HomeMy WebLinkAboutOC1969-0880 - ESTATE OF ROCHEForm RC C ·10
•OFFICE OF THE
REGISTER OF WILLS
OF _W.D..t::lar.o;S:uhI.A.1..•....n~g~tlCo~DaA-__COUNTY
AND AGENT OF THE COMMONWEALTH
STATEMENT OF DEBTS
AND DEDUCTIONS
7-~~~NS ALLOWEDIJ .,{-.17)-or~/t
THE SUM OF $...........
U -~"10......\.
ESTATE OF _..I.luo]jho.nD-...LDL.."._JiR;S;;ou;c;Jhwee-----LATE OF SmIth Frankl;n TownSh;p,Wash.Co·.Pa.
I,
DATE OF FII.ING APPRAISEMENT _.I:lAl.Ln~g,J..'\._.J.l.D8~,,..J1L.:9::r.J6u.9:L-_OATS OF DEATH _.JLJul.l.Ll~y~]L..S~,_·...Ill.,;9~61.l..::29:..--_
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH""
1969
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COMMONWEALTH OF PENNSYLVANIA }
_.~~_liI.:COUNTY OF ~ashiDgton
---......M:.IJaCPor.l....J,t.....h.ua~...Lt4·.l---lR5JoIOlot·.!IoIc""hue.......HEREBY CERTIFY.THAT.TO THE BEGT OF
MY I(NOWLe:OGE AND BELIEF.THe:FOREGOING IS A.JUST ANO TRUE STATEMENT OF DEBTS.FUNERAl.EXPENSES AND EXPENSU OP'
ADMINISTRATION SUBMITTED TO THE E5T...TE OF ,John 0 1
•Roche DECEAOED.AS DEDUCTIONS FOR
I
INHERITANCE TAX PURPOSES.
J
FORM 67
r;REV.1-50
REG.WILLS
.Application for iGrttrr.a of .Abmini.atration on thr
late of.....§.QP.:1;.h....f.!.~~~!.;,~....!!?~~P.~.P..ll ....~~~~.t.9?..'..llye:tl...,Deceased.
Before the Register of Wills of Washington County
personally appeared M9.:~.t.h~b~tl ~Q.g,h.~..
who,being duly sworn deposes and says that..~.!?~P.:Q.~g!?..sh~.
age..7.~,having h:!.§last family or principal residence at..g.lt p..tl §.l H?:•.E!:.~~:!.~!WP..f..)
(Street and Number)
.......Jt~§h;t.:gg.:!;.Q~,Washington County,Pennsylvania,died intestate
(City,Borough,Township)
at .w~~.Ri-a~.igR.,.Ji~i~i.:f;.9.:.J:.),,on the.~:?~.!hy of J..y1:y.:..
A.D.,19 6.9.,at.....,:2..:.15 ::A~~..M.,·possessed of 'personal estate to the estimated value
$..J?.,.QQ.Q:•.QQ.,and of real ~state in.the.Commonwealth of Pennsylvania to the estimated value of
$7.9,9..QQ.,situ ~~e in $..Qy1;.b.E.~g.t¥.sl~P.:1Q.Y.m§.b.i.p.W~M?.b.i..P..g:!;.QA1:gQy.n:!;.Y..,p.g.'.~.,
........J?.~;t.ng yg.g.9:P.:~!.Q:!;Q;f.g.;J;,Q~.n.g'::i..~; .
The names and addresses of the decedent's surviving spouse (if any)and other heirs including
heirs by adoption)are as follows.
REI,ATIONSHIP RESIDENCE
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..J..Qhn !.\:;tl~.:g RQg.b.g g~~.Q.n "y.y.m.a.,At..i..~9..n9.-.
.P2~.e.~.~g;.£he!'.~.J~.9..sh.~;gr:.s.on MQx:.e.hea9.,Ke.n:t:u.cky...
..RQ.b.e;r:.t Ken9.~11 R9.~.he gr.•.s.on "I ,R R Q w:a.s.b.ing.:tQP..,p.9.-.
..a.9.-x:.t:y.p.au.l RQQhe ,gx:s.on NQ~.tb.M~i.n S.:f;,..J"lg.s.hi.ng:f;.Qn~.Pa •
.................................................................................................................................................................................................................................................
............................................,:· · ·1 ·..· ·;· ·..·..·..
That deponent is.over 21 years of age,resides at...,R p.Q W.g,~hi.:n9.:!;.QA1:,\.~D:n~).5301
is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of
Administration up~n the Estate of said decedent,no letters having been previously issued thereon.
"'t'.e,.
Sworn and subscribed before me this........?:.?:::::.......~J21.~~CPq,.4..
day 0 J..Y.ly.: ,A.D.,19 Q.9..
:::::':'::::=::~.~~~.~.
REGISTER
y.m..~ri:..@..~.
..::::::::::::::::::::::"2ij:~::::::
REGISTER
day of J.ul.y.,A.D.,19 69 .
COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY,
And now JyJ.Y.::..?..~,19..69.,comes M9.-x:.:tha.L.R9.~.he .
who being duly sworn doth depose and say that..she.will well and truiy administer the goods and
chattels,rights and credits of J.ohn.D.Ro,che :,deceased,
to the best of....h~.;J;,...skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
Sworn and subscribed before me this.....::!..?..~.....
(
-:tFg5~
Jh,tI~-GY''''0 gtTO
APPLICATION FOR
Letters of Administration
ESTATE OF ,
John D.Roche,a/kia,J.D•
.RQ9..hg~.....~l.!s/f!~.....~.•....J.Q.M..:!?.•.g.Q9..he
Deceased
R $.
Letters......................................................!(f'~
,P $/<i5 .
Extra Alias $
Certificates'~~~~?,Le":?:;;;.......$.
Renunciations I '$L ~,\)'...I.:~"
...................................................:..Q.~~$"'")J./.;..~~~u
"!£:..'.............................~..:n 0")""'"...-rn..3i7···'CCY •••..:··A ..
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C::,"<:>~"'11713::~Q l:lo-'""'t.7I ...'~:E~"=x...;;=--i:q-;<::..~o
en
...Adam...L ......Sa.nde.r.s....B.~A•.F..x:anks......'
AttorneyS
,
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~:(P3~.'/37·
a8Pz
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,~...
ESTATE OF
;JoHN D.Rd~H£................................................................................................................................................................................................................................DECEASED
rfhe undersigned ~.~:.P.~.~and hei~
of ~.t:...f1.!Y..p..~ll..'!..~..'!...~..late of ~.~f.~/j~~!(!.+.//)!!.~.~.,."!!..~!:!..~.i~~Zv.~~f"\
deceased,hereby renounces !J../!.:./S rigbt to administer on .................•....•............!:f.!..r:..If _.e~'''te,•
and respectfully asks that Letters of Administration be issued to.....:4:.1..!.1..(i.!..t!.:1 ~.~:...:.~..S.!:!...~.J....t'-J IS
OAU(;.}fTER./j F JlIAsHi.AlG,:roA!p~.R,b,/:'...........................................,,..
Signed in the presen1:g~~:1..~~.~.............Y..@ie £;f!~..
...................................................................················..··t·······..·..·······..·..··
...................................................................................................................'
.......................................................................................L..~~.I
F\LE'O~
'69 JUt ,9 P"\l t6
RUSSELL MARmof\EC~STER Of WILLS
V/AstHMGTON co.•PA.
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aInmmonmraltq of Jrnnsyluaniu f t 55.
JIlIas4tugion (llonnly,\
I,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,
to Martha L.Roche
administr a trix
credits,which were of
of all and sing:ularJ±hy gQ.qds and chattels,rights,andRoche,AtK/A N~.John D.Roche
John D.Roche ,A/KiA J.D./late of Washington County,deceased,
GREETINGbD.noche
WHEREAS,the said John D.Roche ,l/K/A J.D.Roche ,A/K/A Mr.John,//late of
South Franklin Township in the county aforesaid,lately died intestate
(as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County,.
Russell Marino
by reason whereof the power of granting administration thereof doth belong to me;I therefore,confiding.,
in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here-
by committing unto you full power to administer the goods and chattels,rights and credits,which were
of said deceased within this Commonwealth,you having taken and subscribed the oath of,office pre-
scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits,
which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's
office,at Washington,within ninety days,and to render a just and true account of your administration
at the expiration of six months from the date hereof,and to regard and comply with the provisions of
the laws relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and
caused the seal of said Office to be affixed this 29th.
day of July in the year of our Lord one thousand
--
nine hundred and Sixty Nine
......................................._~&:~
RUSSELL MARINO,Register.
....
I.
./
1JlrttrrB nf l\~miuiBtrntinu
IN ESTATE OF
~John D.Roche ,A/K/A ........................................................................................................
J.D.Roche ,A/K/A....................................................................................................-
.Mrs.John D.Roche.......................................................................................................
....2
••
.11(unw 1\11 !I~u iy ijJq~li~'r~li~utli
John 0'.Roche,alkla,S.D.
Estate of ~C?~.h.~'L.~!l~(~"~'~~~~~"P'~'~'?~~l
s'Fr kl'Ttl""'No.....of 19 .
late ofw1ShrRgt~~C6hrtty,pi':Deceased
KNOW ALL MEN BY THESE PRESENTS,
That we,...Ma~tp..~..~.•..RQq.~.~....~~9....~~~...y'~i 1:~d...~.~.C1.~~S ..~d~~.~.~y ..~~~..~~r.~~~~Co.,
Baltimore Maryland.................................J .
all of W'ashington County,PenJIsylvania,are held and firmly bound unto the Commonweal~~f o(flj?'60}
vania,fot the use of those interested in the estate,in the sum of 1'w.~:l..Y~...:P:1<:>1l.~.~~cI ....L.....l:>ollars,to
be paid to the said Commonwealth,to which paymen t,well and truly to be made,we do bind ourselves,
jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,and
.,Q "':Zl!.each and every of them,firmly by these presents.Sealed with our seals and dated the&.r-...day of
.~A.D.,one thousand nine hundred and ;;:i,:>.':t.y.~.Il:~.Il~C~~~~L.
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden .
...................Max.tb.a J;;~q9.b.!?.
Admlnistrat~riX...or any of them,shall well and truly administer
the estate according to law,this obligation shall be void as to those who shall so administer the estate;but
otherwise,it shall remain in force.
J
Sealed and delivered in the presence of:
~tnttmtnt of ~urttl1
I -----surety in the sum of $on the
administration bond in the estate of _ ----.._ _ _ _ ,say that I reside at
-:..--..;-._,_---.._-.----..;-Washington County.Pennsylvania;that I am the owner of real estate,the
title to which is in my own n~e and duly recorded,situated in ,
Washington County,Pennsylvania.worth above all encumbrances $__.._..;and that I am worth the
amount expr.essed in said bond.over and above my just debts and liabilities..
--_._--...._--------------------------------------------._._-----------._-_._------------------------------------
Street
~tattmtnt of ~urttl1
P.O.
I,.-..-----.----.----------------,-----------.--------.._ _ _..,surety 'in the sum of $___..on the
administration bond in the estate of ------.---- - -..--------..-----~.____.._..,say that I reside at
- -----------------.----.-----------..--.Washington County.Pennsylvania;that I am the owner of real estate,the
title to which is in my own name and duly recorded.situated in .
Washington County.Pennsylvania,worth above all encumbrances $------------..;and that I am worth the
amount expressed in said bond.over and above my just debts and liabilities.
.........................................................................................................................
.0._.--_._------._----_••_----_••_--------._----------••_
COMMONWEALTH OF PENNSYLVANIA.}
~S·WASHINGTON COUNTY,...,.
Street P.O.
And now 19 ,comes .
who being duly sworn,says that he is acquainted with the financial standing of the securities to the within bond;that
the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their
own right of value more than the penal sum of said bond over and above all incumbrances and exemptions.
Sworn and subscribed before me this _..
day of ...__..__A.D.19__.-----...._-----------.--------------------.------------.----------------.-------------------------------
'.~-~';'....
#853
No....~~~9~.~~9.
Abmiuiatrntinu 1JJnub
IN THE ESTATE OF
John D.Roche,a/kia,
J.D.Roche,a/kia,
...Mr.:J.Q.J;m,..I~BQ.cb.e .
July 29,69Andnow....,,,,....,...,,,,,,,,.,.,19"",.....
Bond approved and Letters issued to:c~en If.2>11'1 ;:c CoO_
Cf}c:::.'MarIlt cnw Roc~,..---_••_._..•_------_••§--~-,;.(..~---------._----------_.;.••.-.._--_.
-~j P"f"~n.(Df11''''':'I'"'o..ll J.
-i :xl /"""c.o .W1m~8 duly q~ied•......":2:-·,;;.r·~··········~·····;.;·········,.
n or.::.~::r:~<62.:;:;~sselJ;;:1larino
····,···············::t!·-f""'··e····························.~(n._Register
'en
-'f
Bond Book 63 Page::'i..~3?....---;.....~"...
BADZIK PRINTING ~'9 DONORA
Adam L.Sanders-B.A.Franks
Attorneys at Law ~~
Date of Death:
JU1~ffi 1969Ibautt (@f 1txrrutnr {@r 1\bmtutatratnr
~tutt of 'tuunyluuttiu }.n&mouuty of lIun4iugtou .
Personally before me,the undersigned authority,a n.o:t.aI.Y-..public in and for said
County and State,appeared Martha..L Ro.che.who,being duly
sworn according to law,deposes and says that she is the~~administrat:aiaJ:the es-
tate of .J.ohn..D•...Roche deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of .....John...D.•...Roche.....,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite
each item of real and personal estate in the foregoing schedules are determined and stated by the
undersigned to be the fair value of said items as of the date of the decedent's death,based upon a
just appraisement ~f each item m~de bY;-4:*0ve named ~AdministratsK.rix
~~~~l:m~:£iSf~x
My Com.Exp:Mar.26,1971 Notary Public
Washington,Wash.County,Pa.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 Origiuul 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
31uututory uub !\ppruintmtut .of the goods and chattels,rights and credits which
were of ..:J.ohn D Roche late of Sout.h..F.ranklin Xova;.ship : .
Washington County,Pa.,taken and made in conformity with the above affidavit.
Total------~-----------~----
Savings Account No.1312 in First Federal Savings
&Loan,Washington,Penna.-----------------------
DOLLARS
Personalty
11,339.83
1966 Ford Sedan automobi1e-------------------------650JoO
H-__L
11,989)83
Realty
None
Total Estate
Personalty $11,989.83
Realty 0.00
Total Estate-------$11,989.83
CENTS
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103-t,~~~()
Inventory and Appraisement
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IN THE ESTATE OF
.vJ 000 D.Roche,a/kla,
0-~-J.D.Roche,a/k/a,
:-:-..M..+..•...JQbn D•....Ro.che : .
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Adam I..Sander _B A 's ••Franks
~-5 Attorneys
tkf.~D-~~~10 ~t~
/
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within named Accountant being duly sworn according to law,depose S and sayS that the above account
as stated is true and correct as !;l.h~verily believe.
¥'Sworn and subscribed before me this !:??..
day of 1,,'-7""------------------------L 197.<L--------~qNotar\;~~~c
My com.SXp:March 26,1971
Washington,Washington Couaty,Pet1na'.
.1YJtl&~..I3..a~~.
Washington County,ss:I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidence by proofs
thereof filed to No ..b..:3:..-::..2.0-::.k .
W··h d d ff'.I I h'cJDAItnessmyanan0IClaseatiS .
day aL~---l\ii--l.b?:-;-19JO
~.Jl.~.
Register of Wills
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1969-
'-'.•+~nn+n-F +ho
Payee Remarks AmOUrtt
July 29
Aug'.1
Aug'.11
Aug.11
Aug'.18
·Aug.19
Aug.19
I Sept'.4
I
.,
sept'.5
I Sept'.16
Oct'~23
I 19701-
!Jari.;1.b
\i.-iJan.~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Russell Marino,Reg.
Washington County Rep'.
Col.Gas of Penna.
West Penn Power and
.,Bell Tel•.
Helen Beveridge
Russell Marino,Reg~
Buckley Ins.Co.
Cowieson Funeral Home
J.Paul Proudfit,M.D.
Grant Underwood,M.D.
David Patterson
Russell Marino,Agent
Washington Hospital
Moreland Vault Co.
Observer-Reporter
Adam LT.Sanders
Letters of AdmD.and
.2 short cert".
adver.grant of letters
last gas bill of dec'd
last electric bill and
tel.bill of dec'd
notary fees-inv.
filing inventories
premium on Admnx.Bond
funeral of dec'd
medical for dec'd
medical for dec'd
debt of dec'd
bat.of bill for dec'd
marker for dec'd
adver.grant of letters
attorney fee
14 00
3 00
70 00
1,423 60
46 00
I
10'00 I
484'50
"SO
96 00
14 00
700 00
Jan'.!l7
17
18
Helen Beveridge
Russell Marino,Reg.
notary fees-acct.&D & E
filing account
1 50
I
17 00 I
Total credits claimed--------------------$2,966 05
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
Estate Notices
The Register of WiHs 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
having claims or demands to present
them for settlement to the Executors or
Administrators or their Attorneys.
• • •• • • •••••• • •• • •
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,
P.L.1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON}SS.
STATE OF PENNSYLVANIA
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 officiail legal periodical for said Washington County,published weekly
hav,ing its place of business at Washington,Washington County,Pennsylvania,
and is acting as its agent in this behalf;that the said WASHINGTON
COUNTY 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 advertisement 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:
I.ROCHE,JO..HND.":~/k/~J~D.R.aCHE,Ia/k/a MR.JOHN D.ROCHE,Dec'd.,
Late of South Franklin Township,I
_~a:.sptngton County,Penna.I
\
..'Administra~riX:.Martha ;r...Il,oche.R.D.6,Washmgton,'Penna., .I.,:Attorneys:Adam L.Sanders,B.A.
,Franks.611 Washington Trust Bldg.,.,:-Wash'ington,Penna.'·-~·T··_··__
................f.!..H~lJ.§.t.7.14..,..z.l l.9..6.9..
bscribed before me thisSworntoan
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 tho afIi vit as to the timet)e and character of the publication
are true.e
......2.1s:t qay of Al.L3ust ,19.e).~L ..
............~C!...
tary Public
KATHERINE C.YARD,Notaf P~bllc
Washingt:>n,Wllshln~ton 0.,Pa.
My CommisslOO Expll"ei
Novilllber "1~9
Observer"·Re.porter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the News,paper Advertising Act of 16 May,1929,
P.L.1784,a:s amended.
Commonwealth of Pennsylvania,County of Washington,SS:.
Pe,rsonally ap,peaved before me,a Notary Public in and for said County
and State,Ri.c.b.a.J:4.S.•....C.~w..a.p.l ,who being duly s,worn
according to law,deposes and says tha;t he is the .s..e.c.,f.e.:t.a.J:y ..
of the Obs:erver Publishing GomPrtny,a Piennsylvania corporation,and,its
agent in this behalf;that the said Company iSI the owner and publisher of
the Observer-Reporter,succ'essor to The Washington Observer,established
Sepiembe,r 18,1871,and The Washington Reporter,established August 15,
1808,a daily newspaper of generalcivculation,printed and published and
having its place of bus,iness at Washington,Washington County,Pennsyl·
vania,where it or its predecessors have been established and published
continuousIy f,or more than six moirths'prior to the publication of the notice
hereto aHached;that the printed notice or advertisement hereto attached
is a ,copy of an official advertisement,official notice,legal notice or legal
advertis,ement,exactly a:s printed or published in the Obs1erver-Reporter in
its regula;r editions on the following date or dates;"..
......................A~g~.~.t 4..'-P:~~.g ~.~.,J.9.9.9...
that neither tne affiant nor the Observer Publishing Company is interest.ed
in the subject matter of s'aid notice or advertising and that all of the aUega-
~~~n~r~;.this affidavit ~s...t.o...t~~..~i~.e.,..~z;U.e~~
v'(J...'
'
ADMINISTRATRIX NOTICE 'Estate of JOHN D.ROCHE,a/k/a~D ROCHE,a/k/a MR.JOHN DFaCHE,deceased late of SouthranklmTownshipWahitCounty,Pa.' s ng on'ab~etters of administration upon the've estate having been t'I~gth~la~~erSign.ed,all perso~~aga~~,
requested ~oa~aalknstkthe estate aretthenownthesameo('undersigned or his attorne
ang all persons indebted to the dl.;~eent are requested to make pay.
delant to the undersigned withoutY.
Martha L.Roche
ARd':q..6,Washington,Pa.mlnIstratrixAdamL..Sanders.B.A.Franks.6~1 \yashmgton Trust Bldg\',iashmgton,Penna.•Attorneys
69182·Mon.·3t
Sworn to and
w.267!12
subscribed before me this..l8....day oLAu.gu.s..t....1969
.....7V~.~~~~~~
WASHINGTON,WASHINGTON GOUNTY
MY COMMISSION EXPIRES MAY 6,1972
QJnurt nf QJnmmnu
(@rp4aun'-
~lt
In the ma;tter of the Audit of Account in
Jt1~an nf lIan4ingtnu
QJnurt mittiainu
QJnUttty
J
Estate of,~J~O~hn~_D~lo~R~OC~h~e~,----'='a!L../..::.k""/....:a~,-----;;--__{
Mr'.John D'.Roche,alkla,i.D.Roche -
TO THE 4UDITLNG JUDGE:
No.,__---""6""'3_----=6=9_-..=8..=8--=O -'--_
Enter__-"'O""u:::r=---,appearance for_--=A=c:.::c::...:o::..U=n:...:t:...:a~n--=t _
N.B.-Counsel shall,by separate pape,r,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concLse state-
ment in that regard.
,19 70
No.63 -69 -8aO
In re Audit of Account in Esta:te of
John D.Roche,a/k~
Mr.John D.Roche,l</a,J.D.Roche
AUDIT
'ra~rip~fnr 1\pp~araur~
FOR
Martha LIe Roche,Administratrix
(:J ~Jizo_~-......,
...."-'>-'-'
r"'\'1_""_~"~
of the Estate of John D.Roche,
'",'.~-'1a/kIa,rfoiWohn D';='Roche,a/k/a,
(/)G?c.=r--•'.~-(j'j ,-::P ~J.D.Rache'fl"dec c:;p
Z :rq.'"''-.,)(1),.::,--~rn r-:':'.:1---f .::0 r-~--~
o ~;u
:.~
-0'0»(f)'
,....,
(..rr
(J"I
Adam L.Sander·s-B.A.Franks
Attorney S
~2
----~,-~-------,..----._-----------------
(Form where decedent died intestate)J
3Jn tqr (@rp4uus'OInurt of lIus4iugton <tInuuty
ESTATE OF -No.63...69...880 ~
Account of Martha L.Roche,Administratrix
First and FinalIntheauditoftheJohnD.Roche,a/k/a,
Mr.John O.Roche,a/kia,
J'D Roche......•.........•......................•..............................................................................
Deceased
The petition of Mar.tha L .Roche ,.
(Name of Petitioner)
State (1)whether de-
cedent was married or
unmarried;(2)if mar-
ried,whether a husband
or wife survived and
his or her name;(3)
whether or not there
was any marriage settle-
ment;(4)whether or
not family relation was
maintained until deced-
ent's death;and (5)
whether the decedent
left children or issue of
deceased children.
respectfully represents:..
(a)The decedent died July 15.,196.9 ,intestate and
(Date)
letters 0f administration o.n.....b.i~L .....es,tate wef(~grant~d ........J.·y.ly....2..9.th~....196.9
"'.•.,.'".(Date)
•...,~.....I ...t .....as per record thereof appearing'in Administration and Bond Book No ..
at page .
Decedent was survived by his widow,Alice L.Roche,one
daughter and four grandsons'.There was no marriage settle
mente The family relation was maintained until death.
-,.within )(b).~t the time of de~th,~he deceden:'s :domicile was ~the Com-
lnonweal~h of Bennsylvani~rtoO-wit,at...S~F.rankli.n ..~Towxiship.,..WaSh.•.co..,Pa.U.S.A
~",.,-.-(Town dr Township,State and Nation)-,,),")
a"nd'residence was at R :n 6.,:Washingt.on.,.Penna 15301 ..
_"(Town or Township,State and Nation)
(c)'f.he names of aU persons having any interest as heirs or next of kin
\vith the names of their deceased parents,to show relationship if they take by -
representation ;are 'as follows:---'.-
NAMES Relationship Interest
Of age,sui-
juris,or not,
(write yes or
no).
Name of Guardian,Trustee or Committee,if
any~or beneficiary,manf!.er and place of
record of appointment and is bound suffi-
cient to cover and protect share.
Alice L.Roche widow $1000 •
WoE.and
1/3 r~s.-yes
-1(3MarthaL.Roche daught~r r~s....yes -
John Allan Roche gr.sori 1/12.!res.-ye~
Donald Richard Roche gr.son 1/12 !res.-yes
\-
Robert Kendall Roche gr.son 1/12 !res ....yes ,..
:
Barry Paul Roche gr.son 1/12 r-es.-yes -
--,,.
',"-L
---.,.--.,...
State exceptions,if any,
giving names and dates
of death and the names
of their executors or
administrators.or the
names of their issue as
the same may be mater·
ial.
All of said parties in interest are living,except
All living
Describe type of notice.(d)All parties having any interest have had.aC.t.q.a.1..notice of the filing
of the account by receiving a copy"of same and notice of the
time and place of audit.
,----
(e)Balance for distribution per Account
(f)Additional debits,not shown by Account
(Itemize).
None
(g)Additional credits,not shown by Account
(Itemize)
2//70--notary fee-aud.pet.--0.75
1969 --1040 income tax of gec'd 442.25
\
$9.,.222...12
$0.0.0..
$44:3 0.0..
l~_~
Insert word unotn·where
necessary..~
-.
If taxable state wheth-
er tax has been paid.
if too many lor the
space,annex a list there-
of;if no such claims,
insert the word H none."
If any creditor or other
claimant has not re-
ceived actual notice,that
fact must be stated.
Indicate such claims asmaybesecuredoren~
titled to a preference,
and give detailed infor-
mation concerning such
security or preference.
Here insert a reference
to all questions requir-
ing adjudication,and a
statement of any mater-
ial lacts not already
given.If none insert thewordunone•U
If any share has been
assigned or attached
that lact should also be
stated here.
State kind.lorm and
character 01 propeny
composing the balance
for distribution.and il
any pan thereol is not
cash,whether or not I
there has been any elec-
tion to take such pan
in kind.
not -$8.,..7.7.9...~2..
(h).Claim for exemption has(beer:m~de,_gnd has .na.t been paid.-made heHitt
,(i)The estate is ~subject t~t~e paJ::ment of inheritance tax to the
~.EState has pal.d $484.50StateofPennsylvama.Indiv.Liab~paid $1282.50
~\.
(j)The estate is.....:.not.:......subject to"the payment of the county 4 mills
tax.
(k)The estate is subject to the payment of Federal inheritance
tax.706 copy filed herewith-no tax owed.
(1)All credit~rs (and other persons who have complied with Rule II,
Sec.9),of whose claims the accountant had notice or knowledge,have
........................received actual notice of this audit;the amounts of their claims and
whether or not they are admitted to be correct are as follows:none
All known claims except,audit costs and balance of inheritance
tax have been paid.No.1941 income tax was owed for 1969-The
1040 income tax return for decedent for 1969 has been filed
and tax paid.
.....':l •...J ...
Through her joindure in this Petition,Alice L.Roche,widow
of deceased,elects to take her wid~w's exemption of $1000.00"
in cash,and requests the Court to award 'same to.her •.
Through her execution of this Petition,Alice L.Rochel widow,
a1so(Pi~ects to take the 1966 'Ford Sedan,appraised at ~650.00,
in klnCi,and requests the Court to award same to her as'a part
of her 1/3rd interest in the residue.
~....""
(n)The balance for distribution consists;of property.in kind,}or~ind
character,as follows:. .'
Balance for Distribution is all cash except the 1966 Ford
Sedan,appraised at $650.00,elected in kind.~)
..--~--...------
Are there any advance-
ments by decedent to be
considered on distribu-.
tion and has any distri-
bution on account been
made by accountant to
any distributtee?
(p)None
If prior accounts have
heen iiled,list number
and term.
(q)Give brief location of any real estate sold.
None
(r)
None
,",t)
",.,
,.-
Wh~refore your petitioner asks that distribution of principal and income
be awarded to the persons thereunto entitled and suggests that the balance of
principal'and·income should be awarded respectively as follows (shares being
stated in proportions but not in amounts):-
TO:
1.Alice L.Roche,widow,$1000.00 W.E.in cash,car
at.$650.00,and balance or he~1/3rd interest in
residue in cash.
2.Martha L.Roche-daughter,1/3 residue in cash
3.John Allan Roche-grandson-1/4 of 1/3 res.in cash
4.Donald Richard Roche,grandson-l/4 or 1/3 res.in cash.
5.Robert Kendall 'Roche,grandson-l/4 of 1/3 of res.in cash.
6.Barry Paul Roche,grandson,1/4 of 1/3 res.in cash.
And your petitioner will,etc.,
lrlh"f'~"B!bt1l&·································
County of Washington,ss.
The above named petitioner being duly
sworn doth depose and say that the
facts set forth in the foregoing petition are true
to the best of her ,knowledge and belief.
Sworn to and subscribed before me this
~_4(day of.~'2~fLL..,19..70......./J''-p.p fJ ()L U??C4;z~~
-1 /Alice L.Roched~&-J-3..~',,~.....................................................;·····~···············Not·af~blia
My Com.Exp:March 26,1971
Washingt.on.,.....Washingt.on...Count.y.,....Penna•
. I
!
I
~.
FORM IN CASES OF INTESTACY
No 63 -69 -880.......--,~
IN THE
ORPHANS'COURT
WASHINGTON COUNTY,PA.
John D.Roche,8./k./a,
Mr.John D.Roche,a/k./a,
Estate of ...J.•....D ,Roche .
De-ceased.
Sur account of ..Mar~a L Roche.,.--.
..........__.__ __..__..__Admi.ni.s..t.r.at.r.ix .
PETITION SUR AUDIT
In Conformity with Court Rule III,
Sec.5 (B)
COUNSEL FOR THE ACCOUNTANT WILL
SUBMIT HEREWITH
1.The letters of administration.
2.A copy of the inventory and appraisement.
3.Proof of advertisement of the grant of letters,
if not filed with accountant.
4.An appearance for those represented.
5.(nher'itance tax receipts,if any.
6.Certificate of liens in case any of the funds for
distribution are derived from the sale of real estate.
7.Copy of Federal Estate tax return,if estate is
subject'thereto.
8.Signed elections to take in kind,if any.
..--.Adam..L ....__sanders~.B ...A •.F..r.~$
Attorney S for Accountant..
....9
.',
,-
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S1111,\JO H31S153H
ON lUVt'l Tn ss ntl",~'.'",..
55 2 lid 02 Hd~OL
f a'.3 ..."I I'....I ....
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY.PENNA
ORPHANS I COURT DIVISION
Roche,deceased.The Administratrix is Martha L.Roche
to the widow,daughter,and four grandsons of a deceased
son of the deceased.All known claims are paid;no out-
standing claims.The widow has joined~in the Audit Petit'on
for the purpose of claiming her widow's exemption of $1';0 0,
which she asks the Court toaward in cash.She has also jo'ned
)
)
)
)
)No.880 of 1969
)
)
)
)
If the Court please,this estate goes
Number dbO of 1969,the estate of John D.
HEARING ON AUDIT
Friday.March 20,197'0,at 10:00 o'clock A.M••
EST.
THE HONORABLE P.VINCENT MARINO,Judge
of the said Court.
SANDERS &FRA NKS.ESQS.•of Washington.Pa •
representing the Accountant.
and the attorneys are Sanders and Franks.Mr.Sanders2
MR.SANDERS:
ESTATE OF
IN RE:
JOHN D.ROCHE.a/k/a
jI.D.ROCHE.a/k/a
:!MR.JOHN D.ROCHE.z
0(>...~Deceased.zzIII0.
ie
(9z~BEFORE:~
~itI-~APPEARANCES:...0(ij
Q::l")
xt:.TIME:III
viII:IIIl-ll:o0.~THE COURT:
l-ll:::loU...~u~o
in it for the purpose of electing to take an automobile
2
$65 00 0 klond and asks that lOt be awardedappraisedat.O.ln
to her.We have paid all Income Taxes and other taxes.
The balance for distribution.is all cash except the .Ford
Automobile elected in kind.
THE COURT:Is there anyone else<in Court interested 0
this decedent's estate?
.(NO RESPONSE )
THE COURT:
by the Court.
The audit of this account is ordered clos d'
(AUDIT CLOSED)
I herebJ cel"tify thnt the proeeadiC3o<oedevtdeace ere contain
fuUy ond accurobly it!the aotcw taken by rne on tho heariQ13 of thenbove:,..
come,n!:!.ll that tb1sJ copy in a cQrt"Oct trnnscript ,of the GamG•
.'
.Obove enun~1a b~appri"ovoo oE!d dlrectad to ;be filod.
"
-
J./"
j
lu :t4r Cltnurt nf Cltnmmnu 'hus nf lIus4iugtnu Cltnuuty.
Jeuusylunuiu.~rp~nus'Cltnurt Ilittisinu
ESTATE OF No.63-69-880
John D.Roche a!k!a J.D.Roch ,In the matter of the First and Final
a!k!a M~.John D.Roche.Account of Martha L.Roche
deceased.Administratrix
ADJUDICATION AND DECREE
Andnow April :to ,19~,this matter came on for hearing,
audit and distribution a't this session and testimony taken;and thereupon,upon due consideration
thereof the balance for distribution in the hands of the Accountant is determin'ed to be
$8,779.12 and the account is accordingly confirmed;and it is ordered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance with the
schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.
SCHEDULE OF DISTRIBUTION
Balance per account _$9.222.12
Add!tional credit nsked at 8 udit 443.00
8alance _$8,779.12
$7,753.12
26.00DeductClerk's Costs &Receipts,_
Attorney__Sanders &Franks
"Alice L.~oche,widow,Family Exemption,includ ng
e 1966 F~rd S~dan,valued at $650.00,held in
kind and ·d1:atributed as such at the apprais ed
value,1000.00
Alice L.Roche,widow,1/3 bBlance,
Martha/'t.Roche,daughter,1/3 balance,
2584~38
2584.31
John Kllan Roche,son of John L.Roche,a decea ed
,son,1/4 of 1/3 balance,646.10
Donald Richard Roche,son of John L.Roche,a
deceased son,1/4 of 1/3 balance,
Robert Kendall Roche,son of John L.Roche,a
deceased son,1/4 of 1/3 balance,
646.09
646.09
Barry Paul Roehe,son of John L~Roche,a de-
ceased son,1/4 of 1/3 balance,646 .09
No balance
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IN DiE COURT OF COMMON PLEAS
OF WASHINGTON COUNTY:f PENNA•
ORPHA!'lS'COURT DIV SION
No..63-69-880
In Re:Estate of:
John D.Roche,a/kia,
J.D.Roche,a/kia,
Mr.John D.Roche,
Deceased
PAY TRANSCRIPTS
="E ::"..2 ::r-'l>-r·.r-~~(;~;=={:1 (.'~
::;:~-~r.
r)-rl i f'-~~~-
8 C"...""'--n :
("")-<::.o:=:::-.:rz-orol>(/)
..
--.J
C;::i-~
~
.....,
'0
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c:J..
'--
ADAM L.SANDERS
ATTORNEY AT L~W
WASHINGTON,PA.
WASHINGTON TRlTST BUILDING
..../
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
Estate of:
John D.Roche,a/kia,
J.D.Roche,alkla,
Mr.John D.Roche,
Deceased
)ORPHANS'COURT DIVISION
•·)
:
)
••
)
••
)No.63 -69 -880
••'••.•....~:.'.-,>'.,PAY TRANSCRIPT
.I,the undersigned,do hereby on the date set forth below,
acknowledge-to·have received from Martha L.Roche,Administratrix
of the Estate of John D.Roche,alkla,J.D.Roche,a/k/a,Mr.
John D.Roche,deceased,late of South Franklin Township,
Washington County,Pennsylvania,·the sWllset forth below,being
the balance in distribution due me in said estate,awarded by the
Decree of Distribution of the Orphans'COurt of Washington County,
Pennsylvania,~ted April 20,1970.
IN WItNESS WHEREOF,-I have hereunto set my hand and seal thi
,1970.
Donald Richard Roche,son of John
"L.Roche,a deceased son,1/4 of
1/3 balance
$646.09 TL4!~euiv (Seal)
'"'.'.
IN THE COURT OF CoMMON PLEAS OF WASHING1'a'l COUNTY,PENNSYLVANIA
Estate of:)ORPHANS'COURT DIVISION·•
John D.Roche,a/kla,)
••
J.D.Roche,a/kia,)
••
Mr.John D.Roche,)
Deceased ··,)No.63 -69 -880
PAY TRANSCRIPT
We,the undersigned,do hereby on the date set forth below,
acknowledge to have received from Martha L.Roche,Administratrix
of the Estate of John D.Roche,alkla,J.D.Roche,alkla,Mr.
John D.Roche,deceased,late of South Franklin Township,
Washington County,Pennsylvania,the sumsset forth below,being
the balance in distribution due us in said estate,awarded by the
Decree of Distribution of the Orphans'Court of Washington County,
Pennsylvania,dated April 20,1970.
IN WItNESS WHEREOF,we have hereunto set our hands and seals
this ~r"ttrl day of__M....W ,1970.
Robert Kendall Roche,son of John
L.Roche,a deceased son,1/4 of 1/3
balance
$646.09 ~I!~iu(Seal)
Barry Paul Roche,son of John L.
Roche,a deceased son,1/4 of 1/3
balance
$646.09
...."•
IN nIE COURT OF COMMON PLEAS OF WASHINGTON COUNTY ,PENNSYLVANIA
John Do Roche,a/kia,
Estate of:
J 0 Do Roche,a/k/a,
Mr.J obB O.Roche,
Deceased
)ORPHANS'CWRT DIVISION·•
)
:
)
•·)·•
)No o ,63 -69 -880
PAY TRANSCRIPT
We,the undersigned,do hereby on the date set forth below,
acknowledge to have received from Martha L.Roche,Administratrix
of the Estate of John D.Roche,a/kia,J o D.Roche,a/k/a,Mr.
John D.Roche,deceased,late of South Franklin Township,
Washington County,Pennsylvania,the sums set forth below,being
the balance in distribution due us in said estate,awarded by the
Decree of Distribution of the Orphans'Court of Washington County
~ennsylvania,dated April 20,1970.
IN WITNESS WHEREOF,we have hereunto set our hands and seals
this be/.day'of .......M.....¥f ,1970.
Alice L'.Roche,widow,Family Exemption,
_including a 1966 Ford Sedan,valued at
$650.00,held in kind and distributed
as such at the appraised value
$1,000.00 ~;/!P~
Alice L.Roche,widow,1/3
Balance
(Seal
Martha L.Roche,daughter,1/3
Balance
..-'-,.-
IN nm COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
Estate of:
John D.Roche,a/kia,
J.D.Roche,aHa,
Mr.John D.Roche,
Deceased
)ORPHANS'COORT DIVISIW··)·•
)
•·)··)No o 63 -69 -880
PAY TRANSCRIPT
I,the undersigned,do hereby on the date set forth below,
acknowledge to have received from Martha Lo Roche,Administratrix
of the Estate of John D.Roche,a/kla,J.D.Roche,a/k/a,Mr.
John 0'.Roche,deceased,late of South Franklin Township,
Washington County,Pennsylvania,the sum set forth below,being
the balance in distribution due me in said estate,awarded by the
Decree of Distribution of the Orphans'Court of Washington County,
Pennsylvania,dated April 20,1970.
IN WITNESS WHEREOF,I have hereunto set my haBd and seal thi
6'"day of f1T ,1970.
John Allan Roche,son of John L.Roche,
a deceased son,1/4 of 1/3 balance
$646.10 (Seal)
Form RCC-33
REStDENT DECEDENT
J
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY'OF WASHINGTON .
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 Se.cretary of Revenue.(Section 703 of
the_Jnl1erit{lnce__an~.E.~t!iteTax A,ctof 1~61.)
~~o~~g~~~~7~;~;;;;:::~g'_.}==·
Late of S.ou.t.h Fr.ank.l.io.:r.w.p Was.h.........Co'dnt)'ADMINISTRATIlDit
state of penns.y..1v.ania }
County of Washing.t.on.....................................................ss:
rix
.....................Mar.tha L •...•.Ro.che...........................::D:ai'i'lGi
AdministratlJlKrix of the estate of the above~named decedent being duly Sworn,depose S and say S
Decedent'dJed J.uly .
(Month)
.15th..,19 ..69...r~mx:XXHXXK~~)6XlWlKillli>lOa~.}
(lIay)(Y""r)Lintestate
Name and address of attorney or}.dAdam-L•.San ers,...At.torney.....a .....Law.other authorized representative to
whom all correspondence should be 611 Washington Trust Bldg.
mailed.Washington,Penna.15301
That as such adminis.t.r.at.o.I:.....deponent is familiar with the affairs of said estate and the property con-
(Exccutor-Aclmini8lralor)
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-.-
1\T.............
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the followtng,for the reasons hereinafter set forth:
That Schedule A attached I',ereto 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 mQrtgagee,date,.rate of interest,and book and page of record
thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
of deposit,savings banks,trust companies,or other institutions,whether indiVidually,or in trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to the last
interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death
in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in-
debtedness of the United States to th~decedent;all obligatior.s,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,whic~are:owned at the time of death;all wearing appa~el,jewelry,silver~are,pic-
tures,books,works of art,household furniture,hor~es,carr~age.s,automobiles,boats,~nd 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 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 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 policies 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 ot death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent ~t the time of death,with the market
Value thereof at such time.
.lrJ..~&£C!2~__.
~AdminiBtra.~)rix
..R.•.....D.•......6 _._..
(Street Number)
.Was.ht&~:t~nT~;:~J'·st;;.~f·3Q.l .
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·ofcdeath.'
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 POss~ssion or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom ~ransferred,'the
relationship of the transferees to the decedent,the proportionate share received by each transfe~ee 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 cony
of the deed,trust agreement or other instrument creating the trust.Therl~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 9r 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 0 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 ~eat~,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,chargeable for period prior to decedent's death (except.those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
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.
Subscribed and sworn to before me this ,.
Z~:;ay OfAugu:t-19_69
.........................'"''0 '",,,•••••••'.',,,',~~.~L,,..~ry Public
My Com.Exp:March 26,1971
Washington,Washington County,Penna.
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"04)
~O,MMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE CIA"
REAL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be (1)(2)(3\
described by lot and black number,street and street number,together wi th DEPARTMENTageneraldescriptionoftheproperty,with a reference to the record af the ASSESSED VALUE VALUATIONconveyancebywhichthedecedenttaoktitle;if a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of martgage encumbrances upan each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH in this space)ta be listed on Schedule "F"and must not be deducted from this schedule.
None
Insert this total opposite "real property",Schedule "A"in the X X X X X
"As Reported"column on the last page of this return.
RCC-35
,C0M¥0NWEALTH 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 any undistributed
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.
--..,..---.-...;..,,-----------------"""T----,r-------.,....--------
Item
No.
ITEM
List and describe fully
UNIT
VALUE
ESTIMATED
MARKEl'VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
Savings account No.1312 in First Federal
Savings &Loan Association,Wash.Pa.---
1966 Ford Sedan automobi1e--------------
Total----~-----~----------
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X
~$11,339.83;,~;
650.00 ~
$11,989.83
RCC-3D
rO\?lfON1\R·\LTH OF PENNSYLVAN~A
TIl\NSFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDUIE "c"
TRA.NSFEIlS
(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)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)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 heal th at time of making the transfer.(Note 1).
(c)Cause of decedent's death.(Note 1).
(4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)no
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)tUl
(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)no
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)no
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or 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)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 operatio'n of law?(An'swer'yes or rio)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)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
None
DESCRIPTION MARKET VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
ReC-S8.,.>
CaMMONWE~LTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRUCTIONS:This schedule must disclose all property,real and 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 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 acquisltion,and the name,address and relationship (if any)of co-owners to
the decedent.
Description of Property,Date of Acquisition,Name Iunit percentage Estate
Address and Relationship of Co-Owners,and Place Value Share Valuation
of Record of Instrument,where Real Estate.!
1.Certificate of Deposit No.230 innamesofJohnD.Roche or Martha
L.Roche,daughter-dated July 1,
1968-interest 5-1/4%-due July 1,
1969-(transferred in C.of D.from
Joint account between same two
parties,opened more than 2 years
before death)whole amount $15,000.
1/2 taxab1e-------------------
transfers
1'.Certificate of Deposit No.C231,
in First Federal Savings &Loan,
Washington,Pa.-dated July 1,1968,
in name of John D.Roche,Trustee
for Martha L.Roche,daughter-
5-1/4%due July 1,1969 (transferr~d
into C.of D.from joint account
between same two parties,opened
more than two years before death)
whole amount $15,000.00----------
All taxable------------------
Total-------------~-
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
$7'500'OO~
~15!OOO.OO ~
$22,500.00
$22,500.00
..(...
RCC-37"(12-63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
(
h
.
BENEFICIARIES AND ADDRESSES,RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFstatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
"(,
A1;I"'o l''Rnr'0 tAM nnW',_~,l~~.UU"p~W~ow s exemo.olus
R n'n r....._...L ~4/12 interestW~~
M~'r'T:h~1.',....,L ".:pr "p~4/12 in1:prp~t
Ii D 6 Washinaton p~
~John A1 1~n 'Rnr'0 -""e~1 /1?;u.
Yuma Arizona
D""'"'",r'I D;.'L -"ROt"'hp n'r~nd~on "p~,/1?;
M .'L ..:I K ."
Robert Kendall Roche arandson ves ,/1?;
'R n n lA1~~h;p~,
R~'r'r"P~nl ,.....'L -"\fPC:::,/1";
N.MJ:";n .c::T...,....p;:
.
..
...
~
'I
.
.
-
Deponent further says that all the above-named beneficiaries are living at this time except below:.
NAME DATE OF DEATH RESIDENCE
(Executor-Administrator
must complete "As
t
il Reported"column #1.)
wmcd No..g:%()Year d?J'.A ministration
I lb':Lc...,'"t:l l:Ca::o~~~
D<THE I .II "":.....i:j til .....til .::s til 0:.....i:j '"t:l...,.:rio (\)~...~IATTER OF THE APPRAISEMENT II ~(,t';;l ......g,.~.....'"t:l (\)C'"......
OF THE ~::I:.g ~M .(\)(\)
ESTATE OF II S':~~
ct :'\1
John D.Roche,a/kia,:~
J.D.Roche,a/kia,1'2
.Mr •..John..D•..Roche ..,I-{~~~
Late of .South Frankli.n..Townshi.p...
II II ..
en
County of Washington II ~
::::II •,
Commonwealth of Pennsylvania II ~
~..-.....-......-<en en en~~(")::T'::T'::T'
REPORT AND APPRAISAL "1'I ~~~:::::::---
• •-00 -00 0 -00 -00 -00
"0 j'*';..::;c:n!~~~..>»m ;0 ~_.-..UJ:,t\)'J-I til{/)(:,,,c:.:=:»__,..n'"~'N J-I
--.-Ui t:=f ...'"..~-~(nCl)c:.;-.1'~VI \0 .gl-
2"~.......CO :0 00 0 ---(;';1'1;:]-1-J "n ni.o :00\00:4--f ;0 r-c:o ,_•.••••~(.....tJ ..0 o'0 ......;.0 ""-"-1Q:l::.co.----...":r:'""tl"'~w·0 0 UJ 0o__)..:~:::J;;
Q -..::::..:1.:;=:::;!"'-»
~r--.><n 0 ,II -00-000-00-00-00,c;:::)..
f'I .~:&..."~~.~.~
"'.~•":U
Adam L.Sanders-B.A.Franks "':,',1,1 's·.~·S !~A"t"tornEnlS ',.•.'l.•.:,'":;'.~~~.~:,'-">·"L~)c...II ,.\)S:."".~"
..
RCC-BI (2-64)
COMMONWEALTH OF PENNSYL VAN IA
DEPARTMENT OF REVENUE
BU~EAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
J~~1ARTHA L.ROCHE
(~~Administrator)
IN YOUR REPLY PLEAOE
REFER TO 37-243-6
j
In Re:Estate of .!:!,;JO~HN~....!:D::...l.~R~O~C~HE~_
_____--!W.~A~S~H~I~NGl::!..'IO~N.!..._County -File No.63-69-880
You are hereby notified that the original
appraisement in the estate of John D.Roche
has been filed in the office of the Register of Wills qf Washiniton
County on August 26 ,19-29.Said appraisement reflects the
following valuations:
Real Estate _
Personal Property -=1=1~.~9~8L9~.8~3'__
Jt.Held T'Wud'Ht!x 2i§oo2~,5~0.a0"".IUOO~_
Tota1 ..,...-_---=3~4u•..::;z4~89L.:..:.::8::.::3_
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 (8%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date __--!A.:..::u~gu=s~t~2:::.;6~.~1~9~6:..L9 _Si~ne~£~,a ~fr
Title W.R.CHANEY,C APPRAISER
DATE OF DEATH:July 15,1969
Note:This is not a bill.
RCC·4 (8·6!li COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NO,A051 025 OFFICIAL RECEIPT 0 PENNSVLVANIAINHERITANCE AND ESTATE TAX
2%Tax on $$----------lfi.11
On Account 510.006%Tax on $---------$---=-::::....=.....:.....:=--=----.Inl
RECEIVED FOUR HUNDRED EIGHTY -FOUR
Martha L.Roche,Admr.
From:c/o ATTY.ADAM L.SANDERS
Address 611 WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA 15301
and 50/100
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
dollars
File No.
$---------IMI
63-69-880 Date of Death 7-15-69
Date of Payment __0_c_t_o_b_e_r_2~,_1_9_6_9 -----i
Name of Decedent __J_O_H_N_D_._R_O_C_HE ---i
15%Tax on $$---------I£ll
%Tax on $~~$---------Irtl
Estate Tax,Act of
May 7,1927
County W_A_S_H_I_N_G_T_O_N -----j
Remarks:
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dat~of death
Plus interest at the rate of
__%from _
to _
$_--:5-=1~0-=•.-=-00-=---__11:1
25.50$---~....:........:---IWI
$,---------Itll
$,======4==84==:.=5==0===I!IITOTALAMOUNTPAIDSEAL
37-243-6NOTE:To be delivered to taxpoyer
Received by _--.L-~....I<:::....::"'::'....!L.....:=~----:-----r7/?-=-_~_----:----=-.'--lrJ
NOTE:In accepting the transfer inheritance tax an future estates,prior to the death of the life .a~(Sig~.natur);;~~..tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall
nat be precluded or prevented from hereafter assessing additional inheritance tax at the death of the
life tenant or tenant for years whenever it appears that such additional tax may be legally due and----,,..-=v?J~=--...,l~iLtl...,e),.--....:......:'----'----'---------1U
collectible for any reason whatsoever.
,.".,"..
,R((-4 (8;6,8)-COMMONWEALTH OF PENNSYLVANIA ..•.....DEPARTMENT OF REVENUE
NO,A051 02 6OFFICIAL RECEIPT 0 PENNSYLVANIA INHERITANCE AND.ESTATE TAX
RECEIVED ONE THOUSAND TWO HUNDRED EIGHTY-TWO and 50/100 -----dollars
Martha L.Roche,Paying on Ind.Liab.representing Pennsylvania Inheritance or
From:C/O ATTY.ADAM L.SANDERS Estate Tax due from the following estate:
Address 611 WASHINGTON TRUST BUILDING 2%Tax on $$
Jt.Bank Accts.
WASHINGTON.PENNSYLVANIA 15301 6%Tax on $22,500.00 $1,350.00
I
File No,63-69-880 Date of Death 7-15-69 15%Tax on $$
,
Date of Payment October 2.1969 %Tax on $$--
Estate Tax,Act of
Name of Decedent JOHN D.ROCHE May 7,1927 $
County WASHINGTON TOTAL TAX CREDIT $1,350.00
Less five percentum of tax if
Remarks:paid within three months after
date of death $67.50 ,
Plus interest at the rate of
__%.from
to $
"
@OO~~~~ill[L SEA L TOTAL AMOUNT PAID $1,282.50
37-243-6 ~.:lh~,
NOTE:To be delivered to taxpayer
Received by
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the life fJ Isr90a,y 91/~tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall
not be precluded or prevented from hereafter assessing additional inheritance tax ot the death of the
life tenant or tenant for years whenever it appears that such additional tax may be legally due and ~tle)collectible for any reason whatsoever.
.
r
f
'RCC-39 (ll-66)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of ROCHE,
(Last Name)
JOHN
(First Name)
D.
(Initial)
DATE OF DEATH_7_-_1~5-~6_9__FILE NO.63-69-880
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".
08-26-69
07-15-69
Dated:----=-=~~-----
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
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
VALUE AS REPORTED VALUE AS APPRAISED
$$-------+---
VALUE AS REAPPRAISED
$-------+--
Valuation of life estates or
COMPUTATION OF TAXFORUSEOFREGISTERONLY
Tax on $----------1--
Tax on $-----------l---<
Tax on $----------1--
Tax on $----------1--Tax on $-+__
Exemptions========F=Total Estate --l-__
TOTAL TAX
10%
15%
*
$--------1--
$--------1--
$--------1--
$---------+--
$--------1--
$--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 :::::::::~E=
BALANCE OF INHERITANCE TAX DUE $L
Add interest at rate of 6%from
_____to $------
AMOUNT OF ESTATE TAX ASSESSED $------lL--
Estate tax paid $--Il-
BALANCE DUE $......IL-
Add interest at rate of 6%from E
------I:to-----$-------1
TOTAL TAX BALANCE $-------1
PAID $-1
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 ~N
Administration ~o.
IN THE
...Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
JOHN D.ROCHE
Deceased
Late of .
County of
S.FRANKLIN TWP...
............WASHING.TON..
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
Form RCC-2
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
IIARRISBURG.PENNA.17 12 7
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
..I )"
APPRAISEMENT •
l
DATE A:t.l.~.~.~?9.L ~9.99..
COUNTY w.?:.~.bJ:n~.<?n .
FILE NO .6>.::.69.~B..8Q .
Whereas..~~~.P..~g.~C?.~~late of ~~.:.~~~~.~.
in the County of W.~~h~r!:gtQ:~t Commonwealth of Pennsylvania.having died on
the ~.?....~:h day of ~~y.19 ~?..seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore.I...W..,.RP.....C..h.~n~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.
I
Unit AppraisementDescriptionofAssetValuesMadeforInheritance
Tax Purposes
$
PERSONALTY:(I
!
Savings Account in the First Federal Savings &10M
Assn Co)washimrton.Pa.1l,339.83
1966 Ford Sedan Automobile 650.00
I 11.989.'S3 11.989 sii1
JT.HELD:
I
i Certificate of Deposit No.230 in names of John D.
Roche or Martha L.Roche.7,500.00
,
Certificate of Denosit No.62'31.in First Federal
Savings &Loan 1'lashington,Pa.in name of John D.
'Rn~h",;n 'T''Rnst.fa U~_.l..~I~a Roche.15.000.00
22.'500.00 22.500 00
~~~~~...~~~Yxx '(...lUiit ClI XJu:x
I
:I
I
I
I
Total 34,489 83 I
i
!
form~V:~hb;::::~h~w~a~~.~a~o~:;;~~~~~~r~is":=~~i?AJ.:zrLNumberand Street)
.......~...~.......................................................Penna.
(Poat Ofllce)
·JvASHlNGTON................County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
JOHN D.ROCHE
Deceased.
Late of
§.~.f..MN~.:r.N +.W;p.!.
Date of Death,JuJ.y 15.".:.196.9 .
Appraisemellt Docket Vol.,')7...
Page,?4?::::~No ~?:::-.~?~~.?.9..
Filed in Register's Office,A.~gll?"t.?~,.19~9 .
Amount of tax due,$.
DEPARIMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appraisement,
Appeal f1'om Appraisement,.
Entered and charged,.
•