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Home My WebLink AboutOC1969-0538 - ESTATE OF CHILDS(tJ 0-(pCj-53f i\ffi~uuit ®f Exrrutnr ®r i\~ministrutnr ~tntt of J.ruunglunuin, t ns: Cllouuty of 3lllhtn1Jiugtnu \ P all b f h d . d h · :Mt arv Public · d f 'd erson y e ore me, t .e un ers1gne aut or1ty, a ....................... v. ........................................................... m an or sru County and State, appeared .. ~.:~.:.~ .. ~.: .. ~?..:.::.~.:.E .. ::E:~ .. ~~~.~E.!.~ ... ?: .. ~E.~.~~.!.~ .............. who, being duly sworn according to law, deposes and says that he is the executor or administrator of the estate of .... E.~.x:thg ... W. ...... C.bjJQ..~ ....................................................................... deceased, that the foregoing schedules constitute a 1 · , d · f h al d al f Bertha W Childs, comp ete mventory an appraisement o t e re an person estate o .............................................................................. , 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;z a'ust ap raisement of each item made by the above named Executor Administrator. ~ / n 0 S d b "b d b f h' Jl..,.fl ~ l "':.,_,. ~~===-.::0::::._ .. ,_, '\~....,~~=P~~/J..-:L.L4~.~;;..P-k~/~--WOrn&. su scrz e e ore me t zs ........ w. .... ::::..... /. M 1 A MARfi'lf M',:······,-·V.~i-·· ..... rg __ l)~-~. . .. ~--&~~i;~········ CALIFORNIJ!;·=fd+ojij"co:"PA ... V.::z ..... 9.7~ .............. _ ...... , ............ .. My Commission expires July l4,. i973 ADDITIONAL INSTRUCTIONS 1. 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 lluurutory uub .2\pprui.srmrut of the goods and chattels, rights and credits which were Bertha W. Childs California of ..................................................................................................... late of ..................................................................................................... . Washington County, Pa., taken and made in conformity with the above affidavit. REAL ESTATE The western portion of Lot No. 174 in the General Plan of the Borough of California, Washington County, Pennsylvania, upon which said parcel is erected a two-story frame dwelling. For chain of title see Deed Book Volume 693, Page 407. REPORTED FOR INHERITANCE PURPOSES ONLY: Checking A ccount, Western Pennsylvania National Bank, California Office, Bertha W. Childs, Alberta Wright, and Helen E. Koerner 754. 38 Bonds, issued to Bertha W. Childs, Helen E. Koerner and Alberta B. Wright 3' 730. 72 4,485.10 One-third (share of decedent) taxable 69-036 DOLLARS CENTS 13,350~00 1' 495.00 ~1/J'b & '3~ (pC!-~P Inventory and Appraisement IN THE EST ATE OF ............ ~.~.B.T.J~A .. :w.:.: .... ~JE.bP..§ ........................... . Filed ................................................................... , -:: ...... >n::::tJ (/')<l")C::: !1::.,.,;.(1) -"'en % -1 ,'i'J tnrn.r------1 .:::0 f-0 . ... en u:::> c::;:, C""") -,..., ..c:- 19 ... ~.~ .. ·"'!: .;t -,..--.· •. t -e--. -r- m 0 '!' ;.>. -~ . -~:t~ ~. ~~ ,._ 0 --...... ...,.;::... ~ 1~ :X:. ::r "' t :i I i .. o~;r, : ;:: % .,,_0 'P-'<n c::> , OLIVER N. HOHMELL Attorney at Law 423 Third Street California, Pennsylvania 15419 ~2 Di\f.230-~ '--'!""~ .... •yo' \ ,..,... ro( •. \ I \ f. --/ - C!!nmmottwralt~ of JrttttByluattia. t BB: lhtB~ittgtnn C!Inunty. ~ KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 28th. day of A. D. 19 69 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of Bertha w. Childs late of California in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Helen E. Koerner and Alberta B. Wright rices the ExecutKJX 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 Helen E. Koerner and Alberta B. Wright committing unto Them the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring Them 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 have hereunto set my hand and the seal of said Office at Washington, this 28th. day of in the year of our Lord one thousand nine hundred and Sixty Nine ·~ ?~~tVU~I ····~··~··~ .. ···~~··· .................. ,, ........... ~~·~·~~ .. ~~-~~·~· .. ····· .. ······ .. ··········· .... , ................. . · " · Register J = ;... ~ ..... = 11} a 'd r-1 II. 'l"'i ~ 0 ..c:: N ..... Ill 8 t ts:l .... c:.. ~ • s en ~ Ill o:! e _.q ~ +' ..... H ..... (1) c:.. rXl ~ / I / / I I-~;• ..) . f , .... J W I L L I ,Bertha W .Childs of the Borough of California, ~vashington County, Pennsylvania,being of sound mind,memory and understanding,do hereby make;publish ~nd declare this to be my last will and testament,hereby revoking and making void all former wills by me at any time heretofore made. First-I direct that all my just debts.and funeral expenses be fully paid and satisfied as soon as can be done conveniently after my decease. Sec_ond-I give and bequeath to my daughter,Alberta B.\.fright,my dresser with the three pieces of marble. Third-All the rest,residue and remainder of my estate,both personal and real,wheresoever situate,I give,bequeath and devise,in equal shares, to my four children,namely,Helen E.Koerner of 410 Fallowfield Avenue, Charleroi,Washington County,Pennsylvania,Alberta B.Wright of 325 Grand- view Avenue,Zelienople,Butler County,Pennsylvania,Floyd E.Childs of Detroit 27,State of Michigan,and i'iilliar:n \v.Childs of 1000 Cross Street, California,Washington County,Pennsylvania. Fourth-I do hereby name,constitute and appoint my two abovenamed daughters,Helen E.Koerner and Alberta B.Wright to be Executrices of this my last will and testament,and I direct that they serve without bond,each being hereby excused from filing bond. In \vitness \·Jhereof,I,Bertha W.Childs,the Testatrix abovenamed,have tf hereunto subscribed my name and affixed my seal on this /c_ ...... "-·day of May in the year of our Lord One thousand nine hundred and sixty-three (1963}. Signed,sealed,published and declared by the abovenamed Bertha W.Childs as and for her last will and testament in the presence of us,who have hereunto subscribed our names at her request as witnesses thereunto in the presence of said Testatrix,and STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law, depose and say that the above account as stated is true and correct as ........ '!:t.h~Y------------------------verily believe. Sworn and subscribed before me this ... HL:th _________ _ ~k;~ __ (;__~~---------Helen E. Koerner January 70 day of ----------------------------------------------------19 ........... . ._(e_l-u_f;_ J$ i.J-f J b ~¥NEt-N~--p~------------------------------------------------------------""-=7·------------------------Alberta B. Wright · cAuFoRNIA. WASHINGTON CO., PA. My Commission expires July 14, 1973 Wa1shington County, ss: ..... 0 ...., .: ::s 0 (\,! <:.l 'D <:.l <!i s:: Cl! tl U1 ~ E-; J:: Cl ril C) ~ ~ ~: z ~ 0 ~ ~ p:; \ i ~ J:: <t:i ~ E-< u z: ril ~ <!i ~: 0 E-< ~: ~ r:Q '-.jj UJ. ~ ~ Cl\ . <t: I l <t: Zi ril J:: <t:i E-; z ~ tt\i E-; H ril ril ~, ~ UJ.i ~ r:Q ril ~! ril ~ ~ ~: ~~ J:: <t: 0 z I r F I L '70 JMi 1/ ·-t 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 the,eof Hied to No .. b3.~ .. ?~~-{::,······:· ~ W1tness my hand and off1c1al ·seal this ___________________________ _ ···:·::·:::::~?:~ Register of Wills I \' ..... ; ..... I .... i ~ ·! ::s 0 t 0 :..j..l C,) d ~ 0 ::s Q) 0 D, ~ ..... rn: <:.l ...., 0 <:.l 0 ,!d ril i <!i ...., .... : ~ '<:I Q) " 0 Q) ...-. ~, ..... ....... /• M! II ...., C,) ~: >. I 3 ~ : 0 ~ D Q) : tp "' : .8 rill ~ Q) .... .... :~ ~: 0 N "" l~ ...., ~l<li t : ~ ~ RUSSELL ;.:r"..RINO ::s :~ 0\ 0 <:.l t:Cj '<:I REGISTEH OF rn LLS <:.l : ~ cO cO z: \;tASHiNGTON ~ s CO .• PA. :a ...., ~: ...., "' ·~ "i;ij rill 0 Q) Q) 'll:l :>-! ...., ~ !;:: ...., ~: g <J" ~: 'g~ .... 01 <!i ~ 0 ..... ,, c ~ -fY) t l ~ ~ ~ ~ ' . ...._ ··1 . . • ... ~ .... The Court is respectfully requested to determine proper distr~7Jh.is estate. ~ 7j: #ttM&L~ Counsel II OL.IVER N. HORMELL ATTORNEY AT LAW ACCOUNT NUMBER 63-69-538 FIRST AND FINAL ACCOUNT of HELEN E. KOERNER and AI1BERTA B. WRIGHT, <0-Executors of the Estate of BERTHA W. CHILDS, deceased, late of the Borough of California, Washington County, Pennsylvania. THE ACCOUNTANT IS CHARGED AS FOLLOWS: 1. Inventory filed as of October 20, 1969 2. Advance to the Estate to facilitate administration: Alberta B. Wright Helen E. Koerner 3. Rent refund $ 2,242.55 $ 2, 242. 55 4. Columbia Gas of Pennsylvania, refund 5. Refunds: (medical) Dr. Ramaswamy Dr. Patterson Blue Cross Blue Shield Medicare $ $ $ $ $ 10.00 50.00 16. 80 50.00 200. 00 6. Conversion of assets -Sale of real estate: Selling Price $13,350.00 Less Costs: commission 667. 50 1 o/o transfer tax 13 3. 50 pro-rata r/e taxes 66. 29 prep. of deed 20. 00 Net proceeds from sale of R/E Inventory value of real estate Net Loss from sale of real estate $ 887.29 $12,462.71 $13,350.00 $ 887.29 * * * * * * * * * * * * * RECAPITULATION OF ACCOUNT Assets of estate Credits of estate Balance of estate $ 17,350.13 $ 8,146.64 $ 9,20:i49 $13,350.00 $ 4,485.10 $ 35.00 $ 40. 52 $ 326.80 $ 887. 29 $17.350.12 42s THIRD sTREET Balance consists of: CALIFORNIA. PENNA. Cash $ 9, 20:i 49 69-036 1969 May 2, May 2, May 2 May 2 May 2 May 2 May 2 May 2 May 19 May 19 May 19 May 19 May 20 May 28 May 28 May 28 June 4 June 4, June 10 Washington County Reports Columbia Gas of Pa. Bell Telephone West Penn Power Company !Robert L. Patterson I I IDr.C. Ramaswamy Borough of California Western Pennsylvania National Bank Russell Marino, Reg. of Wills Guy Rogers !Allegheny General Hospital Harris Builders 1 Caleffie and Greenlief iWest Penn Power Company Columbia Gas of Pa. Euinet Monument Company !California Water Company Malcolm M. Morgah brownsville Telegraph I August 4 rest Penn Power Company advertising letters gas service telephone service electric service anesthesiologist medical services sewage service, first quarter, 1969 checks and book letters testamentary witness services medical services house repairs funeral services electric services gas service gravestone lettering water service 1969, County taxes estate advertising electric service sewage service August 4 rorough of California August 4 Constantime G. Kyreages, M.D. medical services August 4 llberta Frishkorn August 4 rarbara DeiCas services rendered decedent services rendered decedent August 25 jest Penn Power Company September 10 California Water Company electric service water service -2- 14.00 66. 29 8.82 9.48 50. 00 80.00 7. 85 2. 09 17. 00 15.00 25.01 7. 02 1,268.00 4.42 15.36 15. 00 4.37 41. 55 9.00 2. 26 7. 35 25.00 100.00 1 oo. 00 . 64 2. 52 1969 Sept. 10 Sept. 29 Oct. 17 Oct. 20 Oct. 28 Dec. 22 Dec. 22 Dec. 22 1970 Jan. 16 Russell Marino, Agent :M. R. Enterprize ~West Penn Power Company " I Russell Marino, Reg. of Wills !california Water Company IHelen E. Koerner ~Alberta B. Wright I Oliver N. Hormell I Washington County Bar Assn, !Alberta B. Wright I elen E. Koerner inheritance tax payment garage rent to buyers final electric bill filing inventory final water bill executrix fees executrix fees attorney fees estate fee reimbursement of advance to estate reimbursement of advance to estate Total -~- 400.00 1 o. 00 1. 06 5.50 1. 96 250.31 250. 31 834. 38 10. 00 2, 242. 55 2, 242. 55 $8,146.64 63 SOUTH MAIN STREET Washington, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, paragraphs (3) and (25). COUNTY OF WASHINGTON f STATE OF PENNSYLVANIA ( ss. Personally appeared before me, a Notary Public in and for said County and Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the official legal periodical for said Washington County, publisibed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in t'his behalf; that the said WASHINGTON COL'NTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said 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: .......... Ma.y .... a., .... l5.,. ... 22., ... 1.9.6.9 ..................... .. 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 ihi• offid'"'' ~ood _7;2~ -~--Editor ....... z:_~ay of ........ J-1~¥ .......................... , ~96...9 .. . :~=.::-5f!t!- Wasidngton, Washington Co., Pa. My Commission Expires November 1, 1969 I Est~otlces Th"':ister of Wills has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t:hem for settlement to the Executors or Admin- istrators or their Attorneys . • • • • • • • • • • • • • • • • • CHILDS, BERTHA W., Dec'd. Late of the Borough of California, Washington County, Penna. , Executrices: Helen E. Koerner, AI-. berta B. Wright, 304 Fallowfield Ave Charleroi, Pa. 15022 ., Attorney: Oliver N. Hormell 423 Third St., California, Pa. 15419 ' ------------~--- I""' -------------------------------------.., ~ I' Proof of Publicftion of No~fe iit Bro1ltsville Telegraph~- State of Pennsylvania, County of Fayette under Act No. G87, Approved May .16, 1929. Charles vl. HcKinley,Bus. Hgr • .................................................................................... of the BROWNSVILLE PUBLISHING CORPORATION, of the County and State aforesaid, being duly sworn, deposes and says that the BROWNSVILLE TELE- GRAPH, a newspaper of general circulation published at 16-18 Bridge Street, Brownsville, County and State aforesaid, was established January 27, 1915 since which date the BROWNSVILLE TELEGRAPH has been regularly issued in said County, and that the printed notice or publication attached hereto is ex- actly the same as was printed and published in the regular editions and issues of the said BROWNS- VILLE TELEGRAPH on the following dates, viz: May 5, 12, .19 ·--------···-··································-···············------------···························································································----A. D. 19 ...... 69 Affiant further deposes that he is an officer duly authorized by the BROWNSVILLE PUBLISH- ING CORPORATION, a corporation, publisher of said BROWNSVILLE TELEGRAPH a newspaper of general circulation, to verify the foregoing statelllent under oath, and affiant is not interested in the subject matter of the aforesaid notice or advertisement, and t t all allegat9' in the foregoing state- /) ;.Jl /' ;J ments as to time, place and character of publication ar ue ~ ----8~o~s-~iii~ ~bii~iti~~g--c~~~it~~. --- ESTATE NOTICE ' Estate or BERTHA W. CHILDS . ~~h~:gt~~e c:~~~~ghPen~!~{~!~1a: Letters the above. granted to tlce Is Indebted late upon been no-those lmmed-those to pre- Avenue 15022 Pennsylvania, I Oliver N: Ho~meu Attorney at Law 423 Third Street .. California, Pennsylvania, 15419 Sworn to and subscribed before me this .......... g.~-~~---········ ~~~ ... ".£~~~~~~·~~ MY COMMISSiON EXPIRES f d JAN.. 23, ..1$7-l Statement o A vert1s1ng L:osts Oliver N. Hormell, Attorney at law ...... 4.~} ... ~?.~-~~----~-~~~-~-~-----··--···································· G.~JJ :f.:<?.r.r.1J.~'--.. f_~):}~ ~.Y.J. ~ .~!:~ -~-~ .. X?. .4.~ .9. ....... __ _ TO BROWNSVILLE PUBLISHING CORPORATION, DR. For publishing the notice or publication at-9 .00 tached hereto on the above stated dates $ ....................... . Probating same .................................................... $ ....................... . Total ................................................................ $ ..... ~--~-~-~---·-··· Publisher's Receipt for Advertising Costs THE BROWNSVILLE PUBLISHING CORPORATION, publisher of the BROWNSVILLE TELE- GRAPH, a newspaper of general circulation, hereby acknowledges receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. BROWNSVILLE PUBLISHING CORPORATION, a Corporation Publisher of Brownsville Telegraph, a Newspaper of General Circulation ....................... . By ........................................................................ . 69-036 lin tqt ®rpiJun.a' Ctinurt nf llu.aqingtnn Ctinunty ln the matter of the Audit of Account in Estate of ..... BERTHA .. w ...... .GHILDS ....................... . No .......... QJ, ...... Q9..~ ... .5..J~ ............... , 19 ............ , A.A. TO THE AUDITING JUDGE: Enter ................ IDY ............................ ; appearance for ........ H.E?..l:~.D. ... ~.!!. •••• K.9.~.r..:n.E?..:r ... ?..P.4 ....................................................... . .............. Al.b.~.rta .... B ....... Wr.ight .. , ........ c.o~Exe_"c.u.t.r.i.c.e.s ................................................................................................. . ············-··········-------------------------··············:···············································------------------··································································································· ..... JQ.~_tfay of .................... Mg.r.~h ............................ 19 .. ..7.Q .. N.B.-Counsel shall, by separate 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 Counsel suggesting proper distribution shall file a separate concise statement in that regard. j No ......... §~_~§2::~_5)JL ..................... , 19 ............ , A.A. In re Audit of Account in Estate of BERTHA W. CHILDS ........................................................................................................................................................... AUD11T Jratript fnr i\pptaraurt FOR .::1'"' (/) < ..:::r-; 0_.10- %-' Helen E. Koerner and --o en ~x: > <..) r: :;; Lt-z ..:::t: """oo ... .............................................................................................................................. ....... A.JJ?..~.rY..~ .. Jt'! .... Wr..i.gh.t .. ,. ................................ .. 0 cr• ::JSt; Co-Executrices u.J 1-:: = --· w (./) (j,; :r: 0::: </) <:; <./) _...! ..::e ::::>W<t JC o::c:::=; c::> r-LJ._ ... ~2 ·~ ----------------·-·-~----,·-~~~~-.-~~~-·--~-~~-- PETITION SUR AUDIT Testate Form j IN THE ORPHANS' COURT OF WASHINGTON COUNTY ·' No ..... ~-~-:-.?.~::-.~~§ .......................................... A. A. Fiduciary ...... ~~~-~~--~-~---~-<?.~"£!!.~"£ .. ?:~~---············· ·················----~~.1?-~!:~-~--?.-~ .. Y!.Ef.g~~----------------------· Deceased Date of Date of Decedent's death ...... M.~.r.~h. .. l.~ .•.. 1.~2~---·-······················-Grant of Letters ..... ~.P..D1.2~ ...... l.9..ti.S ............................... . This is the ..... f~.:r.~t__~g<;l __ f.J.n~L ...................................... account filed in this estate If there have been former accounts filed in this estate, list file number or number and term ................................... . Election to take Date Election Place of; Under or Against will. (cross out one) Filed .................................. Record ............................. . Name of surviving spouse ........... !l.<?.!!.e: ............................................................. : ............................................................ . List issue, where material: Helen E. Koerner Alberta B. Wright Floyd E. Childs William W. Childs .~ .. -; Did decedent marry after execution of will? (indicate) XXK No. Any children bor~'after execution of will? (indicate) Yes. No. If answer yes, name them ................................................ -----··································----------------------·-·----------------· ........................................................................................................................................................................................................................................................................................................................ : .............. · ............................ . Leg.atees Relationship Interest Fiduciary, if deceased or not sui juris Helen E. Koerner daughter 1 /4th share Alberta B. Wright daughter spe cial bequest plus 1 I 4th share Floyd E. Childs son 1 /4th share William W. Childs son 1 /4th share List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: If partial intestacy, give facts: Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. :me If any exception give cause:·-····---------------------------------------· ... 69-036 .. Is estate subject to the filing of a Federal Estate Tax Return? .... -----~~---····························-~---~----· ..................... L ....... . Actual payment mode on Pennsylvania Transfer Inheritance Tax. Amount $ .. ~.<?-~~-.<?.9 ............................................ . If the Will makes any portion of estate subject to a life-estate, give nome and birth dote of life tenant.. ................... . NONE 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. NONE Give reference to such parts of the will as require interpretation by the Court; a reference to all questions· re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: Balance for distribution per account, Itemize any additional debits not shown by account: Interest on Savings Account $ 229.97 Total additional debits· (Add) Itemize any additional credits not shown by account: Short Certificate Filing Account Total additional credits (Subtract) Balance for distribution $ 1.00 16.00 $ ...... 9..t.?.QJ. .•. .lt.9. .......... . $ ..... 229 .. 9.7-............... . $ ........ ~7 .oo ·--·----------------------- $ ...... 2L~l6.46 -----------------···--- H balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); Balance in Cash -~ If Family Exemption claimed by Petition, give place of Record: ................ N.Q .. N.~---········---·--··-·--·--·-·---····--------------- If Family Exemption is claimed at audit, give name, relationship and basis for Claim:·--·-·-···-·---··-··--·--···-··-····-··-········ 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: Alberta B. Wright dresser with three pieces of m arble and one -fourth residue Helen E. Koerner one-fourth residue Floyd E. Childs one -fourth residue William W. Childs one -fourth residue COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly ..... ?..~~E~---·----·-··-·--·----doth depose and say that the facts set forth in the foregoing petition are true to the best of... ___ :_th~-~F---···------·-·knowledge and belief . ......... $.~QX.:Q ........................... to and subscribed before me this ... ./.L~~---day of ...... ./-*~~---·········19.?.9 ... . Signature of Officer ... '1.21..<P.:~-b.t-;(.'Z?.1 .. /.~~'-······· Title of Officer .... ~2!.~~Y. .. ~~Rf.~.'? ................. ::: ............ . MARIEM M. NEIL, Notary Pub1tc Office expi res ..... -el*tf6ftNii'r;WAf11·HI'tS:r-GW-·~~h-11A~--··················· My Commission expires July 14, 1973 And your petitioner will ever pray, etc. ·--~-~--~~~---·············· -·Helen E. Koerner ······-~---/J. ..... IJ~_/:!:: _________________________ _ glberta B. Wright ~· ............. ~ ....... ~ ......................................................... ~" 'P' ............... ~' 'P' .. ~ ................. ~ '!' ..... '! .. "''!' ......... '. 63-69-538 A.A. No. -------------------------------------------------------.-- Estate of ... :'?.~-~!~~ _yv. CHILDS - -......................... -............................ -------- Deceased Fiduciary ___ g~-~~-!'i-~-·---~9.~~~-~--?.:~-~--- ALBERTA B. WRIGHT PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following1 in conformity with Court Rules adopted effective December 31 1951 1 being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes of all Counsel in the case. 2. Copy of order appointing Guardian ad litem1 if pertinent. 3. Copy of Order appointing Trustee ad litem1 if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A. or an attest copy of Wi II. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of liens in case any of the funds for distribution are , from judicial sale of real estate. 9. Signed and itemized elections if any distribution in kind. 10. Copy of Federal Estate Tax return if es- ~hecetoj/ .. .............................................. ~~----------------.:: .......................................... .;. .. . OLIVER N. HORMELL, ESQ.Attorney ~2 ' 'Vd ··oo N010NlHSVh\ Slll~\ JO t!31SI~3U 0 N I U \' h ·1·1 ] S, S n H l. C )1'1 r· tltlll Ol £ IJ u rt ~ t1 I o J t1 • 4 '·Q J -, I .J h\.., -l ,I I ,-l 7 OLIVER N. HORMELL ATIORNEY AT LAW 423 THIRD STREET, BOX 637, CALIFORNIA, PENNSYLVANIA 15419 Area Code 412 Phone 938-8970 938-2522 NOTICE OF FILING OF AN ACCOUNT (As required by the Rules of Practice of the Orphans' Court of Washington County, Pennsylvania). MRS. ALBERTA B. WRIGHT Scottwind Terrace, R. D. # 1 Harmony. Pennsylvania, 16037 February 25, 1970 In Re: Estate of Bertha W. Childs, Deceased Place of Audit: Third Floor, Court House, Washington, Pennsylvania Date of Audit: Monday. March 16, 1970 Time of Audit: 1:30 P.M. Dear Mrs. Wright: I am sending you this letter in order to comply with the rules of the Orphans' Court of Washington County, Pennsylvania. The account on the above captioned estate has been filed in the Office of the Register of Wills of Washington County, Pennsylvania. On the above date and time, there will be presented to the Orphans' Court of Washington County, Pennsylvania, a petition to audit this account. An heir of the estate, as well as any creditor, is entitled to notice of the filing of this petition and audit, and, should you so desire, you may appear there at that time. You are not compelled to appear at the audit, but you may have some questions on this estate. If you have any questions, please do not hesitate to write or call me. I shall be happy to give you any information I can, and will do everything I possibly can to answer any questions you may have. Very truly yours, ONH ~9/ File No. 69-036 CERTIFIED MAIL RETURN RECEIPT REQUESTED. ""' 0 C' \J.J 0:::: " .c:::: """J :X:: ._....,.. ~ r-\~ ... ,. OLIVER N. HORMELL AITORNEY AT LAW 423 THIRD STREET, BOX 637, CALIFORNIA, PENNSYLVANIA 15419 Area Code 412 Phone 938-8970 938-2522 NOTICE OF FILING OF AN ACCOUNT (As required by the Rules of Practice of the Orphans 1 Court of Washington County, Pennsylvania). MR. FLOYD E. CHILDS 15505 Hartwell Avenue Detroit, Michigan, 48227 F ebruary 25, 19~·o In Re: Estate of Bertha W. Childs, Deceased Place of Audit: Third Floor, Court House, Washington, Pennsylvania Date of Audit: Monday, March 16, 1970 Time of Audit: 1 :30 P. hi.. Dear Mr. Childs: I am sending you this letter in order to comply with the rules of the Orphans' Court of Washington County, Pennsylvania. The account on the above captioned estate has been filed in the Office of the Register of Wills of Washington County, Pennsylvania. On the above date and time, there will be presented to the Orphans' Court of Washington County, Pennsylvania, a petition to audit this account. An heir of the estate, as well as any creditor, is entitled to notice of the filing of this petition and audit, and, should you so desire, you may appear there at that time. You are not compelled to appear at the audit, but you may have some questions on this estate. If you have any questions, please do not hesitate to write or call me. I shall be happy to give you any information I can, and will do everything I possibly can to answer any questions you may have. Very truly yours, ~o/ ONH File No. 69-036 CERTIFIED MAIL RETURN RECEIPT REQUESTED. r------------------------------------------------- ., , ,, OLIVER N. HORMELL ATTORNEY AT LAW 423 THIRD STREET, BOX 637, CALIFORNIA, PENNSYLVANIA 15419 Area Code 412 Phone 938·8970 938·2522 NOTICE OF FILING OF AN ACCOUNT (As required by the Rules of Practice of the Orphans' Court of Washington County, Pennsylvania). MRS. HELEN E. KOERNER 304 Fallowfield Avenue Charleroi, Pennsylvania, 15022 February 25, 1970 In Re: Estate of Bertha W. Childs, Deceased Place of Audit: Third Floor, Court House, Washington, Pennsylvania Date of Audit: Monday, March 16. 1970 Time of Audit: 1:30 P.M. jDear Mrs. Koerner: I am sending you this letter in order to comply with the rules of the Orphans' Court of Washington County, Pennsylvania. The account on the above captioned estate has been filed in the Office of the Register of Wills of Washington County, Pennsylvania. On the above date and time, there will be presented to the Orphans' Court of Washington County, Pennsylvania, a petition to audit this account. An heir of the estate, as well as any creditor, is entitled to notice of the filing of this petition and audit, and, should you so desire, you may appear there at that time. You are not compelled to appear at the audit, but you may have some questions on this estate. If you have any questions, please do not hesitate to write or call me. I shall be happy to give you any information I can, and will do everything I possibly can to answer any questions you may have. Very truly yours, ONH ~o/. File No. 69-0:.16 CERTIFIED MAIL RETURN RECEIPT REQUESTED. , ..:r ..::r-U) <t 0 ~--J o._ 01 ..._ -J -,..,~ 3:: 0 •'-X:: ·' 0 .. <::::: L;_ a 0 ;?: ,.... .... _ 0": ---a: 1-L!.J :.....: w • .!;-1-;z 0::: V) (}') _ _j "'-'t: U) ::::: X:: :::::> <::> U) -0: tu ~ C:> c:: ;.;. ' 1 ,...._ ---.. ... .. OLIVER N. HORMELL ATTORNEY AT LAW 423 THIRD STREET, BOX 637, CALIFORNIA, PENNSYLVANIA 15419 Area Code 412 Phone 938-8970 938-2522 NOTICE OF FILING OF AN ACCOUNT (As required by the Rules of Practice of the Orphans 1 Court of Washington County, Pennsylvania). MR. WILLIAM \V. CHILDS 100 Cross Street California, Pennsylvania February 25, 1970 In Re: Estate of Bertha W. Childs, Deceased Place of Audit: Third Floor, Court House, Washington, Pennsylvania Date of Audit: Monday~ March 16, 1970 Time of Audit: 1:.:10 P.M. Dear Mr. Childs: I am sending you this letter in order to comply with the rules of the Orphans' Court of Washington County, Pennsylvania. The account on the above captioned estate has been filed in the Office of the Register of Wills of Washington County, Pennsylvania. On the above date and time, there will be presented to the Orphans' Court of Washington County, Pennsylvania, a petition to audit this account. An heir of the estate, as well as any creditor, is entitled to notice of the filing of this petition and audit, and, should you so desire, you may appear there at that time. You are not compelled to appear at the audit, but you may have some questions on this estate. If you have any questions, please do not hesitate to write or call me. I shall be happy to give you any information I can, and will do everything I possibly can to answer any questions you may have. Very truly yours, ONH ~o/. File No. 69-036 CERTIFIED MAIL RETURN RECEIPT REQUESTED. J -T • ,r.e:;,..._ .. In tift Cltnurt nf Cltnuunnn itltns nf llus4tngtnn Cltnunty, Jf.ennsyluuniu, ®rp4nns' Cltnurt llini.ainn 63-69-538 ESTATE OF No._....:$;..::3..;:_8_o=f~l~9=6.:....9 ______ _ Bertha w. Childs, In the matter of the First and Final deceased. Account of Helen E. Koerner & Alberta B. Wright, Executrices ADJUDICATION AND DECREE And now March If , 19 70 , this matter came on for. hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof the balance for distribution in the hands of the Accountant is determined to be $ · 9,lt16.~6 and the account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balan~e be paid out by the Accountant in accordance with the schedule of distribution hereto attached and mode a part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom s~. leg. SCHEDULE OF DISTRIBUTION Bal~nce per account----------------- Additional debit asked at audit Additional credit asked at 'audit Balance'--------------------- Deduct Clerk's Costs & Receip·~------------- At>torney __ -JQ.._J._i~.....;viLie~r"'--'N...__ • ......__..H...uo.L.;rmuu.>e..._l""'l.___ ________ _ Russell Marino, Agent, transfer inheritance tax:- Balance estate liability Individual liability of Alberta B. Wright and Helen E. Koerner $211.82 89.70 2 .oo $ 9,203.4.~ $ 9,433.46 $ 9,ij.l6.46 $ 9,089.94 J Alberta B. Wright, daughter, 1/4 residue, minu share (!) of transfer inheritance tax due on individual liability ($44·.85), P~ . .EtJ!. .s:z ,:;-:z~-7d .rt Helen E. Koerner, daughter, 1/4 residue, minus share (t) of transfer inheritance tax due on individual liability {$44.85), . ·.. Floyd E. Childs, son, 1/4 residue, William w. Childs, son, 1/4 residue, ~ 0 ~ ~ ..... z ~ :J n. ..... 9 0 ::J"' ~· i c CD ~ a 3 0 0 0 -..... -i ..... ... ~ 0 ~ -..... ::J"' CD = .. ~ ~ ~ ~ l:i ~ ~ .. '0 w ' ,.. : c • • Law Offices OLIVER N. HORMELL California, Pennsylvania ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In re Estate of } No ... ~?.~ .......... of 19 f3JL ... . RECEIPT do hereby acknowledge to have received from H~~~n .~ .... :{(.Q~.:r::Q.~.r: .<Hl.Q NP.er.t.a .B •.. Wright, CP.-:E)S:e.cuto.rsof the Estate of ... J?.~rt!l.~ .W~. ,c;:pg~.l:lt ............................... , Deceased, the sum of .T.'Y.q .Th<?~~~A4. 1:\V.Q. H~P.cl:r~.Q .NiA~tY.-.f.Q\l;r: .~!).~ .. ~:\. /.l.Q9. :-. ::.:.:-.. -. dollars, in full payment of the amount awarded me under the decree of the Orphans' Court of Washington County entered .¥.~;r:c;J;l,;I..~t ....... , 19.7P., at the above number and year; and I do hereby authorize and empower the Register of Wills in and for said county to enter and file this receipt. I ·t h f I h h to t my h d d 1 at California Pennsvlvania · n w1 ness w ereo , ave ereun se an an sea ............... L ••••••• ..; •.•••••• ,. • , this .... ./.'/.-......... day of .... ~P.l?g ......................... A.D. 19.7.q .. . 'Vitness('/J ) h~11 / .. /);1· JJ I ....... Yf{.Ut.:{Jt .. ~ utf-tll . .:le.Lftk<V. / 69-036 ~~.~~4:. William W. Childs (seal) / . ) Law Offices OLIVER N. HORMELL California, Pennsylvania ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In re Estate of } No. 538 of 19 RECEIPT 69 KNOW ALL MEN BY THESE PRESENTS That I, f.~Q.YR.~· .. ~ft~J;...J?? ............... , do hereby acknowledge to have received from .I:J.e:1.e:~. ~~ ~?.e:~!J:C::~. ~P?. A~~-~~!~.~! .~:r~ght, C9;-.~~-~<;!¥~PX~ of the Estate of ... B~.r:tba. W. •.. Cb:i.lds ................................ , Deceased, the sum of .~Y:"~ .. ~9. <?~i?~n<?. f:~<?. 1ilfn4r.~<J..Nin~tY.":f<?¥.r: -~~-q .~L/.W9 .. -. ::. -:. :-.:-: 1lollars, in full payment of the amount awarded me under the decree of the Orphans' Court of Washington County entered .. lW~;r:ql;l,~.~l ...... , 19.79., at the above number and year; and I do hereby authorize and empower the Register of Wills in and for said county to enter and file this receipt. In witness whereof, I have hereunto set my hand and seal at ?.<?~ .. <:;:h~~~~t.t.e:Lf~<?t,i_q~ ....... , this .. ?-:~.~ ...... day of .... -k\P.~g .......................... A.D. 19.79 .... . --;11} t. ~ 1 · · .:F.io~~ici~· ·'"· · · · · · · · · · · · · · · · (seal) 69-036 Law Offices OLIVER N. HORMELL California, Pennsylvania ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In re Estate of } No . 538 . . . . . . . . . . . . . . . . of 19 . 9.9 ..... RECEIPT KNOW ALL MEN BY THESE PRESENTS That I, .A~~~.J.l.A'f\.~ ... WRlGU.T ......... , do hereby acknowledge to have received from .. ~~f~.I?-.~.·.~<?~X~.e:~.~n<:l-.4\~l?~.r:~~.~ .. Wx~ght co:-.E;~~S~~~~~. of the Estate of .. ~~.:r:t.lJ.;;t. W .... C.l'P:~Q.~ ................................... , Deceased, the sum of .T.W.Q.Thousand.T.w.o.Hundre.d.F.ift~.and.Q6jl.QO.:-.. -.. -:.':'".:-.. -:.~.~-~. dollars, in full payment of the amount awarded me under the decree of the Orphans' Court of Washington County entered ... ¥~~.C:~}.~L .... , 19.~9., at the above number and year; and I do hereby authorize and empower the Register of Wills in and for said county to enter and file this receipt. In witness whereof, I have hereunto set my hand and seal at . 'tl_~:~TP.C?~Y.• .. P.~!1.11~Y.l.~:~q~i.O:~ ..... , this ...... ~1..~ ..... day of ... AP.~g .......................... A.D. 19 .. ~Q •.. /. ... 01'~.1/. i.J~&. ...... . A berta B. Wright---"# (seal) 69-036 4 ' ' Law Offices OLIVER N. HORMELL California, Pennsylvania ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In re Estate of } No. 538 69 of 19 ....... . RECEIPT K.l'\JOW ALL MEN BY THESE PRESENTS That I, .. I-J~ L:tl!l:-C~, .. :£$:0~ RN~.~ .......... , do hereby acknowledge to have received from .B:~~~:P. E. KQerner. ao.d Alb.erta B •. W.ri.ght, <;9.--:~~.E;S:!l.t.q:rSof the Estate of . ~~.r:t.l?-~. W.· .. <;.1?-q~~~ ................................. , Deceased, the sum of .T.w.Q .Tholl.Ei9-n4. T.w.Q. HtJ.:n..cl:r~.cl .:V.ifty. P.lJ.9. P.G nP.Q. :-. :-.. -:.-:. :-.. --: ::.:-. :-. dollars, in full payment of the amount awarded me under the decree of the Orphans' Court of Washington County entered ... M.~r.~Q.. HL ...... , 19.7 P., at the above number and year; and I do hereby authorize and empower the Register of Wills in and for said county to enter and file this receipt. In witness whereof, I have hereunto set my hand and seal at . ~~.3: ~ ~~.r:'?~ L .f:>~n~~.Y. ~ Y'~I?-~~ .' .... , this .. ~}~ ...... day of .. tJ.~···· .................. A.D. 19.7.Qh .. .~-n-10·;~··: .. <seal) Helen E. Koerner 69-036 L "' ~ . '\;fd ··o::> H0l~N\H'S'1~~ ~ ~ r~ (, ~ S1ll,_.\ .~0 'd31.S\~3'tl I ) ON\'-1\' ·~ -,T"'PC:\\'d ~\ '·' i I _j:)...J• - r-> ' -.... Li. Ud~ nl. ~ \ n ~~ ~ I I 1 ~ \0 \ \ ~\~ ...... ~ . ~" ~c\ 3 ., \ :1 '1 '-... ~ ~ ~ ~ t. Form RCC-33-RI RESIDENT DECEDENT COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTION.S COUNTY OF IhWORTANT: 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_Inl:)eritance.an!i _E_state Tax A,ct of 19!)1.) IN THE MATTER OF THE ESTATE OF } BERTHA w. CHILDS AFFiDAVIT OF ......................... .. .......................... (.st~t~"(;:;}i"~;;:;~ .. -~t "'d~~~~t-)........... . ... ............ .... .................... EXECUTOR S Late of ...... W.as.hington. . . .................................. County ~ :.~ .: ~::~::::1: ---~: -··:·:~~} '" . H~~~-N .. ~, .. K.Q~B.~B ... 9.:.P..4 ... A.~.:S.~RTA _;s,. W.BJ.GB.T.. .. . . . . ... .. . . Co-ExecutorS of the estate of the above-named decedent being duly sworn, depose and say Decedent died ....... JYiarch 1} ........ . (Month) ...................... , 19 .... § .. ~ ........ ,J testate leaving a last will, copy of which is hereto attached, } (Day) (Yt11r) l intestate Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. That as such .... ~.2.:.~.~-~-~-~~.2E5! ........ deponent is familiar with the affairs of said estate and the property con- < EXt!eu tor·Aclministrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT .. . . . 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 Sc.hedu!e 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 Sc.hedu!e 8 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 person~ 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 by decedent, together with the fairly estimated market value thereof; all bonds and mortgae;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 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. 69-036 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 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, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to take effect in 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 intlividually, 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 all· minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, andthe 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 decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and unpaid at time of ~ . death; taxes accrued charge.able for period prior to decedent's death (except. those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that the fiduciary will present 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", "C", "E", and "F" as directed therein,. have been carried forward and properly registered in the Summary. ~~~n~ Subscribed and sworn to before me this ... ~~ ........... . ................ ,.~~ ................. day of ......... ~ ................... 19 ... ~.~ .... . ............. , ........ ~ .... 9.f.J ..... ~, .. MARIEM M. NEll, Notary Publie CALIFORNIA, WASHINGTON CO., PA. My Commission .expires July 14, 1973 ~~~~fL ------- 304 Fallowfield Avenue •••••••••••••••••••••••o••••••••••••••••••••••••••••••••••••••-•••••••••••••••••••••••••••••••••••••••••••••••••••••••-••vonoM .. o• (Street Number) ...C.haxl~.r..o.i.~ .... P.~nnsylvani.a ......................................... . (City or Town and State) NOTE: Before ~-igning 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, .l -------------------------------------------------------------------------------------------- RCC-::l:Ja-RI .I COW,IONWEAL'fH O.F PENNSYLVANIA TrtANf::FER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY :leal property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of decedent. Where property held as joint tenant or tenancy by entireties, 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 refer- ence to the record of th~ conveyance by which the decedent took title; if a farm state number of acres; also statement of mortgage encumbrances upon each parcel at death of decedent. Taxes, assess-ments, accrued interest on mortgages, etc., are to be listed on Schedule "F",and must not be deducted from this schedule. The western portion of Lot No. 174, in the General Plan of the Borough of California, Washington County, Pennsylvania, upon which said parcel is erected a two-story frame dwelling. For chain of title see Deed Book Volume 693, ·Pag 407. __.I I v / / Insert this total opposite "real property", Schedule "A", in the "As Reported" column on the last page of this return (1) (2) (3) DEPARTMENT ASSESSED VALUE VALUATION FOR YEAROF ESTIMATED CAUTION DECEDENT'S MARKET VALUE (Do not write DEATH in this space) X X X X X 13,350.00 ... ·.· r/, Rf!C -33b -'RI COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY Unit Cuh in hand, Cash on deposit, Bonds and Mortgages, any interest in a Copartnership or Unincor- porated Business, Judgments, Royalties, Rights, Shares in Trust Funds, Leaseholds, Pensions, Promis- eory Notes, Claims, Insurance payable to Estate of Decedent; Annuity and Endowment Contracts; Corporate Bonds and Stocks, with Accrued Interest and Dividends Declared and Unpaid to Date of Death, Accounts Receivable, Jewelry, Wearing Apparel, Silverware, Houoehold Goods, Automobiles and All Other Personal Property of Every Nature Wherever Situate. (Property held jointly by decedent and another must be listed showing names and addresses of ·other Joint Owners and their relationship to decedent.) Values NONE fEx•·C!UliJf·Adminh;trat.JJr mw;t lt,t.al '1Eklimat•·d '\f<ukt·t \'alw·" <:qJumu ~o. 1 aud c:arry tot~l tq c·t,)umn ;\t,. 1 in "Summary" IJH r .. ,..,.r~o;,. t-~id~> <Jf ~·h~dulf~ U.) (1) (2) DEPARTMENT ESTIMATED VALUATION MARKET VALUE AT CAUTION DATE OF DEATH (Do not write in this space) Note: This schedule must list all intangible personal property such as, cash in bank, bonds and mortgages, promissory notes, claims, insur- ance, corporate bonds and stocks, accounts receivable, interest in partnership, etc., even though physically located outside the Common- wealth at the time of death. As to tangible personal property (e.g., jewelry, wearing apparel, silverware, household goods, books, paintings, automobiles, boats, etc.) state where it was actually located on the day of the decedent's death. Tangible personal property which is definite- ly established to have been physically situated outside this Commonwealth other than for a temporary purpose, is not subject to ta.x in this Commonwealth. In the absence of a specific declaration as to actual situs, said property will be presumed to have been physically present within this Commonwealth at the time of death. !'ll\!\lll\ 1:-:\T:l'I! UF l'E~\TSYL\"A~I.\ TILL'\Sl•'FR INHElUTA.~CE TAX 1\ES IIW\T 11FC'F1W\'T SCHEDULE "C" T 11.AN S FEnS ( 1) Did dt~cedent, within two years of death, make any transfer of any material part of his estate, without recei \' ine; a v ctluabl e and adequate consider11 tion therefor? (Answer yes or no) no (:.!) Did <i;,ce•lent, within two years of death, transfer property from himself to himself and another or !•thet·s (including a spouse) in joint ownership? (Answer yes or no) no (3) If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer ------ (b) State of decedent's health at time of making the transfer. (Note 1), (c) Cause of decedent's death. (Note 1), (4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no) 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) _____ __ (b) What was the transferee's age at time of decedent's death?------- (5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact enrl before his death: (a) The possession or en,joyment 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) _____ _ (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 co11ld revert to decedent under terms of transfer or by operation of law? (Answer yes or no) __ ~n~o~------ (9) If the answer to (8) above is in the <;tffirmative, 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 hy the attewling 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 anrf to whom transferre<i, with relationship of transferees to decedent, if any. Submit copy of any trust <ieed 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 LJESCRIPTION NONE Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MAIUCET VALUE (Estimated) DEPT. VALUATION (Dept. Only) t- • ~ • RCC-38 CCMM0N\'VE,\LTH l)F PENNSYLVANIJ\ THAl\'SrElt TKHElU Ti\NCE TAX rtFSinE~T nECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY ----------------------------------------DSTRlTTIOSS: This schedule must disclose all property, real aml personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated tmder Schedule ".-\", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to the decedent. ==================================~====~===-Description of Property, Date of Acquisition, Name I Unit Address and Relationship of Co-Owners, and Place i Value of Recore! of Instrument, where Real Estate._ l _ percentage Share REPORTED FOR INHERITANCE PURPOSE~~ ONL~: Checking account, Western Pennsylvania 1 National Bank, California, Office, Bertha W. Childs, Alberta Wright and Helen E. Koerner ~ ~ opiZN€ t> ? ""V.)/ ~ fJ§.J (' Bonds, issued to Bertha W. Childs, Helen E. Koerner and Alberta B. Wright 3, 730. 72 Total 4,485.10 One-third (share of decedent) taxable Estate Valuation 1,495.00 Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. DEPARTt~NT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest - -.Q . c.c RC'C.-3~d.-RI . ,C'DMMONWEALTH OF PENNSYYLANIA , t--TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses of all who ( h ave an interest, vested, contingent or other- wise, in estate) Alberta B. Wright Scottwind Terrace, R. D •. #1 Harmony, Pennsylvania Helen E. Koerner 304 Fallowfield Avenue Charleroi, Pennsylvania Floyd E. Childs 15505 Hartwell Avenue Detroit Michie-an William W. Childs 1000 Cross Street California, Pennsylvania SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or illegitimate children DECEDENT are involved, set STATE YES forth .this fact.) OR NO daughter yes daughter yes son yes son yes ·-- DATE INTEREST OF OF BENEFICIARY IN ESTATE BIRTH special bequest and 1 I 4th residue 1 I 4th residue 1 I 4th residue 1 I 4th residue Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE N_ONE Will Administration ! No. Year ........... . P.-1 THE ~lATTER OF THE APPRAISEMENT OF THE ESTATE OF .. BERTHA.W .... CHILDS . Deceased Late of .. California County of Washington Commonwealth of Pennsylvania REPORT AND APPRAISAL OLIVER N. HORMELL Attorney at Law 423 Third Street California, Pennsylvania 15419 (Executor-Administrator must complete "As Reported" column #1.) C) : ...., '"'d ~ ., . : 1:-.j ., ('!> ('!> 0 :o ll> ;;l ll> "' : ...... :::1 0 ..... "' : ...... : i:j ~ :::1 ...., : i:j : c+ ('!> ll> '"'d ll> 'i:>':f-';;~ ..... a X : ('() :'-<! '"'d '0 ~ .., '0: ., ~ ........... : : 0 ~ ('!> p;-:~: "g t%j i:j:i:j: :4. ~ ():C'D: '< ll> : ('() : 0.. rt : :~ :'lj : . IJ : s:: :.., ,.., :o :'lj :'"d :o :ro : (/J :.., : ('() :c+ :rn ~ :o ,_ :i:j :::0 : f-' : ('() >:...::::~ :-:o :::i :ro :o.. . en :....., : c: :o E!:: :.., E!:: > . ~ ·..-... ...-...... ...-..... ...-...... ....c: :w W en en :() ::r g. g. . :::::>' • • • ~·-c.i cj > :~ ._; : : ~-0~-(1)-(1)~ ::; : :~: :~-;: "'-"" . ~ en :co :~ : 'v.:> ~ \j::>. :co . :C}l ('!) - :C}l :C}l :0 "0 -:4! :. :. o-:o :o ·o ~ :o :o :o ~ ~~-~-~ "-....: K· ~ ~~ ~i:j ~: :\ : (t ~: ~ ~--· !1: t-o :~ ~"-3 : .. :<:) -· :o: 0, a 8_ II (): () :o- II / " ---------------------------------------------------------------------------------- Form R't: C·l.O DEDUCTIONS ALLOWED IN / OFFICE OF TME REGISTER OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS '"' "" 0' ' 3/rA'~) 0~~~7; OF---------COUNTY AND AGENT OF THE COMMONWEALTH Register of Wills, Ageol 0..,... ESTATE oF _.=B::....:e::....:rt:....:..:h.;;.:a:::._W:....:....:•___:C::.;h:...:l:...:.l:...:d.:..:s:c....... _____ L.ATE oF _C_a_l_if_o_r_n __ ia~, _P __ e_n_n_s-"y"-l_v_a __ n_ia _______ _ DATE U:169 May 2 Mav 2 May 2 May 1< May 1! May 1< May 1< May 21 June 4 June 1 ~ August 4 August 4 August 4 DATE OF FILING APPRAISEMENT October 20,1969 March 13, 1969 OATS: OF DEATH -------=------------- NO. OF VOUCH£~ NAME OF PAYEE REMARKS Washington County Reports advertising letters Robert L. Patterson anesthesi-ologist Dr. C. Ramaswamy medical services Russell Marino, Reg. of Wills letters testamentary Guy Rogers witness services Allegheny General Hospital medical services Caleffie and Greenlief funeral services Quinet Monument Company gravestone lettering Malcolm M. Morgan, Treas. 1969 County taxes Brownsville Telegraph estate advertising Constantine G. Kyreages, M.D. medical services Alberta Frishkorn nursing services Barbara DeiCas _pursing services ~-----------------------------+------~-- Sept en ber 10, ~~ October 20 Russell Marino, Reg. of Wills filing inventory Decemjber 2~ Helen E. Koerner executrix fees Decemlber 2~ Alberta B. Wright executrix fees QP.r..P...mlher 2~ Oliver N. Hormell attorney fees ... ~ ~ Januarty 16 Wash. County Bar Assn. estate fee ----------t--··------··-·---------+---____;1--- ----+---+----+---------------L--------··· . .:... -------·-·--·--+---+-- ~ V I ... COMMONWEALTH OF PENNSYLVANIA } couNTY OF Wshington ss: 1, Helen E. Koerner and Alberta B. Wright, HEREBY CERTIFY. THAT. TO THE BEeT OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPEN!IDJ OF AoMINISTRAnoN suBMITTED To THE ESTATE oF Bertha W. Child::;;,s=-----------DEcJ£Aes:o. As DEDucTioNs FoR INHERITANCE TAX PURPOSES. SWORN AND SUBSCRIBED IIEFORE ME THI'5 16th Janu~ 70 9'24i<;t1 J qr; 11£(__?. 1 e __ ·--- MARIEM M. NEIL, NotJry Puhlic CALIFORNIA, WASHINGTON CO., PA. )AY Commission expires July 14, 1973 69-036 DAY~--~~·-~~:-~.) .-' , Fo·· r1t .. .:. '7 0 JP.H Z 6 M1 I I 13 REGISTER OF WILLS WASHiNGTON CO .• PA •. t' R C C-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Hl!LEN E. KOERNER & ALBERTA B. WRIGHT (Executor ~ IN YOUR REPLY PLEA8E REP'I:R TO 37-214-2 In Re: Estate of ___ ---.:B=ER=T:=.:HA~:.:.W..:..• _C:::H:.:.:llD=:..=S:__ _____ _ _____ :.:.WA:::S::.:HI=-=.N::.::G~T-=00~----County -File No. 63-69-538 You are hereby notified that the original appraisement in the estate of Bertba W, Childs has been filed in the office of the Register of Wills qf Washingtcn County on October 29 , 19..2.2. Said appraisement reflects the following valuations: Jt. Held Real Estate _____ 1:!!:,3.£J,r....3o<:..oo5~0::..!:.-=0~0--- ~ ---=1 ...... =49'""5:..:...o.;:;..;o;;.__ __ Transfers __________ ~~~~~------ Total ----------=14:!:.,Z-8::.:4~5:....:•:...:o:...:o __ _ As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after one year from date of death, interest at the rate of six (6%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date ___ ~O~ct~o~b~e~r-=2~9~1 ~1~9~6~9 ____ _ Title W. R. CHANE.'Y , CHI ' APPRAISER DATE OF DEATH: March 13, 1969 Note: This is not a bill. RCC-39 (!1-88) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of CHILDS, (Last Name) BERTHA (First Name) w. (Initial) SUMMARY DATE OF DEATH-..:3:_-.:::.1:::...3-_6:....:9 __ FILE NO. REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington 63-69-538 Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E". Dated: ---=:1~0---==-29=----=6;..,;9=------ 03-13-69 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for County, Pennsylvania, do respect- fully report that I have allowed deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated:------------- REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED 00 Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) $ J.·-s. "'S')U uu 13.:350 $ $ ____________ ~--- Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or l.A.95 00 14,811.5 00 annuities................... $--~----4-- ESTATE TAX ASSESSMENTS $ _____ .~.-..-_ 1.495 00 14,845 00 FOR USE OF REGISTER ONLY COMPUTATION OF TAX $ ____________ -4---- $ ____________ -4----Tax on$ 2% Tax on $-----------4---@ Tax on$ 5% $--------4--- nxoo$ lK $ ____________ -4---- Tax on$ 15% $ ____________ -4---- Exemptions * Total Estate ----------1--- TOTAL TAX $------------~---- Less tax previously paid BALANCE Less 5% of tax if paid within 3 months after death $======'=====- BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% from -----to ------- $ ______ -4--- $====~== AMOUNT OF ESTATE TAX ASSESSED $~------+-- Estate tax paid $~ ____ __J __ (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE DUE $ _________ __J __ __ Add interest at rate of 6% from ----------~10------$-------------4---- 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 ( No. IN THE Year .......... .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF . BERTHA .. W •.. ClULDS .. Deceased Late of. CALIFORNIA County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ~.,. ..:_~ .... ·. -;·~·-~ Fonn RCC-2 DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ............... Q.gt.~~·~tir-~tofl·92.9 ................ . COUNTY ..................... ~ ............... . FILE NO .............. §.?.:..?9..:?.~.? ........................................... .. Whereas, ...................................... B..~rtha .... W. ....... C.hU<i..~ ....................................................... late of ........................................ 9.~-g-~:r.P.:?::~ ................................... . in the County of ................................................. Wg,§b.i.ngt.Q.P. ..................................................... Commonwealth of Pennsylvania, having died on the ........................................... l.J. .... t.b .................................... day of ........................ ~.~-~.. ...... ......................... 19.A?. ... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ................................. W..~.R .. ~ ..... Q.b~ .. ey ............................................................... , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance taxes at the lawful collateral rate on any such future interest. Unit Appraisement Description of Asset Value& Made for Inheritance Tax Purpo1e1 $ REALTY: The western portion of Lot no. 174, in the General Plan of the Borough of Califonira, Washington County, Pennsylvania, upon which said parcel is erected a Two story frame dwelling. For chain of title see Deed Book Volume 693, page 407. 13,350 00 JT. HELD: See of Scheduel "E" attached to appraisement 1,495 00 copy ~~ .!.LI-,O'f.~ vv Total lll7.~JlaiX: CJUJI form~;V:fhb~: ::~~~w~ ~~in~l·~: ~.~ o~·~·;;;~~~~~;;•;".~·~~~~~~~~ii~~~: ppra ser ;EJ ..... _:!.;;.~~:.· ... ··: ........... ......................................................................................... If umber and Street) .... ..................................................................... , Penna . (Polt Ofllee) _, ! I H H ....... H ...... WASHIID'l'ON.. ....... . .................. County =====¥=~ ~ ., -.E: o·· .. I '-. ... . .. ~ RESIDENT INHERITANCE TAX APPRAISEMENT f7o 11nR : :1 ~~!! g 43 Estate of BERTHA W. CHILDS RUSSELL :.:M::INO REGIS -r--, c"· \11 1' LS Deceased. 1 t n J r ' L Late of WASHINGTON CO .• P~. CALIFORNIA Date of Death, ........ ~~.C:.h.),.J. .. '-... .. 1.:9.~9. ..................... . A ppraisem e I! t Doc kef Vol., ····H···H·····H.37 ........ H.HH .. H ....... .. Page, ....... ?.J.A::?. ................... No ... :§.?..~~.9.::~?..13. ............ . Filed in Register's Office, 9.<::~<:>~ .. ~ ..... ?.9.~ .. 19.§9. .. Amount of tax due $ J .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal ft'om Appraisement, Entered and charged, ,t"