HomeMy WebLinkAboutOC1969-0931 - ESTATE OF DELBARRE&3-0 1-73/j
Form RCRI·))
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICE OF THE REGISTER OF WILLS
COUNTY OF W.A$~J.~Q~9.~.
RESIDENT DECEDENT
------;:~;;~;i:;~=~F------Co..'''~~'t''~}:£~:OR
Late of ~~~?~.!.l:~.~.?!.l:..................-..~
state of ......
County of
Decedent dJed JunE?..
(Month)
Name andaddressof attorney or}
other representative to whom all
correspondence should be mailed
...J.nf9XID.gXrt...~
and say S
~.}......11..........19 ....6.8.......{leaving a last will copy of which is hereto attached.(Day)(Year)intestate •
John W•Edwards..,J.r ,Attorney.a.t Law.,p..•.....D..Box..636,.
gE<l:i:f.<?~P.J.,?J!'E:JI.:lp.~y :LY?:l1,1,?)::54;J,9 . ..
Th h Informant~d t'f '1''th th ff'f"d t t d th rt -at as suc eponen IS ami tar WI e a.airs 0 sal es a e an e prope y 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 of Bank ·in which decedent rented a safe deposit box.
..None.....
This safe deposit box rented in name or names of:
-......................................................................................
...
i
That Schedule A attached hereto and made part hereof sets forth fully and in detail all the real property in th~
Commonwealth of Pennsylvania of which decedent died seized and possessed,or in which decedent had any right,
title or interest at the time of death.It also sets forth the mortgage encumbrances upon each-parcel of real prop-
erty at the date 6f.death,giving the amount still due at death,name of mortgagee,-date,rate of interest and book
and page of record thereof.In the case of building and loan mortgages it sets forth the face value of the mortgage
and states separately the number of shares of building and loan stock pledged to'secure the same,the name of the
association and the withdrawal value of said shares.As to property encumbered by a building and loan mortgage,
the face amount of the mortgage has been deducted from the estimated market value of the property in ascer-
taining the value of decedent's equity therein,and the building and loan shares have been listed in Schedule
"Boo at their withdrawal value.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
wheresoever situated owned by the decedent or in which said decedent had any right,title or interest at the time
of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,stand-
ing to decedent's credit,or in which decedent had any right,title or interest in banks of deposit,savings banks,
trust companies,or other institutions,whether individually,or in trust for,or jointly with any other person,
giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death
in the case of savings banks,and down to the date of decedent's death in all other cases;all bonds,postal savings,
treasury certificates or notes and other evidences of indebtedness of the United States to the decedent;all obliga-
tions,whether by statute or agreement they are designated as tax free,of the United States,or any state,or
political subdivision thereof,or of any foreign country,which are owned or in which the decedent held an interest
at the time of death;all wearing apparel,jewelry,silverware,pictures,books,works of art,household furniture,
horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left by
decedent,together with the fairly estimated market value thereof;all bonds and 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 t
unpaid as of the date of death,bonds and accrued intere3t thereon to the date of decedent's death and other in'-
vestment securities owned by the decedent at the time of death,with the market value thereof at such time.
In the case of securities of close or family corporations,the values reported are as far as possible sub-
stantiated 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 written,or a statement setting forth the nature of the agreement if oral;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.It also sets forth in itemized form,
together with the fair market value thereof,any other property owned or left by the decedent at the time of
death.
That Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained
therein and in the case of transfers of property,real or personal,within one year'of decedent's death,in con-
templation 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 re-
garding said transfers.In the case of transfers intended to take effect in possession o'r enjoyment at or after
decedent's death there is also attached to the schedule a copy of the deed,trust agreement or other instrument
creating the trust.There'is also 'set forth in said schedule a list of all property,real and personal,with its value,
which passed at decedent's death by virtue of the exercise by decedent,either individually,or jointly with an-
other,of any power of appointment vested in decedent,either individually or jointly,by the will,deed,or other
instrument of another,with a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons bene-
ficially interested'in this estate at the time of decedent's death',the nature of their respective interests,their re-
lationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annui-
tants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the bene-
ficiaries named in the decedent's will,if any,died prior to decedent,the dates'of their deaths,their issue,and the
relationship of such issue to the beneficiary.
That all the statements made herein are to the best of deponent's knowledge,information and belief and that
the respective schedules set forth all the property of the decedent insofar as the deponent has knowledge at
this time.
That the totals of the appropriate columns in Schedules "A,""B"and "C,"as directed therein,have been
carried forward and properly registered in column #1 in the "Summary"on the reverse side of Schedule "D."
~--~---.-•.-
Subscribed and sworn to before me this ......./..~...
\_::~d~-~:~~.7 PHYLLIS L.SHROYER,tary Publlo .
California,Washington Co.,P~.
My Commission Expires
January 29,1971
...r;)Qg.lli.u;;?..
Informant
.......}.~.Q.~~f..f..~.r.e..Qn Ay.§}I\l!?.
(Street Number)
.~~.~~?~.?~.~.y..~~.~.~..~~.~?~.~y.~y.~.~~.~}.?A;L7
(City or Town and State)
Note:Before signing aiIldavlt make sare an blank spaces In the aftldavlt .and ,schedules annexed thereto are fUled In with details
or the word "None",aDd In case the assets inclUde rare and anUsted 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"on the reverse side of Schedule ''D''has been proper17 COID-
Jlcted as above-directed.
-....-II
RCC-33a-RI
..lCOMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF
DECEDENT.WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES AND RELA-
TIONSHIP OF OTHER OWNERS.
The real property locaied In the Commonwealth of Pennsylvania should
be described by lot and block number,street and street number,together
with a general description of the property,with a reference to the record
of the conveyance by which the decedent took title;if a farm state number
of acres;also statement of mortgage encumbrances upon each parcel at
death of decedent.Taxes,assessments,accrued interest on mortgages,etc.,
are to be Usted on form RCRI-IO and must not be deducted from this
schedule.
(1)(2)
.\SSESSED VALUE
FOR YEAR OF ESTDIATED
DECEDENT'S MARKET VALUE
DEATH
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this space)
REAL PROBERTY -JOINTLY HELD
2,080
1,960
/jSJ P9(,7
The real estate is valued at $12,000.00.The
decedent's 1/2 interest is therefore valued at
f)1?I7-D /!1)~~rJ-.;(;7
PARCEL NUMBER TWO:ALL that certain tract of land
situate in California Borough,Washington County
Pennsylvania,bounded and described as follows:
PARCEL NUMBER ONE:ALL that certain lot of land
situate in the Borough of California,County of
Washington,State of Pennsylvania,bounded and
described as follows,to wit:Having a frontage
of 50 feet on Union Street and extending back
~o f t on St~awberry Alley,containing 2500
uare eet,it being the one-third part of Lot
No.75 n the plan of said Borough.
N the above described lot of ground is erected
a two story frame building.
BEGINNING at an iron pin at the corner,common to
land of Charles B.Cook,land of Mary Williams and
land hereby conveyed,thence along land of the sai
Charles B.Cook North 870 32'30"East 221.59 feet,
more or less,to a point in State Highway;thence
along said State Highway South 20 53'East 214.7 fe t
to a point in said Highway;thence South 690 23'
West 220.60 feet to an iron pin;thence along land
of Mary Williams North 40 54'30"West 283.83 feet
to an iron pin,the place of beginn~.
CONTAINING 1.214 acres.,This de {l;.f;iii::!fp taken
from a plot dated Februaty 10,1946.
There are erected on said tract of land a five
room frame dwelling house and outbuildings.
This conveyance is made subject to the right of
way of the aforesaid State Highway.
E~cepting and reserving the coal underlying the
above described tract of land with such mining
rights and privileges as have heretofore been
granted and conveyed.
The real estate is valued at $7,000.00 and the
decedent1s 1/2 interest is therefore valued at
PARCEL NUMBER THREE:All that certain piece or parcel
of ground situate in the Borough of California,
Washington County,Pennsylvania,bounded and
described as follows:
2,110
FRONTING 55 feet 8 inches on the West side of Ash
Street and running back along the South Side of
Strawberry Alley in a westerly direction,of unifo
(F..J:eclItoI'·Adminl.trator must total column 1'0.2 and carry total to column No.1 In"Summary"on reveree Bide of Schedule D.)XXXX "?
RCC -3~b '-!RT
COMMONWEALTH OF PENNSYLVANIA·
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
Cash In hand,Cash on deposit,Bonds and Mortgages,any Interest In a Copartnership or Unincor.
porated Business,Judgments,Royalties,Rights,Shares in Trust Funds,Leaseholds,Pensions,Promis.
lory Notes,Claims,Insurance payable to Estate of Decedent:·Annuity and Endowment Contracts;
Corporate Bonds and Stocks,with Accrued Interest and Dividends Declared and Unpaid to Date of
Death,Accounts Receivable,Jewelry,Wearing Apparel,Silverware,Household Goods,Automobiles
and All Other Personal Property of Every Nature Wherever Situate.(Property held jointly by
decedent and another must be listed showing names and addresses of other Joint Owners and their
relatlonlhip to decedent.)
REAL PROPERTY -JOINTLY HELD (cont.)
width,a distance of 106 feet.The said piece or
parcel of ground is bounded on the North by Strawberry
Alley;on the East by Ash Street;on the South by land
of August Bohn and others,formerly land of Hattie J.
Pollock;on the West by land now or formerly of Hattie ~.
Pollock.The said piece or parcel of ground is a part
of Lots 125,126,and 127 in the Plan Book 1,pages
182 and 183,and known as the General Plan of Californi~.
Unit
Values
(1)
ESTIMATED
MARKET VALUE
AT
DATE OF DEATH
(2)
DEPARTMENT
VALUATION
CAUTION
(Do not write in
this space)
UPON said premises is erected a two story frame double
house and a three car~rage.The real estate is
valued at $8,500.00,and the decedent's 1/2 interest
is therefore valued at
The above three parcelos of ground were conveyed by
Tressie J.Delbarre,widow,to Tressie J.Delbarre
and Helen Jane Collins,as joint tenants with the
right of survivorship and not as tenants in common,
by deed dated the 11th day of February.1967k recorded
in the Recorder's Ufflce of Washington County,
Pennsylvania,in Deed Book 1252,a"t"Page 967.,
-
PERSONAL PROPERTY -JOINTLY HELD
Check account,Western Pennsylvania National Bank,
California,Pennsylvania,in the names of Tressie
Jane Delbarre or Mrs.Helen Collins.This account was
established over two years prior to the death of TressiE
J.Delbarre.The total amount in said checking accoun~
at time of her death was $3,033.89,1/2 of which is
taxable.
United States Savings Bonds,Series E,in the names
of Tressie J.Delbarre or Helen Collins.These bonds
were all issued over two years prior to the death of
Tressie J.Delbarre.The total value of said bonds
is $5,063.60,1/2 of which is taxable.
fExH:utlJr-AdrninifitraUJr m1lst blt.a.l 'fl·'l\iirnat(·,J 'fark.·t Valw·"<:"IUllUi So.1 alII}carry total to
('fJlufflII .'f).1 in uSummary"1)11 rl··..l·:·!':!'!'lidp (,f l'('hedule U.)
2,531.80
I
i
Note:This schedule must list all intangible personal property such as,cash in bank,bonds and mortgages,promissory notes,claims.insur-
ance,corpnrall;bonds and stocks,accounts receivable,interest in partnership,etc.,even though physically located outside the Common-
wealth ~L ;hI"time Qf death.As to tangible personal property (e.g.,jewelry,wearing apparel,silverware,household goods,books,paintings,
automobiles,boats,etc.)state where it was actually located on the day of the decedent's death.Tangible versonal property which is definite-
ly established to have been physically situated outside this Commonwealth other than for a temporary purpose,is not subject to ta-'\(in
this Commonwealth.In the absence of a specific declaration as to actual situs,said property will be presumed to have been physically
present within this Commonwealth a.t the time of death.
RCC-33C-RI'COD~,Nl"t~Al:l'HOF PENNSYLVANIA
T)LANSnm INBEBITANCE TAX
RESIDENT DECEDENT SCHEDULE "C"
TRANSFERS
A1'IIlSWi:R EACH QUESTION SEPARATELY
(1)Did decedent,within one year of death.make any transfer of any material part of estate without reee1v1Dc aD·ad~uate,
valuable consideration therefor?(Answer "Yes"or "No")__.....P2._
(2)Did decedent,at any time,make any b'anafer of property In contemplaUon of dea&b,wlthoat ba~reee1ved aD adequate
valuable consideration therefor?(Answer "Yes"or "No").._..nQ__.__.._
(3)Did decedent,at any time,make any b'ansfers of a material part of bls estate without having received an adequate,valuable
consideration therefor?(Answer "Yes"or ''No'')_...._....:g.g__...__._".__
Is It conceded that such transfers were made In coniemplaUon of or to take effect at death.?(Answer "Yes"or "No")Y.:12 .
(4)Did decedent,at any time,transfer any property in trust by deed or agreement?(Answer "Yes"or "No");11.9._
(5)Did decedent, deputy,or Joint renter,within one year of death,withdraw property or evidence of property from any safe
deposit box,rertstered either in decedent's Individual name,Jointly wi'h another,or to which decedent had acccss by an
agent or as a&'l!nt for another,and make distribution of luch property without having received an adequate,valuable con-
sideration therefor?(Answer "Yes"or "No")llQ ___
If the answer is "yes"to this question,state below the name of the bank in which the box was located,in whose name
rertstered and set forth the nature and value of the property removed,date of removal,and to whom distributed.
(6)If the answer to any of the questions from 1 to 5 Is "yes,"then deta1l below the nature and value of the property trans-
ferred,date of transfer,to whom transferred,and all other facts surroundinr said transfer,and in case the transfer was
In trust,attach a copy of the deed,agreement or other Instrument creatlnr the trust if not of record,otherwlse by reference
to sach recordin~.
DESCRIPTION
(Executot'-Administntor,If any 01 the translen 'Usted above are conceded to be taxable,must
total "Estate Valuation"column !io.1 and carry total to column No.1 in "Summary"on.evene oide 01 :;chedule D.)
Note:If additional space is required attach riders of &he same size.
(1)
Estate Valuation
as of
Date of Death
(2)
Department
Valuation
CAUTION
(Do not write In
this space)
.-'
RCC:-:-3.3D ".·RI
COMMONWEA.LTH OF PENNSYYLANIA
TRANSIfER'INHERITANCE TAX
RESIDENT DECEDENT
?••"..f,•\..
SCHEDULE "D"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE
(If step-children or TENANTS OR INTEREST OF(State full names of all and their addresses who illegitimate children DECEDENT ANNUITANTS BENEFICIARYhaveaninterest,vested,contingent or other-are involved,set STATE YES AT DEATH OF IN ESTATEwise,in estate.)forth this fact.)OR NO DECEDENT
Helen Jane Collins Daughter Yes All
110 Jefferson Avenue
West Brownsville,Pa.15417
.
.
,
.
Deponent further says that all the above-named beneficiaries are living at this time with the exception of"-
NAME DATE OF DEATH RESIDENCE
~
IMPORTANT-SEE REVERSE SIDE
OF THE
ESTATE OF
:\IATTER OF THE APPRAISEMENT
Will
Administration !No ..
IN THE
Year .
(Executor-Administrator
must complete "As
Reported"column #1.)
GJ ...,~~'"l '"l ct>0 Il''"l e.til :::til
til til 0...,ct'::s "'tl
'"l e.'"lIl'til 0>:~'0Il'ct>0"'"l
~0 ....'0 '<:
~ct>'"l
til ~....Il'....ct>
..mESSIE...J.•..PEL.B..A.RB.:E....
Deceased
Late of (talifornia..l3.orough .
Commonwealth of Pennsylvania
1--'>Iv->til
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REPORT ~A~RAf~~i
("CJ ~-..f,,._""'-.....;·r-:::x ...--~~,':".~-~rn~~,-.l,:"0':
~;o~prr"\Cen(i).~:x:(,.~';'r~%-t ~;~1
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County of
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t:lct>........ctl'oO"'-3S'
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Form RC C·lO
OFFICE OF TME
REGISTER OF WILLS
OF __W...;;a...;;s;.;;h;;;.:i;::,;n""gu...;;.t...;;.o..;;;ne-.__COUNTY
AND AGENT OF THE COMMONWEALTH
STATEMENT OF DEBTS
•,_.~ND DEDUCTIONS
DEDUCTIONS ALLOWED IN
THE SUM OF ,$~/..<-!~6
D"~~~
Register of Willi,Agent
I,
ESTATE OF __'IR_E_S_S_I_E_J_,_D_E_L_B_ARRE LATE OF _C...;a;;.;l;;.;i::..:f:-o:.;:r:.;:n;;;;l::..:'a~B_o:.;:r:-o:-u;;:sg;<,;;h~_
~--7~~5'DAT"F EATH June 11,1968DATEOFFILINGAPPRAISEMENT__---'cr:.""---'=o/~cv"__-.....("",...:z....__..0 D __=~~;.;_t-...;:=..::..=_
DATE NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCHEIII:
6-20 1968 Mabro Company *repairs to roof on house 650 00,
Caleffie and Greenlief Funeral expenses 1235 50
Matola Monument Company Grave marker 140 00
Patrono,Ceisler and Edwards Attorneys fees 100 00
Russell Marino,Register of Will~Filing Affidavit of 1)ebts and '3 00
Expenses,
7d6L c?lJi'.)0
.
-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Washington
Helen Jane Collins-----~.:..::..;===--..:...;;:;=:.-.:....:::..:=~:::....-------------__iHEREBY CERTIFY.THAT.TO THE BEaT OF
MY KNOWLe:DGE AND BELIEF,THe:FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED•.T.O THE ESTATE OF Tressie J.Delbarre DECEASED,AS DEDUCTIONlO FOR
INHERITANCE TAX PURP08'tS:",'7%1-~"/if",.~---.,~IBED'I!Er'~;"E~E THIS /3~DAY ~~~a:neoIIlns (L.5.1
...,-Ie ~
"\\,
IS L.SHROYE.R,Notary Publ
alifornia,Washing'ton Co.,Pa.
My Commission Expires
January '29;1971
Rcc-al (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
HElEN JANE COllINS Informant
IN YOUR REPLY PLEA.E
REFER TO
j
In Re:Esta te of ----'T~RE=S~S:=I=:!E~JL•.....:DE~L~B~AR!::!.!<!.!RE!:!::!-_
______--!JW!£JA'loS:.uH.!:I!1NG~T&.lO""'N..l...T County - F He No.63-69-931
Dear Mrs.Collins:
You are hereby notified that the original
appraisement in the estate of Tressie J.Delbarre
has been filed in the office of the Register of Wills qf Washington
County on August 25 ,19~.Said appraisement reflects the
following valuations:
Real Estate .::2:.!.7..z.,~5.::::0.::::0..:.•.::::.00:::...___
Jt.Held ~.:t.4.z..::,O~4~8.=....7.L:4t--_
Transfers ----------=-=---::""'C"-:-"="""'---
Total ""31=.J,L,5::.:;4:t;:8:..:,•....!..7:::z:.4__
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 ----=-A=-=ug=u:::..st=--::2;;.:::5~,-=-19L.6=...9:.....___
DATE OF DEATH:June 11,1968
Note:This is not a bill.
..,/
RCC-39 (!r58l
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
-.
SUMMARY
Estate of DELBARRE,
(Last Name)
TRESSIE
(First Name)
J.
(Initial)
DATE OF DEATH_6=---=1=1_-6:....:8=--_FILE NO.63-69-931
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=8"'--....=:::2<.L5_-~69L-__~_
06-11-68 L&C~e~/INHERITANCE AAPPRAISER
REPORT OF THE REGISTER OF WILLS
REGISTER OF WILLS
Dated:__--:::.0....8--'2::::.5.....-....::6~9~_
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 gre or lesser amount represents the sum
allowed as a deduction.'
ZI.')(J(J Ulf
L 01,8 .~
31.548 74
2,128 50
29,420 24
$.U.'/'>U W
J.()J.~?J.
17.798 74
2,128 50
15,670 24
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
annuities.. . . . . . . . . . . . . . . ...$t=
~
ESTATE TAX ASSESSMENTS $.
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.$
t=
$
$t=
$
COMPUTATION OF TAX
$
$.::.1..z...7L.='6~5.:::::21=---
$------~-
$------.......-+--
$--------1--
$====~=
$====~
$-------1
_~_--IL-
TOTAL TAX BALANCE :-~f-.
PAID $....Je:
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6%from_____to _
AMOUNT OF ESTATE TAX ASSESSED $----~
Estate tax paid $--...;
BALANCE DUE
Add interest at rate of 6%from
------Ito-----
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
TOTAL TAX
FOR USE OF REGISTER ONLY
Tax on·$~--2%
Tax on $29.L.20 2L.("6~
Tax on $--------~--'5%Tax on $~--10%
Tax on $~~-15%
Exemptions========t==*Total Estate --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 t
Administration ~No.
IN THE
Year
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
...T.RESSIE.J •..DELBARRE ..
Deceased
Late of .
County of
CALIroftNIA
.....WASHINGTON .
"""".~:...~.~-.
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
,
..,
Fonn RCC-2
,.DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX-,.
APPRAISEMENT
DATE A~.~~?2.?~.?..~.?.
COUNTY Y.l.?:~P.:~g:1?.~!.1..
FILE NO 63.~.69::~:931 ..
Whereas,'r.;r.~.!?§.~~~..L ..P..~9.~;r.~late of g~~.£9.~~.~.
in the County of W.9.-.~h.~.g:t.QD:Commonwealth of Pennsylvania,having died on
the ll th day of J.WJ.~19 9.~seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore.I WR ChiID!?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.
Description of Anet
REALTY:
See Copy of Schedule "A"attached to appraisement
JT.HElD:
Total
Unit
Values
$
Appraisement
Made for Inheritance
Tax Purpoles
27,500 00
L....OL...8 7L
31.548 74
·.WASHINGTON .County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
TRE.$.$.n!..~..~PE.U3.~.
Deceased.
Late of
CALIFORNIA,..,.
Date of Death,J'QD.~l.lJ..J.96.$.
Appraisemel!t Docket Vol.,~Z .
Page,cJ...7.<?.=7..No.<?3..~99~93..~.
Filed in Register's 0 ffice,AlJ..glJ,.~:t..?.5..,.19 9.9...
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appraisement,
Appeal jyom Appraisement,.
Entered and charged,.
/•