HomeMy WebLinkAboutOC1969-0982 - ESTATE OF BLAIRj
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ESTATE OF N 63-69-9820.__..;:...:;:......:.....:..-.....:..-_
Briaget M.Blair
deceased.
First and FinalInthemotterofthe _
Account of·F_r_a_n_k_G_r_a_s_s _
Executor
ADJUDICATION AND DECREE
No balance
6398.20
6398.20
Russell Marino,Agent,trAnsfer inheritance
t.9X,
Michael Blair,son,1/3 residue,
George R.Blair,son,1/3 residue,
Mary Blair Nickel,daughter,1/3 residue,
Deduct Clerk's Costs &Receiptsi-I
Balance -'--_
SCHEDULE OF DISTRIBUTION
Balance per account _
AH:orney,-=T:..::e:;.:;m::l:p~e:..:s:...:t:._..;;&;;......;;S;..:i:.:;mm.=o:.:.n:.::s=__1
And now October ,19--l9,this matter came on for hearing,
audit and distribution at this session and testimony ta en;and thereupon,upon due consideration
thereof the;calance for distribution in 'the hands of the Accountant is determined to be
$20,)+.29 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.
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KNOW ALL MEN BY THESE PRESENTS;Whereas,at Washington,in the County aforesaid
J
on the 5th.day of September A.D.19 69 ,before me,
Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
the last Will and Testament of
Bridget M.Blair
late of New Eagle in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Frank Grass
the Executor III said Will and Testament named,having appeared before me and taken and subscribed
the oath of office prescribed by law;
NOW,THEREFORE,I,Russell Marino
grant these LETTERS TESTAMENTARY,unto the said
Frank Grass
,Register as aforesaid,do
committing unto Him the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring Him
to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety
.days from the date hereof,and to render a just and true account of said administration at the expiration
of six months from the date hereof,and to regard and comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal
of said Office at Washington,this 5th.
day of September III the year of our Lord one thousand
nine hundred and Sixty Nine
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.............................................................................................~...
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LAST WILL AND TEST1~1BtIT
OF
:BRIDGET H.BLAIR
I s BRIDGET H.BLP..IR,of i~le\",Eagle,Washington County,
Pennsylvania,being of sound mind,memory and understanding,do
make,publish and declare ttds to be my T...a.st ~Jill and Testament,
hereby rc~voking all Hills and Testaments or Hrit.ings in the n.atur
thereof by me at any ti.me heretofore made.
FI:?5T:I direct my just debts,funeral expenses and
costs of administration to be paid as soon as may be conveniently
done after my death.
sion,
SECOND:I direct that all.estate,inheritance,succes-I
legacy)and other death duties 01:."taxes of any nat':rr.c "ihlenl
EMPEST &SIMMONS
;i::CONO a CHESS $T5.
MONONGAHELA,PA.
may be assessed or impos·ed tlpOn .or \vith respect to property pass'~
I
iog under this Will shall be paid out of my residuary estate as
part of the expenses of administriationand with no right of
/'
THIRD:I give,devise and bequeath unto my Husband,
GEORGE BhAIR$his heirs and assigns forever,all my property and
estate,real and personal,'of 'tvhatsoever nature and kind and
~.;h.ereso,ave!'the s:ame shall be situate at the time of my d,zHithe
FOURTH:If my Husband predeceases-me then I give,
devise and·bequeath all the rest,residue and remainder of my
property,real and personal,of whatsoever nature and kind,and
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II
and wherever the same shall be situate at the time of my death I
unto Hichael Blair,Mary Nickel,and George Reynolds Blair,in I
equal shares,in fee per stir~es~
FIFTH:I nominate,constitute and appoint my Husband,
George Blair,to be th~Executor of this my Last Will and Testa~
ment,but if my Husb~nd predece~ses me or fails to act as Execu-
tor for any reason,then I nominate,constitute and appoint Frank
Gr~ss,of Honongahela,Pennsylvania,to act in his stead as
executor of this my Last Will'and Testament.
IN HITNESS i\TREREOF,I,Bridget H.Blair,testatrix,
being unable to sign my name because of a physical disability,
h~we had my name subscribed for me',in my presence,ELnd at my
direction,by .Clyde G.Tempest,Esq ~,\'1hereupon I hay,s made my
..-1'1-.
mark un,'iij.ssisted in the space between my names this~.day of
bat'~M(r2)gJtC:V,\-.(SEAL)
lSMPf;ST &S'i\H.-\OI·...;S
On.theJ 0 ~day of Dc'G E f4 PJER ,1965,Bridget H.
Blair,the above named testatrix,in our presence,declared the•
preceed:tng instrument,to be her Last ~,'i11 and Testarneflt,and
being unable to sign her name hereto .for the reason herein stated
1directedhernametobesubscribedforher,wh:tch the ,-mderslgned ~
Clyde G.Te;npest,Esq.,did subscribe as directed in the presence j
of the testatrix and in the presence of the undersigned,whereupoJ
the testatrix,in our presence,unassisted,made her mark or crosJ
in the space provided between her names,and we,in the presence I
of the testatrix,and in the presnnce of each other,at the re-
$t:CO!~O a CHESS :::."TS.
subscribed our names as witnesseso I
-,
Affibuuit (@f Executor (@r A~mini!itrutor
I t:
.,
t;tatr of 'rnnayluania,t a9:
cnounty of Bual1ington ~
Personally before me,the undersigned authority,a ~.9.1.~;!'.Y..P..y.p..t!-..<;..in and for said
County and State,appeared E.r.g.n.ls;~.r..g.?..§who,being duly
sworn according to rW~'deposes and says that he:is the executor or administrator of the estate of
..................Jtr..id.g.~.:t.jJn.a.j,.r.deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of...Br.i.dg,~.t M.A ..lU.a.ir ,
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 fait value of said items as of the date of the decedent's death,based upon a just appraisement of each
item made by the above named Executor Administrator.
~_daY~os=~..;,;.;.;~~~~:S.~:ib~~".~.~i;;.9~.~th;.id..f.-i ·l.:~~.:_.
~.""_a...,.,fh Executor-AdmInIstrator~•.KE:'~OTA'RY'PUBdif'".
MONONGAHELA,WASHINGTON COUNTY ADDITIONAL INSTRUCTIONS
1 MY f\ON~lf~~~~M.Y.!%.t~t~~l~W ithin three months after appointment of personal representative.2~emJlfrs~~'em'~'ffi:"~P~At{PMt~~rlifust be filed within thirty days of discovery of additional assets .
.3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
lIuurutnry nub i\pprnisrUlrut of the goods and chattels,rights and credits which
were of ~:r..i.Q..g.~.t M.f ~.l.a..t.r.l~te of N~.w.J~.~g,.l~.
Washington County,Pa.,taken and made in conformity with the abave affidavit.
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PERSONALTY:
DOLLARS CENTS
Cash received from the Western Pennsylvania National Bank,
Guardian of the Estate of Bridget M.Blair,an incompetent,
according to the final account filed at No.61 of 1967 in
the Register of Wills Office of Washington County,Penna.25,163'98
Total Estate 25,163 98
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly sworn aCfording to law,depose s and says that the above account
as stated is true'and correct as J)JL verily believe,
Sworn and subscribed before me this ?~.~.h .
day of Al'.I.iJ 19...lQ .
~~:-~-l§~--:---
MO"ONGAHELA,WASHINGTON COUNTY.()---
MY COMMliSION EXPIRt~APRIL 9.,1973
Member,PennsylvaniaAssociationof Notaries
,,~J~._-.l·:.._..t.~.._..._.._......._......__.........,, ,,__.._
Frank Grass
,
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Walshington County,ss:, I do certify that I have given le9'al notice to all persons
concerned of the filing of the within account in the manner
pres~ribedby Statute and Rule of Court,as evidenced by proofs
ther~of filed to NOo.b.3-::..70:::.3.7..0 0
Witness my hand and official 'seal thiS..3/-/!!!:...
,~rlQdaYaf--------------::::~4®J!~-:::--
:.Register of Wills
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First and Final Account of Frank Grass,Executor of the Last
Will and Testament of Bridget Blair,deceased,of New Eagle,
Pennsylvania
Date of Death ~August 28,1969
The Accountant is charged as follows:
PRINCIPAL PERSONALTY
To the amount of Inventory
and Appraisement $25,163.98
INCOME PERSONALTY
None
Total Charges
The Accountant claims credit as follows:
Administrative expenses,preferred
debts and other debts and taxes
as set forth in Schedule "A"
attached hereto and made a part
$25,163.98
hereof as follows:$4.;707.69
TEMPEST&SIMMONS
223 SECOND STREIIT
MONONGAHELA.PA.
Balance for Distribution $20,456.29
n"•
SCHEDULE
Administrative Expenses:
"A"
Washington County Reports,Advertising
Daily Republican,Advertising
1,500.00
$3,088.0 O.
9/4/69
9/4/69
9/4/69
9/9/69
9/27/69
1//70
1//70
4//70
4//70
Russell Marino,Probate
Guy Rogers,Probate
Mary Booth,Witness fee
Russell Marino,Filing Inventory
Russell Marino,Filing Account
Frank Grass,Executor's Commission
Tempest &Sim~ons,Attorney's Fee
$22.50
15.00
5.00
14.00
12.50
4.00
15.00
1,500.00 ..
Preferred Debts:
TEMPEST &SIMMONS
223 SECOND STREET
MONONGAHELA,PA.
11/8/69
11/8/69
1/1/70
L.M.Frye,Fun~ra1 Expenses
Transfiguration Church,Mass
Wgdqington Home,Final Bill
1,451'.00
5.00
163.69
$1,619.69
$4,707.69
!..'
THE DAILY REPUBLICAN
MONONGAHELA,PA.
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929 P.L.1784,Sec.3,
paragraphs (3)and (25l.
County of Washington I ss:
State of Pennsylvania r
personallJ;appeared before me,a Notary Public in and for said county and state,~~~X ~~_~J:l_~_~~__,who,being duly sworn,deposes and says:thaL_~~_~is
the b9_Q~_~_~];l_E3.r of The Monongahela Publishing Co.,a Pennsylvania corpora-
tion,and its agent in this behalf:that the said company is the publisher of The Daily
Republican,published daily except Saturday and Sunday,having its place of business at
Monongahela, Washington County,Pennsylvania;that the said Daily Republican was
established in the year of 1846;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 newspaper in its regular issues on.the following dates:
___EST_ATE._.NOTICE.::-BRI.DlET M-.-B-LAIR-----------------------------------------------------------
that the affiant or the corporation in behalf of which ~h_~~-is acting is not inter-
est~d-in.the subject matter of said notice or advertising and that all of the allegations of
this qffid3vit~as to the...;~e,.place and character of ~e pUbli~n are true."'~-.~_/"~-----c:l-:-----~-~~-----------------
Sworn,to an~su~scribed before me thisAJ7~-~day of -,~_~__________196__r_
.-'.'---------~¥--JL--~------------------------
-,-,'NotIfJPublic.M"Slnlbwa)'jeg~lMhington Co.
"Mr Cemmission Expires March 23,197({
.--,t the
LetterS.,E.-t '..m,E,state',-0 -.J'>gl'e Wa :lllngtodn
'of :NeW..'.'"Decease ;late 't"..''pennsy vanIa.'."Regis·Coun y,nted by,...e'n,I having b~en gfrawashingtOJ(Coun'J', f Wills 0 ,.to'all per·
i~:tige.~~~~~bYto gl~:rd Estated \~
:son~\m':nediate pa~men~in~r theI,\W,~~:having tClt~~~w~rhout delaY
Isame to presen
',\0;Frank Grass t'.,614 Mound stree ,15063Monongahela,~~]40NS
•TEMPGES'¥e~pest.Atty."Clyde "'t
","223,secon,d st~ee"""',1506,3,'Monongahela~P~',,,'!
,12 19 26,'1969;,'-i September •"c',-,,,,"=-
....\'>,
Washington County Reports '
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,
P.L.1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON}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 officiatl 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:
..............Se.p.temhe.r 18.,2S 19..69 .
..............Q~.t.•b.er.2 19.f!.9...
that the affiant or the corporation in behalf of which he is acting is not
interested in the subject matter of said notice or advertising and that all of the
allegations of this affidavit as to the time,place and character of the publication
n._.rxa~&4--.-f!Z..K-"Sworn to and ubscribed before me this
.....2~d.7..~:of~:Q'.!..hc:.r.,19 ~9..
··~·1l.r
KATHERINE C.YARD,Nita.,,."",
Washington,Washington Co.,,..
My Commission Expl....
November 'I,1969
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.
•• •••• • ••••• •• •••
BLAIR,BRIDGETM.,Dec'd.
Late of New Eagle.Washington Coun-
ty.Penna.Executor:Frank Grass,614 Mound
St.,Monongahela,Pa.15063
Attorneys:Tempest &Simmons,223
Second St.,Monongahela,Pa.15063
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~lt t4~arnurt nf <trnmmnu 'l~as nf IIasqiuginu <trnuuty
®rp4aus'<trnurt lBinisinu
In the mll/tter of the Audit of Account in
I,j,
Estate of_-=B:.:r:..::i::.:,d=.,jg:::2,e:::...=.t-=-M::,:.:-....:B::.:l::.:a=i=.r------f
TO THE AUDITING JUDGE:
No.1969-982'
Enter_----.:O~U~r~,appearance for Frank Grass,Executor
N.B.-Counsel shall,by separate paper,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
c::::ltco
No.1969-982
In re Audit of Account in Est.aJte of.
Bridget M.B1air
AUDIT
'rtttript fnr i\pptttrtturt
FOR
Frank Grass,Exr.
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G"">m r=:~~---{:::0 r==__n.:<:::c.~-y--,:rv~'1\----
<:")I :;:'"-'0 ....-
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A,ttorney
~2
..'-PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form J
Estate of ~~~PEI?.I ~~A~g._ ___.
.Deceased
No c;.~.2:f?.F L9.'..~A.A.
Fiduciary F.rank...Gr.as.s.~..Exe.ClltO.r:.
Date of Date of
Decedenfs death A~K~~~'!:?~.2..).~§.~""""Grant of'Leltters S.e.p.temb.e.r:5.~19.6.9 ,.
This is the f..i.I:?t a.n.d...Ein.a.l ;account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term NQIl:.~.. . ....IF
Election to take
Under or Against will.(cross out one)None
Date Election Place of;
Filed None..................Record .
Name of surviving spouse N.Q.n~:.:_ .
List issue,where material:None
Did decedent marry after execution of will?(indicate)Yes.No.Any children born after execution of will?(indicate)
2MeI.No.~If answer yes,name them :N~.!~.P.pJJ.S~J?J~_ .
Leg.atees Relationship
Michael Blair Son
4844 B Rose Terrace
Fort Knox,Kentucky 40121
George R.Blair Son
Wistar Court Apts.A-3
Wistar Road
Fairless Hills,Fa.19030
Mary Blair Nickel Daughter
677 Rolling Rock Drive
Bloomfield Hills,Mich.48013
Interest
1/3
1/3
1/3
Fiduciary,if deceased or not sui juris------------1
None
None
None
List,if exceptions to above:
None
If partial intestacy,giv~}f;acts:
None
Adeemed:Revoked:Lapsed:Abated:Give Cause:
Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled
to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account
and of call of audit?Yes.~..
If any exception give cause::N~.D:~.
:~~c~~:eo~f~~~I~ng A.P..~.:~9./..q.7..9.,..,.,._..",,
Is estate subject to the filing of a F~d~ral Estate Tax Return?N'.Q....•..........,,,..,,.-,..,,.,'..'.e',:c.•"
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $N9 n..e .
•t r 1~r .•
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant N.one .
Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts
of such claims;state whether they are admitted to be correct;and whether the claim is denied.
None
Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re-
quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication:
No'ne
Balance for distribution per account,
Itemize any additional debits not shown by account:
';.
Total additional debits (Add)
Itemize any additional credits not shown by account:
Total additional credits (Subtract)
Balance for distribution
$_N.9.D-.I?..
$N9.n~.
$..2.0.,.45.6.•.2.9 .
_\
'';'.-.:;",.~
$..~.Q.,..4.?§.~.~.~.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Entire balance is in cash
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If Family Exemption claimed by Petition,give place of Record:NRIHL :.._.______----..--..----------.
I
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:_~~~~_.._.
List any advancement or distribution on account that has.been made,and nature and amount of same:
None
Suggested distribution of balance,shown,both as to principal and income,attaching signed and itemized elections
to take in kind if balance is not in cosh:residuary shares being stated in proportions:
I~.is respectfully requested that the Audit Clerk deduct all administration
e~penses,audits,audit clerk costs and inheritance taxes from balance
anq.distribute entire baHmce to the legatees named hereinabove.
~:
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COUNTY OF WASHINGTON,55:
COMMONWEALTH OF PENNSYLVANIA.
,
The above named Fiduciary or representative thereof,
being duly..?~_C?_?:'!l:_.__doth depose and say
that the facts set forth in the foregoing petition are true
to the best of..__......__.l1~_~_....._.__knowledge and belief.
And your petitioner will ever pray,etc.
.....-.9-wD.r.n .._ .__to and subscribed before
me this_26 _day o~.e.19:..ZfJ.~..&~__..
S;~3'5u;a~ft O~~;~~t~---M;;;~-,:;g-ah~"l~-pa.Frank Gr as 5
Title of Officer N.Qt,ary W-ash.ing-tWl..-CO....-----
Office expires M.?:r.Qh..4~~2.7.~:~~,'
(..~..~..;.
,.
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No.___._ ______.__._A.A.
Estate of __.._~BJ_R_G.~J..J~_1AJ_R _ _ _..
Deceased
Fiduciary._F..x_ank_..G.r.a.s.~_,...E.x~_c..u.t.Qr __....
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Counsel of Fiduciary will submit herewith the
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:paragraph b-c;and divisions
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
3.Copy of Order appointing Trustee ad
litem,if pertinent.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.or an attest copy of Will.
6.Copy of inventory and appraisement.
7.Proof of advertisement of grant of letters
if not filed with account.
8.Certificate of "liens in case any of the
funds for distribution are from judicial
sale of real estate.
9.Signed and itemized elections if any
distribution in kind.
10.Copy of Federal Estate Tax return if ,es-
tate is subject thereto.-•
By~"TQ~~_:_~__,_
~Attorney
~2
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."August,29;~1970,
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Michael Blair:''."
4844 B Rose-Terraee
Iiort ~ndx,ltentutky'"40121
,
"
..
"Dear Mr.BlaiT:
In,re:.,
•~.,1'
Bstateof'BridgetB"lairt Deceas~d:
.No.982 of 1969 A. A.'
Our ~jle No.3-470 Est"
.'."
,You are hereby in'formed that the above referred to
Estate '11'111 be audited in the Orphans I Court of Wash.ington
County,Pennsylva~ia,on ~optemljer 17,1970,at:;()t·al)out .~
l :30 0 '(~lock p.rn:','--... ..
You ~ay appear'an~be present at said audit if yousodesire.
~.'"'".".'"..
Sirieerely yours~.-' .
•".l--~
CGT/cba
Clyde',{j.'Tempes't .C',.•
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IN T~E COUR T OF COMMON PLEAS OF WASIDNGTON COUNTY,PENNA
ORPHANS'CO·DRT DIVISION
"""T .,..-.,~..)IN HEt ~
.)
ESTAI'E OF )No.982 of 1969
)
BRIDGET M.BLAIR,)
)
Deceased.)
...
...,
~z~.I~
ZZIIIII.
i~BEFORE:
zxUl;
ti APPEARANCES:~UlQ
..J0(
ijg TIME:.,
~N
HEARING CN AUDIT
THE H'ONORABLE P.VINCENT MARINO,Judge
of the said Court.
,
TEMPEST &SIMMONS,ESQS.,of Monongahela,
Pa.,repres enting the Accountant..
Thu rsday,S~ptember 17 J 1970,at 10:00 0 'clock
A.M.:,EDST.
Tempest and Simmons.Mr.Tempest?
Blair,deceased.The Executor is Fr.ank Grass land-ahe attorneyS3are
three children of the decedElnt.They are to receive one third each.
Number 982 of 1969,,the estate qf BridgEt M.
If the Court please,Ihave prepared all the neces sary
papers for this estate.The entire estate consists of cash.There arE
MR.TEMPEST:
aiIt THE COURT:III~ItoII.IIIIt
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Am there are no complications.
THE COURT:The children are all sui juris?
MR.TEMPEST:Yes,all over 21 years of age.
THE COURT.Is there anyone else in Court interested in this
\
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.!
decedent's estate?
THE COURT:
Court.
(NO RE SPONSE )',
The audit '?f this account is ordered closed by the
(AUDIT CJ;..,OSED)
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Form RCC-33
RESIDENT DI~CEDENT
,(,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF ...\,/A.S.Jl1...tv..(;TJ)N .
IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the'
Register of Wills of the County where decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
the Inheritance__an!i .E_si;ateTax ;\ct of 1961.)
h Br.hi.l;,g~~~:.~~::..::.~.~~:~:~~~~~~h"}:::::;~:OF
.(State l'ull name of d'(edent)
Late of W?:.?..h.:i...P.Kt9.D:..h......h.County ADMINISTRATOR
State of P.e.nnsy.lv.an.ia :.}
ss:
County of Was.hington h •••••••••••••••••••••h _.
...Fr.ank.h...GraS..5::h h ·h................:.....:.........:.:....:........
Administrator of the estate of the above-named decedent being duly sworn,depose and say
Exeeutor
Decedent'died A"l.l..g"l.l.?!??.
(Month)
........................,19.§..~J testate leaving a last will,copy of which is hereto attached.}
(lilly)(Y~ar)Lintestate .
Name and address of attorney or}ClydeG.Tempes.t :..
other a~thorized representative to
who",all correspondence should be 223 ..Second..Street.....
mailed.Monongahela,Pennsylvania 15063
That as such E..~.§.\;;ll.t.Q.r deponent is familiar with the affairs of said estate and the property con-
(Ex"cutor-Administrator)
stituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly
with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent
or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TODEC~DENT
N 0 N E
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the folloWing,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth full v and in'detail all the
real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving
the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent
at the time of death,whether in decedent's 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 per~9~~?~~P:ersonsgiving also'separately the accrued interest thereon,if any,down to the last
interest day prior to decedent's death in the case of savings banks,and to the date of decedent's-death
in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent;all obligations,whether by statute or agreement they
arf!designated as tax free,of the United States,or any state,or political subdivision thereof,or of
nn~rorei~l country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,]Jooks,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated
market value thereof;all bonds and mortgal!es held by decedent and of all claims due and owing decedent
d.t the time of death,and all promissory notes or other instruments in wri ting for the payment of money
of whi.ch rlf'cedent rUed possessed,of whatsoever nature,wi th interest thereon,if any,giving the face
value llrvl 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 polictes 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 unpa.id as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent ~t the time of death,with the market
value thereof at such time.
.~~s~~.:4:.t1::_.
(Executor-Administrator)
..9...l.4 M.o.u.n.d St.r.e..e.:t.._.
(Street Number)
...~.<?~.<:>.~&.9.-.h.~..~.9.:.L...?..~.p..~.?..y..!.y.9.-.~.!.9.:.....+...5...9..6 3
(City or Town and State)
"
,I r
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 sho'Ning the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.·It should also set forth in itemized form,together with the fair market value
thereof,any other property owned or bequeathed by the decedent at the time of death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two .years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a cony
of the deed,trust agreement or other instrument creating the trust.Ther'~is also set forth in said
schedule a list of all property,real and personal,with its value,which passes at decedent's death by
virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint-
ment vested in decedent,either individually or .jointly,by the Will,deed,or other instrument of another,
With a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the name
of the decedent and others,plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and Impaid at time ~f
'\..death;taxes accrued charge.able for period prior to decedent's death (except,those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A","B","en,"E",and "F"as directed therein,·
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this .
........~..?::2..~..day of J.anua,ry 19...7..0 .
-~~K£Y~1T··,..
MO,ONGAH.\:.L!\.f.WX~~:~~APRIL 9.197j
'(COMMI.S\l'lN .M I '0'',a AssociationoffiotanesMmberPeonsyvaNOTE:B~Y6re 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 (I-54)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BU~EAU OF COUNTY COLLECrfoNS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"I'.' ,,
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 Commo(lwealth of Pennsylvania should be (1)(2)(3)I
described by lot and block number,street and street number,together wi th DEPARTMENT
a general description of the property,with a reference to the record of the ASSESSED VALUE VALUATION
conveyance by whi ch the decedent took title;if a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encum~rancesupon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this space)to be listed on Schedule "F"and must not be deducted from this schedule.
N 0 N E
Insert this total opposite IIrea l property",Schedule "A"in the X X X X X
liAs Reported"column on the last page of this return.
RCC-35
COMMO~WEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE·TAX
RESIDENT DECEDENT
r ,I 1
SCHEDULE "n"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,paintings,automobiles,boats,etc~)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,...stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the time of death,should be listed in this schedule.
DEPARTMENT VALUATION
(Do not write in
this space)
ESTIMATED
U ,uno,'VALUE
/
~J
$25,163.98
UNIT
VALUE
ITEM
List and describe fully
Cash received from the Western 0/
Pennsylvania National Bank,Guardian of
the Estate of Bridget M.Blair,an incom-
petent,according to the final account
filed at No.61 of 1967 in the Register
of Wills Office in Washington County,
Pennsylvania.
Item
No.
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X
$25,163.98
.RCC-36
co~m()V'\i?\LTH OF PFXNSYLV..1.NI A
l'!UN~FFI~INEElUl'ANCE TAX
rmSlnEXT nECEDENT
SCHEDULE "e"
Tfl\NSFETtS
(1)Dirl rlecedent,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 decerlent,within two years of rleath,transfer property from himself to himself and another or
others (inclurling 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 decerlent's death.(Note 1).
(4)Did decedent,in his lifetime,make ,any transfer of property without receiving a valuable or adequate
consirleration 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 transferrerl might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decerlent's death?__
(5)Dirl decerlent in his lifetime make any transfer without receiving a valuable and arlequate consirleration
therefor under which transferor expressly or impliedly reserves for his life or any periorl which rloes
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 rlesignate 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 reserverl in decedent
alone or others -'-_
(7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor?(Answer yes or no)NO
(8)Did rlecedent,at any time,transfer property,the beneficial enjoyment of which was subject to change,
because of a reserver!power to alter,amend,or revoke,or which c0111d revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)No
(9)If the answer to (8)above is in the affirmative,was the power to al tel',amend,or revoke the inter-
est of the beneficiary reserved in th~decedent alone or the decedent and others?
(Answer yes or no)__
NOTE 1:The answers to these questions shoulrl be supporter!by affidavit by the attenriing 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 elate of death,elates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if tritnS-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM
---
DESCRIPTION
NON E
MAlUmT VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this totaJ 0JlpnsJ tP."Transfers",Schedule "C"in the
"As Reporter:l"column on the last page of this return.
••I .,
....------------------------------------------
,"
SCHEDULE "E"
JOINTLY OWNED PROPERTY
Ca~lONWEi\LTH OF PENNSYLVANIA_
Tl'iANSFER INHElUTANCE TAX
ReC-38
RESIDENT DECEDENT
INSTRrCTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly
wi th another or other~,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule
"A",plus the date and place of record of instrument effecting vestiture,but do not include entireties
or out of state real estate value in estate valuation column.Personal property should be listed as in
Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-~wners toI
the decedent.
Description of Property,Date of Acquisition,Name I unit percentage Estate
Address and Relationship of Co-Owners,and Place Value Share Valuation
of Record of Instrument,where Real Estate.I
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
NON E
Insert this total opposite "Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last page of this return.j
-------------------------------------,
••
RCC-37 (12-63)
CtnDH):'oi\~T:\I.TIl OF l'E~:'oiSYYb\NI:\
TRA~SFER I~HEHITANl'E TAX
RESIDENT DECEDENT
..I-•to
SCHEDULE "0"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
a,e an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Mirh~el Blair Son Yes Sui Juris One-Third
4844 B Rose Terrace ---
Fort Knox Kentuckv 40121
George R.Blair Son Yes Sui Juris One-Third
Wistar Court Apts.A-3
Wistar Road
Fairless Hills Pa.19030
Mary Blair Nickel D::llJ ahTp.r YP.r::..Rl1i .Tl1ri r::..nnp.-Third
677 Rolling Rock Drive
Bloomfield Hills Mich.
48013
.
\
h
Deponent further says that all the above-named beneficiaries are liVing at this time except below:
NAME DATE OF DEATH RESIDENCE
N a N .E
OF THE
ESTATE OF
~IATIER OF THE APPRAISEMENT
Will
Administration !No....7%2..Year .....l·l
P.Il THE
(Executor-Administrator
must complete "As
Reported"column #1.)
(')~'"d :::0....CD CD0Il>....e:-'"::l '"'"'"0...,(t'::l '"d....e:-....
Il>en 0>:'"d '0Il>CD0"'........cr 0 ..:!'0
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'"
,........'<Il>.....CD
1 .r .. ..I3riclg~t ..I3....al·············ri~eased
Late of .NElW.l3a,g:I.El .
County of Washingto.Il......
Commonwealth of Peimsylvania
A~iRAISAL~=:iI
I'Tl..:
o
enc:
3::::>::c
'J)en en ><
()(')(')?'":r"?'"
ci ~~........................
-00 -00 ~-00 -00 -00
'N Z N >'V1 Y1 ·z en
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\0 'CD CD
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TEl\APE§T &SHv1t\10NS
A TTORj.\IEY§AT Ll::.."\V
SECOND AND CHESS 51'S.
MONONGAHELA,PA.15063
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OP'FICE 0 ..THE
ItEOI.TEIt OF'WIl.l.I
Of"Wa sh;Dgton _COUNTY
AND AGENT 0 ..THIl CONMONWIiALTH
~:3 ~t -7-?!Jv
-3'4'.../-~
STATEMENT OF DEBTS
AND DEDUCTIONS
. /',,!
DEDUCTIONS ALLOWED IN'\/".<a.41Y t(rf1;\:~i
lHE SUM OF .,.".......•"(,1'~,!...LCJ._~'/7(r'~i..,'C~J.:~~--'
RlgiIlI'of Willa,Age,,1 lrN '
ESTATE OF ;Bridget Blair
,
1.ATE OF _.:.:N!..::e~w'-!..-;:E~a::..i~...l;!;o,e~,---oI;P...:e::..n~n""'s:.,zy~l;!;O'V.lL-·~a~n!o.Oi:.!a.t-_
August 28,1969DATI;OF FI1.ING APPRAISEMENT DATi 01"DEATH __~_'____---:~_
NAME OF PAYEE
Russell Marino
AMOUNTREMARK.
Probate 22 50
Probate 15 00
Witness Fee I 5 00
Advertising Estate 15 00
AdvertisinQ Estate 12 50
Funeral Expenses 1,451 00
Funeral Mass 5 00
Filing Inventory 3 00
Filing Account 15 00
Executor's Commissio 1.500 00
Attornev's fee 1 500 00
NursinQ'Care 163 69
TOTAL $4.707 69
36 ~'o.'
--~~.
.:"'.,..-'.
-..
..
Re£!.of Wil sRussellMarino
L.M.Frye Funeral Home
,
Russell Mirino,R~g.of Wil s
Transfiguration R.C.Church
Washington Co.Reports
Tempest &Simmons
Daily Republican
Waddinoton Home
Frank Grass
Slary Booth
DATE NO.01'
YOUCHIlIt
9-4 '69
c)-4 'fi9
9-4 '69
9-9 '69
9-27 '69
11-8 '69
11-8 '69
1-'70
1-'70
1-,io
1-'70
1-7 '70
.
COMMONW5.ALTH OF PENNSYLVANIA }
COUNTY Of'Washington .1:
I,.Frank Grass H&REIIY cEItTlI"Y.THAT.TO THE BUT 01"
DECEA8ED,AI DEDUCTIONS 1"01t
ETHEl R.BARKEY,NOTARYPUBLlC ~f
MO..ONGAHElA,WASHINGToN COUNTY.
MY COMMi.SllJN (XPIRE:APRIL 9,197
Member,Penn~ylvaniaAssociation afNotaries
SWORN AND SUBSCRIBED BEFORE I,n:THIS "?So
.r.J,anUa-l'Y Ie 7a<E ;U.lJ 'i<~:CUi jJ;J-
INHERITANCE TAX PURP08EI.
lin'KNOWLEDGIEANO I£LIEF,THE ..OREGOING II A JUST AND TRU E IrATEMENT 0 ..DEIITI,"UNEItAL EXPIlNIES AND IlXPENIU 01'
ACMINISTRATION SUBMITTED TO THE EITATE 0..By;dget B1 a;r
rr;-:-IJ J ~.,
1.-~_::.:_r.:"c~?<4.-d=:=-;~~~~--------(l.••.)n DAY OI"Franrass
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
FRlI.NK GRASS
(Executor~
IN YOUR RIPLY PLEAI.
RIFIIl TO 38-1-3
j
II!.Re:Estate of BR-...;.I_DG_E_T_H_'._BLA_·_I_H _
_____W_A_S_HI_N_G_'ID_N County -File No.63-69-982
Dear Mr.Grass:
You are hereby notified that the original
appraisement in the estate of Bridget M.Blalr
has been filed in the office of the Register of Wills of Washington
County on ]VIay 14,1 ,19 70.Said appraisement reflects the
following valuations:
Real Estate -~------,.n-..,.,...,...-~--Personal property 25~,~1_6~J~.~9~8 __
Transfers ----------~~'"7':':--=--Total -;.;.2~5,~1;;.;;6~3~.....9~8:...-_
As to such tax that is paid within three months from date of
death,a five (5.)percent discount is allowable.As to any tax that
remains unpaid after one year from date of deatn,interest at the rate
of six (8$)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Dat e --:.M::;:a::.z.y-=:JA:;t.Z.•..:1=..9'7u..::;0:....-_S1 gned ~~.u..---~-4~a..M:S.~--J.~.....I."4I
Title W.R.CHANEY,
DATE OF DEATH:August 28,1969
Note:This is not a bill.
'CC'311 (5-158)
COMMONWEAL.nl OF PENNSYI.VANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
(Initial)
t:state of BLAIR,BlUD.G.:.-E_T f_'1.DATE OF DEATH
(Last Name)(First Name)
8-28-69 FILE NO._6_3_-6_9_-_98_2_
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:05-14.-70._
08-28-69
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
VALUE AS REAPPRAISED
$-------+---2S.16~98
25,163 98
VALUE AS REPORTED VALUE AS APPRAISED
$$
2S.16~98
25,163 98
INVENTORY
Real Property (Schedule A)
Personal Property (Sc;hedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
FOR USE OF REGISTER ONLY
Tax on $----------l---Tax 011 $+-_-1'6%
Tax on $-----------l---5%
Tax on $----------l---10%
Tax on $15%
Exemptions *
Total Estate ~~_
TOTAL TAX
COMPUTATION OF TAX
$-------+--
$-------+--
$-------+--
$-------+--
$-------+---
$.1..-_
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::~~:::!:t=====
$___1-
TOTAL TAX BALANCE :-------I~
PAID $...JL
BALANCE OF INHERITANCE TAX DUE $-------1l=Add interest at rate of 6%from_____to $-----'
AMOUNT OF ESTATE TAX ASSESSED $-------IL-
Estate tax paid $.....Il--
BALANCE DUE
Add interest at rate of 6%from
------tto-----
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will !No.Administration
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
BRIDGET H.BLAIR
Deceased
Late of .
County of
NEvJEAGLE ....
WASHINGTON...
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
--
Fonn RCC-.2
\~'\COMMONWEALTH OF PENNSYLVANIA DATE ...............PI.e:t.y..J.:.4".....~.ng .............,-..DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX ,CQUNTY ...............w.~.§bJ:,.:gg:ti.9:r.l..................BUREAU OF COUNTY COLLECTI,ONS ..................,
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO......................63.~.6.9.~.9.$.~.................................
Whereas,..................................;s.r.idg~..t...A':i.,.....p.l..9.:i.r............................................................late of New Eagle...................................................................................,......................
in the County of .........................................Wg.$hingt'OD.............................................................Commonwealth of Pennsylvania,having died on I
the ....................................~.$...t.tL........................................day of ................A~~~j:,..........................................19...9.2..,seized and possessed of an estate I
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,..............................W.!.3.~......G.h.&.1~Y ...............................................................,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit Appraisement
Description of Asset Values Made for Inheritance
Tax Purposes
$
PERSONALTY;
See CODV of Schedule nEll R.ttRhced to Rnnr.::l;?t;.1f)~q~
Total 25.16'3 98
-
form~;:':fh~a~~:rh~w<>rllacco1~~=:~:;~er~~t~~~~iS~;:iS~~~
AppraIser
........................................"..................................................................................(2J~~@d_"............. . ...................................................................,Penna.(Post OfHee)
--
WA$l:LJ:NQTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
...BR.J.:DOET...l\l•....B.LAill...
Deceased.
Late of
.......NE.'tI EAG.LE .
Date of Death,AJJg:tJ.$.t.~~3:.,.)S9.9...
Appraisemel!t Docket Vol.,38...
Page,l~3 No 63~9..9:':':'.9$.?.
Filed in Register's Ofjice,May 14."197.Q .
Am.ount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra.isement,..
Appeal f,.om Appraisement,.
Entered and charged,.
1