HomeMy WebLinkAboutOC1969-0555 - ESTATE OF DOUTRELAST WILL AND TESTAMENT
I,EMILIA DOUTRE,also known as EMILIA M.DQUTRE,of the
Borough of Canonsburg,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 former Wills or Codicils by me at any time heretofore made.
FIRST:I dire ct and order that all my just debts and funeral
expense s shall by my Executor hereinafter named,be paid out of my estate
as soon after my decease as shall by him be found convenient.
SECOND:I give,devise "and bequeath all of my property,real
and per sonal,wherever situated,and whether acquired before or after the
execution of this Will to my husband,Felix Doutre,also known as Felix C.
Doutre,.in fee simple,as his own absolutely;provided,however,that if
my said husband,Felix Doutre,also known as Felix C.Doutre,fails to
.survive me or perishes in a common disaster with me,then in either event,
I give,devise and bequeath all of my property,real and personal,and
wheresoever situate to my children,George Doutre and Madeline Myers,
equally share and share alike:Should either of my children die in my life-
time,then I hequeath their respective share to his or her child or children
living at illy decease,and if illore than one,in equal shares to each of theill.
THIRD:I hereby name illy husband,Felix Doutre,also known as
Felif{C.Doutre,as Executor of this Will,and if he should die,resign,
be disqualified,or unable or unwilling to act as such,then I nOillinate,
Louis Bernard,~o be Executor of t[lis Will in his place ana~Ye-a:d-:
IN WITNESS WHEREOF,I have set m.y hand and seal this 14th
:.
day of April ,1965.
..
j'.,
Signed,sealed,published anddec1ared by Emilia Doutre,also
known as Emilia M.Doutre,the above named Testatrix,as and for her
Last Will and Testament,in the presence of us,who,at her request,and
in her presence and in the presence of each other,have hereunto subscribed
\1 our names as attesting witnesses this 14th day of April ,1965.
Form RCC-33-Rl
RESIDENT DECEDENT
•
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF WASHINGTON
J
IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the'
Register of Wills of the County where decedent 'resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
"thelnheritance,an!iEst,ateTax Act of 19pL)
IN THE MATTER OF THE'ESTATE OF }
EMILIA OOUTRE,a/k/a EMILIA M.DOUTRE AFFiDAVIT OF.,,',..,·,·,·,··..·..·'.."·i·s:t~t~·'f~ll ..~;;;~..·~i·d;;;;~~~t')·..· · ·,···..··..'e·tc..;..;··EXECUTOR
Late of ,,,,.,~9N~,~:t!R.G.,,..,,..,"',.,.,.,",'County ~~
:~:t:0'-=::~=~::::::::_-J'"
FELIX DOUTRE,a/k/a FELIX C.DOUTRE ......·Executor
,
AP.~~l~th).~~;'i ...19(~~).,,{~~~eaVing II last will,copy of which is hereto attached.}Decedent dJed
of the estate of the above-named decedent being duly sworn.depose and say
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
",."..GE::!9.~g~J..M9g~~k.,li:!~q,,,"
..2~.,N.9~th Ce:p,tJ;;Cl,1~y~n~e,GCl,n911::;J::>\.l:rg,J?Cl,~,~:5.J.J,7 ......
ExecutorThatassuch deponent is familiar with the affairs of said estate and the property con-(Ex",,"tor'K~~)
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:-NONE.
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 NAM~S 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 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 ~e,a:t1\,'name of mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth in the columns provided therefore the asse~5ed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.
.......J.iJIIJI,/.
That Schedule B attached hereto and made part hereof sets forth fully and in detail,'all personaI'd.
property wheresover sijtuated owned by the decedent at the time of death;all moneys left b!~~il~::d~:se-a~t(;·:.,.
at the time of death,whether in decedent's immediate possession,standing to decedent'sjc!~aitin_b~nks.~~~
of deposit,savings banks,trust coJiIpanies,or other institutions,whether individually,,:or.in trits't-r~f:.".'
--"..;~~--.-..any other person or persons giving also separately the accrued interest thereon,if any,~down to tHe ~ast
-:........_~Iinterestdaypriortodecedent'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 ·~g;e~~¢nt..t~~y
•'#11 .........-..are designated as tax free,of the United States,or any state,or political subdivision thereof,~~,of
any foreign country,whi'ch'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 mortgs(!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
proc~e~s of which were payabl~upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
value thereof at such time.
dJ\In,~.......",.,~,,~!.J.I.2.1ci!.Y.:1.e.-~, .
(ExeC'Utor.~
........§.Q.~~.~.~.~E.y ,~y.~n~~, , .
(Street Number)
.......~.~?~..~?~~.~.L ....~.~.~~.~.y..~.Y.?~,;i..?......!..?..JJ.7
(City or Town and State)
."..
Ip th~c~se qf 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 tn .itemlzeQ.form,together with the fair market value
thereof,any other property owned or bequeathed by th~~ecedent at the time of'de~th.'.
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 individually,or jointly with another,or any power of appoint-
ment vested in decedent,either ind;l.viduaqy or jointly,by t~e Will,deed,or other instrument of another,
with a copy of the instrument creating such power attach~d 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 behal f 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 Ilnpaid at time of
death;taxes accru~d charge.able for period prior to decedent's death (except.those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein,.
have been,carried forward and properly registered in the Summary.
.GEORGE 1
Canonsb •Washington Co.,Pe.
~J Cl)!ri7:s:;:Oi!a~,ires MIIY 14 jQl~NOTE:Before signing arria~~l~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 (f-54)
c;OMMONWE·ALTH OF PENNSYLVANIA
DEPARTMENT OF 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 liE".Property h('ld by
thede.cedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commo!"wealth of Pennsylvania should be (1)(2)(3)I
described by lot and block number,street and street number,together with DI;PARTMENTageneraldescriptionoftheproperty,with a reference to the record of the ASSESSED VALUE VALUATION
conveyance by which the decedent took title;if a farm state number of a-FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this space)to be listed on Schedule "F"and must not be deducted from this schedule.
N 0 N E •
I
(
,
Insert this total opposite "real property",Schedule "A"in the X X X X X
liAs Reported"column on the last page of this return.
RCO-35
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "n"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individual~y
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household
goods,and fUrnishings,books,paintings,automobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,
"stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the time of death,should be listed in this schedule.
Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No.List and describe fUlly VALUE MARKET VALUE (Do not write in
this space)
(SEE ATTACHED SCHEDULE)cJi;J 93.t1S ~Jj .£73·'<S
,
Insert this total opposite "Personal Property",Schedule "B"in X X
the "As Reported"column on the last page of this return.
RCC-3&
COMMON1.\'EALTH OF PENNSYLVANIA
TfuiNSFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDULE "c"
TR.ANSFERS
(1)Did decedent,within two years of death,make any transfer of any material part of his estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)_
(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)_
(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)_
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decedent's death?__
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or 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 0 thers --,--_
(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)__
(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 c01lld revert to decedent under terms
of transfer or by operation of law?(Answer yes or 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
NON E.
MARKET VALUE
(Es timated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
,RCC-SI3
,-------
I
I
I
CCMMONWE/\LTH OF PENNSYLVANIA
THANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRrCTIOKS:This schedule must disclose all property,real and personal,owned by the decedent jointly
wi th another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated 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",plus date of acquisition,and the name,address and relationship (if any)of co-~wners to
the decedent.---,,---
Description of Property,Date of Acquisition,Name I -
unit percentage Estate DEPARTMENT VALUATION
Address and Relationship of Co-Owners,and Place I Value Share Valuation CAUTION-Do not Write
of Record of Instrument,where Rea!Estate.!In This Space.
Value of Value of
Entire Decedent's
Property Interest
.
NON E.
I
I i
I
I
I III
I I
I
I III
I I
I I
II
I I
II ,
Insert this total opposite "Jointly Owned Property",Schedule "E"Iinthe"As Reported"column on the last page of this return.-
-_.',_..:;-.-.-.-------------------------------------------------,
flCC-37 (12-63)
'.I ••
C(.):\I:\1l'~WE:\I.TlI OF l'E7'\~SYYl.:\NIA
TRANSFER lC\:lIEHITAC\:CE TAX
RESIDENT D~XEm:NT
SCHEDULE "D"
BENEFICIARIES
I~
-
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
Felix Doutre,a/k/a
Felix C.Doutre,Husband vyer
100%Yes 21 years
(Sole legatee and devisee)
608 McNary Avenue
Canonsburg,Pennsylvania 1 ~317
-.
-
~.
~
;-
.--
,
Deponent fUrther says that all the above-named beneficiaries are living at this time except below:
NAME
NONE.
DATE OF DEATH RESIDENCE
(Executor-Administrator
must complete "As
Reported"column #1.)
Will l T tP g -6~''-J-~KX~No Y ar .
P."THE
.\IATTER OF THE APPRAISE}.,IENT
OF THE
ESTATE~OF-
..
~MILIA'DOUTRE,a/k/a EMILIA M.
OOUTRE,a/k/a MRS.EMILIA DOUTRE,
.a/k/a .AMELIA .DQUTRE,..
Deceased
Late of J3QRQVGIi 9l?<;~<:>:r:;J~~lJ.R:<.3,.
~,
(')...oVlVl...,
Il>XIl>0"'ib
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Vl 0>+>:::3 '"d(l)Il>...
...-0Vl'0'"d (l).......g ~
ct>::+'<.,
.",
George J.Modrak
Attorney at Law
canonsburg,Pennsylvania
Commonwealth of Pennsvlvaniar·:iO -..._',.,.~.,~---:..~,~
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Form RC C,lO-Rt
J
DEDUCTIONS ALLOWED IN
•""t."";!.{{,,f.-I
.""./:.2....f.:"~".t,,.
THE SUM OF ..•........•
DATE APPROVED •••..•••
~~~ReliittWOfWills,Age~t
Canonsburg
u'
STATEMENT OF DEBTS
AND DEDUCTIONS
OFFIC;OF THE
RI£GIIITER OF Wll.Lll
OF ...;...COUNTY
OF THIl:COMMONWIOALTH
DATE OF FILING APPRAISEMENT __~/_--::.:~~Q,I.----.;;t~t__DATE OF DEATH __-..:A:.:.p=r..::i:.:l=--=1.::::9.....:--:1~9='..::::6:..::9:..-_
i
I NO.OF NAME OF PAYEE REMARKS AMOUNTDATEVOUCH"1It
Russell Marino Letters.-.•16 50
;.;r -v:~v_
Russe"............"?-'T"-::a 0,O
Yoney Funeral Horne Funeral service 1.143 50
I Gavdos Monument Monument 445 00
,st.Patrick Church Church service ]C;00
st.Patrick Church opening &closing grave 150 00
George J.Modrak Atty.Fee &Cqmm.1.446 63
I ~ion .,..(fJ'A PI An)Felix Doutre,family exemp 1.000 00
I ,
Affidavits -'.-,'"3 .00
-
!~_,_~~..._e...-..._,
--t.,,_·..
I
I
TOTAL $4,222.63
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Washington
I,FELIX DOUTRE HEREBY CERTIFY.THAT.TO THE BEaT OF
MY kNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES 01"
ADMINISTRATION SUBMITTED TO THE ESTATE OF EMILIA DOUTRE a/k/a EMILIA M.DECU.SED.AS DEDUCTIONS FOR
DOUTRE,etc.rfc-~~'INHERITANCE TAX PURPOSES.I~')O ..-f-
!JIptt1/Le--(L.6.)
_'="'::::':::'-=-_DAY OF
;1t RG.•MODRAK,Notary PUblicrtanasburg,Washington Co.,Pa.
~Commi~ion .ExQires Ma~14~lJJ.1t
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RCC-8\(2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
FELIX DOUTRE
IN YOUR REP~Y P~EA.E
REP'l:R TO
37-219-6
J
In Re:Estate of ~E;:.:l\1;.:;IL=IA..:..'..:D:..;:O;.:U.::T::.;:.RE;:::."_
WASHINGTON 63 69 555______.;...-~~.;.;..;;.;.County -File No.--
Dear ~~.Doutre:
You are hereby notified that the original
appraisement in the estate of E'I'ti1ia Doutre .
has been filed in the office of the Register of Wills qf Washington
County on January 28 ,19-29.Said appraisement reflects the
following valuations:
Re al Est ate _--'--."...,..-=".-,.,..",.--_
Personal Property __~~~8~,_2~9~3~._2~5 _
Transfers ...,.-__---
Total '--__....-..::::2~8;.L,2:::.9L.o3.:.:.~2~5 _
As to such tax that is paid within three months·from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains 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 ~J~a:!.!n~u~ary:..x......:2~8~'e-..:!:1",,-9J..70:::::....---_
DATE OF DEATH:April 29,1969
Note:This is not a bill.
..,C_C-39 (S-~8)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of DOUTRE,
(Last Name)
EMILIA
(First Name)
DATE OF DEATH 4-29-69__FILE NO.63-69-555
(Initial)
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
Pennsylvania,do respectfully report that 1 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:0-="1=----'-:2:.:::8_-7-;-:0=--_
04-29-69 G.)12 ~J!J e-..7n /(JINHERINeE~APPRAISER cI
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 gr or lesser amount represents the sum
allowed as a deduction.~~
Dated:~01-28-70
REGISTER OF WILLS
VALUE AS REAPPRAISED
·=t=28,293 25
28,293 25
4,222 63
24,070 62
$
28.29i 25
28.293 25
L..222 63
24,070 62
VALUE AS REPORTED VALUE AS APPRAISED
$
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 -4=
FOR USE OF REGISTER ONLY
Tax on $-------;:::-~=;d_,r_;::_-J!.
Tax on $24.070 62 ~
Tax on $5%
Thxoo$1~
Tax on $15%
Exemptions '"
Total Estate -+-__
TOTAL TAX
COMPUTATION OF TAX
$-----..--.-,...,-f-,-",--
$1..:..,4~444-...:...~4_
$--------+--
$-------~
$--------1--
$---'L...-_
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%fro~
_____to $-------1
AMOUNT OF ESTATE TAX ASSESSED $----~L-
Estate tax paid $---Jl-
BALANCE DUE $----~I ____
Add interest at rate of 6%from t=
------Ito-----$-----~,
TOTAL TAX BALANCE $----~PAID $....J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration !No.
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
EivIILIA DOUTRE..............................-...
Deceased
..
Late of .
County of
...GANON$.I3lJl1..G...
WA.$rU:NGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
"I,
f
Fonn RCC-2
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS...
HARRISBURG.PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TA~
APPRAISEMENT
DATE ~.~P.:),:l.9:r.Y ??J.J.:.97.Q .
r COUNTY W.~e.h~ngt..9..:D.:.
FILE NO..9.3..:::.9..9.::::.2.5..2 .
Whereas,~lJ.9.:p..9.).lt.r..~late of G.C3:P.:9n.s..9.~Fg .
in the County of v.v.IiL,.!?.h.~~g~9.~Commonwealth of Pennsylvania,having died on
the Z..9 ..t.b.day of APr.~J 19.§9...,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.w.~.~.~9h9P..~y ,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit AppraisementDescription01AssetValuesMadeforInheritance
Tax Purposes
$
.-
PERSONALTY:
Bee COpy of inventory attached to a ppraisement 28,293 25
-
Total 28,293 25
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con-
formity with law on this ...............................................................day of ...............................................................................................................................................19..............
....................................................................................................................................................................
Appraiser
..................................................................................................................................................................
(Number and Street)
........................................................................................................................................,Penna.
(Post Offiee)
............................WASH.ING:1'QN .County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
EMILIA DOUTRE
Deceased.
Late of
CANONSBURG
Date of Death,.:A.-.Pr.J.:A.:?9.,...:L..9.§..9..
Appraisement Docket Vol.,-37...
Page,?J:..9::9.N o §~~..9.9..':::2.?.2 .
Filed in Register's Office,.~c9.-p.Y.,~y ?.~.19..7.9..
Amount of tar due,$..
DEPARTMENT OF REVENUE
Received,
Eramined and Approved,.
Wrote ab(),ut Appra.isement,
Appeal f1'om Appraisement,..
Entered and charged,.
~
i'
~
94/100and dollars-----~--_.
$--------$--------1
$__2_4"""",--0_70_._.6_2_$,__1--..!,~4_44_._2_4__1II1
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
2%Tax on
6%Tax on
RECEIVED TWO HUNDRED FORTY....NINa
Fllex »outre.bel'.
From:e 0 ATn.GEORGE J.MODRAK
Address~22~~N~.~C:.=::E:=..:NT~.::.:::RA=L=-=A=-VBN:..::.=.:....::U=-E ----i
CANONSBURG.PENNSYLVANIA 15317
File No.63-69-555 Date of Death__4~-..;:2..;:9_-_6,-9'----i 15%Tax on $----:_$1111
$,---------Ifli
Date of p.ay me nt __J::...a~==n:=c\l::::a~----=:..:::....lI,---=1::..:9:.....:7:.....:0:'--__-l
Name of Decedent _-=E==M.=I=.=L::.;I::.;A:.::..""""'D=-Q=-U=-T.::;.:RI:.....:""'---------I
%Tax on $$----------11ll1
Estate Tax,Act of
May 7,1927
$--------IWI
County W~A~·~SH=I==N~O::...=T::...::O=N:.---;
Remarks:
TOTAL TAX CREDIT $1,444.24
Less five percentum of tax if Prev.Pd'.-'-.-...1,...;:.:....1"""9"'"4-r-•...,,3MlO..-----JUI
paid within three months after 249.94
date of death
Plus interest at the rate of
__%from _
to _$'------11111
SEA L TOTAL AMOUNT PAID 249.94 I,(".--.,'l1 $'===============II~ijl
NOTE:.This T~iplicote Receipt to be retained lor audit3'7':"2l9_6 ~;/)'IJ'(."1
Received by 'J YZ-O..,()..t-X-......./.!,.clj2..'~/~'I""'O
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the life,/-').(Signature)0 ~,.I
tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shal!,".-j-;-j "I J 11
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the\._)·~J..a/~:....t/;".-JCi (.L.JG,
life te.nant 0.'tenant lor years whenever it appears that such additional tax may be legally due and (\(Ti~r~)
collectible for any reason whatsoever.._)V'