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Home My WebLink AboutOC1969-1007 - ESTATE OF SAMPLEI CENTS None PERSONAL ESTATE REAL ESTATE Beginning at the corner of Main and Allen Streets on the side of Main Street which is further away from the Monongahela river and on the side of Allen Street which is further down said river thenc.~_by._M~:L].F Street North twenty three and one half (23 1/2)degrees west forty (40) feet to Lot No.44 thence by said Lot No.44 south sixty six and one half (66 1/2)degrees west eighty (80)feet to West Alley,thence by sailil. alley south twenty three and one half (23 1/2)degrees east forty (40) feet to Allen.Street thence by said street north sixty six and one half (66 112)degrees east eighty (80)feet to the place of beginning.$1,250 00 DOLLARS ---------------------=-------------~---~--~~~~~~----------/JUr)~~~4t,,\.v xl/U--~/p ~-c;9'-/0 CJ 7 I l\ffillantt (@f iExrrutnr (@r l\bmtntatratnr ~nUtntnrg nub 1\pprtti.!itttttnt .of the goods and chattels,rights and credits which were of a~.r.t:r.1J.d.e...S.~mple.late of AUe.Xl-ppr.t ,. Washington CO'f!nty,Pa.,taken and made in conformity with the above affidavit. 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 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 $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 North Carolina~ttttt of tlHagytlAildiA }.!Ui·arountg of .91,..... P 11 b f th d · d th 't Notar\T Public .d f .'dersonay e ore me,e un erslgne au orl y,a ,/III an or sal County and State,appeared f~~.P.:~Ag..S.~$.~~.P~.~who,being duly sworn according to law,deposes and says that he is'the ~~of the es- tate of g~.!.~!..l.:~g..~..~~~.P.~.~deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of ._Q~x.t~.!!9.~...S.~.mpl~....., 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 of each item made by the above named ~~.son. ./"d Sfworn ~..d__sub':/.:.scribed be 1 f 9 ore6mge this ..5:.li....;·:··I ..~..~L..JJ '~....v/U-.ay 0 I-<~,.;.............~~..S---.-'_.~.k.<.&.:...~~;~~~N.9.~~~y.·.PU~lic --on-'----.. My commission expires:ADDITIONAL INSTRUCTIONS One-half undivided interest in and to the following described I property:All that certain lot of ground or piece of land situate and being in the village of Allenport in Allen Township,Washington County, Pennsylvania,designated in the plan of said village (which is recorded in said county in Deed Book Vol.4 page 487)as Lot No.43,with the buildings and improvements thereon,which lot is described and bounded as follows: d..105'~ to ~-,,"9-J 0 0 7 Inventory and Appraisement IN THE ESTATE OF. GERTRUDE SAMPLE,·········........··..·..····De·c·eas·ecf ..·..·..·......·..·..···.... Filed ,19 .. ./ to~ ::0 CJ)Pl::U fT1C)C -0 CA\/).enri:2]....:;0;-,.... ~Zp ~~;;o =:.: -~,.",- [;;0 LO i\) f\) ..."-r-mo I~ t>'<,-.~D-e~-30~~~-5'f /{ ~ ~1'J (_111 r)Jt--.3 .!-7f(Vv:.-~~.I /U Z:-~~</l'lm No.RCC-52 (12-6.6)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,IM1,J ..EFFECTIVE JANUARY I,1962.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)(0 ~_~r _/6 cJ ? OFFICE OF THE REGISTER O.F WILLS County of YY-!\~~qrqN-. ¥:~~~~~~.~~.??-.~'p'l.~.,,..',.,,..,.of 9,O.~,~Y.a.ll~.St",Mo.J:eh~.a.d.City•.North..car.olina i (Name)(Address)28557 b · d I sworn d'I d d 7 h h ' h SonelOguy.accor 109 to aw,eposes an sa)stat e IS t e----------------{Exec~~Adm:,Tegitee,-Eic:,---------------- of the estate of~.q~_~!_~.~~_~~_§~_~J?_~~__..whose last residence was ----(---·-)-------·--·--------------(-S~----)--···-·-·.-------------No.treet ~!.~~P_~E~!_._~~~_~:.deceased,and that the whole of the estate of said decedent,who died --1:"--~-trf--)~J?.------ (CitY,Borough or Township)ate consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS, Real Estate One-half undivided interest in and to the following described Estimated pr'operty:All that certain lot of ground or piece of land situatE Value and being in the village of Allenport in Allen Township;Washington Countyi.Pennsvlvania~desiQ'nated in the nlan of said villaQ'e (which is -ted in said county in Deed Book Vol.4 page 487)as Lot No.43;with the buildings and imnrovements thereon.which lot is described and bounded as follows' Beginning at the corner of Main and Allen Streets on the side of Main Street which is further away from the Monongahela river and on the side of Allen Street which is further down said river thence by Main Street North twenty three and one half (23 1/2.)degrees west forty (40)feet to Lot No.44 thence bv said Lot No.44 south sixtv six and one half (66 1/2)dellrees west eighty (80)feet to West Alley;then.ce by said alley south twenty three and one half'(23 1/2)degrees east forty (40)feet to Allen Street thence bv said street north sixty six and one half (66 1/2)degrees east eighty (80)feet ,><0 Itr~to the nlace of beQ'inninQ' ~:JfiJr-- Personal Properly None ,--< .' . NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered.-=----'-------------'------- Jointly Held Property Estimated Value. No ;oil1tlv hp1n .-,-. Decedent had only a one-half undivided interest in and to the real estate hereinbefore descr\ibed.-\ \ - '.-~..",.~...• -"t.;.~..' Transfers within TWO YEARS Prior to Death None' \\ )of \ \~.-"~".C;.\ d.:~ ......c ., I . ))~ ~.\•.,..;)hI• ~\ \! \;..)-),. That at the time of death there wa~no safe deposit box registered iii decedent'~individual name,or jointly with,or as agent or deputy of another,or in 'decedeht's individual name,with right of access by another as agent or deputy,with the exception of the followilig:- 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 None - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent orotherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT FranklinR.Sample Son Yes Past 21 vrs All 903 Evans Street Morehead City,N.C.28557 - I RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED ,, ~..DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN Toner Funeral Home ..iKEGISTER ONLY Belle Vernon,Pa.Funeral expenses paid $1.109 .00 $ Family exemption (will not be allowed unless -........,0 decedent died residing with a spouse or children.) Administration Expenses * Geo.O.Frazier,Attornev Counsel fees *75 00 Fiduciary commission * I OTHER DEBTS AND CLAIMS (*)See Note below Belle Vernon Cem.etery Opening Grave 110 00 !C.hAPld'"/hI'li-_Ll...,"".8.~\-', ~lierFan~e AInbulance Service 70 00 Dr.Dent and Dr.Connell Profe,ssional Service s 94 ·80 Fayette CitYJ Pa. , , ~.' \ ~ Total 1,458:80 ...NOTE'List first five items in'the spaces so provided observe notations thereon and instructions 903 Evans Street..e·······················.···········.·..·..o....(Street Number) Morehead City,North Carolina........................................"Z855'T'(City or Town and State) ~~..;..~..,.....~... Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this ./".- _3t.Jctay of A~g~~t ,19.Q9. .'~..~--:-~~ef.o..,j &.~~N?~.a:!.Y..?':l.~Hc My comm.expires:(Q /;j.,7/70 Having been duly sworn accor~ng.J0 law,I do hereby ~rtify that the above appraisement is made in conformity with law on this ....................../I:\;?:4'dayof ~~Z 19.~r .'"(3...........~..~.t('rc:-..Ap~;\: In the event that any future interest in this estate is transferred in possession 01'enjoyment to coli al heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THE R~GISTE~OF WILLS I.the undersigned duly elected Register of Wills in and f~~-......County,Pennsylvania.do respectfully report that I have allowed debts and deductions in the amounts claimed by depone xcept as to those items where a greater or lesser amount is set forth in the ast column to the right in said schedule above,which greater esseI'amount re~::Lll~~:t.~' Dated:.. ../{f://(/::;~1.. Register of Wills ., f \ .~ Form No.RCC-62 (12-66) ...,WillAdministration INo Year . ~I IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF GERTRUDE SAMPLE~ Deceased Late of ~~e.~J??r.t................ <-t..£.i•.•QJ County of ..'..Y(~~¥::t?-S!?~.f~;:j ;~1 c>c v -..'-_::-;UJ f !Coinmonwealth ~~nns)jyania --.: •,j '.~-=Ci-;-..v-- o~•-q;-:':" ,J>;:b.i~REPOR~~D APPRAOgALr--(1)0 t.::) ;(;*' Nt\) GEQ/.O.FRAZIER Attorney at Law Donora,Pa. 15033 .. ·., Rcc-al (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS. INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT FRANKLIN R.SAHPLE Informant IN YOUR REPLY PLEA8E REFER TO / In Re:Estate of G_ER_T.,.;..R_U_D_E_S_'J_~_LE_~_·_ ______wt_I.S_H_I_~N_G_TO_N County _File No.63-69-1007 Dear Mr.Sample: You are hereby notified that the original appraisement in the estate of Gertrude Sample has been filed in the office of the Register of Wills qf Washington County on .September 18 ,19J22.Said appraisement reflects the following valuations: Re alEst ate _--'-..:1=..i,~2;;.::5:...::0:...::•..:0....;;0:.-.-_ Personal Property __ Transfers .....,..........................._-- Total -'---1..:;..,-2..;..5-0-.-00--·-- 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 .......;;S:...:e:..lp::.:t:...::e:::.m:.=b~e=-r-'1::.8:::.,l-...:1::...9:...::6~9:.-.__signe~,4V~~g~ Title W.R.CHANEY,C'F APPR.AISP..::R DATE OF DEATH:July 28,1968 ESTATE INSOLVENT Note:This is not a bill. .. RCC-39 (!lo68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT .. SUMMARY Estate of SAlI.iPLE, (Last Name) GERTRUDE (First Name)(Initial) DATE OF DEATH__7-_2_8-_6_8__FILE NO.63-69-1007 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of 'VJashington 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 itern in the last column to the right in Schedules "A","B", "C",and "E". X APPRAISER 09-18-69 07-28-68 Dated:__--><-"-='----"'-L-_ REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",WhiCh?irea or lesser amount "represents the sum allowed as a deduction.~'-C/ Dated:09-18-69 ~-.??~ REGISTER OF WILLS VALUE AS REAPPRAISED $---'------+--1..:!.')U uu 1,250 00 1,458 80 Insolventte $1 ;l,')U uu 1,250 00 1,458 80 Esta VALUE AS REPORTED VALUE AS APPRAISED $ CLEAR VALUE OF ESTATE 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) Valuation of life estates or (III)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. _1= ~ t= $ $ 1== $ COMPUTATION OF TAX $~------4- $-------4-- $.......------4-- $~-------+-- $------,.-~-- $====~= $====~ $------.1 ___----JI_ TOTAL TAX BALANCE :------1~ PAID $---__-Je BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6%from_____to _ AMOUNT OF ESTATE TAX ASSESSED $--__--1 Estate tax paid $~_---I BALANCE DUE Add interest at rate of 6%from ------ItIO----- 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 $-----------t--2% Taxon $~ Tax on $oJ 0 Tax on $10% Tax on $15% Exemptions ... Total Estate -l-__ 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 e~planation. ·----_.._- Will Administration t No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF GERTRUDE SAMPLE Deceased ., Late of . County of ALLENPORT WASHINGTON • Commonwealth of Pennsylvania REPORT AND APPRAISAL ., \.. Fonn RCC-2 ~COMMONWEALTH OF PENNSYLVANIA DATE ............................~.~.p.~.~~~.~.....~.~.'.......~~.?? DEPA&TMENT OF RE,.VENUE"-'RESIDENT INHERITANCE TAX .......................W.~.~tL~.~.~g.P.:.............................BUREAU OF COUNTY COLLECTIONS COUNTY HARRISBURG.PENNA.17127 APPRAISEMENT •~,.. FILE NO.......................§?:::::.~.?::::.~9.9..7................................. Whereas........................y~E~.!::~~.~....?~.~.P.~.~.......................................................................late of ..................................A..gE3.~P.<J.:r..~............................................. I in the County of .....................~~~.b~.~.P.?.!)...............................................................................Commomvealth of Pennsylvania.having died on the ...............................?.~....t.h................................................day of ...................................._....~.'l.:1.:Y.:......................68 seized and possessed of an estate19............• subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore.I,............................W.~3.~.....G.h.~P.:.~..............c•••••••••••••••••••••••••••••••.•.•••••••••••••••••••,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 AppraisementDescriptionofAnatValuesMadeforInheritance Tax Purpoles $ REALTY: One-half undieided :interest in and to the following described property:All that Certain lot of ground or piece of land.situate and being in the village of Allenport :in Allen Township,Washdmgton Countv.Pennsvlvania.designa.ted in the pla.n of said village (which is recorded in said countv in Deed Book Vol 4.page 487)as Lot No.43.with the building and improvements theron.1,250 00 Total 1,250 00 I Estate Insolvent I Having been duly swo.rn according to law.I do hereby ~fY ~t~_boveappraisement is made in con- formity with law on this ................/L,,;;te'..................day of0 .-~...--:/~:;..."l:2:;if'~"t;:~:z..............................=:.<. A ser ..................,..............~............................................................................................................................~~~~'7,,)...................................Penna. - ......WA$.BJN.G'I'Q,W County ..' RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .q~'J:'mlP'l!;..$At1.f.:L:.§.. Deceased. Late of AUENPORT Date of Death,~~y.??"~??.~.. Appraisement Docket Vol...3.7.~. Page,No.63-69-1007................................................ Filed in Register's Office,:3..E:!.Pt...•.....l$"19 6.9 Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,,. Wrote abaut Appraisement, Appeal f1'om Appraisement,.. Entered and charged,. " .~..' ",~ ..