HomeMy WebLinkAboutOC1969-1174 - ESTATE OF DAUGHERTYII
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IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA
IN RE: ESTATE OF )
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LAWRENCE J. DAUGHERTY, JR.)
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(Deceased) )
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TO THE CLERK OF THE ORPHANS' COURT:
Index and make proper entry in your official records of the
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claim of Robert Orsini, t/ a Clairton Sport Shop, 509 Miller Avenue, Clairton,
Pennsylvania, in the amount of $945. 55 against the estate of the above named
decedent.
This claim is filed under Section 732 '{b) ,{2) of the Fiduciaries
Act of 1949 as amended.
The who resided at ,lit 1'-;:( ~----~-----------------said decedent,
"-"-122 ........ 0?2.....:....:=...m'-"-~OA--, _U_-+/~~-~--'-'"·ro-'-.~-.. : ___ died on ~ ,;-/~z
Written Notice of this claim was given to Tempest & Simmons,
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Attorneys for the Estate of Lawrence J. Dougherty, Jr. , 223 Second Street,
Monongahela, Pennsylvania, on Oct /] , 1969.
tradi!lgas Clairton Sport Shop.
509 Miller Avenue
Clairton, Pennsylvania 15025
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IN THE ORPHANS1 COURT OF
WASHINGTON COUNTY, PENNA.
In Re: ESTATE OF
LAWRENCE J. DAUGHERTY, JR.
No. II 7-4 of 19 ~ tf
Claim: $945. 55
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Attorneys at Law
566 Miller Avenue
Clairton, Pa. 1502 5
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IN THE COURT OF COMMON PLEAS OF
WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. {;3-t
IN RE: LAWRENCE J. DAUGHERTY, JR.,
a/k/a LAWRENCE J. DAUGHERTY
Deceased.
PETITION TO WAIVE ENTRY
OF ADDITIONAL SECURITY
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MURPHY AN'D FRANCE
ATTORNEYS AT LAW
308 FALLOWFIELD AVENUE
CHARLEROI, 15022
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: LAWRENCE J. DAUGHERTY,
JR., a/k/a LAWRENCE J. NO. II 7/Pf= 1961
DAUGHERTY, Deceased.
PETITION TO WAIVE ENTRY
OF ADDITIONAL SECURITY
TO THE HONORABLE, THE JUDGE OF SAID COURT:
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1. That Lawrence J. Daugherty, Jr., a/k/a Lawrence J. Daugherty,
who resided in Fallowfield Township, Washington County, Pennsylvania, died
intestate June 11, 1967.
2. That Lette~of Administration were grated to Alyce J. Daugherty,
his widow, on June 20, 1967 and bond fixed in the amount of $1,000.00 is of
record in Bond Book Vol. 62, page 109.
3. That prior to the filing of an Invetory, the Administratrix
petitioned to fix additional bond to sell real estate on October 9, 1967 at
No. 353 of 1967, o.c., which is of record in Orphans' Court Vol. 120, page 458,
and the Court fixed additional bond for leave to sell real estate in the amount
of $2,000.00. Said property which is located in
County, Pennsylvania was in fact sold to pay the estate expenses in the amount
of $2,500.00.
4. The Inventory is now filed showing the total value of the
deceased's estate to be real estate of $10,700.00 and personal property of
$8,000.00. The value of the premises herein described which is proposed to
be sold, is inventoried at $4,o·oo.oo.
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5. That the Administratrix has entered into an agreement of sale
of two parcels of real estate of the Estate with Louis R. Fronzaglio::,aiid
Jacqueline M. Fronzaglio, his wife, for the sum of $4,000.00. A copy of said
agreement is attached hereto as Exhibit "A."
6. A more, full, complete and ad~quate description of the two
parcels proposed to be sold as referred to in Paragraph 5 is attached hereto
as Exhibits "B" and "C."
7. There are no known outstanding encumberances against this
8. That security has been entered by your Petitioner with the
Register of Wills for the total sum of $3,000.00.
9. That the heirs of this estate are the Administratrix, who is
the widow of the estate, but has now intermarried with Esper Nasim and is now
known as Alyce Daugherty Nasim and a minor child, born to the deceased and the
said Administratrix, known as Sharon Daugherty.
10. Attached hereto as Exhibit "D" is the appraisal of Merica
Lignelli and as Exhibit "E" the appraisal of Donald P. Bensch.
WHEREFORE, your Petitioner prays your Honorable Court under Section
3351 of the Probate, Estates a~d Fiduciary Code for a Decree waiving additional
security.
DATE: June ___ , 1975
WITNESS:
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MURPHY AND FRANCE
ugherty Nasim,
J. Daugherty
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REA~ PROPERTY AGREEMENT
FORM NO. 16 (1973)
WASHINGTON COUNTY BAR ASSOCIATION . . WASHINGTON; PA.
Made the 29th day. of May 19 75
Between ALYCE: HASI.tl, indi·,Ti<iu<'tlly and as per~:.ona.l representative o~ the !::state of'
Lavirence Daughllrty r .Jr. I D~::-.ceasad,
(hereinafter calied "Seller11 ) and
(hereinafter called "Buyer11 ).
WITNESSETH, that for the consideration hereinafter set forth and intending to be legally bound the Seller and
Buyer mutually agree as follows:
L SellFr agrees to sell and convey to buyer on or before ,:ftine 1.5, 1975
. by genr~r·!il . . \varranty deed in fee simple absolute, clear of all mortgages, judgment liens
and tf!X liens and other encumbrances affecting its marketability (except as hereinafter set forth) all the real property
described in Paragraph 8 hereof. · ·
2. Buyer agrees to purchase said real property and to pay Seller therefor the sum of Four I'hO';.!S<.'\n:J
ru:-.d 00/100---------~--.----:----~------{$ 1, 000~0:)--.:.) Dollars as follows: · F.iv•:c. ~!i.lndrcd and
C0/100 ($SOO.CO) nollar3 :.1t tho oiryninq of t:1is agreement, which sum is on der;lOsit.
-~lith Attorneys r.-turphy ~d France, saLl sum. together 'liTit.h the bab.nce of $3,500.00 to
be _paid at closing.
. · 3. Possession shall be given on Jana l 19 7 S , and settlement shall be made
at the office of Seller's attorney on · J'une 15 19 ·7;;; ; or as follows -·
4. Buyer and Seller shall each pay one-haft. of all state and !<;>cal realty transfer taxes payable upon this
transactipn, but real estate taxes, sewer charges; and rents ·-and royalties shall be prorated on a calendar year basis
betwe~n Seller and Buyer as of date of delivery of possession 'm( the pr,emises, except as hereinafter set forth:
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Seller. shall pay 1974 ~d any prior .Yeit.~ real 8:!ltata ta-'"*''s•
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5. Fro~ and after the date of this agreement, insti~ance shall be provided anA\ ~a\d for as {~l.~Qws: -------}'~~ch rarty to i.nenrE' their :i.nterest' as it may appear.
6. Time IS not:. of the essence of this Agreement.
7. The parties f~rther agree as follows:
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EXHIBIT "A"
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8. as follo~s:
ALL those two certain tracts of· la~d. situate in Carroll Town9hi;', i'1ashi1¢on
. County, Pennsylvania, being clescrihed as. follOlJS: ·-.·,.: ..
1~ LOt No. 9 in Frye Statiori.
2. A lot ~9prox~ately 200 fet:'\t by 127 feet conbining a one. story buildinq.
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ALL that certain piece or parcel of land situate in Carroll Township,
Washington County, Pennsylvania, bounded and described as follows:
·BEGINNING at a';po[i.mt·:in.,t.he~~cente:t"of··:a public road arid on line of
lands of Adam Coppi; thence along lands of said Adam Coppi, North 17° 03 1 20"
West 30.20 feet to a point; thence along the same North 52° 33 1 20" West 77.33
feet to' an Iron Pin; thence along the same North 52° 33 1 ·20" West 45.43
feet to an "x" in stone; thence along the same North 79° 48 1 20" West 118.14
feet to a post on line of 1and now or formerly of J. M. Billen and at the
Southwestern corner of Part No. 2 of F.ranklin W. Blankeribuehler 1 s land; thence
along said Part No. 2, North 79° 14 1 50" East 332.95 feet to an Iron Pin;
thence along the same South 73° 44 1 20" East 127.15 feet to a point; thence
South 42° 36 1 40" West 142.50 feet to a point in said Public road; thence throuc:; h
said public road South 70° 11 1 40" West 137.61 feet to the point, at the' place
of beginning, containing 0.896 acres, according to a survey of A. Allan
McVicker, Surveyor, in May, 1948, and marked as Part No. 1 on said Plan.
EXCEPTING AND RESERVING all the coal of the Pittsburgh or River Vein,
or any other coal that may have been heretofore sold and conveyed away.
EXHIBIT "B"
ALL that certain lot or parcel of land situate in Carroll Township,
Washington County and State of Pennsylvania, bounded and described as follows,
to-wit:
BEGINNING at a point on the Easterly side of the Public Road in
said Township, common to lots numbers 8 and 9 of a Plan of Lots as laid out
by Mary B. Van Voorhis, by survey dated the 7th day of November, 1902, and of
record in the Recorder's Office of said Wasnington County in Plan Book No. 2,
page 196; thence extending South 42° 45' West 38 feet to a point; thence South
18° 45' West, 100 feet to a point; thence South 53° 30' East, 46.7. feet to
a point; thence North 68° 15' East, 423 feet to a point on the bank of Pigeon
Creek, common to said lots numbers 8 and 9 of said plan, and thence North 82°
45' West, 379 feet to the point on the easterly side of said Public Road at
the place of beginning, containing 43,482.5 square feet, more or less, the same
being better known as Lot Number 9 of said Plan of Lots.
Excepting and Reserving herefrom and hereout, and from and out of the
above described lot or parcel o~ land, all the natural gas underlying said lot
or parcel of ground, together with the gas well now located thereon and the
free and uninterrupted use and privilege of a right of way for vehicles, etc.,
extending out of said public road to and from said gas well.
Provided, however, that when and if said well ceases to produce,
then in such case all reservations relative to natural gas shall become null an
void.
Also reserving the right to erect and maintain on said lot or parcel
of land, telephone poles as same was heretofore granted to the Bell Telephone
Company.
Also reserving the right of way for pipe line across said lot or
parcel of land, he~etofore granted to Bellewood and Monongahela Natural Gas
Company.
EXHIBIT 11C11
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IViERICO·S. LIGNELLI . .
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· :l?ea/.&!aie a~cf g;s~ran;e
'fJ{'olary 'Public . ·
7th & WEST MAIN ST.REET'
. MO~·ONGAHELA .. PA .• 1506~
, P·~ONE: 258-4141 -25'8·3430. ·'
-June 6, 1975 ..
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· · .. A.tto:r;-ney J·ack :France.
. 30S Fallowfield Avenue Charl~roi, ~a. :15022
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RE::· Lawrence J• :Daugherty Jr.:~Estcites.
··.·.Par~; Ayenue Extensio"n;
· Carroll To'Wnship
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-Please .be· advised ··that· I )~ave .. insp~cted the subject
prqperty. on 'J~e 5·, 1'9?5; ':a~d -~~· my_.opi'riion as of this
.date.t_he F~i~ Miirket .. V~lu~:i.s ~our.thousand dollars.~·
.'($4jobboOO). . ~ ,·
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Res;pectfully ~u
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··-:.· ···":. Merico
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Auto ,• ,Fire Life·. Bonds • Sales • ·Rentals • Leasing Managing ·AfJprai~ing ;_.Mortgages'
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·,DESCRIPTION OF SUBJECT .PROPERTY· . -;:'
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. ',:.._ •. ;~ .. : ,_:._ ... -~.·-~-~,{-'·i>_,,·\·~·-~-·--~ .. _·._· One~ sto:ry:· "frame :hrirlgalow·~ ~_plas-ter board walls a·nd ceiling
with paper' over, :pine floQrs', ·. .. . ""·'·' l i. ,! •
Gas spacfi! hea~er, no bath, (one outdoor c'omode) h0'; __ ,·;''~''",1 c, _:~· .,
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baseme-nt, si:p.gle bowl ~teel cabinet base s:ink in ·-
kitchen.
·House -12' x .42' ::;: 504 S.F. @ $10.00 Per S;F· ••• ••• .$5040;.00.
Depreciation:_ ... _.
Physical @ '6o% ••• _~.$3000. ~ •••••••••••• · •• ~-•• · •••••••• )OOo~oo
-Depreciated Valu~. of .Improvement •••• $.2040.00
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. 1 • 98·6 .Acres .Lot • .; • ~ ~ • oa • 1 000 .t 00
~ . . Approximately l Aere Lot ., · · •-·:J:•·· • ,·'· · ·
· Across·Street in Same Estate~ ••• ~~·•••••••••··~···· 1000;00
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Total~ •••• $4040~00
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• ·· (Rounded) • -. $4000. 00 . , . .
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. · GOt FALLOWFIELD AVE., ~HARLEROI, PA. 15022
· TEL. 483·8061 or 489-9330 ·
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June 6, 1975 .' . '·-.
-Estate of. Lawrence J •· Daugherty:
·c/o Merico s. Lignelli
'7th & West Main Street
· Monongahela, Pa. 15063
Re: · Real Estate Property
Park Avenue Extension
Carroll Township •,
.Dear Mr •. Lignelli: ..
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.. ·• As per your request, I hav~ made an-insp~ction of· the residence
·and land mentioned above and.list below my opinion of ·appraisal:
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. -. -. The prop~rty I :i.n.spected is a small three ~( 3). room frame · dwellin~
· in extremely poor condition. There is no· indoor ta_ilet facilities. It·
is heated by' a gas space heater and does·have a hot water-tank. The
dwelling is located on a lot approx:tinateiy ·1.986. a~ res most of which_ .
. ·is hillside. Adjacent. to this lot is another parcel of ~round approxi~ . rna tely. containing 1 acre. . .
. In rrry 'opinion this p'roperty has _a fair market value· of Three
. Thousand Fiv~ Hundred Dollar~ ($3,500.00) as of June 5, 1975. The
amount is further-broken down as follows·: · ·
·: Land·~--:_-~--~:.---~--------~------~-------~~----.$1.,·500.00
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Dwelling and Improvements. ---~~------.-----------$2,000.00
· 'l'OTAL • $3,500.00
.. ; , . +. hereby certifY that I have no personal interest; present or
prospective, in:_t.he -herein described property; that my employment' in
··~aking this_yaluation is in no way contingent on the amount of my
valuation;· and that I am a-Licensed Real Estate Broker in th~ Common-
wealth of Pennsylvania, Registered Lic~n_se #25389.
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Donald P. Bonsch, Broker ·
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. IN THE COURT OF COMMON, PLEAS OF WASHINGTON C9UNTY, PENNA.
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· ORPHANS' COURT DNISION
IN RE: (
)
LAWRENCE J. DAUGHERTY, JR. , a/k/a (
) No.
LAWRENCEJ.DAUGHERTY, (
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Deceased. (
0 R DE R
AND NOW, this 19th day of June, 1975, additional security
in the amount of $4,000.00 shall be posted in the above captioned case for· the
reason that there is a minor child who is an heir of the decedent and whose
interest should be protected under the circumstances .
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Estate ~a t::;ri6: J: .. E:~~~~i~·, ... Jr •} No.
late of .Fallowf~eld Townsh~p , Deceased
of 19
KNOW ALL MEN BY THESE PRESENTS,
That we, Alyce J. Daughe.r.ty ... now ... Aly.ce. Daugherty. Nasim .. as -Principa1 .. ·and The
VP::i.t~.d. .. State.s ... Fi.delity .. and .. Guaranty ... Company, .. Baltimor.e .. , .. Md--Sur-ety-··
all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl-
vania, for the use of those interested in the estate, in the sum of ·t4; {)QQ~ OQ ....... : ........ Dollars, 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 24th.. day of
........ June ....................... A. D., one thousand nmc hundred and PE3Y~:rltY~f:iV~ .. .
THE CONDITION OF THIS OBLIGATION IS, That if the above bounden .......... .
... . . ............ ........ ..... ALY.CE.J ..... DAUGHERTY .. NOW ... ALYC.E .. DAUGHTERTY.NASIM .............. ..
Administrat;XOC rix . . . ... --............................. . or any of them, shall well and truly administer
the estate according to law, this obligation shall be void as to those who shall so administer the estate; but
otherwise, it shall remain in force.
Sealed and delivered in the presence uf:
............ At+.A~~~~~::=;~
~tatrtttrnt nf ~urdy
I, ................................................................................................................ _ ....................... , surety in the sum of $ ................................ on the
administration bond in the estate of ............................................................................ ~ ..................... -................... , say that I reside at
....................................................................................... , Washington County, Pennsylvania; that I am the owner of real estate, the
title to which is in my own name and duly recorded, situated in .................................................................................................... ,
Washington County, Pennsylvania, worth above all encumbrances $ ............................................. ; and that I am worth the
amount expressed in said bond, over and above my just debts and liabilities.
·----------------------------------------------------------------------·------------------------------------------------------~
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!;tatrmrut nf ~urdy
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 duiy 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, (
WASHINGTON COUNTY, j SS:
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 th:;~t the sureties thereto are the owners of real estate in their
own right of value more than the penal sum of said bond over and above all incumbrances and exemptions.
Sworn and subscribed before me this .............................. ..
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ADMINISTRATRIX,
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In tqr <ttnurt nf <ttnmmnu Jllran
nf llanqiugtnu <ttnuuty1 Ja.
ORPHANS' COURT DIVISION
Enter.Q.Y.t' ......... Appearance for the ....... /lQmini!?..t.+.li!-.tr..!~.I. .... ~~.Y.S::.!i! .... P.?.l:1!9:h~*.:t.Y. ... Ns£.:i:m ........................ .in the above
stated ~ ...... li:!ii:ta;te,, ....................................................................................................................................... " ............................................................... ..
BOB A. FRANKS, Attorney for ...... ~~~!:!;~~ ................................................. .
Prothonotary ................. ~':.7:.':. ............ k.. ... f. ................... , 19 .. ?..~ .. ..
J
No.}:?.~ ... Q~, .:!.~.9..7..t ..... Q.,.f:;.,., ..... "R~XlL ........ .
... E!.:?,.'E~.'EE: ... .Q"!. .... ~W.~J:~:s;:.~ ... ;!,., .... P.f).Q9.~B~X., ....
... !!.~.: .. ! .... ~.~J.EE: ... .l?..~.v..g.~·:g:·~TI. ... ~~.J.~,. .................. .
ADMINISTRATRIX ....................................................... -.............................................. .
~
PRAECIPE FOR APPEARANCE
~ --t-
-1
---· c..TJ -...:: .-.J ._.,
> f·i ;::-:. ~ ~-(j) (."") ,·--: = . ;---v ,' _ .. _ -~ -= (..) , I • -::-_ __, r-..... ,
--.J ·---+ '··-· ..... 'l:J
•·i-• -i '::: ~.;:.
z.; ~ '"
I ~-
U I c:; u-1 >en
BY
Attorney for .. .Ea:ta.te ................................................... .
~2
!/7t.J#f ;fJ~9 j
i\ffi1tuuit ®f £xrrutnr ®r i\~miuistrntnfl
~tatr nf Jruunylnania. [ nn:
<!tnunty nf 'llan~tngtnn \
Personally before me, the undersigned authority, a .... tiQ.ta:r.Y. ... :J;>.uP.l.i~ .......................................... in and for said
County and State, appeared .... ~J..Y.9.~ ... i!..: .... !?.!?:~9J}!?.!:tY.!. .... !);9.W. ... ~~.Y.9.~ ... !?.~~9.h~E~¥. ... ~!?:~~~ho, being duly
sworn according to law, deposes and says that she is the :::exaa.mtmsoox administrator of the estate of
.. ~~.W.!".~~-~~···q,~ .... ~~~~~~~-~¥.!. .... q,:r:::.~ .... ~f.~(~ ... ~~~:':~~~.: .. deceased, that the foregoing schedules constitute a J. Dauguer~.-y
complete inventory and appraisement of the real and personal estate of .. LaJor.t:.en~::.e ... J: .•.... O.a.u.g;ttex:.tJr., .... Jx:., ,
deceased, except real estate outside the Commonwealth of Pennsylvania; fi'fafftfP~u'fes ~!~JMl~~~~h 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 namedxExl!ootM« Administrator.
day 0S~o~ a~~-~:.~:.c~be~ ~~:;~7.;:. th;d~~ l-~7E~~
.................. ONA····L······INSTtJRUL ~ TION,(j{_S ~~ ~
I pharleroi, wa;hington County, Penna. ADD fiulTICn . rJ --~
L MYi\~~~N&>~imu!W~a!i.MW&vithin 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
lfnnrntnrg anlt 1\ppratsrmrnt of the goods and chattels, rights and credits which
were of .... ~~~=~~=.: ... :!..: .... ~.':~~~.:.:.~.¥..! ..... ~.:.~ .. ! ..... ':(~.(~ate of .... E:~.~-~9.~.f.~.~.!~ .... '£.?.;o::.r:.?..~.~J? ..................................... . Lawrence J. Daugherty . ~ Washington County, Pa., taken and made in conformity with the above affidavit.
REALTY:
Lot of ground and hunting cabin, Shippen Township, Cameron
County, Pennsylvania
Carroll Township, Washington County, Pennsylvania:
Lot No. 9 in the Van Voorhis Plan of Lots and one story
frame house and 0.896 acres surface
7.7414 acres surface
TOTAL REALTY
PERSONALTY:
1960 Allis Chalme~s HD6 High Lift
Model 824 Back Hoe, Registration No. 127558 with three extra
buckets
Miller Tilt-Top Trailer, Registration No. 2801
1956 Ford Dump Truck, Registration No. F60R6U35495
Federal Income Tax Refund
Family Finance Insurance Premium Refund
Colonial Finance Insurance Premium Refund
Bell Telephone Company Refund
1952 Truck
1952 Jeep, scrap value
1962 Ford Pick-Up Truck
1960 Chevrolet Station Wagon,scrap value
Inventory, Lawrence J. Daugherty, Jr. trading as Doc's Sports
Shop
Total Personalty
TOTAL INVENTORY
DOLLARS CENTS
2,700 00
4,000 00
4,200 00
$10,900 00
6,000 00
1,500 00
1,000 00
500 00
398 80
51 13
39 47
4 40
275 00
25 00
350 00
25 00
1,739 42
$11;:908 .· 22.
$22,?808 22
a/k/a
~ ~ ~ jQ 't ~ r ........ ~ ........ <:! < <1> ~ ~ ~ J :IHS~'/,\ ~ ..... c ~ SIZ!J'Ll ~
~~ ~ N ] ~ ::; q ':t ~ tt'J ~ ~ Cl) D ~ ~ ~ ~ ~ ~ "1:1-~ ~ "1:1-~ i;;•
0 <1> ~ I l .1 -~ <1> ~ I ..... ~
10
Form RCC-33 COMMONWEALTH OF
DEPARTMENT OF
PENNSYLVANIA
REVENUE
BUREAU OF COUNTY COLLECTIONS
-~~
J
RESIDENT DECEDENT ' COUNTY OF .. W~.s.:a.+.NG~ON ...................................................... .
IMPORTANT: This return must be COIIIP. 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 and Estate' Tax Act of 1961;)
state of ........... P..enn.s,ylv.an.i.9.. ............................................................ }
I . c SS:
County of ... Washing.ton ............. : ................................... -................ _ .
............ · ....... Aly.c.e .... J.~., ... Daugher.ty. . ., ..... ~ow .... lly.ce .... Daugherty .... Nas.im..,
AdministraCQC rix of the estate of the above-named decedent being duly sworn, depose s and sayS
Juhe ........................ .. .. ·l.J,. . ... :, 19 ...... .2.7 .. .I. t ... a-t. ..... ,J,e.e..-ift!' ... -.~.e ... ._ •M.+,.. ""f>P7ooM"""""i-<Mt-r.s~-.. _._~tee. }
(Day) (Y..,r) l intestate . (Month)
Name and address of attorney or}' .. -!,ac=J<.,:E:I~ I!':r::a.:I'l~~r ... :fi:.~q~., Murphy .and .. Franc.e, R. o. Box 15,
other authorized representative to
whom all correspondence should be C11.arleroi, ... Penna • .l5022.. .. .. ..... .... . ........................... ..
mailed. . . ·
····································· i
Th t. h Administratrix d. t · f ·1· "th th · ff · f. "d t t d th rt a as . sue ....................................... ,.............. eponen IS am1 1ar WI e a airs o sa1 es a e an e prope y con-
, (Jo;x.,outor-Adm'inistratoi') · ·' . ' . .
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 DEPos·n· BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
None
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:
Th~t Schedule A.· attached hereto and made part hereof sets ·forth fully 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 8 attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death; all moneys left by the decedent
at the time of death, whether in decedent's immediate possession, standing. to decedent's credit in banks
of deposit, savings banks, trust companies, or other institutions, whether individually, or in trust for
any other person or persons giving also separately the accrued interest thereon, if any, down to the last
interest day prior to deced~nt' 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
are designated as tax free, of the United States, or any state, or political subdivision thereo~ or of
any foreign country, which are owned at the time of death; all wearing apparel, jewelry, 'silverware, pic-
tures, books, works of art, household furniture, horses, carriages, automobiles, boats, and any and all
other personal chattels of.wh~tsoever kind or nature, left bydecedent, together with the fairly estimated
market value thereof; all bonds and mortgages held by decedent and of all claims due and owing decedent
at the time of death, and all promissory notes or other instruments in writing for the payment ofmoney
of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face
value and estimated fair market value thereof, and if such estimated fair market value be less than the
face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable
to the estate from life insurance polici'es carried by decedent; all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death, with the market
value thereof at such time.
"' 7
In the case of securities of close or family corporations, the values reported are as· far as
possible substantiate.d by financial statements of the corporations, showing the assets and liabilities
thereof as of the date of death. The schedule also set:s forth the interest of decedent at the time of
death in any co-partnership or business, and in support of the value of such interest there is annexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or ]2usiness.
A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of tile--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 co}ly
of the deed, trust agreement or other instrument creating the trust. Thero~ 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 £ 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 rec0rd of instruments effecting the vesti ture of
real estate and the date of acquisition of personalty, plus the name, address and relationship, if any,
of co-owners to the decedent.·
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid;
family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decedent; debts and claims owing and unpaid at time of
death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga-
tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the
estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that
the amount of tax assessed can be reassessed in accordance therewith.·
That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to re me this .d~:i.£ .....
.... R .•..... D ..... , .. H:.2.~ .... Box .... .4.59. ..................................................... ~ ........ ~~··
(Street Number)
... ~9.119.P.:9'.?.:b.§l.!ih .... P..eno.a ....... l5.06.3 ....................................... .
(City or Town and State)
make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None", and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required under the paragraph above relating to Schedule "B" are attached. Also make
certain that column #1 in the "Summary" has been properly completed as above-directed.
RCC-34 (1-64) , ,
COMUONWEAL TH'OF'PENNSYLVANIA
' DEPARTMENT OF REVENUE
BUR'EAU OF' COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by
the decedent as tenant in common with another or others, should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block number, street and street number, together with
a general description of the property, with a reference to the record of the
conveyance by which the decedent took title; if a farm state number of a·
cres; also statement of mortgage encumbrances upon each parcel at death
of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are
to be listed on Schedule "F" and must not be deducted from this schedule.
Shippen Township, Cameron County, Pennsylvania,
Lot 97' by uo•
Carroll Township, Washington County, Pennsylvania,
three tracts:
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
,/
Tract One: 0.896 acres, surface, one story
room dwelling, Deed Book 744, page 117.
-I. three }>-
T.ract Two: Lot No. 9 in the Mary B. VanVoorhis
Plan of Lots, Plan Book 2, page 196; Deed Book 927,
page 288. ~
Tract Three: 7.7414 acres surface, Deed Book
957, page 262.
Note: The three parcels situate in Carroll Township
subject to a mertgage in favor of Mellon National
Bank and Trust Company, dated December 17, 1963 in
the amount of $6,000.00, recorded in Mortgage Book
vo·l. 637, page 450. Balance due as of June 11,
1967: $2,868.07.
TOTAL REAL PROPERTY
Net Value of Real Estate
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the last page of this return.
(2) (3)
DEPARTMENT
VALUATION
ESTIMATED CAUTION MARKET VALUE (Do not write
In this space)
$ 2,700.00 aJoO.oo
'
$ 4,000.00 1, () {;)0. () 0
$ 4,200.00
$10,900.00
$~6.8 ... 0~
1.
2.
3.
4.
5.
6.
7.
B.
9.
10.
11.
12.
13.
~C.:C-35 •'
' ' COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
J.~ \
SCHEDULE "B"
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". Intangible 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 divide.nds, 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.
ITEM
List and describe fully
1960 Allis Chalmers HD6 High Lift
Model 824 Back Hoe, Registration No. 127558 with
three extra buckets
Miller Tilt-Top Trailer, Registration No. 2801
1956 Ford Dump Truck, Registration No. F60R6U35495
Federal Income Tax Refund
Family Finance Insurance Premium Refund
Colonial Finance Insurance Premium Refund
Bell Telephone Company Refund
1952 Truck
1952 Jeep, scrap value
1962 Ford Pick-Up Truck
1960 Chevrolet Station Wagon, scrap value
Inventory, Lawrence J. Daugherty, Jr.,trading as
Doc's Sports Shop
Total Personalty
UNIT
VALUE
ESTIMATED
MARKEr VALUE
$ 6,000.00
1,500.00
1,000.00
500.00
398.80
51.13
39.47
4.40
275.00
25.00
350.00
25.00
1,739.42
$11,908.22
DEPARTMENT VALUATION
(Do not write in
this space)
rtooo,oo
I S'f!l o . o a
l()'t>O, otJ
-S' C' 0' £)0
;39F. ~
...)/' /~
.39, 'f.?
~.-¥<'
.:1. 7.S. 0 0
A'S! d f)
3.;50. 0 °
~(}0
/' 7 3J. --Lj. :z..
1/9(.~8. 21--
1)1(17
Insert this total opposite "Personal Property", Schedule "B" in X X
the "As Reported" column on the last page of this return.
-.--. I
RCC-36 . '
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
I '
SCHEDULE "C"
TRANSFERS
(1) Did decedent, within two years of death, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no)~N~o~---
(2) Did decedent, within two years of death, transfer property from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) --'N=o ____ _
(3) If the answer to (1) or (2) above is in the affirmative state: Does not apply.
(a) Age of decedent at time of transfer -----------
(b) State of decedent 1 s health at time of making the transfer. (Note 1).
(c) Cause of decedent's death. (Note 1).
(4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no) __ N_o ______ __
(a) Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition? (Answer yes or no) ________ _
(b) What was the transferee's age at time of decedent's death?
(5) Did decedent in his lifetime make any transfer without receiving a val_u_a_b_l_e_a_n_d--adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a) The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no) ____ N_o ______ _
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom? (Answer yes or no) ___ N~o~----
(6) If the answer to (5) (b) above is in the affirmative, state· whether the right was reserved in decedent
alone or others Does not apply,
(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) --~N~o~----
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was sub.Ject to change,
because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms
of transfer or by operation of law? (Answer yes or no) __ N_o ________ _
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no) Doess not apply.
NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with
relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based,
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM DESCRIPTION
Insert this total opposite "Transfers", Schedule "C" in the
"As Reported" column on the last page of this return.
MARI\ET VALUE
(Estimated)
DEPT. VALUATION
(Dept. Only)
RCC-38
• COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
..
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by the rlecedent jointly
with another or others, including intangibles, standing in the name of the decedent and others. List
real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule
"A", plus the date and place of record of instrument effecting vestiture, but do not include entireties
or out of state real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to
the decedent.
Description of Property, Date of Acquisition, Name Unit
Address and Relationship of Co-Owners, and Place Value
of Record of Instrument, where Real Estate.
NONE
percentage Estate
Share Valuation
Insert this total opposite "Jointly Owned Property", Schedule "E"
in the "As Reported" column on the last page of this return.
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
Entire
Property
Value of
Decedent's
Interest
h
' RCc'-37' (12-63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
BENEFICIARIES AND ADDRESSES
State full names and addresses of all who
ave an interest, vested, contingent or other
wise, in estate)
Alvce J. Dauqherty, now
Alyce Daugherty Nasirn
Sharon Daugherty
' . . -~'
SCHEDULE "D"
BENEFICIARIES
RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF
illegitimate children DECEDENT OF BENEFICIARY
are involved, set STATE YES IN ESTATE
forth this fact.) OR NO BIRTH
Widow Yes Intestate's share,
half
Daughter Yes ·:;Jorj{pr Intestate's share,
half
I
I
!
Deponent fUrther says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
None
one-
one-
--
Will
Administration t No. Year .......... .
P.\0 THE
~IA TTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Deceased
Late of
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
(Executor-Administrator
must complete "As
Reported" column #1.)
0 ....., '"0 ~ ... ... ~ ~ 0 ~ ... e:.. "' ::s "' "' "' 0 ..... ::s '"0 ....., ~ ~ ...
~ ... -0 "' X '"0 "C ~ ~ a-... ...
~ 0 ~ "C
trl ~
"' ,.... ,.... '< ~ ,....
~
w C/) C/)
(') (')
?" ?" ?"'
0 ~ > : : :: -.__.. .__..
* * -(/.) * * *
******
C/) c ~ ~ > ~ ><
........ > "' ~-~-'g-.... ~ ~ c..
> ;r.
0 ...,_
8"t-v ...,.__..
2. ::I ~ c..
Form RC C-10 DEDUCTIONS ALLOWED IN J
':, ..,OF~ leE OF 'T'l-iS . ' STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF . . . . . . . . . . . . $ ... . . . ... .. . . . . . .. .. .. ..
' DATE AII1E~ ~ .. ~~~ ~~~~~~~ ~l~~\NC ;,. ~GISTER OF WILLS
oF 'Washingto-COUNTY
AND AGENT OF THE COMMONWEALTH
Register of Wills, Ageol
Lawrence J. Daugherty, Jr., a/k/a
EST AT!! OF Lawrence J. Daugherty LATE OF Fallowfield Township, Washington County, Pa.
DATE OF FILING APPRAISEMENT -----------DATE OF DEATH --=J;..::U::=n~e:::....;l:::.l-:Lt -=1:,:::9;,.::6:...,:7 ________ _
DATE
6-23 67
1967 tlru 68
6-26 67
7-3 67
NO. OF
VOUCHEIIt
7-6-67 10-30 67
8-67 tl ru 3-8
'1.-17 67
7-3-67
7-17 67
8-30 67
10-31-E7
7-3 67
7-8 67
7-14 67
7-20 67
8-8 67
8-16 67
8-30 67
7-3 67
NAME OF PAYEE REMARKS
Bell Telephone ComPan~ Business ExPense
B. Masano Store Rent
, • Polandi, IMBS Supplier
West Penn Power Company Store Expense
Pennsylvania Dept. of Revenue Sales Tax
Penna. Dept. of Revenue Miscellaneous business expense
Oscar Robbins Business Supplier
ABC Finance Business Debt
Civic Finance Business Debt
Keystone Thrift Business Debt
Karpen Loan Service Business Debt
Bear Archery Business Supplier
Sports Team Refund of deposit for jackets
Ram Golf Corporation Business Supplier
Pittsburgh National Bank Store Expense
Converse Rubber Business Supplier
Merchard Company Business Supplier
AFS Distrl!butors Business Supplier
Alex Gordon & Sons Business Supplier
10-6 67 Queens Cutlery Business Supplier
AMOUNT
29 72
560 00
21 00
61 63
301 2'5
2,080 71
202 59
74 16
3,355 63
2,325 56
576 08
5 75
45 00
121: 80
874 02
106 67
76 35
277 06
37 75
173 36
65 04 8-8 67 K. Ostrum Shippen Twp. property tax ~~-r~~----+=~~~~----------------~~~--~~~~~---------4------+----
7-14 67 Columbia Products Business Supplier 6 00
8-15 67 Ron Necciai Business Supplier 26 00
8-29 67 Bebout and Yohe Funeral Expense 818 00
8-30 67 Stan-the-Man-eo. Business Supplier 556 15
9-9 67 Reliable Furniture Business Expense 35 42
COMMONWEALTH OF PENNSYLVANIA }sa:
COUNTY OF Washington Nasim 1, AlyceJoaugherty, now Alyce Daugherty HEREBY CERTIFY, THAT. TO THE BE8T OF
t.IY kNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, f.UNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF Lawrence J • Daugherty t Jr • t ajk/a .0 , . ECEASED. AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES. Lawrence J. D.9-ugher~ty
--. -f'/ ~/ DavOP'{JL _ _;c{~«st~.h!,;h..v-0~~-<L.s.l SWfiRlll A.ND·tihJB~C::RIB~~ eiEFORE ME THIS _<::;>f''-"--,(t?~A./f."'-=;.......:..-~ V #J _ .rL
( ..ffi. . .R_ ·''I' •'' '/)' _/7 111 75
1/ <23. 'A: !;,/p~ .. ) ·:Y~#~.I.b""7t:
:EiLEEN R. MURPHY, ~ota~ Publf~ ,I C
Charleroi, Washington .County, Pe~na.
My Commission Expires March 28, 191$
~----------------------------------------~-------------------------------------
Form RC C-10
.. 6FF~CE OF TME
;. M't:GISTE~ OF WILLS
OF _•_·' __ _:W.:.:a::.:S:..:h:::i:..:n::.ig~t::.:O:..:n=.__ COUNTY
AND AGENT OF THE COMMONWEALTH
Page 2
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
THE SUM OF ............ $ .. .
DATE APPROVED •.......
Register of Wills, Age"t
ESTATE OF Lawrence J. Daugherty, Jr LATE oF _--=.F..:::a~l:=l~O::.:W:..::f~i~e::.:l~d~T;;o~w!!.;n~sh~i~p~------a/k/a Lawrence J. Daugherty
June 11, 1967 DATE OF FILING APPRAISEMENT ----------DATS: OF DEATH --~::.:..:::.....;::=~=..::...;_ ______ _
DATE NO. OF NAM&: OF PAYEE REMARKS AMOUNT VOUCHEIII:
10-4 67 deal Products lsusiness Supplier 1.084-176
10-7 67 birearms Unlimited lsusiness Supplier 432
10-7 67 t:>. A. Yanks Business Suoolier 'Jt=:.'J
10-21 67 ~rady Felt Business Supplier A?.
10-30 67 ~ydesky and Malzio ~ttorneys-Cameron County property 10
10-31 67 ~leo Sportswear ~usiness Supplier 137
11-14 •h7 Lx. I'V"U w ... rt'lc:: Co PPrc::nn-"1 F.ynpnco 1 "7 A
11-14 67 ~ilbur Manufacturing Co. ~usiness Supplier 21
:ll-14 67 1-ioore Business Forms ~usiness Expense 36
11-14 67 l:>rint-n-T;:me Rnc::inPC::C:: F.YnPnC::P ~1:::
11-14 67 bevore Hardware Rnc::inPc::c:: F.YnPnC::P 60
11-14 67 paily Republican ~usiness Advertisemetn 82
11-14 67 r . L • Melenyzer Co. ~ersonal Expense 321?
11-14 67 feno's Esso Service Station Prucking expense 460
11-30 67 "rye Lumber Co. Business Expense 25
1-30 68 T'ebbutts, Inc. ~usiness Expense 132
4-4 68 ~ellon Bank rharge card expense 608
7-31 67 ~. Orsini ~usiness Supplier 11
8-23 67 ~entleyvi11e Sports Shop ~usiness Supplier 434
~"'h.1ae T~~---~qt-..Es.a ~ell real estate 1n 8-29 67 f'aid to Reaister for Petitinn t-n
10-12 67 f..Tr~t-innr~l Cash Reaist-er ~nc::i noc:;s Exnense ':11
10-16 1-67 ~utivin Sports Wear ~usiness Supplier 17
10-21 67 ~eHy's Service Station rrucking Expense 52
11-1 67 ettv Rueqer 967 Lease 50
11-11'-i Fi7 li'red Acten usiness Suoolier 30
6-68 ~ames Barkey ~o maintain real estate 185
COMMONWEALTH OF PENNSYLVANIA }se: ·. ·
COUNTY OF Washington
'· Alyce J. Daugherty now Alyce Daugherty Nasim HEREBY CERTIFY, THAT. TO THE BEaT OF
MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP'
ACMINISTRATION SUBMirT~O TO THE ESTATE OF Lawrence J e Daugherty« Jr • « a/k/a DECEASED, AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES.
_EilEEN R. MURfHY, Notary Public
Charleroi, Washington County, Penna.
My Commission Expirll_S March 28, 197G
Lawrence J. ~erty ~ o¥? DAY,; '-zr;};i.& #~<LO)
82
e::.Q
24
00
13
!oo
50
45
hA
85
15
29
74
53'
62
90
50
32
1nn
ILLn
75
82
loa
00
00
I
-
Form RC C·lO DEDUCTIONS ALLOWED IN
. I ~ .. , , , ..
·~-}~E OF THE'
'lt'EGISTE~ OF WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF ............ $ ~~~1L JJ .
JE APPROV~~~ .. ~-~ _197bRUSSELl: MA'W oF .,washington COUNTY
AND AGENT OF THE COMMONWEALTH
Page 3
ESTATE OF Lawrence J. Daugherty, Jr. LATE OF Falblfield Township
a/k/a Lawrence J. Daugherty
DATE OF FILING APPRAISEMENT -----------DATE OF DEATH __ J_un=-e_l;;.;l;;;..t.., _.;;;;1_9_6..;.7 _______ ~
DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHEI't
ll-13 67 F. J. Buckley Agency !Estate Bonds 1967-1975 220 00
6 68 John Dixon To Maintain Real Estate 15 00
10-25 p8 u.s. Fidelity & Guaranty Co. Liability Insurance 25 00
8-3 67 Express Charge Return of merchandise 11 05
5-16 72 Real Estate Taxes 174 24
6 75 Murphy and France Attorneys Fees 1,000 00
6 75 Alyce Daugherty Nasim Family Exemption 1,500 00
6-24 75 Recorder of Deeds Transfer tax on sale of real esta e 40 00
6 75 Register of Wills Filing Account 60 00
6-29 67 Register of Wills Letters of Administration 12 00
6-29 67 Reqister of Wills Short Certificates 15 00
7-6 67 Washington Co. Reports Advertise Estate 12 50
7-6 67 Daily Republican Advertise Estate 8 00
·'}11 o\ta 11 c1 ... . ~ v-. r2Q ,._t f o.kr~ ~)11.t (_~ ~) ) -,_G(.JA &7
(. (j --...
:-,;r~ 57"· 13
$2-0-7,QJ 96-
COMMONWEALTH OF PENNSYLVANIA
Charleroi, Washington, County, P
My Commi_ss1o~ ·E0pires March "28, 197~
..
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RCC-81 (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
Alyce J. Daugherty
(Executor or Administrator)
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
1 n Re: Estate of ___ L_a_wr_e_n_c_e_J_._D_a_u_g_h_er_t_y_J_r_._a_k_a _______ _
___ v_~_as_h_i_n_,g"-t_o_n __ County _ File N 0 ._6_:3_-_6_9-_11_7_4 _____ _
DearHrs. Daugherty:
You are hereby notified that the _____ o_r_J.._· g=-1.-· n_a_l __ --==--------
appraisement in the estate of Lawrence J. Daugherty Jr.
has been filed in the office of the Register of Wills of "'\r!a.shington
County on ,JuJy 28., , 1912._, Said appraisement reflects the following
valuations:
Real Estate ______ l_0_,'--9_0_0_•_0_0 ___ _
Person a I Pro pe rtY------d,lld:-r', 9:;u.O~s~.'--'2;..::2;.....----T ransfers _______________ _
Jointly Owned--------------
T ota I -------~2~2.,...., 82>1.0J.f.8h..-t~G24-2----
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 nine (9) months
(fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice as proviq~d by Section 1001 of the Inheritance and
EstateTaxActof1961,72P.~.2485-1·.~01,P.·~.-~7.~·---, J if ~ 'l
Date ;:y."'J_J ~ z L f lJ S;gned 1 (' . ·. -.~ . "' ' ' ' {~ L c; a< '-<--(
v '\. /
Title CL-~Jk
DATE OF DEATH: JUNE 11, 1967 Estate Insolvent
Note: This is not a bi II.
J
.: RCC-3{\ (5-68) 1
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estateof Daugherty, Lawrence J. Jr. DATE OF DEATH 6-11-67 FILE NO. 63=69-1174
(Last Name) (First Name) (Initial)
REPORT OF INHERITANCE TAX APPRAISER
Washington I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _____________ _
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 i tern in the last column to the right in Schedules "A", "B", "C", and "E". ,,
Dated: _J_ul_y_28_,_1_9_75 ____ _
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" 'ch greater or lesser amount represents the sum
allowed as a deduction •
' ' ·(.
~Dated: • l 2 9 197sRUSSEU .... A.,lL'Lv
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Scheduie C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
VALUE AS REPORTED
$------4--
annuities . . . . . . . . . . . . . . . . . . . $------+-----
ESTATE TAX ASSESSMENTS $ ______ .J..__
FOR USE OF REGISTER ONLY
Taxon $-----------4----
Tax on $ -------------+---
Tax on $ ----------+---Taxon$ __________ +---
@
6%
5%
10%
15%
COMPUTATION OF TAX
$
$
$
$
$
VALUE AS REAPPRAISED
$ _______ ~---
Tax on $ ---------------+----
Exemptions=========F==
Total Estate _______ --'--
TOTAL TAX
*
$
(*) 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 $ _____ __J __
BALANCE DUE
Add interest at rate of 6% from
-----------4•0------
$-------~---
$-----------4---
TOTAL TAX BALANCE $ ------+---
PAID $-----~--
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 ( No.
IN THE
Year ........... .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
LAWRENCE J. DAUGHERTY JR. aka
Deceased
Late of .. F ALLOWFIELD TVv'P.
County of C.fiARLE:R..OJ: ....... .
Commonwealth of P~nnsylvania
REPORT AND APPRAISAL
.,
RCC-2 (2-64)
COMMONWEALTH OF PENNSYLVANIA DATE July 28~ 1975
·-DEPARTMENT OF RE'vENl:JE RESIDENT INHERITANCE TAX COUNTY Washington
BUREAU OF COUNTY COLLECTIONS .. . " APPRAISEMENT HARRISBURG, PENNA, 17127 FILE NO. 6,3-69-J J '].l,
Whereas, Lawrence J. Daughert;y Jr. aka late of Fallowfield Twp.
in the County of ., }o[a sbj ngton Commonwealth of Pennsylvania, having died on
the llt~ day of \!une 19 __ , seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Dominic R. De1·1aria 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 Made for Inheritance Values Tax Purpo1es
$
Realty:
See Schedule "A" of appraisement 10,900. 00
Personal:
See Schedule "B" of appraisement 11,_908. 22
TOTAL 22,808. 22
ESTATE INSOLVENT
Having been duly sworn according ~ law, I do hereby certify that t~e-,abo2!, appraisement is made in co11:_
formity with law on this .-1 ? ;r:;. day of \' ,. . . (;/~& -·~. . 19.LL.
• \'{,·· 'hV... \'~-. <. . II t \. '· -t.-"--'( L 1 ( / •. (" )j ~ · Ap lee • /J7v..j,_ c:-~v<--<1 /fd·-yt.J \ 1_)/t-t-·w.-7 rv,l.-y, ____ --( ,)JJ~'::kd Street) -lr-.-t) \ ,A · <-·r"'-#' Penna. '-.... v !Pon omrJ '
Washington Cou11ty
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
Lawrence J. Daugherty Jr.
aka Lawrence J. Daugherti~ueased.
Late of
Fallowfield Twp.
Date of Death, June ll~ 1967
Appraisement Docket Vol., --------
Page, No. 63 69 1171:;:
Filed in Register's Office, July 28., 19-2.5-
Amount of tax dtte, $-----------
DEPARTMENT OF REVENUE
Received,
Examined and Approved, ---------
Wrote abo.ut Appraisement,
Appeal j1'om Appraisement,--------
Entered and charged,----------
•'
•
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
lira. Laverne B. Wilaon
201Jt B. Market Street
Clearfield, Peana. 16830
u• WAaHINGTON Tilu.,-.. UILDING
WA.HINOTON, "KNNaYLVANIA
July 7,1975
Rea Bstate of Lawrence J. Daughertyaka
Date of Deatha June 11,1967
CoWlty of Wuhington
Pile Bo. 63-69-1174
Dear Ms. Wilaon,
Bncloaed pleaae find thr-(3) copies of the attached real estate
located in c.br:i:a-County • f C A 1?1 C ~ 6A/'
Plea-appraise• this property and return to our office aa soon aa
possible.
Market Value
Assessed Value ~~.~ ( 1967 )
Please keep one ~ for your file and return the other to our office.
Thank you for ,aur cooperation in this matter, and I assure you that
ware more than willing to reciprocate upon request.
Very ~ruly your a,
~)LuL~~
Pred Tosi, ~~-H/jmo
Appraiser II
Washington County
ASSESSED APPRAISEMENT $ 2700.00 ( 1967 )
ROBT. W. MITCHELL C.A. CAMERON COUNTY
' I. '.
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