The URL can be used to link to this page

Home My WebLink AboutOC1969-1180 - ESTATE OF BROWNLEE-.--··-----~--------------- .- C!!nmmnuwralt4 of Jruusylnauia,} !i!i. llas4iugtnn C!Inuuty. . . KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, m the County aforesaid on the 17th. day of October 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 Ray A. Brownlee,A/K/A R. A. Brownlee late of Borough of Claysville in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and rix Romaine M. Brownlee the ExecutM 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 Romaine M. Brownlee committing unto Her the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring Her ' to exhibit a true and perfect inventory thereof into the Register's Office, at Washington,· within ninety days from the date hereof, and to render a just and true account of said administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Office at Washington, this 17th. day of October m the year of our Lord one thousand nine hundred and Sixty Nine Register J es $.t t<j +-t = ~' ID ~ a ., II. r-1 t<j 0 ~ +-t 1.1.1 CD! N t:l 1-r-11 0 t ~ <( ;! M a 1-(::0 CIJ 0! 1.1.1 Mi • t:l (:Qi < $.t ! ~ •i • +-t <! ·~ +-t ~ t::-ai ~ ~ «Si ~: ~! ........... : <! ...... ,--..... ~--------------------------- -- J I' ;! i " :i I " LAST WILL AND TESTAMENT I ,, I, RAY A. BROWNLEE, of the Borough of Claysville, Washington County, Pennsylvania, being of sound mind, memory and , understanding, do hereby make this my Last Will and Testament, •' it hereby revoking all Wills by me at any time heretofore made. !j ITEM 1: . I direct that the expenses of my last illness Ji and funeral be paid out of my estate as soon as may be convenient i ,: after my death. ·i ' ,, ITEM 2: I give and bequeath all my tangible personal :I ,, I! property, together with any policies of insurance thereon, to my wife, Romaine M. Brownlee, provided, however, that if she does ·i not survive me for a period of sixty ( 60) days, I give and I :i :J 'I bequeath all such property to my daughter, Norma Jean Brownlee Quinn. ITEM 3: I g1ve and bequeath the sum of One thousand ' and no/100 ($1,000.00) dollars to my cousin, Mae Brownlee Miller ·! ~; of West Middletown, Pennsylvania. Should my said cousin predecease me, then I hereby revoke said legacy and the same shall fall into and be distributed as a part of the residue of my estate. ITEM 4: I give and bequeath the sum of One thousand and no/100 ($1,000.00) dollars to Dorothy Mae Vanderhoof as an expression of my appreciation for her devotion and services, provided that she is still in the employment of my wife or me at the time of my death. ITEM 5: I give and bequeath unto my grandson, Patrick Ray Quinn, the sum of One thousand and no/100 ($1,000.00) dollars, my diamond ring and all my guns and sporting equipment. Should my said grandson be a minor at the time of my death, then I nominate, constitute and appoint my daughter, Norma Jean Brownlee Quinn, as Testamentary Guardian of said minor, to receive the / ~- ' . " ,i It ; ·i legacy herein bequeathed unto said minor, and direct that the cash bequest be invested and the interest as well as the principal " I thereof be used for the education of my said grandson. ! .. ,. TTEM 6: I give and bequeath unto my granddaughter, Diane Marie Quinn, the sum of One thousand and no/100 ($1,000.00) dollars. Should my said granddaughter be a minor at the time of my death, then I nominate, constitute and appoint my daughter, ;! Norma Jean Brownlee Quinn, as Testamentary Guardian of said minor, ;I !! . it li to receive the legacy herein bequeathed unto said minor, and direct that same be invested and the interest as well as the i! ' ,. :: principal thereof be used for the education of my said granddaughter. ITEM 7: Should I be engaged in the operation of a :; · funeral home at the time of my death, I direct my Executrix as soon ,, ·; as convenient thereafter to have a true and careful appraisal made I; 'i ;; by two competent morticians and Ray Ansell, Field Manager of the 'i Federated Funeral Directors of America or his successor, and to ,; ·: give to Howard V. Ferrell and/or Charles L. Quinn the first ,• opportunity ·to purchase said business at the appraised value, 1 provided the said Howard V. Ferrell and/or Charles L. Quinn are >' !; associated with me in said business at the time of my death. t: Should the said Howard·v. Ferrell and/or Charles L. Quinn decline to made said purchase, then I direct that my said Executrix dispose of the same at the earliest opportunity and for the best price as she shall in her best judgment determine to be in the best interest of my estate. I heartily recommend to my said Executrix that she dispose at the same time of the real estate from which the funeral home is operated. ITEM 8: All the rest, residue and remainder of my estate, of whatever kind and wherever situate, I give, devise and bequeath in equal shares unto my wife, Romaine M. Brownlee II I ·I (provided she survives me for a period of sixty days) and my j• daughter, Norma J"ean Brownlee Quinn. I declare it to be my ,, i: intention that should my wife, Romaine M. Brownlee, be living at I il the expiration of sixty days from the date of my death, the one-half :I d I of the residue of my estate hereby devised and bequeathed to her " shall vest in her absolutely and in fee simple, free of all conditions. ,, (a) Should my wife predecease me or die :I I '! within sixty days after my death, then I give, devise and bequeath I. tl her share of the residue of my estate unto my daughter, Norma ! d !/ Jean Brownlee. Quinn, subject however, to the payment out of my estate of the expenses of her burial. (b) Should my said wife, Romaine M. Brownlee, and my daughter, Norma Jean Brownlee Quinn, predecease me, then I direct that the residue of my estate be distributed in equal shares among my grandchildren living at the time of my death. ITEM 9: I name, constitute and appoint my wife, Romaine M. Brownlee, as Executrix of this my Last Will and- ,. :: Tes tam en t. In the event my wife is unable for any reason to act, then Inominate, constitute and appoint my daughter, Norma Jean Brownlee Quinn, as Executrix of this my Last Will and Testament and direct that my said Executrix shall not be required to furnish bond in any jurisdiction. IN WITNESS WHEREOF, I, RAY A. BROWNLEE, the Testator, have unto this my Last Will and Testament, set my hand and seal this · ,/t-f-d day of UA:f U-4//-, 1969. -_· .·_·. -_. -~4£~· '+-6 ••. f[i,~· iif'd!::?/. .;.<:.H'. _/~/ '~7~~'/~Y __ ( SEAL) Signed, sealed, published and7rared by the <ibovenamed, RAY A. 'BROWNLEE, as and for his Last Wt}l and Testament, in the presence of us' \vho have hereunto su~b-.£ibed our namnes at rifs request as witnesses thereto, in_the pr.s nee of the sai_ T st~tor and of each other. / f) ' · ~ -· r<~ 1c.U£-UAMt/ \ , Lf~WITNESS . :-:A()Jv~,~et 1(1 ~.t, WITNESS ·• b3-b?-!Mg ~ffi~uutt ®f fxrrutnr ®r l\bmtutntrutnr ~tate nf J.ruu.aylttattia l C!tnuuty nf lla.a4iugtnu $-.a.a: Personally before me, the undersigned authority, a --~-Q_t.~.:~::y_ ___ ~g:Q_.:).j._g ________ in and for said County and State, appeared ---~.Q~-~-~-~---M.! ____ !g~Q~~E;~--------------------------------------.. who, being duly sworn according to law, deposes and says that s he is the executor oXX®KOO:M~~ of the es- tate of --~~--~-~----~~g~-~-~~-! _____________________ deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of RAY ... A.A ... BRO.WNL.EE_ ___ , 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 theJbove named Executor ~~KUX Sworn and subscribed before me this ... .:f1C?..1JI:.J. .. } /Jj) . f1?J ~ . // of .... S.~pte.mb.e.r ...... 19 ....... 7+. ~~~~~~r~~~ MAR. I I ,. . ........ B.~ ............ . My Commission Expires Fe ary 'l/, 1971l ADDITIONAL INSTRUCTIONS 1. An inventory must be filed within three months after appointment of personal representative. 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Oopies 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 ~Uttttttnry tttW 1\.pprai.a.rm.rnt of the goods and chattels, rights and credits which were of .. RA¥. ... A .•.... :S.ROWNLEE .................................... .late of ............ B.oro.ug.h ... o.f. .. .C.l.aY.S.Y.ille . .-.... .. Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS CENTS PERSONA<LTY: 102 shares P.P.G. Industries common stock @34.125 3480 75 72 shares Continental Oil Co. common stock @28.25 2034 00 150 shares American Tel. & Tel. Co. common stock @50.3125 7546 88 12 shares Marcor common stock @46.6875 560. 25 104 shares Wheeling Machine Products cap. stock @10.00 1040 00 60 shares Sears Roebuck & Co. common stock @67.75 4065 00 16 shares Standard Brands, Inc. common stock @45.00 720 00 7 shares American Standard, Inc. pfd. stock @104.75 733 25 60 shares Howmet Corp. common stock @26.8125 1608 75 24 shares American Brands common stock @35.0625 841 50 200 shares General Motors Corp. common stock @71.75 14350 00 100 shares Standard Oil Co. of N. J. common stock 0 69.125 6912 so 4 shares Masonic Temple Association of Claysville cap. stock at 50.00 200 00 1 share James R. Hunt Post #639 American Legion Home Assn. cap. stock @50.00 50 00 Promissory Note of Howard v. Ferrell 1968 in amount of $10,000.00: Balance principal due Int. from 1/1/69 to 10/7/69 at 5% et ux. dated Jan. 1, $8,000.00 341.10 Mellon National Bank & Trust Co. -checking Acct. #314-7462 II II II II II II savings Acct. #62-872 (continued on back) 8341 6146 ll36.f 10 72 64 I ~NUl Ill 1--':::r:: 'U) (Jl):tj ~~·~ \Qfn z rt:J' 0 ...,, ::r:: ::s ::s . ... \Q rtm '130 H (j) ::s tt:! t ::s G) ::s 1-3tt:l rn li 1:-i I N::: s:: ... "' 1--'fn ~·· <! rttt:! Ill (I) ::s t:PlO .1-'' I-' c::: ~-Ill O.H ~~· l.Q ~ I-'• tt:! U1 ""Y· w ~ ·o 1--' v€"~6v 1 60T$ oo·s~ oo·s~ oo·s~ oo·osT oo·oos'€ oo·ooo'9v ~ \. ~ ~ ~ I re~o.r. "'rJ ... '1ii' q~ ~ ~t<: ..... ;:: )=' ..... ~ "Vd ··oo tiUJ 'iNIH~·~M (I) .. z R" ~ (j) Slllhl .. ~Cl tll1.{31fJ3U ~tJ:j ~ 0 "0 ~(,.,) rt :~ O~J I '.l'. I .! ·_r (·~n~ :o 1:!1 1':. ' ~ ;:: I , ..:::. :'1· ·f t 1•· \~ 1:!1 ~" til ;1:-i >; ~"0 ~ :ttj ::::.. ~· ~h ~ld h rm IL ~tt:! >; 1:!1 :::·"-' ...... !o 0 ~' 5 -:o. '">1 <~>C.O ; " . :ro '"I , ! .... ;::~ l .d ¥ J''"! \0 :0 ..... ; ..:;., .. : ~-..J ro =~ J,ll ~ ro 0. !3:NON unfqoqs e.6nt?.6 o~ un.6~oqs e.6nt?.6 ~1 sseursnq Tt?JeunJ -"t?d 1 811rAsXt?1J 1 8WOH Tt?Jeund ee1uMoJg : (penur~uoo) x.r.~VNOS~!3:d STATE OF PENNSYLVANIA, WASHINGTON COUNTY, } 55: The within named Accountant being duly sworn according to law, depose and say that the above account as stated is true and correct as ................... ~-~~---·······'·--verily believe. Sworn and subscribed before me this ...... }.9."!:~--- September 71 day of .................................................... 19::: ........ . ~n~f~~---- WASHINGT , ASHINGTON CO~ PA, My Commission ires feb111ary 'll, 197!,S Washington County, ss: ~ . : . ~ ~! ~ ~ •: . : .j.J -~ P::j ~ s:: ~~ ::1 I'Ll ctj\ 0 I'Ll "'-.i u ..:I ~! u ~ ro! ,, ~ .. s::) r;.. ctj' Q); 0 0 oo: r-1 p:; ' : ' .. F l I . : .... $' fl (' "., j; - l.,-..,;! I do certify that I have given legal notice to all persons concerned of the filing of 1the within account in the manner prescribed by Statute a.!:ld Rule ot, Court, as evidence by proofs thereof filed to No .. 0:5..~1l~.3.35 ............... . Witn~my hand and official seal th~q_jt ________ ... __ .// II day of ·----··· .... .. .......... _ .. . ........ :. ..................... 19 .... __ __ Register of Wills ...., ic.i ...., .... ~ ::l "' 0 ~~ ...., u ~ F f) ::l Q) 0 tJl 0 .<:: '0 ctj "' 1-....,l" ; -~ ...., ~ "' 0 .... r-i ·r-f < ...., Q) r:Q s:: 5 .... 0 •, f"';t-l ,,z '0 ctj '\ Q) .... I i'l f '! ...., 0 .j.J :> ~ ·-:>. {J)r-i Q) Q) ~ "' ... ::1 ~ Q) .... .... .... H {J) 0 N ...., d~ ~~ ~! p. I'Ll ctjj ctj r:Q 8 s:: ...., t '' li1 I'Ll Q); s:: ru; ::; t::L L i1/,P~I ;~ 0 ...., s:: < "" E-< ~ < ..:I u: ·r-f . n 1: G 1-S ·,· C K ::l '0 s:: Q) ,: E-< ~ a>! ~ ~ (; ~= Vi ILLS 0 @ OP-1 ~ "' Ul ro: "' .j.J ~ li1 \'!.A. S f i i ;.; ·2 T 0 i·J CO., PA. "' ~ '0 I'Ll tJl ... .; s:: z ><: ~ . s:: s:: '; r:.:i :a (V)j r:Q ctj H ·r-f ...; ...., •r-f 0 I'Ll ~ 1-1 -~ -~ .c .j.J '1 . ~ .j.J .j.J 0 {J) tJl ,:X: ~ {J) 0 ::1 ...., Q) ctj s:: .<:: 1-1 p:; u ~ ..., :S:·r-1 :>t a ·r-f Q) 0 .c ~ --...1. ~ ~ ~ 4-1 ><: '0 \;;! 11) {J) ci 0 I'Ll ~ r-i ctj z < ,... N :s: •. '· o L -•. , ~ '0 ~ ~ i:: ~ 0 J .. " .. . - ,.: • ,. Counsel for Accountant Washington County Reports \ -.. Washington, Pennsylvania (PUSLISHED eY WASHINGTON COUNTY SAR 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 official legal periodical for said Washington County, published weekly hav·ing its place of business at Washington, Washington County, Pennsylvania, and is acting as its agent in this behalf; that the said WASHINGTON COUNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: ....... Qc.tfahe.r .... 2.3 ..... .3o ...... 19..69 ........................... . ........ NtlY.emb.e%: .... 6., ..... 19..9.9. .......................................... . that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the ~~~~m~~:ct2~~~~ -Ed1tor Sworn to an ..... .6t.h. ....... day of ......... .Nov.embe.r. ............... , 19 .... 6.9 ...... . ~~--a.~· .......... L.~d-........... : .......... 0~ ... .. NICHOLAS Notary Pubft'~tary Public KATHERINE C. ' Washington, washington .co., Pa. My commission Exp1res November 1, 1973 Estate Notices The Register of WiHs has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. • • • • • • • • • • • • • • • • • BROWNLEE, RAY A., a/k/a R. A. BROWNLEE, Dec'd. Late of Borough of Claysville, Wash-ington County, Penna. Executrix: Romaine M. Brownlee 219 Main St., Claysville, Pa. ' Attorney: Sherman H. Siegel, 215 Washmgton Trust Bldg., Washing-ton, Penna. . ' \ .. • FIRST AND FINAL ACCOUNT of ROMAINE M. BROWNLEE, Executrix of the Estate of Ray A. Brownlee a/k/a R. A. Brownlee, late of the Borough of Claysville, Washington County, Pennsylvania. THE ACCOUNTANT CHARGES HERSELF AS FOLLOWS: PERSONALTY $109492.34 REALTY • NONE Income received as per Schedule A Veterans Administration -burial allowance Washington County II II Social Security Administration -burial benefit TOTAL DEBITS TOTAL CREDITS BALANCE THE ACCOUNTANT CLAIMS CREDITS AS FOLLOWS: 1969 Brownlee Funeral Home 20 Romaine M. Brownlee 21 Claysville Recorder 31 Fred D. Large, M.D. Nov. 7 Pa. Dept. of Revenue 1970 Jan. 26 Washington Hospital Burial expense Reimbursement - opening grave and minister's fee Obituary notice· Medical services Transfer title'to vehicles to estate Account due $109,492.34 18,138.87 250.00 75.00 255.00 $128,211.21 21,626.72 $106,584.49 2,737.50 135.00 14.70 35.00 9.00 48.2 Feb. 3 Julian Fine Real estate appraisal fee 100.00 14 Sheppard & co. Accounting fee due Mar. 11 Pa. Department of Rev. Hearse license fee May 7 Malcolm L. Morgan Co. 1970 Pers. Prop. tax Treasurer 11 S. White's Sons Inscription marker Sheppard & Co. Accounting fee Dec. 12 Internal Rev. Service 1970 Income tax 1971 Jan. 20 Pa. Dept. of Transportation Hearse license Feb. 17 Sheppard & Co. Accounting fee 1475.00 14.00 23.4 275.0 702.8 14.0 1695.0 -. 1971 May 3 Malcolm L. Morgan, Co.Treas. 1971 Pers.Prop.tax 27.87 Sherman H. Siegel 1969 Reimbursement for: Oct. 17 Reg •. of Wills 20 Wash.Co.Reps. Probate costs Advt. letters $30.50 14.00 2.00 Nov. 3 Reg. of Wills · 2 sht. certifs. 46.50 Commonwealth of Pa. Sheppard & Co. Margaret Bails Sherman H. Siegel Russell Marino, Register Jan. 5, 1971 Russell Marino, Agent: a/c Inheritance tax 5% discount Death certificates 4.00 Bal. acct. fees including Fed. Estate Tax Return 2800.00 Witness to Will & Notary fees 10.00 Counsel fees 6400.00 Filing Inventory & Account 26.00 Total $5,280.00 26:4.00 16610.72 5016. 00' TOTAL CREDITS 21626.72 .. IN RE: ESTATE OF RAY A. BROWNLEE a/k/a R. A. BROWNLEE, deceased TNCOME Dividends: Wheeling·Machine American Tel. & Tel. Co. Sears, Roebuck & Co. PPG, Industries American Standard Marc or Howmet General Motors Corp. Std. Oil of New Jersey American Brands Continental Oil Co. Standard Brands Interest: Howard v. Ferrell $253.76 877.50 159.00 249.90 58.17 33.88 73.50 1239.60 693.00 64.60 135.00 32.00 Brownlee Funeral Home -· profit distribution: 1969 1970 to Mar. 31, 1971 Amer. Tel. & Tel -sale of rights: 1970 1971 SCHEDULE A $42.00 36.00 Total 3869.91· 700.00 2038.10 9716.57 1736.29 78.00 18138.87 The Claysville Recorder Claysville, Pennsylvania PROOF OF PUBLICATION In oompliance with the Newspaper Adverti<.:ing Act of May-16, 1929, 1"'. L. 1784, Para.graph 3, Sub-.para•graph 25. Commonwealth of Penn:s.ylvania, C~ty of W_ashington, ss: Personally ~pea.red be o1 e . e~ a No~f'Ublic in a.nd ~or said County and S~ate J61£~~-_ ~~~-----·~ bem~rn accordmg to law, aG~and _,ays that he IS the _)d!~----------- of the C1a.y,svil1e R.ecorder, and its agent in this behalf; that the above named pooson is the· pub1ieher of The Cla.ysville Recorder, es•t-rublished June 15, 188·8, weekly news:pa.per of general circulation, printed and pub- J.i$hed a.nd ha.ving its place of business rut Clay.;wille, Wa1sihington County, Penns-~va.nia, wh&e it hws been esta.bliiSihed and oubliiSihed continuom;ly for more than six months prior to the publication of the notice hereto attached; that the printed notice or advertisement hereto attached is a copy of an official advertisement, official notice, legal notice or legal adver- tisement e~a;ctly as pr:inted or publi<shed in The Claysvdlle Recorder in its ~la}issue or ~ssues~~the following da,te or dates: --------------------~-J:.J;_J_~j--~J--~-/-/£t£Ythat neither the affiiant nor The Olaysville Recorder is interested in the SU!bject matter of sa-id nomce or advert~sement and that al of the allegations~of this affidavit as to~ timo, ~=and monn"_~; are ~~ SWorn and aul=lb<d bef~re-mo ~:~---~~~:-_flJ;:;;:(~ ________ A~~-~------ NoTARY pfr~LTCP~b1ic Claysville, Washington Cour1ty My Comm.Exp.~.res Mar.30. j91J I EXECUTRIX'S NOT1CE~'---.-, 1 ESTATE of Ray A. Brownlee' <1/k/a R. A1-Brownlee, deceased: ~. laJf~ ·of Borough of1• Claysvill~; i Wlshington County, Penna. I l-etters Testamenta['y upon the .; I a hove estate h~'ing bfen ~r~mted r to U1e undersigned, all .persons t having claim~ against the .~tate are requested to make known the same to the .undersigned or his attorney and all persons indebt- , ed to the decedent are re:quested ! . t? '01ake pay_n .. l .. ei1t to t. he' under-) · s1gned. without delay. 1 1 Sherman H.· Siegei; Esq. · , 1215 Washington Trust Bldg. Washington, Penna. · •' Romaine M. . Brownlee, I Executrix · · d 219 Main Street Claysville, Penna ·· 20-at --------~ --·- / ~n :tlJe Qtnurt nf <trnmmnu Jllea.a nf lla.a4ingtnu Qtnuuty ®rp4an.a~ Qtnurt 1ilini.ainu In the mrutter of the Audit of Account in RAY A. BROWNLEE a/k/a Estate of_·------------------1 1180 of 1969 No. _________________ _ R. A. BROWNLEE, deceased TO THE AUDITING JUDGE: my Accountant Enter· __________ ,appearance for _________________________ _ 17th day of ___ .... D....,e....,..c""'e ... mwb~e ..... r ____ , 19_21__ N. B.-Counsel sh•all, by separate paper, present a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate conci.se state- ment in that regard. / No. 1180 of 1969 In re Audit of Account in Estate of RAY A. BROWNLEE a/k/a R. A. BROWNLEE, deceased AUDIT Jrurtipr fnr l\pprurunrr FOR ROMAINE M. BROWNLEE, Executrix -<t ..,-~ _,.. --: ' I -··--.._ . ... ~ ... :;:.. f"ll :;:I:j (f) 0 c ......, :·~· .. ~ _,_ -tr"l rr1 ~~~~T--~~ rT; -l :;')_; ~ ~=? ···#'~ g ;;f ~~; ~ .. ~ . ·"~ -u:-o '!>(f) ::::::i: t'..Cl (_.o..) <::::> r''"'""l ....,...,. "' SHERMAN H. SIEGEL, ESQUIRE Attorney ~2' -.. ""-:-·"~·· , -. PETITION SUR AUDIT •.• ~-~ .'4c ~. IN THE ORPHANS' COURT Of WASHINGTON COUNTY Es< Jte of .. .RA.Y •.. A. •... B.RONNLEE ... a/.k/a ........................ . No .... ll.8.Q .. o.f .. .L9.6.9 .................................. . B. •... A.:. .. BRO.WNLER .......................................................... . Fiduciary ... g~~-~~~~---~-~---~'f.9.W!J...~§-~.J ............... . ,.-. -~?,{.~9.1\tx-.i.x: .......................................................... . Deceased Date of Date of ·Decedent's death ........ .9.~~-~9-~-~ ... ?.J...J.~.9.9. ..................... Grant of Letters .......... O.c.t.ob.er ... l:Z., ... l.9.6.9 ................. . This is the ................. f.iz:~t ... s}.:Ud .•• f.i.na~ ............... ~ ....... account filed in, tbi$ estate If there have been former accounts filed in this estate, list file number or number and term ................................... . None Election to take Under c*~~t will. (cross out one) Date Election Place of; Filed ----~~.l}§ ... ttJ§g_ ...... Record ............................ .. Name of surviving spouse .......... ~S?~~j.-~~---~-~-.. ?.~-~~-~~-E'?-~ ............. :--······----·······--······------············--····-------···:············ List issue, where material: Not material Did decedent marry after execution of will? (indicate) XXX No. Any children born after execution of will? (indicate) ~X No. If answer yes, name them ................................. .-.~ ............................................................................................ . Legatees Relationship Wife Cousin. " Interest Fiduciary, if deceased or not sui juris Bequ·est and 1/2 residue Legacy " Romaine M. Brownlee Mae Brownlee Miller Dorothy Mae Vanderhoof Patrick Ray Quinn Diane Marie Quinn Grandson Legacy and beques.t ) Norma Jean Granddaughter Legacy Norma ~ean Brownlee Quinn Daughter 1/2 residue List, if exceptions to above: Adeemed: Revoked: Lapsed: No exceptions If partial intestacy, give facts: None Abated: . ) Brownlee Quinn, )Testamentary )Guardian 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 paragr~e_~ C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. ~X · If any exception give cause: .... N..one .............................. .. File copy of Notice · and dote of mailing ... ~~-i;:-~!?.~ .. ~~:"i:-.~~9. .. ~.~Y.E?.~~-~~ .. }.4.J ... J9..7J., ... 9.9.P.Y ... RJ ... ~.~m~ ... 9.tt.a~lle.d ... h.ere.to ... ~ ' i ., \~ Is estate subject to the filing of a Federal Estate Tax Return? ...... !..~~-: ...... '::~!?.¥. ... ~~-~~~-~~-~--~-~:':.~.~~-~~-~---········· A5c~uodl,paymenttm~de$2o6n 4Pe0nn0sylvania Transfer Inheritance Tax. Amount $ ... ~/.~/~-~ ... f?.~~-?:!.:?:?.~.~-~-~-~~--}~-~s ". c. l.SCOUn . • "" If t~e Will makes any portion of estate subject to a life-esta:_:_, Q.L~e nome and birth date of life tenant ..................... . Not applicable Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. None Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: None Balance for distribution per account, Itemize any additional debits not shown by account: 106,584.49 $ ................................... . Conversion of assets (see attached) -0- A.T.&T. stock-Div. 97.50 Sears " " 21.00 Marcor " " 4.80 Howmet " " 10.50 Howard v. Ferrell-int. 1550.50 Total additional debits (Add) Itemize any additional credits not shown by account: Interna~ Revenue Service· -Int. on Est. tax 1,684.30 $ .................................... $108,268.79 $340.80 Howard v. Ferrell -Balance due Sherman H. Siegel -Cos-ts advanced Romaine M. Brownlee -family exemption Internal Rev. Service -income tax Total additional credits (Subtract) Balance for distribution 209.42 10.00 1000.00 ..2092.27 ~-----....................................................... . ") .._, ..... '-. -_,... J.£6S:2 .. 4:~- $ 104,619.30 ........................................................................ If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); 102 shares P.P.G. -Industries -common 72 shares Continental Oil Co. -common 150 shares American Tel. & Tel. -common 24 shares Marcor -coiiillion (2 for 1 spli.t 1970) 208 shares Wheeling Mach. Prod. -capital (100% stk. div. 7/1/70) 60 shares Sears, Roebuck-Co. -common 16 shares Standard Brands, Inc. -common 7 shares Amer •. Std •. Inc. -preferred 60 shares Howmet Corp. -common XM~XM~!lXX 20 shares Howmedica -common (spinoff from Howmet Corp. June 16 , 19.7 0 ) 24 shares American Brands common stock 200 shares General Motors Corp. -capital 100 shares Std. Oil Co. of N. J. common Promissory Note of Howard v ... ,Ferrel.l et ux. dated Jan. 1, 1968-$10,000(Balan_ce int. from Jan. 1, 1971) r:.t.:<?in~s~?ry Note Howard V. Ferrell dated April 1, 1-971 - $40,0!it<) (Balance int. from Dec. 1, 1971) Balance,'in cAash " $ 3480.75 2034.00 7546.88 560.25 1040.00 4065.00 720.00 733.25 1608.75 -0- 841.50 14350.00 6912.50 4000.00 37150.Q.O l' l I [ t I I l I J ! f • ' .. i I ~- ': i I i J J I I I I r i 1 I t I f i r: l }i r ~~ ./' :j (-!j, .: ...... "' . .. ' IN THE COURT OF COMMON PLEAS .OF WASHINGTON COUNTY, PENNSYLVANIA (ORPHANS,. COURT DIVISION) IN RE: ESTATE OF RAY A. BROWNLEE a/k/a NO. 1180 of 1969 R. A. BROWNLEE, deceased CONVERSION OF ASSETS .4 shares capital stock Masonic Temple Assn. of Claysville: Appraised at Sold for $200.00 200.00 1 share capital stock James R. Hunt Post #639: (American Legion Home Association) Appraised at Sold for $ 50.00 50.00 Brownlee Funeral Home -funeral business: Appraised at $46,000.00 Sold for 46,000.00 * -0- -0- -0- Total -0- *Executrix received Promissory Note of Howard v. Ferrell dated April 1, 1971 for $40,000.00 on account of purchase price which i to be awarded in kind to residuary legatees. IL· •. ·- ·'\ · - . . . . . . . · Claimed and paid · If Family Exemptton clatmed by Petttton, gtve place of Record: ................................. -------------------------------------------------- lf Family Exemption is claimed at audit, give name, relationship and basis for Claim: ... ----------------------------------~---------- List any advancement or distribution on account that has been made, and nature and amount of same: Mae Brownlee Miller Dorothy Mae Vanderho.of Patrick Ray Quinn, per Testamentary .Guardian Diane Marie Quinn, per Testamentary Guardian Norma Jean Brownlee Quinn See Receipts attached. $1,000.00 1,000~00 1,225.00 1,000.00 5,000.00 Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to toke in kind if balance is not in cosh: residuary shares being stated in proportions: 1. Audit costs and bal ~ inheritance .. taxes .. 2. Re-award $5,000.00 to Executrix "for contingencies. 3. 1969 Buick Sedan appraised at. $3500.00 to Romaine.M. Brownlee under Item 2 of Will (See receipt· attached) .. $1,000.00 to Mae Brownlee.Miller. und.e.r ,.I.tem 3 of .Wi.ll (See receipt. attached) . $1, 0 0 0. 0 0 to Dorothy Mae. Vander.hoof under .. .Item.. 4 of· Will (See receipt ") • \· • $1,000.00, diamond ~ring apprai.s.ed. at ... $;150 ... 00 and. shotguns. and· revolver appraised at $7 5 •. 00 to P.a.tr.ick. Ray . .Quinn; grandson., unde.r Item 5 of Will. (See receipt .of Norma Jean Brownl.ee .. Quinn,. Te.stamentary .. Guardian, attached) • $1,000~00 to Diane Marie .Quinn, gr.anddaughte.r.,_under .. Item. 6 of Wil.l. See I 7. receipt of No.rma .Jean. Br.ow.nl.e.e. Quirin., Tes.tamentary ... Guardian,. attached) . I· 8. Balance in equal shares. to .widow, .Romaine. M.. Brownlee, arid daughter·, Norma Jean Brownlee Quinn, under .It.em . .8 .. _of . .Wi.ll ~ S.ee Receipt of Norma Jean ~::. Brownlee Quinn for advancement of $5.,000.00 .. attached.herewith .. (See Election· to Take in Kind) . COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly·--·------~~-<?.!:.~_, .............. 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 of. ........... h-.~;r;; ............ knowledge and belief. ----------·-.S.w.o..t:n ....................... to and subscribed before me this ..... 9.th .... d~f ..... Dec~····:······TF1-!-./,7 .. ~ ... 'I.Jt .... ~ .... Signature of Officer.. ... ... .. ... .Cu.iJ;jJ~~ T'tl f Off" MARG ~-' Notary Public •••• ~ ••••••••••••••••••••••••••••••••••••.••••••••••••••••.•••••.••••••••••.•.•••••••.•.• 1 e o tcer ............ ---------~~~j-·~:~:;'1"<5N"-ctr--P,. •••...••••.•. . . . My ~~;~~;~~;·;~r~ February 27, i916 Offtce exp1 res ......................................................... , ....... . ~ L !: f r ' I, -----------------------------~~ .. --.-.. =--... -~..;.·----·~----~-.. -----·-·-~..;,._.._·~ ... --~--....:.--.-·~ ~-... -~~~---~-----~'"' .... '•"'·-··- " .. I . ,_ ~~· 1180 of 1969 No . Estate oL ...... ~.: ... ~.: ... ~-~QWNLEE a/k/ a .............................................. R. A. BROWNLEE, Deceased F'd . ROMAINE M. BROWNLEE , I UCiary ......................................................... . Executrix PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes of all Counsel in the 2. 3. 4. 5. 6. 7. 8. 9. 10. case. Copy of order appointing Guardian ad litem, if pertinent. Copy of Order appointing Trustee ad litem, if pertinent. Proof of service of above. Letters Testamentary or Administration C. T. A or an attest copy of Will. Copy of inventory and appraisement. Proof of advertisement of grant of letters i.f not filed with account. Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. Signed and itemized elections if any distribution in kind. Copy of Federal Estate Tax return if es- tate is subject thereto. SHERMAN H. SIEGEL~ ESQUIRE Attorney '\1 d ··o ~! N Ol::N i H S V/1\ SlliN, .J'J c-!JJ~:Iv3tl or,: I::~'/~ -~-~~. s·sntJ B z f.i H v 8 I Hll 2 L t: '""i ~~j l :l •.. i ,; ~.J ~! f i J' ··~ I =J . ~~ SHERMAN H. SIEGEL ATTORNEY AT LAW WASHINGTON, PENNSYLVANIA WASHINGTON TRUST BUILDING IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ) ) ) ) ESTATE OF RAY A. BROt'lNLEE a/k/a To R. A. BROWNLEE, deceased Mrs. Mae Brownlee Miller West.Middletown, Penna. NO. 1180 OF 19 69• A. A. NOTICE OF FILING ACCOUNT AND AUDIT PLEASE TAKE NOTICE that the Account of Romaine M. Brownlee, Executrix of the above captioned Estate, has been filed in the Office of the Register of Wills of Washington County, Pa., at the above Number, and that the·same will be called for audit before the Orphans' Court at Washington, Pa., at the .Session of said Court beginning Friday, December 17, 1971 at 10:00 o'clock A.M., at which time and place you may appear and be heard, if you so desire. Dated at Washington, Pa., November 24, 1971. SHERMAN H. SIEGEL, Attorney for Accountant. Notice of Audit mailed November 24, 1971: Mrs: Mae Brownlee Miller Mrs~ Dorothy Mae Vanderhoof ~ Patrick Ray Quinn Dianne Marie Quinn West Middletown, Penna. Claysville, Penna. c/o Norma Jean Brownlee Quinn, Testamentary 11818 Kensiggton Drive, Glenshire Houston, Texas 77036 Guardian Notice of Audit and copy of First and Final Account mailed Nov. 24, 1971: <"::::) Norma Jean ~rownlee Quinn at?~ r:::r; .:;>-: -.1 CL.. .. ._ -.1 • :::: c:~" ~ r-.:-RomaJ.nE:L_M. «8-rown}e,e~ c?; 'I' .t'. • '""' :,J ... ._._;.. ,.::; ~ Lu ...... __ 11, ...... ___ _ . c~ 0..:::: Cl:::l r_,_, Li_ "" :--.... "" '-' -·-~~: i-~~1 .::: ;:;· c.n t'"tJ ....::: U) .:_: ::::C :::JQ.>C/) 0::: !:.:-! ::t t..,_ ~.;:; 11818 Kensington Drive, Glenshire houston, Texas 77036 Main St., Claysville, Pennsylvania ··' e '"~- . ~- e ::3 z <t > .I >-. UI z z Ill 0. i 0 ... " z x Ul <t ~ .,.: u ii: ... !!! a .I <t § a :I . ., :J: 1-,.. w aj a:: Ill ... a:: 0 L Ill a:: IN THE COURT OF COMMON PLEAS OF WASIDNGTON COUNTY, PENN ORPHANS' COURT DIVISION · INRE: ( Estate of RAY A. BROWNLEE, a/k/a R. A. BROWNLEE, _); ( ) ( ) , (( ) ( . No. ~18,0of1969 . Deceased. BEFORE: APPEARANCES: •, Tll\IIE: HEARING ON AUDIT ... \ The Honorable P. VINCENT MARINO, Judge of the said Court. ·SHERMAN H. SIEGEL, Esquire,. pf Washington, Pa representing the Accountant. Friday, December 17, 1971,, at 10:00 A~ M., EST ~THE COURT: Number 1180 of 1969, the estate of Ray A. :I 0 u .I c( i3 ii: 1&. 0 Brownlee; deceased. The Executrix is Romaine M. Brownlee and t . attorney is Sherman H. S~egel. Mr. Siegel.? R. SIEGEL: : If Your Honor pleas~, I have the necessary .papers Jor·the audit of this account. This decede?-t died leaving~ Will, ci.nd after making certai': 'pecuniary bequests, left the residue to his widow and daughter . The daughter is sui juris. There are . no creditors. The balance for distribution consists of securities whi h J ... \ . ·' '~ ~.... ' ~ .. Z-< > '.J .·. · . $5,·-ooo ·be reawarded to the Executrix for Fede:J;"al Tax contingenci~:3 and hand up with .the audit a copy of Uie Federal' Estate Tax Ret~rn. ' . . .. ~ ' . . .. It hasn't been 'audited yet? R~ SIEGEL: No; Your .. Honor: .· Is there anyone else in Court inter ... ~sted in. · , this decedent's estate? -. ·> . . . . ~THE COURT: z Ill .a. i, e ~·z ~· < .~ " . by,'the Co:urt .. · : """"':· . . ' . ·' 4 The audit of this account is ordered closed ( AUDIT· CLOSED ~ . r -....t ' ~ ~ 4 • ..... ~-: . t hereby certify that the proceed!~ and eYtdenee . ~ . 1!!:· ~ ~ ' ~-., . 0: t • • I . • · E ~ ar~ -eont.ntoed fully and accurately ln. the notes taken by m:e·on the heart rig . 0: . . . ;. . .. ' ' . . • • . ' ...... , .. ~ • g of Ule above ~a~e. and ·tb.at th ..... !, ,. u ~-.J. . o( u -. - 2 -,_ ' ... , .... .,. ~ . ·.. , I ' . ·it; II. •• -.t '"!~ • I ',··· .• o· .• :·. ,; .• ~- •• .jl. ... . .,._ .... •. ~. . ·. . . 4 ""A ' -. . ~ " . Th&for oq reoord·o:! the proeaed1ngs upon the hearing-of. _the-at?ove cause la. hereby approved and dtrected to be fUed •• ·-"" ,..., .. ~ ....r ,... • • .• ' ' .. . ... . . .r··: ,., .. -~· •. . --~ . . ... y>' ;.·-•• 'I (.J ' c::> CV') ()) C:> ..J _j cr. c--·~ ":'"" r::~ ·~~-~ ·::> ,.., ' --p_;: c-UJ ' (.,') " ~ .. ; ' .·~ t;:..\-1 f'.:;J L.l-. ., J w 0:::: c::: -~ .. r:-•. h ' "' ·... ~- . . · . •· <t 0.. 0 <...-' z c ...... ' :~: rf) 4 ::; ... / .. ~~ .J .t t ... · ,: ": ,. ;J • - ~. ' . I .. • .f t'~.J ... • 'l '· ,, •. .. , L . •.I. . ) '. -~ ; i "-,. .. . . . '. ~ ·r" . t '.~I + ,• .\l I •· e· .. ·: .. - -------------,. -~ .. ~n tqr Olnurt nf Qtnmmnn JUras nf llaslJingtnn Qtnunty. ·Jrnnsylnania. ®rplJnns' <ttnurt llinisinn ESTATE OF No. 6 3-69-1180 Ray A. Brownlee a/k/a R. A. Brownlee deceased In the matter ofthe First and Final Account of Romaine M. Brownlee Executrix ADJUDICATION AND DECREE · And now February · /7 , 19_1g_,· this matter come on for heari.ng, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof fhe balance for distribution in 'the hands of the Ac_countant. is deter~i':ed to be $ 10+,616.30 and the account is accordangly 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 flied sec. reg. or an appeal be taken herefror:n sec. leg. SCHEDULE OF DISTRIBUTION Balance per occount----------------..,..-,- Addit.ional debit asked at audit. Additional credit asked ataudit Balance: _____ __;_ ______________ _ Deduct Clerk's Costs & Receipto::::~-------------- Attomey . .,Sherman H, Siegel r Romaine M. Brownlee, Executrix, reaward for tax contingencies, after the tax is fully set• tled and the accourt~ants liability ceases, any b.alance remeining shall follow the decree of distribution herein made,· as it relates to the distribution of the .residue, and no further for eccounting of the reaward shall be necessary, Russell Marino, Agent, transfer inheritance tax, $422,22 Interest from 1/7/71 to 7/27/72 30.23 Romaine M. Brownlee, widow, bequest of 1969 Buick Electra Auto, held in kind and distribu- ted as such at the appraised value, per elec- tion to taken in kind filed, Mae Brownlee Miller, legacy, credit to be taken by the accountant for funds in the amount of $1000,00 advanced prior to distribution by the Court, Dorothy Mae Vanderhoof, legacy, credit to be taken by the accountant .for fun~s in the amount of $1000,00 advanced prior to distribution by the dourt, · 3500,00 1000,00 1000,00 $ 106,584~ $95,559.35 $94,559.35 $93,559.35 ~~~. ---------------- \ . \ r -. 0 > ~ ..... z w nr :J .n .... r !) t:Y 0 0 ::; c CD -· .... a = CD 3 'i t:Y 0 0 0 ..... ..... :::: ·J • ~ .,. \ ~· CD .. , a ... t 0 ..... a· .... ::; = CD ,. ,_ ·' ~ = \ ' t:Y ~ ~ ~ ~ f r , r 1 r r ') . -r r r r Norma Jean Brownlee Quinn, Testamentary Guar- dian for Patrick Ray Quinn, grandson, a minor legacy in cash of $1000.00, diamond ring, guns and sporting equipment, held in kind and distri- buted as such at the appraised value, credit to be taken by the accountant for funds and items advanced prior to distribution by the Court, · 1225.00 1000.00 $92,334.35 Norma Jean Brownlee ~uinn, Testamentary Guardiar of Diane Marie Quinn, granddaughter, a minor, legacy of $1000.00, credit to be taken by the accountant for funds advanced prior to distri- bution by the court, legacy to be used as directed as set out in the Will, Romaine M. Brownlee, widow, 1/2 residue, $91,334.35 45667.1~ Norma . Jean Brownlee Quinn, daughter, 1/2 residue credit to be t aken for funds advanced, 45667 .1~ No balance NOTE: Included 5.n the residue of the estate is the follpwing assets, held in kind and distributed as suchat tte apprai~ed value and in the proportionate shares as set ott in the residue shares and election to take in kind as filed:• 102 shares P.P.G. Industries-common 3480.75 72 shares Continental· Oil Co. -Common 2034.00 150 shares American Tel.& Tel. -common 7546.88 24 shares Marcor -common 560.25 208 shares Wheeline Mach. Prod. -capital 1040.00 60 shares Sear~, Roebuck Co. -common 4065.00 16 shares Standard Brands, Inc. -common 720.00 7 shares Amer. Std. Inc. -preferred 733.25 60 shares Howmet Corp .... common 1608.75 20 shares Howmedica -common -o~ 200 shares General Motor~ Corp. -capital 14350.00 100 shares Std. Oil Co. of N. J. -common 6912.50 24 shares American Brands common stock 84,1.50 Promissory Note of Howard v. Ferrell et ux. dated Jan. 1, 1968 -$10,000.00 Balance ird;f 1·e:d 4000.00 with interest from January 1, 1971. Promissory Note of Howard v. Ferrell dated April 1, 1971 -$4o,ooo.oo, Balance 37150.00 with interest from December 1, 1971, ~ I ' ., I "- . ·' ... r r •. ~ c:r. ') ·"1 r--.. . ' ' ) . ') r- r r· r .,. 0 -~ Cti . r 0 - r r ;t ~ n 0 1: :J·. o;t- 0 - r ")• _, :J :r- (1) 3 0 ~ .., S.· -+ :::r (1) r .H z ? r ( .... r r ' r ·' \ '( '( r "' -' ,) IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNA. (ORPHANS' COURT DIVISION) IN RE: ESTATE OF RAY A. BROWNLEE a/k/a NO. 1180 o~ 1969 R. A. BROWNLEE, deceased RECEIPT AND RELEASE The undersigned hereby acknowledges to have received of Romaine M. Brownlee, Executrix of the Estate of Ray A. Brownlee a/k/a R. A. Brownlee, deceased, the sum of One . thousand and no/100 ($1,000.00) dollars, in full payment of the legacy bequeathed to me in ITEM 4 of Decedent's Will and I hereby release and discharge said Executrix from any further claim or demand of said Estate. and seal this IN WITNESS WHEREOF, I have hereunto set my hand Iff d day of January, 1971. J .. \ \ \ en (./) < ~ 0 --1 c.. __ , -1 .._ c:n -; --0 ~ Q X:: -LL ::?.:: .....:::: ~·:_;. "• 0 ,--_.~ L"'t: i-= ·-' tu ' ':.-i r-·-:-..z: 1 I ~/'t {/) ~-""~" ::r: f'"....t:.:l ._I) l.o..,..j -·-, 0 U) -l 1....1-~ ll.l <f. n:: c:: --:· ... --~~ ~ .::~ ~ # ,_ ~.....:......--~. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNA. (ORPHANS' COURT DIVISION) IN RE: ESTATE OF RAY A. BROWNLEE a/k/a NO. 1180 o;f; 1969 R. A. BROWNLEE, deceased RECEIPT AND RELEASE The undersigned hereby acknowledges to have received of Romaine M. Brownlee, Executrix of the Estate of Ray A. Brownlee a/k/a R. A. Brownlee, deceased the sum of One thousand and no/100 ($1,000.00) dollars, in full payment of the legacy bequeathed to me in ITEM 3 of Decedent's Will and I hereby release and discharge said Executrix from any further claim or demand of said Estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of January, 1971. MAE BROWNLEE MILLER \ \ \ \ c:n C'..l U) < "' 0 _;! 0-. .C-__l cr. ~--0 ..-.. ~os+· c: ....... vel:: :.~---(:) ..._ .,,--,~ .:::: :-._...-1:-~~ \, ~~ 1-o::.: -LU <".!.= ! t:, ... ,t;:.l-\, l.L! ;--:z = if) (./) _ _j 1-W (./) ••t'"' L..:...... ~ (...'l r_j) cc: I.J,j < ........., c::: ~ Lt-r-.. .~I , IN THE· COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA (ORPHANS'·' COURT DIVISION) IN RE: ESTATE OF RAY A. BROWNLEE a/k/a NO. 1180 of 1969 R. A. BROWNLEE, deceased .RECEIPT The undersigned hereby.acknowledges to have received of Romaine M. Brownlee, Executrix of the Estate. of Ray A. Brownlee a/k/a R. A. Brownlee,.deceased, the 1969 Buick Electra four door Sedan appraised at $3,500~00 beque~thed to me as a part of ITEM 2 of decedent's Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 9th day of December, 1971. --L.I.o.l."--- r ROMAINE M. BROWNLEE J en '"'-! U) ...;:( C:) -l a_ 2."~ ·--' c:;; ~-~ ~ -·~ <'::-1 .:c:: ~.o..~ ' ' , __ t".:.~...1-: '· • -,·:!:'". ;;,. .. _ . :::!:: ........... ';:::> 0 r-~·-" _,_ .. ~Y-l--c...:; _j f f ; :.i.! LU (!.! ~ ... ~:..-l r-· z t::O:-:J (/) :./) t I...W ()) :r.: +-'!( .. ~.& w... :=> 0 (./) 0:: IJJ <!' '""'-~ c: > L.~Ll .. r- IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA (ORPHANS' COURT DIVISION) IN RE: ESTATE OF 1180 of 1969 NO. RAY A. BROWNLEE, Deceased .RECEIPT I, NORMA JEAN BROWNLEE QUINN, Testamentary Guardian of Patrick Ray Quinn, a minor, do hereby acknowledge to have received from Romaine M. Brownlee, Executrix of the Estate of Ray A. Brownlee, deceased, full payment and distribution of the legacy provided for Patrick Ray Quinn under ITEM 5 of decedent's Will as follows: Cash legacy $1,000.00 Diamond ring 150.00 12 Gauge Shotgun 25.00 20 Gauge Shotgun 25.00 Revolver 25.00 minor ::::;_":] LW 1....1- ,~~"' .......... r- . ., .. , <:; U) l.U <.'( cr.:::;; IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA (ORPHANS' COURT DIVISION) IN RE: ESTATE OF RAY A. BROWNLEE, deceased NO. 1180 of 1969 RECETPT I, NORMA JEAN BROWNLEE QUINN, Testamentary Guardian·of Diane Marie Quinn, a minor, do hereby acknowledge to have received from Romaine M. Brownlee, Executrix of the Estate of Ray A. Brownlee, deceased, full payment of the legacy of One thousand and no/100 ($1,000.00) dollars provided for Diane Marie Quinn under ITEM 6 of Decedent's Will. Quinn (.:Tl tl) •::t: ('...! '~ .....l 0.. :~-:::: _...J en '\ ·. ,..,. .. ==··' ('-.J r-~ "Ot !J). ~'1.., .. ,. ... IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA (ORPHANS' COURT DIVISION} IN RE: ESTATE OF RAY A. BROWNLEE a/k/a R. A. BROWNLEE, deceased . . . NO. 1180 of 1969 "RECE·IPT I, NORMA JEAN BROWNLEE QUINN, do hereby acknowledge to have received of Romaine M. Brownlee, Executrix of the Estate of Ray A. Brownlee, deceased, .the sum of Five thousand and no/100 ($5,000.00) dollars, as an advancement upon my distributive share in said estate. Dated: October of% , 1971. · C) (/) <:!: :;~~ -J Q. -J IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA (ORPHANS' COURT DIVISION) INRE: ESTATE OF l. RAY A. BROWNLEE a/k/a NO. 1180 of 1969 R. A. BROWNLEE, deceased . . . . ELECTION TO TAKE IN KIND We, the undersigned, do hereby elect to take in kind as part of our respective-distributive share of the estate of Ray A. Brownlee a/k/a R. A'. Brownlee, deceased, an equal share of the following assets in said estate: 102 shares P.P.G. Industries -common 72 shares Continental Oil Co. -common 150 shares American Tel. & Tel. -· common 24 shareS: Mar cor -· common 208 shares Wheeling Mach. Prod. -capital 60 shares Sears, Roebuck Co. -common -. 16 shares Standard Brands, Inc. -common 7 shares Amer. Std. Inc. -preferred 60 shares Howmet Corp. "''· .. common - 20 shares Howmedica -· common 200 shares General Motors Corp. -capital 100 shares· Std. Oil Co. of N .. J. -·common 24 shares American Brands common stock Promiss·ory Note of Howard V. Ferrell et ux. dated Jan. 1, 1968 -$10,000.00 Balance interest from January 1, 1971. Promissory Note of Howard v. Ferrell dated April 1, 1971 -$40,000.00. Balance interest from December 1, 1971 $ 3480.75 2034.00 7546.88 560.25 1040.00 4065.00 720.00 733.25 1608.75 -0- 14350.00 ' r. ~-6912.50 841.50 4000.00 with 37150.00 with request the Court to charge the Federal Estate Tax to the residue of the Estate. ·.:, J ·. c; C.!') <..( ('.,J 0 -.1 a... .:?.:': ' __ , en C:": ~ (2) (_) ··-<"( :-:t·:~ i,J.... z ~~: (J -.'''1' c J~ .. , f._............,_-4 u_: f-··· c:: __J LU •' .:J L_) i.:...; i---:;.?.:; U) (;) C'-1:) U) ! L..W 0 '" :::J ..... , . ..,._, __ LL.. a:: LU «: c.::: ~.~ r-..J :::.... i- \ I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,.PENNSYLVANIA IN RE: I._; (ORPHANS' COURT DIVISION) ESTATE OF ) . . RAY A. BROWNLEE a/k/ a NO. 63-6 9-1180 R. A. BROWNLEE, d~ceased .r-. PAY TRANSCRIPT THE undersigned hereby acknowledge to have received .. of :R:omaine M. ·~Brownlee, Executrix of the Estate of Ray A. Brownle a/k/a R. A. Brownlee, deceased,.paymerit in full, in accordance with Sch~dule ~f Distribution of the Court dated Februa~y 17, 1972. Rus:sell Marino, Clerk -costs of audit Romaine M. Brownle~, Executrix, reaward for tax contingencies Rus.sell Marino, Agent, transfer inheritance tax Romaine M. Brownlee, widow, bequest of 1969 Buick Electra Auto Mae Brownlee Miller, legacy ' (,>i borothy Mae Vag~erhoof, legacy $ 84.50 5000.00 3500.00 1000.00 1000.00 See Receipt filed with Audit Petition j Norma Jean Brownlee Quinn, Testamentary Guardian for Patrick Ray, Qui~n, grandson, minor legacy in cash of· $1000.00, diamond ring, guns and"' sporting equipment 1225.00 =-----=---~--~~~~~ Norma Jean Brownlee Qu1 Norma Jean Brownlee Quinn, Tes:tamentary Guardian for Diane Marie Quinn, granddaughter, a minor, legacy Romaine M. Brownlee, widow, 1/2 .residue 1000.00 45667.18 Testamentary Guardian f Patrick Ray Quinn, mino See Receipt filed with Audit Petition Norma Jean Brownlee Qu1 Te~tameritary Guardian f Diane Marie Quinn, a mi Brownlee ... Norma Jean Brownlee Quinn, daughter, 1/2 residue .u r 0(. .. :; j t !!a ,; i~f ~ .. i ·, (. .. .._ .. ~ .. '· •• 1 -"'1-.' I ' -i ; ... ' ~ •.. " i Form RCC-33 .. : .. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COllECTIONS RESIDENT DECEDENT COUNTY OF WASHINGTON 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 o:f Revenue. (Section 703. o:f the Inheritance and Estate Tax Act of 1961.) MX. ..... A.~ ........ ;~_;:.=.;~.::=.~.:.::.::~~~~~;QWN~~-~--.... };::uA;~: OF (State full name of decedent) Late of .............. ~.<?.E<?..:t.l<J.~ <?..;. g!.~¥..~.Y~!!.~ .................. ~6Q\ey 2D:lU'tm~ State of .......... ~.~.!1:!:l.~.¥.!Y~.!J:.~ . .::l. ............................................... }ss: County of ...... W.a.!:lh.ing:I;QJ1 ........................................................ . .... .. .. ............... Romaine .... Ma ....... Br.ownl.ee... ........ . .......... .. .. ... Eueutor of the estate of the above-named decedent being duly sworn, depose s and 8ay S Decedent dJed October (llay) ....... , 19 .. ('~!l ..... ,~i~~Xt~eaving a last will, copy of which is hereto attached. } 7 (Month) Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. .. SII:EW11:\J:\J .... f1:. $J~G:E,::I:,,~_$QP.:J::RE.! .............. . 215 Washington Trust Bldg. ·washington; Pehnsylvc:triia 15301 That as such ........ ~.~.g.c..1J.:t.r.i~ ........... deponent is familiar with the affairs of said estate and the property con- < Executor-Administrator) Rtituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT RXXXKXXXXR®MXXNKXMXXHR®NNEKKXX Rav A & Romaine M Wi-f4"> Mellon National Bank & Trust Co. Brownlee Claysville Office Claysville, Pennsylvania That the contents of said safe deposit box or boxes are itemized under Schedules ______ of this return, with the exception of the following, for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth full v and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an _interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name o:f mortgagee, date, rate o:f interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each or said parcels, the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedent's death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent; all obligations, whether by statute or agreement they are designated as tax free, of the United States, or any state, or political subdivision thereof, or or 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 whatsoever kind or nature, left by decedent, together with the fairly estimated market value thereof; all bonds and mortgae:es 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 or money 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 li:fe insurance polici'es carried by decedent; all annuity and endowment contracts the proceeds o:f which were payable upon the death of the decedent; and all the corporate stocks and dividends due thereon and unpaid as of the date o:f 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 f'amily corporations, the values reported are as f'ar as possible substantiated by f'inancial statements of' the corporations, showing the assets and liabilities thereof' as of' the date of' death. The schedule also sets f'orth 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 f'orth the nature of the agreement) together with a statement setting f'orth the character of the business, its location, and such other f'acts 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 f'orth in itemized f'orm, together with the f'air 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 f'orth a true answer to each inquiry contained therein and in the case of' transf'ers ofproperty, real or personal, within two years of decedent's death, in contemplation of' decedent's death, or intended to take ef'f'ect in possession or enjoyment at or af'ter death, said schedule sets f'orth the nature and value of' such property, to whom transferred, the relationship of the transf'erees to the decedent, the proportionate share received by each transf'eree and all other f'acts of' a pertinent nature regarding said transf'ers. In the case of' transf'ers intended to take ef'f'ect in possession or enjoyment at or af'ter death, there is also attached to the schedule a COJlY of the deed, trust agreement or other instrument creating the trust. Thero~ is also set f'orth 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 f'orth the names and addresses of' all persons benef'icially 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 benef'iciaries f'or lif'e under decedent's Will. It also contains a statement showing which of the benef'iciaries 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 benef'iciary. 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 ef'f'ecting 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 f'orth f'ully and in detail all debts and deductions claimed f'or and on behalf' of this decedent's estate, including funeral expenses paid; f'amily exemption, where applicable; costs of' administration of' this estate; counsel fees and fudiciary's commissions paid or to be paid; cost expended f'or 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 f'or 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 f'or obliga- tions, if' any. It is agreed that the f'iduciary 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 f'orward and properly registered in the Summary • Subscribed and sworn to before me this ... B.eJ .. t:J_; August 71 .... day of .... ·o·· ....... ,.; ... ~ .................... 19 ............. .. 0~ ... 0~ ..................... .. AILS, Notary-Public ASH'NGTON co .. PA. '~ WASHINGT N. 'D l97.,1i11 My Commission ires feb1181J ' . NOTE: Bef'ore signing af'f'idavit make sure all blank spaces (Street Number) Claysville, Penna. ....................................................................................................................................... (City or Town and State) in the af'f'idavit and schedules annexed are f'illed in with details or the word "None", and in case the assets include rare and unlisted securities, securities of' close or f'amily 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 DEPARTME~H.OF R"EVENUE 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 wl th 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 space) 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 NONE "As Reported" column on the last page of this return. . .. , .. RCC-35 . 'COMMONWEALTH. OF PENNSYLVANIA TfV..NSFER 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, 0. 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, ----~-----·---------------------------------------T----~~----------~--------------- Item NO• ITEM List and describe fully 1. 102 shares P.P.G. Industries common stock @34.125 2. 72 shares Continental Oil Co. common stk. @28.25 3. 150 shares American Tel. & Tel. Co. common stk. @50.3125 4. 12 shares Marcor common stock @46.6875 5. 104 shares Wheeling Machine Products cap. stk. @10. 00 6. 60 shares Sears Roebuck & Co. common stk. @67.75 7. 16 shares Standard Brands, Inc. common stk. @45.00 8. 7 shares American Standard, Inc. pfd. stk. @104.75 UNIT ESTIMATED VALUE MARKEl' VALUE 3480.75 2034.00 7546.88 560.25 1040.00 4065.00 720.00 733.25 9. 60 shares Howmet Corp. common stk. @26.8125 1608.75 10. 24 shares American Brands common stk. @35.0625 11. 200 shares General Motors Corp. common stk. @71. 75 12. 100 shares Standard Oil Co. of N. J. common stock @69.125 13. 4 shares Masonic Temple Association of Claysville cap. stock @50.00 14. 1 share James R. Hunt Post #639 American Legion Home Assn. cap. stock @50.00 15. Promissory Note of Howard V. Ferrell et ux. dated Jan. 1, 1968 in amount $10,000.00: Balance principal due $8,000.00 Int. 1/1/69 to 10/7/69 @5% 14l.l0 16. Mellon National Bank &. Trust Co. -checkin~ account #314-7462 17. Mellon National Bank & Trust Co. -savings account #62-872 (continued on back) Insert this total opposite "Personal Property", Schedule "B" in the "As Reported" column on the last page of this return. X X 841.50 14350.00 6912.50 200.00 50.00 8341.10 6146.72 1136.64 DEPARTMENT VALUATION (Do no t write in this space) 7.;?&, 00 18. Brownlee Funeral Home, Claysville, Pa. -funeral business 46,000.00., 19. 1969 Electra 4 Dr. Sedan 3,500.00 v 20. Diamond ring 150. 00 ... 21. 12 gauge Shotgun 25. 00 ... 22. 20 gauge Shotgun 25.00 .... 23. Revolver 25.00 , Total $109492.34 •. ·-' -. RCC-35 COMMONWEALT& OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT (CONTINUED) 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, treasur~ .. certificates, cash on hand and in bank, stocks, mortgages, notes, together with accrued interest or rliv:idends, 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 t'he State, at the time of death, should be listed in this schedule. Item No. 18. 19. 20. 21. 22. 23. ITEM List and describe fully Brownlee Funeral Home, Claysville, Pa. - funeral business 1969 Electra 4 Dr. Sedan Diamond ring 12 Gauge shotgun 20 Gauge shotgun Revolver Insert this total opposite "Personal Property", Schedule "B" in the "As Reported" column on the last page of this return. UNIT VALUE X X ESTIMATED MARKET VALUE 46,000.00 3,500.00 150.00 25.00 25.00 25.00 DEPARTMENT VALUATION (Do not write in this space) Jffo 1 000, 0 0 3 50Q.6iJ I IStJ,rJCJ 109,492 .341/7J ~8'5£, 9tl /0 9.19~ .Jc; ( . r ( RCC-·36 COMMONWF,:ALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SCHEDULE "C" TRANSFERS RESIDENT DECEDENT ( 1) (2) (3) 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) No 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 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 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 properry without receiving a valuable or adequate co'nsidera tion therefor which was to take effect in possession oc enjoyment at or after his death? (Answer yes or no) No (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 valuable and 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 property transferred or income therefrom? (Answer yes or no)~Nuo~----- (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)-------- (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 transfer or by operation of law? (Answer yes or no) No (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or 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) NONE DEPT. VALUATION (Dept. Only) r .. I. . ' f RCC-38 . ' . COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRtTCTIONS: 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 l Unit Address and Relationship of Co-Owners, and Place I Value of Record of Instrument, where Real Estate. ! 1. Checking Acct. #314-7489 Mellon National Bank & Trust Co. n/o R. A. & Romaine Brownlee 2. Parcel of real estate situate in Borough of Claysville, Washington County, Pa. fronting 50 feet on North side of Main St. & extending back of uniform width 200 feet to North Alley. UPON WHICH is erecte~ a brick building and garage used as funeral home and residence. See deed of Harry H. Brownlee to Ray A. Brownlee and Romaine M. Brownlee, husband and wife, dated 1/4/55 & recorded in Deed Book 917 page 175. 3. Parcel of real estate situate in Borough of West Alexander, Washing ton County, Pa. fronting 86.91 feet on the North side of Main St. and extending back therefrom of unifoy ~ width 240 feet to the Southerly side of an alley. UPON which is erected a one story building used as funeral home. SEE deed of Thurman M. Houghton et to R. A. Brownlee & Romaine M. Brownle6? his wife, dated Oct. 26, 1956 and recorded in Deed Book 97/ page 484. 4. Parcel of real estate situate in Donegal Township, Washington Count~, Penna. FOR SOURCE nF TTTLE, see deed of Harry H. Brownlee, widower, to Ray A. Brownlee and Romaine M. Brownlee, his wife, dated Jan. 2, :}.956 and recorded in Deed Book 959 page 455. 5. Mellon National Bank, Claysville, Office, #62-1567 Savings Acct. 6. The First National Bank & Trust Co West Alexander, Pa. #1990 Savings Acct. ux. percentage Estate Share Valuation 2364.6E' 35000.0 D F 12000.0 p " 10000.00 .r 20031.16 ., 10533.06 /' DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property I I ' ' I I I I I I I I j1 4LL Value of Decedent's Interest 1sooo. oo '1-hr r/f ~/f15 ;_,1::_ 7. First Federal Savings & Loan Assn. Washington, Pa. #1159 Certificate Insert tbl~1£;£aY~~~osYt~ li'J'~rritiy Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. 8. First Federal Savings & Loan Assoc. Washington, Penna. #23848, Savings Account 9. 10 u. s. Savings Bonds Series H 10. 20 u. s. Savings Bonds Series E. 11. Household furniture . ~ . . : Q ' ' Total . NOT TAXABLE 4175.61"' 75oo.oo· 2500.00-" 1000.00/ $120104.49 RCC-37. (12-63) C'Ol\tMmm·EALJH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses of all who h ave an interest, vested, contingent or other- wise, in estate) R9~~ine M. Q~row~tee 1 1 r:::.; n ::.uQ~,.; o n -. N~fTY ~~~~i~f~wg~I~~=>Quinn Charlotte, North Carolina Mae Brownlee M~ller f•T o co+· M ~ rl rl 1 o +-"'•·~"' n,.....,..,.,..,., Dorothy Mae Vanderhoof f"l1 ~··~··.; 1 1,.. n .... ~~ ..... ~ ...... .!"' -~~--I .. '-UH ....... PgiffC~'"'~~¥.,.~~iR~;u.,. Charlotte, North Carolina u~ane Mar~e 9u~nn 6lll Montieth Drive Charlotte, North Carolina SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH r.r~ -F,.... v .... 1L2 reRiilnP uaugn1:.er .tes 1/2 residue ("I ,, .... .;~ v . Legacy .......... -~~.-~ ....... 'llT u Le_qacv L'IVU<:; .L<:;i:) ~-"'~"'"' ..... _v,..,.. _l2_flJ__Ls_g_ Legacy ...... ,._~ Granddaugh r-er Yes IJ.~/~U/b~ Legacy Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE . ~ ' ' J •• ~ Will Administration ! No. Year .................. . P.\1 THE :\lATTER OF THE APPRAISEMENT OF THE ESTATE OF I RAY A. BROWNLEE a/~/a.R. A. BROwNLEE Deceased Late of.... I:'ioro~gh o:E.. C:l..i3.Y$Yil.l.~ .. County of Washington Commonwealth of Penn~·lva~i~ · ~ ~ :;:~ c--, 0"1 r.;~ ~:: ' ,i i.;:~~** AND APP·R~ISAL (..!......, rn !"- --·i ,.,.._, I ~=~ (-~. ~ .:_~ g ~~ ~'i ..---. ~ .,.,. -· -o:-o ):> (/) ~ --i -_,,, .. -l <..., ..... ~ SHERMAN H. SIEGEL, ESQUIRE 215 Washington Trust Bldg. Washington, Pennsylvania (Executor-Administrator must complete "As Reported" column #1.) C1 ..., 0 "' "' ......j ~ ~ ;-- t'%:1 "' ..... ll> ..... ('!) : C-j ......j '"d :::0 :O ..., ('!) ('!) )-•· § ~ a:. :::S ~ ::I '"d : rt" ('!) ll> ..., . '""" ,_ 0 . "' '0 :1-0 '"d ('!) :li ..., ..., :o .g ~ ro ('!) :ro ~ :li '< :n- "<: C/) c:: ~ ~ > :::0 .......... w C/) C/) >-<: (') (') ?" ?" ?" 0 ta ~ : : -oo-oo-oo-oo-oo-oo I-' 0 1.0 ~ 1.0 1\.) . w ~ zz 0 0 rt"::S (1) n-· PJ ~ ~ :f-' ro 6:z-;: 1..0'0 "' ~:::s :::0 I..O:ro ('!)~ 1\J: '0 -• s; W : ..... . ('t ~: ~ -oo-oo-oo-oo-oo-oo ': ~· ' . ,: -~· '~ ~· Gv. ~ ~. ~· ~ ~ > "' v ('t ..... ~ ct N 3-:;· r. c.. II • .. "' .. II ''\ Form RC C·lO (,3·'f'-/1~0 DEDUCTIONS ALLOWED IN ) . . THE SUM OF ............ $11IJI.~.9] . . OFFit:E OF THE STATEMENT OF~DEBTS 1REGISTER OF WILLS ••'X''""v~g~~~J~ AND DEDUCTIONS OF WASHINGTON COUNTY AND AGENT OF THE COMMONWEALTH vWA r_f/{i/Lv,;r..{). Register of Wills, Agent m , ESTATE OF RAY A. BBOWNLEE 1R'" A. a IK Ia LA E OF J , , BRO~LEE h x:oug of CJ ays'Sri ] 1 e DATE OF FILING APPRAISEMENT OATS: OF DEATH ee:t::ese:J:~ ':1-., J.Qi9 DATE NO. OF J () . Af~ ... EJC]Jj PAYlf/ 9U f.:;," k~~a.,~/l_ RErf»> /a() PA~M5'UN~ ~ VOUCHE'IJ: h, 1969 \. wvvv\ --vtl/ll\4 "I{ T.J.AAJU!f ,_. . " I y If /CIQ"( 1-v' oct Brm·mlee Funeral Horne Burial expense .,. 2737 50 ?o I'Dnm::a;nA M R ,..1"\T•T'I'\, 00 Reimbursement -opening v" ~--·--.. _.,:_,:_.a,. __ ,_ .t:--1 ·:u:: nll ::J -·-21 Claysville Recorder Obituary notice ... 14 70 31 Fred D. Larqe. r..t. D. ~iedical services ,. 35 00 Nov 7 Pa. Dept. of Revenue Trans~~~+-title to .,.. ""'"' .,. '0 vehicles Q .no 1970 :T::an ?h \h7::~qh i nrrt-nn Ho~ni t~ 1 Acr.nunt nne v 48 25 Feb 3 Julian Fine Real estate appraisal ./ r~o 100 oo '14 Sheppard & Co. Accounting fee due v 1475 00 Mar. ;11 Pa. Department of Revenue Hearse license fee (14; 0~ ..... ;...;. Mav 7 Malcolm Morgan, Co. Treas. 1970 Personal Prop. tax (23 46\ --11 !:::: t\Thi tP 1 s ~nns Tn!=tl"'rintinn m::arlro,.. " 17 E;O <::.honn.-.:t,..t'l ~ l"n n.t"' ..... nnni-;'1'\C"f roc 275 no Dec. 12 Internal Revenue Service 1970 Income tax Go2 !"Sb 1971 (14 ~ ~. ')(\ IP~ nP-nt nf TranRnnrt-atinn HP~rR~=> lir!enRP Feb. 17 Sheppard & Co. Accounting fee 1695 00 - Mav 3 114alcolm r-1oraan Co. Treas. 1971 Pers. ProP. Tax <27 L~ Sherman H. Siegel Reimbursement for: 1969 n,...+-7 Pon-nr vH 1 1 c:o IPrnh::aro ,...,..,.,+-., <!:':10 !:\0 20 Wash. County Reps. Advt. letters 14.00 . Nov. ..J J:H:!':;! • O.L VV~~~l:) 1-' :::;n1:.. cer1:.~ .1. ~ c::a 1:-t:::lS tf..oVV "..:U ~u Commonwealth of Penna. Death Certificates " 4 00 Shennard & Co Bal •. 1 ~~youn~~~g ~le~ !r .t-; nf"' ,, H nN Lor::. ~<:! ·::a ~P - ,M::~rrr::.rAt-R::~ilq Tax Return v 28~~ RR ~ri'i=n ... QQ ":j:,.., m; 11 1:' ...... ,... .... .,..,.." roo - ~h~=>rman H !=;iPcrP1 Jr.nnnc::~=>l rAAQ " 6400 ~BO Russell r-iarino I Register ~iling ~nventory and ._,...,,... ·-')t: nn I ~@-L rJ/_,t~ l \/4/.r•v~A,.-( {/ ~ W' 1-d 1,<fV.' ~llfot{!Jl 16610 72 A..{ 't '<{V' COMMONWEALTH OF PENNSYLVANIA }ss: COUNTY OF WASHINGTON I, ROMAINE M. BROtlfflLEE HEREBY CERTIFY, THAT. TO THE BE.T OF 1\o!Y KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE EST ... TE OF RAY A. BROWNLEE DECEASED, AS DEDUCTION& F'OR INHERITANCE TAX PURPOSES. ct~~~ ?iJ_,~ CL. 5.) SWORN AND SUBSCRIBED I!IEFORE ME THIS 30th DAY OP' ~:t r£a/J<J" _2! -MAR . T BAllS, Notary Public WASHINGTOJII, WASHINGTON CO, PA, My Commission Expires februal}' 27, Hlli .. ....::-_.., ---..:· -·' ).> fT1 -~~ (/) 0 c '" :r:: !,__,. •• {f) ~~ q ... _ ., } r·: -1 :::;:: Q 0 -,. •"'--.. i ·~ ::T.: :~,. .. -' ::::J 0 ,-., COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG RCC-81 (6-71) 17127 IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division NOTICE OF FILING OF APPRAISEMENT 38-18-3 ROMAINE M. BROWNLEE (Ex.ecutor~ In Re: Estate of ;aA:y A. BROV·JNLEE a/k/a WASHINGTON County -File No. 63-$9-1180 Dear Mrs. Brownlee, You are hereby notified that the-----lO~r-.:..~j'-tg:rj,..~.,n~.aa~J==----------- appraisement in the estate of RAY A. BRmVNLEE has been filed in the office of the Register of Wi lis of WASHINGTON County on November 24 , 19__11, Said appraisement reflects the following valuations: Rea I Estate-------,---:---,------- person a I Pro pe rty _ __,l:..:::O.L9.z:., 43..9.t..:2~·:..:3:.::J4'-------- T ransfers ______________ _ Jointly Owned------------- T ota I _____ ___.,l..,Ou9~,4,.,_9e2,_, • ._.3=4,__ ___ _ 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 an appraisement may appeal therefrom as provided by law. Date _ _,N=o~v'-"em=b=er"---"2=4o:.z'-=l.L.97.__,1,__ __ Signed Title APPRAISER. I DATE OF DEATH: October 7, 1969 Note: This is not a bill. j RCC-39 (!1-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SUMMARY ~· j RESIDENT DECEDENT Estate of BRO~ (Last Name) RAY A. · a/k/a (Initial) DATE OF DEATH 10-7-69 FILE NO. 63-~ 69-1180 (First Name) REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_.....!W:C!!A~S~H:!!IN=G~T!:..:O::!N:!__ ______ _ 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: November 24, 1971 m._ccdt_L~-J~./~----iNHERITANCETA><AP"P~ 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 Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) $ $----~----~----10 10 Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $ ------------1--2% Tax on $ ------------1---\.. 6% Tax on $ 5% Tax on $ 10% Tax on $ 15% 34 34 10 COMPUTATION OF TAX $ ________ ~ ___ $ ________ ~-- $--------4--- $ ________ 4---- $ ________ ~--- VALUE AS REAPPRAISED $ ____________ ~--- Exemptions * Total Estate ________ -+--- TOTAL. TAX $--------L---- (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid $=======9== BALANCE $----------+--- Less 5% of tax if paid within 3 months after death $======== 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 -----~0-------$------~-- TOTAL TAX BALANCE $ ------+-- PAID $ -----------L--~ FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. .//// Will Administration t No ............ . IN THE Year .......... .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF . MX .. A.~.l3J.=t()~ItC1/'@/ .. Deceased Late of . CLAYSVILLE . ·························· ........................... . County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ Fonn.RCC-2 · .... · DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG. PENNA. 1 7 1 2 7 .. COMMONWEALTH' OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ......... ~.?.Y.~?.~~ ..... ?.4l.~?.?..~ ..... .. COUNTY .. J'lA$.H.J.N.Gl:Q.N. ............................ . FILE NO. .. ... QJ...::9..9::JJ.,.$.Q ............................................. . Whereas, ...................................... ~X ... A.~ .... f3RQ~ ....... g,/~/9.-.................................. late of ........... C..L.AX.S.YLLLE ............................................................... . in the County of .............................. J:fAS.HINGTON ..................................................................... Commonwealth of Pennsylvania, having died on the .................................... ;?..e.Y.~nth ................................... day of .................. O.ct.aber................................... 19 .. .69 ... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ......................... l4.ADELINE ... .FINNEY ........................................................ , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purpoaes $ PERSONAL: - SEE COPY OF SCHEDUlE "B" ATTACHED TO APPRAISEMEN T 109k192 34. ' ; Having been duly swo.rn according to law, I do hereby certify that the above appraisement is made in con- formity with law on this ........................................................ day of .......... ·.·.·.·.·.·.·.:·.~·~~~ .... · .. ·.· ... ·.· ... · /Appraiser ln/ASHINGTON . County ,, RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MX ... A •.... ERO~ ... .a/k/a ................................. . Deceased. Late of CY.\¥.$Y:J:.~ Date of Death, .................... l<b7.~69 ................................ .. Appraiseme11t Docket Vol., ............... 3.8. ............................. .. Page, .. lS.,.3 ................. No ... f>3.~f>9~.:U.$Q ........ . \, Filed in Register's OfJi.ce, ... No:v. ...... 24 ............ 19 ..... 71 Amount of tax due, DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appraisement, Appeal fYom Appraisement, l Entered and charged, RCc-4 (8-68) COft\MONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE No.A08531 0 OFFICIAL RECEIPT.• PENNSYLVANIA INHERITANCE AND ESTATE TAX RECEIVED ___ F_IV_E_T_H_O_U_S_A_N_D_S_I_X_T_E_E_N ___ a_n_d ___ n_o /_1_0_0 __ -_-_-_-_-_-_-_-_-_-dollars Romaine M. Brownlee, Excr. representing Pennsylvania Inheritance or From:~~~~~~~~~~~~~~~~~~----.-----------E-st_a_te __ Ta_x_d_u_e __ fr_o_m __ th_e_f_o_ll_ow __ in_g __ es_t_at_e_: ____________ 1~1 Address_2_1_5_W_A_S_H_I_N_G_T_O_N_T_R_')_U_ST_B_U_I_L_D_I_N_JG--I \vASHINGTON, PENNSYLVANIA 153 File No. 63-69-1180 Date of Death __ l_0_-_7_-_6_9 _ _, Nam·e of Decedent ___ RA_Y_A_._B_R_O_W_N_L_E_E_1 "--' _a_k_a___, County ______ W_A_S_H_I_N_G_T_O_N ______ _, Remarks: S E A L NOTE: To be delivered to taxpayer 38-18-3 2% Tax on $ ________ $ ________ __ 601T $ On Acct. $ 5,280.00 yo ax on --------------------"-------- 15%Taxon $ ________ $--------111 % Tax on $ ________________ $ ________________ _ Estate Tax, Act of tc. 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 $ _______ _ 5,280.00 $ _________ _ 264.00 5,016.00 NOTE: In accepting the transfer ·inheritance tax on future estates, prior to the death of the life 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 thee -/-!-==~~~~~~~~--~~~~~:::.----11~1 life tenant or tenant for years whenever it appears that such additional tax may be legally due "- collectible for reason whatsoever. '7 2 FEB I 8 AN 9 2 9 RUSSELL t,t./.H!NO REG!STEH OF WILLS \fl AS H I N C, T M~ C 0 .• P /~. I d