HomeMy WebLinkAboutOC1969-0479 - ESTATE OF FLETCHERJ
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVIS ION
IN RE:ESTATE OF )
)
R.L.FLETCHER,)
)~1-lo 7-179a/k/a ROY L.FLE TCHER,)No.
)
a/k/a LEROY FLE TCHER,)
)
Deceased.)
PETITION FOR CITATION SUR APPEAL FROM
ASSESSMENT OF INHERI~NCE TAX
1.Prior to the death of decedent,a Guardian was
appointed for him on February 21,1969,by your Honorable Court
at No.1579 of 1968.
2.At the time the Petition was filed the alleged
incompetent's estate was estimated at approximately $16,000.00,
including the house and lot located at 290 E.Wheeling Street,
Washington,Washington County,Pennsylvania,and valued at that
time as $15,500.00.
3.The real estate was an older home needing many
repairs at the time of the declaration of the incompetency of
the decedent.
4.The decedent died on April 12,1969,some two
months after the aforesaid incompetency,and the Court awarded
the assets of incompetent's estate to John Gunn,Executor.
5.The said Executor continued to carry the real
estate at a value of $15,500.00 as a "bookkeeping entry"based on .
the entry of value placed in the Petition for the Appointment of
a Guardian for the incompetency of decedent.
6.During the course of administration of the estate
C!!ommnuwraltl1 of 'puu.6yluauia.t
lIa.6l1iugtou C!!outtlg.\.6.6:
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
on the 17th.day of April A.D.19 69 ,before me,
Rus se11 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
Roy L.Fletcher aka Leroy L.Fletcher
J
late of City of Washington in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
John Gunn
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
John Gunn
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 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 18th.
day of .Apri1 in the year of our Lord one thousand
nine hundred and Six ty Nine
......................................................................~~.....
Register
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ESTATE OF
Roy L.Fletcher
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Leroy L.Fletcher
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I,Roy L.Fletcher of 290 East \{heeling Street,City of Washing-,
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ton,Washington County,Pennsylvania,being of sound mind,memory and
understanding,do hereby make,publish and declare this to be my
last will and testament,hereby revoking and making void all form-
er wills by me at any time heretofore made.
First.I direct my Executor hereinafter named to pay all my
just debts and funeral expenses as soon as he can do so conven-
iently after my decease.
Second.I give,devise and bequeath all my propertY,both real
and personal,wheresoever situate,in equal shares,to my four grand-
.children,namely,James Adrian Fletcher,of Boulder,Colorado,Jerome
Ponton Fletcher of 17 Farley Street,I:lashington,penn~ylvania,Sgndra
Lee Caffrey of Leet Street,Washington,Pennsylvania,and Gladys Dian
Fletcher of 17 Farley Street,W&shington,Fennsylvania.
Third.I hereby name,constitute and appoint my brother-in-law,
John Gunn,of Washington R.D.,Washington County,Pennsylvania,to be
Executor of this my last will and testament,and I direct that he
serve without bond,being hereby excused from filing bond.
In Witness Whereof,I,Roy L.Fletcher,the Testator abovenamed,
!r,have hereunto subscribed my name and affixed my seal on this ~
day of January in the year of our Lord One Thousand Nine Hundred
'.
and Sixty-one (1961).
Signed,sealed,published and declared by the abovenamed Roy L.
Fletcher as and for his last will and testament in the presence
of us,who have hereunto subscribed our names at his request as'
witnesses thereunto in the presence of said Testator,and of each
other.
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1\ffiikuuit (@f 1fxrrutnr (@r 1\bministrutnr
~tntt af 'rnnsylunntn.t ss:
C!launty af 'IInsl1tngtan \
Personally before me,the undersigned authority,a ~?~.~.!'.y.?..~p..!.!£in and for said
County and State,appeared J.Q.bn Gunn who,being duly
sworn according to law,deposes and says that he is the executQ(::OJOldaKi»is~Kof the estate of
........R.9..y.~.,F.J~.:t.~.h~J.'deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of B.Q.y.1..:f..l~..t.~.h§J.',
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 ~m~~
Sworn and subscribed before me this .l..........~()~£
day Of ~{;~7..Q ~)&ri~..·····iir~~_.
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Washington,Washington County,1:BBPf£6:wAart~STRUCTIONS
My com.exp feb.20,19711.An Inventory must be filed 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
3)uueutnrg tlUIl1\ppr/tli.5/emeut of the goods and chattels,rights and credits whichRoyL.Fletcher,a k a
were of L.eX.Q.y.L..Ele.t~.he.r..,a.L.k/a late of C..it..y.Q.f.W.a.s.hing.t.9.n .R.L.FletcherWashingtonCounty,Pa.,talien and made in conformity with the above affidavit.
REALTY:
DOLLARS CENTS
House and lot situate in Fourth Ward of City of Wash-
ington,Washington County,Pennsylvania,known and desigj
nated as 290 E.Wheeling Street,Washington,Pennsylvania,
for complete description See Deed Book 802,page 116.I 15,500 00
Total Realty-------------------------------------------$15,500 00
PERSONALTY:
1 lot of household goods
Social Security Check for Lump Sum Death Benefit
Check from Social Security Administration for two
months benefits due decedent
TOTAL PERSONALTY-------------------------------------
TOTAL REALTY
TOTAL PERSONALTY
TOTAL ES TATE
626 81
255 00
183 20
1,065I 01
-~,$15,500 00
1,065 01
,$16 ,5651 01
'Vd •.00 N0L:NIH SVfA
S1111,\j 0 l'l J SI~3U
ot~I~:.~."1 1,:SSI"]l:J
95 01 t!V (UO OL4
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The wit'hin named Accountant being duly sworn according to law,depose and say that the above account
as stated is true and correct as he...d.oes verily believe,
Sworn and subscribed before me this !...
day of ~19 ..7.Q .
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Notary Public
Washington,Washington County,Pennsy vania
My commission expires Feb.20,1971.
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day oL....
Wa'shington County,ss:I do certify that I have given legal 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
thereof filed to No,..b3-:..7.D..:-::.7.i.Q ,
Witness my hand and official 'seal thiS 30~.
..···················()ifl/·.·...~9.70..
. " .f!7Z({)!J~~bP~:.....
Register of Wills
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I~i .....,'"d.Q:F'C Gf ("T r'r,~...\);:i:l!l..LS :a Q)~;QJ ::)1 'L J j ~,)i L:.r\...,...,'"~I (/j ~i VI lIS II!N·.~TO,'}CO..PA.'~:'M~Q)Hi Qi Q)P::~QJ I;:<9t.!..c:i~QJ 0,0<;:)".::4 ~~i "ON Q0~,Z ~~
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The Court is respectfu Ily requested to determine
proP"'d~t';bU~;&~W
Counsel for Accountant
Washington County,Pennsylvania.
The First and Final Account of John Gunn,Executor
of the Estate of Roy L.Fletcher,a/k/a Leroy Fletcher,·a/k/a
R.L.Fletcher,Deceased,late resident of the City of Washington,
II
PER INVENTORY AND APPRAISEMENT $16,565.01
Sale of Real Estate
Appraised Value
Loss on sale of real estate
13,000.00
15,500.00
LOSS--(2,500.00)
Sale of household goods
Appraised Value
Gain on sale of household goods
Receipts:
626.81
626.81
None
Insurance premium rebate from S.W.Miller Agency
TOTAL ASSETS OF ESTATE
Total amount of credits claimed
Balance due
2.00 '
14,067.01
C).5,600.29
C8,466.72
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The Accountant clmms credits out of said estate as
follows:
PAYEE REMARKS
West Penn Power Co.Electric bill
West Penn Power Co.Electric bill
West Penn Power Co.Electric bill
West Penn Power Co.Electric bill
Washington Credit Bureau Delinquent water bill
Citizens Water Co.Sewerage
Washington County Tax Claim Bureau -delinquent taxes
Washington County Home Balance due
Ambulance Chair &Service Ambulance
Dr.Hall Medical services
Piatt Funeral Home Funeral Expense
S.W.Miller Agency Insurance premium
McVehil Plumbing &Heating Winterizing home,etc.
AMOUNT
8.20
6.02
6.02
5.50
13.07
10.12
533.56
341.67
20.00
65.00
1,128.50
5.00
32.50
ZeIt &ZeIt
J.C.McCleery
Attorney's fees due on
Petition for Guardian
Appraisal of Real Estate
30.50
35.00
Frank C.Carroll Balance due on Attorney's 230.46
fee for preparing Gdn.Acc't.
Stuart E.Murphy
Russell Marino
Observer
Washington Reports
Russell Marino
West Penn Power
Pittsburgh National Bank
Reimbursement for
cos ts advanced:
Letters
Adv.Letters
" "
2 Short Certs.
Electric Bill
Service charge on
following
75.47
18.50
14.00
14.00
2.00
26.97
$75.47
es tate account 2.00 ,I
Frank C.Carroll
Russell Marino
Russell Marino
Marie Guidos
Frank C.Carroll
John Gunn
Reimbursement for following
costs advanced:25.00
Filing Inventory 3.00
Filing Account 17.00
Affidavits 5.00
25.00
Attorney's Commission 703.35
Executor's Commission 703.35
Carried forward------------------------------------$3 980 29 ~.,.~
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CREDITS CONTINUED:
Carried forward-------------------------------
,
AMOUNT
3,980.29
Payee
Keery M.McAmb1ey
Loren W.Carl Agency
Remarks
Estate's share of 1970
real estate taxes
Real Estate commission
297.29
780.00
Washington County Tax Claim Bureau -Liened 1969
Real Estate Taxes
TOTAL AMOUNT.OF CREDITS CLAIMED
542.71
$5,600.29
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•
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,S8:.
Personally appeared before me,a Notary Public in and for said County
and State,Ri~.h.~.r.g §..•....g.QJ.:V.~JL __ __..,who being duly sworn
according to law,deposes and says that he is the _~~S_~.~.:t~.~y.._ .
of the Obs1erver Publishing Company,a f'ienns(Vlvania corpo,ration,and its
agent in this behalf;that the said Company is,the owner and publisher of
the Observer-Reporter,succ<essor to The Washington Observ,er,established
September 18,1871,and The Washington Reporter,established August 15,
1808,a daily newspape,r of general circulation,printed and Dublis,hed and
having its place of bus,ines's at Washington,Washington County,Pennsyl·
vania,where it or its predeces,sors have been established and published
continuous'1y for more than six months,prior to the publication of the notice
hereto attached;thrut the printed notice or advertisement hereto attached
is a ,copy of an official advB'rtisement,official notice,legal notice or legal
advertis,ement,exactly a,s printed or published in the Obs'erver-Reporter in
its regular editions on the following date or dates;..
............................!.\.r_r~J ~.~L .._..~~.Y.?~.~.9.~.:?...!J.9..Q.9...
that neither tb!e affiant nor the Observer PUblishing Company is interested
in the subject matter of said notice or advertising and that all of the all-ega-
~~~n~~~~.this affida~it ~s...t.o...t.~~..~i~e'...~k::.:::/l~e::::ti.~~
f'
Sworn to and
W.267!52
sUbscr~~~fore me this...J..2..day of......Ma-Y....J..9.6.9JW~~~~~~
WASHINGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6.1972
aShington County Reports
~Jr_.
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
Est otlce.
The Register of Wills has granted letter~.
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.
• • • • • • • • •• • • •• • ••
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)
STATF.OF PENNSYLVANIA (SS.
[FLETCHER.ROY-L.,a/k/a LEROY.'L.FLETCHER,Dec'd.
I
"Late of City of Washington,Wash-.ington County,Penna.:Executor:John Gunn,R.D.#5.
:Washington,Penna.15301 ''Attorney:Stuart E.Murphy,33 W.'Beau St.,Washington,Pa.15301
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,published 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:
...............May.l·t ···.8·t ···.15·t ···.l·9.69 .•
that the 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
,h;"fHd,.;,"~d'h~Of~
-----::"-:::..:::::::::...........................···..··Edi~~;
......J,..~h;;9ay of...~May.,196.9..
........~....(g,:~
~ry Public
KATHERINE C.YARD,Notary Public
WasLinyton,Washington Co.,Pa.
My C"mr.lission Expires
November 1,1969
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value of $13,000.00.
the property was eventually sold for $13,000.00,the highest and
best price obtainable.
I
7.The Accountant,John Gunn,Executor of the decedent'~
I
es tate carried the item in the Inventory and Account at $15,500.00:
and showed a loss of $2,500.00.
8.By error this amount,$13,000.00 was not transposed
to the inheritance tax forms and,although the Accountant has
made an attempt to have an agjustment in the Inheritance Tax,
See Exhibit "A".
the local office has refused to make any reduction whatever./
9.This Appeal is taken not for the purpose of delay,
but believing that an injustice has been done as set forth above,
and that the Commonwealth's Appraiser is in error in not permit-
ting the correction of the transposing of figures,all of which
is clear and correct.
10.It is averred that the Reg is ter of Wills,as Agent I
I
for the Commonwealth of Pennsylvania erred in assessing the transj
I
fer inheritance tax on the value of $15,500.00 rather than on the I
II
WHEREFORE,your Petitioner prays your Honorable Court
to issue a Citation directed to Russell Marino,Register of Wills
for the County of Washington to show cause why the Appeal in the
above entitled estate should not be sustained,and the appraise-
ment reduced from $15,500.00 to $13,000.00,and to have the Court
determine the correctness of this action at the audit of the ac-
count of the personal representative or at such time as the Court
shall fix.
1/,/
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF WASHINGXON
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SS:
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Before me,the undersigned authority,personally ap-
peared JOHN GUNN,Executor of the Estate of R.L.Fletcher,
a/k/a Roy L.Fletcher,a/k/a Leroy Fletcher,Deceased,and Peti-
tioner in the foregoing Petition for Citation Sur Appeal from
Assessment of Inheritance Tax,who,being duly sworn according tOI
I
law,deposes and says that the facts set forth therein are true
and correct to the best of his knowledge,information and belief.i
Sworn to and subscribed before
me this as-day of November,1970.
Notary Public
Washington,Washington County,Pennsylvania
My commission expires Feb.20,1971.
.*
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N THE COURT OF COMMON PLEAS
OF WASH INGTON COONTY,PENNA •
ORPHANS1,....c.OURT DIVlS IONNoo
IN RE:ES 'fATE OF R.L.
FLETCHER,a/k/a
ROY L.FLETCHER,
a/k/a LEROY
FLETCHER,
Deceased.
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PETITION FOR CITAT.ION
SUR APPEAL FRO~,ASSESS
MENT tW;,1INHERITAOCE TAX'r
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McILVAINE.MURPHY,CARROLL Be PHILLIPS
ATTORNEYS AT LAW
33 W.BEAU STREET
WASHINGTON,PA•
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'.J.n.Chaney,Chief Appraiser.TiU.
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Roy L.Fletcher
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Nlj7!C'E ~lJi'nLING 0,.APPRAISEMENT
37-209-1
John Gunn
(E.ocutor~
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Y..aro borob7 Do'ltlod ~,~.original.,....leo••'1.'M o.t.atoe ot .Roy L.F"'I-etr-ch"e";r~----------
....MO.ttl"1.,be ott1co ot \1M ...l.MI'.,W11la _,washJ.ngton :
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVIS ION
IN RE:ESTATE OF )
R.L.FLETCHER,)
a /k/a ROY L.FLE TCHER,)No •
a/k/a LEROY FLETCHER,)
Deceased.)
DEC R E E
AND NOW,this 25th day of November,1970,upon cons idera-,
tion of the annexed petition,and on motion of Frank C.Carroll,
Attorney for the petitioner,a hearing is directed to be held
Monday,December 21,1970,at 11:00 o'clock A.M.E.S.T.in the
Orphans'Court Room,Washington County Court House,Washington,
Pennsylvania.
IN THE COURT OF COMMON lJLEAS
OF WASHIN;TON COUNTY,-PENNA.
ORPHANS'COURT DIVIS ION
No.63-69-479
IN RE:ESTATE OF
R.L.FLETCHER,
a /k/a ROY L.FLETCHE
a/k/a LEROY FLETCHER
Deceased.
STIPULATION AND ORDER
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MciLVAINE,MURPHY,CARROLL &PHILLIPS
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ATTORNEYS AT LAW
33 W.BEAU STREET
WASHINGTON;PA."\./
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNS YLVANIA
ORPHANS'COURT DIVIS ION
IN RE:ESTA1E OF
R.L.FLETCHER,
a/k/a ROYL.FLETCHER,
a /k/a LEROY FLETCHER,
Deceased.
)
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No.63-69-479
STIPULATION
WHEREAS,a Petition for Citation Sur Appeal from
Assessment of Inheritance Tax was filed on November 25,1970,and
duly served,and a hearing date set,and the Commonwealth request-!
I
ed the continuance of the said hearing,and
WHEREAS,the Commonwealth of Pennsylvania now desires to
enter into a Stipulation in regards to the valuation of the said
property and does hereby stipulate and agree as follows:
I
It is hereby stipulated and agreed that the real estate 10:-
,
cated at 290 East Wheeling Street,W8shington,Washington County,
Pennsylvania,be appraised as of the date of death at the value
of $13,000.00 and any and all Inheritance taxes due shall be
assessed on that basis.
January ~2=9~_,1971.
..:::;:;.~-..;...;.-",,-----:/_I'-._,1971
for R.L.Fletcher Estate
COMMONWEA~NNSYLVANIA,I
OFFICE OF THE ATTORNEY ENERAL--;:/~.-?-//BV~.'b/~
..
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVIS ION
IN RE:ESTATE OF
R.L.FLETCHER,
a/k/a ROY L.FLETCHER,
a/k/a LEROY FLETCHER,
Deceased.
)
)
)
)
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No.63-69-479
o R D E R
AND NOW,this S~y of EC .~71,the
within Stipulation having been presented to court:t is-hereby
ordered and decreed the Stipulation is approved and ordered to
be filed of record.
By the.ourt,
~lt .tqr Q!nurt nf Q!nmmnu 'Iras nf lIasqiugtnu <1tnunty
®rpqaus'<ltnurt miutsinu
In the matter of the Audit of Account in
J
Es,tate of__R=O~Y_=L~.~F=LE=T=C=HE=R~.-=a.....l=k.....l=a__f
LEROY FLETCHER,a/k/a R~nL.
FLETCHER,Deceased.
TO THE AUDITING JUDGE:
No.__=6=-3---'!6......,,9'---..=!4..L79L..-_
Enter my appearance for John Gunn,Executor of the
Estate of Roy L.Fletcher,a/k/a Leroy Fletcher,a/k/a R.L.
Fletcher,Deceased.
N.B.-Counsel shall,by separa:te paper,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
No.63-69-479
In re Audit of Account in Estrute of
ROY L.FLE TCHER.;J.k/a
LEROY FLETCHER,a/k/a R.L.
FLETCHER,Deceased.
AUDIT
Jrarript fnr1\ppraranrr
FOR
John Gunn.Executor
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Frank.C.Carroll~sa.•Attorney
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PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form
J
.ROY L.FLETCHER,a/k/a LEROYEstateof .
..!.~~!~~~!l:!~(~~/~~.~~:~~.~?;~.~~.~-'.
Deceased
No Q.S.~§.$.::-.'*J.fL A.A.
Fiduciary J.9.h.I)Q~D.n..
...................~~.C?~}J..tg.:r..
Date of .April 12,1969 Date of April 18,1969Decedent's death Grant of Letters .
This is the ¥.J:E~.t ~.~~¥..~.9~.~account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term .
··t.Hg.gMB.~:t"~~.t.J~~gwE.:.p.~~f6;f.s~.t.I3-;}~.'..·Q~~.:r.~JJ.~.n.9.1:~§.t~.t.~Q.t..r:..C?X.Qy.f.;L.C?ts;:.U~.:t:.,.a.n .
Election to take Date Ele·ction Place of;
Under or Against will.(cross out one)NONE Filed Record .
Name of surviving spouse J\~·QNE..
List issue,where material:
NONE
Did decedent marry after .execution of will?(indicate)'flffsXNo.Any children born after execution of will?(indicate)
Y:@~No.If answer yes,name them .
Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris
James Adrian Fletcher grandson
Jerome Ponton Fletcher grandson
Sondra Lee Caffrey granddaughter
Gladys Dian Fletcher Stanley granddaughter
1/4 residue
1/4 residue
1/4 residue
1/4 residue
List,if exceptions to above:
If partial intestacy,give facts:
Adeemed:
NONE
NONE
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.No.
If any exception give cause:NQ.N~.
File copy of Noti~:Letter dated November 30,1970anddateofmailing ,,...•.,,
Is estate subject to the filing of a Federal Estate Tax Return?NQ _ _ _ __._.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.._J{Q_J:.1.~_ _.._.._ _ _.._-.
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant .
NOT APPLICABLE
Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts
of such claims;state whether they are admitted to be correct;and whether the claim is denied.
Q NONE~oc.o-.::i.~-.JQ~-.J •r-::;:::e;;---..-(.)...'II...:::;'t...-)-:)~_.'0c::-'.':::1-;,~.-.J w..J c::.1.____'
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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:
1)At the time of decedent's death,one of the residuary legatees owed the
decedent the sum of $1,300.00,that is,James Adrian Fletcher.The said
James Adrian Fletcher was notified on August 11,1970,by certified mail,
that this amount would be deducted from his share of the estate.On Novem-
ber 30,1970,James Adrian Fletcher was again notified by certified mail,
that the $1,300.00 would be deducted from his share,a copy of said letter,
and return receipt is included herewith.The Court is hereby requested to
award the balance among the four residuary legatees to reflect payment of
the sum of $1,30C.00 by James Adrian Fletcher out of his share.
2)~he Court is requested to not make its Adjudication and Decree until the
hearing for the appeal from assessment of inheritance tax on December 21,
Balance for distribution per account,1970,has been held and the inherital1c4 ~a1 on said
Itemize any additional debits not shown by account:estate finally determin-$,..Jb 2 .ed.,
Interest on money invested .in Savings Account in First
Federal'Savings &Loan Association of Washington,Pa.100.00
Total additional debits (Add)$ _..:~9:9.~.Q9 .
Itemize any additional credits not shown by account:
Reimbursement to Frank C.Carroll for following costs advanced:
Short Certificate 1.00
Affidavits 3.00
Filing Petition for Appeal 5.00
Total additional credits (Subtract)$.._8 U[\.
Balance for distribution $~?.~.~~..:}.~.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Cash--------------------------------------------------
"
$8,558.72
If Family Exemption claimed by Petition,give place of Record:N9.NIt .
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:.
NONE
List any advancement or distribution on account that has been made,and nature and amount of same:
NONE
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:
~ames Adrian Fletcher,grandson
Jerome Ponton Fletcher,grandson
Sondra Lee Caffrey,granddaughter
Gladys Dian Fletcher Stanley,granddaughter
COUNTY OF WASHINGTON,55:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
1/4 residue
1/4 residue
1/4 residue
1/4 residue
being duly s~Qr.u doth depose and say
that the facts set forth in the foregoing petition are true And your petitioner will ever pray,etc.
to the best of h.i.s-knowledge and belief.
................~.~~.~~~to and subscribed before
me this day Of P..?g5?~!J?~!~19.7.<1...J -'-~I:_A /JA /lA _/h_',··J011ii···Gli·&·'·;~····N~y..lo':.!':k:".!:.'=':":"::.
Signature of Officer ,.L.?~..~.
Ti,tle of Officer NQ.tax:}l Ey..bl.i.Q __.._-__-r..•••• · •..• •..
Washington,Washington County,Pennsylvania
Office expires f.J'J.l.:l.,2Q.~..I~.7.1.t ;.
~------------------
I 'No.l?:J.:§.\l:.1.!:l!.A.A.
i J Estate of B-.!k.J'J"'~'T.~.a.:~n.,..
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r a/k/a LEROY FLETCHER,a/k/a,Rny···L·:···l<"'L"ETCitJ1rIr;····.·..·.·D.~~~~~~d···
Fiduciary ~.9.h.Il..9:~n n......................_--
••••••••••••••••••••••••••~~.E}.~Y-.t9.:f._..__....
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-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 Iiens 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.
Frank C.Carroll
Attorney
~2
ALEXANDER McILVAINE
FRANX C.CARROLL
LAW OFFICES
McILVAINE &CARROLL
WASHINGTON,PENNSYLV~~IA
15301
33 WEST BEAU STREET
November 30,1970
AREA CODE 4.2
225-9930
TO:HE IRS OF ROY L.FLE TCHER,DECEAS ED:
James Adrian Fletcher
900 Parkway Drive,Boulder,Colorado 80302
Jerome Ponton Fletcher
116 Green Street,Houston,Pennsylvania
Sondra Lee Caffrey
208 Lacock Street,Washington,Pennsylvania
Gladys Dian Fletcher Stanley
208 Lacock Street,Washington,Pennsylvania
Please be advised that the First and Final Account in the
above-captioned estate has been f~led and the Court has
set for December 17,1970,at 10:00 a.m.E.S.T.in the
Orphans'Court Room,Washington County Court House,
Washington,Washington County,Pennsylvania,as the time
and place for the audit of the same,at whi~h time you
may appear if you so desire,however,it is not necessary
that you attend.
Enclosed please find copy of the Inventory and Account
filed.You will note the Account indicates a balance in
the estate of $8,466.72,however,this is not the amount
for distribution.In addition to the credits listed in
the account,Inheritance tax will be deducted as well as
additional Court costs.You will receive a copy of the
Decree of the Court indicating the balance for distribu-
Heirs of Roy L.Fletcher,Deceased.
Page 2
November 30,1970
tion,and your share in the estate will be listed therein.
This will be after the Audit,of course,possibly January
or February of 1971.
If you have any questions concerning this eS,tate,etc.,
please do not hesitate to call my office.
Very truly yours,
Frank C.Carroll
ICC :mg
Encs.
CC:John Gunn,Executor
R.D.5
Washington,Pennsylvania
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ORPHANS'COURT DIVISION
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".f /IN THE COURT OF COMMON PLEAS OF WAS HINGTON COUNTY,PENNA
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ROY L.FLETCHER,a/k/a
deceased.The Executor is John Gunn and the attorney is Frank C.
Carroll.Mr.Carroll?
ESTATE OF
No.479 of 1969
)
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Number 479 of 1969,the estate of Roy L.Fletd er,
FRANK C.CARROLL,ESQ.,of Washington,
Pa.,repres enting the Accountant.
HEARING ON AUDIT
Thursday,December 17,1970,at 10:00 o'clock
A.M.,EST.
THE HONORABLE P.VINCENT MA RINO,JUdgE
of the said Court.
FLETCHER,
IN RE:
uiII::~II::oII.~THE COURT:
~:JoU
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5TIME:
~LEROY L.
~~Deceased.zzIIIII.
ieI!)zi BEFORE:;
ti~Ulc APPEARANCES:
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the Audit Petition,appearance,copy of the Inventory.There are
,e
MR.CA RROLL:If Your Honor please,we have all the papers here,
two items to note in this estate.One is that one of the heirs owed a
ilebt to the decedent in the amount of $1300.00,And we are request'ng
that the Court deduct this from his share and we have notified this
heir by certified mail of the request which we will make of the Cou "t.
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A copy of the letter is enclosed and the certified mail receipt is als I>
attached.In addition,the Court will recall there was a question in
regards to possible over appraisement by the Inheritance Tax peopl p
and we too~an appeal on this and the Court set Monday,December
21,1970 as the date for hearing.I am at this time requesting that
the hearing be continued without any specific date being set,since
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a letter has been sent to me from the Inheritance Tax Office in
Harrisburg,requesting that there be a continuance by the attorney
representing them on the basis that he thought that this apparently
appeared to be an oversight on their part and they would probably
Ie
ti compromise it on the basis we requested.
~QlCi THE COU RT:Then they wish an indefinite continuance on that
..I~oCi MR.CARROLL:Presently,yes,Your Honor.We will not state
:J.,
5 indefinite.We iWill get some answer to the Court.We hope for a
aiD:l!!future early date.
D:olI,~THE COURT:That matter will be handled in that manner.Are
t-Il:
:J8 there any outstanding claims in this estate,Mr.Carroll?
~~MR.CARROLL:No.Other than the Inheritance Tax.
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THE COU RT:Is there anyone else in Court interested in th is
decedent's estate?
(NO RESPONSE)
:LHE COURT:The audit of this account is ordered closed by tl e
Court with the exception of the matter concerning the Inheritance
Tax.
(AUDIT CLOSED)
(
1 hereby certUy that tile proceedings and evidence are
The foregoing record of the proceedings upon the heari~
<~contalned fully and accurately in the notes taken by me O'i the hearing of
~III~the above cause.and that this copy is a correct transcript 01'the same.
l1lic.
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~IIIo;of the above ca...,se is hereby approved and directed to be filed.
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ESTATE OF
Roy L.Fletcher a/k/a
LeRoy L.Fletcher a/k/a
daceased..
NO.._-..!lhu.7L9....ll0!::!.f--'l!lo..i9~6L9 _
In the matter of th,c:.e_--=F:..:i=r-=s~t_an=d::-::.F-=in=al==-_
Account of__...!iJUIl!Q~hn""'"'--lGolJounn~I....-_
Executor
ADJUDICATION AND DECREE
Andnow March Cl ,19-.71-,this matter come on for hearing,
audit and distribution at this session and testimon taken;and thereupon,upon due consideration
thereof the8bglQn-,~for distribution in the hands Qf the AccQuntant is determined to be
$ •22.°.J2 and the account is accQrdingly confirmed;and it is Qrdered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance with the
schedule of distribution hereto attached and mode a port hereof,unless exceptions hereto be filed
sec.reg.or on appeal be taken herefrom sec.leg.
SCHEDULE OF DISTRIBUTION
Balance per account._
Additional debit asked at audit
Additional credit asked at audit
Balance,_
Deduct Clerk's CQsts &Receipts _
100.00-
8.00
25.50
$8,566.72
$8,558.72
At'tomey .....Furll.liiank!tUl!=-Cl'.L....llCt:iialolr.rro~ll _
James Adrian Fletcher,grandson,1/4 residue,minus
however debt Qf $1300.00 owed the decedent,
Jerome Ponton Fletcher,grandson,1/4 residue,
Russell Marino,Agent,transfer inheritance tax,
Interest from 7-12-70 to 3-20-71 @ 6%
$491.05
20.30 ,511.35-
1030.47
2330.47
Sondra Lee Caffrey,granddaughter,1/4 residue,2330.47
Gladys Dian Fletcher Stanley,granddaughter,1/4 residue,2330.46
No balance
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RUSSELL MARINO
REGISTf:R OF WILLS AND EX.OFFICIO
CLERK ·oF ORPHANS'COURT
DEPUTY REGISTER
GUY A.ROGERS
Bhlll~ingtnn.tlrnusylnania
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Nov~mber 27,1970.
The Director,
Bureau of County Collections,
Department of Revenue~
26 S.Fourth·St.,
HAR!1ISEDttG,PEl-ETA.,17120
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You will
RE:
County Cou!'t House,Washington,Pennsylvania,to determine this
at 11:00 o'clock ~.M.,~.S.T.,in the Orphans'Court Room,Washinr,ton
by Frank C.Carroll,Esq.,Attorney for the Petitioner.
note that a hearing is directed to be held Honday,December 21,1970,
ESTATE OF R.L.FLETCHER,aka ROY L.FL~TCHE~II
aka LEROY FLETCHER,DECEASJD
NO.63-69-h79 Washi~~ton Coun~y~Pa.
Enclosed,herewith,please find Petition for Citation Su:-A"p~all-'iI
from Assessment of Inheritance Tax in the above estate,in duplicate,
I•i~
Sir:-
matter.
Very-truly yours,.)./~Y--:-','..,.1''/';;.,.///",'.,',.,,'""""/~':"_::'...~.'.(__.-,~t...../.-,._
RU3sell Harino,
Clerk O.C.Division
rm/fkh
2 Encl.
CC:Inh.Tax Dept.,\'lash.,Pa.
~A$EFoRt'·ns ~_RE:ijo\~~fi~f~tlr~~~.,catcK~6:t{(;O~",s>.;,--;cl
O Show to whom,date and address 0 Deliver ONLY .
where delivered to addressee
RECEIPT
Received the numbered article described below.
--~---.---
REGISTERED NO.
CERTIF~NO.62?373
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L.T.BERNAR:).OI'I~CTOR
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LAW OFFICES
McILVAINE &CARROLL
WASHINGTON,PENNSYLVANIA
15301
ALEXANDER McILVAINE
FRANK C.CARROLL 33 WEST BEAU STREET
November 30,1970
AREA CODE 412
225-9930
1'\
Mr.James Adrian Fletcher
900 Parkway Drive
Boulder,Colorado 80302
IN RE:ES TATE OF ROY L.FLE TCllER,DECEASED.
Dear Mr.Fletcher:
You will note from the enclosed notice that the audit
of the account filed in the above-captioned estate is
set for Thursday,December 17,1970,at 10:00 o'clock
a.m.E.S.T.·in the Orphans I Court Room,Wash ington
County Court House,Washington,Washington County,
Pennsylvania.
At this time,John Gunn's Audit Petition will be pre-
sented to the Court,which will include a statement
that you owed the decedent the sum of $1,300.00 at
the time of his death,and further that this amount
be deducted from your share in this estate.
In the event you wish to contest the deduction of the
debt from your share,you may appear either in person,
or by your attorney at the time of the Audit designated
above,to file your objection.
Very truly yours,
Frank C.Carroll
FCC:mg
CC:John Gunn,Executor
R.D.5
Washington,Pennsylvania
CERTIFIED MAIL #618296
RETURN RECEIPT REQUESTED
RECEIPT FOR CERTIFIED MAIL-JO¢(pius postage)
o
(See other side)NO INSURANCE COVERAGE PROVIDED--
NOT FOR INTERNATIONAL MAIL
POD Form 3800Sep.1968
SENT TO J POSTMARK
James Adrian Fletcher OR DATE
STREET AND NO.
900 Parkway Drive
P.O.,STATE AND ZIP CODE
Boulder,Colorado 80302 11/30/7
OPTIONAL SERVICES FOR AOOITIONAL FEES
RETURN ~1.Shows to whom and date delivered ............10¢
RECEIPT With delivery to addressee only ............60¢
2.Shows to Whom,date and where delivered ..35¢SERVICES With delivery to addressee only ............85¢
DELIVER TO ADDRESSEE ONLY ......................................................50¢
SPECIAL DELIVERY (2 pounds or less)..........................................30¢Q
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),··:·;·No •.'..··479 of 1969
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'ESTATE
.INRE:'ROY L.FLETCHER
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AND,NOW,THIS ~DAY OF __19-11,'
".",':,
I,the undersigned,~J~e~'r.o~mwe~p~._FLaJe~t~cl~l~e.r_·___
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.$2,330.47
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'.from __--:J;..;o~h,;;;;;n;;....;:G~u;;.;;.n;;.;;.n~,Executor-Adllti:llti:s.tx~:toxxof the said ,'.'.'
Estate,being the amount awarded to me in 'the'Adjudication and ..,,
Decree filed at the above number andt~rm.,and·a 'check for
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",",".$24.94 forinte1;estreceived after Audit......,.~~_<.SEAL)
.Jerome P.Fletcher"'.""','.",I
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nEGIS1Tl~:OF V!iLLS
WASHINr~T0~1 CO,.PA.
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IN THE ORPHANS'COURT OF WASHINGTONlCOUNTY,PENNA.
IN RE:ROY L.FLE TCHER
ESTATE
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No.479 of 1969
R E C E I P T
James Adrian Fletcher
AND,NOW,THIS
I,the undersigned,
DAY OF _.~~.~.__.r-=-_,19.-I!.,
hereby acknowledge to have received *$1,030.47-------------
from John Gunn
Estate,being the amount awarded to me in the 'Adjudication and
-JL,';4.0.~::?::1:::a~~~~~~~~(SEAL)
s Adrian Fletcher,.
Decree fi led at the above number and term.,*and a check for
$24.94 for interest received after A dit.
IN THE ORPHANS 'COURT OF WASHINGTON I COUNTY ,PENNA."
ROY L.FLETCHERINRE:
ESTATE ,....
)
)
.)
,No.:'"479 of 1969
,'.i •
,c
.','~'.
R E C E I P T',, ,"
AND,NOW,THIS $/DAY OF :Y'1a.t-cAt '19-Zl,
I,the undersigned,,Gladys Dian Fletcher Stanley
hereby acknowledge to have received _$~2~,3~3~O~.4~6~~___
from John Gunn
Estate,being the amount awarded to me in 'the'Adjudication and
Decree filed
for int.erest
,Witness:
at the above number and term,and a check for $24.94
received'after the 'Audit.',
v'b~~4Mv~EAL)G18dY~iaI1Fi;tcher StanleyrT":
~;C~'-
~)
','.
IN THE ORPHANS'COURT OF WASHINGTON I COUNTY,PENNA.
ROY L.FLETCHERINRE:
ESTATE ....,
"
)
),
)
,No.'"
,"1
479 of 1969
.C'
:~.'.
R E C E I P T'
AND,NOW,THIS ~DAY OF t(jQR~A,19-11..
I,the undersigned,Sondra Lee Caffrey
hereby acknowledge to have received $2,330.47
from John Gunn
$24.93
Estate,being the .mount awarded t6 me in 'the 'Adjudication and
Decree filed at the above number and term.~and a 'check for
for interest received'after the AUdi!,.~a~',<",' ,,_v'~_"'"'~~tO.J!d~~_,~4.:;....)_l~-H-I-J'"--~'_(SEAL)
Soncfra Lee Ca ffr,'
Witness:
"
• '••1
, i
"
.i .it~.-
Form'RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
j
&3 -(P1"Jf7 j
..WASRXNG.J·9..N..
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 and Estate Tax Act of 1961.)
~~~~~~:ii~~~~~;~~'-~::}==:
:.::r-~:::~:~~--~:~:::J'"
.......................J..ohn Gu.n.n...................................................
~of the estate of the above-named decedent being duly sworn.depose S and say S
......Eueutor
Decedent dJed .April......l.2..
(Month)
.................................19...6.9..........1 testate leaving a last will,copy of which is hereto attached.}
(lIay)(Y""r)Lintestate
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
........Fra.nkC.Carr.o.l.l..,.Es.q .
33W.;B~~\,l $t:I:E!et:.
Washington,Pennsylvania
That as such ~~~.g.Y:.tQ;r.deponent is familiar with the affairs of said estate and the property con-
(1'~x(~cutor~Aelministrator)
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
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
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 deposit,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 bonds,postal saVings,treasury 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 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 fa~rly 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 or other instruments in writing fo~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 for such depreciation as to each item;all moneys payable
to the estate from life insurance polici'es 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 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 ~alue of such interest there 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 for~h tqe 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 with the fair 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,t~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 possession or enjoyment at or after death,there is also attached to the schedule a co~y
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 passes at decedent's death by
virtue of the exercise bY,decedent,either individually,orjointly with another,or ~ny power of appoint-
ment vested in decedent,either individually or jointly,by the will,deed,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 ;l.ssue,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 effectin~the vestiture of
real'estate and the date of acquisition of personalty,plus the name,address and 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 lrnpaid at time of
death;taxes accrued chargeable 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
es·timated 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.
ISubscribedandsworntobeforemethis .
................~'day of ~19..1..9.......(ldA6-J.~~.
.....................~·..·c...·.......................R..~~~O'~~~~~..~=~~~:~:.~~~~.~~~.~.~c:€.7i .-<~Awaahi:.~~~naYl'la!li!l _
~~:J.t...6 ~L t r7 ((City or Town and Sta.te)
.N~TE: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.
RCC-34 (1-64)•C:0MMON~EAL.:T!i·OF PENNSYLVANIA
DEPARTMENT O,F REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
.SCHEDULE "A"
REAL PROPERTY *.!
,'•
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 Commonwealth 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,accrued Interest on mortgages,etc.,are
to be listed on Schedule "F"and must not be deducted from this schedule.
All that certain house and lot situate in
Fourth Ward of City of Washington,
Washington County,Pennsylvania,known
and designated as 290 E.Wheeling Street,
Washington,Pennsylvania.For complete
description See Deed Book 802,page 116.
Washington City
Washington County
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
6,050.00
4,760.0.0.-
(2)
ESTIMATED
MARKET VALUE
l~OO.OO
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this space)
IJ OQ:i 00
--15 liDO ·00I
Insert this total opposite "real property",Schedule "A"in the
"As Reported"column on the last page of this return.
xxxxx 15,500.00
eOMMoN~AtTH 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 any undis tributed
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
MARKEr VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1
2
1 lot of household goods
Sociai Secur~ey-ctreck-for--l.umpSum
Dea-th-Benefi t
3 Social Security Administration check
for two months benefits due decedent 183.20
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x x <tID.b3
f,065.01
RCC-3'p,.,...
COmfON,'\'EALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDULE "c"
TRANSFERS
(1)Did decedent,within two years of death,make any transfer of any material part o.;C 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 No
(b)State of decedent's heal th 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)No
(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)~N~O~~_
(b)What was the transferee's age at time of decedent's death?l'lOt applicable
(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)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)~n~o~__
(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
NONE
MARKET VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
NONE
CCMM0NWF.ALTH OF PENNSYLVANIA
Ti~AN~ITn TNHERI TANrE TAX
UFSIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
nSTRITTIOKS:This schedule must d.isclose all property,real and personal,owned by the rlecedent jointly
wi th another or others,including intangibles,standing in the name of the decedent and others.List
real estate flrst,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 valuation column.Personal property should be listed as in
Schedule "B",}lluS date of acquisition,and the name,address and relationship (if any)of co-owners to
t.he of'cf'dent.
Description of Property,Date of Acquisit-ion,Name!
Address and Relationship of Co-Owners,and Place i
of R('cord of Instrument,where Real Estate.i
NONE
Unit
Value
Percentage
Share
Estate
Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
Insert this total opposite "Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last page of this return.NONE
"'••~1t~.!.•
.ReC-37.(12-63)
'COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
(
h
-
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 ESTATE
wise,in estate)forth this fact.)OR NO BIRTH I
James Adrian Fletcher grandson yeS 1/4 residue
900 Parkway Drive,Boulder,Colorado 803C 2
Jerome Ponton Fletcher Q:randson yes 1/4 residue
c/o Keenan Mobile Homes
Kout:e l.~-WaShl.ngt:on,.l:'enm Yl.vanl.a
Sondra Lee Caffrey granddaughter yes 1/4 residue
208 Lacock Street
Washl.ngton,Penns ylvanl.a
(n:=ldvs Dian Fletcher now
Gladys Dian Fletcher Stan1e 17 granddaughter yes 1/4 residue
lU~Lacock Street
W;.I!O:I gLuU,L'Cuu;:,Y.LVdU.Ld
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
NONR
:\IATIER OF THE APPRAISEMENT
(Executor-Administrator
.must complete "As
Reported"column #1.)
Will
Administration INo fl..7.?.Year ~.l ···
IS THE
OF THE
ESTATE OF
~VI
~~;"
MVI,..
II)
ct
...,'"d ~...Cl>Cl>§:h e.
'"0(t :s '"d...e.a
'""0~('Do...
"0 ~~
....~()y .r...~.r.~E:!.t:~~~:r..~.
Deceased
~ate of ....c;~ty of Washington...................................
REPORT AND APPRAISAL
Commonwealth of Pennsylvania
County of Waf:l~~Ilg~()t:1.enc::~~>'='g>enenO<
?"~~
d ~>~::
~~-{I)-{I)-{I)-{I)
:.l
·vd"0O~NO 1 VNIHSVI~
Sllll,\.:10 tljJ.SI~3tloNIU.";:-j;~:~;;ml
:.....:0"1,..
:VI:0"1:VI
'0:0:
:.....:
.r-'-;;r-'IJ1 VI"..olJ'l'='=--'.Cl>'-'"....,.P '"~VI 0 0 .......:.......<:>0 @":.....o~
L5 01 11~Z .DO OL
~tJ i ·'1 I ··l
-(I)~-{I)-{I)*-{I)
;>
'"tlIt.-...ctl'-O..........3
::la.
'.
,,:.,,
•1
Form.RC C -1l)-
~rJ $'1_;;h!J 1-J-I IDEDUCTIONS ALLOWED IN j
OFFICE OF T....E.,;
..-REGISTER OF WILLS
OF _..oW""al.i:lSu.h.ui~n~g~t~o~nlo..L-_COUNTY
AND AGENT OF THE COMMONWEALTH
STATEMENT OF DEBTS
AND DEDUCTIONS
..
THE SUM OF $9.j..b~qJ.
DATE APPROVED ./.o,~;Z:?~7D .~9htvvuU>I
Register of Wills.Age.t
l'....~J _....---,
ESTATE OF Leroy FIetcher,a Ikla LATE OF ...::C:..:i:..;t~Y,--o.:...:::f--=..:W.;::,a:..:.:s-=h.:..1_'n--'gl2..:..t _o_n _
R.L.Fletcher
DATE OF FILING APPRAISEMENT DAT5 OF DEATH _--I.A:1.lPfLrL...L.i..LJ---,lJ,2~,~1",-9z:.6!oL.O!.9 _
DATE NO.OF
VOUCHEIlt NAME OF PAYEE REMARKS AMOUNT
West Penn Power Co.Electric Bill 8 20
West Penn Power Co.Electric Bill h O?
WeRt Penn ....r.n ('I'J
West Penn Power Co.Electric Bill
WashinQ:ton Credit Rllreall ir T.l~t-P'l'"hi 11 ,~('17
Citizens Water Co.Sewerage 10 12
Wash.Co.Tax Claim Bureau delinquent taxes 533 56
WashinQ:ton Countv Home Balance due 'V,'h7
Ambulance Chair &Service Ambulance 20 00
Dr .Hall Medical Services he;00
Piatt Funeral Home Funeral Exnense 1 l?R e;o
S.W.Miller AQ:encv Insllr~nce nremillm "('1('1
McVehil PlumbinQ:&HeatinQ:WinterizinQ:home.etc.32 1)0
ZeIt &ZeIt Pet1t1on tor Guar 1anAttorney's fees due onl
J.C,McCleery Appraisal of Real Estate 35 00
47
1~:8B"" "2 Short Certs
Electric Bill
Balance due on Attorney s
fpp for no 'no-r:nn Ann'of 'J~('I"_r~
~
for follnT.linn-l£-nc;:t-c;:.
kaS7eE~tters
Re imburs ~,,~
West Penn Power
B~~sell Marino
Washio£t~~aegortsKI1Rsell:IVJar'1n
Frank C.Carroll
~rl1::n"r R 'U'••_·~v
PittR',National Rank
Frank C.Carroll
Russell MarinoRussellMar1noMar1eGU1dOS
Reimbur~ement,for following ____£-nc;:t-c;:......-l.·...."'"It"PrI."J'"1111
IAttidav1ts ).uu25.00
Frank C.Carroll Attorney's Commission 703 35
.Tohn Gunn Executor's Commission 703 35
COMMONWEA_L_T_H---l0tll.!F5=!..li!.PEAlNI..:::N~S~Y:o-:L=..;V~Ao.:.N_I_A __}S.:~~~Vy~(\/I .~-~~~£A1
COUNTY OF Washington
I,John Gunn HEREBY CERTIFY,THAT.TO THE BEn OF
....y kNOWLEDGE AND BELIEF.THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENse OF
ADMINISTRATION SUBMiTTED TO THE ESTATE OF Roy L.Fletcher DECEASED.AS DEDUCTIONS POR
INHERITANCE TAX PURPOSES.~/,
1 -...-::,..-~~.ft:i''lr~.a<:l~~£Sh~&a.!.'ALVl/l/1=I~:JLJc.../~(L.6.)
SWMN A~SUBSCRI,BED BEFORE ME THIS •DAY OP'John ~_-!~~~-~f!,:=::!!/""I~A.~JA~c--J 18 _7_0_
'/h"".A .I J 1'1 J _1 1'.T u PublicWashington,Wasnington County,Pennsy1van1a
My commission expires Feb.20,1971.
,~'-~.,
.'.
~~'to""'_.',~.,"\,
•,~"iii.'
".'.
-",'•+-~":"~;,',
.'~....:.,.:~
,'G''..."<,',...,,~,,.,;,
-+:,.,t •
:.::"-1.-.
)
CREDITS CONTINUED:
Cartied forward-------,.;-------':"------.--------'-
Payee Remarks
AMOUNT
,3,980.29
IiI
Was'hington County Tax Claim Bureau -Liened 1969
,Rea 1 Es ta te Taxes
~+'\
H "."
'j :",
-.,.'
,'\'.i
1,'
·"f·! '
Keery M.McAmb1ey
,Loren W.Cart Agency
Es ta te 's \s hare Qf 1970
real estate ta~~s
Real Estate commission
297 ·t 9 -i
780.00 I
I, I
,542.711
I
I
.',,.
t--',
~,-'.
"
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j -.-
,.,,'
.'~'.
",,,,
.',.
,'\'",
:'"\I
,",'-.'
,
\
\,
j,
I ,'TOTA L AMOUNT.OF CRED ITS CLA lMED
I
II ,L.___.
$5,600.29
I-,
I
I
I
i III
:I ,I :,III
!I
I
I
I 'I- II',
j-,
I, I
,-
-..J -r~~:::J t:=l~f'l ::D(/;<7.>c::(::::::l r-C",'.-")---I-(.r').'.J.2 .j
c •r;-----I ;v 'oJ c:::C)::::c·...-'i :::::~G :;:_.
a _"Ir-~r.~U r-0l>(/)
l.rJco
..-
Ia ae:lat.at.e of R:.:.;:,oy~L=.:'-•...::F~l::.:e::.;t::..:c;.:h.:.;;e:.:r~_
37-209-1
Sl,••d /()J?~a.fJw.,
!ltle W.R.Chaney,Chief Appraiser
IN HE ~ITA""r:ETA ~O!.IS 10'".
(IKecutor ~)
CO.MMON~EAL TH OF PENNSYLVANIA
DE-PARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
NIi7!CE OF FILING OF APPRAISEMENT
John Gurm
____.lIW""R.ws.u.b.l.jnu.fP:~jolJ.ln~-----_Cov.a\7 -.11.Ie.63-69-479
Mr.Gurm:
.....:.........not a lIill.
Dear
IJq ,.r~1D lDtere.t "0 18 a"rl...d '7 _ap...&1..-,..,
app.al '~.r.troa a.prOYld.d b7 law.
Real ••t.ate ...;1;;,;5:;..,""5_0_0_•.;;.OO~_
"r.08al Propert.7 .;;;:81;;;0~.~0~1 _
lraD.teu ~~~~~_--_
'o'al ...1:;;;6~."'31=.;0~...0,;:;;1 _
You are bereb1 Dotltl.d ~a\~.original
a.praiae"Dt.lD t......tate ot .Roy L.F'I'!~e!"t~ch~e~r~----------
....beeD tUM 1a t.be ottlce ot t.U Re,l.MI'.f .111.fltt Washmgton
C..t.7 OIl October 23 ,It1.Q..Sal•.,..-al.-a'ret1.eou \M
tollow1.'ftlu\loDa:..
••\0 aucb taK ~a'1.paid wl\~l.~ree .aa\b.trea .....,
"a\~,•tl.e (K)peroeDt.dl.cout.18 aU__l....\0 ..,.\U \ka,
N_1M .paid att.er ..~ar t .._daM ot '.at.h',lDter••\at.\M ..aW
ot elK UMU "rOeDt.per ......1.cur"".
RCC-Il 12-U'
ft_6 October 23,1970u-...~..;.._
>.
DATE OF DEATH:April 12,1969
·.l.\..,
j
I
I
j
I
II:
CC-39 (5-~8)
C.Off.MONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of Fletcher
(Last Name)
Ray
(First Name)
L.
(Initial)
DATE OF DEATH---=4L-~1::::Z,..~6~9"----_FILENO.63-69-479
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_W::.;.a=.s::::h:.:.J.l1g=':=.t=..o::::n=-=----_
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 itern in the last column to the right in Schedules "A","B", "C",and "E",
Dated:__0_c_t_ob_e_r_2_3..::..,_1_9_7_0 _
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum
allowed ..a ded.ct;o..~~q.A'L~'~
Dated:October 23,1970 ~-/h~z()
REG STER OF WILLS
VALUE AS REAPPRAISED
$/.~<.JOO~~00 .d____--"lRu/~_6 /1~.~tffi'
'.3 9/0 ~/~P
S,6 I ~
15.500 00
810 01
16,310 01
5.600 29
10,709 72'
VALUE AS APPRAISED
$
600 29
10 09 72
16 310 01
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
FOR USE OF REGISTER ONLY
Tax on $...'7''''-2%
Tax on $10,,709 '"6%
Taxon $~5%Tuoo$lK
Tax on $15%
Exemptions *
Total Estate .
TOTAL TAX
COMPUTAnON OF TAX
$-----,....,.-,..--+,...,...-
$...=;6~4=~2~.....:::5:...=....-8
$-------+--
$--------1----
$-------+--
$--------'---
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue,
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::=t===
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $---l
AMOUNT OF ESTATE TAX ASSESSED $--------ll-
Estate tax paid $--ll-
BALANCE DUE $----Jl-
Add interest at rate of 6%from
------'l:to-----$---------It=TOTAL TAX BALANCE $-----~,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 t No.
IN THE
Year .
i
'-..
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Roy L.Fletcher
Deceased
Late of .Washington .
County of ...Was.h:Lng't<)p
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
~
.,
Fonn RCC-2.
DEPAiiT~'l'_OF REVENUE
BUREAU OF COUNTY COLLECTIONS.
JJARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE Oct.Qb7.~.2~.,~..1.97.Q..
COUNTY W.~.~.h=4?g.~~<:?!:1.:~.
FILE NO .63~.69.~.47.e..
'\'lashingtonlateofRoyL.FletcherWhereas,.............................................................................................................................................................................................................................................................
in the County of ..............................................w.<3:.~.!.!:~~~.C?P.:........................................................Commonwealth of Pennsylvania,having died on
the .......................................t.w.~J,f.t.h................................day of ...........Ap;r:g..................................................19..??...,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,......................W.~.....~.~.....QQ<3:~~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 Ufe or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future Interest.
Unit Appraisement
Description of Asset Values Made for Inherilance
Tax Purpoles
$
-
Realt y:
See schedule"all attached to appraisement 15,500 00
Personal Prooertv:
See schedule liB"attached to appraisement 810 01
'1'",+.,,1 lh,':nO 01
-
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con-
fonnity with law on this ...................01.3..4 ............day of ...........,.....~.....................................·.··C
.....0..,...£.......".~...............................................~..~~~i..r :..
,..................................,..............................,.................................................................................................
,!Mllmber and Street)
I.".~.~."'''....."....................".........................,Penna.IPOlt Office)
I
·.vlAS.I:T..INGTON......County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ROY L.FLETCHER
Deceased.
Late of
·HASI·ITNGTON···················
Date of Death,4-12-6-9 .
Appraisemel!t Docket Vol.,3.7 .
Page,·····209-1 No..···./;>'3-69-47·9··········
Filed in Register's Ofjice,.......Qqt..L ..;?3......J9.7.O'..
Amount of tax due,$..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo,ut Appra.isement,
Appeal j,.om Appraisement,..
Entered and charged,
'.
,,
.
----
f
COMMONWEAl!.TH OF PENNSYLVANIA
O&PARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
February 24,1971
Mr.Al£red Tosi
Chie£Inheritance Tax Appraiser
243-44-45 Trust Building
East Beau and South Main Street
Washington,Pennsylvania 15301
Re:Estate o£Roy L.Fletcher
File No.63-69-479
County o£Washington
Dear Mr.Tosi:
We are in receipt o£a copy o£Stipulation and Order o£Court,
Court o£Common Pleas o£Washington County dated February 5,1971,approv-
ing said Stipulation in the above estate.
The issue involved the valuation o£certain real estate
appraised on Schedule I'A"in the amount o£$15,500.00 in the appraise-
ment o£October 23,1970.
Accordingly,you are hereby authorized to correct your records
to con£orm with the Stipulation and our Bureau £iles will be adjusted to
re£lect the same.
It was stipulated and agreed that the real estate located at
290 East Wheeling Street,Washington,Pennsylvania,be appraised at the
value o£$13,000.00 instead o£$15,500.00.This reduction in valuation
changes the total gross assets £rom $16,310.10 to $13,810.01,and the
clear value,or $10,709.72,changes to read $8,209.72.
5liJd-YJ
Herbert A.Brinkley,Tax
Inheritance Tax Division
For:William S.Brandamore,Director
Bureau o£County Collections
Form RCC-33
RESIDENT DECEDENT
Q CORRECTED RETURN
u;o..,-'-.~""'''''''-'''--~'''''''~~~'WM1)''''N'rt'RR
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF WA..?BJNG.IQ.N .
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 hy the Secretary.of Revenue.(Section 703 of
the Inheritance.an~.E.st,ate Tax A,ct of 19!Jl.)
.~..ik~.~t~!!~~Y1.:.~~~t!.~~~~~~~.:.~..~..~?.~J':::u:vOI&T o.F
(State full name of ~ecedent)
.Washington ~~MtiU~Late of ..County .
:u:,:':,---:~::::~:~~~:~~:=====}'"
and say S .:
........................................J.o.hn G.unn.,:.
of the estate of the above-named decedent being duly sworn,depose S
Executor
...........19...6.9..........rtestate leaving a last will.copy of which i.hereto attached.}
(lIay)(Y~r)Lintestate
or}to
be
Decedent'died Apr.il..12 .
(Month)
.....f.r.:lnJ<...C.C.:lX.J;9.JJ..~...~§..q..~.
33 W~Beau Street.....··t~ashington·,·····pennsYlvan{.g ..
That as such ~.~.~.£.Y..~.9..E deponent is familiar with the affairs of·said estate and the property con-
(Executor·Administrator)
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 indecedent's individual name.with right of access by another as agent
or deputy.with the exception of the following:-
Name and address of attorney
other authorized representative
whom all correspondence should
mailed.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
NONE NONE
That'the contents of said safe deposit box or boxes are itemized under Schedules of this---return,with the exception of the follOWing,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets'forth full v 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 hereo.f 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 deposit,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 bonds,postal saVings,treasury 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 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 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 or 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 for such depreciation'as ~o each item;all 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
rille 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 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 there 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 apprai'sal of the decedent's interest
therein must be submitted.It should also set forth in itemized form,together with the fair 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 tr~nsfers.In the case 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 passes 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 individually or jointly,by the will,deed,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 al.l 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 vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the deceden t.
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 f\ldiciary's
commissions paid or to he 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 chargeable for period prior to decedent'~death (~xcept.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.
Subscribed and sworn to before me this ~.~:..
...._..___day of l>l()v:~11l1:>~,19 _79 ·~·~A~-·------
___~..~........_....R.,)),5..__________.____
Notary Public (Street Number)
Was hington,\·.!ashington County,Penna.W9..e..ht..p.g:t9..P.)P~..n.n.$..yJ.Y..9..n.;i,.9...
My commiss ion expires Feb.20,1971.(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.
*".-.'''_.I..~...~,
,"
R N
SCHEDULE "A"
-REAL PROPERTY
___.~__CL R.~_Q...LJ;:_.Q.__~E I-lL
RCC-34 (1-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BtJREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
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 "~".Property hl'ld 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 doscriptlon 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~rancesupon each parcel at death
of decedent.Taxes,assessments,accrued Interest an mortgages,etc.,are
to be listed on Schedule "FlO and must not be deducted from this schedule.
(1)(2)(3)/
DEPARTMENT
ASSESSED VALUE VALUATION
FOR YEAR OF ESTIMATED CAUTIONDECEDENT'S MARKET VALUE (Do not writo
DEATH In this spoco)
All that certain house and lot situate
in the Fourth Wa~d of the City of
Washington,Washington County,Pennsyl-
vania,known and designated as 290 E.
Wheeling Street,Washington,Penna.
For complete description see deed Book .
802,page 116
Washington Cityi.
Washington County
6,050.00
4,760.00 *$13,000.OD
*This reflects actual sale price of
property sold on June 22,1970
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.
13,000.00
.ComrONWEALTH 'OF PENNSYLVANIA
T~\NSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "n"
PERSONAL PItQPERTY
I KSTRUCTIONS: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 hel~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
1 lot of household goods
Social Security check for Lump Sum
Death Benefit
Social Security Administration check
for two months benefits due decedent
626.81··
255.00
183.20
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X 1,065.01
RCC-3b
,COmIO:\'I'EALTH OF PENNSYLVANI A
Tn..1~SFER INHERITANCE TAX
R.."SSIDEXT DECEDE~T
SCHEDULE "c"
TR.'\.NSFErtS
COR R E C TED
1f'•.
(1)Did decedent,wi thin two years of death,make any transfer of any material part of his estate,without
receiving Ii valuable !lnd adequate consideration therefor?(Answer yes or no)no
(2)Did decedent,wi thin 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:.;o"'--__
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age of decedent at time of transfer no
(b)State of decedent's heal th 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)no
(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)no
(b)What was the transferee's age at time of decedent's death?not Applicable
(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)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
NONE
MARKET VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.NONE
l'<·\\\I\\\".i:'~\Lri1 l)]-'l'Ei\:-.i~YL'v·\NL\
-:"\:<'~"n l\l1F1UT\7\('1·:T\\
~CIIEmJLE "E"
<JOINTLY OWNED PROPERTY
I'i:-;TiUTTIl1\S:This schedule mllst disclose all property,real ana personal,owned hy the rlecedent jointly
wi th another or others,inclllrlin~intan~ibles,standing in the name of the decedent and others.List
real estate first.as entireties,or joint tenants,giving brief description,as indicated IInrler Scherlule
"A".•pIllS the dat.e Ilnd place of record of instrlUnent.effecting vestiture,but rio not include entireties
or Ollt of state real estate value in estate valuation column.Personal property should be listed as in
Schedule "13",1'1115 date of aCljuisition,anll the name,adrlress anrl relationship (if'any)of co-O"wne~s to
the decede~nt.
•
RET U
•nee..
NONE
COR REel TEl
Estate DEPART~ffiNT VALUATION
luation CAUTION-Do not Write
..-..In This Space.
Value of'Value of'
Entire Decedent's
Property Interest
R N f
,
I
I II
-I I
I
IiI
I
I
IiI!I III
I !
j I
I II!
I
II
IjI
I iII[I 1
I j
I
I
Ii
1
Description of Property,Dnte of-A~quisi.tion,-N-ame I unit fl.perS:lea-~_·rt.e~g.~-'I Va
Address anrl Relationship of Co-Owners,and Place ;Value •
of ilccorn of Instrnrnent,where Real Estate.:-.x'')0"'.- --------...--------.-x:
I
Insert this total opposite "Jointly Owned Property",Schedule "E"
in the"As Reported"column on the last page of this return.
NONE
••
BENEFICIARIES
con E F.C ~E n
SCHEDULE "D"
RCC-37'(12-63)
('o~nl.m.:\\·EAI.TII OF PEN;,\SYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
-',.".-...;"...,.,·..,,;v n ,..'"
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
James Adrian Fletcher 2.:randson yes l/~re>c::;rll1o
900 Parkway Drive
Boulder,Colorado 1)0302
Jerome Ponton Fletcher grandson yes 1/4 res idue
c/o Keenan Mobil Homes
Route 19 -Washlngton,Penpa..
Sondra Lee CaffreY 2.:rand ~auohter Vpg 1 /~yo £>c,;rll1 a
208 Lacock Street
Was hlngton,Pennsylvanla
Gladys Dian Fletcher.now
Gladys Dian Fletcher Stanl!=y granddaugh er yes 1/1.;.res idue
20d Lacock Street
TT .T •,~~
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.
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Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
NONE
~IATTER OF THE APPRAISE~lENT
OF THE
ESTATE OF
Will
Administration !No .
DO THE
Year ..
(Executor-Administrator
must complete "As
Reported"column #1.)
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l't>
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REPORT AND APPRAISAL
COR R E C TED
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Washington
I{,.1.-..:Ii'~EGJ;l{E.R,12t~.
Deceased
Late of ..City ..Qi..H!3sh:lngt.on .......
Commonwealth of Pennsylvania
County of
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S11 1,'/\30 ~:~1SI;):3 H
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I,Roy L.Fletcher of 290 East Wheeling Street,City of Washing-
ton,~'lashington County,J:'ennsylvania,being of sound mind,memory and'''-"''',''n,e (
understanding,do hereby make,publish and declare this to be my
last will and testament,hereby revoking and making void all form-
er wills by me at any time heretofo~e made.
First.I di.rect my Executor hereinafter named to pay,all my
just debts and funeral expenses as soon as he can do so conven-
iently after my decease.
Second.I give ,devise and bequeath all my property',both real
and personal,wheresoever situate,in equal shares,to my four grand-
children,namely,James Adrian Fletcher,of Boulder,Colorado,Jerome
"')Ponton Fletcher of 17 Farley Street,Washington,Pennsylvania,Sandra
Lee Caffrey of Leet Street,Washington,Pennsylvania,and Gladys Dian
Fletcher of 17 Farley Street,Washington,Pennsylvania.
Third.I hereby name,constitute and appoint my brother-in-law,
John Gunn,of Washington R.D.,Washington County,Pennsylvania,to be
Executor of this my last will and testament,and I direct that he
serve without bond,beinghereby excused from filing bond.
In Witness Whereof,I,Roy L.Fletcher,the Testator abovenamed,
have hereunto subscribed my name and affixed my seal on this I (~.
day of January in the year of our Lord One Thousand Nine Hundred
"
and Sixty-one (1961).
Signed,sealed,published and declared by the abovenamed Roy L.
Fletcher as and for his last will and testament in the presence
of us,who have hereunto subscribed our names at his request as
witnesses thereunto in the presence,of said Testator,and of each
other.
/I!
·..
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-,
.I
l3 -~~-if7./
,'.l\ffibaitit·(@f iExrtutnr (@r Abmiuistratnr',
&tutt of 'tnnBylnun'u.l SII:
<!lounty of )mhlB~,ngtott S
P II bf 'h"d'·d th .Notarv Public .df 'dersonay e ore me,t e un erSlgne au orlty,a ..1.m an or Sal
County and State,appeared J.Q.l:m G.u.un who,being duly
,sworn according to law,deposes and says that "he is the execut~JoK:xdmixlisk1ltlll«of the estate of
,R9..y.Jt..r F.Jg.:t~.b.~X deceased,that the foregoing schedules constitute a
complete inventory and appr~isement of the real and person~estate of..B.Qy.1..:f.Jg..t.~.h~.r ,
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 ~m~~',,
..day o~=~~_:~~~.:.:~:a...b~i;.~iQ this _..__...I _.._..
............................................:~:N.Q.t:a~y Public 'Executor-~1lCN:IDK
ashington,v.1ashington County 'I{)BPfi6~Aaet~sTRUCTIONS '
My com.exp feb.20,1971 .. ..'"1.An mventory must be filed within three months after appointment of personal representative.
,'2.' A supplemental inventory must be filed within thirty days of discovery of additional assets.
S.1 Original and 2 Copies and 2 RCRI-S4,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-'
I .eluding 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 8ub 1\ppr/8is/,mrut of the goods and chattels,rights and credits which,Roy L.Fletcher,a k a
were of Le;r.Q.Y.L~.E.le.t~.he.r ..,.a.L.kLa Jate of c..1..t.y.Q.f W.as.hing.tQn ~R L •.E etcher ...'.,Washington t:ounty,a.,talien and made tn conformtty wzth the above affidavit.
REALTY:/,'
House and lot situate in Fourth Ward of City of Wash-
ington,Washington 'County,Pennsylvania,known and desig
nated as 290 E.Wheeling ~treet,Washington,Pennsylvani
.f6rcomplete descripti6n See Deed Book 802,page 116.
DOLLARS
,
15 500
CENTS
00
,,
i
Total.Rea1t~-------~----:--~-------------------------~-$15,500 00 .
PERSONALTY:
:\
1 lotof household goods,
Social Security Check for Lump Sum Death Benefit
Check·from Social Security Administration for two
months'ben~fits due decedent
TOTAL PERSONALTY------~------------------------------
TOTAL REALTY
TOTAL PERSONALTY,
TOTAL ESTATE
.'
626
255
183
1 065
15,500
1 065
16 565
81
00
20
01
00
01
01
"
--~._....----~~----_._--_._---_._-------