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Home My WebLink AboutOC1969-1210 - ESTATE OF IAMSI i\ffi~auit (@f 1fxrrutnr ®r i\bministratnr ~tatr nf Jruusglnauta. t ss: C!lnuuty nf 'lllasltiugtnu \ Personally before me, the undersigned authority, a. ............... NQ.t~XY. ... ~Y.tl.U..~ ............................. in and for said County and State, appeared ........................ M«x.t.b.a .... lam§. ... }t;.!Y. .................................................................... who, being duly sworn according to law, deposes and says that she is the executor ~of the estate of .......... MARX ... Ut ..... l~ ................................................................................. deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of.. ...... ~X ... M ...... l.AMS .................................. , 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 Executor ~'i"~ ---~~- Sworn and subscribed before me this ..... ~~· ~r~ , :t;/d 7 day of.~ ......... P.:~~~mPJ:"£r .. f;J, .... 19 ... -;'*" ~~~~ .,s· ~ .. "(~-:-:! .. ~ ...... :-: i~~~u~ ...... -···-···~..dl.~ .. ,_J:,d~l~.;;;;;:~~-INSTRUCTIONS 1. An invei1tory must be filed ~1thin three months after appointment of personal representative. 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 lfnurntnry auil .2\p.praisrm.rnt of the goods and chattels, rights and credits which were of ................ ~X. .. N.r. ... J~ ................................................. Jate of ..... ;.~.~ .... ~.!.~.Y.. ... ~E ... ~~~.~~.~~.~~~.? ............................ . Washington County, Pa., taken and made in conformity with the above affidavit. DATE OF DEATH~ September 30th, 1969 DOLLARS CENTS PERSONAL PROPERTY Checking Account -Pittsburgh National Bank, Washington Office 226 00 Savings Account -Pittsburgh National Bank, Washington Office Acct. No. 4777 34,126 18 REAL ESTATE NONE T 0 T A L ----------------18 ··l":, .·,, • . ' ... -. ·~~-. ·~ ....... '.· J ' / r , .. .... r . ' . ' <-. J J $' k3-~q~J:Lt0 Inventory and Appraisement IN THE EST ATE OF ......... :: ................. MAR.Y ... M.. ... l.Al1.S ..................................... .. '. Filed ....... Jl.e.~.emb.er ................................... , 19 ... 6.9. .. ·-"' ( .. ;n l,;.; :::0 rq::::J £:") CJl":: 1·1 ~-)~~ C) .~.-~1 I I f\"'!t J -• I -! ' .-w 07 ·- • 1:-' .. I _ ...... :.. ~ ;-;~·1 -:;:.;:; ::2: ;:~:-; ,-··· CJ U)o ,.._ ;~ ...... . . lJJ -.J fr(([ ~0--(}?~,L ¥73 e.P . . .. ,, The First and Final Account of MARTHA lAMS ELY, Executrix of the Last Will and Testament of MARY M. lAMS, Deceased, late of the City • . of~Washington; Washingtori.County, Pennsylvania.' ·• The Accountant is charged as follows: PRINCIPAL PERSONALTY To Amount of Inventory & Appraisement Blue Cross -Refund Department of Public Instruction-Final RetiremenPcheck To correct error in balance in Checking Account as listed in Inventory INCOME PERSONALTY Interest, Savings Account PRINCIPAL REALTY NONE INCOME REALTY NONE $34,352.18 8.30 216.67 .32 642.11 TOTAL CHARGES --------------------$35,219.58 The Accountant claims credit as follows: PRINCIPAL PERSONALTY Administrative Expenses, Preferred Debts, and Other Debts & Taxes, as set forth in SCHEDULE "A" $ 9,628.70 TOTAL CREDITS---~----------------$ 9,628.70 BALANCE FOR DISTRIBUTION --------------------------------------------------$25,590.88 .', S C H E D U L E "A" ADMINISTRATIVE EXPENSES: James R. Donaldson 10-22-69 Russell Marino, Register 10-29-69 Wash. Co. Reports 10-29-69 Observer-Reporter 12-1-69 Russell Marino, Register 12-29-69 Edith L. Dague, Notary 12-29-69 Russell Marino, Register 4-16-70 Russell Marino, Register Martha lams Ely James R. Donaldson Russell Marino, Register PREFERRED DEBTS: 10-24-69 Mrs. Catherine VanVoorhes 10-24-69 Mrs. Pauline Spangler 10-24-69 Mrs. Mary Trifaro 10-27-69 Piatt Funeral Home 11-10-69 D. McCarrell.Dunbar, .M. D. '·.,_ \: ... 11-14-69 Jerold Ruben, M. D. OTHER DEBTS~ TAXES: 12-29-69 Russell Marino, Agent 3-3-70 Internal Revenue Service 5-20-70 Simon White's Sons 12-12-69 First United Methodist Church Costs Advanced: Letters & Short Certificate $ 19.50 Advertising Letters Advertising Letters 1 Short Certificate Affidavits Filing Inventory 1 Short Certificate Executrix's Commission Attorney's Fee Filing Account Nursing Nursing Nursing Funeral . Professional Services ~ i. 'f Professional Services 14.00 14.00 1.00 2.00 3.00 1.00 On acc't. Transfer Inheritance Tax Estate Income Tax Marker Pledge -Balance $ 54.50 1,760.93 1,760.00 16.00 180.00 60.00 120.00 1,692.78 133.00 30.00 3,610.00 6.49 140.00 65.00 T 0 TAL-----------$9,628.70 1'~·· -# ! ~ .• I 't' ~ \ \'. r Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May, 1929, P. L. 1784, a;s amended. Commonwealth of Pennsylvania, County of Washington, SS: . . . . . . . . . . . . - ---.· ~ ·· Personally appear·ed before me, a Notary Public in and for said County ' :ExECUTRrx1s NOTICEl-. • h d S C an . 'Estate of MARY M" IA~S de-and State, ______ R+..~-----~f ____________ ~----·---?.~----····-----··---·------· who being duly s•worn ceased, late of the City orwashing· ton, •Washington Count;)', Penna. , according to law, deposes and says that he is the ____ S.e_G_X:_~_:t_~_:r;_y ______________ • bLett~. rs t Tt e. s. tha.!irrgnt'arby,y~.l!Pgon.• tthed f th Ob P bl" h" C n 1 · t· d "t • a ove es a e avm een·, ran e o e server u IS mg ompany, a ..-·ennsy varna corpora wn, an 1 s · • to the"undersigne'&l!j tice\:;is hereby agent in this behalf; that the said Company is. the owner and publisher of ·given-;-:~o thos~~iiiqelft_!!l\rt!ji!'reto to' the Observer-Reporter succ•essor to The Washington Observer established make, tm'!'ed~at~ pay~el).t,·, and to ' · . . ' · 5 those · havmg clarms or-•demands to September 18, 1871, and The Washmgton Reporter, established August 1 , present them for settlement. 1808, a daily newspape-r of general circulation, printed and publis-hed and ... MARTHA IAMS·:.ELY having its place of busines•s at Washington, Washington County, Pennsyl-44 S<Juth · Lincoln Street vania, where it or its predecessors have been established and publish-ed _ Washmg~~~c~t~~a. 15301 continuous-ly for more than six months prior to the publica;tion of the notice JAMES R. DONALDSON h-ereto attached; tha;t the printed notice or advertisement hereto attached Attorney . is a copy of an official advertisement official notice legal notice or legal 614 ":'ashmgton Trust Bldg. . ' • Washmgton, Penna. 15301 adve:rtis·ement, exactly as prmted or published in the 0b£terver-Reporter in 69256-THURS. at its regular editions on the following date or dates; ----------------------------·cr·------------------··------··Q_c.JQQ_~_r. ____ ~_Q_,_N.9.Y~-~P.-~_!_ ___ ?. ____ ~~-?: .... ~.~-?.-.. --~-~~---------------- 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 all~ga tions• of this affidavit as to the time, place and character of publication are true. .. ................. ./12:ktUL<;f.~ Sworn to and subsc~efore m~ this.J.3 .... day of .... N2Y~~l?..~.~-1969 ···········~{.,?!£~~~ WASHINGTON, WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6, 1972 / W~hington 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 officia~ 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 \Vashington 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: ....... Q.c:to.be.r .... 3o., .... ~.9.6.9 ......................................... . ....... .N.w.emb.e.r .... 6., ..... l~ ........ t9..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~~:::&::K.;~ ~~~ Ed1tor Sworn to and s scribed before me this ----------....- ..... ~.3:th.7day of .............. No:v.embel: ........... , 19 .... ~9. ...... . ~~-----" • > ........ L.~ .... t!;~.~ Notary Public KATHERHJE C. NICHOLAS, tlotary P~bliG __ Washington, Washington Co., Pa. . . · My Commission Expires November 1, 1973 Estate Notices The Register of WiJls 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. • • • • • • • • • • • • • • • • • lAMS, MARY M., Dec'd. Late of the City of Washington, Washington County, Penna. Executrix: Martha lams Ely, 44 S. Lincoln St., Washington, Pa., 15301 Attorney: James R. Donaldson, 614 Washington Trust Bldg., Washington, Penna. 15301 •' STATE OF PEN NSYLV AN lA, WASHINGTON COUNTY, ~ SS: The within named Accountant being duly sworn according to law, depose sand say s that the above account as stated is true and correct as.. ................ ~.l:-~ ................... verily believe. Sworn and subscribed before me this ........ 2.9.t..h ..... . day of ......... :.,.J..~~~---····························· 19.Jq ..... . ----~~----X:---W7c~--------------- .-:::: c . EDI.TH · L DAGUE, Notary Pullllo ---Wasll'f.l\fl'JIIPtwlrsM'Rgl\lR9f!lllult9~1Jfll Pa. · . M:r cNibmrsslon ·aplru-'6far."2lr, fen'"n Warshington County, ss: ... ~:-~ c=o i C+-! ~. ~ ~ f i ~: ~! 'i ~! i c:i z ... ; .... 0 ..., 1'::1 :;::! 0 <.l <.l <tj l : f' r.. 1._-i : ~ ~ ~1/~-~ ~ E-< I-Ii H ~ ·~ <tj i j:z.j ~ ~ i! ] ~ 3 ;! E4 ~i ~ ~! ~ : 1-1 i j:z.j : i i i .• '- -L-- I do certify that I have given legal notice ·to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court, as evidenced by proofs thereof filed to No . ./z..3~.7{)--::_320 ......... . ~· ·o):- Witness my hand and official •seal this .... ....L./~---····· day of--~----------------------:·-------------,-----191_9_ __ ..... ,. (~ ', ,.. .U\.~~---······ ---r-·"""':""-",-- Register of Wills c.5 0 ::· ·. -~ ,:,- ' '~ ( .. , .. v ~ ............ ,.--. - l-- · . ~ y •' . '\, .· . , ·., __ :: ...... y •• :-· •' ·. ~ 4 ' .... /// / // // r.:a•t r l.:.;· .. i:.' r ·, · :, . ,; .! I The Court is respectfully requested to determine proper distribution in this estate. lfn tqt <@r.pqana' C!Inurt . nf llaaqingtnn Q!nunty In the matter of the Audit of Account in Estate of MARY M. lAMS No. __ _ TO THE AUDITING JUDGE: Enter ______ ~m~y ____________ .appearance for ______ ~A~c~c~o~u~n~t~a=n~t~---------------------------------- N. B.--Counsel shall, 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 concise state" ment in that regard. J No. , 63-69-1210 , 19 __ , A. A. In re Audit of Account in Estate of MARY M. lAMS AUDIT lfrarripr fnr 1\ppraraurr FOR Accountant ... ~-n ~ ~;D::;o c::> "~-"'-......... :>me ,...., ''2 G) (/) I rr:) :::r: (/) (/) ... z i [::::' =:':!-' r;) f'rl i c;:::) r·~"tt -i :::rJ r-·~ "._..,..,, 0 """0 z ~ ~~= ::::c .. ~-0 -;: __ , 1"'...1 0 --,.,..v rz -oro u-t l><n (.JU JAMES R. DONAlDSON Attorney ~9- PETITION SUR AUDIT Testate Form j IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of ... ~Y .. .M~ ... IAMS .................................................. . No .............. Q.~.":.Q.9.":.l.?.l.Q ................................ xnEX Fiduciary ..... MARTHA .. IAMS ... ELY ............................. . ·················-------~~~~Q..t;r;:;i.~--------------------------------------· Deceased ~~~ ~~~ Decedent's death .... .S.ep.t.em.b.e.:r .. J.O., .. J .. 9.6.9.. ........................ Grant of Letters ...... Q£~.9.1?.~;-___ J__,?_, ___ l-.9..~9.. ........................... . This is the ........... ¥.~~~~--~~~_}f.~~-~J. .................................. account filed in this estate If there have been former accounts filed in this estate, list file number or number and term ................................... . Election to take Date Election Place of; Under or Against wilL (cross out one) Not Applicable Filed .................................. Record ..... : ....................... . Name of surviving spouse ........... .V.I?-~-~E-~-~-~---------------------·········-------------------~---------------------------------------: ....................... . List issue, where material: . ' Did decedent marry after execution of will? (indicate) nx. No. Any children born after execution of will? (indicate) ~No. If answer yes, name them .......................................................................... ; ..................................................... . ........................................ ~ ........................................... ------·---------............ ---... ---.................................................... -..... ---------------------........ ____ ._ .... -............ -........ -.. --............ ------------.. ----.. . Leg.atees MARTHA lAMS ELY CHARLES A~ ELY HELEN L~ ELY, now HELEN E. JOHNSTON List, if exceptions to above: If partial intestacy, give facts: Adeemed: Relationship Niece Nephew Niece Revoked: NONE NONE Interest Fiduciary, if deceased or not sui juris l/3rd RESIDUE 1/3rd RESIDUE l/3rd RESIDUE 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: ............................................. . File copy of Notice and date of mailing ......... A~g~~J; .. .l.8th., .. l9.1Q ................................................................................. , ....................... ,, ... . ... ._.. Is estate subject to the filing of a Federal Estate Tax Return? ..... ~~---····································:.: ................................... . Actual payment made on Pennsylvania Tran~fer Inheritance Tax. Amount $ . .3.,.6.10 •. 00 ......................................... . If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant.. ................... . --------------------------------------------------------------------------------------------·-----------------------------------------------------------"---------------------------------· 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: Balance for distribution per account, Itemize any additional debits not shown by a:::count: $.25.,.590 .. 88 ................ . Total additional debits (Add) $ .. ~ ... Q ... -: ....................... . Itemize any additional credits not shown by account: Notary $ 3.00 ·1. .. _,.~-. ._;,_J:,s:~~-·;.·:...- Total additional credits (Subtract) $ ........ .J.~J)J)____________________ 3. 00 Balance for distribution $~~_,_~~?. .•. ~~: ................ . If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); CASH ' .... '--' : _;~-• _i \ .. ,.._ 1.--~.,----~--~--~--~--,--------------------------------------~-- } If F ·1 E · I · -d-b P t't' · I f R d· Not Annlicable _ am1 y xempt1on c a1me y e 1 1on, g1ve pace o ecor ·-------------------r-r------------------------------------------------------·------ If 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: MARTHA lAMS ELY CHARLES A. ELY HELEN E. JOHNSTON $7,000.00 7,000.00 7,000.00 Receipts for advancements filed with Audit Petition Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to take in kind if balance is not in cosh: residuary shares being stated in proportions: MARTHA lAMS ELY l/3rd residue CHARLES A. ELY HELEN E. JOHNSTON l/3rd residue l/3rd residue COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ......... .!'!W9~~L ________________ doth depose and say that the facts set forth in the foregoing petition are true to the best oL ..... h.er ___________________ knowledge and belief . .... .SJiO.t:n _________________________________ to an_d subscribed before ~e this. f~-&ddy' of-··;'·-.S-~P-~-~1;>-~r_.;--7, ______ ::J]_()__ s,gnotu'e of Off,ce'-~~,--i--,L--{i------------ Title of Officer------------------lDinr-t,-1JA1 ----------------------------- \¥asllrngton w. UE, llotar, Pflldlo Off. -. My Com ·.-' asltfngton Coun 1 ce exp1 res.----·---·----........... rui.sJe~-E-x~r •• --------.• tr •. l!a, .. -----" res r·~r 26 1 --. ' 973 And your petitioner will ever pray, etc.' ~-.......................................... "'!"'"'"' ......... ~ .... !" ~' ··~·· .. -~,. '!'!" .. ~'!'"' .............. ,. ,. .... ,. ..... ,., ... "'"''!' .. d' .I' No. . ............ ~}::·.~?.:-.~?.~Q ........................ xmr Estate of ..... MAB..Y . .M •.. .I.AMS ..................•.........• Deceased Fiduciary ... lfA&'IRA .. IAMS. .. ELY~---··················· ...................... E~g~g.t:d~-----~---························ 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 case. 2. Copy of order appointing Guardipn 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 Will. 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 Tax return if es- tate is subject thereto. ......... ....IAMES. .. R •.. .UONAIDSON .......................... . Attorney ~2 "'V d '. 0 0 N 0 1 :~ N I H S V' /A SlllN1 JO lEHSI03U ON IB';';": ll .. l SSntl £ S 2 Ud U E lJO OL '0'."1-ll j --· , I ~. •-•.:..J I -! ,. ' ,· ...... "' -..., -· ..)• / . r- /1- -~~ . ' ,...;!: I IR TD COUIT OF C(JM)II PLIAS 0P WASHIJI;TOII COUIIT1' 1 PEIOISn.VdlA ESTATI OF MARY K. lAMS, Deceased •. OJtPHAaS ' couaT o IV xs 1011 ) ( ) .,. 63-69-1210 WASII.C"'II I P!IIIA •• AUGUST 18th,, 1970 ! .Q.! .!~! ROTICE 11 hereby &hen tut the Accouatut, vlloae u.e appear• be1av, hal filed her Firat aod Fiaal Account, a copy of wbich 11 eacloa .. , to the a~a.e a.-ber; that said rAccOUDt vi 11 be preaenttld to the Orphaaa' Court for coafir.atioa oa II)II)At 1 AUGUST 31st, 19701 ~d will be audited tbe .,.ek c .... ncia& SIPTEKIEI 14th, 1970. You .. Y appear if you 10 de•ire at the ti .. of ~it, ~ut it will not be ne- ceuary for you to do ao, •leu you waat to take exceptioa to the Accouat, or to any claia wbich baa been prelented, or to preaeat a clai• of your owa. JAMES R. DOIALD501 614 waahinaton Truat llda. Washinatoa, Penna. Attorney IM&'l'IIA IAIM ILt lxecutrix \ ' 1 -- J ---~--~~----------------------------------------------~----- IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY. PENNA. ORPHANS' COURT DIVISION IN RE: ESTATE OF MARY M. lAMS, Deceased. BEFORE: ) ) ) ) ) ) ) No. 1210 of 1969 HEARING ON AUDIT THE HONORABLE P. VINCENT MARINO. Judge of the said Court. APPEARANCES: JAMES R. DONALDSON, ESQ .• of Washington, Pa .• representing the Accountant. TIME:.. Wednesday. September 16, 1970._ at 10:00 o'clocb A. M .• EDST. THE COURT: Number 1210 of 1969, the estate of Mary M. lam • deceased. The Executrix is Martha lams Ely and the attorney is James R. Donaldson. Mr. Donaldson? MR • DONALDSON: May it please the Court, I have all the necessary papers in _this audit. There are no unpaid creditors. Certain advancE- ments were made to the three heirs and receipts for the advancemer ts are attached to the audit papers. THE COURT: Is there anyone else in Court interested in this decedent's estate? ( NO RESPONSE ) /f ,) ff'HE COURT: · The audit of this account is ordered closed by the Court. ( AUDIT CLOSED ) ~ z ~ 1 hereby '-!CrUf7 that the Pl"'l.leedlags attd eriaecwe Sf'e ~ontat.oed .J > m -~ fully anJ accurately in the notes taken by-me vn the h-ea1·~ or the; above II. i ~ cause~ and t.1at tbls eaP9ls a correct tranacrlpt of tbo aame. C) z i Ul < 3: -ui II: Ill .. ~ at:uvc eatd;lc Ia hcrciT1 &tlt'roved and 4 r<:cted lO -Lt.G iUw •. Ill -. o:· .. II: :I 0 0 ..1 < 0 ii: ~ '. ~-' 2 \ \ .• '~ .J •. .,., = .. ·-- ("V') L.f") 0 :z: "--r~ ::;:::: .,. 0... Cl c· .. . . ' C"':' .....) ~~ ) ~-{,) t....:l ~ c:.;:> a:: c::J I,_!_ r-... 1.1) <! ...J 0... -1 --0 .,-., .... 0 !..!- 0 z 0 .~ 1---w rs ....... z rJ) :r: 0 (/) UJ < c::: -~ =- '• ·. .... ,. .. ' r" •. · ' ~ .~ 'l' !Uf1 I t'' ) '"· •u,J,J..,.. --t_; " .. . : . J .. • ~- In t4r atnurt nf atnmmnu Jlrns nf lhts~iugtnu atnunty, J.ruusylunuin, ®rp~nus' atnurt 13ittisinu ESTATE OF No. 6 3-69-1210 Mary M. Iams, deceased. In the matter ofth~:-_F_J._· r_s_t_a_n_d __ F_i_na_l_ Account of Martha Iams Ely Executrix ADJUDICATION AND DECREE October :7 ~ 70 And now '-.J , 19 __ , this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof ~5 btf8~nc.e. for distribution in the hands of the Accountant is determined to be $ , .oo . and the account is accordingly confirmed; and it 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 an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account _________________ _ Additional credit asked at audit Balance _____________________ _ Deduct Clerk's Costs & Receip·-------------- Attorney __ ____::J...;;;a;.:;;;m:;.;;e...;;;s;..._R~·:........;.D;...o;..;;n~a;;;.;l;:;..d;;.;;s;;..o;;.;n;;;;.... ________ _ Russell Marino, Agent, transfer inheritance tax, Martha Iams Elv' niece, 1/3 residue, be taken by the accountant for funds amount of $7000.00 advanced prior to tion by the Court, Charles A. Ely, nephew, 1/3 residue, be taken b~ the accountant for funds amount of $7000.00 advanced prior to tion by the Court, credit to in the distribu- credit to in the distribu- Helen E. Johnson, niece, 1/3 residue, credit 1D be taken bx the accountant for funds in the amount of ~7000.00 advanced prior to distribu- tion by the Court, 41.00 8367.82 $25,590.8 $25,546.88 .;;<S'" !97 I 1 . 'II. oo -_.._ No balance n r· r- .32 0 ·~ z .... :::J .\ > [!I s ..... 9 ::r t:Y ~ r:: CD ~J2 =r a 3 0 0 0 t:Y .... .... :; -· CD ~ ... ~ 0 .... ..... ::r CD :t = .. ~ & s ~ ~ ~ ~ ·- ~ L.r') 0 (.{) <{ ...J 0-z -l r--..1 --cc. :;-o-0 4.? ·~ )' :r:: • o...s ~ l!... z ... ;,::? Cl 0 .....! 0::. r- c::'l ...... :..u (;.. \ ' w ('<") w t-z c./) r...f) 1--{/) ::r.: i ~ :=>,0 rJ) -t:::::> c.::: l.tJ. <! c;::) c;;:: ~ LJ_ r-.. ) \ -- \. -II ' r r ') I t I I j I j I i IN RE: IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION { .'". ESTATE OF ) ( ) ( NO. 63-69-1210 MARY M. lAMS, Deceased. RECEIPT AND REFUNDING AGREEMENT The undersigned hereby acknowledges to have received from MARTHA lAMS ELY, Executrix of the above estate, the sum of $ 7,000.00 on account of my distributive share in said estate, and I hereby agree to refund to the said estate all or any portion thereof which may be necessary in the future to dis- charge any liabilities of the estate and to return the same to the personal re- presentativ_e in the event that it is determined by the Orphans' Court for any reason that I am not entitled to the same. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ___ __..._ day of ---~Juu:!.:!luv;.,.._ ...:!1=..5.~--__ , 19 _ _,7L.,}O"--- WITNESS: --~~-_...:;.J;,~(~~ha_r,_..le--=s tf::;..::.._;,. ~..,._t ....... ~(J:-· +-------__ (SEAL) / J ('¥-) V) <:r U"') 0 -l 0.. -~ -I ""~ C'...; (J~: 0 ... $~~ (.,) .:c ~-LL z 0.... 0 .. c ,_...!t'i ---,.~ ~ ~- ---..r ~ ,, ---ttJ L!.J ("¥) L_·_j 1-z (J) V) -........ (f) -:X: L...) ~ 0 V) ·....:..~ c::.::> 0::: LLJ ~ n:: ..._ """..._-~ c:> ::.-LL. r--... \ \ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, .PENNSYLVANIA I / IN RE: ESTATE OF MARY M. IAMS , Deceased. ORPHANS' COURT DIVISION ) ( ) ( NO. 63-69-1210 RECEIPT AND REFUNDING AGREEMENT The undersigned hereby acknowledges to have received from MARTHA lAMS ELY, Executrix of the above estate, the sum of $ 7,000.00 on account of my distributive share in said estate, and I hereby agree to refund to the said · estate all or any portion thereof which may be necessary in the future to dis- charge any liabilities of the estate and to return the same to the personal re- presentative in the event that it is determined by the Orphans' Court for any reason that I am not entitled to the same. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ----~~)jl~~- day of __ __,Juuult.;tY~-----' 19 70 WITNESS: / j ..,-~·-Cl-... ..-~ c:: t-.....0 ' I i l."':~ (V) 1--' <-' \ c:;:l -~ ---;.a c::l r-i.J-.. .... IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF MARY M. lAMS , Deceased. ORPHANS' COURT DIVISION ( ) ( ) ( NO. 63-69-1210 RECEIPT AND REFUNDING AGREEMENT The undersigned hereby acknowledges to have received from MARTHA· lAMS ELY, Executrix of the above estate, the sum of $7,000.00 on account of my distributive share in said estate, and I hereby agree to refund to the said ) · estate all or any portion thereof which may be necessary in the future to dis- charge any liabilities of the estate and to return the same to the personal re- presentative in the event 1that it is determined by the Orphans' Court for any reason that I am not entitled to the same. IN WITNESS WHEREOF, I have hereunto set my hand and seal this --~3~~----- day of ___ w.J.klu.&.lY:t----------' 19 70 'YHTNESS: '· / J ::E '-)>~ > m,. 3: :!:~ [11 z-,.cn G) z -1 -1~6::o ~o o :u. z z z ,--1 I'll 0 1l :0 -< ·mc:,.o .z !!! -1 z ir ID ~ )> v•. c: ~ r -<-0 r r <!2 rn )> z. 0 ~Gl z )> L...-.- ... ,.. ... ,· IN THE COURT.OF COMMON PLEAS OF WASHINGTON COUNTY., PENNSYLVANIA ORPHANS' COURT DIVISION NO. 63-69-1210 ESTATE OF MARY M. lAMS, Deceased. RECEIPTS ::""": ::;.-;::.J G0 f"1/ :::::~ J!i; c, -,, . ~ r=!j It l~ r-~: (r; 0 "' --..; .._ -,; • -,, .£ ......... _ ,.,._, r--.. . 1...~ • f~···,__.ll 'J-7 I II / ,."0 ::::r - r..r-, (.q t:::?~-~. ":co , ~ ;., flf JAMES R. DONALDSON ATTORNEY AT LAW WASHINGTON TRUST BUILDING WASHINGTON, PENNSYLVANIA --, ! -------------------------c---,.=--------- .. ' P .. · ... • .' ~. • ' • <t ./' . t • ~- ~ ,.,.. ' !. ~ ~ . . ••" .. :· ., . ' .. ' .' ·. '' ; '. ·.· .. · .. ' . . ..... •. . \ ,' . \' · _·. ~tt . tlt~ C!!nurt nf :-C!!nuuunu Jl~nli nf: Jllltt.54iug:!ntt = C!!nurtty, · · .;~ · . ·. Ji~uusylnnuin, · ~rp4n~s~ C!!nud -iittisinu · : ·: 'ESTATE 'OF .. ~Iary. M. lams,~ deceased. • .. t . -No. 6)-69,;;.1210. 'Fir's t and Fins 1 In the matter of the,_' --------- •"\. ·, . . Account of· Martha· I ems Ely '·;:Executrix . . ADJUDICATION'·AND ·oECREE . · ', · . .· Oc tobex-· · ··. · 30 · · 7. 0 · · ' ·· · · · ~ · . ' . And now . . . .--. . . ' . I 19 ___ . _,I this matter came qnJor hearing, audit and distribution 01t this s_ession and testimony taken; ana thereupon, upon du·e consideration r t~er~of ~~ ~~n5~_ for dis'f.ribution in !1the 'harid_s .. of the Accountant is' determin-ed. to be $~ !I' --:p ·~~ • . · --~--and the(at!icotbht is accordingly confirmed; and it is <;>rdered, a_qju~gecfland .~e7ree~ that tl'i:e said balanccll b~~id~put by thE;! Accountant in ac_cordancewith ._the 1 scre~uleEof-dJ~tnbutJon here~ att~che_d a~p ~-d~-part hereof, unless e.xceptlon_s_·-h~re•to be filed I· sef·~~~eg . .g~ an.ot~ppeal be takffn heref~om se~,. 1~@ ·~ . 1 ,:· · __ . . . . . . . _ _ .. ; _ . I ~ . , . .-·,.,..\ ...... ' .. -~ "' ·.\ .. _ .···.· . ·1 i ~ ·. !13· ~~ 'S/By --~~e Court r I . .. . ' II. ;· ', r . p. v •• M.; rin.o. ~: . j,l ' : t ~~ . . . . SCHEDUL :.0; ~ISTRIB~TION. , ~ .. . Bala~~ce per account· · ~ ·1J · $:5_ .. ;-~-~90 • 8~~...-. ' I . .. . . ' I ~--II' ~f..-·"~ ·. .-1 A~ 11 tion~l credit asked dit ... ,J, · 3.00 . . ·' ' ' \ ·, ' BC:11ance~ ·~"" . ·· · . · . Deduct Cle~k's Costs & Receipl::o..,.;. _______ __;_ ____ _:_ . > At<tomey_· ___ J~am,...;. __ e,...;.~""'----~'"'7. ~n_o_n_a..;..l....:..d_s_on ______ ....;.·~-....;.....;..,_, __ ----~~- . ~ ... ' .. -.t-• • • " .• ~ ·~ . . . }tuss.ell ~arino,· fl.gent, ·transfer·-inheritance tax, ,•'. ' . Martha ·.rams F.lJ~---niece, .·1/J.resid\le, c~edit to · · be taken by the accountant for ·funds. in ·the · · . amount of $7000.00 advartced prior to distribu- . tion by the Court, · · 1, • • ,.~ . -.. .. Charles f1~ Ely~ nephew,· 1/3 residtte, ·_credit to .. ' be taken by the accountant for funds· in the ··· l;lmount of $7000.00 advanced _prior. t,o distribu- ,. _ tion by the Court, · t, · .. 8367.82 . ' . ; ' ·Helen E. Johnson, ~ieee·; '1/3 residue,. credi t'to E<fEIPT AT,. CHED.· be. taken. bl the' acqountent .for fundc,s ~n ttie ... : 'i . ,-' : ·• ' '( •• amount of 'P7000.00 advanced prior. _to dis tr+bu-.. "' . · , . , · · tion by the Court, . -· ' · 8367.82 " . · _,No balano e ' • . . t ,ECEIPT ·A . ACHED • · .. t J " ~ -. 'p• -~ <.. '~ . ~ • ·. I ·1 l,~ .. .. r ·, ,., t . ' . .,. ' ' I 1,. ". • . ' ·' .·-' ~-" . ' . ' .. ' '' -------'-----'---'~-----------"--------------------- ·-· ,.. . ' .• l. .•', J ' .~. •t · ...... '·. ··, .' .. ...... . . : .·· .. :. . . ~:/ . . A ~f!iif~bjJ!)'':. ~uni~antl' ::~}!l .J9.i)~~lJ.f' nnttnnnJ9_ ··in iltt-~!!) .~ttl:t.:' Jf~ · ·· uuir!fuffl··J"'llt~!?. ~att~llt+.·ioo ~lltn~n~aann~i'. ~~ .. ____ .....:,.--..: _____ .....,. · n~c~-~~·.,C~--.oll\ . ·• .t~,n1 :· brt :J :t t:!~Y•L . . , .. : ' , · .•. >·; ·: -....:...::.--....:.--.....---~------'-.....-.....;.....,.5!~'~ TO 'l$tf0tl'l-5t,.t nJ . .. \ ~ DT' . ~.m-r1 \ ei!.:t..... \ ~.: ~ . · ----...-. -·-··-~-~~------·~.,_-•• ;-tO Jl'lUO~:'.ll\ ~~ ... -. ti·"1 j' .f.J.,." ·~· ~ ·-.----r-~··----' . ..,...-~----..... ~-~- '_·: .. ~' '"· ··-,~~0\"'.fj . ________ ____,...,.._. _______ ._,__._.:.... ..:-.:":..-~~...,..~ ........ -~~~·~~· .. -:_,,;._~_ -.-r-;--:~-~--1".~ -~·-.' --~-- vh:'ITUSi:iiTai .. ~~~ ..:.H..HJ:aHoe ~~:;;:~~~;=·r~~-~=~~~---:: ___ · · . --· -~-· -.~ ~-~ T-~:. -~ -. :-~~ ,:~ · . ~;. -.~~l! ·I . · ! ~-:-----:-• ........ -~Pl.,.... --·---'"'---......---.-.. ...-...-... f1UO~o sq 90 ob8 I . to:) . ,. ~ ... to:)·. •, i \)f' J' ct.f~ tA :) a Bn:iar:t .:1 '~&"rt~ · !!rrh.L:tJ 1 A ~ ........,::-......... . "•"\: .. ' t t i I ·j· C<f .£~1 ·~P "· 1.--. .•. , .. :, _ • .,__.--.--.,.,;,.!);If(:~ '.: '. 'l \'·\ .• ~. ::, , . ·.·~I . ... ; .. "~ . , . I I• x,u \ I I i j ·• . ··t~cn \''''8 ' '' ;, :\,. .. " • , I I ' .• ; JJ>l' . j· . ·-~ \ . !.of;_{~ I l .. ·' t'!! ~) (t~ J 1'1: adct~: ·1 a'.t :.~n:~,.,;t , ;;i '"~"1.' ' ' ,.:-.. t ; .• ~ ·.·'... -. .f ~ . ).'-( -~~ ~. . ..... ., • ~ ! " ,'!1 :1 :1 .. ~1 :·~, :>-~.;• ~-• ~ b ::JHI"' !'· I. -~ ~ 0 ~, ; '1 ' t !,' :~ ~ ..... : .~ ~; ? ft :i ~ ,}: . '-1~.,>J.r:ft,...·.:;..,,.-qrn ~··, .t.,r<j.g,;;:;>J~~ ~·J~ .. ,.,,o..~ ::s:::tP.;t $>:i ..;..~.~ .. ~·{!·"(~ elh ~; ;l 'to j· '1t1 ::~ ";;:: h ;(t'-'1-.::. r .. o .. \'nr· -;· ·# ". •) :.t n11o n~s ' ' . ' .. . ~ ' . ' ./. · ,.t•:u.'6:; e.dj v.d f .. Ol'(" ' I i r I· l i I J· t f I l ! I 1 1 1 I .... ! ., : ·,; ' . IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA . ORPHANS 1 COURT DIVISION ESTATE OF MARY M. IAMS, Deceased. ) ( . ) NO. 63-69-1210 R E C E I P T KNOW ALL MEN BY THESE PRESENTS, that I, MARTHA IAMS ELY, do hereby acknowledge to have received from MARTHA ~AMS ELY, Executrix of the Estate of MARY M. lAMS, Deceased, the sum of-----EIGHT THOUSAND 'THREE HUNDRED SIXTY-SEVEN & 82/100 ($8,367.82) DOLLARS, (which sum includes ~,n adva}lcement of $7,000.00) including therein my share, if any, in the real estate held in kind and distributed as such at the appraised value, all as awarded to me under Decree of the Orphans' Court Division of Washington County, dated October 30, 1970, at the above number and year; and I do hereby authorize and empower the Register of Wills in and for said County to enter and file this Receipt. IN WITNESS WHEREOF, I have hereunto set my hand and seal at washingtori, __ ....:P:-..;e::.:n::.:n:::s'-~y"-=1=.::v.:::a::.:n:=i.::::a _____ , this 25th day of ___ J.;;..a_n_u_a...;r;.::;y ______ , 19 70 0{n~~~~A~ rt a ams . . . . . ""''' .. \.. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS 1 COURT DIVISION ESTATE OF MARY M. lAMS, Deceased. ) ( ) NO. 63-69-1210 R E C E I . P T KNOW ALL MEN BY THESE PRESENTS, that I, CHARLES A. ELY; do hereby acknowledge to have received from MARTHA lAMS ELY, Executrix of the Estate of MARY M. lAMS, Deceased, the sum of --------EIGHT THOUSAND THREE HUNDRED SIXTY-SEVEN & 82/100 ---- ($8,367.82) DOLLARS, (which sum includes ~p advaJlcement of $7,000.00) including therein my share, if any, in the real estate held in kind and distributed as such at the appraised value, all as awarded to me under Decree of the Orphans' Court Division of Washington County, dated October 30, 1970, at the above number and year; and I do hereby authorize and empower the Register of Wills in and for said County to enter and file this Receipt. (' IN WITNESS WHEREOF, I have hereunto set my hand and seal at ~ 3 () (() ldf/4 S"r -------------~~~· "(C~~~a~r"r~e~s-TA~.~~~rr.y~)~·-~---~--~--· __________ (SEAL) WITNESS : . () _ ' Ota..tu ~--:J~ .. . . ' IN THE COURT OF COMMON PLEAS OF WASHINGTON C<?UNTY, PENNSYLVANIA ORPHANS 1 COURT DIVISION ESTATE OF MARY M. lAMS; Deceased. ) ( ) NO. 63-69-1210 R E C E I P T KNOW ALL MEN BY THESE PRESENTS, that I, HELEN L. ELY, now HELEN E. JOHNSTON, do hereby acknowledge to have received from MARTHA ~AMS ELY, Executrix of the Estate of MARY M. lAMS, Deceased,· the sum of------EIGHT THOUSAND THREE HUN>RED SIXTY-SEVEN & 82/100 ($8,367.82} DOLLARS, (which sum includes ~n adv,ncement of $7,000.00) including therein my share, if any, in the real estate held in kind and distributed as such at the appraised value, all as awarded to me under Decree of the Orphans' Court Division of Washington County, dated October 30, 1970, at the above number and year; and I do hereby authorize and empower the Register of Wills in and for said County to enter and file this Receipt. IN WITNESS WHEREOF, I have hereunto set my hand and seal at Washington.· .....;;P;.,.;e..;.n..;.n..;.s.:...y.;;;lv..;..a;;;.n...;.i;;;.a _______ , this 26th day of ____ J_a_n_u_a_r ... Y _____ , 19 71 WITNESS: "2J:hn?<L ~. / Form RCC-33 COMMONWEALTH OF PENNSYL VAN lA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ltESIDENT DECEDENT COUNTY OF .. W. ... A ... ~ .... R .. l ... N ... G. ... 'r ... O ... N .......................... . UtPoRTANT: 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, un!ess an extension is granted by the Secretary of Revenue. (Section 703 of theJnl:lerit~nce __ ~nd~E_f?t!ite _Tax A.ct of lQ!)l.) IN THE MATTER OF THE·ESTATE OF } · lAMS AFFIDAVIT OF .......................... ~! .... ~.~ ............................................................. _ ..... : ..................................................... ,................. EXECUTBi.X (State fuiJ name of decedent) Late of ..... ;.~-~ ..... 9..~-~Y.. .... ~-~----~~-~-~~~&-~-~~-'--~~-~-~-~~-&-~-~Ibounty ~ St~Jte of ........ P.e.nns.y_l:va.P.i.~----·········-----------------·--··.,.--------·---------------} . . ss: County of W:~.f:l-~-~-~g;_C?~---·······--·························------------·---·····-------·----· .................... MARTHA .... IAMS ... ELY.~-----······--·--·····------···············: .................. ------·-··················-····-························· ................. Eueuti.iX of the estate of tbe above-named decedent being duly sworn, depose S and sayS Decedent· dJed ................. S .. ~p_!;~I.l(b.~~---,:}._Qt:;l:l (Month) ....... , 19 ..... §., ....... ,f testate -leaving a last will, copy of which is hereto attached. _} (Hay)_ (Y,..r) L ~XUX,X: .. JAMES .. R •.. DONALDSON .. Name and address of attorney or} other author~zed representative to whom all correspondence should be_ mailed. 614 washington .. Trus.t. Bldg., :Washington, Penna •.... 153.0.1 ............. . That as such ...... ~~~~.9-ti.i.~ .................. depotiQnt is familiar with the affairs of said estate and the property con- (Jl:xecutor-Administrator) 1 stituting the-assets thereof and their fair market value. That at the time of death there w~s 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 followina':~ i .. INSTITUTION RELATIONCSHIP OF JOINT NAME AND ADDRESS OF BANK OR OTHER THIS SAFE DEPOSIT BOX RENTED IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT -- N 0 N E --- .. -. That the contents of s,aid safe depos! t box or boxes are i temi.zed under Schedules ___ of this return, with the exception of the following, for the reasons hereinafter set forth: That Sc.hedule A· attached· !1ereto an(;l made part hereof sets forth full v and in' detail all the real property in the Commonwealth of Pennsylvwnia of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upQp each parcel of real property at the date of death, giving the amount still due at death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof as of date of death of decedent. That Schedule 8 attached hereto and !llade 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, d~~-~o the last interest day prior to decedent's death in the case of savings banks, and to the date of deceden-t's death \• ' ·. in all other cases; all bonds, postal savings, treasury certificates or notes and oth,e-r evidence of in- debtedness of the United States to the decedent; all obligations, whether by statute or agreement they are designated as tax free, ofthe United States, or any.s~ate,;or•.polltical sub~i\Cision thereof, or of any foreign country, which are pwned at the time of death;'~l'alll weii:ririg apparel, jewelry, silverware, pic- tures, books, works of art, household furniture, horses, carriages, automobiles, bo~ts, and any and all other personal chattels of whatsoever kind or nature, leftbydecedent, together wit!'!,, f.~~ fairly estimated market value thereof; all bonds and mortga~tes held by decedent and of a11 claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing for th~ payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimated fair market va!ue thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciation-as to each item; all moneys payable to the estate from life insurance polici-es carried by decedent; all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death, with the market value thereof at such time. 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) together with a statement setting forth the character of the business, its location, and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.· It should also set forth in itemized form, together with the fair market value thereof, any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transfe~ee and all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. Ther•~ is also set forth in said schedule a list of all property, real and personal, with its value, which passes at decedent's death by virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint- ment vested in decedent, either individually or jointly, by the will, deed, or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death;, the nature of their res- pective interests, their relationship, if any, to the decedent, together with the ages at the time of decedent's death of all minors, annul tants 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 estate; counsel fees and fudiciary's commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and unpaid at time of .. ' ' death; taxes accrued 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 ................................ . ~~~~::~~~ _:_-_:=~ (Street Number) ............. W..B.:.~.h.~~.S-~9..!1.~ .... ~~!1~~-~---·.!_?.g,_Q.!. ................................ . (City or Town and State) ................ ~ ....... 2.9..th ............ , ... day of .... D.ec.emb.e): ........................... 19 ..... 6.9. .. . ........ :: .............. ~ .. ~o.',t.J~I~ ............... ,.,,,,,,.,,,, ...... ,.,, ...................... ,,. _, :: N·l' EDITH L DAGUE, Jfotarr Milt : Washington, Wuhlngtoa County, Pa. My Commission Expires Mar. 28, 1978 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 DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS #RANSFER 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 NONE "As Reported" column on the last page of this return. ' RCC-35 COMMONWEALTH OF PENNSYLVANIA .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 or 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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION No. List and describe fully VALUE MARKET VALUE (Do not write in this space) Checking Account -Pittsburgh National Bank, 226.001:) v Washington Office ~ Savings Account -Pittsburgh National Bank, / Washington Office ~ Acct. No. 4777 34,126.18 ~ ~ / ~ . Insert this total opposite "Personal Property", Schedule "B" in X X $34,352.18 the "As Reported" column on the last page of this return. I RCC-.36 , CO\f'lfON11'EALTH OF PENN SYLVAN I A. TIUNSFER INHERITANCE TAX .; ~~SIDENT DECEDENT SCHEDULE "C" TRANSFEilS (1) Did decedent, within two years of death, make any transfer of any material part of his estate, without receiving a valuable and adequate consideration therefor? (Answer yes or no) ___ n_o ____ _ (2) Did decedent, within two years of death, transfer property from himself to himself and another or others (including a spouse) in joint ownership? (Answer yes or no) 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) 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 tht• 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) no (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 Ao) --~n~o~---- (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was sub,ject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer yes or no) __ ~n=o~------ (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no) __________ __ 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. MARI\ET VALUE (Estimated) NONE DEPT. VALUATION (Dept. Only) RCC-3.8 -C:CMMONWEI\LTH 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! Address and Relationship of Co-Owners, and Place I of Record of Instrument, where Real Estate. ! NONE 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 NONE Value of Decedent's Interest j . ~ .,4. ' ··•l.' ' J,j.: ' !I. " ~. t ~.t.· f, ~· '" ·IIi! ( h • 1 • r•~ ftCC .... 37 (12 .. 63) COM.MONWEALTH OF P~!'!!NS¥YJ-."-NIA TRA.N~FER INHERITANC~ TA-X IHi1~lD~NT DECEDENT . . ' ·-· B}i1NEFICIARIES ANP ADPRESSES St~te full names and addresses of all who av~ ~P interest, vested, contin~ent or other wise, in estate) MARTHA lAMS ELY .. 44 South Lincoln Street .. Washington, Penna. 15301 CHARLES A. ELY 630 West 168th St. New York. N. Y. 10032 HELEN L. ELY, now HELEN E. JOHNSTON 203 East Hallam Ave. washington Penna • 15301 .. .. .. . . - -·· . ' SCHEDULE "D" BENEFICIARIES RELATIONSHIP (If step-children or SURVIVED DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH Niece ve~ Residuary Legatee Nephew Yes Residuary Legatee Niece Yes Residuary Legatee n~ppn~nt further says that ~11 the above-named beneficiaries are living at this time except below: NANI~ DATE OF DEATH RESIDENCE Will ~ ! No. Year .................. . D< THE ~IA TIER OF THE APPRAISEMENT OF THE ESTATE OF .. ~¥ .. ~L.~ ..... Deceased Late of the .. City .. o£ .. Washington ............... . County of Washington . Commonwealth of Pennsylvania REPORT AND APPRAISAL ... ~ ' ~ 'J ' ·' r ' 7J : t ' ?. (J r· ··-. ) t.'•r<") I') r-- t ..... , · .. __ .jl I 6·· j-,-_""'-~ ,-~~ I • . ;_,.. :·-o· .? ~ "\ :::-·; r ~: ~ ""' r-L.") .,. • (./) .. vJ ('..,:) (Executor-Administrator must complete "As Reported" column #1.) 0 .... 0 "' "' ..., "" >< "" cr' ~ t'%:1 "' r+ "" r+ (1) ~ ~ :w ~ .. :w VI N • ,_. 00 ~~ -~· ~· ·~ -~ ·~ "'-... ~. ..., "'tf !:X' .... (1) (1) "" .... e:.. ::I "' "' 0 (;" ::I "'tf .... e:.. .... "' 0 "'tf "0 (1) .... .... 0 ~ "0 (1) .... r+ '< en c: ~ ~ > !:X' w en en -< (") (") ?" ?" ?" 0 ~ > : ~ ;: ........ ........ ........ -0 ~ ~ ~ : I =w . > :.J:--:1 : ·W "' =o=w :o ::z:, . 'VI. ..-... :I ~N :a .g -: =• o-: =..... .... :00 (t c.. -0~-GF.'~ ~~ ·~ .l-j ·~· ' -~ > or. t:l rt_ 8"t--J ...,_ ~ ::1 r. c.. • -. RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF REVENUE' BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEA8E REP'IER TO 38-18-1 NOTICE OF FILING OF APPRAISEMENT MAHTHA lAMS ELY In Re: Estate of ______ M_M.'-. _Y_M;:.;._IAM__;;__S _______ _ _____ __:..:.WA::..:;S:=;.;H:.::I:=N;;:G:...:TO=N-----County -File No. 63-69-1210 Dear Mr. Ely: You are hereby notified that the original appraisement in the estate of ~~v M. lams . has been filed in the office of the Register of Wills qf Washington County on January 8 , 19....2.0. Said appraisement reflects the following valuations: Real Estate ---'-------,=-=--,--=-=-....,...,..--- Personal Property ___ ~3~4~,~3~5'-2~·~1;:.;8;__ ___ Transfers __________ ~~~~~~--- Total _____________ ~3~4~,3~5~R~·~l~8 ____ _ 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 (8%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date _____ ~J~an~uar~y~8~·~1~9~7~0'-------Si~ned Q;J. £ ~:4, ~~~ R_ Title W.R. CHANEY, CHIE~PPRAJSER DATE OF DEATH: September ~0, 1969 Note: This is not a bill. j , C·C·39 (!lo•6S) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT t::state of IAMS' (Last Name) MARY (First Name) SUMMARY M._· --------DATE OF DEATH.._.!9_-~30.:...--=6~9 __ FILE NO. (Initial) REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington 63-69-1210 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: 01-08-70 ----~0=9~-3~~-6~9-------- 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) $ 34.352 I 18 $ 34.352 18 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 $---------------4---2% Tax on $ -------------..,.---6% Tax on $ ------------+--5% Tax on $------------4--10% Tax on $ ----------+-~ 151lh '34.'352 18 34,352 18 COMPUTATION OF TAX $ ______________ ~---- $ ___________ 4---- $---------4----$ ____________ ~-- $ ________ -4---- VALUE AS REAPPRAISED $ ____________ 4---- Exemptions * Total Estate __________ -1---- TOTAL TAX $-----------~-- (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid $=====~== BALANCE $---------+--- Less 5% of tax if paid within 3 months after death $=====:::::::== Add interest at rate of 6% from -------to ------- AMOUNT OF ESTATE TAX ASSESSED $----------+-- Estate tax paid $ __________ ___,~ __ __ BALANCE DUE $--------~---- Add interest at rate of 6% from ----------~10--------$----------~---- TOTAL TAX BALANCE $ ---------+--- PAID $----------~--- FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ! No. IN THE Year MATTER OF THE APPRAISEMENT OF THE ESTATE OF ~lOOCIX MARY M. lAMS Deceased Late of. WASHINGTON ... County of . WA$H INGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL .... Fonn RCC-2 • .. COMMONWEALTH OF PENNSYLVANIA DATE .................. cl.§P..P.:~.:r.Y. .... $..! ...... J.:.9.f..9 .. . .................. . DEPARTMENT OF REVENUE .. . ' •· -RESIDENT INHERITANCE TAX COUNTY ....................... w.~.~h.~~g~_9l!. .......... ljiDREAU OF COUNTY COLLECTIONS ..................... HARRISBURG, PENNA. 17 12 7 APPRAISEMENT FILE NO. . ...................... ?.2.:..?.9.::.~?.~_.9. ................................ Whereas, ..................................... J1g .. r.y.: ... M .•..... J.am.s. ..................................................................... late of ................................. W.9:.~.@.D.gt.Qn. ......................................... in the County of ....................................... -w.9.-.~h.;!;;ng"t.9.D. ............................................................... Commonwealth of Pennsylvania, having died on the ............................. ?..9 .... ~~················································· day of ....................... ~.~P~.~~ .. ~~ ........................ 19 .... 9.2 .. , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, .......................... !!.~.~.~ .... .Q~.~.~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. Unit Appraisement I Description of Aaset Made for Inheritance Values Tax Purpoaea $ PERSONALTY: Checking Account -Pittsburgh National Bank, Washington Office 226.00 Savings Account -Pittsburgh National Bank_, Washington Office :H~zl26.18 34,352.18 34,352 18 I Total 34,352 18 ' I form~;vi~hb~: ::lt;,:.w<>rJl ~1"-r~ ~~: ~:; .~~~~~ t~·5~ti~1~~~ Appraiser ·p········1····:····li .. '"~ ;;;;;;;;·· s;;;;;; ······················································· ................... a... .. ,:.V..~t.<\ ............ ·(p;;;; ·o;;;;;························· .................. , Penna. WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ..................................... M-ARY. ... M.~ ..... JAM$ .. Deceased. Late of WASHINGTON Date of Death, .... ~.I?..Pt~.l:?.~.~ .. ~9.1. ..... ~.9.9.9. ............. .. Appraiseme11t Docket Vol., ...................... .3.8 ..................... .. Page, ....... 18~1.. ....................... No. .. .. 9.?..:::-.~9.:-::1.?.~.9 ....... . Filed in Register's Office, .. ~.a.J.:!..l:l~~Y.: .... ??. .... J979. Amount of tax due, $ ................................................................... . DEPARTMENT OF REVENUE Received, Exa.mined and Approved, Wrote abo,ut Appra-isement, Appeal ft'om Appraisement, Entered and charged, 1' J(! / Form RC C-10 (,. .. { DEDUCTIONS ALLOWED IN j C o' Z,,JO ... r ., .. OFFICE OF TH€ THE SUM OF ............ $ ... . REGISTER OF WILLS WASHINGTON OF---------COUNTY STATEMENT OF DEBTS AND DEDUCTIONS, W b v t .... _____ '1?.: t1-70 AND AGENT OF THE COMMONWEALTH ~f1;-11J ESTATE OF MARY M. lAMS LATE oF __ ~t~h~e~C~i~t~v~o~-f:-W~a=s~h=i~n~g~t~o~n~--------- DATE OF FILING APPRAISEMENT 12-29-69 DATE OF DEATH SeEtember 302 1969 DATE NO. OF NAM&: OF PAYEE REMARKS AMOUNT VOUCH5'Jit 10-22-69 ~us sell Marino, Register Letters & Short Certificate 19 50 10-29-69 Wash. Co. Reports !Advertising Letters 14 00 10-29-69 pbserver-Reporter Advertising Letters 14 00 12-1-69 !Russell Marino, Register 1 Short Certificate 1 00 12-29-69 !Edith L. Dague !Affidavits 2 00 12-29-69 Russell Marino. Register Filing Inventory 3 00 4-16-/ZO Russell Marino, Register 1 Short Certificate 1 00 !Martha lams Ely Executrix's Commission 1,760 93 James R. Donaldson Attorney's Fee 1,760 00 Russell Marino. Register Filing Account 16 00 10-24-69 IMrs. Catherine VanVoorhes Nursing 180 00 10-24-69 Mrs. Pauline Spangler Nursing 60 00 10-24-69 Mrs. Mary Trifaro Nursing 120 00 10 27-69 Piatt Funeral Home Funeral 1,692 78 11· 10-69 D.McCarrell Dunbar. M. D. Professional Services 133 00 11· 14-69 Jerold Ruben. M. D. Professional Services 30 00 3 3-70 Internal Revenue Service 1969 Income Tax 6 49 5· 20-70 Simon White's Sons Marker 140 00 12· 12-69 First United Methodist Church Pledge -Balance 65 00 Edith L. Dague Notary 3 00 ( L/1 AA..J4.._ (t A t~J A VLA LA ~ II "{_,/LA/t u) L{( ou_ - I TOTAL -----------------y:tJ ~ V~1 /U COMMONWEALTH OF PENNSYLVANIA }as: COUNTY OF WASHINGTON I, Martha rams Ely HEREBY CERTIFY, THAT. TO THE BE.T OF MY kNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSQ OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF MARY M1 LAMS . D<eEAS£0, •• o•ouCTo+ INHERITANCE TAX PURPOSES. /~ 4--SWORN AND SUBSCRIBED I!IEFORE ME THIS ~~o).~g' DAY OP' (Martha rams Ely) ~.,, b ~..;) .. _JJJ__ I!.GUE Notary publiC EDITH l. 0 ' ton County, Pa. 'Washington, wasbi~g Mar. 26, 1973 My commission Exp res -1 .-·' , ... -- J ~----------------------------,.--------...,.-----..,-------;;-----:-----~~~-~ -~ --~ - • RCC-4 (8-68) ~~~~~~~~~~~~~~~~~~~~~ ....... LINWEALTH OF PENNSYLVANIA ~ ' ~ ;... .,r /j ~ , DEPARTMENT OF REVENUE;~. . NO. A 0 51 2 a 3 OFFICIAL RECEIPT • PENNSYLVANIA INHERITANCE AND ESTATE TAX RECEIVED THREE THOUSAND SIX HUNDRED TEN and nohoo - - - - representing Pen~sylvania Inheritance or Estate Tax due from the following estate: · dollars ~iartha lams Ely, Excr. From:~~~~~~~~~~~~~~~~~~~--~---------------------------lml 2%Tax on $ __________ "'----------Ifill 6%Tax on $ _________ _ $--------10 15% Tax on $ Date of Payment __ ....:D::c.e.::...=.c-=e-=m:::.::b::..ce::.:r=---..:::2c.:::9'-l-~-=-9-=6-=9----; %Tax on $ __________ $ _________ _ Name of Decedent ____ 1>_1A_R_Y_l>_1_. _I_A_l>_IS ___ ----i County _____ W_7A_S_H_I_N_JG_T_O_N ______ ---1 Remarks: NOTE: To be delivered to taxpayer S E A L 38-18-1 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 Received by NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth not be precluded or prevented from hereafter assessing additional inheritance tax at the death life tenant or tenant for years whenever it appears that such additional tax may be legally due collectible for atsoever. $ _______ _ $ __ ~3"-J,'--"'8=0'-"0'-'-.-""0-""0- 190.00 $ _________ _ 3,610.00