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HomeMy WebLinkAboutOC1969-1179 - ESTATE OF JONES,, Q!nmmnuntralt4 nf Jruu.aylnauia,} !lll. l!llhta~iugtnu C!lnuuty, .. KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, m the County aforesaid on the 15th. day of 0 c t o b e r A. D. 19 69 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of M I N A I. J 0 N E S aka M R S. M I N A :I. JONES late of City of ~'Jashington, in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and MARGARET JOHNSON and RUTH ADAMS the Executor m said Will and Testament named, having appeared before me and taken and subscribed the oath of office prescribed by law; NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do grant these LETTERS TESTAMENTARY, unto the said MARGARET JOHNSON and RUTH ADAMS committing unto t h em the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring t h em to exhibit a true and perfect inventory thereof into the Register's Office, at W as}:lington, within ninety days from the date hereof, and to render a just and true account of said administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Off-ice at Washington, this 15th. day of October m the year of our Lord one thg_usand nine hundred and S i X ttz-· n e. ~fll· . .. · ................................................................................. ~ ...•.............. Register j I : =s ~~ l ;..... ! i ! ~ ! t'lii i +-t !~ <l!i i = !:iii I N ~ ~ @I t a CIS '"":il u. ~,~ A! l ~ 0 CIS !:;:=::; !0 : +-t liJ !I-;) Ul 1-t"l.l! ! ' ~ <( !=ill • a 1-en :-z;!H liJ g:-=1! ! Ul ! I ;..... !:;::::; ~ •iH +-t H~~ j +-t ~ -=t:! • ~ :-z;:Cf.l H~ ~· .. STATE OF PENNSLYVANIA, WASHINGTON COUNTY, . The within named AccountantS being duly sworn according to law, depose~ and sa}'~ that the above account as stated is true and correct as .......... :t.b~Y---------------------------verily believe. \ Sworn and subscribed before me this _____ u_ ____ . £:J-~ c~ X-------~~--------------~------------------- day of;;__~--;--------~9_7Q __ _ --;:h------------------~-~~ic My Com.Exp: Mar6h 26, 1971 . Washi~gton, Washington County, Penna. Washington County, ss: ~ N ---..: -! /! ~ ~j ( ~ '4 ' .. ~ ~~ mi 0 tt1 S::i ril O! E-< .. ...,, < (I) : E-< Q) .: Ul r:: t-ti ril 0 i I' ' -(ttl . I di • •l"''i 1-f ~! tt1 ~ r:: Uli •n .H ~·~: -~ ~---------._ ... ......-.....-.,...__ .... I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner pre- scribed ~y Statute a')d },~e of_ C~u~~ as evidenced by proofs thereof filed to No. b3 ___ J() __ 3__[_Q _______________ , Witness my hand and official seal this .. 3./~---------·-·- day of ----------~--------------('Yjj·---------;--19_jQ ___ _ --~~--]fJ.£1/ltL'fUY ________ _ ; .• ~ f r -· I ! L i:: [) § 1 71J J!ii ·~ ) P~1 "' 3 / I " I l \' ................ ..i .. 04 ------·-------- . L 3-!o~~~~ I 7? ... ~ Register of Wills -· -·. ------- r /" .. •<_ I ~ • 'fha Court is respectfully roquented to determine proper distribution in this estate., 0 qc~ltrl ,f..e~Ldu.._ Coun~ for Accountant '- • I ~ .. ~ _..,-~ .......... , .. . .- • 11 ~ ... '""' rl-.)o. , ... OF .I : ·' I, Mina I. Jones, of Nottingham Tovmship, ·Hashing- ;; ton County, Pennsylvania, make and publish this my Last Vtill ~ I i! and Testament, hereby revoking and making void all fonuer Wills I, ;, 'I ; by me at any time made. :i li il ii ·FL"R.ST: I direct that my Executrices shall, as soon ,, conveniently may be done, pay all my just debts and funeral .I ll . !: exnenses and direct a sui table monument for my burial place. II I' d SECOND: I give, devise and bequeath to my daughter, !I !I 'I Margaret Johnson, the sum of One Hundred ( $100.00) Dollars; and I, li 'I I! II li ii to my daughter, Ruth Ada:tUs, the sum of One Hundred ($100.00) Dollarse as li !i tl J; THIRD: I direct that my Executri.ces divide my house- ;i II li II j! d !I :r i :! hold goods as equally as possible among all of my children. FOURTH: All the rest, residue and Temainder· o~l' my estate, of every kind and nature including real, personal and :1 mixed property, I give, devise and bequeath, share and share alike, II d il to my children, namely: Margaret Johnson, Ruth Adams, Helen :1 Weygandt, Lois Ward and Jack Jones; and if any .of my said children !i :! ,: ;I !! i! I. should predecease me, I direct that the share of said deceased child be distributed equally to his 6r her children FIFTH: I hereby authorize my Executrices to convert :I il into money any real estate ovmed by me or in which I may have an ,. ii '' interest, and for such l:ur~Joses I do hereby authorize and enpmver ,, :; my Executrices to sell and convey, in fee simple, all my real !I estate, in whole or in _parts, either at public or private sale, ,, :i without any liability to the purchaser for the application, non-'i t: ·I , : application or mis-applicat1on of the pul"chase money, and to I ll ' execute and deliver all such deeds or other assurances as I could :i ~~have done if living, and pending such sales, I hereby authorize i! II ' ! ,• J t· ·4 ~ --..... ' T• ____ ._._ ~_...,. 0 • ~ -.. ... ' .., ' '· and direct my Executrices to leuse my said real estate, 5.n vrhole !i /J or in part, upon such terms and for such rentals as my Executrices :: shall deem most advantageous to my estate o 1! 'I I, II ii ): il :j SIXTH: I hereby appoint my two daughters, Margaret Johnson and Ruth .A.darn.s, as Executrices of this my Last V!ill and i! Testament. il ;i ll " i! 'I f. lj !. ji il !I !I ,, !I II L ;; !I ii II II li d I! :; li II !! Jl !i )I lj lj li II I' d ,, iJ II 'I II II 'I I, f; II J: il II II ii 'I I II !I :I •i !i ,, ll 1/ I. 'I !i !I il II II li d ,j I I II ,, :! IN WITNESS '.VHEREOF, to t.his my Last Will and Testqment, tY].)e"~Jvri tt en on tv·ro sheets of paper, I have hereunto ;J, c:)· I ; . set my hand and seal this /A,L<::.'I.day of ·p;;_~~'I:,0~\.: D. 1950. Signed, sealed, published and declared by the above named Mirra I o Jones,. as and for-his I.ast Vlill and Testaxent, in the presence of us, 'Nho s at his request, and in his rresence and in the presence of each other, have hereu~nto subscribed our names as witnesses thereto. I \ ' I I i \ \ i \ \ I I 1 \ \ I ' Date of Death: Sept\.;2911969 ol'( Affi~nutt · ®f fxrrutnr ®r Abmtntatrntnr jJtat.r nf Jrnnsylnania, t ss: C!1nunty nf llasqingtnn \ Personally before me, the undersigned authority, a ......... P..Q~.~:Y. ... P.Y.R.!!.9 .......................... ..in and for said County and State, appeared .... ~.QAt.e.t .... J.Q.OD$.Q.Q.§.~4. .... RY:~b. ... .AQ~ ..................... who, being duly sworn according· to law, deposes and says that the y XIX fhe execu~of the estate of . . r1ces .............. ~JA~ ..... "J; ........ J:.~~~-~---····································· ......................... deceased, that the foregoing schedules constitute a complete inv~ntory and appraisement of the real-and personal estate of ...... : .... Mi.P.~ ... J .•.... J.QP..~~L ................. , 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 Execu~. · i':J / , r1ces {;.._ ~ /. ExeQ. Sworn and subscribed before me this ..... .?.: .. ?.: ..... :... l X tic. ~ 0 ~ ~ay :fy~:!}::::Y~-~~ 9.6.9. .... , x ..... J.t.<.~.. .. . .. · ............................ Exec. My com.Expr··Ma.:r·~·2lf~·f9rr~~ub"li Wash'• Washington County Penn~DDITIONAL INSTRUCTIONS l. 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; l 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 $50~000, in- cluding Copy of Will and copy of Federal Estate Tax Return. ' · · REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 ~' --~ ... '• l ., Jluueutnrg nub .2\pprai.arment of the goods and chattels, rights and credits which were of ......... Mi.tl.9.. .. ~.J.: ..... J.Q.P.~$. ............................................. late of .. ~.:!;Y. .... 9.f. .... W~§.b!.~9.~.9.~ .................. : .............. .. Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS CENTS Personalty 200 shs'. of the cemmon stc:>ek of The Greyhound Corp. @ 18'.0625------.. ________ ..;._______________________ $ 3, 61~ .so Checking account Number 3-773551 in Pittsburgh National Bank, Washington, Penna.---------------1, 66e .2.0 ·$17,000.(face amount) u.s.T.reasury Bills, 6.307%, due ll/30/69----------------------:---------------16,79!:..00 Household.goods-see attached itemizati0n--------~--sc·.oo Total-----------------------------~ $22,121.70 Personalty Realty No Realty Total Estate Total~-~----------- $22,123.70 o.oo $22,123.70 j .. • ) I ~ . ' •' s-s-t b;}-b ?-/11? , Inventory and Appraisement IN THE EST ATE OF -Mina I. Jones, a/k./a, ·, . ~ :: .. Mx:.s ....... Mina .... l ....... J:o.tua:a ................................ .. ; Filed ................................................................. :, 19 .......... . r.r-· ,_. to 0) (.0 ::v 171::V a :;:?C: I 'I {,}') (./') 0 ,-, _ 1 cn rrJ rrl 1\) ::or--· ,-f\) n~ ,..--- I '1::::'-'-' :s:;::, ;;g m r=::;; r-(5 ..... :\ 0 U> ,,) .. 0 ........ Adam L. Sanders-B. A. Franks Attorneys at Law ..,9 _ . j)fif.3D-(Jl~ tfb 1 " l I ' The First and Final Account of ~~garet Johnson and Ruth Adams, Executrices of theEstate of MinaI. Jones, a/k/a, Mrs. Mina I. Jones, deceased, late of the City of Washington, Washington Count~, Pennsylvania. The accountants are char9ed as follows: 1969 Principal-Personalty Dec. 22 To amount of Inventory and Appraisement 1969 - Nov. 1970 - Mar •. 30 ,. 19 ' filed---~---------------------------$22,123.70 To refund received from Blue Shield---12.40 To gain on sale of household goods----22.40 To amount of Social Security contribution on funeral (non-taxable)-------------188.58 Total---------------$22,347.08 Income-Personalty To interest received on u. s. Treasury bills ' ' . To interest received on u.s~Treasury bills To dividends received on Greyhound stock- death through 6/20/70------------------ Total---~------------- Principal-Realty J None Income-Realty None TOTAL ASSETS $ 205.00 275.28 150.00 630.28 Principal-Personalty $22,347.08 Income-Personalty 630.28 Principal-Realty o.oo Income-Realty o.oo Total Estate---------$22,977.36 Total credits claimed---------------------5~,~7-5-5~·-0-9 __ Balance due----------$17,222.27 .,'). D 1969 - Oct. 14 1 Oct. 17 2 Oct. 25 3. Oct. 25 4 Oct. 25 5 Oct. 28 6 Oct. 28 7 Dec. 22 8 Dec. 22 9 Dec. 22 10 Dec. 22 11 Dec. 22 12 1970 - Jan. 26 13 Jan. 26 14 Feb. 16 15 -June 7 16 June 8 17 June 18 18 June :3 b 19 June sa 0 June :Jp 1 June 30 Russell Marino, Reg. Letters Testamentary short certificate Washington County Reports-adver.grant of letters Dawn Martin ' West Penn Power Co. Jack C. Adams Bill's Service Center Frye Funeral Home Russell Marino, Agent Russell Marino, AgEmt Russell Marino, Reg. Helen Beveridge Russell Marino, Reg. R. K. Harcom, M. D. Linda Adams Washington Hospital Simon Whites Sons M.Morgan, Co.Treas. Russell Marino, Reg. Margaret Johnson and Ruth Adams Observer Publ. co. Adam L. Sanders Helen Beveridge Russell Marino, Reg. nursing deceden~ last elec.bill rent owed by dec'd bill o£ dec 1 d funeral of dec'd acct.inher.tax-estate acct.inher.tax £or Margaret Johnson filing inventories notary £ees-inv. 2 short certificates medical for dec'd nursing dec'd bill of dec'd stone & Marker 1970 four mill tax 1 short cert. accountants fee adver.grant of letters attorneys fee notary fees-acct. & D & E filing account Total credits claimed--------------- 20 50 14 00 60 00 9 49 100 00 3 2 623. 1,150. 1,ooo •. 2 00 16 00 $5,755 09 Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION ,(' In compliance with the Newspaper Advertising Act of 16 May, 1929, P. L. 1784, as am~mded. Commonwealth of Pennsylvania, County of Washington, SS: ....•...•... Pe·ri:!onally appear-ed before me, a Notary Public in and for said County and State, -------R.i.cha.rd----S .. -----C.o.w.an ................. , who being duly s•worn according to law, deposes and says that he is the .Se.c.r.e.tar:y. .............. .. of the Obs•e.rver Publishing Company, a Benns-ylvania corporation, and its agent in this behalf; that the said Company is. the owner and publisher of the Observer-Reporter, succ•essor to The Washington Observer, est.ablished Septembe•r 18, 1871, and The Washington Reporter, established August 15, 1808, a daily news.pap•e.r of general circulation, printed and published and having its place of busines•s at Washington, Washington County, Pennsyl- vania, where it or its predecessors have been established and published ccmtinuousiy for more than six months· prior to the publica;tion of the notice hereto attached; thllit the printed notice or advertisement hereto attached is a ~opy of an official advertisement, official notice, legal notice or legal advertis-ement, exactly as printed or published ii:l the Ob£terver-Reporter in its regular editions on the following date or dates; .......................................... .. ............................... .O.c.t.ab.e.r ... .20.,.21-... and ... No.v.emb.e.r .... ~.~-l96.9 ... that neither th!e affiant nor the Observer Publishing Company is interested in the subject matter of s•aid notice or advertising and that all of the ane.ga- tions• of this affidavit as to the time, place jd charact}er o/'7p;ublication are true. . . ~-''t-.L~t:;,£~.1 . J!.:(":-__ ~~-':.\.. Sworn to and '"""7i~~:;::.~:~i::69 WASHINGTON, WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6, 197l ... Washington County ReportS ~· Washington, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. S, paragraphs (S) and (25). CouNTY oF WASHINGTON} SS. STATE OF PENNSYLVANIA Personally appeared before me, a Notary Public in and for said County and Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the officiatl legal periodical for said Washing.ton Coun·ty, published weekly having its place of business at Washington, Washington County, Pennsylvania, and is acting as its agent in this behalf; that the said WASHINGTON COUNTY REPORTS was established on March 31, 1920, and was designated as j:he official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: ....... Qc.to.her .... 2l ...... 3.0.,. .... 1.9.6.9 ........................... . ....... No.v..em.ber .... .6 ...... l.9.69 .......................................... . that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to the time, place and character of the publication are true. Sworn to ..... &tb·: .. ·JtY of ......... N~veiRbe~ ............... , 19 ... .().Q ...... . ............ /~..(]..~ ... ~~ KATHERINE C. NICHOLAS, Notary Pllbltory Public Washington, Washington Co., Pa. My Commission Expires November 1, 1973 Estate Notices The Register of WiHs hru; granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. • • • • • • • • • • • • • • • • • JONES, MINA I., a/k/a MRS. MINA I. JONES, Dec'd. ~ate of City of Washington, Wash-mgton County, Penna. Executrices: Margaret Johnson, 694 E. Beau St., E. Washington, Pa., Ruth Adams, 321 Ridge Ave., Washington, Penna. Attorneys: Adam L. Sanders, B. A. Franks, 611 Washington Trust Bldg. Washington, Penna. ' ~tt tq~ C!tnurt nf <ttnmmnu Jl~an nf llttnqiugtnu <ttnuuty ®rpqttun '. Qtnurt iinininu In the matter of the Audit of Account in Estate of~Mc.::1,_· ~n,a:O......:I=...ll!... --=J...::o:::..:n=e=s~,'---"a::::J/<--=k:L./....:::a:=..,;o..--,---t 63 -69 -1179 No .. ____ ~~--~~--~~~--------------- Mrs. Mina I. Jones TO THE AUDITING JUDGE: Enter· ___ o_ur appearance for ____ --=Ac=-""C:.::O::.:u=n::..=...::t:..::a=n::..=...::t:...._ ____________ _.:. ________________ _ N. B.-Counsel shall, by separa:te paper, present a concise statement of each claim, w-ith supporting c a I cuI at ion of any interest claimed. Objections to an account as filed, shall be concise I y stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. j No. 63 -69 -1179 In re Audit of Account in Esta;te of Mina I. Jones, a/k/a, Mrs. M1na I. Jones AUDIT Jra:r.dpr fnr · 1\pp~araur:r FOR . Margaret Johnson and Ruth Adams, Executrices of the Estate or . .., Mi I J :$ -,~ /kht. na • Qll~~ a, Mn.Mina -·-(!) G"") c- I. Jones,~diie)!;.sedg . ,......_ .. t_,; o I ; ,.;.; k • ' --f"'V -1 :::a ;__ c.o ,._, ,<;_: (".y 0 ~r; 1:: ;0 ~:: \) r-.... _ 'f>O?O """'0 ~ "" c.n U"'l f"f1 0 Adam L. Sanders-B.A.Franks AttorneyS ~2 -----------·--~---- PETITION SUR AUDIT Testate Form J IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of ........ Mina .. I. .... J..ones.,. .. .a/k/a,. __________________ _ No ............. 63.~6.9.~ll7.9. _____________________________ _ _______________________ Mx'_s.. ..... ~.:n~---~-·---J.9.P.~§_, ________________________ _ Fiduciary ..... Mar.gar.e.:t .. J.ohns.an .. .and ........... . ---------------------------------------------------------------------Oe.ce.ase.d ____ _ ... RY:tb .. !.\d.ams.~.--Ex~CM:tl'.iC.~S ...................... . · Deceased bate of • _ . 2 _ _ . , _ . Date of . Decedent's ~e~th ..... Se.ptemb.~J: ...... 2., ... l9.69 ................. Grant of Letters_,_~Qc.:t;_QR~~--·-l.s., .... l..9.9.9. ..................... . I#. • This is the.: .... F.i..t:s.t ... and . .-.F.:i..n..al .. ' .... ;: ___ : ........ · ........ ~-----~ccount filed iri'this estat~ -~ · • ' .J -# -\ ·: • ..,; J ";, :· ~ ~ • If there have be_en .former at:counts_ filed in-this estate, list file number or nl!mber. one!. .term ...... None.:·················· " ~ J" ~ .-----:_ -~ ~-_~.._. -.:.._____ . .. --------·-------·-----------------··--------------------------------------------------------=-=-=-=-:-~ .................................. .-= .... ";.~ .. -~~--------------------------------------------------------- Election to take no spouse survived Under or Against will. (cross out one) Date Election Place of;=------- Filed --------------------······--······ Record"--------~--------------------- ·" Name of surviving spouse ............. none .. .surviv.ed ___________________________ : _____________________________________________________________________ _ ·,- , . ,Five-all listed below ' ' -. ~ • -ll---• Did decedent marry after execution of will? (indicate)~ No. Any children born after execution of will? (indicate) ~-.No.-: If I dns~e r. yes, na_me. them ...... ~-----· ...... : .......... : .. _ ...... ::-... · ...... --::. ___ .... : .... u. ____ ........................... _____ ... ____ .. _______ . ________ .. . ) ..................................................................................................................................................................................................................................................................................................... ':' ......................... ··--------------------· Leg.atees Margaret Johnson Ruth Adams ' -~' Helen Weygandt " 1 .I -'. ·.-' Lois Ward ' '' ' ~ Jack Jones List, if exceptions to above: no exceptions j ~)tr. .. If partl'!! intestacy, give facts: J • none Relationship Interest daughter $100.00 and 1/5 residue---- daughter 100.00 and 1/5 residue daughter 1/5 residue .... daughter 1/5 residue < . ' son 1/5 residue Adeemed: Revoked: Lapsed: Abated: Give Cause: Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. ~ If any exception give cause: ...... na .. exc.eptions ........ " '. File copy of Notice . _ _ . and date of mailing ............... .J.uly .. 2nd., ... ~970 ................... _ .................................. ,~ ...................................... : ...... .. Is estate subject to the filing of a Federal Estate Tax Return? ........ N.a ................. ~S'f;·.::J~·[.·~·for .. Margaret .. Johnso: Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $93.4 .. 39.~ .. t ... ,. .......... -.0 ··'11::··""""······· es a" e pa1 ... o ... .u. · If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant.. ... none ...... . --------------------------------------------------·-··--------------------------------------·------··----------·--------------------·----------------------------------------------------· Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they ore admitted to be correct; and whether the claim is denied. None--all known claims except audit costs and balance of inheritance tax have been paid. -' Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: Will is clear--The estate paid the Joint Liability Inheritance tax o:f Margaret Johnson of $57.00, as she was ill. This should be deducted :from her 1/5 share o:f the residue. ' ' Balanc~ for distribution per account, Itemize any additional debits not shown by account: AugUst 1, 1970, dividend on Greyhound stock-$50.00 "J• Total additional debits (Add) Itemize· any additional credits not shown by account: 8/14/70-loss on sale o:f 200 shs.Greyhound st. 9/4/70~ 1965 tbo~gh 1969-4 mill tax on I ., •. ' . Greyhound stock 9/ /70-not~y :fee-audit pet. Total additional credits (Subtract) Balance for distribution $50.0.0 ....................... . 877.06 113.59 1.00 $99.1 ... 65 ..................... . $~7.~2.22..2.7. ............. . $~6~2.80 .• 62 ............. . If balance for dist~ibution is' not in cash,· list each item held in kind, giving appraised_VoJuo-{ordrsTfil5Liflon Value); Balance is all cash except d±slles-ana-cooking-utensils appraised at $10.00. Under the Will {par.3) the deceased gave her household goods to her :five children equally. With the consent o:f all :five children, all o:f the household goods except -the dishes and (J)oking utensils were sold and the money put into the estate. The household. goods remaining, namely the dishes and cooking utensils {$10.00) :should be awarded to all :five children, share and share alike • . -~ .... If Family Exemption claimed by Petition, give place of Record: ....................... none .. c.1aim.ed ............................. . If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ..... rume. .. cl.a.imed ............. . List any advancement or distribution on accouht that has been made, and nature and amount of same: none Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections ·-!o take in kind if balance is :not ir) cosh: residuary shares being stated in proportions: 1. ~~ga;ret JQpnso~~$100. spec. bequest, 1/5 o:f dishes and cooking utensils " ·; · ··; -and 1/5 residue less $57_.00 tax paid :for her. 2. RUth Adams :..$100. specific bequest, 1/5 o:f dishes and cooking .utensils, and 1/5 o:f residue 3. Helen Weygandt ,-1/5 o:f dishes and cooking utensils and 1/5 o:f residue 4. li>is Ward ·:..1/5 o:f dishes and cooking utensils and 1/5 o:f residue 5. Jack Jones -1/5 o:f dishes and cooking utensils and 1/5 o:f residue COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly ......... SW'OJ:n ................ doth depose and say that the facts set forth in the foregoing petition are true And your petitioner will ever pray, etc. to the best oL ....... :their ... ________ knowledge and belief . .............. s.wor.n ...................... to and subscribed before ::n:::,~::;~~ZJ~···~~~························· T ··tl f Off' '1\.To·tar·u·-P.ub·,..;,.. -~---···---~---···················-----·······--·------····----····--·· 1 e o •cer ........... ,~ .,... . ~ .... ,... ..................... . Office ex pi res ..... .My. .. Com.. ... Exp.; ... Mar~b. .. 2§." ... 19.71 Washington, Washington County, Penna. ! I l' ~ ' No. . .... 63. .. .;.. ... 6.9 ......... 117.9 .................. . Estate of .. Mina .. I ...... J.an.es.., ... a/k/.a,~---- Mrs Mina I. ·Jones · ···----------'-------· ---------... ---------.. ------.. --·-. --.. -----..... . • J Deceased Fiduciary ... M.argar_et ...•• ro.hnso.n .. an.d ..... . . _, -------Ru.th-..A.clams..,---Bxecu:txi.ces ........ . , I I I l I ·' PETITION S~R AUDIT FROM WHERE DECEDENT LEFT A WILL ·- Counsel of Fidu'ciary .will 'submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written· praecipes of all _Counsel in ~he case. ~ 2. Copy of order appointing Guardian ad litem, if pertinent.' ·. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. ' . . 5. Letters Testamentary or Administration C. T. A. or an attest copy of Wi II. ~ . 6. Copy .of inventory and appraisement. - 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of liens in case any of· the funds for distribution are from judicial sale of real estate. 9. Signed and itemized elections if any distribution 'in kind. 10. Copy of Federal Estate T~x return if ·es- tate is subject thereto. ') ..... Adam .. L •.. sander.s.~B .• A.E~~---· ""'~2 . AttorneYS '\1d ··o'J NOJ5NIHSV'll\ S lll h\ J 0 tl31 S I ~ 3 U ONII.Pn-l -rnssnH hS 2 Wd 62 lJO OL -" ! ~·-t C'"'l -n .. , , 1 . ....J ! ... ·- •,. -~ I ' J -' --,, ... r;.~..--. ..-.\.. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENN ORPHANS' COURT DIVISION IN RE: ESTATE OF MINA I. JOOiN'.ms:- ) ) ) No. 1179 of 1969 ) ) ) ~ z Deceased. cC ) ~ Ul z z bl II. HEARING ON AUDIT i ~BEFORE: THE HONORABLE P. VINCENT MAR !NO, Judge of the said Court. z i Ul ~ .: ~ APPEARANCES: SANDERS & FRANKS, ESQS .• of Washington, Pa , representing the Accountants. Iii Q ..1 cC u g TIME: Friday, September 1·B, 1970, at 10:00 o'clock A. M., EDST. ., ~ C\1 ai 0:: E THE COURT: 2 bl 0:: 1-0:: :I 0 u ..1 cC deceased. The Executrices are Margaret Johnson and Ruth Adams the attorneys are Sanders & Franks. Mr. Sanders? u ii: MR. SANDERS: IL 0 If the Court please, I have all the required paper · All known claims are paid. There are no complications. The estate paid ~:5··:7. 00 of Inheritance Tax for one of the legatees who was ill and that .should be deducted from her share in the Court's decree, and I have set that forth in the Audit Petition. The will is clear. The balance is all cash except $10.00 worth of dishes and cooking utensils and they were specifically awarded to five of the children ' equally. I just suggest. they be awarded in kind to all of the children. Let them divide them. I know of no other complications of any kind. THE COURIT': decedent's estate? ~THE COURT: z ~ ~ Court. Ul z z Ill Q. i e 1!1 z :X 01 c( ~ ti ~ !!l Q ..I c( u 0 :l ., :1: ~ 01 Is there anyone else in Court interested in this ( NO RESPONSE ) The audit of this account is marked closed by the (AUDIT CLOSED) ~ ~ a: ~ ~ l.Uoreby ccrtlf,Y tll.nt tho pt'OCOedlatJa and o·ifid@CO are <..Ontalocd Ill a: § fuliJ; ana accure.tcl.)' in the nosos &.a~cm by me on the. t~t.arlnu vt tho &bovc 0 u ~ ~tt;o, and that Ulia ®:J¥ ta e correct _.,..i'\.M•!\f'J~!'>~ u ii: ... 0 2 " {' T '\ ) .:::1"' ' ..,., 0 tf) -<( -' 0.... ":::t: -1 f{'fl...: ~-. ::-0 ..... --.. 0 ....... 1.1,_ 0... _-:r_ 2 e ... 0 c. c -l .t.: I-C"l ...... w ~ . ~ ' " ~ ;. :-') •/) (,...) ·• ') ::r: ........ "" c-.., :;:, (.:) rJ) u:: uJ ~ .::::;:'j c.:: ::;;.; ;.1-r- .. ·' .. In tlre <lrnurt nf <lrnmntnn ~Urns nf ltnsijingtnn <lrnunty. Jrun.aylunuin. ®rpijnns f arnurt i1ini.ainu ESTATE OF 63-~9-1179 No. __ _..::.__:__:_....:.....:__: ______ _ Mine I. Jones, In the matter ofthe First and Final deeee.sed. Account of Mar~aret Johnson & RJ'Jth Adams, Executrices ADJUDICATION AND DECREE And now: October Z7 , 19-10-, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof th~ balan-'e6f.or distribution in the hands of the Ac.countant. is detern:ir:ed to be $ 1.6,2C3U, ~ and the account is accordmgly conf1rmed; and 1t IS ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or on appeal be token herefrom sec. leg. ~ SCHEDULE OF DISTRIBUTION Balance per account _________________ _ Additional debit asked at audit Additional credit asked at audit Balance'---------------------- Deduct Clerk's Costs & Receip,:;_ ____________ _ Attorney ___ _,S...,a..,.n""'d~e..._r.........,s_&_..._F ..... r~a..,nwk...,sL--________ _ Russell Marino, Agent, transfer inheritance tax, Redebit -Funds advanced in distribution, Margaret Johnson, legacy, credit to be taken by the accountants for funds in the amount of $.57.00 advanced prior to distribution by the Court, Ruth Adams, daughter, legacy, Il!fargaret Johnson, da.ughter, 1/5 residue, inclu- ding cash and 1/5 remaining household goods, held in kind and distributed as such, Ruth Adams, daughter, 1/5 residue, including cash and 1/5 remaining household goods, held in kind and distributed as such, Helen Weygandt, daughter, 1/5 residue, includ" ing cash and 1/S remaining household goods, held in kind and distributed as such, Lois Ward, daughter, 1/5 residue, including cash and 1/5 remaining household goods, held in kind and distributed as sue h, Jack Jones, son, 1/5 residue, including cash and 1/5 remaining household goods, held in kind and distributed as such, · 50.00 991.65 35.00 3210.57 3210.56 3210.56 3210.56 3210.56 $17,272.27 $ 16,280.62 No balance J ") ' " 0 ~ ..... z w :I n ..... p g 0 :I" c (!) Cit :I 3 .... 0 0 c ..... ..... .... .... (!) .., 0 .... ..... :I" (!) t .. r .-_:.::, · . .::? L....., "--. ::c ~ c... a en lld ""'-J s--~ c.....:l 9 c:=> '\' l! ..... r-... 0' r \ )> ,, •' * ~ ~' IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY~ PENNA. ORPHANS'COURT DIVI~ION No. 63-69-1179 Estate of: Mina I. Jones, a/k/a, Mrs. Mina I. Jones, Deceased PAY TRANSCRIPTS .. _ -~ -=-.. :o-.,: r-. ::':1 --- ·-~ -~ (;"') ( J /"" ... .. ~ .. ... ~i - 'J .-: ~ ... ' i : r·--:.:; r-_, . ·~· \_·; C; ADAM L. SANDERS .ATTORNEY .AT LA.W" WASHINGTON, PA. WASHINGTON TRUST BUILDING \/ ·IN' 1:HB:· COURT. OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA Estate of: ) ORPHANS' COURT DIVISION . . Mina I. Jones, a/k/a, ) . • Mrs. Mina I. Jones, ) . . Deceased ) No. 63 -69 -1179 PAY TRANSCRIPT We, the undersigned, .do hereby on the date set forth below, ' . acknowledge to have received from 'Margaret Johnson and Ruth Adams, Executrices of the Estate of Mina I. Jones, a/k/a, Mrs. Mina I. Jones, deceased, late of City of Washington, Washington County, Pennsylvania, the sums ~~t forth below, being the balance in distribution due us in said estate, awarded by the' Decree of Distribution of the Orphans' Court of Washington County, Penna., dated October 29, 1970. In Witness Whereof, we have hereunto set our hands and seals this //fL. day of November, 1970;. ; Margaret Johnson, legacy, credit to be taken by the accountants for funds in the amount of $57.00 advanced prior to distri- bution by the Court 100.00 IHrl~ Margaret Johnson, daughter, 1/5 residue, including cash and 1/5 remaining household goods, held in kind and distributed as such {Seal) 3, 210. 57--A~rtta::l!+i!l!:fdi~~JK.I!I!L.""'""'::~Ur.c!loodliddlll!!d..:'"!:ll...,lillit::1 ___ ( Seal') ~ 7 Ruth Adams'· daughter, legacy lOo.oo. __ -'t~l6~d~-· :::::~~~~·::!:::·~!::::2..---< Seal) Ruth Adams, daughter, 1/5 residue, including cash and 1/5 remaining household goods, held in kind and distributed as such .-. Lois Ward, daughter, 1/5 residue, including cash and 1/5 remaining house- hold goods, held in kind and distributed as such 3, 210.56 __ tL=-1·b-..-~=,)-.>.....;tJ;;;..;;;;;..~t1;;;...:;J;;;.:;;..... ___ ( Seal) ; f. v• IN THE <DJRT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA Estate of: ) ORPHANS' COURT DIVISION . . Mina I. Jones, a/k/a, ) . . Mrs. Mina I. Jones, ) . . Deceased ) No. 63 -69 -1179 PAY TRANSCRIPT I, Helen Weygandt, do hereby on the date set forth below, ack- nowledge to have received from Margaret Johnson and Ruth Adams, Executrices of the Estate of Mina I. Jones, a/k/a, Mrs. Mina I. Jones, deceased, late of City of Washington, Washington County, Pennsylvania, the sum set forth below, being the balance in distri bution due me in said estate, awarded by.the Decree of Distributio of the Orphans' Court of Washington County, Penna., dated October 29, 1970. In Witness Whereof, I have hereunto set my hand and seal this 1;?~ day of November, 1970. , Helen Weygandt, daughter, 1/5 residue, including cash and 1/5 remaining house~ hold goods, held in kind and distributed as such IN niE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA Estate o:f: ) ORPHANS' COURT DIVISION Mina I. Jones, a/k/a, ) Mrs. Mina I. Jones, ) Deceased ) No. 63 -69 -1179 PAY tRANSCRIPT I, Jack Jones, do hereby on the date set :forth below, acknow- ledge to have received :from Margaret Johnson and Ruth Adams, Executrices o:f the Estate o:f Mina I. Jones, a/k/a, Mrs. Mina I. Jones, deceased, late of City o:f Washington, Washington County, Pennsylvania, the sum set :forth below, being the balance in distri- bution due me in said estate, awarded by the Decree of Distributio1 o:f the Orphans' Court o:f Washington County, Penna., dated October 29, 1970. In Witness Whereof, 'I have hereunto set my hand and seal this fl·/¢ . / t1 -day o:f November, 1970. > Jack Jones, son, 1/5 re~idue, including cash and 1/5 remaining household goods, held in kind and distributed as such. (Seal~ .. ~ Form RCC-33 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF· REVENUE BUREAU OF COUNTY COLLECTIONS J RESIDENT DECEDENT COUNTY OF ........ WA$ij~NG.~ .......................................... . IMPORTANT: This return must be completed in detail and-filed in duplicate, with will attached, with the Register of Wills of the County where decedent resided; Return is due within one year after date of death, unless an extension is granted by the. Secretary of Revenue. (Section 703 of _ the_ Inh.er i t11nce __ llT\!1. _E_!!tll.te _Tax A.c t of 1{!61.) IN THE MATTER OF THE ·ESTATE OF AFFIDAVIT OF Mina ... t •. J.one.s .. , .. a/k/a .•. Mt'~ .•. Mi.n.a .... I: .• J..9..!l~$......... ExEcuToacrices (State full name of de<Je<lent) Late of ........ Ci..ty. ...... o£ ...... Washing:t.o.n.,. ..... Was.b....... eounty S'-te of ............. Pennsylvani.a ............. ,., ............................. :.} ss: ~~nty or .... Washing.ton ............................................ : ............. . ........... Mar.gar.e.t ..... J.ohnson .... and"'JGI.t.h ..... Adams ................................................. .. Administrator of the estate of the above-named decedent being duly sworn, depose Eucuta~rric and say Decedent · dJed ............. Sept.ember ...... . (Month) ........ 2.9 ............. , 19 ... 69 ........ ,J testate .leaving a last ~ill, copy of which is hereto attached. } (llay) . (Yo;ar) l DOfXEVK rii,-me and address of attorney or} Adam .. L. Sanders ... B.A.Franks., .... At.torneys ... at .... Law .... other authorized representative to · . whom all correspondence should be_ 611 Washington Trust· Bldg• . ······················································· ··· .................................................................... .. mailed. Washington, Penna. · That as such ... Execu:tr.ices ........ deponent is familiar with the affairs of said estate and the property con- n:x.,cutor-Admini•tratorl . stituting the assets thereof and their fair market value. ·That at the time of death th~re was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of a,nother, 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 OTHKR INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAF~ DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO_D~C~DENT -- ··-" -.. -. ·- ··-·-- That the contents of §~!d safe d~posit box or boxes are itemized under Schedules ______ of this return, 'with the exception of the following~ for the reasons hereinafter set forth: That Sc.hedule A att~<Jhed l!ereto ~nd made part hereof sets forth full v and in' detail all the real property in the Commonwe~lth of Pennsylv&nta of which decedent died having an interest therein. It also sets forth the mortgage enclDIIbrances 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 Qf date of death of decedent. That Schedule B attache{i hereto and I!Htde part hereof sets forth fully li.nd in detail all personal property wheresover situated owned by the decectent 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 o·f qeposit, ·savings banks, tru~t companies, or other institutions, whether individually, or in trust for any other_person or_persons gi~ing also separately the accrued interest thereon, if any, ,down to the last interest day prior to decedent's death in the gase of savings banks, and'to the date of decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes arid other ev~dence of in- de.bt~dness of the Unit~d States to the decedent; all. obligations, whether by statu,te or agreement they are designated as tax free, of. the Unf ted Sta.tes, o'r any state~ or political subdivision thereof; or of . . -, " any cfore.ign country, e,Wiaich are owned at the time of death; aU wearing apparel, jewelry,: silv~rware, pic- tures, books, works of art, household furniture, horses, carrciages, automo't!lles; boats~ an~ any and all other personal chattels of whatsQever kind or na,ture, left byctecedent, together with the fairly estimated market value thereof; all bonds !!,pd mortga~es held by decedent and of all clal.ms due and owing decedent a.t the time of death, and all promissory notes or other instrwnents in writing for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, tf any, giving the face value and estimated fair market value thereof, a,nd if such estimated fair mal'ket 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 S.nd endowment contracts the proceeds of which were payable upon the death of the decedent; and all the corpol'ate 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. In the case of securities of close or family corporations, the values reported are as far as possible substantiated by financial statements of the corporations, showing the assets and liabilities thereof as of the· date of death. The schedule also sets forth the interest of decedent at the ·time of death in any co-partnership or business, and in support of the value of such interest there is annexed to said schedule, financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement) t.ogether 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 al~o set forth in itemized form, together with the fair market val~e thereof, any other property owned or bequeathed by the decedent"at the time of tleath. The Schedule C attached hereto and made part hereof sets f<>;rth :a tr~e 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 w~om 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 tr~nsfers. In the cas~ ~f transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. Thert~ is also set forth in said schedule a list of all property, real and personal, with its value, which passe~ 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 deced~nt, ei the.r i;!l~ividually or jointl~, 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 herepf s~ts forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death~ t~e nature of their res- pective interests, their relationship, if any, to the decedent, together with the ages at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property, real and per- sonal, owned by the decedent jointly with another or others, including intangible, standing·in the name of the decedent and others, plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty, plus the name, address and relationship, if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this ~state; counsel fees and f'udiciary'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 accru~d charge.able for period prior to decedent's death (except. those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest, that'if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,. have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ................................ . ~ 2::'..~ ................ :. ... ::..... ................. .. ...... day of ~;2.7c.emb.er. ..................... 19 .. 6.9. .... . .... ;~.?~ ... ~ ..... c.b~~~~~~t>iic:·· My Com.Exp: March 26, 1971 Washington,Washington ~unty, Penna. ~~~ EXecutrix 6..9..4 .... Eas.t ..... B.eau .... st .•.. ,. .... Eas.t .... was.h.ea • ~nmamj .. x ........ /i?~/... ... LZ."'c.:l.a..c:..-r.."' ... aL. ......................... ~ ... -.-·. Ru!h Add~ Executrix 3.2.l ..... Ri.dg.e ... Av..e .•. ~ ..... Washington., ..... P.a •. (City or Town and State) NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. RCC-34 (1·64) COMMONWEALTH OF PENNSYLVANIA DEPARTMef.IT OF REVENUE, . BUREAU 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 (1) (2) (3) described by lot and block number, street and street number, together with DEPARTMENT a general description of the property, with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title; if a farm state number of a-FOR YEAR OF ESTIMATED CAUTION cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEATH In this spoce) to be listed on Schedule "F" and must not be deducted from this schedule. None 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. !i.CC-35 COMMONWEALTH OF PENNS·YLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT 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 dividends, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership interests, interest in anyundistributed estate o~ 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 No. ITEM List and describe fully 200 shs·. of the common stock of The Greyhound Corporation @'18.0625 ------- Checking Account Number 3-773551 in Pittsburgh National Bank, Wash. Pa.----- $17,000. (face amount) u'.s.Treasury Bills, 6'.307%, due 11/30/69------------------- Household goods-see attached itemization-- Insert this total opposite "Personal Property", Schedule "B" in the "As Reported" column on the last page of this return. UNIT VALUE ESTIMATED MARKEl' VALUE 3,612.50 X X ~22, 123.70 DEPARTMENT VALUATION (Do not write in this space) RCC-3b romroN~I'EALTH OF PENN SYLVAN I A. TRANSFER INHERITANCE TAX ~SSIDENT DECEDENT SCHEDULE "C" TRA.NSFETI.S (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) 110 (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) no (3) If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer ----------- (b) State of decedent's 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) nn (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)~n~o~-~--- (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-nd-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) no (b) The right to designate the persons who shall possess or enjoy'the p~operty transferred or income therefrom? (Answer yes or no) DO (6) If the answer to (5) (b) above is in ·the affirmative, state whether the right was reserved in decedent alone or others ____________________________________ ~------------~--------------------~------------ (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) no (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter,. amend,,. or revoke, or which could revert to decedent under terms of t~ansfer or by operation of law? (Answer yes or no) no · (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and othens? (Answer yes or no) no 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 None Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) DEPT. VALUATION (Dept. Only) RqC-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 decedent 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! Address and Relationship of Co-Owners, and Place I of Record of Instrument, where Real Estate. ! Savings account Number S-2582, in First F~deral Savings & Loan Assoc. or Washington, in the names or Mina I'~ Jones or Margaret s·. Johnson, daughter, as joint tenants, opened • < Apr~l ~4~@~~balance at death, $2ood:OeL----------l/2·taxable----- Unit Value percentage Share Estate 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 ' R,CC-37 (1'2-63) 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) . ' Maraaret Johnson 694 East Beau St' ... ' ' ( ~!I:: t . w~C! h-i 1'\ntnn . p~· Ruth An!ilm~ ~21 RidnA Av2' Washinaton .. Penna·~ r H"-lAn WAvn~ndt First Ave.· Mononoaheia · :Penna~ Lois Ward North AvA' Ants' W~!~::hi .. ~ P~nn:t' .T:u""k .Tnn~<:! R n 2 Ji'; 'P\ 1 O'U'U; 1 10 P!'l 7. . ,.. 'I . . . .. . . ~ ., ! :I . ' . -,, r ~ . ~. ' , - SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN E_STATE foi"th .this fact.) OR NO BIRTH ' dauahter ves ~-.l.UU • UU ./l snec. and _1 5 xes;i.dye n!ilttahter ves • S100 . 00 snec and 1/5 o:f residue n~ttahtAr VAS 1/5 n:f residuA dauahter ves 1/5 of residue li::nn VAll:: ]/c; nT 'I"A!~::idnA . ' .. Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE (Executor-Administrator must complete "As \Vill { r II Reported" column #1.) ~ ~ No. Year .......... .. • I I C1 . ' :~ ...., ""d ::0 .., : :0 .., (1) (1) 0 -: : ~ ;;I ~ P.oJ THE I I til :~. ~ 0 - til :::s ~ ~ ""d ~lATTER OF THE APPRAISEMENT II ~ . :~ ;;~ ~ ,8 ~ ~ ""d (1) 0" :-... .., .., OF THE • I I en ' :::z:: .g ~ 'CD C1> ESTATE OF II ~ .15: ~ ..... (1) • • : '11 M1na I. Jones :11 a/k/a, !g .Ml's .• M:i..na. X. .•. J..Q:n.~s ...... ....... :~ Deceased :r+ ~ II . Late of .. G:i,~y <>.:t" ... \tleiS.l:t~~9:t<>.Il: h. ~ County of .. Was 1ngton .............. ....... ~ ~ Commonwealth of Pennsylvania II . 5; 1 1 <· ,...._,....-....-......-...t-( U>WWW ' ' ·, () ::r ::r ::r REPORT AND APPRAISAL -' r ~ ~ ~ ~·; ~ : : : ~· -~ r• -Pl .., l I l ~ -(1) -0 -(1) -(1) -(1) ~~ t -N · N -··• J i ~ : 1-1 N :_ :r ' "" t ~ ~ ~ > [_,: ' __ l . " ----}-1 Q ,._., til I I •I -HJ r-:1.\) 0 l\) ::c c 1 'Ul o:o~o(l)-:: ,, r-~ • • -• • -" 'g-::.'1 --= ' t l -' "-'~ 0 8: ~ 0 .., -· · o o· oo ..... ~;_; r..::; . , : . : : . -~ ~0 J •. -. ' . -... { :·- 0 ,,_ w -(1)-(1)-fn-(,1')-(1)-(1) ·~\. ~: :~. '' '' II ( ~t\j'' ,~. > ;r. Adam L. Sanders-B. A. Franks '10 :""-.. . 0 II '--Q ·~· ~~ ~· ~t-O 0 l~ ..,_ (' II . l))-2 . 0 -~· = ~ -'-S;: 0. \) c.. ~: Kttorneys at LaW R C C-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION J IN YOUR REPLY PLEAaE REP'ER TO ~ 38-l5-l ~~ NOTICE OF FILING OF APPRAISEMENT MARGARET JOHNSON & RUTH ADA¥S In Re: Est ate of _____ ----::;M::::I::.:.N!.!:A~I;..:.·~JO::::.;NES==-------- ______ __;_W~AS=H::;IN~G:;..;1D;;..:....;;.N;__ ___ County -File No. 63-69-1179 You are hereby notified that the original appraisement in the estate of Mina I Jones has been filed in the office of the Register of Wills qf Washin~ton County on December 29 , 19_29. Said appraisement reflects the following valuations: Rea 1 Estate ---'-------=-~=-=-=---"",.,..-- Personal Property _____ 2~2~,~12~-~3~·~7~0 ___ Jt. Held ~---------=-:;.lz...:,O;:..;O:-:;O:_:_•,;;OO;-- Total ______ ~-~2~3~.~1~2,3~.7~0~-- 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 ____ =D~e~c~em=b~e~r~2~9~,~1~9~6~9 __ _ Title W.R. CHANEY, DATE OF DEATH: Septembe~ 29, 1969 Note: This is not a bill. ~ :::: C·39 \5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of JONES (Last Name) VJNA (First Name) I. (Initial) SUMMARY DATE OF DEATH 9-29-b9 REPORT OF INHERITANCE TAX APPRAISER FILE NO. 63-69-1179 I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E". Dated: ___ 1"'2"-,.2.-;,;9,_-6.,.9;,------- 09-29-69 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for County, Pennsylvania, do respect- fully report that I have allowed deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated: _____________________ _ REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED 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 $ 22,123 70 1,000 00 21 121 70 annuities ......... , . . . . . . . . . $-----------1--- ESTATE TAX ASSESSMENTS $ ______ .......__ $ $------~-- FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on$ Tax on$ Tax on$ Tax on $ Tax on$ Exemptions Total Estate TOTAL TAX Less tax previously paid BALANCE Less 5% of tax if paid within 3 months after death ® 5% 10% 15% * $ $ $ $ $ / $ $ $ $ .(*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% from --------to ----- AMOUNT OF ESTATE TAX ASSESSED $-----+-- Estate tax paid $ _____ ___, __ __ BALANCE DUE Add interest at rate of 6% from ----------~10--------- $---------~---- $-----------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 t No. IN THE Year .......... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF .. MLNA .. J .~ ... t10NE? .. Deceased Late of . . WASI-I:J:Ncr'I'QN. County of . W.AS}IINGTON . Commonwealth of Pennsylvania REPORT AND APPRAISAL .... ~ --- Form RCC-2 COMMONWEALTH OF PENNSYLVANIA DATE ...................... .P..~.~~~-~~ .... ?..?..~ ...... ~?..?.?. .......... DEPARTMENT OF REVENUE· RESIDENT INHERITANCE TAX .......................... ~<,l:.~-~~.!J:~.~.?.E~ ............................ COUNTY IJURE;Aq OF COUNTY COLLECTIONS APPRAISEMENT HARRISBURG, PENNA. 17 12 7 FILE NO. . ............................... QJ..::.9.9.::.J.::J.:.7.9. ....................... I I I Whereas, ...................................... ~n~ ..... ! .. ~ ..... ~.9.n:~.~·································································· late of ........................................ ~~-~~~~-e.;~_?.? ................................... in the County of .......................................... W.~§.ffi..n.~t.9..P. ........................................................... Commonwealth of Pennsylvania, having died on the ................................. ?..9 .... ~h .............................................. day of ................ 9.~.P:~.~.m9.~.r. ............................... 19 .. §2 .. , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ................................ .J.~.~-~-~ .... .9h.~~~ . .Y. .............................................................. , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. As&et Unit Appraisement Description of Values Made for Inheritance Tax Purposes $ PERSONALTY: 200 shs. of the common stock of the Greyhound - Corp. @ 18.0625 3,612.50 Checkin!? Account in Pittsburgh National Bank, 1,666.20 $17,000.00 (face amount) u.s. Treasury Bills. @ 6.307% due 11/30)69 16,795.00 Household goods 20.00 22,123.70 22,123 70 i JT. HELD: Savings Account No. S-2582, in First Federal Savin;s & Loan Assoc. of Washington, in the na.rres of Min a I. Jones or Ivlargaret B. Johnson 1,000 00 '" Total 23,123 70 form~vi~hb;::: ::~h~sw~d'J~o~=: ~:; o~m:~~~~~eg:i:;;;i~~~ Appraiser ;tJ;;;t;,.;7~:'_==·~=·} . ;::.. --d~ '"" -· ............... WA~.I1)NGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MINA I. JONES Deceased. Late of WASHINGTON ....... , .......................... , ............................... ······················. ······························· Date of Death, ...... $.~pt.~m1?.~:r. .?.9.L .. J,9~.9 ........... . Appraisemel!t Docket Vol., ............. ?..?. ............................... . Page, ..... 1~.1 ............................ No .... 9.3.~.9..9~)) .. 1.9. ......... . Filed in Register's Office, P.t:l.9.E:lJ.Ill?..~~---·:?.9. .. J9 .. ~.9. .. Amount of tax due $ J ··••••·••••••·••••••·•••••·•••••••••··•·••••••••••••••••••••••••••••• DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal f,.om Appraisement, Entered and charged, ~. ··i. Form RC clo . -o !<.. &:, 3-&>9' II 7/_ J \ r/J ~ 19'_.... /5 .-f DEDUCTIONS ALLOWED IN ,. .. THE SUM OF ............ $ '(7~.§4 . .. . STATEMEN-T OF DEBTS ,-OFFICE OF THE . REGISTER OF WILLS ""' m••v~~~zo Washington AND DEDUCTIONS OF COUNTY ~~ ' fYJ/ AND AGENT OF THE COMMONWEALTH Register of Wills, Agent"( J f'{• ESTATE OF Mjna, I. !ones LATE OF Ci:t:sz of J&:ashjng:ton, Wash.Count3[,Pa. - DATE OF FILING APPRAISEMENT Dec. 22 ' 1969 oATs: oF oEATH Sept • 29, 1969 DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHEIIt 1969 Letters Testamentary and -cr-t 14 1 Russell Marino Rea. ~hn'l"t r-e'l"t ?0 c;o . ~ ---· Oct 17 2 hT ... o"h; nrt+nn C".nuntv Reoorts adver.grant of Letters 14 00 - n...• ?.~ '=l Dawn Martin nn'l"~ina_d.f2c._,pnent 60 loo .. n...+ ?~ A. West Penn Power co. last electric bill Q I4Q n...+ ?t; c; .T::lt!k C Adams ""on+ nwPn hv del'!' d 100 loo O,..t 2R 6 Bills' Service Center bill of dec'd 42 140 0...+ ?A 7 Frve Funeral Home -Funeral of dec'd 1.440 60 no,.. ?.?. R Russell Marino Rea. f'i1i.na _inventories 3 00 no ... ??. 0 Helen Beveridae nnt;:trv :fees -i 1v~. Ltories 2 00 no ... ?.? 10 l~n~~IP 11 M;:tri no Reg._ 2 short cert 2 00 1070 - .T::ln 26 11 R K Harcom. M. D. medical for dec'd .'. 7 RO Jan 26 12 T _; nn~ Adams nursing dec'd 240 .00 Feb 16 13 Washinaton Hospital bill of dec'd 3 28 .Tune 7 14 Simon Whites Sons stone & marker 623 00 .Tnno R 1S M Mora an Co. l'reas. lDf.f -4J..,vq-four mill tax lfrl £tJ. .. , .Tnnt:~o 1R 16 Rn~~e11 Marino Rea. 1 short cert 1 00 ~~G ·' 00 .Tnnc 17 M::lrn~ret Johnson-Ruth Adams accountants fee 1 150 . ' . Tnno Je> 1R Oh~ . Puh1 Co_. adver ._g_r ant of letters 14 00 Tnno :J~ 10 Anam 1 Sanders attornevs fee 1 ()00 ()() T.,.,....., ;,n ?.0 J.lolon B~veridae notary rees-acct~& D & E ? nn . Tnno ,1) 21 Russell Marino~ Reg • T'i1ina ::l~r-nun't 16 00 Tn~~l-~~-------------~4 7£\-::t 70 . ~~_..~~~ ~ '' 11-t) ' ) COMMONWEALTH OF PENNSYLVANIA }ss: COUNTY OF :Wasbj ng:tCD »We,Margaxet Johnson and Ruth Adams HEREBY CERTIFY, THAT. TO THE BE8T OF '-'IY ICNOWL!DGE AND BELIEF, TH! FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSU OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF Mina I. .I ones .OECEASED, AS DEDUCTION$ FOR INHERITANCE TAX PURPOSES. . ..., / ~Kc---¥-~~~-L~a~q~;;~~~~</~ ___ cL. s.) SWORN Atof~Cb BI;FORE ME THIS /YZ# DAY 01" ~~~~~--i U/ft:00<~---~ !J~,.,r--r 7 ~ary PUblic U ( L. s:.) My Com.Exp: March 26, 1971 Washington,Washington Coun~y,Penna. ..., -~~-~ -..::: -...; •<..;;; :-0 <::::) ~--p. fll ::u (f) Q c: c._ ~ ....... ::.: (!"; c.:::: (!) (f) I-z --; rn rn (j~) i'T7 r-,....., -1 ::n r--~=::, 0 0 :<::: ... ..,. . :t.~ -o 0 < }.>--::::r 0 ~ r-.t.A..> z "1:1 r-0 :t:>l' (/) 0 (.,n RCC-4 (8-68)~ COMMONW,EA1TH-OF PENNSYLVANIA .. DEPARTMENT OF REVENUE NO. A 0512 7 5 OFFICIAL RECEIPT. PENNSYLVANIA INt-IERITANCE AND ,ESTATE T~ --------~~~Ha~~~~~--~~----------------------------------------------~-----------------~------dollars representing Pennsylvania Inheritance or Estate Tax due from the following estate: From: ____ ~~~~~~~~~~~~~------------.---------------------------------~~------~---------1~1 Addres:. ____ 6_1_1_W_A_S_H_IN_rG_T_O_N_T_R_Uc-S_T_B_L_D_G_._-1 WASHINGTCN File No. 63-69-1179 County _____ W_A_S_H_I_N--'G'-T_O_N ______ _,__--1 -: Remarks: S E A L J NOTE: To be <'(elivered to taxpayer I 3g-15-1 2% Tax on $ ___________________ "'·-------------------lrlll 6m T $ On Account $ 60.00 ~ ax on ----~~~--------------------------- 15% Tax on $ ___________________ $------------------- % Tax on $ ___________________ $ ________________ _ Estate Tax, Act of May 7, 1927 TOTAL TAX CREDIT Less five percentum of tax if paid within three months after dot~ of death Plus interest at the rate of __ % from---------------- to ______________________ _ TOTAL AMOUNT PAID $ _________ _ 60.00 $ ________________ __ $ 3.00 -----~~--- $ _______ __ 57.00 Received by NOTE: In accepting the transfer inheritance tax on future estates, prior to death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Cl!,,,mmon"'•enlth shall not be precluded or prevented from hereafter assessing additional inheritance of the life tenant or tenant for years whenever it appears that such additional tax may due ;-L._----;1-:....:..._ ______ -/1----,:.......:___:::....:..._ _______________ IUI i lefor any reason whatsoever. • COMMONWE~LTH GF PENNSYLVANIA DEPARTMENT OF REVENUE NO. OFFICIAL RECEIPT • .PENNSYLVANIA INHERITANCE AND ESTATE TAX RECEIVED __ N_I_NE_._H_UND __ RE_D:--::TH:--IR_T_Y:---F_O_U_R_a-:· n=-d--=-3..:..9:...../1_00 ____ -_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-dollars Margare Johnson & Ruth Adams -;Excr. representing Pennsylvania Inheritance or .. From: __ ~~~A~T~T~Y~·-=S~AN~D=E=R=S~&~F~RA~N~K=S~-r·------.-----------Es_t_at_e_T_a_x_d_u_e_f_r_o_m_t_h_e_f_o_ll_ow __ in_g_e_s_ta_t_e_= ___________ ml Address ___ 6_1_1_W_A_S_H_I_NG_T_O_N_T_R_US_'T_B_LD--'-(f_. ----t 2% Tax on $ ________________ $ _________ _ WASHINGTON, PENNSYLVANIA IS% Tax on $ _________________ $ ___________________ 111 % ·Tax-on $ _________________ $ _______________ _ Name of Decedent ----=-=M=I:::..:N:::..:A:........=I:...:c•----=-J-=0=-=N=ES=----------I County ____ W:..:.:A=S=-=H=I:.:..N:.:..G:.:..T-=ON:..:...._ _______ __, Remarks: S E A L NOTE: To be delivered to loxpoyer 38-15-1 Estate Tax, Act of May 7, 1927 TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of __ %from----------to ______________________ _ TOTAL AMOUNT PAID . Received by NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life $ _________ _ $ ____ 9£.::::.8:..!..3~-5<:....1.7_ $ ____ 4..:...;9'--._1_8____. $ ________ _ $====93=4=.3=9= tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for whenever it appears that such additional tax may be legally due ~-+--=-~~:........::..--___,~,__,_ __ J-<r£.-..===::.... ____ --,----IUI collectible for any ·~----------------------------------------~-------------------------------------------------------~--