cosh, list each item held in kind, giving appraised Value (or distribution Value); Balance for distribution.is in cash . . --) •') c~' ·J t!.'-\T'('1 ) ; '('"' "!', •• :.•y .... ~ _: e- -----~--------------------~~----·-~--"--------~~-------- -.~ .... If Family Exemption claimed by Petition, give place of Record: .................... ~~~~---··---··----------------------------------------···- lf Family Exemption is claimed at audit,· give nome, relationship and basis for ciaim: _______ N9.~~-------------------------------- List any advancement or distribution on account that has been mode, and nature and amount of some: None Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to toke in kind if balance is not in cosh: residuary shores being stated in proportions: TO Julia Louise Cline -Balance for distribution, subject to payment of audit ·costs and inheritance tax. COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ________ f?_~~;t;~·------------------doth depose and say that the facts set forth in the foregoing petition ore true And your petitioner wiJ,J ever pray, etc. to the best of _______ ~Y. ___________________ knowledge and belief. ________ §~~E.tl:,"--·----------------------to and subscribed before "''t'· . ~ ' 'I , . :-z_J.jC' J, N b 69 m~ this.:-: ...... : .... :.day ?f _________ 9..Y.~:rE ... ~.!.. ............ 1_? -·--·-·· -. -~ ' .Signature of Officer.: .. <-------------~~---·-····--- Title of Officer ......... : .... N919:;t;~~---·············----- Office expires ......... M~.:-~~;-~~-~---~-?.!.~---------········--------· ................................................................................................................ i I ""'•. ' '-' ·' ' . "•.i-:· •• ~ ;,- No. ________ 9.~ ... :-.. f?.9 .. :: .. 1:.l7. _______________________ _ Estate of ... : .. M.~~~---~-· ... J;i:~QRG~~--9-l~.o known as KATIE GEORGE; ... .... .............. ................... ............... -.. .;. .. ----....... -............... --.............. -----... --....... -------.. . Deceased Fiduciary ............. G.~_9._. ___ Q, ___ E:r.:;;~.,g.i~x.,_ ........ . Executor l .. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary-will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; 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. GEO. 0. FRAZIER, ESQ. Attorney ""'-~g s Tit A1 :1 o ~c:u s nr=w Otmntt-J llJSS()t~ \ .-\- \' -\ ... ') ,,+ ) .. ~.,. rt .. '-. ) :'::--;-~ .. __ .: -~ . ~'. : . -. . \1<',' ·.:. ....... < -(') * ' ,,,._...,. .. I ,. ... ··~ ""41-r#,tp If II. sv : n nv --• " -·r] ~-r·" r ::; t d,:j' tJ.:Jti ·0 :1 .. 1·1 ~I t .u.,,.. "'"'T'J ~ -~ '" ' 1". ' ,l ~ ' I • ' ~~ I' .I J.} '\~ ~' ( d' 6'3 -69 - 4 17 In Re: Esta te of KATIE B. GEORGE, Dec€ a sed NOTICE 0 F AUDIT - GEORGE 0 . FRAZIER ATTORNEY DONORA, PE" AT LAW NSYLVANIA SlliA\ .:!0 tl31S183U ONtCJvt,J T!Jssrw S"' • n I 1\1 5 i 0::0 '":f'"i v ... f,,. I II,. ., -Ov~U,. 0 3 -;I ::1 I ,,· ~i ... ~n t4t Qtnurt nf Qtnmmnn Jltn.a nf llnal}ingtnn Qtnunty. Jrnnaylunnin. ®rp4nna· C!rnurt 1!liniainn ESTATE OF N 63-69 ... 417 0·---'~--"---..LC:..'---------- KAtie B. George a/k/A Katie ' , In the matter of the_.=.F-==i:.:.r...:::s:...l:t~a"""n~d~F....!i,....n"""a .... l.__ George, Account of George 0. Frazier1 deceased. Exf>cutor ADJUDICATION AND DECREE And now December (,:;-, 19~, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof thE;. b,qlq.nce for distribution in the hands of the Accountant is determined to be $ o:Z.O,t>3 and the account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balance be paicl out by the Accountant in acco:rdance 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. le:g. SCHEDULE OF DISTRIBUTION Balance per account ________________ _ BalanCPI:O---------------------- Deduct Clerk's Costs & Receiptc:l-------------- Attorney George 0. Frazier Russell Marino, Agent, transfer inheritance tax Julia Louise Cline, daughter, ·r-esidue, o_! 0 '~ ~ .... ::::J z I , ·n ..... p ~ ty 0 ::r ;j-JI- c ~ ~· ::::J 3 ~ flj .... ~ 0 0 -· .... ::.1: ~ ~ '"I a 0 ... -· .... b' ::r ~ t = .. ~ ~ !' ~ ~ ~ ,· . .. . -- ,_, (0 • j .. . f2 ;:; 1"""11::0 0 c.;c: ,,, ·c::;c.n C) ...,, .. -tt/) l rnf1l "-' ~-:--~r Ul ~::;;: 1-' .,.~ !! ..... r71 ~::;_ :::.: .--z CJ tna ...... t--.... ..;::.,.. ~ .;~ ,· > . > :_·': ·• .,. •• • ;., . GEO. '.cO.'' fRAZIER· Attcrney at Law ;Donora, Pa:'· 15033. ·' Novem.ber 18, 1969 . Mrs. Julia L. Cline 4·b5 Plantation Road Rock Hill, South ·carolina Z9730 .'!'!' Re: Estate of Katie. B. ,George,-Dec'd Dear 'Julia: ~- '•'' . . .• . .. The au~it in your moth·e.r'.s estate will be held in tile Orphans' Court of :\Vashington Cou~_ty, Washington, Penns'yl- vania,·on Monday, !)ecember 8, 196.9, at 1:3o·ot~lod~., P.M. '-. . ~· .·!- · . . I am ~n~l~sing a copy C)f·t~e acc()unt as filed·,~. and' . • . ' . .,;.. • . . -. • . ,' ,J .. -. also. a <copy of the·audit statement, which will be presented JO .the Court. As. soon as 'tile decr~e of distribution has been:' handed " ' • </. • -\1 '' -... . ~· .. ·: . ·, ~ ' ,,. down by the Court, distrlbution:will be II).ad~. ;·_ ... ,;:. If you have any q~e~tions concerning any. matter relating to the esta~e, please let·me~_kno,w.. ~ , · v~~y tr:ly y~urs .• ·'.:.· ... k-.• . . . ~.J]7 GOF:ht Encl.· ;. ·:·'!.. ! r·----~~------------~~~--~~--------------------------------~~· Fonn No. RCC-62 (12-66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961, / EFFECTIVE JANUARY 1, 1962. !FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) v ' . OFFICE OF THE REGISTER OF WILLS County of .... W.4S.fl!N O:r:O.~ ....... . . . ;Gf?P.· .. 9.·. Ji:':r?-.z.i.~:t: ......... · ................... of .... l?~:q<?!!i.' .. ~~A:q:;>y~y~:q~~ ................... . (Name) (Address) being duly ---------~~-<?-~~-------------------·according to law, deposes and says that he is the ---------~~~~~~E ________________________________ _ . K t' . B G /k/ (Exec., Adm ... Legatee, Etc.) a 1e . eorge, a . a of the estate of -----~ti~--Q~_Q!:g~-----------------------------whose last residence was -~-}~ __ g;gEJ~R:.~L'I_~-!-:!:~_c;;_~,_ _______________ _ · (No.) (Street) ____ .llon.o.r.a •. J?..~~----------------------·deceased, and that the whole of the estate of said decedent, who died __ M~"!:.£h_.f~_JL_l9_Q 9 (Cit:Y. Borough or Township) (Date) · consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRAN~ES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value None' . .. . -. Personal Property ~..;_..Lz: 15 -$100 _ULS Savin12:s Bonds -Series E ? &~-1,410.00 3 -$500 u.s. Savings Bonds -Series E 7 /-t:\.1. 1,410.00 ' . ~ ( NOTE: See calculation-of value of ~1. S. Savings Bonds attached hereto. . . \' ' ' I ! .· : ' . ( t NOTE: You may expedite the processing of this return by filing with it, and as a part of the return, letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the decedent as of the date of death. Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account, account number and the exact name or names in which the account is registered. ~'---------~-----------~~~--·~~--~----------~--------------------------------~------------------~----~ Jointly Held Property . ' NONE <- Transfers within TWO YEARS Prior to Death NONE <. Estimated Value . That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTiON IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF Mellon Mr's. Katie B Julia L. Cline BENEFICIARIES BENEFI€IARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE: (If step-children or DECEDENT TENANTS OR (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF forth this fact.) DECEDENT Julia. Louise Cline Daughter Yes Past,21 yrs 465 Plantation Road Rock Hill, So. Carolina 29730 - . >. ; ' i 'RELATIONSHIP OF JOINT HOLDERS TO DECEDENT INTEREST OF - BENEFICIARY IN ESTATE All -. -'·. ', ... -! ' ' >, U. S. SAVINGS BONDS -SERIES E REGISTERED IN THE NAME OF MRS. ~KATIE .;B,. · GEORGE . . ' Date of Is sue .Number -·:Amount '· ·' March 19, 1963 C 431 894 327. E $ 100.00 , . March 19, 1963 C 431 894 328 E 100.00 March ,19, 1963 C 431 894 .329 .E .100 .• 00 March 19.t 196.3 C 431 894 3.30 .E 100.00 March 19, 1963 C 431 894 331 .E 100.00 March 19, 1963 C 43 1'"894 332 E 100.00 March 19, 1963 C 43f R94 333 E 100.00 March 19,. 1963 C 431 894 334 E 100.00 March 19, 1963 • . C 431 8-94 335 E 100.00 March 19, 1963, C 431 894 336 E 100.00 March 19, 1963 C 4,31 894337' E 100.00 ·March 19, 1963 ·-C 431 894 338 E 100.00 March 19, 1963 · C 431 8~4 340 K. 100.00 March 19, 1963 G 43:1 &94 341 E 100.00 March 19., 1963 C 431 894 342 E 100.00 March i3, 1963 · . D 85 416 703 E 500.00 March 19, 1963 D 85 41,6 7"04 E 500.00 March 19', 1963· D 85 41>6 705 E 500.00 ·• . Value at Date, of Death (March 24~ 1969) 94~00 94.00 '94. 00 94.00 94.00 .. 94.00 94 .. 00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 470 •. 00 470.00 470.00 Total · $2,82~.QO >-.. ' ( ' ' :;;· '.( .~ ~ ...... 1-t -~ESIDENT DECEDENT 1 , . •'"'NOTE · List first five items in the spaces so provided, observe notations thereon, and instructions . DEBTS AND DEDUCTIONS CLAIMED • .--------D~E~B~T_O~R=-C~L=A~I=M~-------,----------~N~A=T~U~R=E_O~F~S~A=M~E __________ 11~A=M~O~U~N~TT--fuTHIS COLUMN .ttEGISTER ONLY LawRon-Rahe Funeral Home Funeral expenses paid Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Geo. 0. Frazier~ Attorney Counsel fees * Geo. 0. Frazier, Executor Fiduciary commission * OTHER DEBTS AND CLAIMS (*) See Note below Monongahela Cemetery Burial Lot The Bell Telephone. Co, of Pa. Final telephone bill.l M. J. Hannigan, M.D. Professional Sery~_ces Quinet Monument Go. Grave Marker Geo. 0. Frazier; Attorney Costs of administration advanced!: Letters Testamentary and Short Certificates Washington County Report 3 -Publication Th.e· Daily Republi_~:;an. -Fubli~cation Costs of Filing hrventory Russell Ma.rino, Register Filing Accbunt $36.00 14.00 12.50 5.00 Total $ 1 192 00 $ 150 00 150 00 480 00 7 67 159 00 ' 12.0 00 ; J 67" 50 12 00 2,338 17 Note: The estate ~gi·ees to advise the Register of Wills if the amount actually paid in settlemen f any fee~ cmmiBB~r debt is greater or less than the e~ti_mated amount claimed and allowed. ' Y7 -S~bscribed an~ sw-~r~:~~before me this ... ./. $.. ~~-....... .. . ................ <t!.~ ............. ~ ..... . ( Executor-1t1.l:ixiM~ · -~ Q~ 69 P. 0. Box 359 ....... ·_ ') -~ ... -~ ... -day o~ . . ......... : ......... , 19. . . . Tlwmc;t.~ . :-.. lf.~~:t~~;i N~~~~;i ................ . .. . .. -~,. ! ... ·.· :. -~------·--.. N:C?~~-17Y .. ~~-1-1 '7 Donora, Penna. 15033 My comm, ;es. 7?1-a/~ /-0; J 7 ?.3 .... · .. · .... · (ciii/o·r· To;;;~-~~-si~t-e}' .... · ........ . . ~~~~~~. ~~~~. ~J:.r.;~~~-~i-~gd:: ::~·-_ 1 _ ~~-cJ~~~~. ~~e1 ~~;~~. ~~~:·~i~e-~~~:9i~ r.de in conformity with law on this -.. -(.w. .JR .... -S-. . .. -.. -.... -~ ~-'{-~, .... ~ra1ser In the event that any future interest in this estate is transferred in possession or enjoyment to colla ·a] heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves_ the right to appraise and assess transfer-inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF TH~ }\EGISTER·OF I, the undersigned duly elected Register of W ifls in· and for .. ·[· /.AJ. . . . . . . ,A..A•vv'--' County, Pennsylvania, do respectfully report that I have allowed debts and deductions in the amounts claimed by deponen except as to those items where a greater or lesser amount :s set forth in the last ~olumn to the right in said schedule above, which greater or I er amo~um allowed as a de'duction. Dated: ... G..~ .... J..~., .. ./.Y.~ .. ~:.... . ...... ! ................. ~~---·· Register of Wills _ _j . -~ .. :.. , .. t< Fonn No. RCC"62 (12-66) ~lNo ........... Year .... . -~ c) IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ~TIE .B. GEORGE, a/k/a KATIE GEORGE, ....................................... Deceased Late of ...... _l?~~.ORA, .................... County of WASHINGTON ..................... ·:· ...... . Commonwealth of Pennsylvania :•-~ a; ij . j£, ffl 2 c.o -REPOift_~:mJ APP~IS'A"t: . ~ (ly-(J'j c-, ·-ili1i '"""/ (/') -. it rn ffl 1'71 ;;;:(~~@ -_ r- ii~Q--'71-~ ~ "<•-(,_~ ::if!~-"' ~ ~~ ~~~ " ,.. = ~-F" ~ rwe -...&:::' ·J:::a .::r -c:::t c.;n -oa - , 0 '!> GEO. 0. FRAZ.IER Attorney at Law Tnornas-Frazie.r Bldg. Donora, Pa. 15033 -~-------- ·. -. l' : :. ,""\ ' ~ ,··~ .. " . ' . . . . . . -.' . ·' .~ -44-(, '. < c '"1,· "'•"l•tJ,, r ·..,,,, : ,, t .. / .~ :;,• t. -r· R C C-81 (2-64) .·COMMONWEALTH OF PENNSYLVANIA DEPARTME~n OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITAI'ICE TAX DIVISION L~. t IN YOUR REPLY PLEA8E REFER TO .37-204•2 NOTICE OF FILING OF APPRAISEMENT ·,. GEORGE O. FRAZIER (Executor~- In Re: Estate of ______ ~KA~-~T~I~E~. ~B~·-G~-~~'~G~E ____________ ___ ' . _____ W.:.::AS:.:::=H=-=IN=GTON~-~----County -File No. 63-69-417 \ ~-Dear Mr. Frazier: 1t• > t You are hereby notified that the origi.nal ~,appraisement in the estate of. Katie 8. George fhas been filed in the office of the Register of Wills qf Washington rCounty on October 23 , 19_69. Said appraisement reflectsthe ~following valuations: ~· Real Est ate ---'------...-=....,.......,..~-- p 1 p t 2,820.00 j . .... ... ersona roper y ----~--=--=----- tJ·· Transfers ----------..::--==~..-----!· Total 2,820.00 !. > ------...,....,..--=:.a..=.=~:.__ __ ' . 1 :. · As to such tax that is paid withiri.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 (8%) percent per annum is charged. ~ ~ Any party in interest who is aggrieved by an appraisement may I appeal therefrom as provided by law. ~-. t r Date __ __:O~c!!!.:!t~o~b~e~r~2::.loi!,;' .L-...:!1~9~6~9 ___ _ w.a. Title f. 'I .. ~~ATE OF f,_ ; f t DEATH: March 24, 1969 Note: This is not a bill. ,. '· J": ecc-39 (;.68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of GEORGE, (Last Name) KATIE (First Name) B. (lni tial) SUMMARY DATE OF DEATH----.!3::...--=2~4-.....:6:...:::9 __ FILE NO. REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington 63-69-417 Pennsylvania, do respectfully report that I have appraisedthe real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E". Dated: __ 710-=---.:.:2?':'3'---7-6-f-.9 ____ _ 0.3-24-69 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for Washingt<n 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 Sch.edule "F'', which greater or lesser amount represents the sum allowed as a deduction. ~~ c:::}_ ~ Dated: 10-23-69 ~ /)1 REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) $ 2.820 00 $ $--~----------~--2,820 .00 TOTAL. GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities .......... o ••••••••• ESTATE TAX ASSESSMENTS 2.820 00 2,338 17 . 481 83 :--_-: ===:1 = 2,820 00 2,338 17 481 83 FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on·$ 2% Taxon$------------~4~8~1~8~3~~.%o Taxon$-----------------4----~ Tuoo$ 1~ Tuoo$ 1~ &~ptioos * Total Estate _____________ -.~-__ TOTAL TAX $ ______ ~~~-- $ _________ ~28~~91_ $------------~----$ _________ -4---- $ ____________ -4---- $------------~---- Less tax previously paid $,:=::===="==1== 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 $ __________ ----'--- (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE DUE $ _______ ----L __ Add interest at rate of 6% from ------------1.10--------$----------4-- TOTAL TAX BALANCE $ --------+--- PAID $ ________ ~--- 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 KA '!'.IE. .:fl.~ G.:EP.ft.OE Deceased Late of . DONORA County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL \ r ...... ,/ ..... ;_·-' I •· I ,, ... ":'·~ .. Fonn RCC-2 DATE ................ 9..~.t..9.J:>..~:r. .... ?.).1. ...... ~.?~.9. ................. . DEPARTMENT OF REVENUE' B~~A" OF COUNTY COLLEcTIONS COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT ·couNTY ..................... W.~.~.@.A~.9P. ............................... .. FILE NO~ ................. §?..:.§?.:~~?. ....................................... .. .. ~ HARRISBURG, PENNA. 77 1 2 7 Whereas, .................................. ~~~.~~ ..... ~-~ .... 9.:~~F.8.~ .................................................. : ............. late of ................................ P..QD.Q.r.~ ............................................... . in the County of w hi.ngt ..................................... a.e. .. an .................................................................... Commonwea th of Pennsylvania, having died on the ....................................... 2.4 ... t.h.:-r .................................. day of ......................... ~.~b ................................... 19 .. 99 ... , seized and possessed of an estate ,, subject to Inheritance T~x under the laws of the Commonwealth of Pennsylvania; Therefore, I, ................................. w .•. R .. , ..... o..b.~w. ................................................................ ; 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 f~r life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawfu.l collateral rate on any such future interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purpo1es $ PERSONALTY : ' ; 15 -$100 u.s. Savings Bonds -Series E. 1,410.00 3 -$500 u.s. Savings Bonds -Seires E .• 1,410.00 2,820.00 2,820 00 1 i ' ; " I t • Total 2,820 00 fonn~;v!:;~h bl:~ ::•:h~sw~ ~~~~ ~~~· ~:; o~·~ .. ~il~Y~c;:::~:r~~·~~;,:~l~~ -;;:;.,: Appraiser /iJ~·~;:;~;~, . ;;;.;:: I I I WA$HJN.G.'l.'ON. ............................ . County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of Late of DONORA Date of Death, ....... ~.C::.l.l ... :?.4_, .+.9.9.9 ........... · ............. .. Appraiseme11t Doc kef Vol., .............. 3..7 ............................. . Page, ..... :?.04~~ .................... No .... 6~.69~41.7 ........... . Filed in Register's Office, ... O.c.t.9.b.~.:r: ... 43.,19.69. .. l Amount of tax due, $ ...................................................... : ............ .. DEPARTMENT OF REVENUE ~~ --· .. ~ Received, Exa-mined and Approved, Wrote abo.ut Appra-isement, Appeal f1'om Appraisement, Entered and charged; F~ILED lf.!hJ-''' D~="~ 1 c::; ""'t :;:) ~~oo .. '-.1 •• .....,. 1\11 11 : 4 5 RUSSELL f1;~RH,;Q REG!STEH OF WILLS ...._,.., I J . ~ I j • IJ'. .• I ' I II --~ Form :J;; C -i'o .,, DEDUCTIONS ALLOWED IN ./ SUPPLE:MENTAL . 11.00 OFFICE OF TME STATEMENT OF DEBTS THE SUM OF , . . . . . . . . . . . $ .. REGISTER OF WILLS AND DEDUCTIONS WASHINGTON OF COUNTY AND AGENT OF THE COMMONWEALTH "'"~~ FILE # 63-69-417 Taxable at 6% Register of Wills, Agent KATIE B. GEORGE DONORA ESTATE OF L.•'TE OF DATE OF FILING APPRAISEMENT DATE OF DEATH March 242 1969 DATE NO. OF NAM&: OF PAYEE REMARKS AMOUNT VOUCH"I'I AUDIT COSTS COMMONWEALTH OF PENNSYLVANIA } SS: couNTY OF Was~hington 1, Geo/ 0. Frazier2 Executor ll \ ,, HEREBY CERTIFY, THAT. TO THE BEaT OF MY I<NOWL!:DGE AND BELIEF, TH!: FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION suBMITTED To THE ESTATE oF Katie B. George. INHERITANCE TAX PURPOSES. SWORN AND SUBSCRIBED BEFORE ME THIS 19th --~7-~~~~~~~---------18]JL__ >~.0. DAY 01'' ~~~~~~~~~------------~Qg~~P~ullblic March 15.~ 1973 'ff"ED, AS DEDUCTIONs; FOR ~ALL ••·•• .00 I - I ' C!!nmmnuwraltq nf Jruu.sylmmia. t lht.sqiugtnu arnuutg. \ .6.6: KNOW ALL MEN BY THESiE PRESENTS: Whereas, at Washington, in the County aforesaid on the 2nd. day of April A. D. ]9 69 , before me, Russell Marino , Register for the Probate of Wills and Granting ' ' Letters of Administration in and for the County of \Vashington, in the Commonwealth of Pennsylvania~ the last Will and Testament of .,· Katie B. George late of Donora in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Geo. o. Frazier 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 Geo. o. Frazier committing unto Him 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 inventmy 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 have hereunto set my hand and the seal of said Office at Washington, this 2nd. day of _April in the year of our Lord one thousand nine hundred and Sixty Nine V) ................... ~.t.i~~ ... ~~~·~···· Register I 1:·" . .$'" .:.:· ----~ ... ---. -.--~ .: = ~· ~ ... = CD a II., s m Q; ... ILl I CD " tn .... , ~ t c.. < a .... , • U); rl:l ILl: e (!) oM ~ .p ... ... ~ ~ ~ LAST WILL AND TESTAMENT I, KATIE B. GEORGE, also known as KATIE GEORGE, . of Donora, Washington County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as an.d for my Last Will and Testament, hereby revoking and making nun and void any and all wills and testaments or writings in the nature thereof by me at any time heretofore ma.de. FIRST: I direct that all my just debts and funeral ex- penses, including the cost of a burial lot in the Monongahela Cemetery and a suitable head marker, shall be paid as soon after my decease as can conveniently be done. SECOND: All the rest, residue and remainder of my es- ·tate, whether real, personal or mixed, and wheresoever the same may be situate at the time of my death, I give, devise and bequeath to. my daughter,. Julia Louise Cline. THIRD: I do hereby constitute and appoint Geo. 0. Frazier, Attorney at Law, of Donora, Washington County, Pennsylvania, Executor of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto placed my hand and seal this __ /'---<"'l-·~,~----"-4 __ day of March, A. D. 1963. Signed, sealed, published and declared by KATIE B. GEORGE, also known as KATIE GEORGE, testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses • . ~~-(), "'\Ze'-.<-'l.-~-"t / / \ '• (SEAL} .. Affi~uuit ®f 1fxrrutnr ®r Abmtutstrutnr ~tat.r nf Jrnnsyluania, ~ nn: C1lnunty nf Bas}Jingtnn \ P all b f h d · d h · Notary Public · d f ·a erson y e ore me, t .e un ers1gne aut or1ty, a .................................................................................. In an or sru County and State, appeared ................. 9.~.9..: .... 9..: ... .:f.:E.~~.~.!::E ...................................................................... who, being duly sworn according to law, deposes and says that he is the executor ~ of the estate of .Ka.t.i~ ... B ..... G.e.Q;r.g,~, ... 9.:LkJ~ ... K.«i!-.U.~ ... G.~.Q.:r..g.~~ ............ deceased, that the foregpin~sch~dules constitl,JJ:e/a . . . . Katle l::S_. ueorge, at k a complete mventory and appraisement of the real and personal estate of ........ Ka,t;i.@. .. .(;~g.;r;.g.e.,. ............................ , 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 vr:tlue 9f said items as of the date of the decedent's de.ath, based upon a just applais ment of each item made by the-above named Executor ~~ A -.,--,.. day o~=Cf:f!!?;.~:i~.:.~ .. ~:;.: •::::~····:~bl )c .... , . ~-ig~- ..... L~ .................................................................................... Y. ........... ~ ~ My comm. expires: ,;, ,.197.:? ADDITIONAL INSTRUCTIONS l. An inventory must e filed within three months after appointment of personal representative. 2. 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; 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 lfuneutnry uu!ll\ppruisement of the goods and chattels, rights and credits which Katie B. George. a/k/a were of ........... Katie· ... Ge.o.r.g.e .................................................... Jate of ...................... P..QJ:\..9.!".1!.1. ....................................................... . Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS CENTS PERSONAL ESTATE 15 -$100 U.S. Savings Bonds -Series E 1,410 00 3 -$500 U.S. Savings Bonds -Series E 1,410 00 Total 2, 820 00 J )lfoL/ {:;3 -b 1-111 Inventory and Appraisement IN THE ESTATE OF KATIE B. GEORGE, a/k/a --""' ... ~ ... ~ 1 •. KATIE GEORGE, Deceased ~-# .. ~... • ..................................................................................................... . ~~~,.~, ..•. ,-,.,. ~ .•.. ~· . Filed ........................................................... -..... , 19 .......... . E" ... 11 :e:n ~rn::J:1 t..:O ~2c -c:::J ,...,;. .(n <n c-l r- ~ -1 q,--~ rn r-n -rn ,...,j~r-0' r-...c ~0 0 ~"TT:r;; ==-""' o::E:t.>-:::% ~ '..,._,... ~ . r ........ -v·P~ c;::::) ~·~<;';.) "" .. ..~;: ... 0Ct:J>6 i?C4..e.t 3s-) v .9 ' . ~ ) STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ SS: ·:,. . .....-~····-'4olo" " ..: \. ·1..-:·/· The within named Accountant being duly sworn according to law; deposes and says that the above account as stated is true and correct as h , -------------------~~--------------------verily believe. Swam ond su&;cd~~ belo<e me th;s __ j,j' __ ?_______~--4· u - day of _ Q~ ---______________ ,_{!)_,_~~ /MJ_·;·--------:·-----l9 __ QL__ ----~-- - ------,Ngf:;;'f{}"'--1-~i-c:---------------------------• ------------------------------------------------------------------------ '7?7~ !.5; / 97..5' Warshington County, ss: '-' 0 I do certify that I have given leg•al notice ·to all persons concerned of the filing of the within account in the· manner prescribed by Statute and Rule of Court, as evidenced by proofs thereoif filed to No .. h3.--:..6.Y-:-:.3.Z~------· Witness my hand and official •seal this ___ QJ__Y.~ ____ : _____ _ day of.---~~AA)-... ·v·n·:mg·· ··········'---_-~-----19 .. b..9-. ,. ··-··(Q·~-=-~-~--~ y n ~ . "· AJ ,A ••••• ~-~~----------- egish:r of Wills ,,·'1, !=:: ! ' 9: "d. ~ 1-i-0 Q}. g Ol _..., ... :::l 0 0 Q) ~ _..., :::l :::l 0 0 0 ~ ~: '-.j ~ ri ~l ~~ y \ tO\ ~, "' 0 z ~" t-'"' ~·--* ..... , -~ ~ Cl.li 0 ...., I'd 0 ;:$. a>! ~ (}. 0 u: a>! Cll Q}. : ><: 1"""1Q : l'r,:l: rd i : ~ r;:.~~ \p:;j o t-' ~ ... :r li:li il:'l ' ~: H. E-< Pi~ "<i Ni ~ 0 0 Zi <i E-< r_, · ..,;, · w. ~-'"~ li:li r •. : Pi: ~ (j d ~-'"~: ~: : .-o! : li:l' ~=:: .: ~I--Ii ro: o: ~: : i l'r.:l<: ~: .; t-; ~i oo: 0: ~ i Pi\ l'r.:li < oo' ~-;, ,.,, ~ rdi ~; u: •, .... F f LtD. '69 ocr 14 AM ro sw RUSSEtt M.,~JRI'fiHffi llll.lr:'&."t._fia:"""'_.,...!:-~ l1't ,.,. V"'I'''ILS 11\\il::'i.:!! ..;J>li :.r.~ 1\.r'lf' lV, 'L..' · YIAS.rrll~N\~TGN! GO .... P'A. 4,. "" --- .~ ,_~.~· . -~-~--~--•'-"'"- :S 0 _...., 'l:l Q) _...., § "' Q) ... P< _...., l'l :::l 0 0 0 '" l'l ~ -~ 0 Q) -+-' ..c:= ~ _...., go-t '0-£) :::l a. ~ r-1 ~ ... 0 ... ~ 0 -+-' < 6 ' . ' .. ~ } a::. I a ....... \.: ~ Q .)' \ ~-·,.;-~ j -I . .~- I t----------------------------------------------------------------------------~~~~------~- ., -. ~ f I ' 'l -, '";. ·._, .. ..._ ...... The Court is respectfully requestedJc:jet:ermine pmp•• dist~s ·u Counsel for Accoun ant , \~ IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In Re: Estate of KATIE B. GEORGE, also known as KATIE GEORGE, Deceased FIRST AND FINAL ACCOUNT OF GEO. 0. FRAZIER, EXECUTOR · The Accountant charges himself with personal estate as fol- lows: Amount as shown by Inventory Lump-Sum Death. Benefit -Social Security Administration Total The Accountant claims the following credits: April 28, 1969 Lawsorr-Rabe Funeral Horne -Funeral April 28, 1969 Monongahela Cemetery -Burial Lot May 7, 1969 The Bell Telephone Co. -Final telephone bill Sept. 17, 1969 M. J. Hannigan, M.D. -Professional services Sept 17 1969 Quinet Monument Co. -Grave Marker . , Sept .. 17, 1969 Geo. 0. Frazier, Attorney ... Costs ad- vanced as follows: Letters Testamentary and Short Certificates .$36. 00 Washington County Reports - Publication 14.00 ' Daily Republican-Publication Costs of Filing Inventory 12.50 5.00 Sept. 17, 1969 Geo. 6. Frazier, ,Esq. -Executor's Fees Sept. 17,1969 Geo. 0. Frazier, Esq. -Attorney1sFees Sept. 17, 1969 Russell Marino];i Register -Filing Account Total RECAPITULATION Personal Estate Less Debts and Expenses Balance $3,016.80 $2,338.17 $ 678.63 $2,820.00 196.80 .$1,192.00 480.00 7.67 159.00 120.00 67.50 150.00 150.00 12 .• 00 $2,338.17 Washington County . Reports Washlngton, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, :?. L. 1784 Sec. 3, paragraphs (3) and (25). CouNTY OF WAsHINGTON) STATE 0!' 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 ofiicial legal periodical for said Washington County, published weekly having its place of business at Washington, Washington County, Pennsylvania, arid is act- ing as its agent in t'his behalf; that the said WASHINGTON COL'NTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said Cour!ty, 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: ............. Ap.r.il ... l.7,., .... Z.4., .... J9..6..9. ........... _ ........ . .............. M~Y. .. J . .J ... J.9.9.9. ............................... ; .... · ..... .. ........ l~s:t ... ay of... .......... M~.Y ...................... , 196 .. 9. .. .. p ~-~~ -:. ~,,;,~:=:~zr ,;.f--- Washington. Washington Co., Pa. My Commission Expil'as November 1, 1969 ·=t Estate Notices · ·:::::· ·. ,; ~ ·~ > . The Register of Wills has grkted!Iet~fs}~.>;i!;, testamentary or of adminisifa!l~:{;fin'-t;iJl~"%~\~ following estates. Notice is hereby~igiveri to all pers?ns indebted ther~~~~}~J.e'. payment w1thout delay and to·tthose·,·.hav~ ~-. : · ing claims or demands to p-r~serii¥-t!lek' 7 ·, : for settlement to the Executors or ·Admin- istrators or their Attorneys. . ..... ••••••• II!~'·· •• .. . ·~ jjl~- . f.~~,f'~~: GEORGE. KATIE B a/kl KATIE GEORGE, Dec' d. ., -a Late·of Donora, Washington County, Penna. .· Executor: Geo. 0. Frazier, P. 0. Box 35D, Donora, Penna. 15033 · Atto~ney: Geo. 0. Frazier, Thomas-Frazier Bldg.,. Donora, Pa. 15033 •l ' THE DAILY RE:PUBLICAN MONONGAHELA, PA. 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 1 ss: State of Pennsylvania ( Personal~ mpeared before me, a Notary Public in and for said county and state, ~-~---~ ... !'. .... --~----~~~-;-~----, who, being duly sworn, deposes and says: thaL __ f!l.t~--·--· . is the ____ p_()_Q~k-~-~.P~:r.--·---·---· of The Monongahela Publishing Co., a Pennsylvania corpora- tion, and its agent in this behalf: that the said company is the publisher of The Daily Republican, published daily except Saturday and Sunday, having its place of bu~iness at Monongahela, Washington County, Pennsylvania; that the said Daily Republican was established in the year of 1846; that the printed notice or advertisement, attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said newspaper in its regular issues on. the following dates: APRIL 17 24 and MAY 1 1969 ···---·--··---·-----··-----'--··--·--·---------·---------------·-------'------·-·-·---·----·------·-·--·----··--------------·-----··----·-··----------·-----··------·--·-----··-·-----·--·-- -~~~~~-~---~9-~-~g~~-------!~~~~----~-!--.. ~-~~~-~----~~L~---~-~~~~--_g-~~-!. ______________________ _ that the affiant or the corporation in behalf of which -···--·---·--·-··-·---is acting is not inter- ested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to th~:~_d:~~~~--------··----·-··---- ;;;:d_~ d:d ,:•~o<e me th;, 100 j' ~o~!~G;"o,:::~~~::;.::;~~ :~:;~ C ~-···-· <;: My Comni"'"' "'"" MY z~ I 0 r ~-===-~ ,:=: ~ ..::, ;-,C~C~:L_l::;;;;'2;:::,\::,:z:~fL;_~c,-e;,'"'-'-_c""'"'" •-•-""---" :-c . ~--... ~---c-/ -~ :i ]n llJr· ®rpl]ttn.5' Cfnnrt nf 31Jasl]ingtnn C!Inunty .. -.. ·Jn the matter or the Audit o! Account in Estate o!._' __ KA T,IE B. GEORGE, 63 No. __ _ 69 417 ~~.;..,...::...::....:;. ___ ___. 19____:__, A. A. . r ·. TO THE AuD.ITIXG JUDGE: ... · _; ·.· Enter __ m_.::.y ________ appearance ror _____ :.:..A.:..c.:....:.d-=·o-=u::n:.:.t.:..a:.:.:n:.:. :.:.i _____ ·..:··-/_·· -----~----- '' ----------~~-----------~~------~--------------------------------- • ...> . . . • -=-~ . . 2B . day or . November . . t9~ · N. B . ....:counset shall. by separate p1per, present a concise statement or each claim, with supportin; ca!cul:l:tion o{ any interest cl:!.i:ned.. Objections to an account as Wed, shall be concisely stated in a se;;J:::rrate p:tper. Council su;-;estin; proper distribution :;h:tll ·!ile a separate concise st:J.te- ment in that re;ard. ·~·~----··---~-· ·---:--·· . r ~' No. 63 -69 -417 I· In re Audit of Account in Estate of i ALBERT EISENBERG, Deceased A U D I T PRAECIPE FOR APPEARANCE for James A. Rabe, Administrator GEO. 0. FRAZIER, ESQ. Attorney f\LED lSSD DEC 1~5 "' 11 A-i\l i .. : l+ ::> HUSSELL t·1t\R\NO HEG!STER QF W\LLS ff ' ' From: A!TY. OBOROI O. FRAZIER · · · P. O. BOI 359 Address ____________________ --! . J)ONORA, PINNSYLVANIA 15033 3-24-69 . ---. ---------- 2% Tax on representing Pennsylvania Inheritance or Estate Tax due from the following estate: $ ________ $ _______ _ 410.83 28.25 6% Tax on $ ____________ $. ___________ _ File No. ________ Date of 15% Tax on $ __________ _ $ _________ \BI January 19, 1970 Date of Payment --------------------1 % Tax on $ ________ _ UTII B. GEORGI, aka • Name of Decedent ------..,..------------1 Estate Tax,. Act of May 7, 1927 WASHINGTON County ________________________ ---! Remarks: TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Pfus interest at the rate of · __ %from ________ _ to _________________ _ lJ 00 ~ [¥) [l~·@ ill1f[~>"' SEA/ TOTAL AMOUNT PAID ..... ' . NOTE: This Triplicate Rec~ipt ta be retained lor: audit pua3-:204•2 .~--·., ~ f \ " . . . .' Received by NOTE: In accepting the transfer, inheritanc'~-tax an future estates, prior to ihe death of the I $ _______ _ $._· _______ _ 28.25 $. _______ __ $ _______ ~_ $ II 28.25 I $ , I tenant or tenant for years, as· evidenced ·by ,this receipt, it'is understood that tl.e Commonwealth sh not be preduded or prevent~d from ;herepfter 'ass~ssi~g additiona\"inheritonce tax at the death of th ..:::.=____,::~4~M.&.!:..;...?~/-..!L:~6..<~~L-----III life tenant or tenant for years whenever'it opp:ars \hat such additional tax nay be legally due and collectible far, reason whatsoever.· · -• -1 --"--:.;:_:::_· ·-· -·~·-. -·