HomeMy WebLinkAboutOC1969-1173 - ESTATE OF BUCKHOLT.... __ _
FORM 67 REG. WILLS
REV. 1-50
.Appliratinu fnr iljrttrrB nf Abmiui.stratinu nu tht
Estate of.QM9.~ .... ~ .. ! .... !}.Y..9~Q~! ......................................................................................................................................................... .
late of .... B.Q.~Q~&h. ... Qg .... 9.~m:9..Q.$..QY.:.~&. ............................................................. , Deceased.
Before the Register of Wills of Washington County
pers'onally appeared ....... ~.~t..t.Y. ... :.t:;., ..... ~~.t:t.QP.. ....................................................................................................................................... .
who, being duly sworn deposes and says that....G.~~~~-~ .... ~., ..... ~Y~Js·:b.9.lt ................................................................. ..
age ..... 9.l ...... , having ... he.t: .... last family or principal residence at..32S .... wa.st ..... Co.llege .... St.ree.t ........ .
(Street and Number)
..... G~.B-QB-.~Q~.~g·-'································································· ................... , Washington County, Pennsylvania, died intestate (City, Borough, Township)
atC.~.n9..P..~.Q:9..t:&~ ..... r..~n.n.syJ:v.:~n.i.~ ......... , on the ... J.Q .. day of ..... Sep,.temb.e.r ............................................. ..
A.' D., 19 ... 6.9. ........ , at. ........................................................... M., possessed of personal estate to the estimated value
$ ..... !?.Q.Q., .. QP. ............. , and of real estate in the Commonwealth of Pennsylvania to the estimated value of
$ .... .4., .. Q9..Q.~.9..Q ..... , situate in ... ~.9.P..Q~gh.u:?.! .... G~Jl.QP.J?.QY.:;J;.":&., .... W.~.~h;tngtQ.P.. ... C.QY:P..tY.., ....................... .
..... ~~g~~.Y..~Y..~P.:!.~ ................................................................................................................................................................................................. .
The names and addresses of the decedent's surviving spouse (if any) and other heirs including
heirs by adoption) are as follows.
RELATIONSHIP I RESIDENCE
I ..... ~.~~-~Y. .... ~.~ ...... ~~.~~.9.n ............................................... ~~-~.sh~.~!" ..... I··~-~.?. .... R~§.t .... 9.9.ll..~&.~ .... ~.~-;J;.":J~.~t ............... ..
........................................................................................................................................... 1 .. 9.~P.:!?.~.~-~~~-g-~ ..... ~~-gP.:~Y.J.Y..~P.:~.~ ........... .
.... :W..;.!J,;,~~ .... G.~ ..... ~Y.:~~hQlt. ..................................... $..9.IL ................ · .. li.4 ... :P.9.Im~ .... M~.t:&~.rt.t.~ ..... ~t.~.~.t .... ..
...................................................................................................... ..................................... .. ~.!~qq_~.~.Q.Y:~.; .... N~w. ... M~.~-!~.9. ............... .
oooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooOOooOooooooOoooOooO ooooooooooooooooooooooooooooooooooooloooooooooooooooooooooooooooonooooooooooooooooooooooooooooooooooooooooooooooooooooooonoooooooooooooU
That deponent is over 21 years of age, reside3 at..3..25. .... W~.S..t.: ..... C.9.l.l.eg.e. .... St.r.e.e.t .......................... . ..
..... 9~n.Qn§J?.Y.:~&., .... f~nn.~xl:v.~.n.i~ ..................................................................................................................................................... ..
is a citizen of the United States and a resident of Pennsylvania, and respeCtfully applies for Letters of
Administration upon the Estate of said decedent, no letters havi g been previously issued thereon.
Sworn and subscribed before me this ... i: ... ~ ·'~t"}/" ·:· ···s,~···-···-·····-···-
day ofc························• A. D., 19 ..... _6.9..... '-'········ ~--~·-············-·····-··-····
............ V. .......... :: .......................... 2?..~~............................. . ....... :~ ................................................................................................. .
REGISTER
COMMONWEALTH OF PENNSYL. VANIA }
WASHINGTON COUNTY, # SS:
And now .... ~.~.Q.~~;" .......... .f. .................. , 19 .... 9..9.., comes~~.tt.Y. .... :f; ........ B.e.t:t.QP.. .................................................. .
who being duly sworn doth depose and say that... . .she ............ will well and truly administer the goods and
chattels, rights and credits of ...... q!".~~-~ .... ~ .. ! ... .J!~~-~.~2!.~ ....... : ........................................................................ , deceased,
to the best of ... b..e.r .. skill and judgment in strict compliance with the laws of this Commonwealth, mind-
ful of the laws relating to inheritance taxes.
Sworn and subscribed before me this .... f.'..~ ...... .
day of .. ~t.QQ.~.t: ..................... 97~ .... , A. p., 19 .... ..Ji9. .... .
............. /.~~::. .... ~a.((..?!:.~ ................. ..
REGISTER
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#~3;(8
~ t3-ttJ-?1173
APPLICATION FOR
Letters of Administration
ESTATE OF
. .... QM.9.~---~-~ ..... ~Y.:9.~.Q!!I ................................... .
Deceased
R $ .............................. ...
Letters...................................................... I 6 r ~
p $ ................................ .
Extra Alias . $
Certificates -~ J ·v· ... $·····~···:····::;··:· .. . . . . . . . . . . ................................ .
Renunciations ........... $ ................................ .
.................................................................. $ ................................ . J . .
························~···· 000 ............................ c;;;.: .... ~ .............. .
. . . I ~ Total.. ................ eQ. .. a .. e ....... , ..... d:..... · .............. .. -~ u:a:·-~,
at
:::r:::M ~
,;;:.;,; .... -,.-~ -t-5 ;;: ffl ~m-., .. F . ---. ~. ;:o-. r.=. -.....,, ~~e.. 0 !.
~ ~ -a --~~ O';f~' '~ ·C ~[::: -.
)>: ~ •. ~ ....., ,.
.... W.QQD.WARD .... AND. .... BAS.Sl ...................... : ......... .
Attorney
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1Kunm i\11 ilru iy IDqest Jrrsruts
Estate of ............. gr..~~.~ .... ~.I. .... E?.Y.~.~h.Q1.t........................ } N f 19 c b 0 ............................... 0 ........... .
late of ......... ~.~~!:l:.~ ..... ~:r.eL ..................................... , Deceased
KNOW ALL MEN BY THESE PRESENTS,
Betty E. Berton as Principal and United States Fidelity and
That c}~a:r·a:n:t·y: .... cro·~ .... ·sa:ttimo·:r-e .. : .... ·MCI·~ .... ·su:re·:t'i ........................................................................................................ ..
all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl-
. f h f h · d · h · h f One Thousand D II . vama, or t e use o t ose mtereste m t e estate, m t e sum o ........................................................................ o ars, to
be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves,
jointly and severally, for and in the whole, our heirs, executors, administrators, successors and assigns, and
each and every of them, firmly by these presents. Sealed with our seals and dated the .... ~.~.h.~ ............. day of October . Sixty Nine .................................................................. A. D., one thousand nme hundred and .................................................................. .
THE CONDITION OF THIS OBLIGATION IS, That if the above bounden .............................................. ..
Betty E. Berton
........................... ~:J:X"'""""""""""""""'"""""""""""""""'"'"""""""""""""""""""''""""""""""""""""""""""""""""""'"""""""'"""""""""""
AdministratOO' ..................................................................................................... or any of them, shall well and truly administer
the est~te a~cording to l~w,. this obligation shall be void as to th/_;!who shall so minister the estate; but
otherwise, It shall remam m force. . ·
Sealed and delivered in the presence of:
I, ........................................................................................................................................ , surety in the sum of $ .............................. on the
administration bond in the estate of ............................................................................................................ , say that I reside at
.............................................................................. , Washington County, Pennsylvania; that I am the owner of real estate,
the title to which is in my own name and duly recorded, situated in .......................................................................................... ,
Washington County, Pennsylvania, worth above all encumbrances $ .................................... ; and that I am worth
the amount expressed in said bond, _over and abov~ my just debts and liabilities.
\, ....................................................................................................................... .
Street P.O.
~tattmrut nf §urrty
!, ........................................................................................................................................ , surety in the sum of $ ............ ; ................. on the
administration bond in the estate of.. .......................................................................................................... , say that I reside at
............................... : .............................................. , Washington County, Pennsylvania; that I am the owner of real estate,
the title to which is in my own name and duly recorded, situated in .......................................................................................... ,
Washington County, Pennsylvania, worth above all encumbrances $ .................................... ; and that I am worth
the amount expressed in said bond, over and above my just debts and liabilities.
Street P.O.
COMMONWEALTH OF PENNSYLVANIA, } SS·
WASHINGTON COUNTY, .
And now .......................................... 19 ............. comes .................................................................................................................................. ..
who being duly sworn, says that he is acquainted with the financial standing of the securities to the within
bond; that the said obligors have each executed the said bond and that the sureties thereto are the owners
of real estate in their own right of value more than the penal sum of said bond over and above all incum-
brances and exemptions. ·
Sworn and subscribed before me this ............................. .
. day of ........................................................................ A.D. 19 .......... ..
1
Co.
I
.. .
#2323.
63-69-1173
No. _____ _
i\ilminiBtrntinn innil
IN THE ESTATE OF
GRACE E. BUCKHOLT
And now October 9 . 19~
Bond approved and Letters issued to
B~ty E. Bert.M -n
~~-----. P..m::o t.c -~ ~ . c:: c::::a
who wii ~ q~ielr.'
..:-.M ~ ~ ('f'4 !""" II • f -nt:;o,._ ~ ;,. : ~uss~ o
-""'fl ~ -a -. Register ~-> ::X (.2,-::::o ~ . q: iE i:.r-o ... ~· -.......
Bond Book ~ Page lEU+
Att.y: WOODWARD and BASSI ..,._,.
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E$TATE OF.GRACE E.
BUCRHOLT ~.
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE OF GRACE
E. BUCKHOLT, deceased NO.
PETITION FOR SETTLEMENT OF ESTATE
LESS THAN $2,500.00 AND CLAIM OF FAMILY EXEMPTION
TO THE HONORABLE P. V. MARINO,
PRESIDENT JUDGE OF SAID COURT:
The Petition of Betty E. Berton respectfully represents:
1. That the decedent is Grace E. Buckholt, who, during
her lifetime, resided in the Borough of Canonsburg, Washington
County, Pennsylvania.
2. That the decedent died of natural causes on September
30, 1969, in the Borough of Canonsburg, Washington Countf, Pennsyl-
vania.
3. That the Petitioner is the daughter of Grace E.
Buckholt and resides at 325 West College Street, Canonsburg,
Pennsylvania.
4. That the decedent, during her lifetime, was seized
of the following personal property, which composes the sole assets
of her estate:
' -
Refund on 1969 Income Tax $173.02
United States Savings Bonds, Series E
(a) $50.00 L 560260481E March 1961 $51.60
(b) $50.00 L 563791144E April 1961 $51.60
(c) $50.00 L 565543309E May 1961 $51.60
(d) $50.00 L S65689611E June 1961 $51.74
(e) $50.00 v·:,Si70398086E August 1961 $50.68
(f) $50.00 L 572377148E September 1961 $50.68
(g) $50.00 L 575008833E October 1961 $50.68
(h) $50.00 L 576229094E"" November 1961 $50.68
(i) $50.00 L 576475883E December 1961 $50.82
(j) $50.00 L 578093310E January 1962 $51.60
TOTAL ASSETS $684.70
5. There are no outstanding debts of any nature due
and owing which have not been paid by your Petitioner, Betty E.
Berton, and all of the expenses of the funeral ftave been paid by
your Petitioner.
WHEREFORE, your Petitioner prays your·Honorable Court
t . to direct distribution of the assets of the estate of the dece-
e ' dent Grace E. Buckholt, to your Petitioner under the authority
of Section 211 of the Fiduciary Act of 1949, as amended.
And she will ever pray.
• (\ yon A AND BASSI
Bv ~~"'\, 1k~
Me,A:V'in B. Bassi
Attorney for Petitioner
.
.,
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·.,
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF WASHINGTON:
BEFORE ME, a Notary Public, in and for the above named
County and Commonwealth, personally appeared Betty·E. Berton, who,
being duly sworn according to law, deposes and says that the
facts set forth in the foregoing Petition are true and correct.
Sworn to·and subscribed before me
this )2-fli day of ~' 1970.
Notary Public
My Commission Expires:
N. P. SEAL:
I
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE OF GRACE E.
BUCKHOLT, deceased.
.
· No. . •
DECREE
--f;;tc / f'--day of dA~,
duly presented, :he :ad:" is
AND NOW, .the 1970, the
foregoing Petition being ordered filed
and upon consideration thereof and upon motion of Melvin B. Bassi,
Attorney for Petitioner, it is hereby
ORDERED AND DECREED
by virtue of the authority vested in this Court by the Fiduciary
Act of April 18, 1949, P. L. 512, Article II, Section 211, as
amended and that the personal estate of Grace E. Buckholt, deceasec
consisting of the following United States Savings Bonds, Series E:
(a) $50.00 L 560260481E March 1961 $51.60
(b) $50.00 L 563791144E April 1961 $51·; 60
(c) $50.00 L 565543309E May 1961 $51.60
(d) $50.00 L 565689611E June 1961 $51.74
(e) $50.00 L 570398086E August 1961' $50.68
(f) $50.00 L 572377148E September 1961 $50.68
(g) $50.00 L 575008833E October 1961 $50.68
(h) $50.00 L 576229094E November 1961 $50.68
(i} $50.00 L 576475883E December 1961 $50.82
(j) $50.00 L 578093310E January 1962 $51.60
i
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.. . ..
and valued at $511.68 and income tax refund check in the amount
of $173.02 be distributed in kind to Betty E. Berton as her
family exemption without administration or letters Testamentary
thereon being taken out but with the same effect that a Decree
of Distribution would have after an accounting by a personal
representative.
to be attached. "O.FFfCE OF THE REGISTER OF WILLS
THIS FORM MUST BE FILED IN DUPLICATE
Will • Admn. No ................................. 19........ County of ... Wash~ng.tan ........................... .
In ·ease of jointly owned
U. S. Saving Bonds, a
list of such bonds giving
full information must be
attached.
J
Misc . .................... ~.~.t..t.Y.. .. ~.~ .... ~.~.~.~<?.t:1 ................................................. of .?.~.?. ... W~~.t .... C.PJ.l.~ge. ... St.r.e.e.t., .... Cano.n.sburg., Pa.
(Name) (Address)
being duly .......... ~:W..<>.r.P. ........................... according to law, deposes and says that&l.e is the .... Ad.min.i.s.tr.at.r.i.x ................... .
(Exec., Adm., Legatee, Etc.)
of the estate of ... 9E~~~ ... ~.! .... ~:q~~h9.1~ .............................. Late of .. C.a.nonsbur.g ................................................................ ..
(City, Borough or Township)
deceased, and that the whole of the estate of said decedent, who died .. S.~.P.t.~mbe.r. .. .3.0., .... 1.9.69 ............................................ ..
(Date)
consisted of :
--. ------·
Real Estate
None
! .
Personal Property
United States Savings Bonds Series E
Fifty Dollars ($50.00) L 560260481E
Fifty Dollars (~50.00} L 563791144E
Fifty Dollars ($50.00} L 565543309E
Fiftv Dollars ($50.00) L 56'l6R9fi11F.
Fifty Dollars (~50.00} L 570398086E
Fifty Dollars ($50.00) L 572377148E
Fifty Dollars (~50.00) L 57 5008833E _:
Fifty Dollars (~50.00} L 5Z622909~E
Fifty Dollars ($50.00) L 576475883E
Fifty Dollars ($50.00) L 578093310E
(Additional personal property may be listed on reverse aide of this sheet.)
WOODWARD AND BASSI Attorney ............................................................................... .
March 1961 !
Aoril 1961
Mav J 1961
June 1961
Aug.ust 1961
SP.nt:PmbPr 1 Qfi1
~
October 1961
No~ ember ] 961
December 1961
Januarv 196?.
Total Personal Property
..
Estimated
Value
NonP
/ .
~ "1 ,;n oc
$51 60 otC
$51.60 61
Sl11 74 {jf
Sl10 fiR 6("
SSO fiR 6(
$50 68 Q(
$50.68 o\
$50 82 ·o<
$...,. .. ,.,.. so.
/0. ~ .,:4l
$511 68
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pa,ew!,SJ (paDUJlU03) Al-la•o.ld l'BUOSlild
Held Property
Transfers within One Year Prior to Death
t
. '' Estimated
Value
None
.s.warn .......................................... and subscribed before me . V ..t:J ,
I c:-i7f:::4 /) 0 .~_. 70 .......................... CL.~---···························· the ./.U .. '-............ day of -------~---'...!:-;-: ••• "'------19 ....... .
• ' . · W NDA CARRINGTON, NO . RY PUBUC
_,) . CQ.A,/?,.L-r, d:; 1~ I'IW"":· '' n! l:TY
a y fj_~-~.tl.---··················~---········;~~~~~~:~:;:jR;;-~G~~:"I~;ill
~!s fonn requi~'4 in all estates with gross assets under $10,000.00, under Section 15 of the Act of June
20, 1919, P. L. 521, as amended, and Section 1201 (a) of the Act of April 9, 1929, P. L. 343, as amended. .... ~ --. .--
IMJ'ORTA~T-5EE REVERSE SIDE
(ATTACH ADDITIONAL .SHEETS IF NECESSARY)
BENEFICIARIES AND ADDRESSES
(State full names of all and their addresses who
have an Interest, vested, contin1ent or other•
wise, in estate.)
Betty E. Berton
325 West College Street
Canonsbur~-Penn~vlv~ni~
William G. Buckholt
114 Donna Margerita Street
Albuaueraue .. New Mexiro
--}
.> -
BENEFICIARIES
RELATIONSHIP
(If step-children or
illegitimate children
ere Involved, set
forth this fact.)
daughter
l~nn
•
SURVIVED
DECEDENT
STATE YES
OR NO
lves
luPC!
AGE OF LIFE TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
Sui Juris
c;:,,; l11't"'; C!
:or
INTEREST OF
BENEFICIARY
IN ESTATE
k rP~innP
~ residue
i:;::b ~r. T'.fl ::;r. "' "-' -.,..., ...,_ "1 :::::--C:: .<;-(I) (f)
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Deponent further says that all the above-named beneficiaries are livinl It this time with the ·~caption 'of:-
NAME D.A!J'E OF DE.A TH RESIDENCE
;,
R C C-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION IN YOUR REPLY PLEA8E
REP'IER TO
38-16-6
NOTICE OF FILING OF APPRAISEMENT
BETTY E. BERTON
'"VYVVVVVVV . (Ex~~~~~~Administrator)
In Re : Estate of -.......--..::G.:.:RA=.::C::..::E::o.j . .....::E=-.:..• ~B:..::::U:..!::C:..!.K~l.!..:!IO~L!:!.T;__ ____ _
-------------'~v~A~Suf~Jr~~~JuG~T~O~~~J _____ County -File No. 63-69-1173
You are hereby notified that the original
appraisement in the estate of Grace E/ Buckhol t
has been filed in the office of the Register of Wills qf Washington
County on August 4, , 19_7_0. Said appraisement reflects the
following valuations:
Rea 1 Estate ----~6...z.'...;:;6...;:;8..=6:...:•....:0;..:0=-----=J~t.::..l=..Y· 0'1;vned •
Personal Property ______ ~S~l~0~·~2~2~-----
Jt. Held Pers. ~·~'--------~J~8~0~0¥0~---Total ________ __:6~6~9~0~.~2~2------
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 apJ?raisement may
appeal therefrom as provided by law.
J
Date __ A_u_g~u_s_t __ 4_,~1_9_7_0 _____ __ Signed _)!:~
CHIEF APPRA]SER Title
DATE OF DEATH: Sept. 30, 1969
Note: This is not a bill.
I
R C C-39 ( 5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
Estate of BUCKHOLT, GRACE E.
SUMMARY
DATE OF DEATH
I (Last Name) (First Name) (Initial)
REPORT OF INHERITANCE TAX APPRAISER
9-30-69 FILE NO. 63-69-1173
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of l'lASHINGTON
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: 08-04-70
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for County, Pennsylvania, do respect-
fully report that I have allowed deductions in the amounts claimed by deponent, except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum
allowed as a deduction.
Dated:-------------REGISTER OF WILLS
INVENTORY VALUE AS REPORTED
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
$ 6.000 00
t;l nl ?.?.
1 Q~ ~~
6.690 22 6 690 22
annuities . . . . . . . . . . . . . . . . . . . $------+---
ESTATE TAX ASSESSMENTS $ _________ ...L__
FOR USE OF REGISTER ONLY COMPUTATION OF TAX
Tax on$ 2%
Tax on $-----------1--@
$ ______ -4--
$ ________ ~---
Tax on$ 5% $--------4---
Tax on$ 10% $ _______ 4---
Tax on$ 15% $ ___________ ~---
VALUE AS REAPPRAISED
$ ____________ -+---
Exemptions *
Total Estate _______ _._ __
TOTAL TAX $--------J---
(*) 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
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
-----to -----
$======+==
$----------+---
$====:::::::=
AMOUNT OF ESTATE TAX ASSESSED $--------+--
Estate tax paid $ _____ ----IL--
BALANCE DUE
Add interest at rate of 6% from
------~0------
$--------~----
$-----------4---
TOTAL TAX BALANCE $ ------+---
pAID $ -------------.1---
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason,
same should be noted below, with short explanation.
Will
Administration t No.
IN THE
Year ..... .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Deceased
Late of.
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
;.
./
t
;.....
-------~
Form RCC-2
DE~AltTMENT OF REVENUE
BUJtEAU OF COUNTY COLLECTIONS ' •
HARRISBURG, PENNA. 1 7 1 2 7
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE August 4, 1970
COUN'fY' .: ... Jt.AS.HlNG.T.O.N ................. ···················
63-69-1173
FILE NO •....................................................................................................
Whereas, ........................... 9:.~Y.\.9.~ ..... ~ .. ~ ...... ~Y..~.~:~.!:l.9..~.~-·················································· late of .................... ?.~.~?.~~-~.?.~.~-···············································
in the County of ................... ~!~.?..~.~-~~!..?..~ ......................................................................... Commonwealth of Pennsylvania, having died on
the ........................................... 3..0.t.h .................................... day of ················~-~.P..~.~.!ll:?. .. ~E. ........................ 19 ..... § .. ~ seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ................................... ~~--~ ...... ~.-~ ..... .9..~:!!.\.~!" ................................................. , 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 Asset
REALTY:
t:.c:: nPr annr::~i~P.ment filed ... -......
PERSONALTY:
As per appraisement filed
JT. HELD PERS.:
As pe·r appraisement filed
Unit
Values
$
Appraisement
Made for Inheritance
Tax Purposes
6.000 00
510 22
180 00
----------------------------------------------------------------------------r-------~-------+-----1
TOTAL 6,690 22
I
-----------------------------------------------------------------------+------~--------T-----1
--------------------------------------------------------------------r------~---------+-----1
I ----------------------------------------------------------------------------------------;--------~------------+----1
····················································· ······························ ············· ·······························1.4,:,·················
l7rraiser
···························································'5····-~········,········~········~··············z························································ K ber an treet)
d ...... p ..................•••.....•.•.•••...•••....................•..•........•.• :.':-:<": .•••...••.. ;i·~·';?"·······························• enna.
(Post Ofllee)~
VJASHINGTQN ..... County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
•• • •••• n. • Gfu\C:l!: .... :E. .. ~ . J3VC.I\RQ.l./I.'. ......... .
Deceased.
Late of
CANONSBURG
Sept. 30, 1969 ....................... ········································· Date of Death,
Appraisemel!t Docket Vol. 3 8 ' ................................................... .
Page, ..... ~.?.: .. ~ .n •••••••••••• No. 63-69-1173 -\
Filed in Register's Office,
Amount of tax due, $ ................................................................ .
DEPARTMENT OF REVENUE
Received, . ,
• J
Examined and Approved,
Wrote abo.ut Appraisement,
Appeal j1'om Appraisement,
Entered and charged, 1 •
~
..
Form RC C-10 DEDUCTIONS ALLOWED IN j
OFFICE OF THE
REGISTER OF WILLS
THE SUM OF ............ $ ~, 11~.~~
OF __ W_a_S_h_i_n-'=g~t_O_n __ COUNTY
STATEMENT F DEBTS
AND DEDUCTIONS ~ ~~ATE ~~-~--~~Z~J.-~§g~~J••A·~Iii
~--\ ~~~AlliLJ~.~ AND AGENT OF THE COMMONWEALTH
DATE
1969
1970
~3 -& 9--)172 l R"ister of Wills, Agent -
ESTATE oF _G_RA __ C_E_E--'.'---B_U_C_K--'-H'--0-=-L=-T __ LATE oF ---=B::...:o::...:r==-o~u=g-=-=h:.-.=o~f::.._..::C..::a::.::nc::..;o:::..::n:..::;s=-b=-u=rQg~---
DATE OF FILING APPRAISEMENT ---------DATE OF DEATH Sept" ~"hn~ 30, 1969 /1 A 'II~ J_,_
NO. OF
VOUCHEJII: NAME OF PAYEE
Miller's
Miller's
Pike Pharmacy
Harold Schrock
Ruben s
Harold Schrock
Isaac
Gimbel's
\voodward and Bassi
Russell Marino
REMARKsr-c._r--=r_ AM~uX
Balance due on account
Burial clothing_
I Drugs
Funeral ~~E_enses
!Medicine
Death certificates
Gravestone
Balance due on account
!Attorney's fee
Letters of administration
I Dailu Notes IT,. ..... ftl advertisement 1--~-+--~~-J~~--------~~~C~5Q~~~~----r-~~
I
Washington County Reports Legal advertisement
F. J. Buckley Insurance
Russell Marino, Register
Russell Marino, Re[ister
Mellon National Bank and
~~~ru~t: ~o~~~ny ~~.,a sourgJ
I Wanda l~arn.nQ:tOO
Premium
Filing i lhe: ·itance tax inventory
B~~ance gt}~ on mortgage/'" ($9,219.38) 1 L -
·Notarizations
1--+---+-----+---------1-----···· ---. -+-----t----
TOTAL ~6,779. 04
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF ____ W_a_s_h_i_n_g;:__t_on ___ SS:
I, ----...lB;ue~tL...t~y~Er:._---t::BLI:e:..Ir..J.t.J.O.UD.L._. ______ ~------HEREBY CERTIFY, THAT. TO THE BE8T OF
MY KNOWLI!:DGE AND BELIEF, THI!: FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES 01'
ADMINISTRATioN suBMITTED To THE ESTATE oF Grace;: zc ;:~ CEcEAeEo. As DeoucTIONii FOR
INHERITANCE TAX PURPOSES. '-. . il
h -~ (L.S.)
SWORN AND SUBSCRIBED ISEFO~RE Mit THIS -=.:2:-.:;B~t;..;:..::...~-A'( Of' ~~t~~er __ •e _]Q_ ·-~.a:r..c:t'A=-. 1'!7~
WANDA CARRINGTON, NOTARY PUBliC
CHARLEROI BDROCGH, Vi:,~::i:iGTON COUNTY
MY COMMISSION EXPIRES AUGUST 19, 1972
..
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