The URL can be used to link to this page

Home My WebLink AboutOC1969-0598 - ESTATE OF JENKINS... RCC-BI (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT IN YOUR REPLY PLEA.E REP'ER TO 37-220-3 J HENRY W.JENKINS Informant In Re:Est ate of NE:...:...T;;.;T;;.;IE_·.;...R_,;_J.;...EN_-·_K_I_N_S _ ______W,:.::AS=:.:..:H=H:=...::GT:.::O:::N----County -File No.63~69-598 DearMr.Jenkins: You are hereby notified that the original appraisement in the estate of Nettie R.Jenkins has been filed in the office of the Register of Wills qf Washington County on May 16 ,19-22.Said appraisement reflects the following valuations: Real Estate _--'-_ Personal Property_~~~~~---__ Transfers ...::!12~.~6~O~6~.3~5---- Tota1 ~1201o6.,,1_l6~O''lo6L1.'-'3u5~--- 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 Ma::.=:JY!........=1:..:::6,L.'-=1~9:..:6-:..9 _si~ne~~~~~~ Title W.R.CHANEY J CHI APPRAISER DATE OF DEATH:February 2,1969 Note:This is not a bill. ". .-,.... ESTATE OF NETTIE R.JENKINS,DECEASED DATE OF DEATH:February 6,1969 Gross Estate $12,606.35 Allowable Debts and Deductions 3,549.00 BALANCE - - - - - - - - - - - - - - - - - - - - - - - - - - - - -$9 , 0 5 7 . 3 5 Inheritance Tax at 6~o $543.44 ~71~~ Get:..5tf3.if 4('(1I..3,JfdJ l3-1"f-sIt RCC'39 (5-681 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of JENKINS,NETTIE R. (Last Name)(First Name)(Initial) DATE OF DEATH 2-2-69 FILE NO.63-69-598 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 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:0"'-'5"---"'1~6.;;.;-6~9"___ 02-02-69 ~--e~* INHERITANCE TAX AR RAISER t:"(' REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction.()A A Dated:05-16-69 -~""=""'!'-=--===::::--:---":"~----'~"t-:-:>~----- 12 606 -~ 12.606 ,s 2,249 00 10,357 35 $ 12.606 'ql) 12 606 ~l) 2.249 00 10,357 35 VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$-------+-- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $-=-~=-==__--+:~-2% Tax on $10.357 135 @ Tax on $5% Tax on $10% Tax on $15% ~e~tioos * Total Estate ~_ -TOTAL TAX COMPUTATION OF TAX $------r=:---f....,....,,---$--..,.;6;::.::::21=-+...:::!:4:::r.4_ $------......-+-- $------......-+-- $--------~~- $----1.__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::~:=t==== BALANCE OF INHERITANCE TAX DUE $$-..IC"_-Add interest at rate of 6%from_____to _ AMOUNT OF ESTATE TAX ASSESSED $-------.11- Estate tax paid $--JL-- BALANCE DUE $---lL- Add interest at rate of 6%from ------I:to-----$------lE-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. Deceased REPORT AND APPRAISAL MATTER OF THE APPRAISEMENT " Year . WASHINGTON IN THE No. NETTIE R.JENKINS OF THE ESTATE OF Will ~ Administration ~ Late of Ft:rCIi:E.IVll,.U;. County of Commonwealth of Pennsylvania DATE ~~..~~y.~~~?? COUNTY !~.~~.~.~.~.~.~. FILE NO..§:t.§.?:.~..?.~. COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ~,.. HARRISBURG.PENNA.17127 .,'i Whereas,."..",",, ,,.~.~,~~.~,~~.~",.~.~~~~~,..,'.."late of J:t.~.~.~.~ri.~.:L..!~. in the County of ,,~~~.~.~.~~g~Commonwealth of Pennsylvania,having died on the ?~day of .f..El.l?.~~.~19.§.9.,seized and possessed of an estate subject to Inheritance Tax under the laws of ~he Commonwealth of Pennsylvania·", Therefore,I,....................................w.~.~.~......G.M:P.:El,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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpoles $ TRANSFERS: Savings Account Fayette National Bank &Trust Company of Uniontown (Now Fayette Bank &Trust Co.)in the names of Nettie R.Jenkins or Henry W.Jenkins.12,107.69 Checking Account (Fayette National Bank &Trust Co.) now Fayette Bank &Trust Co.,in the names of Nettie R.Jenkins or Henrv W.Jenkins.k.98.66 12,606.35 12,606 35 Total 12,606 35 fonn~;V;;:~hb::::1:h~Sw<>rll~cco2J9~~:~~o~e...~~~~rie~t;;~n~~ :J.r~·praiBer ~::::~·.:::(N.~.~·..~er·.·.·.~~.·.·.s.·t.·.~.·e.·.·e.·.t.·.·).···..··..······,.. ............................,Penna. (Post Ofllce) WASHINGTON County ~~" RESIDENT INHERITANCE TAX APPRAISEMENT Estate of NETTIE R.JENKINS.......................................................................... Deceased. Late of RICHEYVILlE Date of Death,X~?~.I.7 :?L..~.?§.?. Appraisemellt Docket Vol.,37 . Page,?~.~?No §?:.??::::.~.?.~ Filed in Register's Office,Ma.y J:P.,19 69. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appraisement, Appeal f"om Appraisement,. Entered and charged,. " ., \ .. ,Form RCC-33 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 Rev~nue.(Section 703 of ___th~_Inl1eritl'tnce_.an!iE~t;ate Xax A,ct of l!Hil,) .........................I.~~~!.7;;;.:~~~~..7;;~~~,~F };:::;~:OF (State fulJ name of decedent) WASHINGTON ADMINISTRATORLateof.......County crt-tltl!""e~tll~of the above-named decedent being duly sworn,depose S and say S PENNSYLVANIA::t:.:-F A YETT~.---::--:J .., HENRY W.JENKINS , ililriiiiiiStrator son (Month) Name and address of attorney or} other authorized representative to whom all correspondence should be . mailed. David E.Cohen,Esq.,................,"'-. 11'1 East Main Street,Uniontown,Pa.15401 Decedent'dJed February.......................................................6, (Day) ...,19 .....??....,f"tl!S1:lI"t'l!~l!"avmg11 "1~rt ""Ivt11.-~oT>Y llt'""ll'htch-;''!l1u!·rl!tb-''~f1ll!h'l!d•.} (Year)l intestate .. Heir and sonThatassuch deponent is familiar with the affairs of said estate a~d the property con- (Executor·Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX one .THIS SAFE DEPosiT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO_DE~EDENT . IThatthec9ntents of said safe deposit box or boxes are itemized under Schedules of this return,with the ex~Ption of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth full v and in'detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided .therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part 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 immedi~te possession,standing to decedent's credit in banks ~.~of deposit,savings banks,trust companies,or other institutions,whether individually,~r in~trust tor any other person or persons giving also \separat~l,~the accrued interest thereon,if any,do~,ito'the4;la~t interest day prior to decedent's death in the case of savings banks,and to the date of.de~edent's death."-C ...\in all other cases;all bonds,postal savings,treasury certificates or notes and other ~v!dence of~n- debtedness of the United States to the decede~t;all obligations,whether by statute or agreement~hey are designated as tax free,of the United States,or any state,or political subdivision th~reof,{o~of any foreign country,which are owned at the time of death;all wearing apparel,jewelry,·siiverwar~~pic- tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated market value thereof;all bonds and mortgages 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 thereo~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 polictes carried by decedent;all annuity and endowment contracts the proceeds 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. Subscribed and sworn to before me this .2::.f . .........................................day of ~:r.~;r 19 ~.9..~~.~..- My Commission Expires:April 7,1973 .. In the case of securiti-es 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 decedent1s 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 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 CORY of the deed,trust agreemen~or other instrument creating ·the trust.Ther,~is also set forth in said schedule a list of all property,real and personal,with its value,'which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either individually or joinqy,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,and the relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the 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 Impaid at time of ,.I (Sdeath;taxes accrued charge.able for period prior to decedent s death except.those.allowed under ection 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. ~'1l~4~~_~-:~:~:=:: (Street Number) ...............B:~.f.h.~y.y,.j..U~.J p.~.P.-.P.-..$.yl.Y;;\..p.i.;;\.. (City or Town and State) NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. RCC-34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE "BUREAlY'OF COUNTY COLLECTIONS T-RANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE IIA" -iEAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid 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 Commo!."wealth of Pennsylvania should be (1)(2)(3\ described by lot and block number,street and street number,together with DEPARTMENT a general description of the property,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 CAUTION cres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In th Is space) to be listed on Schedule "F"and must not be deducted from this schedule. NONE I Insert this total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the lost page of this return. R~C-35 CO~1MONWEALTH OF PENNSYLVANIA •TRANSFER INHERITANCE TaX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned indiVidually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".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 or 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 MARKEl'VALUE (Do not write in this space) NONE I Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. y' RCC-36 cmBfON'mALTH OF PENNSYLVANIA T1UNSFER INHERITANCE 'TAX ~~SIDENT DECEDENT SCHEDULE "c" TRANSFEIlS (1)Did decedent,within two years of death,make any transfer of any material part ~his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)es (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)Ye s (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 theref~which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)e s (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 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)_ (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)_ (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 MARKET VALUE (Estimated)DEPT.VALUATION (Dept.Only) l.Savings Account No.18717 Fayette National Bank and Trust Company of Uniontown (now Fayette Bank and Trust Company) In the name s of Nettie R.Jenkins or Henry W.Jenkins (Name of Henry W.Jenkins added June 26,1967 ) In the amount of $12,107.69 , $12,107.69 ~ t!-pt.;;'il/fAl 2.Checking Account (Fayette National Bank and Trust Company of Uniontown) Fayette Bank and Trust Company In the names of Nettie R.Jenkins or Henry W.Jenkins (Name of Henry W.Jenkins added June 26,1967)498..66.o;c c:J Pi!NJ£[) I $12,606.35 Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. RQCf-38 •COMMONWEALTH OF PENNSYLVANIA "rHANSFER INHERITANCE TAX RFSIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I~STRrCTIO~S: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 under 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-awners to the decedent. Description of Property,Date of Acquisition,Name I Unit percentage Estate Address and Relationship of Co-Owners,and Place I Value Share Valuation of Record of Instrument,where Rea~state.I NONE Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest f' I RCC-~7 (12-63) c;OMl\lON,WEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAXRE~IDENT DECEDENT SCHEDULE "0" BENEFICIARIES " BENEFICIARIES'AND ADDRESSES ,RELATIONSHIP SURVIVED DATE(If step-children or 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 ."- Henry W.Jenkins Son Yes Residue -as;oint tenant Richeyville,Pa..,. - .---". ._.- --.".-- , ." ". .'..-.--'. , ._.- ( h Deponent further says that all th~above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE :\IATTER OF THE APPRAISEMENT Will ~N Administration ~o. P.'l THE OF THE ESTATE OF Year . (Executor-Administrator must complete "As Reported"column #1.) 0 ~""d ::c "'"'(l)(l) 0 P>...,e:...'"::l en '"en 0 ~.....::l '"0(l)e:......, P>...,0en>:""d '0P>(l)0'"...,..., ~0 ~'0 tTl (l)..., '" ,....,....'<P>....(l) Deceased Late of . County of Commonwealth of Pennsylvania REPORT AND APPRAISAL enc:~::::> .-...::c.-....-...-<W en ennn?"?"?"q ~>~_..........- ~"*.f[h "*"*"* .-...>en ::c_ (l)_'g- "'....(l)c..- ~~.f[h~~~ >:r.:.oC't_ (tl'V"'-2.:l~c..# 0, DEDUCTIONS ALLOWED IN J THE SUM OF , ,$,C:::;?r:::{!~qO ",~~~~~~7 ~ ..,., STATEMENT OF DEBTS AND DEDUCTIONS ENKINS ,.OFFICE OF TME ESTATE OF l.ATE OF ~--'----- February 6,1969e,,&/0 -e.Y DATIi OF DEATH .-------_DATE OF FILING APPRAISEMENT NETTlE R. OF COUNTY AND AGENT OF TME COMMONWEALTM-:::i'~3-t/-S~~ rIForm RC C·10 DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHIOIIl , $2,04~Ira Blair &:Sons Funeral expenses 00 .....~.~., Dr.C.Ramaswamy Professional services 10(00 ~n .,.....,...-_.-. """..........0 ............., 2 00Morgantown,W.Va.Services -' Rev.D.R.Laing Funeral services 1C 00 Rev.Floyd Morasco It II l(00 Kurtz Monument Co.Lett,ering marker 2'00 ..11.T ,T.,.nldn~li'...~.;1"'1':' ,1,OM nnI......u.I ,-...- _Oauid E.Cohe~.-E A IS fee 3('11 nn'1'-_..--.. 5'Dr.R.L.Moffet Professional services 00 TOTAL..------......-~-..---.........$.....-"',.....uu c2:<J/J at> • , - : - , COMMONWEALTH Ofly~1'EANIA ~ss:COUNTY OF HJk:'Uty •JENKINS I,HEREBY CERTIFY,TMAT.TO THE Br,;ST OF MY KNOWLEDGE AND BELIEF,THE FOREGOING IS AjUSN~!i~'R.S!1efl!@ffsOF DEBTS,FIJNERAL EXPENSES AND EXPENS.ES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF --i;i~UCT'O.'~.INHERITANCE TAX PURPOSES.I 28th ~nkinS OL.5.'SWORN AND SUBSCR.ltFORE ME THIS l..n DAYor' .--~A'/J ....~II~/7/_;:_g _-''"~_~~-:;-;: ,I .......,......""7,My Commission Expires:April 1973 ...:\ <'-